NUR 166
NUR 166/ NUR166 FINAL Exam|HONDROS |
Questions with Correct Verified Answers |
Latest Update| (2025/2026 ) |Guaranteed
Pass| GRADE A|
What is required of a client who leaves the hospital against medical
advice? - ANS ✓Signing a form releasing legal responsibility
A client comes to the emergency department complaining of severe
chest pain. The nurse asks the client questions and takes vital signs.
What step of the nursing process is the nurse demonstrating? - ANS
✓Assessing
After completing an assessment of a client, the nurse uses critical
thinking and clinical reasoning to prioritize the clients problems. Which of
the following with the nurse determine is the highest priority? - ANS
✓Severe bleeding from a wound
A nurse interviews a pregnant teenager and documents her answers on
the clients record. At the same time, the nurse responds to the clients
concerns and makes a referral for counseling and maternity care. This
scenario is an example of which of the descriptors of the nursing
process? - ANS ✓Dynamic
A Student is asked to perform a skill for which he is not prepared. When
using the method of critical thinking, what would be the first step to
resolve the situation? - ANS ✓Purpose of thinking
Based on an established plan of care, a nurse turned a client every two
hours. What part of the nursing process is the nurse using? - ANS
✓Implementing
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Client is being prepared for cardiac catheterization. The nurse performs
And initial assessment and records the vital signs. Which of the following
data collected can be classified as subjective data? - ANS ✓Nausea
Of the following information collected during a nursing assessment,
which are subjective data - ANS ✓Indigestion, abdominal pain
The nurse has entered a clients room to find the client diaphoretic and
shivering, inferring that the client has a fever. How should the nurse best
follow up this cue and interference? - ANS ✓Measure the clients oral
temperature
According to Maslow's hierarchy of needs, which nursing diagnosis has
the lowest priority for a client admitted to the intensive care unit with a
diagnosis of congestive heart failure? - ANS ✓Risk for a body image
disturbance
A client is experiencing shortness of breath, lethargy, and cyanosis.
These three cues provide organization or... - ANS ✓Clustering
(cue clustering brings together cues that if viewed separately would not
convey the same meaning)
After assessing a client, the nurse formulates several nursing diagnoses.
Which of the following with the nurse identify as an actual nursing
diagnosis? - ANS ✓Impaired urinary elimination
After completing assessments, a nurse uses the data collected to
identify appropriate nursing diagnosis for a client. For what are the
nursing diagnoses is used? - ANS ✓Selecting nursing interventions to
meet expected outcomes
A nurse develops a plan of care to meet the needs of the client who has
had a large loss of blood after a snowmobile crash. Intervenous fluids
and blood are administered and the nurse monitors the clients
physiologic response. This action is known as: - ANS ✓Collaborative
problem - these are certain physiologic complications that nurses
Monitor to detect on set or changes in status.
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A nurse is formulating a nursing diagnosis for a client with a respiratory
disease. Which of the following would be correct? - ANS ✓Ineffective
airway clearance related to thick mucus
A nurse is reviewing the health history and physical assessment findings
for a client who is having respiratory problems. Of the following data
collected, which data from the health history would be a cue to a nursing
diagnoses for this problem? - ANS ✓I get out of breath when I walk a
few steps
A nurse who is caring for an unresponsive client formulate the nursing
diagnosis, "risk for aspiration related to reduced level of consciousness.
"the nurse document this nursing diagnosis as corrected based on the
understanding that which of the following is a characteristic of this type
of diagnosis? - ANS ✓Is written as a two part statements
A nurse writes the following nursing diagnosis for a client with
Alzheimer's disease: disturbed thought processes related to Alzheimer's
disease as evidenced by incoherent language. Which part of this
diagnosis is considered the problem statement? - ANS ✓Disturbed
thought process
A student is reviewing a clients chart before giving care she notes the
following diagnoses in the contents of the chart: "appendicitis" and
"acute pain" which of the diagnoses is a medical diagnosis? - ANS
✓Appendicitis
Which of the following client care concerns is clearly a nursing
responsibility - ANS ✓Monitoring health status changes
Which of the following reflects the diagnosis state? - ANS ✓The nurse
identifies that the client does not tolerate activity
A nurse is developing outcomes for a specific problem statement. What
is one of the most important considerations the nurse should have? -
ANS ✓To encourage the client and family to be involved
Emile client 30 years of age is post operative Day 2 following a
nephrectomy but has not yet mobilized or dangled at the bedside. Which
of the following is the nurses best intervention in the clients care? - ANS
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