,Test Bank Concepts for Nursing
Practice (4TH Ed) QUESTIONS WITH
ANSWERS (RATED A+) Stuvia Free
A young adult with a severe episode of asthma bronchoconstriction comes to the
emergency department with signs of respiratory distress. When the nurse performs the
admission assessment, she notes that the patient is not able to say where she is or the
time. Which nursing diagnosis is probably most suitable for this patient?
1)
Chronic Confusion
2)
Acute Confusion
3)
Impaired Verbal Communication
4)
Readiness for Enhanced Communication - ---CORRECT ANSWER 2
A patient experiences expressive aphasia after a stroke. Which expected outcome is
appropriate for this patient?
1)
Uses alternative methods of communication
2)
Communicates effectively using a translator
3)
Interprets messages accurately
4)
Follows commands when asked - ---CORRECT ANSWER 1
Which intervention by the nurse first helps to establish a trusting nurse-patient
relationship?
1)
Avoiding topics that may provoke emotional responses from the patient
2)
Listening to the patient while performing care activities
3)
Performing care interventions quietly and respectfully
4)
,Greeting the patient by name whenever entering the patients room - ---CORRECT
ANSWER 4
A physician tells a patient that she has cancer and that she should have surgery as
soon as possible. The patient is not certain she wants to pursue this treatment approach
but responds by saying, Ill do whatever you think I should do. Which communication
style is this patient using?
1)
Assertive
2)
Aggressive
3)
Passive aggressive 2
4)
Passive - ---CORRECT ANSWER 4
Which statement by the nurse manager demonstrates an assertive approach when
communicating with the staff nurse about a patient care issue?
1)
You must assess and document pain status for every patient.
2)
Why havent you been assessing and documenting pain for every patient?
3)
Will you please assess and document pain status for every patient?
4)
Explain why you havent been assessing and documenting pain for every patient. - ---
CORRECT ANSWER 1
A patient comes to the emergency department complaining of severe, substernal chest
pain. He is restless and anxious. Which statement by the nurse appropriately offers
reassurance?
1)
Ill give you some medication to help relieve the pain.
2)
If you lie still and relax, youll be fine in a little while.
3)
Please try not to think about the pain as best as you can.
4)
Dont worry; were going to take good care of you. - ---CORRECT ANSWER 1
Which statement by the nurse indicates that the nurse-patient relationship is entering
the termination phase?
1)
Ill be admitting you to our nursing unit as soon as I obtain your health history.
2)
You seem upset today. Would you like to talk about whatever is bothering you?
, 3)
Im leaving for the day. Is there anything I can do for you before I leave?
4)
Hello. My name is Leslie, and Im going to be your nurse today. - ---CORRECT
ANSWER 3
A health center that is interested in purchasing IV infusion pumps organizes a group of
nurses to evaluate pumps provided by a variety of vendors. Which type of group has
been organized?
1)
Short term
2)
Ongoing
3)
Self-help
4)
Work-related social support - ---CORRECT ANSWER 1
The nurse must insert a nasogastric (NG) tube into a patient with a bowel obstruction.
Before inserting the tube, the nurse must explain the procedure to the patient. Which
explanation by the nurse is best, assuming that all provide correct information?
1)
Im going to insert an NG tube and connect it to low Gomco to keep your
stomach empty.
2)
Im going to insert a tube through your nose into your stomach to prevent you
from vomiting.
3)
Im going to insert an NG tube through your nares to suction your secretions and prevent
emesis.
4)
Lie still, please; I need to elevate the head of the bed and insert this tube. - ---
CORRECT ANSWER 2
A patient had surgery 6 hours ago. When the nurse enters the room to turn him, she
notes that he is restless and grimacing. Considering the patients nonverbal
communication, what action should the nurse take first?
1)
Administer pain medication to the patient.
2)
Turn and reposition the patient.
3)
Assess to determine the cause of the grimacing.
4)
Leave the patients room so he can rest quietly. - ---CORRECT ANSWER 3
Practice (4TH Ed) QUESTIONS WITH
ANSWERS (RATED A+) Stuvia Free
A young adult with a severe episode of asthma bronchoconstriction comes to the
emergency department with signs of respiratory distress. When the nurse performs the
admission assessment, she notes that the patient is not able to say where she is or the
time. Which nursing diagnosis is probably most suitable for this patient?
1)
Chronic Confusion
2)
Acute Confusion
3)
Impaired Verbal Communication
4)
Readiness for Enhanced Communication - ---CORRECT ANSWER 2
A patient experiences expressive aphasia after a stroke. Which expected outcome is
appropriate for this patient?
1)
Uses alternative methods of communication
2)
Communicates effectively using a translator
3)
Interprets messages accurately
4)
Follows commands when asked - ---CORRECT ANSWER 1
Which intervention by the nurse first helps to establish a trusting nurse-patient
relationship?
1)
Avoiding topics that may provoke emotional responses from the patient
2)
Listening to the patient while performing care activities
3)
Performing care interventions quietly and respectfully
4)
,Greeting the patient by name whenever entering the patients room - ---CORRECT
ANSWER 4
A physician tells a patient that she has cancer and that she should have surgery as
soon as possible. The patient is not certain she wants to pursue this treatment approach
but responds by saying, Ill do whatever you think I should do. Which communication
style is this patient using?
1)
Assertive
2)
Aggressive
3)
Passive aggressive 2
4)
Passive - ---CORRECT ANSWER 4
Which statement by the nurse manager demonstrates an assertive approach when
communicating with the staff nurse about a patient care issue?
1)
You must assess and document pain status for every patient.
2)
Why havent you been assessing and documenting pain for every patient?
3)
Will you please assess and document pain status for every patient?
4)
Explain why you havent been assessing and documenting pain for every patient. - ---
CORRECT ANSWER 1
A patient comes to the emergency department complaining of severe, substernal chest
pain. He is restless and anxious. Which statement by the nurse appropriately offers
reassurance?
1)
Ill give you some medication to help relieve the pain.
2)
If you lie still and relax, youll be fine in a little while.
3)
Please try not to think about the pain as best as you can.
4)
Dont worry; were going to take good care of you. - ---CORRECT ANSWER 1
Which statement by the nurse indicates that the nurse-patient relationship is entering
the termination phase?
1)
Ill be admitting you to our nursing unit as soon as I obtain your health history.
2)
You seem upset today. Would you like to talk about whatever is bothering you?
, 3)
Im leaving for the day. Is there anything I can do for you before I leave?
4)
Hello. My name is Leslie, and Im going to be your nurse today. - ---CORRECT
ANSWER 3
A health center that is interested in purchasing IV infusion pumps organizes a group of
nurses to evaluate pumps provided by a variety of vendors. Which type of group has
been organized?
1)
Short term
2)
Ongoing
3)
Self-help
4)
Work-related social support - ---CORRECT ANSWER 1
The nurse must insert a nasogastric (NG) tube into a patient with a bowel obstruction.
Before inserting the tube, the nurse must explain the procedure to the patient. Which
explanation by the nurse is best, assuming that all provide correct information?
1)
Im going to insert an NG tube and connect it to low Gomco to keep your
stomach empty.
2)
Im going to insert a tube through your nose into your stomach to prevent you
from vomiting.
3)
Im going to insert an NG tube through your nares to suction your secretions and prevent
emesis.
4)
Lie still, please; I need to elevate the head of the bed and insert this tube. - ---
CORRECT ANSWER 2
A patient had surgery 6 hours ago. When the nurse enters the room to turn him, she
notes that he is restless and grimacing. Considering the patients nonverbal
communication, what action should the nurse take first?
1)
Administer pain medication to the patient.
2)
Turn and reposition the patient.
3)
Assess to determine the cause of the grimacing.
4)
Leave the patients room so he can rest quietly. - ---CORRECT ANSWER 3
