RNSG 1125 Exam 1 Questions with 100% Correct
Answers
A nurse is requesting to receive the change-of-shift report at the bedside of each client.
The nurse giving the report asks about the purpose of giving it at the bedside. Which
response by the nurse receiving the report is most appropriate?
"It will allow for us to see the client and possibly increase client participation in care."
The nurse is beginning the physical examination of a client with a complaint of fatigue.
What documentation will the nurse provide to describe this general appraisal of the
client's health?
The client appears mildly ill, listless, and disheveled.
A nurse is caring for a client with multiple chronic conditions and some physical
disabilities. The nurse is using "people-first" language with the following statement
during end-of-shift report:
"Last evening, Mr. Rudd, a 44-year-old patient with diabetes was admitted to the unit."; t is
important to all people, both those with and those without disabilities, that they not be
equated with their illness or physical condition.
A nurse is conducting a health history. The client's spouse is answering the interview
questions. What question would be appropriate to ask the client before proceeding with
the remainder of the interview?
"Who manages health care-related issues in your family?"
A nurse is seeing a client who has recently been discharged from the hospital for a
suicide attempt. When asked about the quality of her relationship with her husband, the
,client becomes silent, diverts eye contact and says, "It's okay." What is the nurse's best
response?
"What you are saying and how you say it does not seem to match."
The nurse is assessing a client who was recently diagnosed with anxiety disorder. Which
question asked by the nurse conveys a concrete message?
"At what time did you take the last dose of the antianxiety drugs?"; Concrete messages use
explicit wording and need no interpretation. Asking the client about the time of the last dose
of the antianxiety drugs conveys the most accurate information.
The nurse is discussing immediate postoperative communication strategies with a client
scheduled for a total laryngectomy. What information will the nurse include?
"You can use writing or a communication board to communicate."
A nurse assesses a 29-year-old client in the outpatient mental health clinic. The nurse
notes the client is speaking very quickly and jumping from topic to topic very rapidly.
There is some connection between ideas, but they are difficult to follow. Which term
most accurately describes this thought process?
Flight of ideas
Which sign or symptom suggests that a 5-year-old boy who does not maintain eye
contact or speak may have autism spectrum disorder (ASD)?
The child constantly opens and closes his hands.; Repetitive motor mannerisms such as
constantly opening and closing the hands are a typical behavior pattern for ASD
A client who recently immigrated from Korea to the US or Canada is hospitalized with
second- and third-degree burns. He speaks little English and has been lying quietly in
,bed. Ten hours after the client's admission, the nurse conducts a serial assessment and
asks him whether he's in pain. He smiles and shakes his head vigorously back and forth.
Which nursing action is most appropriate at this time?
checking vital signs and assessing for nonverbal indications of pain
You are admitting a 30-year-old who has a hearing impairment. The client is
accompanied by family members. What information would be important to ask the
family members to help you care for your client?
The client's preferred method of communication
Nursing students are learning about the importance of therapeutic communication in
their pediatric course. The nursing instructor identifies a need for further teaching
when a student makes which statement?
"It is best to stand when listening to a child to demonstrate knowledge."
The following statement is documented in a client's health record: "Patient c/o severe
H/A upon arising this morning." Which interpretation of this statement is most
accurate?
The client reports waking up this morning with a severe headache.
When communicating with clients, nurses need to be very careful in their approach.
This is particularly true when communicating using:
medical terminology.
A laboring woman has brought her partner as her support person who is dressed in
feminine attire, but when she speaks, it is clear to the nurse that the support person has
, a male voice. When documenting about the client's support person, which term would
be most appropriate?
transgender
Once a nurse has collected and interpreted the data on a client's outcome achievement,
the nurse then makes a judgment and documents a statement summarizing those
findings. This statement is called:
an evaluative statement.
In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in
mind the delegation guidelines, which statement denotes the right communication for
the nursing assistant?
"Dispose of the disconnected IV set."
A client with a 25-year history of smoking is diagnosed with emphysema. Physical
assessment reveals an increased anterior-posterior chest diameter. Which term should
the nurse use to document this finding?
Barrel chest
When assessing a toddler's language development, what is the standard against which
you measure language in a 2-year-old toddler?
The toddler should speak in two-word sentences ("Me go").
Therapeutic communication techniques between client and nurse facilitate continuity of
care. Which of the following identifies the value of therapeutic communication? Select
all that apply.
Answers
A nurse is requesting to receive the change-of-shift report at the bedside of each client.
The nurse giving the report asks about the purpose of giving it at the bedside. Which
response by the nurse receiving the report is most appropriate?
"It will allow for us to see the client and possibly increase client participation in care."
The nurse is beginning the physical examination of a client with a complaint of fatigue.
What documentation will the nurse provide to describe this general appraisal of the
client's health?
The client appears mildly ill, listless, and disheveled.
A nurse is caring for a client with multiple chronic conditions and some physical
disabilities. The nurse is using "people-first" language with the following statement
during end-of-shift report:
"Last evening, Mr. Rudd, a 44-year-old patient with diabetes was admitted to the unit."; t is
important to all people, both those with and those without disabilities, that they not be
equated with their illness or physical condition.
A nurse is conducting a health history. The client's spouse is answering the interview
questions. What question would be appropriate to ask the client before proceeding with
the remainder of the interview?
"Who manages health care-related issues in your family?"
A nurse is seeing a client who has recently been discharged from the hospital for a
suicide attempt. When asked about the quality of her relationship with her husband, the
,client becomes silent, diverts eye contact and says, "It's okay." What is the nurse's best
response?
"What you are saying and how you say it does not seem to match."
The nurse is assessing a client who was recently diagnosed with anxiety disorder. Which
question asked by the nurse conveys a concrete message?
"At what time did you take the last dose of the antianxiety drugs?"; Concrete messages use
explicit wording and need no interpretation. Asking the client about the time of the last dose
of the antianxiety drugs conveys the most accurate information.
The nurse is discussing immediate postoperative communication strategies with a client
scheduled for a total laryngectomy. What information will the nurse include?
"You can use writing or a communication board to communicate."
A nurse assesses a 29-year-old client in the outpatient mental health clinic. The nurse
notes the client is speaking very quickly and jumping from topic to topic very rapidly.
There is some connection between ideas, but they are difficult to follow. Which term
most accurately describes this thought process?
Flight of ideas
Which sign or symptom suggests that a 5-year-old boy who does not maintain eye
contact or speak may have autism spectrum disorder (ASD)?
The child constantly opens and closes his hands.; Repetitive motor mannerisms such as
constantly opening and closing the hands are a typical behavior pattern for ASD
A client who recently immigrated from Korea to the US or Canada is hospitalized with
second- and third-degree burns. He speaks little English and has been lying quietly in
,bed. Ten hours after the client's admission, the nurse conducts a serial assessment and
asks him whether he's in pain. He smiles and shakes his head vigorously back and forth.
Which nursing action is most appropriate at this time?
checking vital signs and assessing for nonverbal indications of pain
You are admitting a 30-year-old who has a hearing impairment. The client is
accompanied by family members. What information would be important to ask the
family members to help you care for your client?
The client's preferred method of communication
Nursing students are learning about the importance of therapeutic communication in
their pediatric course. The nursing instructor identifies a need for further teaching
when a student makes which statement?
"It is best to stand when listening to a child to demonstrate knowledge."
The following statement is documented in a client's health record: "Patient c/o severe
H/A upon arising this morning." Which interpretation of this statement is most
accurate?
The client reports waking up this morning with a severe headache.
When communicating with clients, nurses need to be very careful in their approach.
This is particularly true when communicating using:
medical terminology.
A laboring woman has brought her partner as her support person who is dressed in
feminine attire, but when she speaks, it is clear to the nurse that the support person has
, a male voice. When documenting about the client's support person, which term would
be most appropriate?
transgender
Once a nurse has collected and interpreted the data on a client's outcome achievement,
the nurse then makes a judgment and documents a statement summarizing those
findings. This statement is called:
an evaluative statement.
In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in
mind the delegation guidelines, which statement denotes the right communication for
the nursing assistant?
"Dispose of the disconnected IV set."
A client with a 25-year history of smoking is diagnosed with emphysema. Physical
assessment reveals an increased anterior-posterior chest diameter. Which term should
the nurse use to document this finding?
Barrel chest
When assessing a toddler's language development, what is the standard against which
you measure language in a 2-year-old toddler?
The toddler should speak in two-word sentences ("Me go").
Therapeutic communication techniques between client and nurse facilitate continuity of
care. Which of the following identifies the value of therapeutic communication? Select
all that apply.
