NRSG 2101: Sample Questions With Complete Solutions
A client states, "I am so depressed." Which of the following
interview questions will best elicit more information from the
client?
a. "How long have you felt this way?"
b. "Have you ever felt this sad before now?"
c. "What do you think is the cause of your feeling depressed?"
d. "When did you start having feelings of depression?" Correct
Answers c
A confused older adult patient is wearing thick glasses and a
hearing aid. Which intervention is priority to facilitate
communication?
1.Focus on tasks to be completed.
2.Allow time for the patient to respond.
3.Limit conversations with the patient.
4.Use gestures and other nonverbal cues. Correct Answers 2
A faculty member is reviewing a process recording with the
student nurse. The student has been working with a patient who
has had an amputation of the lower left leg and is emotionally
fragile. Which of the following responses made by the student to
the patient receives positive feedback from the faculty member?
a. "Why are you so upset today?"
b. "I'm sure that everything will be all right."
c. "You shouldn't cry. The wound will heal soon."
d. "It must be very difficult to have this happen to you." Correct
Answers d
,A goal for a patient with a diagnosis of Ineffective coping is to
demonstrate effective coping skills. Which of these patient
behaviors indicates that interventions performed to meet this
outcome have been successful?
1.States he feels better after talking with his family and friends
2.Continues to consume several alcoholic beverages a day
3.Dislikes the support group meetings
4.Spends most of the day in bed Correct Answers 1
A home care nurse receives a physician order for a medication
that the patient does not want to take because the patient has a
history of side effects from this medication. The nurse carefully
listens to the patient, considers it in light of the patient's
condition, questions its appropriateness, and examines
alternative treatments. What is the nurse's best action?
a.Call the physician, explain rationale, and suggest a different
medication.
b.Consult an experienced nurse on whether there are other
similar treatments.
c.Hold the drug until the physician returns to the unit and can be
questioned.
d.Question other staff as to the physician's acceptance of nursing
input. Correct Answers a
A home health nurse is preparing for an initial home visit.
Which information should be included in the patient's home care
medical record?
1.Nursing process form
2.Step-by-step skills manual
3.A list of possible procedures
4.Reports to third party payers Correct Answers 4
,A hospital is using a computer system that allows all health care
providers to use a protocol system to document the care they
provide. Which type of system/design will the nurse be using?
1.Clinical decision support system
2.Nursing process design
3.Critical pathway design
4.Computerized provider order entry system Correct Answers
3
A hospital's wound nurse consultant made a recommendation for
nurses on the unit to continue the patient's dressing changes as
previously ordered. The nurses on the unit should incorporate
this recommendation into the patient's plan of care by
1.Assuming that the wound nurse will perform all dressing
changes.
2.Requesting that the physician look at the wound herself.
3.Including dressing change instructions and frequency in the
plan of care.
4.Encouraging the patient to perform the dressing changes.
Correct Answers 3
A new graduate nurse is not sure what the heart sound is that she
is listening to on a patient. To avoid diagnostic error, what
should the nurse do?
1.Assign the nursing diagnosis of Decreased cardiac output.
2.Ask the patient if he has a history of cardiac problems before
assigning the diagnosis of Decisional conflict.
3.Check the previous shift's assessment and document what was
noted on the last shift.
, 4.Ask a more experienced nurse to listen also. Correct Answers
4
A new graduate nurse is working with an experienced nurse to
chart assessment findings. The new nurse notes that the physical
therapist wrote on the chart that the patient is lazy and did not
want to participate in assigned therapies this AM. The
experienced nurse asks the new nurse what may be going on
here. What is the best explanation for this statement?
a.Data on the chart can sometimes be documented in a biased
manner.
b.Data on the chart changes as the patient's condition changes.
c.Data on the chart is usually accurate and can be verified from
the patient.
d.Reading the chart is not a wise use of time as this can be time
consuming and tedious. Correct Answers a
A new nurse appears to be second-guessing herself and is
constantly calling on the other nurses to double-check their plan
of care or rehearse what they will say to the doctor before she
call on the patient's behalf. This seems to be annoying some of
the nurse's coworkers. What is the nurse manager's best
response?
a.Explain to coworkers that this is a characteristic of critical
thinking and is important for the new nurse to improve
reasoning skills.
b.Agree with the staff and have someone follow and work more
closely with a preceptor.
c.Have a talk with the nurse and suggest asking fewer questions.
d.Tell the staff that all new nurses go through this phase, and
ignore their behavior. Correct Answers a
A client states, "I am so depressed." Which of the following
interview questions will best elicit more information from the
client?
a. "How long have you felt this way?"
b. "Have you ever felt this sad before now?"
c. "What do you think is the cause of your feeling depressed?"
d. "When did you start having feelings of depression?" Correct
Answers c
A confused older adult patient is wearing thick glasses and a
hearing aid. Which intervention is priority to facilitate
communication?
1.Focus on tasks to be completed.
2.Allow time for the patient to respond.
3.Limit conversations with the patient.
4.Use gestures and other nonverbal cues. Correct Answers 2
A faculty member is reviewing a process recording with the
student nurse. The student has been working with a patient who
has had an amputation of the lower left leg and is emotionally
fragile. Which of the following responses made by the student to
the patient receives positive feedback from the faculty member?
a. "Why are you so upset today?"
b. "I'm sure that everything will be all right."
c. "You shouldn't cry. The wound will heal soon."
d. "It must be very difficult to have this happen to you." Correct
Answers d
,A goal for a patient with a diagnosis of Ineffective coping is to
demonstrate effective coping skills. Which of these patient
behaviors indicates that interventions performed to meet this
outcome have been successful?
1.States he feels better after talking with his family and friends
2.Continues to consume several alcoholic beverages a day
3.Dislikes the support group meetings
4.Spends most of the day in bed Correct Answers 1
A home care nurse receives a physician order for a medication
that the patient does not want to take because the patient has a
history of side effects from this medication. The nurse carefully
listens to the patient, considers it in light of the patient's
condition, questions its appropriateness, and examines
alternative treatments. What is the nurse's best action?
a.Call the physician, explain rationale, and suggest a different
medication.
b.Consult an experienced nurse on whether there are other
similar treatments.
c.Hold the drug until the physician returns to the unit and can be
questioned.
d.Question other staff as to the physician's acceptance of nursing
input. Correct Answers a
A home health nurse is preparing for an initial home visit.
Which information should be included in the patient's home care
medical record?
1.Nursing process form
2.Step-by-step skills manual
3.A list of possible procedures
4.Reports to third party payers Correct Answers 4
,A hospital is using a computer system that allows all health care
providers to use a protocol system to document the care they
provide. Which type of system/design will the nurse be using?
1.Clinical decision support system
2.Nursing process design
3.Critical pathway design
4.Computerized provider order entry system Correct Answers
3
A hospital's wound nurse consultant made a recommendation for
nurses on the unit to continue the patient's dressing changes as
previously ordered. The nurses on the unit should incorporate
this recommendation into the patient's plan of care by
1.Assuming that the wound nurse will perform all dressing
changes.
2.Requesting that the physician look at the wound herself.
3.Including dressing change instructions and frequency in the
plan of care.
4.Encouraging the patient to perform the dressing changes.
Correct Answers 3
A new graduate nurse is not sure what the heart sound is that she
is listening to on a patient. To avoid diagnostic error, what
should the nurse do?
1.Assign the nursing diagnosis of Decreased cardiac output.
2.Ask the patient if he has a history of cardiac problems before
assigning the diagnosis of Decisional conflict.
3.Check the previous shift's assessment and document what was
noted on the last shift.
, 4.Ask a more experienced nurse to listen also. Correct Answers
4
A new graduate nurse is working with an experienced nurse to
chart assessment findings. The new nurse notes that the physical
therapist wrote on the chart that the patient is lazy and did not
want to participate in assigned therapies this AM. The
experienced nurse asks the new nurse what may be going on
here. What is the best explanation for this statement?
a.Data on the chart can sometimes be documented in a biased
manner.
b.Data on the chart changes as the patient's condition changes.
c.Data on the chart is usually accurate and can be verified from
the patient.
d.Reading the chart is not a wise use of time as this can be time
consuming and tedious. Correct Answers a
A new nurse appears to be second-guessing herself and is
constantly calling on the other nurses to double-check their plan
of care or rehearse what they will say to the doctor before she
call on the patient's behalf. This seems to be annoying some of
the nurse's coworkers. What is the nurse manager's best
response?
a.Explain to coworkers that this is a characteristic of critical
thinking and is important for the new nurse to improve
reasoning skills.
b.Agree with the staff and have someone follow and work more
closely with a preceptor.
c.Have a talk with the nurse and suggest asking fewer questions.
d.Tell the staff that all new nurses go through this phase, and
ignore their behavior. Correct Answers a
