FON EXAM 2 QUESTIONS WITH COMPLETE
SOLUTIONS
A nurse caring for a client admitted with a deep vein thrombosis is individualizing a prepared plan of
care that identifies nursing diagnoses, outcomes, and related nursing interventions common to this
condition. What type of tool is the nurse using? - CORRECT ANSWER-A standardized care plan
A nurse in the emergency department is completing an emergency assessment for a teenager just
admitted from a car crash. Which statement represents objective data the nurse is likely to gather and
document during this assessment? - CORRECT ANSWER-"Unable to palpate femoral pulse in left leg."
Which types of data would be collected during a physical assessment? - CORRECT ANSWER-Color,
moisture, and temperature of the skin
The nursing diagnosis Impaired Gas Exchange, prioritized by Maslow's hierarchy of basic human needs,
is appropriate for what level of needs? - CORRECT ANSWER-Physiological
Which of the following best summarizes the evaluation step of the nursing process? - CORRECT
ANSWER-The nurse and client measure achievement of planned outcomes of care.
A client describes pain in the right leg as aching at 8/10 on a pain scale. What type of cue is a client's
description of pain in the right leg? - CORRECT ANSWER-Subjective
What is the nurse accountable for, according to state nurse practice acts? - CORRECT ANSWER-Making
nursing diagnoses
Which statement appropriately identifies a risk nursing diagnosis for a client who is confined to bed? -
CORRECT ANSWER-Risk for Impaired Skin Integrity related to bed rest
The nurse is caring for a client who is experiencing an asthma attack. Ten minutes after administering an
inhaled bronchodilator to the client, the nurse returns to ask if the client is breathing easier. The nurse is
engaging in which phase of the nursing process? - CORRECT ANSWER-Evaluating
FON exam 2 questions with complete solutions
,A newly graduated nurse is unable to determine the significance of data obtained during an assessment.
What would be the nurse's most appropriate action? - CORRECT ANSWER-Consult with a more
experienced nurse.
A new chemical plant is being built in the community. The nurse is concerned about the possibility of
environmental pollution adversely affecting the health of the residents. What nursing diagnosis would
the nurse use to address this concern? - CORRECT ANSWER-Risk for Community Contamination related
to possible environmental pollution
A client is being admitted from the emergency room reporting shortness of breath, wheezing, and
coughing. What would the nurse formulate as an appropriate nursing diagnosis? - CORRECT ANSWER-
Ineffective Airway Clearance
A nurse is interviewing an older adult client who has experienced a drastic weight loss following a
cerebrovascular accident (CVA). The client states, "I have trouble getting groceries because I can no
longer drive, so I don't have much food in the house." Based on this evidence, what would be the most
appropriate nursing diagnosis? - CORRECT ANSWER-Imbalanced Nutrition: Less than Body Requirements
related to difficulty in procuring food
A client diagnosed with advanced lung cancer has a nursing diagnosis of Ineffective Coping. What
assessment data would provide evidence to the nurse for this diagnosis? - CORRECT ANSWER-The client
states, "I am sure the doctors have misdiagnosed me."
A nurse designs a care plan to improve walking mobility in an older adult client. When the nurse
encourages the client to implement the new strategies for ambulation, the client refuses to try and tells
the nurse, "I find it easier to use a wheelchair." What action by the nurse may have led to failure to meet
the outcome? - CORRECT ANSWER-Developing the plan without client input
The expected outcome for a client with a new diagnosis of diabetes mellitus is: "Client will describe
appropriate actions when implementing the prescribed medication routine." Which statement by the
client indicates the outcome expectation has been met? - CORRECT ANSWER-"I will test my glucose level
before meals and use sliding scale insulin."
The nurse is caring for a client with congestive heart failure. The nurse manager informs the nurse that
the client was enrolled in a clinical trial to assess whether a 10-minute walk, 3 times per day, leads to
FON exam 2 questions with complete solutions
, expedited discharge. Which type of evaluation best describes what the researchers are examining? -
CORRECT ANSWER-Outcome
An older adult client suffered a stroke a short time ago and has experienced dysphagia (difficulty
swallowing) consequent to neurological damage. The nurse has thus identified the nursing diagnosis of
Risk for Imbalanced Nutrition: Less than Body Requirements. What action should the nurse first take
after identifying this diagnosis? - CORRECT ANSWER-Liaise with nurses and members of other health
disciplines to create a plan for promoting the client's nutrition.
A nurse has encouraged a bedridden hospital client to perform deep breathing and coughing exercises
each hour to prevent respiratory complications. After performing this intervention, the nurse should -
CORRECT ANSWER-assess the client's lungs to determine the effectiveness of the intervention.
A client, who is scheduled for coronary angioplasty, is concerned if the procedure is safe. Which nursing
diagnosis relates most directly to this client's condition? - CORRECT ANSWER-Fear related to potential
risk and surgical outcomes
In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics and
reports a medication error that the nurse has made. The nurse is most clearly demonstrating which
professional value? - CORRECT ANSWER-Integrity
A client rings the call bell to request pain medication. On performing the pain assessment, the nurse
informs the client that the nurse will return with the pain medication. After a few moments, the nurse
returns with the pain medication. The nurse's returning with the pain medication is an example of which
principle of bioethics? - CORRECT ANSWER-Fidelity
An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing a
client down on the bed. The client starts crying and informs the UAP of the need to go to the bathroom.
What action is the RN witnessing that should be immediately reported to the supervisor? - CORRECT
ANSWER-Battery
A woman always thanks clerks at the grocery store. The woman's daughter, age 6 years, echoes the
thank you. The child is demonstrating what mode of value transmission? - CORRECT ANSWER-Modeling
FON exam 2 questions with complete solutions
SOLUTIONS
A nurse caring for a client admitted with a deep vein thrombosis is individualizing a prepared plan of
care that identifies nursing diagnoses, outcomes, and related nursing interventions common to this
condition. What type of tool is the nurse using? - CORRECT ANSWER-A standardized care plan
A nurse in the emergency department is completing an emergency assessment for a teenager just
admitted from a car crash. Which statement represents objective data the nurse is likely to gather and
document during this assessment? - CORRECT ANSWER-"Unable to palpate femoral pulse in left leg."
Which types of data would be collected during a physical assessment? - CORRECT ANSWER-Color,
moisture, and temperature of the skin
The nursing diagnosis Impaired Gas Exchange, prioritized by Maslow's hierarchy of basic human needs,
is appropriate for what level of needs? - CORRECT ANSWER-Physiological
Which of the following best summarizes the evaluation step of the nursing process? - CORRECT
ANSWER-The nurse and client measure achievement of planned outcomes of care.
A client describes pain in the right leg as aching at 8/10 on a pain scale. What type of cue is a client's
description of pain in the right leg? - CORRECT ANSWER-Subjective
What is the nurse accountable for, according to state nurse practice acts? - CORRECT ANSWER-Making
nursing diagnoses
Which statement appropriately identifies a risk nursing diagnosis for a client who is confined to bed? -
CORRECT ANSWER-Risk for Impaired Skin Integrity related to bed rest
The nurse is caring for a client who is experiencing an asthma attack. Ten minutes after administering an
inhaled bronchodilator to the client, the nurse returns to ask if the client is breathing easier. The nurse is
engaging in which phase of the nursing process? - CORRECT ANSWER-Evaluating
FON exam 2 questions with complete solutions
,A newly graduated nurse is unable to determine the significance of data obtained during an assessment.
What would be the nurse's most appropriate action? - CORRECT ANSWER-Consult with a more
experienced nurse.
A new chemical plant is being built in the community. The nurse is concerned about the possibility of
environmental pollution adversely affecting the health of the residents. What nursing diagnosis would
the nurse use to address this concern? - CORRECT ANSWER-Risk for Community Contamination related
to possible environmental pollution
A client is being admitted from the emergency room reporting shortness of breath, wheezing, and
coughing. What would the nurse formulate as an appropriate nursing diagnosis? - CORRECT ANSWER-
Ineffective Airway Clearance
A nurse is interviewing an older adult client who has experienced a drastic weight loss following a
cerebrovascular accident (CVA). The client states, "I have trouble getting groceries because I can no
longer drive, so I don't have much food in the house." Based on this evidence, what would be the most
appropriate nursing diagnosis? - CORRECT ANSWER-Imbalanced Nutrition: Less than Body Requirements
related to difficulty in procuring food
A client diagnosed with advanced lung cancer has a nursing diagnosis of Ineffective Coping. What
assessment data would provide evidence to the nurse for this diagnosis? - CORRECT ANSWER-The client
states, "I am sure the doctors have misdiagnosed me."
A nurse designs a care plan to improve walking mobility in an older adult client. When the nurse
encourages the client to implement the new strategies for ambulation, the client refuses to try and tells
the nurse, "I find it easier to use a wheelchair." What action by the nurse may have led to failure to meet
the outcome? - CORRECT ANSWER-Developing the plan without client input
The expected outcome for a client with a new diagnosis of diabetes mellitus is: "Client will describe
appropriate actions when implementing the prescribed medication routine." Which statement by the
client indicates the outcome expectation has been met? - CORRECT ANSWER-"I will test my glucose level
before meals and use sliding scale insulin."
The nurse is caring for a client with congestive heart failure. The nurse manager informs the nurse that
the client was enrolled in a clinical trial to assess whether a 10-minute walk, 3 times per day, leads to
FON exam 2 questions with complete solutions
, expedited discharge. Which type of evaluation best describes what the researchers are examining? -
CORRECT ANSWER-Outcome
An older adult client suffered a stroke a short time ago and has experienced dysphagia (difficulty
swallowing) consequent to neurological damage. The nurse has thus identified the nursing diagnosis of
Risk for Imbalanced Nutrition: Less than Body Requirements. What action should the nurse first take
after identifying this diagnosis? - CORRECT ANSWER-Liaise with nurses and members of other health
disciplines to create a plan for promoting the client's nutrition.
A nurse has encouraged a bedridden hospital client to perform deep breathing and coughing exercises
each hour to prevent respiratory complications. After performing this intervention, the nurse should -
CORRECT ANSWER-assess the client's lungs to determine the effectiveness of the intervention.
A client, who is scheduled for coronary angioplasty, is concerned if the procedure is safe. Which nursing
diagnosis relates most directly to this client's condition? - CORRECT ANSWER-Fear related to potential
risk and surgical outcomes
In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics and
reports a medication error that the nurse has made. The nurse is most clearly demonstrating which
professional value? - CORRECT ANSWER-Integrity
A client rings the call bell to request pain medication. On performing the pain assessment, the nurse
informs the client that the nurse will return with the pain medication. After a few moments, the nurse
returns with the pain medication. The nurse's returning with the pain medication is an example of which
principle of bioethics? - CORRECT ANSWER-Fidelity
An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing a
client down on the bed. The client starts crying and informs the UAP of the need to go to the bathroom.
What action is the RN witnessing that should be immediately reported to the supervisor? - CORRECT
ANSWER-Battery
A woman always thanks clerks at the grocery store. The woman's daughter, age 6 years, echoes the
thank you. The child is demonstrating what mode of value transmission? - CORRECT ANSWER-Modeling
FON exam 2 questions with complete solutions
