Nur 103 Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
The electronic health record enables the nurse to facilitate which nursing actions related to
diagnosing? Select all that apply.
A) Viewing the client's ongoing risks
B)Deciding on and documenting new nursing diagnoses
C) Facilitating communication of the client's actual problems
D) Making decisions about mutual client goals and interventions
E) Determining and documenting when the nursing diagnoses are resolved
F) Preparing a client for discharge from a health care facility - CORRECT ANSWER ABCD
E
A nurse is preparing a room for client admission. Which actions follow recommended guidelines for
this process? Select all that apply.
A) Always open and position the bed in the highest position.
B) Fold back the top bed linens.
C)Assemble the necessary equipment and supplies, including a hospital admission pack.
D) Do not supply pajamas or hospital gowns until it is determined whether the client will wear the
client's own.
E)Ask the health care provider to assemble special equipment needed by the client (such as oxygen,
cardiac monitors, or suction equipment).
Adjust the physical environment of the room, including lighting and temperature. - CORRECT
ANSWER BCF
A home health care nurse develops a client's individualized plan of care during the: - CORRECT
ANSWER entry phase
The growth in home health care is largely attributed to which factor? - CORRECT ANSWER
Early discharge of clients from the hospital setting
, Which client should the community health nurse monitor most closely for fragmentation of care? -
CORRECT ANSWER client with complex psychosocial and medical needs, requiring several
specialists
Fragmentation is key word = broken up or spread out
Which statement accurately describes the legal responsibility of the nurse when making a diagnosis
for a client? - CORRECT ANSWER The nurse must decide whether the nurse is qualified to
make a nursing diagnosis and is responsible for treating any problem identified in a nursing diagnosis.
During a hospice visit, the client's spouse suddenly begins to cry and says, "I am so tired. I just can't
do this anymore. I am not getting to sleep and I just eat sandwiches when I can." What is the nurse's
best intervention? - CORRECT ANSWER Arrange for short-term inpatient care for the client.
Which statement correctly describes a nurse-initiated intervention - CORRECT ANSWER
Nurse-initiated interventions are derived from the nursing diagnosis.
When planning a client's care, the nurse has drafted specific, measurable and realistic statements of
goal attainment. What component of the care planning process has the nurse included? - CORRECT
ANSWER Outcomes
A nurse and a client are discussing managed care. The nurse explains that the managed care model
was designed for which reason? - CORRECT ANSWER Controlling costs while maintaining
quality of care
The nurse understands that a diagnostic-related group is one of the reimbursement strategies in a
prospective payment system. The diagnostic-related group is a part of which health care system? -
CORRECT ANSWER Medicare
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 term
best describes this type of health care setting? - CORRECT ANSWER ambulatory center
A nurse is caring for a client who began taking the antidepressant paroxetine 2 weeks ago. The client
recently began giving away prized possessions and tells the nurse, "My mind is made up, I cannot do
this any longer." What is the best action by the nurse to incorporate this information into the plan of
care? - CORRECT ANSWER Add the nursing concern self-harm risk.
QUESTIONS AND CORRECT ANSWERS
The electronic health record enables the nurse to facilitate which nursing actions related to
diagnosing? Select all that apply.
A) Viewing the client's ongoing risks
B)Deciding on and documenting new nursing diagnoses
C) Facilitating communication of the client's actual problems
D) Making decisions about mutual client goals and interventions
E) Determining and documenting when the nursing diagnoses are resolved
F) Preparing a client for discharge from a health care facility - CORRECT ANSWER ABCD
E
A nurse is preparing a room for client admission. Which actions follow recommended guidelines for
this process? Select all that apply.
A) Always open and position the bed in the highest position.
B) Fold back the top bed linens.
C)Assemble the necessary equipment and supplies, including a hospital admission pack.
D) Do not supply pajamas or hospital gowns until it is determined whether the client will wear the
client's own.
E)Ask the health care provider to assemble special equipment needed by the client (such as oxygen,
cardiac monitors, or suction equipment).
Adjust the physical environment of the room, including lighting and temperature. - CORRECT
ANSWER BCF
A home health care nurse develops a client's individualized plan of care during the: - CORRECT
ANSWER entry phase
The growth in home health care is largely attributed to which factor? - CORRECT ANSWER
Early discharge of clients from the hospital setting
, Which client should the community health nurse monitor most closely for fragmentation of care? -
CORRECT ANSWER client with complex psychosocial and medical needs, requiring several
specialists
Fragmentation is key word = broken up or spread out
Which statement accurately describes the legal responsibility of the nurse when making a diagnosis
for a client? - CORRECT ANSWER The nurse must decide whether the nurse is qualified to
make a nursing diagnosis and is responsible for treating any problem identified in a nursing diagnosis.
During a hospice visit, the client's spouse suddenly begins to cry and says, "I am so tired. I just can't
do this anymore. I am not getting to sleep and I just eat sandwiches when I can." What is the nurse's
best intervention? - CORRECT ANSWER Arrange for short-term inpatient care for the client.
Which statement correctly describes a nurse-initiated intervention - CORRECT ANSWER
Nurse-initiated interventions are derived from the nursing diagnosis.
When planning a client's care, the nurse has drafted specific, measurable and realistic statements of
goal attainment. What component of the care planning process has the nurse included? - CORRECT
ANSWER Outcomes
A nurse and a client are discussing managed care. The nurse explains that the managed care model
was designed for which reason? - CORRECT ANSWER Controlling costs while maintaining
quality of care
The nurse understands that a diagnostic-related group is one of the reimbursement strategies in a
prospective payment system. The diagnostic-related group is a part of which health care system? -
CORRECT ANSWER Medicare
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 term
best describes this type of health care setting? - CORRECT ANSWER ambulatory center
A nurse is caring for a client who began taking the antidepressant paroxetine 2 weeks ago. The client
recently began giving away prized possessions and tells the nurse, "My mind is made up, I cannot do
this any longer." What is the best action by the nurse to incorporate this information into the plan of
care? - CORRECT ANSWER Add the nursing concern self-harm risk.
