NURS 226 Final – Nursing Leadership & Management Comprehensive Exam Review and
Practice Questions
The nurse has determined that the goal for a particular nursing diagnosis on the client's plan of
care has not been met. It will be most important for the nurse to
a) report this finding to the provider
b) note this finding in the client's record
c) revise the plan of care
d) remove the nursing diagnosis from the plan - ANS ✔✔c
You are a nurse working in the college student health center. You receive a call that an athlete
has just fallen and has been injured. You know that according to the general adaptation
syndrome, the athlete will be exhibiting:
a) an increased appetite
b) an increased heart rate
c) a decrease in perspiration
d) a decrease in respiratory rate - ANS ✔✔b
The nurse is caring for a patient with bacterial pneumonia. The effectiveness of the patient's
oxygen therapy can be best determined by which indicator of oxygenation?
a) absence of cyanosis
b) patient's resp rate
c) arterial blood gas values
d) patient's level of consciousness - ANS ✔✔c
A nurse is teaching a patient how to administer medications through a jejunostomy tube. Which
of the following instructions should the nurse include in the teaching?
,a) "Flush the tube before and after each medication"
b) "Administer your medications with your enteral feeding"
c) "Administer tablets through teh tube slowly"
d) "Mix all the crushed medication prior to dissolving in water - ANS ✔✔a
What should the nurse do to prevent catheter-associated urinary tract infection? Select all that
apply.
a) change the catheter daily
b) provide perineal care at least once a day
c) maintain a closed drainage system
d) encourage the patient to drink 3000 mL fluids daily
e) recommend health care provider prescribe antibiotics - ANS ✔✔b,c,d
A nurse prepares an injection of morphine (Duramorph) to administer to a patient who reports
pain. Prior to administering the medication, the nurse is called to another room to assist
another patient onto a bedpan. She asks the second nurse to give the injection. Which of the
following actions should the second nurse take?
a) Offer to assist the patient needing the bedpan.
b) Administer the injection prepared by the other nurse.
c) Prepare another syringe and administer the injection.
d) Tell the patient needing the bedpan she will have to wait for her nurse. - ANS ✔✔a
A nurse is preparing to administer a medication to a patient. The medication was scheduled for
administration at 0900. Which of the following are acceptable administration times for this
medication? (Select all that apply)
a) 0905
b) 0825
c) 1000
,d) 0840
e) 0935 - ANS ✔✔a,d
The nurse is called to the patient's room by another nurse. When the second nurse arrives at
the room, she discovers that a fire has occurred in the patient's waste basket. The first nurse has
removed the patient from the room. What is the second's nurse next action?
a) evacuate the unit
b) extinguish the fire
c) confine the fire
d) activate the fire alarm - ANS ✔✔d
Which mental status change may occur when a patient with pneumonia is first experiencing
hypoxia?
a) coma
b) apathy
c) irritability
d) depression - ANS ✔✔c
A patient admitted with pneumonia and dementia has attempted several times to pull out the
IV and Foley catheter. After trying other options, the nurse obtains a prescription for bilateral
soft restraints. Which nursing action is most appropriate?
a) Perform circulation checks to bilateral upper extremities each shift
b) Attach the ties of the restraints to the bed frame
c) Reevaluate the needs for restraints and document weekly
d) Ensure the restraint prescription has been signed by the health care provider (HCP) within 72
hours - ANS ✔✔b
, TPN is prescribed for a patient with Chron's disease. What indicates to the nurse that the TPN
has been effective?
a) has met nutritional needs
b) is not in metabolic acidosis
c) is hydrated
d) is in negative nitrogen balance - ANS ✔✔a
A nurse is working with a newly hired nurse who is administering medications to patients.
Which of the following actions by the newly hired nurse indicates an understanding of
medication error prevention?
a) Taking all medications out of the unit-dose wrappers before entering the patient's room.
b)Checking with the provider when a single dose requires administration of multiple tablets.
c)Administering a medication, then looking up the usual dosage range.
d)Relying on another nurse to clarify a medication prescription. - ANS ✔✔b
The nurse is teaching the patient how to care for an ileostomy. The patient asks the nurse how
long to wear the pouch before changing it. What should the nurse tell the patient?
a)"The pouch is changed only when it leaks"
b)"You can wear the pouch for about 4 to 7 days>"
c)"You should change the pouch every evening before bedtime."
d)"It depends on your activity level and your diet." - ANS ✔✔b
The nurse is assessing a hospitalized older patient for the presence of pressure ulcers. The nurse
notes that the patient has a 1" by 1" (3cm by 3cm) area on the sacrum in which there is skin
breakdown as far as the dermis. What should the nurse note on the medical record?
a)Stage I pressure ulcer
b)Stage 2 pressure ulcer
c)Stage 3 pressure ulcer
Practice Questions
The nurse has determined that the goal for a particular nursing diagnosis on the client's plan of
care has not been met. It will be most important for the nurse to
a) report this finding to the provider
b) note this finding in the client's record
c) revise the plan of care
d) remove the nursing diagnosis from the plan - ANS ✔✔c
You are a nurse working in the college student health center. You receive a call that an athlete
has just fallen and has been injured. You know that according to the general adaptation
syndrome, the athlete will be exhibiting:
a) an increased appetite
b) an increased heart rate
c) a decrease in perspiration
d) a decrease in respiratory rate - ANS ✔✔b
The nurse is caring for a patient with bacterial pneumonia. The effectiveness of the patient's
oxygen therapy can be best determined by which indicator of oxygenation?
a) absence of cyanosis
b) patient's resp rate
c) arterial blood gas values
d) patient's level of consciousness - ANS ✔✔c
A nurse is teaching a patient how to administer medications through a jejunostomy tube. Which
of the following instructions should the nurse include in the teaching?
,a) "Flush the tube before and after each medication"
b) "Administer your medications with your enteral feeding"
c) "Administer tablets through teh tube slowly"
d) "Mix all the crushed medication prior to dissolving in water - ANS ✔✔a
What should the nurse do to prevent catheter-associated urinary tract infection? Select all that
apply.
a) change the catheter daily
b) provide perineal care at least once a day
c) maintain a closed drainage system
d) encourage the patient to drink 3000 mL fluids daily
e) recommend health care provider prescribe antibiotics - ANS ✔✔b,c,d
A nurse prepares an injection of morphine (Duramorph) to administer to a patient who reports
pain. Prior to administering the medication, the nurse is called to another room to assist
another patient onto a bedpan. She asks the second nurse to give the injection. Which of the
following actions should the second nurse take?
a) Offer to assist the patient needing the bedpan.
b) Administer the injection prepared by the other nurse.
c) Prepare another syringe and administer the injection.
d) Tell the patient needing the bedpan she will have to wait for her nurse. - ANS ✔✔a
A nurse is preparing to administer a medication to a patient. The medication was scheduled for
administration at 0900. Which of the following are acceptable administration times for this
medication? (Select all that apply)
a) 0905
b) 0825
c) 1000
,d) 0840
e) 0935 - ANS ✔✔a,d
The nurse is called to the patient's room by another nurse. When the second nurse arrives at
the room, she discovers that a fire has occurred in the patient's waste basket. The first nurse has
removed the patient from the room. What is the second's nurse next action?
a) evacuate the unit
b) extinguish the fire
c) confine the fire
d) activate the fire alarm - ANS ✔✔d
Which mental status change may occur when a patient with pneumonia is first experiencing
hypoxia?
a) coma
b) apathy
c) irritability
d) depression - ANS ✔✔c
A patient admitted with pneumonia and dementia has attempted several times to pull out the
IV and Foley catheter. After trying other options, the nurse obtains a prescription for bilateral
soft restraints. Which nursing action is most appropriate?
a) Perform circulation checks to bilateral upper extremities each shift
b) Attach the ties of the restraints to the bed frame
c) Reevaluate the needs for restraints and document weekly
d) Ensure the restraint prescription has been signed by the health care provider (HCP) within 72
hours - ANS ✔✔b
, TPN is prescribed for a patient with Chron's disease. What indicates to the nurse that the TPN
has been effective?
a) has met nutritional needs
b) is not in metabolic acidosis
c) is hydrated
d) is in negative nitrogen balance - ANS ✔✔a
A nurse is working with a newly hired nurse who is administering medications to patients.
Which of the following actions by the newly hired nurse indicates an understanding of
medication error prevention?
a) Taking all medications out of the unit-dose wrappers before entering the patient's room.
b)Checking with the provider when a single dose requires administration of multiple tablets.
c)Administering a medication, then looking up the usual dosage range.
d)Relying on another nurse to clarify a medication prescription. - ANS ✔✔b
The nurse is teaching the patient how to care for an ileostomy. The patient asks the nurse how
long to wear the pouch before changing it. What should the nurse tell the patient?
a)"The pouch is changed only when it leaks"
b)"You can wear the pouch for about 4 to 7 days>"
c)"You should change the pouch every evening before bedtime."
d)"It depends on your activity level and your diet." - ANS ✔✔b
The nurse is assessing a hospitalized older patient for the presence of pressure ulcers. The nurse
notes that the patient has a 1" by 1" (3cm by 3cm) area on the sacrum in which there is skin
breakdown as far as the dermis. What should the nurse note on the medical record?
a)Stage I pressure ulcer
b)Stage 2 pressure ulcer
c)Stage 3 pressure ulcer
