NSG 3160 UNIT 1 & 2
Which of the following is an example of an open-ended question that the nurse may use in the interview
process?
A. "Did you take your medication today?"
B. "Are you a student at the local college?"
C. "How have you been feeling lately?"
D. "Have you ever had to undergo surgery?" - (ANSWER)C. "How have you been feeling lately?"
Which of the following are true related to nursing diagnoses? (Select all that apply)
A. Relates contributing factors or relationships to identified health problem
B. Actual or potential physiology complications related to disease or treatment
C.Include descriptors and risk factors
D. Describes a disease or pathology of body systems
E. There are not associated legal ramifications
F. Describes human response to a health problem - (ANSWER)A. Relates contributing factors or
relationships to identified health problem
C. Include descriptors and risk factors
F. Describes human response to a health problem.
A nurse is recieving change-of shift report for a group of assigned clients. The nurse anticipates which of
the following activities first in delivering client care using the nursing process?
A. Collect and organize client data
B. Set client centererd measurable and realistic goals.
C. Determine effectiveness of interventions.
D. Critically analyze client data to determine priorities - (ANSWER)A. Collect and organize client data
The nurse reassess a client's temperature 45 minutes after adminstering acetaminophen. This is an
example of what type of assessment?
A. Routine
B. Intermittent
,NSG 3160 UNIT 1 & 2
C. Terminal
D. Ongoing - (ANSWER)D. Ongoing
A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask
about a client's potential allergies during which phase of the nursing process?
A. Implementation
B. Assessment
C. Planning
D. Evaluation - (ANSWER)B. Assessment
The nurse is measuring the drainage from a Jackson- Pruitt (JP) drain. Which of the following is
considered objective data?
A. The drainage measurement is 25 mL
B. The client stated that he has a pain level of 5.
C. The client is reporting abdominal pain.
D. The client stated, "I did not empty the drain." - (ANSWER)A. The drainage measurement is 25 mL
A home health nurse is discussing the dangers of carbon monozide poisoning with a client. Which of the
following information should be included in the teaching?
A. the lungs are damaged from carbon monoxide inhalation
B. Carbon monoxide has a distinct odor, so report any unusual smells immediately.
C. Water heaters should be inspected every 5 years.
D. Carbon monoxide binds with the hemoglobin in the body - (ANSWER)D. Carbon monoxide binds with
the hemoglobin in the body
The nurse is teaching a newly hired group of UAP about infection-control measures on the unit. It is
crucial for the nurse to remind the UAPs that which of the following is the most effective way to prevent
the spread of pathogens during client care?
A. Discarding used syringes in appropriate containers
B. Peforming hand hygiene frequently and consistently
, NSG 3160 UNIT 1 & 2
C. Properly disposing of contaminated equipment
D. Chaning soiled linens daily for clients who have draining wounds. - (ANSWER)B. Peforming hand
hygiene frequently and consistently
A nurse is providing nail care for a non-diabetic client. Which of the following actions should the nurse
take?
A. Clean under the nail with an orange stick
B. Push the cuticles back with a metal nail file.
C. Trim the nails at the lateral corners.
D. File the nails in a rounded shape. - (ANSWER)A. Clean under the nail with an orange stick
The nurse is providing oral care for a client who is immobile. Which of the following actions should the
nurse take?
A. Apply petroleum jelly to the client's lips after oral care.
B. Use a stiff toothbrush to clean the client's teeth
C. Turn the client on his side before starting oral care.
D. Use the thumb and index finger to keep the client's mouth open - (ANSWER)C. Turn the client on his
side before starting oral care.
The nurse is reviewing information about Evidence based practice. Which statement best reflects EBP?
A. EBP does not consider the patient's own preferences as important.
B. EBP relies on tradition for support of best practices
C. EBP emphasizez the use of best evidence with the clinician's experience
D. EBP is simply the use of best practice techniques for the treatment of patients. - (ANSWER)C. EBP
emphasizez the use of best evidence with the clinician's experience
When reviewing the concepts of health, the nurse recalls that the components of holistic health include
which of these?
A. holistic health views the mind, body, and spirit as interdependent.
B. Disease originates from the external environment.
Which of the following is an example of an open-ended question that the nurse may use in the interview
process?
A. "Did you take your medication today?"
B. "Are you a student at the local college?"
C. "How have you been feeling lately?"
D. "Have you ever had to undergo surgery?" - (ANSWER)C. "How have you been feeling lately?"
Which of the following are true related to nursing diagnoses? (Select all that apply)
A. Relates contributing factors or relationships to identified health problem
B. Actual or potential physiology complications related to disease or treatment
C.Include descriptors and risk factors
D. Describes a disease or pathology of body systems
E. There are not associated legal ramifications
F. Describes human response to a health problem - (ANSWER)A. Relates contributing factors or
relationships to identified health problem
C. Include descriptors and risk factors
F. Describes human response to a health problem.
A nurse is recieving change-of shift report for a group of assigned clients. The nurse anticipates which of
the following activities first in delivering client care using the nursing process?
A. Collect and organize client data
B. Set client centererd measurable and realistic goals.
C. Determine effectiveness of interventions.
D. Critically analyze client data to determine priorities - (ANSWER)A. Collect and organize client data
The nurse reassess a client's temperature 45 minutes after adminstering acetaminophen. This is an
example of what type of assessment?
A. Routine
B. Intermittent
,NSG 3160 UNIT 1 & 2
C. Terminal
D. Ongoing - (ANSWER)D. Ongoing
A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask
about a client's potential allergies during which phase of the nursing process?
A. Implementation
B. Assessment
C. Planning
D. Evaluation - (ANSWER)B. Assessment
The nurse is measuring the drainage from a Jackson- Pruitt (JP) drain. Which of the following is
considered objective data?
A. The drainage measurement is 25 mL
B. The client stated that he has a pain level of 5.
C. The client is reporting abdominal pain.
D. The client stated, "I did not empty the drain." - (ANSWER)A. The drainage measurement is 25 mL
A home health nurse is discussing the dangers of carbon monozide poisoning with a client. Which of the
following information should be included in the teaching?
A. the lungs are damaged from carbon monoxide inhalation
B. Carbon monoxide has a distinct odor, so report any unusual smells immediately.
C. Water heaters should be inspected every 5 years.
D. Carbon monoxide binds with the hemoglobin in the body - (ANSWER)D. Carbon monoxide binds with
the hemoglobin in the body
The nurse is teaching a newly hired group of UAP about infection-control measures on the unit. It is
crucial for the nurse to remind the UAPs that which of the following is the most effective way to prevent
the spread of pathogens during client care?
A. Discarding used syringes in appropriate containers
B. Peforming hand hygiene frequently and consistently
, NSG 3160 UNIT 1 & 2
C. Properly disposing of contaminated equipment
D. Chaning soiled linens daily for clients who have draining wounds. - (ANSWER)B. Peforming hand
hygiene frequently and consistently
A nurse is providing nail care for a non-diabetic client. Which of the following actions should the nurse
take?
A. Clean under the nail with an orange stick
B. Push the cuticles back with a metal nail file.
C. Trim the nails at the lateral corners.
D. File the nails in a rounded shape. - (ANSWER)A. Clean under the nail with an orange stick
The nurse is providing oral care for a client who is immobile. Which of the following actions should the
nurse take?
A. Apply petroleum jelly to the client's lips after oral care.
B. Use a stiff toothbrush to clean the client's teeth
C. Turn the client on his side before starting oral care.
D. Use the thumb and index finger to keep the client's mouth open - (ANSWER)C. Turn the client on his
side before starting oral care.
The nurse is reviewing information about Evidence based practice. Which statement best reflects EBP?
A. EBP does not consider the patient's own preferences as important.
B. EBP relies on tradition for support of best practices
C. EBP emphasizez the use of best evidence with the clinician's experience
D. EBP is simply the use of best practice techniques for the treatment of patients. - (ANSWER)C. EBP
emphasizez the use of best evidence with the clinician's experience
When reviewing the concepts of health, the nurse recalls that the components of holistic health include
which of these?
A. holistic health views the mind, body, and spirit as interdependent.
B. Disease originates from the external environment.
