NUR 112 – Exam 1 Study Guide with Practice Questions and Correct
answers for Foundations of Nursing and Health Assessment
The nurse provides postop instructions for an adult patient after cataract surgery. Which
written statement, if provided by the nurse, would be the most appropriate?
a. "to avoid contamination of the eye use aseptic tech. when applying eye drops."
b."conjunctivitis may result if the eye is contaminated with wet or dirty eye patches."
c. "to prevent infection in the eye, wash your hands before changing the eye patch or using eye
drops."
d. "coughing and bending over can cause increased intraocular pressure, resulting in retinal
damage or displacement of the incraocular lens." - correct answer c
When using the trans-theoretical model of health behavior change during the pt teaching, the
nurse identifies that the pt who states, "I've walked regularly for about a year to help prevent
osteoporosis, but recently I haven't been motivated to cont." Is in the stage of?
a. action
b. preparation
c. termination
d. maintenance - correct answer
When a nurse is observing a pt draw up and mix insulin injections, which of the following best
demonstrate that psychomotor learning has taken place?
a. the pt is able to discuss the appropriate technique
b. the pt is able to demonstrate the appropriate technique
c. the pt states that he understands
d. the pt is able to write the steps on a piece of paper - correct answer b
A nurse in a provider's office is collecting data from the mother of a 1 year old child. The pt
states that her child is old enough for potty training. Following an education session by the
nurse, the pt now states that her earlier ideas has changed. She is now willing to postpone
potty training until the child is older. Learning has occurred in which of the following domains?
a. cognitive
b. affective
,c. psychomotor
d. kinesthetic - correct answer b
A nurse is providing preoperative teaching for a pt who is sched. for a mastectomy the next day.
Which of the following pt statements indicates that the pt is ready to learn?
a. "I don't want my spouse to see my incision."
b. "Will you be able to give me pain med after my surgery?"
c. "Can you tell me about how long the surgery will take?"
d. "My roommate listens to everything I say." - correct answer c
A nurse is preparing an instruction session about managing stress incontinence for an older
adult. Which of the following actions should the nurse take first when meeting the pt?
a. encourage the pt to participate actively in learning
b. select instructional materials appropriate for the older adult
c. identify goals the nurse and the pt agree are reasonable
d. determine what the pt knows about stress incontinence - correct answer d
A nurse is evaluating how well a pt learned the information presented in an instructional
session about following a heart-healthy diet. The pt states that she understands what to do
now. Which of the following actions by the nurse should assist the nurse in evaluation the pts
learning?
a. encourage the pt to ask questions
b. ask the pt to explain how to select or prepare meals
c. encourage the pt to fill out an evaluation form
d. ask the pt if she has resources for further instruction on this topic - correct answer b
An overweight pt is sched. for a laparoscopic cholecystectomy at an outpatient surgery setting.
The nurse knows that...
a. surgery will involve multiple small incisions
b. this setting is not appropriate for this procedure
c. surgery will involve removing a portion of her liver
d. the pt will need special prep because of obesity - correct answer a
, The pt tells the nurse in the preoperative setting that she has notices she has a reaction when
wearing rubber gloves. What is the most appropriate nursing intervention?
a. notify the surgeon so the case can be cancelled
b. ask additional questions to assess for possible latex allergy
c. notify the OR staff immediately so that the latex-free supplies can be used
d. no intervention is needed because the pts rubber sensitivity has not bearing on surgery -
correct answer b
When a patient is admitted to the PACU, what are the priority interventions the nurse
performs?
a. assess the surgical site, noting presence and character of drainage.
b. assess the amount of urine output and the presence of bladder distention.
c. asses for airway patency and quality of respirations, and obtain vitals.
d. Review the results of intraoperative lab values and medications received. - correct answer c
A patient is admitted to the PACU after major abdominal surgery. During the initial assessment
the pt tells the nurse he thinks he is going to throw up. a priority nursing intervention would be
to.
a. increase the rate of the iv fluid
b. obtain vital signs, including o2 saturation
c. position pt in lateral recovery position
d. administer antiemetic medication as ordered - correct answer c
After admission of the postoperative pt to the clinical unit, which assessment data require the
most immediate attention?
a. O2 sat of 85%
b. Resp rate of 13/min
c. Temp of 100.4 F
d. BP of 90/60 - correct answer a
A 70 kg postoperative pt has an average urine output of 25 ml/hour during the first 8 hours. the
priority nursing intervention given this assessment would be to
a. preform a straight catheterization to measure the amount of urine in the bladder.
answers for Foundations of Nursing and Health Assessment
The nurse provides postop instructions for an adult patient after cataract surgery. Which
written statement, if provided by the nurse, would be the most appropriate?
a. "to avoid contamination of the eye use aseptic tech. when applying eye drops."
b."conjunctivitis may result if the eye is contaminated with wet or dirty eye patches."
c. "to prevent infection in the eye, wash your hands before changing the eye patch or using eye
drops."
d. "coughing and bending over can cause increased intraocular pressure, resulting in retinal
damage or displacement of the incraocular lens." - correct answer c
When using the trans-theoretical model of health behavior change during the pt teaching, the
nurse identifies that the pt who states, "I've walked regularly for about a year to help prevent
osteoporosis, but recently I haven't been motivated to cont." Is in the stage of?
a. action
b. preparation
c. termination
d. maintenance - correct answer
When a nurse is observing a pt draw up and mix insulin injections, which of the following best
demonstrate that psychomotor learning has taken place?
a. the pt is able to discuss the appropriate technique
b. the pt is able to demonstrate the appropriate technique
c. the pt states that he understands
d. the pt is able to write the steps on a piece of paper - correct answer b
A nurse in a provider's office is collecting data from the mother of a 1 year old child. The pt
states that her child is old enough for potty training. Following an education session by the
nurse, the pt now states that her earlier ideas has changed. She is now willing to postpone
potty training until the child is older. Learning has occurred in which of the following domains?
a. cognitive
b. affective
,c. psychomotor
d. kinesthetic - correct answer b
A nurse is providing preoperative teaching for a pt who is sched. for a mastectomy the next day.
Which of the following pt statements indicates that the pt is ready to learn?
a. "I don't want my spouse to see my incision."
b. "Will you be able to give me pain med after my surgery?"
c. "Can you tell me about how long the surgery will take?"
d. "My roommate listens to everything I say." - correct answer c
A nurse is preparing an instruction session about managing stress incontinence for an older
adult. Which of the following actions should the nurse take first when meeting the pt?
a. encourage the pt to participate actively in learning
b. select instructional materials appropriate for the older adult
c. identify goals the nurse and the pt agree are reasonable
d. determine what the pt knows about stress incontinence - correct answer d
A nurse is evaluating how well a pt learned the information presented in an instructional
session about following a heart-healthy diet. The pt states that she understands what to do
now. Which of the following actions by the nurse should assist the nurse in evaluation the pts
learning?
a. encourage the pt to ask questions
b. ask the pt to explain how to select or prepare meals
c. encourage the pt to fill out an evaluation form
d. ask the pt if she has resources for further instruction on this topic - correct answer b
An overweight pt is sched. for a laparoscopic cholecystectomy at an outpatient surgery setting.
The nurse knows that...
a. surgery will involve multiple small incisions
b. this setting is not appropriate for this procedure
c. surgery will involve removing a portion of her liver
d. the pt will need special prep because of obesity - correct answer a
, The pt tells the nurse in the preoperative setting that she has notices she has a reaction when
wearing rubber gloves. What is the most appropriate nursing intervention?
a. notify the surgeon so the case can be cancelled
b. ask additional questions to assess for possible latex allergy
c. notify the OR staff immediately so that the latex-free supplies can be used
d. no intervention is needed because the pts rubber sensitivity has not bearing on surgery -
correct answer b
When a patient is admitted to the PACU, what are the priority interventions the nurse
performs?
a. assess the surgical site, noting presence and character of drainage.
b. assess the amount of urine output and the presence of bladder distention.
c. asses for airway patency and quality of respirations, and obtain vitals.
d. Review the results of intraoperative lab values and medications received. - correct answer c
A patient is admitted to the PACU after major abdominal surgery. During the initial assessment
the pt tells the nurse he thinks he is going to throw up. a priority nursing intervention would be
to.
a. increase the rate of the iv fluid
b. obtain vital signs, including o2 saturation
c. position pt in lateral recovery position
d. administer antiemetic medication as ordered - correct answer c
After admission of the postoperative pt to the clinical unit, which assessment data require the
most immediate attention?
a. O2 sat of 85%
b. Resp rate of 13/min
c. Temp of 100.4 F
d. BP of 90/60 - correct answer a
A 70 kg postoperative pt has an average urine output of 25 ml/hour during the first 8 hours. the
priority nursing intervention given this assessment would be to
a. preform a straight catheterization to measure the amount of urine in the bladder.
