NR222- Health & Wellness- Exam 1 (2025) Actual
Exam Questions and Answers A+ Graded
1. The nurse spends time with a patient and family reviewing a dressing
change procedure for the patient's wound.The patient's spouse demonstrates
how to change the dressing.The nurse is acting in which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator: 1. Educator
The nurse is demonstrating the role of educator.An educator explains concepts and
facts about health, describes the reason for routine care activities, demonstrates
procedures such as home-care activities, reinforces learning or patient behavior,
and evaluates the patient's progress in learning or patient behavior, and evaluates
the patient's progress in learning through return demonstration.
2. A patient discharged a week ago following a stroke is currently participating
in rehabilitation sessions provided by nurses, physical therapists, and reg-
istered dietitians in an outpatient setting. In what level of prevention is the
patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention: 3.Tertiary prevention
Involves minimizing the effects of long-term disease or disability by interventions
directed at preventing complications and deterioration following surgery.Tertiary pre-
vention activities are directed at rehabilitation rather than diagnosis and treatment.
Care at this level aims to help patients achieve as high a level of functioning as
,possible, despite the limitations caused by illness or impairment.This level of care is
called preventative care because it involves preventing further disability or reduced
functioning.
3. Based on the transtheoretical model of change, what is the most appropriate
response to a patient who states: "Me, stop smoking? I've been smoking since I
was 16!"
1. That's fine. Some people who smoke live a long life.
2. Ok. Iwant you to decrease the number of cigarettes you smoke by one each
day, and I'll see you in 1 month.
3. What do you think is the greatest reason why stopping smoking would be
,challenging for you?
4. I'd like you to attend a smoking-cessation class this week and use nicotine
replacement patches as directed.: 3. What do you think the greatest reason why
stopping smoking would be challenging for you?
The patient's response indicates he is in the precontemplation stage and not intend-
ing to make a change in behavior in the next 6 months. In this stage, the patient is not
interested in information about the behavior and may be defensive when confronted
with the information. Asking an open-ended question about smoking may stimulate
the patient to identify a reason to begin a behavioral change. Nurses are challenged
to motivate and facilitate health behavior change in working with individuals.
4. A nurse is caring for a client who decides not to have surgery despite
significant blockages of the coronary arteries.The nurse understands that this
client's choice is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence: A. Fidelity is the fulfillment of promises.The nurse has not
made any promises; this is the client's decision.
B. Autonomy, In this situation, the client is exercising their right to make their own
personal decision about surgery, regardless of others' opinions of what is "best" for
them. This is an example of autonomy.
C.Justice is fairness in care delivery and in the use of resources.Because the client
has chosen not to use them, this principle does not apply.
D. Nonmaleficence is a commitment to do no harm. In this situation, harm can occur
whether or not the client has surgery. However, because they choose not to, this
principle does not apply
5. A nurse is instructing a group of newly licensed nurses about the respon-
sibilities organ donation and procurement involved.When the nurse explains
that all clients waiting for a kidney transplant have to meet the same qualifi-
cations, the newly licensed nurses should understand that this aspect of care
delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
, C. Justice
D. Nonmaleficence: A. Fidelity is the fulfillment of promises. Because donor organs
are a scarce resource compared with the numbers of potential recipients who need
them, no one can promise anyone an organ. Thus, this principle does not apply.
B. Autonomy is the right to make personal decisions, even when they are not
necessarily in the person's best interest. No personal decision is involved with the
qualifications for organ recipients.
C. Justice, is fairness in care delivery and in the use of resources. By applying the
same qualifications to all potential kidney transplant recipients, organ procurement
organizations demonstrate this ethical principle in determining the allocation of
these scarce resources.
D. Nonmaleficence is a commitment to do no harm. In this situation, harm can
occur to organ donors and to recipients.The requirements of the organ procurement
organizations are standard procedures and do not address avoidance of harm or
injury
6. A charge nurse is reviewing the steps of the nursing process with a group
of nurses.Which of the following data should the charge nurse identify as
objective data? (Select all that apply)
A. Respiration rate is 22/min with even, unlabored respirations.
B. The client's partner states "They said they hurt after walking about 10
minutes"
C. The client's pain rating is 3 on a scale of 0 to 10
D. The client's skin is pink, warm and dry
E. The assistive personnel reports that the clients walked with a limp: A.
Respiration rate is 22/min with even, unlabored respirations: OBJECTIVE DATA,
includes information the nurse measures (vital signs)
B. The client's partner states "They said they hurt after walking about 10 minutes":
SUBJECTIVE DATA, includes a client's reported manifestations, even if a secondary
source gave the nurse the information
C. The client's pain rating is 3 on a scale of 0 to 10: SUBJECTIVE DATA, includes a
client's reported manifestations
D. The client's skin is pink, warm and dry: OBJECTIVE DATA, includes information
Exam Questions and Answers A+ Graded
1. The nurse spends time with a patient and family reviewing a dressing
change procedure for the patient's wound.The patient's spouse demonstrates
how to change the dressing.The nurse is acting in which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator: 1. Educator
The nurse is demonstrating the role of educator.An educator explains concepts and
facts about health, describes the reason for routine care activities, demonstrates
procedures such as home-care activities, reinforces learning or patient behavior,
and evaluates the patient's progress in learning or patient behavior, and evaluates
the patient's progress in learning through return demonstration.
2. A patient discharged a week ago following a stroke is currently participating
in rehabilitation sessions provided by nurses, physical therapists, and reg-
istered dietitians in an outpatient setting. In what level of prevention is the
patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention: 3.Tertiary prevention
Involves minimizing the effects of long-term disease or disability by interventions
directed at preventing complications and deterioration following surgery.Tertiary pre-
vention activities are directed at rehabilitation rather than diagnosis and treatment.
Care at this level aims to help patients achieve as high a level of functioning as
,possible, despite the limitations caused by illness or impairment.This level of care is
called preventative care because it involves preventing further disability or reduced
functioning.
3. Based on the transtheoretical model of change, what is the most appropriate
response to a patient who states: "Me, stop smoking? I've been smoking since I
was 16!"
1. That's fine. Some people who smoke live a long life.
2. Ok. Iwant you to decrease the number of cigarettes you smoke by one each
day, and I'll see you in 1 month.
3. What do you think is the greatest reason why stopping smoking would be
,challenging for you?
4. I'd like you to attend a smoking-cessation class this week and use nicotine
replacement patches as directed.: 3. What do you think the greatest reason why
stopping smoking would be challenging for you?
The patient's response indicates he is in the precontemplation stage and not intend-
ing to make a change in behavior in the next 6 months. In this stage, the patient is not
interested in information about the behavior and may be defensive when confronted
with the information. Asking an open-ended question about smoking may stimulate
the patient to identify a reason to begin a behavioral change. Nurses are challenged
to motivate and facilitate health behavior change in working with individuals.
4. A nurse is caring for a client who decides not to have surgery despite
significant blockages of the coronary arteries.The nurse understands that this
client's choice is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence: A. Fidelity is the fulfillment of promises.The nurse has not
made any promises; this is the client's decision.
B. Autonomy, In this situation, the client is exercising their right to make their own
personal decision about surgery, regardless of others' opinions of what is "best" for
them. This is an example of autonomy.
C.Justice is fairness in care delivery and in the use of resources.Because the client
has chosen not to use them, this principle does not apply.
D. Nonmaleficence is a commitment to do no harm. In this situation, harm can occur
whether or not the client has surgery. However, because they choose not to, this
principle does not apply
5. A nurse is instructing a group of newly licensed nurses about the respon-
sibilities organ donation and procurement involved.When the nurse explains
that all clients waiting for a kidney transplant have to meet the same qualifi-
cations, the newly licensed nurses should understand that this aspect of care
delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
, C. Justice
D. Nonmaleficence: A. Fidelity is the fulfillment of promises. Because donor organs
are a scarce resource compared with the numbers of potential recipients who need
them, no one can promise anyone an organ. Thus, this principle does not apply.
B. Autonomy is the right to make personal decisions, even when they are not
necessarily in the person's best interest. No personal decision is involved with the
qualifications for organ recipients.
C. Justice, is fairness in care delivery and in the use of resources. By applying the
same qualifications to all potential kidney transplant recipients, organ procurement
organizations demonstrate this ethical principle in determining the allocation of
these scarce resources.
D. Nonmaleficence is a commitment to do no harm. In this situation, harm can
occur to organ donors and to recipients.The requirements of the organ procurement
organizations are standard procedures and do not address avoidance of harm or
injury
6. A charge nurse is reviewing the steps of the nursing process with a group
of nurses.Which of the following data should the charge nurse identify as
objective data? (Select all that apply)
A. Respiration rate is 22/min with even, unlabored respirations.
B. The client's partner states "They said they hurt after walking about 10
minutes"
C. The client's pain rating is 3 on a scale of 0 to 10
D. The client's skin is pink, warm and dry
E. The assistive personnel reports that the clients walked with a limp: A.
Respiration rate is 22/min with even, unlabored respirations: OBJECTIVE DATA,
includes information the nurse measures (vital signs)
B. The client's partner states "They said they hurt after walking about 10 minutes":
SUBJECTIVE DATA, includes a client's reported manifestations, even if a secondary
source gave the nurse the information
C. The client's pain rating is 3 on a scale of 0 to 10: SUBJECTIVE DATA, includes a
client's reported manifestations
D. The client's skin is pink, warm and dry: OBJECTIVE DATA, includes information
