NR222- Health & Wellness- Exam 1 (2025) Actual
Exam Questions and Answers A+ Graded
1. The .nurse .spends .time .with .a .patient .and .family .reviewing .a .dressing
.change .procedure .for .the .patient's .wound..The .patient's .spouse .demonstrates
.how .to .change .the .dressing. .The .nurse .is .acting .in .which .professional .role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator: .1. .Educator
The .nurse .is .demonstrating .the .role .of .educator. .An .educator .explains .concepts .and
.facts .about .health, .describes .the .reason .for .routine .care .activities, .demonstrates
.procedures .such .as .home-care .activities, .reinforces .learning .or .patient .behavior,
.and .evaluates .the .patient's .progress .in .learning .or .patient .behavior, .and .evaluates
.the .patient's .progress .in .learning .through .return .demonstration.
2. A .patient .discharged .a .week .ago .following .a .stroke .is .currently .participating
.in .rehabilitation .sessions .provided .by .nurses, .physical .therapists, .and .reg-
.istered .dietitians .in .an .outpatient .setting. .In .what .level .of .prevention .is .the
.patient .participating?
1. Primary .prevention
2. Secondary .prevention
3. Tertiary .prevention
4. Transtheoretical .prevention: .3. .Tertiary .prevention
Involves .minimizing .the .effects .of .long-term .disease .or .disability .by .interventions
.directed .at .preventing .complications .and .deterioration .following .surgery..Tertiary .pre-
.vention .activities .are .directed .at .rehabilitation .rather .than .diagnosis .and .treatment.
.Care .at .this .level .aims .to .help .patients .achieve .as .high .a .level .of .functioning .as
,.possible, .despite .the .limitations .caused .by .illness .or .impairment..This .level .of .care .is
.called .preventative .care .because .it .involves .preventing .further .disability .or .reduced
.functioning.
3. Based .on .the .transtheoretical .model .of .change, .what .is .the .most .appropriate
.response .to .a .patient .who .states: ."Me, .stop .smoking? .I've .been .smoking .since .I
.was .16!"
1. That's .fine. .Some .people .who .smoke .live .a .long .life.
2. Ok. .I .want .you .to .decrease .the .number .of .cigarettes .you .smoke .by .one .each
.day, .and .I'll .see .you .in .1 .month.
3. What .do .you .think .is .the .greatest .reason .why .stopping .smoking .would .be
,challenging .for .you?
4. I'd .like .you .to .attend .a .smoking-cessation .class .this .week .and .use .nicotine
.replacement .patches .as .directed.: .3. .What .do .you .think .the .greatest .reason .why
.stopping .smoking .would .be .challenging .for .you?
The .patient's .response .indicates .he .is .in .the .precontemplation .stage .and .not .intend-
.ing .to .make .a .change .in .behavior .in .the .next .6 .months. .In .this .stage, .the .patient .is .not
.interested .in .information .about .the .behavior .and .may .be .defensive .when .confronted
.with .the .information. .Asking .an .open-ended .question .about .smoking .may .stimulate
.the .patient .to .identify .a .reason .to .begin .a .behavioral .change. .Nurses .are .challenged
.to .motivate .and .facilitate .health .behavior .change .in .working .with .individuals.
4. A .nurse .is .caring .for .a .client .who .decides .not .to .have .surgery .despite
.significant .blockages .of .the .coronary .arteries..The .nurse .understands .that .this
.client's .choice .is .an .example .of .which .of .the .following .ethical .principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence: .A. .Fidelity .is .the .fulfillment .of .promises..The .nurse .has .not
.made .any .promises; .this .is .the .client's .decision.
B. .Autonomy, .In .this .situation, .the .client .is .exercising .their .right .to .make .their .own
.personal .decision .about .surgery, .regardless .of .others' .opinions .of .what .is ."best" .for
.them. .This .is .an .example .of .autonomy.
C. .Justice .is .fairness .in .care .delivery .and .in .the .use .of .resources. .Because .the .client
.has .chosen .not .to .use .them, .this .principle .does .not .apply.
D. .Nonmaleficence .is .a .commitment .to .do .no .harm. .In .this .situation, .harm .can .occur
.whether .or .not .the .client .has .surgery. .However, .because .they .choose .not .to, .this
.principle .does .not .apply
5. A .nurse .is .instructing .a .group .of .newly .licensed .nurses .about .the .respon-
.sibilities .organ .donation .and .procurement .involved. .When .the .nurse .explains
.that .all .clients .waiting .for .a .kidney .transplant .have .to .meet .the .same .qualifi-
.cations, .the .newly .licensed .nurses .should .understand .that .this .aspect .of .care
.delivery .is .an .example .of .which .of .the .following .ethical .principles?
A. Fidelity
B. Autonomy
, C. Justice
D. Nonmaleficence: .A. .Fidelity .is .the .fulfillment .of .promises. .Because .donor .organs
.are .a .scarce .resource .compared .with .the .numbers .of .potential .recipients .who .need
.them, .no .one .can .promise .anyone .an .organ. .Thus, .this .principle .does .not .apply.
B. .Autonomy .is .the .right .to .make .personal .decisions, .even .when .they .are .not
.necessarily .in .the .person's .best .interest. .No .personal .decision .is .involved .with .the
.qualifications .for .organ .recipients.
C. .Justice, .is .fairness .in .care .delivery .and .in .the .use .of .resources. .By .applying .the
.same .qualifications .to .all .potential .kidney .transplant .recipients, .organ .procurement
.organizations .demonstrate .this .ethical .principle .in .determining .the .allocation .of
.these .scarce .resources.
D. .Nonmaleficence .is .a .commitment .to .do .no .harm. .In .this .situation, .harm .can
.occur .to .organ .donors .and .to .recipients..The .requirements .of .the .organ .procurement
.organizations .are .standard .procedures .and .do .not .address .avoidance .of .harm .or
.injury
6. A .charge .nurse .is .reviewing .the .steps .of .the .nursing .process .with .a .group
.of .nurses. .Which .of .the .following .data .should .the .charge .nurse .identify .as
.objective .data? .(Select .all .that .apply)
A. Respiration .rate .is .22/min .with .even, .unlabored .respirations.
B. The .client's .partner .states ."They .said .they .hurt .after .walking .about .10
.minutes"
C. The .client's .pain .rating .is .3 .on .a .scale .of .0 .to .10
D. The .client's .skin .is .pink, .warm .and .dry
E. The .assistive .personnel .reports .that .the .clients .walked .with .a .limp: .A.
.Respiration .rate .is .22/min .with .even, .unlabored .respirations: .OBJECTIVE .DATA,
.includes .information .the .nurse .measures .(vital .signs)
B. The .client's .partner .states ."They .said .they .hurt .after .walking .about .10 .minutes":
.SUBJECTIVE .DATA, .includes .a .client's .reported .manifestations, .even .if .a .secondary
.source .gave .the .nurse .the .information
C. The .client's .pain .rating .is .3 .on .a .scale .of .0 .to .10: .SUBJECTIVE .DATA, .includes .a
.client's .reported .manifestations
D. The .client's .skin .is .pink, .warm .and .dry: .OBJECTIVE .DATA, .includes .information
Exam Questions and Answers A+ Graded
1. The .nurse .spends .time .with .a .patient .and .family .reviewing .a .dressing
.change .procedure .for .the .patient's .wound..The .patient's .spouse .demonstrates
.how .to .change .the .dressing. .The .nurse .is .acting .in .which .professional .role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator: .1. .Educator
The .nurse .is .demonstrating .the .role .of .educator. .An .educator .explains .concepts .and
.facts .about .health, .describes .the .reason .for .routine .care .activities, .demonstrates
.procedures .such .as .home-care .activities, .reinforces .learning .or .patient .behavior,
.and .evaluates .the .patient's .progress .in .learning .or .patient .behavior, .and .evaluates
.the .patient's .progress .in .learning .through .return .demonstration.
2. A .patient .discharged .a .week .ago .following .a .stroke .is .currently .participating
.in .rehabilitation .sessions .provided .by .nurses, .physical .therapists, .and .reg-
.istered .dietitians .in .an .outpatient .setting. .In .what .level .of .prevention .is .the
.patient .participating?
1. Primary .prevention
2. Secondary .prevention
3. Tertiary .prevention
4. Transtheoretical .prevention: .3. .Tertiary .prevention
Involves .minimizing .the .effects .of .long-term .disease .or .disability .by .interventions
.directed .at .preventing .complications .and .deterioration .following .surgery..Tertiary .pre-
.vention .activities .are .directed .at .rehabilitation .rather .than .diagnosis .and .treatment.
.Care .at .this .level .aims .to .help .patients .achieve .as .high .a .level .of .functioning .as
,.possible, .despite .the .limitations .caused .by .illness .or .impairment..This .level .of .care .is
.called .preventative .care .because .it .involves .preventing .further .disability .or .reduced
.functioning.
3. Based .on .the .transtheoretical .model .of .change, .what .is .the .most .appropriate
.response .to .a .patient .who .states: ."Me, .stop .smoking? .I've .been .smoking .since .I
.was .16!"
1. That's .fine. .Some .people .who .smoke .live .a .long .life.
2. Ok. .I .want .you .to .decrease .the .number .of .cigarettes .you .smoke .by .one .each
.day, .and .I'll .see .you .in .1 .month.
3. What .do .you .think .is .the .greatest .reason .why .stopping .smoking .would .be
,challenging .for .you?
4. I'd .like .you .to .attend .a .smoking-cessation .class .this .week .and .use .nicotine
.replacement .patches .as .directed.: .3. .What .do .you .think .the .greatest .reason .why
.stopping .smoking .would .be .challenging .for .you?
The .patient's .response .indicates .he .is .in .the .precontemplation .stage .and .not .intend-
.ing .to .make .a .change .in .behavior .in .the .next .6 .months. .In .this .stage, .the .patient .is .not
.interested .in .information .about .the .behavior .and .may .be .defensive .when .confronted
.with .the .information. .Asking .an .open-ended .question .about .smoking .may .stimulate
.the .patient .to .identify .a .reason .to .begin .a .behavioral .change. .Nurses .are .challenged
.to .motivate .and .facilitate .health .behavior .change .in .working .with .individuals.
4. A .nurse .is .caring .for .a .client .who .decides .not .to .have .surgery .despite
.significant .blockages .of .the .coronary .arteries..The .nurse .understands .that .this
.client's .choice .is .an .example .of .which .of .the .following .ethical .principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence: .A. .Fidelity .is .the .fulfillment .of .promises..The .nurse .has .not
.made .any .promises; .this .is .the .client's .decision.
B. .Autonomy, .In .this .situation, .the .client .is .exercising .their .right .to .make .their .own
.personal .decision .about .surgery, .regardless .of .others' .opinions .of .what .is ."best" .for
.them. .This .is .an .example .of .autonomy.
C. .Justice .is .fairness .in .care .delivery .and .in .the .use .of .resources. .Because .the .client
.has .chosen .not .to .use .them, .this .principle .does .not .apply.
D. .Nonmaleficence .is .a .commitment .to .do .no .harm. .In .this .situation, .harm .can .occur
.whether .or .not .the .client .has .surgery. .However, .because .they .choose .not .to, .this
.principle .does .not .apply
5. A .nurse .is .instructing .a .group .of .newly .licensed .nurses .about .the .respon-
.sibilities .organ .donation .and .procurement .involved. .When .the .nurse .explains
.that .all .clients .waiting .for .a .kidney .transplant .have .to .meet .the .same .qualifi-
.cations, .the .newly .licensed .nurses .should .understand .that .this .aspect .of .care
.delivery .is .an .example .of .which .of .the .following .ethical .principles?
A. Fidelity
B. Autonomy
, C. Justice
D. Nonmaleficence: .A. .Fidelity .is .the .fulfillment .of .promises. .Because .donor .organs
.are .a .scarce .resource .compared .with .the .numbers .of .potential .recipients .who .need
.them, .no .one .can .promise .anyone .an .organ. .Thus, .this .principle .does .not .apply.
B. .Autonomy .is .the .right .to .make .personal .decisions, .even .when .they .are .not
.necessarily .in .the .person's .best .interest. .No .personal .decision .is .involved .with .the
.qualifications .for .organ .recipients.
C. .Justice, .is .fairness .in .care .delivery .and .in .the .use .of .resources. .By .applying .the
.same .qualifications .to .all .potential .kidney .transplant .recipients, .organ .procurement
.organizations .demonstrate .this .ethical .principle .in .determining .the .allocation .of
.these .scarce .resources.
D. .Nonmaleficence .is .a .commitment .to .do .no .harm. .In .this .situation, .harm .can
.occur .to .organ .donors .and .to .recipients..The .requirements .of .the .organ .procurement
.organizations .are .standard .procedures .and .do .not .address .avoidance .of .harm .or
.injury
6. A .charge .nurse .is .reviewing .the .steps .of .the .nursing .process .with .a .group
.of .nurses. .Which .of .the .following .data .should .the .charge .nurse .identify .as
.objective .data? .(Select .all .that .apply)
A. Respiration .rate .is .22/min .with .even, .unlabored .respirations.
B. The .client's .partner .states ."They .said .they .hurt .after .walking .about .10
.minutes"
C. The .client's .pain .rating .is .3 .on .a .scale .of .0 .to .10
D. The .client's .skin .is .pink, .warm .and .dry
E. The .assistive .personnel .reports .that .the .clients .walked .with .a .limp: .A.
.Respiration .rate .is .22/min .with .even, .unlabored .respirations: .OBJECTIVE .DATA,
.includes .information .the .nurse .measures .(vital .signs)
B. The .client's .partner .states ."They .said .they .hurt .after .walking .about .10 .minutes":
.SUBJECTIVE .DATA, .includes .a .client's .reported .manifestations, .even .if .a .secondary
.source .gave .the .nurse .the .information
C. The .client's .pain .rating .is .3 .on .a .scale .of .0 .to .10: .SUBJECTIVE .DATA, .includes .a
.client's .reported .manifestations
D. The .client's .skin .is .pink, .warm .and .dry: .OBJECTIVE .DATA, .includes .information
