NURSING 3100 EXAM 2 PRACTICE QUESTIONS
WITH CORRECT ANSWERS ALL QUESTIONS WITH
RATIONALES
The Joint Commission documented that client education was deficient on several medical-
surgical units of a local hospital. A nursing committee was formed to address this problem.
What is the best intervention to improve client education?
A.
Discussing medications each time they are administered to clients.
B.
Requesting more frequent pharmacy consults for the clients.
C.
Providing educational pamphlets about medications to the clients.
D.
Asking the healthcare providers to provide medication education to the clients. --CORRECT
ANSWER--A.
Discussing medications each time they are administered to clients.
Rationale: Discussing medications each time they are administered is an effective way to
increase the amount of education provided. Medication education is considered to be a
responsibility of the nurse, not the healthcare provider or pharmacist. Educational pamphlets
can be effective but are not as effective as the nurse providing education to the client.
The nurse has several educational pamphlets for the client about medications the client is
receiving. Prior to giving the client these pamphlets, what is the most important assessment
by the nurse?
Page 1 of 148
,A.
Assess the client's reading level.
B.
Assess the client's ability to pay for the medication.
C.
Assess the client's cultural bias toward taking medicine.
D.
Assess the client's religious attitudes toward medicine. --CORRECT ANSWER--A.
Assess the client's reading level.
Rationale: Educational pamphlets are ineffective if the reading level is above what the client
can understand. Assessing the client's readiness to learn, cultural bias, and religious attitudes
are important but not as important as the client's reading level.
The nurse is reviewing the steps of the nursing process with a student. The nurse is aware that
it is most important to be accurate in which portion of the nursing process?
A.
Diagnosis
B.
Planning
C.
Evaluation
D.
Assessment --CORRECT ANSWER--D.
Assessment
Page 2 of 148
,Rationale: Assessment is the basis for the development of the rest of the steps of the nursing
process. While the nurse always strives to be accurate, inaccuracies in assessment will
translate as inaccuracies in the remaining steps. While accuracy in evaluation, diagnosis, and
planning is important, it is more important to be accurate in assessment.
The nurse is assessing a newly admitted client's current medication. Which of the following is
an example of objective data?
A.
The client's wife tells the nurse what medications the client has been receiving.
B.
The client lists the medications that have been prescribed.
C.
The nurse checks the prescription bottles the client has brought to the hospital.
D.
The nurse asks the healthcare provider what medications the client was currently taking. --
CORRECT ANSWER--C.
The nurse checks the prescription bottles the client has brought to the hospital.
Rationale: Objective data includes information gathered through assessment, and not
necessarily, what the client says or perceives. The most reliable and objective assessment by
the nurse is to check the client's prescription medication bottles. A list of medications
provided by the client and the client's wife is subjective, not objective data. Asking the
healthcare provider what medication the client was receiving is subjective data, and the
healthcare provider may not remember all the medication the client was receiving.
Page 3 of 148
, The nurse is administering medications to an older adult. Which laboratory tests are most
important for the nurse to assess prior to the administration of medication?
A.
Arterial blood gases (ABGs) and basic metabolic panel
B.
Lipid panel and thyroid function tests
C.
Kidney and liver function tests
D.
Complete blood count (CBC) and electrolytes --CORRECT ANSWER--C.
Kidney and liver function tests
Rationale: Renal and hepatic function tests are essential for many clients, particularly older
clients and those who are critically ill, as these will be used to determine the proper drug
dosage. Complete blood count (CBC) and electrolytes, lipid panel and thyroid function tests;
and ABGs and a basic metabolic panel are not likely to help in determining the proper drug
dosage.
The nurse is reviewing the steps of the nursing process with a student. The nurse knows that
the student understands the teaching when the student correctly lists which of the following
as the correct order of the nursing process?
A.
Establish nursing diagnosis, assessment, intervene, collaborate, evaluation
B.
Establish goals, assessment, intervention, planning, communication
C.
Page 4 of 148
WITH CORRECT ANSWERS ALL QUESTIONS WITH
RATIONALES
The Joint Commission documented that client education was deficient on several medical-
surgical units of a local hospital. A nursing committee was formed to address this problem.
What is the best intervention to improve client education?
A.
Discussing medications each time they are administered to clients.
B.
Requesting more frequent pharmacy consults for the clients.
C.
Providing educational pamphlets about medications to the clients.
D.
Asking the healthcare providers to provide medication education to the clients. --CORRECT
ANSWER--A.
Discussing medications each time they are administered to clients.
Rationale: Discussing medications each time they are administered is an effective way to
increase the amount of education provided. Medication education is considered to be a
responsibility of the nurse, not the healthcare provider or pharmacist. Educational pamphlets
can be effective but are not as effective as the nurse providing education to the client.
The nurse has several educational pamphlets for the client about medications the client is
receiving. Prior to giving the client these pamphlets, what is the most important assessment
by the nurse?
Page 1 of 148
,A.
Assess the client's reading level.
B.
Assess the client's ability to pay for the medication.
C.
Assess the client's cultural bias toward taking medicine.
D.
Assess the client's religious attitudes toward medicine. --CORRECT ANSWER--A.
Assess the client's reading level.
Rationale: Educational pamphlets are ineffective if the reading level is above what the client
can understand. Assessing the client's readiness to learn, cultural bias, and religious attitudes
are important but not as important as the client's reading level.
The nurse is reviewing the steps of the nursing process with a student. The nurse is aware that
it is most important to be accurate in which portion of the nursing process?
A.
Diagnosis
B.
Planning
C.
Evaluation
D.
Assessment --CORRECT ANSWER--D.
Assessment
Page 2 of 148
,Rationale: Assessment is the basis for the development of the rest of the steps of the nursing
process. While the nurse always strives to be accurate, inaccuracies in assessment will
translate as inaccuracies in the remaining steps. While accuracy in evaluation, diagnosis, and
planning is important, it is more important to be accurate in assessment.
The nurse is assessing a newly admitted client's current medication. Which of the following is
an example of objective data?
A.
The client's wife tells the nurse what medications the client has been receiving.
B.
The client lists the medications that have been prescribed.
C.
The nurse checks the prescription bottles the client has brought to the hospital.
D.
The nurse asks the healthcare provider what medications the client was currently taking. --
CORRECT ANSWER--C.
The nurse checks the prescription bottles the client has brought to the hospital.
Rationale: Objective data includes information gathered through assessment, and not
necessarily, what the client says or perceives. The most reliable and objective assessment by
the nurse is to check the client's prescription medication bottles. A list of medications
provided by the client and the client's wife is subjective, not objective data. Asking the
healthcare provider what medication the client was receiving is subjective data, and the
healthcare provider may not remember all the medication the client was receiving.
Page 3 of 148
, The nurse is administering medications to an older adult. Which laboratory tests are most
important for the nurse to assess prior to the administration of medication?
A.
Arterial blood gases (ABGs) and basic metabolic panel
B.
Lipid panel and thyroid function tests
C.
Kidney and liver function tests
D.
Complete blood count (CBC) and electrolytes --CORRECT ANSWER--C.
Kidney and liver function tests
Rationale: Renal and hepatic function tests are essential for many clients, particularly older
clients and those who are critically ill, as these will be used to determine the proper drug
dosage. Complete blood count (CBC) and electrolytes, lipid panel and thyroid function tests;
and ABGs and a basic metabolic panel are not likely to help in determining the proper drug
dosage.
The nurse is reviewing the steps of the nursing process with a student. The nurse knows that
the student understands the teaching when the student correctly lists which of the following
as the correct order of the nursing process?
A.
Establish nursing diagnosis, assessment, intervene, collaborate, evaluation
B.
Establish goals, assessment, intervention, planning, communication
C.
Page 4 of 148
