NUR 205 Final Exam Questions With
Complete Solutions
/. Which of the following clients is the most appropriate candidate for receiving
outpatient care?
A) A client whose complaints of irregular bowel movements have necessitated a
colonoscopy
B) A woman who has previously borne two children and is entering the second stage of
labor
C) A man who is receiving treatment for sepsis after his blood cultures came back
positive
D) A client with a history of depression who is currently expressing suicidal ideation -
Answer-✅A
Outpatient services are appropriate for clients who are medically stable but who require
diagnostic testing, such as a colonoscopy. Clients in active labor and clients who are
actively septic or suicidal require close monitoring and frequent interventions, which can
only be safely provided on an inpatient basis.
/.After many years of advanced practice nursing, a nurse has recently enrolled in a
nurse practitioner program. This nurse has been attracted to the program by the
potential to provide primary care for clients after graduation, an opportunity that is most
likely to exist in which of the following settings?
A) A rural health center
B) A long-term care facility
C) A university hospital
D) A community hospital - Answer-✅A
Many rural health centers employ few health care providers, and primary care is often
provided by a nurse practitioner (NP). A nurse practitioner may provide care in a long-
term care facility or hospital, but in these settings, the NP is less likely to be the provider
of primary care to clients.
/.Which of the following phrases best describes hospitals today?
A) Focus on chronic illnesses
B) Focus on acute care needs
C) Primary care centers
D) Voluntary agencies - Answer-✅B
,Hospitals have become acute care providers for people who are too ill to care for
themselves at home, who are severely injured, who require surgery or complicated
treatment, or who are having babies. Hospitals rarely focus on chronic illnesses, and
they are not primary care centers. Hospitals are not classified as voluntary agencies.
/.A man is scheduled for hospital outpatient surgery. He tells the nurse, "I don't know
what that word,outpatient, means." How would the nurse respond?
A) "It means you will have surgery in the hospital and stay for 2 days."
B) "It means the surgeon will come to your home to do the surgery."
C) "Why would you ask such a question? Don't worry about it."
D) "You will have surgery and go home that same day." - Answer-✅D
In addition to providing acute care, hospitals have many services for outpatients (those
who require health care but do not need to stay in the facility). Clients who have
outpatient surgery have the procedure, return to their hospital room for recovery, and
then are discharged home on the same day.
/.A nurse in a walk-in health care setting provides technical services (e.g., administering
medications), determines the priority of care needs, and provides client teaching on all
aspects of care. Which of the following terms best describes this type of health care
setting?
A) Hospital
B) Physician's office
C) Ambulatory center
D) Long-term care - Answer-✅C
Nurses in ambulatory care centers (walk-in clinics) provide technical services (e.g.,
administering medications), determine the priority of care needs, and provide teaching
about all aspects of care. Nurses employed in hospitals have many roles, including
manager of other members of the health care team providing client care, administrator,
nurse practitioner, clinical nurse specialist, patient educator, in-service educator, and
researcher. In physician's offices, advanced practice registered nurses (APRNs), nurse
practitioners, midwives, or clinical nurse specialists work independently or
collaboratively with physicians to make assessments and care for clients who require
health maintenance or health promotion activities. Long-term care provides medical and
nonmedical care for people with chronic illnesses or disabilities.
/.Nurses who are employed in home care have a variety of responsibilities. Which of the
following is one of those responsibilities?
A) Provide all care and services
B) Maintain a clean home environment
C) Advise clients on financial matters
D) Collaborate with other care providers - Answer-✅D
,Nurses who provide care in the home make assessments, provide physical care,
administer medications, teach, and support family members. They also collaborate with
other health care providers in providing care and services. Home care nurses do not
provide all care and services, maintain a clean home environment, or advise clients on
financial matters.
/.Which of the following is true of long-term care facilities?
A) They provide care only to older adults.
B) They provide care for homeless adults.
C) They provide care to people of any age.
D) They provide care only for people with dementia. - Answer-✅C
Long-term care facilities provide health care, and help with the activities of daily living,
for people of any age who are physically or mentally unable to care for themselves
independently. They do not provide care only to older adults or those with dementia,
although they do care for those populations as well as others. They do not provide care
to homeless persons.
/.A grade school is preparing a series of classes on the dangers of smoking. Who would
be most likely to teach the classes?
A) A community health nurse
B) An outside consultant
C) A teacher
D) The school nurse - Answer-✅D
School nurses provide many different services, including maintaining immunization
records, providing emergency care, administering prescribed medications, conducting
routine screenings, conducting health assessments, and teaching for health promotion
(e.g., the dangers of smoking). Although any of the other choices may provide teaching,
it is the nurse who primarily provides health-related teaching.
/.An elderly woman has total care of her husband, who suffers from debilitative
rheumatoid arthritis. The couple voices concern over the pain and stress associated
with the condition. What type of care might the nurse suggest to help the couple?
A) Primary care
B) Respite care
C) Bereavement care
D) Palliative care - Answer-✅D
The goal of palliative care is relief from the symptoms, pain, and stress of a serious
illness, and to improve the quality of life for both the client and the family. The main
purpose of respite care is to give the primary caregiver some time away from the
, responsibilities of day-to-day care. Primary care is found in acute care settings and
physicians' offices. Bereavement care is provided to families following the death of a
family member.
/.What population do hospice nurses provide with care?
A) Those requiring care to improve health
B) Children with chronic illnesses
C) Dying persons and their loved ones
D) Older adults requiring long-term care - Answer-✅C
Hospice is a program of palliative and supportive services providing physical,
psychological, social, and spiritual care for dying persons, their families, and other loved
ones. Hospice nurses do not implement care to improve health, focus on children with
chronic illnesses, or care for older adults in long-term care.
/.Who provides physicians with the authority to admit and provide care to clients
requiring hospitalization?
A) The health care institution itself
B) Board of Healing Arts
C) American Medical Association
D) State Board of Nursing - Answer-✅A
Physicians are granted the authority to admit clients to a health care agency or
institution, and to provide care in that setting by the health care agency or institution
itself. They are licensed to practice medicine by a state medical board, not a state board
of nursing or a board of healing arts.
/.After a stroke, a client is having difficulty swallowing. The nurse may make a referral to
what member of the health care team?
A) Physical therapist
B) Speech therapist
C) Social worker
D) Respiratory therapist - Answer-✅B
In addition to providing services to improve oral communication, a speech therapist may
also diagnose and treat swallowing problems in clients who have had a head injury or
stroke. A physical therapist assists with musculoskeletal and neurological impairments,
a social worker is educated to help clients with economic and social issues, and a
respiratory therapist provides treatments to improve breathing.
/.Medicare uses a prospective payment plan based on diagnosis-related groups
(DRGs). What are DRGs?
Complete Solutions
/. Which of the following clients is the most appropriate candidate for receiving
outpatient care?
A) A client whose complaints of irregular bowel movements have necessitated a
colonoscopy
B) A woman who has previously borne two children and is entering the second stage of
labor
C) A man who is receiving treatment for sepsis after his blood cultures came back
positive
D) A client with a history of depression who is currently expressing suicidal ideation -
Answer-✅A
Outpatient services are appropriate for clients who are medically stable but who require
diagnostic testing, such as a colonoscopy. Clients in active labor and clients who are
actively septic or suicidal require close monitoring and frequent interventions, which can
only be safely provided on an inpatient basis.
/.After many years of advanced practice nursing, a nurse has recently enrolled in a
nurse practitioner program. This nurse has been attracted to the program by the
potential to provide primary care for clients after graduation, an opportunity that is most
likely to exist in which of the following settings?
A) A rural health center
B) A long-term care facility
C) A university hospital
D) A community hospital - Answer-✅A
Many rural health centers employ few health care providers, and primary care is often
provided by a nurse practitioner (NP). A nurse practitioner may provide care in a long-
term care facility or hospital, but in these settings, the NP is less likely to be the provider
of primary care to clients.
/.Which of the following phrases best describes hospitals today?
A) Focus on chronic illnesses
B) Focus on acute care needs
C) Primary care centers
D) Voluntary agencies - Answer-✅B
,Hospitals have become acute care providers for people who are too ill to care for
themselves at home, who are severely injured, who require surgery or complicated
treatment, or who are having babies. Hospitals rarely focus on chronic illnesses, and
they are not primary care centers. Hospitals are not classified as voluntary agencies.
/.A man is scheduled for hospital outpatient surgery. He tells the nurse, "I don't know
what that word,outpatient, means." How would the nurse respond?
A) "It means you will have surgery in the hospital and stay for 2 days."
B) "It means the surgeon will come to your home to do the surgery."
C) "Why would you ask such a question? Don't worry about it."
D) "You will have surgery and go home that same day." - Answer-✅D
In addition to providing acute care, hospitals have many services for outpatients (those
who require health care but do not need to stay in the facility). Clients who have
outpatient surgery have the procedure, return to their hospital room for recovery, and
then are discharged home on the same day.
/.A nurse in a walk-in health care setting provides technical services (e.g., administering
medications), determines the priority of care needs, and provides client teaching on all
aspects of care. Which of the following terms best describes this type of health care
setting?
A) Hospital
B) Physician's office
C) Ambulatory center
D) Long-term care - Answer-✅C
Nurses in ambulatory care centers (walk-in clinics) provide technical services (e.g.,
administering medications), determine the priority of care needs, and provide teaching
about all aspects of care. Nurses employed in hospitals have many roles, including
manager of other members of the health care team providing client care, administrator,
nurse practitioner, clinical nurse specialist, patient educator, in-service educator, and
researcher. In physician's offices, advanced practice registered nurses (APRNs), nurse
practitioners, midwives, or clinical nurse specialists work independently or
collaboratively with physicians to make assessments and care for clients who require
health maintenance or health promotion activities. Long-term care provides medical and
nonmedical care for people with chronic illnesses or disabilities.
/.Nurses who are employed in home care have a variety of responsibilities. Which of the
following is one of those responsibilities?
A) Provide all care and services
B) Maintain a clean home environment
C) Advise clients on financial matters
D) Collaborate with other care providers - Answer-✅D
,Nurses who provide care in the home make assessments, provide physical care,
administer medications, teach, and support family members. They also collaborate with
other health care providers in providing care and services. Home care nurses do not
provide all care and services, maintain a clean home environment, or advise clients on
financial matters.
/.Which of the following is true of long-term care facilities?
A) They provide care only to older adults.
B) They provide care for homeless adults.
C) They provide care to people of any age.
D) They provide care only for people with dementia. - Answer-✅C
Long-term care facilities provide health care, and help with the activities of daily living,
for people of any age who are physically or mentally unable to care for themselves
independently. They do not provide care only to older adults or those with dementia,
although they do care for those populations as well as others. They do not provide care
to homeless persons.
/.A grade school is preparing a series of classes on the dangers of smoking. Who would
be most likely to teach the classes?
A) A community health nurse
B) An outside consultant
C) A teacher
D) The school nurse - Answer-✅D
School nurses provide many different services, including maintaining immunization
records, providing emergency care, administering prescribed medications, conducting
routine screenings, conducting health assessments, and teaching for health promotion
(e.g., the dangers of smoking). Although any of the other choices may provide teaching,
it is the nurse who primarily provides health-related teaching.
/.An elderly woman has total care of her husband, who suffers from debilitative
rheumatoid arthritis. The couple voices concern over the pain and stress associated
with the condition. What type of care might the nurse suggest to help the couple?
A) Primary care
B) Respite care
C) Bereavement care
D) Palliative care - Answer-✅D
The goal of palliative care is relief from the symptoms, pain, and stress of a serious
illness, and to improve the quality of life for both the client and the family. The main
purpose of respite care is to give the primary caregiver some time away from the
, responsibilities of day-to-day care. Primary care is found in acute care settings and
physicians' offices. Bereavement care is provided to families following the death of a
family member.
/.What population do hospice nurses provide with care?
A) Those requiring care to improve health
B) Children with chronic illnesses
C) Dying persons and their loved ones
D) Older adults requiring long-term care - Answer-✅C
Hospice is a program of palliative and supportive services providing physical,
psychological, social, and spiritual care for dying persons, their families, and other loved
ones. Hospice nurses do not implement care to improve health, focus on children with
chronic illnesses, or care for older adults in long-term care.
/.Who provides physicians with the authority to admit and provide care to clients
requiring hospitalization?
A) The health care institution itself
B) Board of Healing Arts
C) American Medical Association
D) State Board of Nursing - Answer-✅A
Physicians are granted the authority to admit clients to a health care agency or
institution, and to provide care in that setting by the health care agency or institution
itself. They are licensed to practice medicine by a state medical board, not a state board
of nursing or a board of healing arts.
/.After a stroke, a client is having difficulty swallowing. The nurse may make a referral to
what member of the health care team?
A) Physical therapist
B) Speech therapist
C) Social worker
D) Respiratory therapist - Answer-✅B
In addition to providing services to improve oral communication, a speech therapist may
also diagnose and treat swallowing problems in clients who have had a head injury or
stroke. A physical therapist assists with musculoskeletal and neurological impairments,
a social worker is educated to help clients with economic and social issues, and a
respiratory therapist provides treatments to improve breathing.
/.Medicare uses a prospective payment plan based on diagnosis-related groups
(DRGs). What are DRGs?
