Nursing Test 2 Clinical Science 3100
The nurse follows the nursing process when conducting medication education about insulin.
What will the nurse ask the client to evaluate theclient's knowledge ofinsulin? - ANS-Can you
tell me four points you remember about how to take yourinsulin?
The nurse assesses the client with diabetes mellitus prior to administering medications. Which
questions are important to ask theclient? - ANS-Are you allergic to anymedications?
Are you taking any herbal orover-the-counter (OTC)medications?
Will you please tell me about the kind of diet youfollow?
What other medications are you currentlytaking?
The healthcare provider has prescribed a nitroglycerine(Nitrodur) patch for the client. The nurse
understands that which of the following is the best outcome for this client as it relates to use of
themedication? - ANS-Client will demonstrate correct application of the patch prior to
discharge
The client is receiving albuterol(Proventil) for treatment of bronchospasm related to asthma.
What is the primary nursing intervention as it relates to thismedication? - ANS-Monitor the
client for relief of bronchospasms
The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The
client's outcome is"Client will state a key point about antibiotic treatment forcellulitis." Which
statement would the nurse evaluate as best indicating this outcome has beenmet? - ANS-I
need to take all the pills even if my leg looksbetter
The healthcare provider has prescribed quetiapine(Seroquel) for the client with chronic auditory
hallucinations. The client has stopped taking the medication. The nurse incorrectly uses the
diagnosis of"noncompliance." In which situation would this diagnosis beappropriate? -
ANS-The client made an informed decision not to take the medication
The nurse is preparing for medication administration to a group of clients. What is the best
overall outcome for theclients? - ANS-Clients will receive the best therapeutic outcome from
the medications
The nurse is managing care for several clients at a diabetic treatment center. The nurse
understands that which of the following is the priority nursingintervention? - ANS-To return the
client to an optimum level of wellness while limiting adverse effects related to theclient's
medical diagnosis
,What is the most significant role for nurses as defined by state nurse practice acts and by
regulating bodies such as The JointCommission? - ANS-Client teaching
The Joint Commission documented that client education was deficient on several
medical-surgical units of a local hospital. A nursing committee was formed to address this
problem. What is the best intervention to improve clienteducation? - ANS-Discussing
medications each time they are administered to clients.
The nurse has several educational pamphlets for the client about medications the client is
receiving. Prior to giving the client thesepamphlets, what is the most important assessment by
thenurse? - ANS-Assess theclient's reading level.
The nurse is reviewing the steps of the nursing process with a student. The nurse is aware that
it is most important to be accurate in which portion of the nursingprocess? - ANS-Assessment
The nurse is assessing a newly admittedclient's current medication. Which of the following is an
example of objectivedata? - ANS-The nurse checks the prescription bottles the client has
brought to the hospital
The nurse is administering medications to an older adult. Which laboratory tests are most
important for the nurse to assess prior to the administration ofmedication? - ANS-Kidney and
liver function tests
The nurse is reviewing the steps of the nursing process with a student. The nurse knows that
the student understands the teaching when the student correctly lists which of the following as
the correct order of the nursingprocess? - ANS-Assessment, establish nursingdiagnosis,
planning,interventions, evaluation
Place these nursing activities in the correct order of the nursing process. - ANS-1. The nurse
weighs the client
2. The nurse analyzes the data collected
3. The nurse writes an individualized nursing intervention
4. The nurse documents the time and route of the administered meds
5. The nurse changes the intervention if it doesn't work
The nurse uses a newly admittedclient's armband barcode to identify the client prior to
administering medications. The nurse should use at least________
other means of identifying this client. - ANS-2
Which statement about the nursing process isaccurate? - ANS-Obtaining the outcomes is
essential for goal attainment.
Which nursing intervention would take priority following administration of a newmedication? -
ANS-Monitoring theclient's respiratory status
, A client with hypertension is receiving medication to lower his blood pressure. Which nursing
action demonstrates the evaluation process related to medicationadministration? -
ANS-Determining that goals were not met 3 days following medication administration
A nurse is assessing a client recently admitted to the unit. The nurse understands that which
assessment identifies the collection of objective data? - ANS-The client has a wound measured
at 5 cm in length.
When teaching the client about a newmedication, the nurse should include whichinformation? -
ANS-Adverse effects that can be expected
Which adverse effect to report to the healthcare provider
Thedrug's therapeutic action
A nurse is preparing care for a newly admitted client with diabetes. Which information would be
critical for the nurse toassess? - ANS-Medical history
Current lab results
Medication allergies
Use of dietary supplements
A nurse has admitted a new client to the unit. Which concepts should the nurse use when
developing a nursingdiagnosis? - ANS-Include the client in the identification of needs
Consider theclient's response to the current health problem
The nurse who is writing a risk nursing diagnosis will write a______
part statement. - ANS-2
A client returns to the clinic forfollow-up after taking a newly prescribed medication for a month.
The nurse recognizes medication teaching was successful when the client makes which
statement? - ANS-"I've been taking my medication on an empty stomach like the prescription
label saidto."
"I take my medication first thing in themorning, just like yousaid."
"I switched all my medications to one pharmacy like yousuggested.
A nurse is developing a care plan for a client. Which client outcome statements are correctly
formatted? - ANS-The client will identify two adverse effects of enoxaprarin(Lovenox) prior to
self-administering the drug.
The client will verbalize the storage requirements for NPH insulin prior to discharge.
Place these methods of communicating with anon-English speaking client in order of their
desirability and usefulness. - ANS-1. Healthcare agency interpreter is present
2. Adult family member interprets
3. Child relative interprets
4. Nurse uses drawings and body language to communicate
The nurse follows the nursing process when conducting medication education about insulin.
What will the nurse ask the client to evaluate theclient's knowledge ofinsulin? - ANS-Can you
tell me four points you remember about how to take yourinsulin?
The nurse assesses the client with diabetes mellitus prior to administering medications. Which
questions are important to ask theclient? - ANS-Are you allergic to anymedications?
Are you taking any herbal orover-the-counter (OTC)medications?
Will you please tell me about the kind of diet youfollow?
What other medications are you currentlytaking?
The healthcare provider has prescribed a nitroglycerine(Nitrodur) patch for the client. The nurse
understands that which of the following is the best outcome for this client as it relates to use of
themedication? - ANS-Client will demonstrate correct application of the patch prior to
discharge
The client is receiving albuterol(Proventil) for treatment of bronchospasm related to asthma.
What is the primary nursing intervention as it relates to thismedication? - ANS-Monitor the
client for relief of bronchospasms
The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The
client's outcome is"Client will state a key point about antibiotic treatment forcellulitis." Which
statement would the nurse evaluate as best indicating this outcome has beenmet? - ANS-I
need to take all the pills even if my leg looksbetter
The healthcare provider has prescribed quetiapine(Seroquel) for the client with chronic auditory
hallucinations. The client has stopped taking the medication. The nurse incorrectly uses the
diagnosis of"noncompliance." In which situation would this diagnosis beappropriate? -
ANS-The client made an informed decision not to take the medication
The nurse is preparing for medication administration to a group of clients. What is the best
overall outcome for theclients? - ANS-Clients will receive the best therapeutic outcome from
the medications
The nurse is managing care for several clients at a diabetic treatment center. The nurse
understands that which of the following is the priority nursingintervention? - ANS-To return the
client to an optimum level of wellness while limiting adverse effects related to theclient's
medical diagnosis
,What is the most significant role for nurses as defined by state nurse practice acts and by
regulating bodies such as The JointCommission? - ANS-Client teaching
The Joint Commission documented that client education was deficient on several
medical-surgical units of a local hospital. A nursing committee was formed to address this
problem. What is the best intervention to improve clienteducation? - ANS-Discussing
medications each time they are administered to clients.
The nurse has several educational pamphlets for the client about medications the client is
receiving. Prior to giving the client thesepamphlets, what is the most important assessment by
thenurse? - ANS-Assess theclient's reading level.
The nurse is reviewing the steps of the nursing process with a student. The nurse is aware that
it is most important to be accurate in which portion of the nursingprocess? - ANS-Assessment
The nurse is assessing a newly admittedclient's current medication. Which of the following is an
example of objectivedata? - ANS-The nurse checks the prescription bottles the client has
brought to the hospital
The nurse is administering medications to an older adult. Which laboratory tests are most
important for the nurse to assess prior to the administration ofmedication? - ANS-Kidney and
liver function tests
The nurse is reviewing the steps of the nursing process with a student. The nurse knows that
the student understands the teaching when the student correctly lists which of the following as
the correct order of the nursingprocess? - ANS-Assessment, establish nursingdiagnosis,
planning,interventions, evaluation
Place these nursing activities in the correct order of the nursing process. - ANS-1. The nurse
weighs the client
2. The nurse analyzes the data collected
3. The nurse writes an individualized nursing intervention
4. The nurse documents the time and route of the administered meds
5. The nurse changes the intervention if it doesn't work
The nurse uses a newly admittedclient's armband barcode to identify the client prior to
administering medications. The nurse should use at least________
other means of identifying this client. - ANS-2
Which statement about the nursing process isaccurate? - ANS-Obtaining the outcomes is
essential for goal attainment.
Which nursing intervention would take priority following administration of a newmedication? -
ANS-Monitoring theclient's respiratory status
, A client with hypertension is receiving medication to lower his blood pressure. Which nursing
action demonstrates the evaluation process related to medicationadministration? -
ANS-Determining that goals were not met 3 days following medication administration
A nurse is assessing a client recently admitted to the unit. The nurse understands that which
assessment identifies the collection of objective data? - ANS-The client has a wound measured
at 5 cm in length.
When teaching the client about a newmedication, the nurse should include whichinformation? -
ANS-Adverse effects that can be expected
Which adverse effect to report to the healthcare provider
Thedrug's therapeutic action
A nurse is preparing care for a newly admitted client with diabetes. Which information would be
critical for the nurse toassess? - ANS-Medical history
Current lab results
Medication allergies
Use of dietary supplements
A nurse has admitted a new client to the unit. Which concepts should the nurse use when
developing a nursingdiagnosis? - ANS-Include the client in the identification of needs
Consider theclient's response to the current health problem
The nurse who is writing a risk nursing diagnosis will write a______
part statement. - ANS-2
A client returns to the clinic forfollow-up after taking a newly prescribed medication for a month.
The nurse recognizes medication teaching was successful when the client makes which
statement? - ANS-"I've been taking my medication on an empty stomach like the prescription
label saidto."
"I take my medication first thing in themorning, just like yousaid."
"I switched all my medications to one pharmacy like yousuggested.
A nurse is developing a care plan for a client. Which client outcome statements are correctly
formatted? - ANS-The client will identify two adverse effects of enoxaprarin(Lovenox) prior to
self-administering the drug.
The client will verbalize the storage requirements for NPH insulin prior to discharge.
Place these methods of communicating with anon-English speaking client in order of their
desirability and usefulness. - ANS-1. Healthcare agency interpreter is present
2. Adult family member interprets
3. Child relative interprets
4. Nurse uses drawings and body language to communicate
