ABSN Nursing Exam 1 Review Questions and
Answers with 100% Complete Solutions
What are specific measurable and realistic statements of goal attainment? - correct
answeroutcome criteria
A nurse is caring for a 48-year-old man with congestive heart failure. The nurse
manager informs the nurse that the client was enrolled in a clinical trial to assess
whether a 10-minute walk, three times per day, leads to expedited discharge. What type
of evaluation best describes what the researchers are examining? - correct
answeroutcome Evaluation
A client is scheduled for surgery for an abdominal hysterectomy. During the
preoperative assessment, the client states, "I am very nervous and scared to have
surgery." What client outcome is the priority? - correct answerresolve the patients
anxiety
Which intervention performed by the nurse is most appropriate for assisting a client in
meeting physiologic needs based on Maslow's Hierarchy of Needs? - correct
answerCutting up food and opening drink containers for the client
A client with food poisoning has the nursing diagnosis "diarrhea." Which expected client
outcome most directly demonstrates resolution of the problem? - correct answerClient
will have formed stools within 24 hours
A 16-year-old client was admitted to the medical unit 1 hour ago for sickle cell crisis.
Vital signs are as follows: T: 36.8°C sublingual, HR: 95, RR: 20, BP: 130/65. The client
rates pain as a 9/10. The nurse is talking with the medical resident on service to discuss
client orders. What order is the nurse likely to request first for the client? - correct
answernarcotic medication to treat pain
An older adult female client has been admitted to the hospital for the treatment of
exacerbation of chronic obstructive pulmonary disease (COPD). Which statement
constitutes a long-term outcome? - correct answerThe client will return home able to
conduct her activities of daily living (ADLs) without experiencing shortness of breath.
A home care client with dementia has the nursing diagnosis "Wandering." Which
expected client outcome most directly demonstrates resolution of the problem? - correct
answerclient will not leave the premises without a caregiver
The nurse admitting a client with a new diagnosis of diverticulitis plans to teach the
client about managing the disorder after discharge. What nursing intervention most
completely meets the client's needs? - correct answerStart from client's knowledge,
teach about diet modifications, and check for learning.
The nurse is assigned to a client who is newly diagnosed with diabetes. The nurse
understands that illness causes feelings of insecurity, which may threaten the client and
, ABSN Nursing Exam 1 Review Questions and
Answers with 100% Complete Solutions
family's ability to cope. What action should the nurse take with this client? - correct
answercomforting the client and family
Which of the following is categorized as a psychomotor outcome? - correct
answerWithin 2 days of education, the client's wife will demonstrate abdominal dressing
change
The nurse recognizes that an example of a cognitive outcome is: - correct answerThe
client identifies three foods high in potassium by August 8.
A nurse is applying the nursing process and is involved in establishing priorities. The
nurse is most likely in which phase of the nursing process? - correct answeroutcome
identification and planning
A client is on the surgical unit s/p resection of an intestinal tumor. She is alert and
oriented x3. Based on assessment of the client, a medical order to "ambulate with
assistance" is written in the chart. This will be the client's first time ambulating. Which
best represents a nursing outcome? - correct answerThe client will ambulate with the
assistance of a walker without falling within the next 4 hours.
One hour after receiving pain medication, a postoperative client reports intense pain.
What is the nurse's appropriate first action? - correct answerassess the client to
determine the cause of pain
The nurse is planning instruction on wound care to an adult client. What variables would
cause the nurse to alter the education plan? Select all that apply. - correct answerthe
client is blind, the client denies the need for education
The nurse is caring for a client admitted to the hospital for renal calculi. What is the
action to take first? - correct answerassess the bladder for distention
A client cannot afford the treatment prescribed. Who would be the most appropriate
professional for the nurse to involve with the client's care? - correct answernurse case
manager
The nurse is caring for a postoperative client who is receiving morphine sulfate for pain
management. The nurse obtains the following vital signs. HR 74 RR 8 BP 114/68. After
reviewing the nursing care plan and physician orders, the nurse administers naloxone
(Narcan). What would allow the nurse to initiate this action? - correct answerstanding
orders
A busy nurse is working with an unlicensed assistive personnel (UAP). What tasks can
the nurse appropriately delegate to the UAP? Mark all that apply. - correct answer-
record the clients intake and output
- assist the client to the bathroom
Answers with 100% Complete Solutions
What are specific measurable and realistic statements of goal attainment? - correct
answeroutcome criteria
A nurse is caring for a 48-year-old man with congestive heart failure. The nurse
manager informs the nurse that the client was enrolled in a clinical trial to assess
whether a 10-minute walk, three times per day, leads to expedited discharge. What type
of evaluation best describes what the researchers are examining? - correct
answeroutcome Evaluation
A client is scheduled for surgery for an abdominal hysterectomy. During the
preoperative assessment, the client states, "I am very nervous and scared to have
surgery." What client outcome is the priority? - correct answerresolve the patients
anxiety
Which intervention performed by the nurse is most appropriate for assisting a client in
meeting physiologic needs based on Maslow's Hierarchy of Needs? - correct
answerCutting up food and opening drink containers for the client
A client with food poisoning has the nursing diagnosis "diarrhea." Which expected client
outcome most directly demonstrates resolution of the problem? - correct answerClient
will have formed stools within 24 hours
A 16-year-old client was admitted to the medical unit 1 hour ago for sickle cell crisis.
Vital signs are as follows: T: 36.8°C sublingual, HR: 95, RR: 20, BP: 130/65. The client
rates pain as a 9/10. The nurse is talking with the medical resident on service to discuss
client orders. What order is the nurse likely to request first for the client? - correct
answernarcotic medication to treat pain
An older adult female client has been admitted to the hospital for the treatment of
exacerbation of chronic obstructive pulmonary disease (COPD). Which statement
constitutes a long-term outcome? - correct answerThe client will return home able to
conduct her activities of daily living (ADLs) without experiencing shortness of breath.
A home care client with dementia has the nursing diagnosis "Wandering." Which
expected client outcome most directly demonstrates resolution of the problem? - correct
answerclient will not leave the premises without a caregiver
The nurse admitting a client with a new diagnosis of diverticulitis plans to teach the
client about managing the disorder after discharge. What nursing intervention most
completely meets the client's needs? - correct answerStart from client's knowledge,
teach about diet modifications, and check for learning.
The nurse is assigned to a client who is newly diagnosed with diabetes. The nurse
understands that illness causes feelings of insecurity, which may threaten the client and
, ABSN Nursing Exam 1 Review Questions and
Answers with 100% Complete Solutions
family's ability to cope. What action should the nurse take with this client? - correct
answercomforting the client and family
Which of the following is categorized as a psychomotor outcome? - correct
answerWithin 2 days of education, the client's wife will demonstrate abdominal dressing
change
The nurse recognizes that an example of a cognitive outcome is: - correct answerThe
client identifies three foods high in potassium by August 8.
A nurse is applying the nursing process and is involved in establishing priorities. The
nurse is most likely in which phase of the nursing process? - correct answeroutcome
identification and planning
A client is on the surgical unit s/p resection of an intestinal tumor. She is alert and
oriented x3. Based on assessment of the client, a medical order to "ambulate with
assistance" is written in the chart. This will be the client's first time ambulating. Which
best represents a nursing outcome? - correct answerThe client will ambulate with the
assistance of a walker without falling within the next 4 hours.
One hour after receiving pain medication, a postoperative client reports intense pain.
What is the nurse's appropriate first action? - correct answerassess the client to
determine the cause of pain
The nurse is planning instruction on wound care to an adult client. What variables would
cause the nurse to alter the education plan? Select all that apply. - correct answerthe
client is blind, the client denies the need for education
The nurse is caring for a client admitted to the hospital for renal calculi. What is the
action to take first? - correct answerassess the bladder for distention
A client cannot afford the treatment prescribed. Who would be the most appropriate
professional for the nurse to involve with the client's care? - correct answernurse case
manager
The nurse is caring for a postoperative client who is receiving morphine sulfate for pain
management. The nurse obtains the following vital signs. HR 74 RR 8 BP 114/68. After
reviewing the nursing care plan and physician orders, the nurse administers naloxone
(Narcan). What would allow the nurse to initiate this action? - correct answerstanding
orders
A busy nurse is working with an unlicensed assistive personnel (UAP). What tasks can
the nurse appropriately delegate to the UAP? Mark all that apply. - correct answer-
record the clients intake and output
- assist the client to the bathroom
