Nurs 226 Final Questions With Complete Solutions
A 4-year-old pediatric patient resists going to sleep. To assist
this patient, the best action to take would be:
a) adding a daytime nap
b) allowing the child to sleep longer in the morning
c) maintaining the child's home sleep routine
d) offering the child a bedtime snack Correct Answer c
A charge nurse is anticipating the admission of four clients and
planning their room assignments. Which of the following clients
should the nurse assign to the room closest to the nurse's station?
a) sustained a head injury and is having periods of confusion
b) reports severe migraine headache
c) suspected diagnosis of TB
d0 history of atrial fibrillation and is on continuous ECG
monitoring Correct Answer a
A client is admitted to the hospital with an acute respiratory
problem resulting from lung disease. The nurse makes a
diagnosis of Ineffective Breathing Pattern related to inability to
maintain adequate rate and depth of respirations. Which nursing
intervention should be listed first on the care plan?
a) determine airway adequacy hourly as needed
b) administer oxygen as needed
c) monitor arterial blood gas values
d) place the client in high fowler's position Correct Answer a
A client receives wrong medication. The nurse who made the
medication error should take which of the following actions
first?
,a) call the provider
b) asses the client
b) notify the nurse manager
d) complete an incident report Correct Answer b
A home health nurse is conducting a home safety assessment for
an older adult client. Which of the following findings should the
nurse identify as a safety risk for the client? Select all that apply.
a) bathtub with rails
b) electronic cords behind the furniture
c) raised toilet seats
d) water heater temperature 130 F
e) throw rugs Correct Answer d,e
A newly licensed nurse is applying prescribed wrist restraints on
a client. Which of the following actions should the nurse take?
a) secure the restraints using a quick release tie
b) ensure four fingers fit under the restraints to prevent
constriction
c) secure the restraints to the lowest bar on the side rail
d) anticipate removing the restraints every 4 hr Correct Answer
a
A nurse in a provider's office is caring for a patient who states
that, for the past week, she has felt tired during the day and
cannot sleep at night. Which of the following questions should
the nurse ask when collecting data about the patient's difficulty
sleeping. (Select all that apply)
a)Does your lack of sleep interfere with your ability to function
during the day?
b)Do you feel confused in the late afternoon?
,c)Do you drink coffee tea or other caffeinated drinks? If so how
many cups per day?
d)Has anyone ever told you that you seem to stop breathing for a
few seconds while you are asleep?
e)Tell me about your personal stress you are experiencing
Correct Answer a,c,d,e
A nurse instructs a female client about collecting a midstream
urine sample. Which of the following client statements indicates
an understanding of the procedure?
a) "I'll urinate a little then stop"
b) "I'll use the cleansing wipe from front to back"
c) "I'll clean the inside of the container with a wipe"
d) "I'll use each cleansing wipe twice" Correct Answer b
A nurse is administering a cold therapy application to a client.
Which of the following manifestations should the nurse identify
as an indication for discontinuing the application due to a
systemic response?
a) hypotension
b) numbness
c) shivering
d) reduced blood viscosity Correct Answer c
A nurse is admitting a client who is arriving back from the unit
from the PACU following hip arthroplasty. Which of the
following tasks should the nurse assign to the AP?
a) obtain vitals
b) determine if the client is in need of pain med
c) record the amount of urine in the catheter drainage bag
, d) instruct the client on the use of the incentive spirometer
Correct Answer c
A nurse is admitting a client who reports anorexia and is
experiencing malnutrition. Which of the following laboratory
findings should the nurse expect to be altered?
a) creatine kinase
b) troponin
c) total bilirubin
d) albumin Correct Answer d
A nurse is assess the pain level of a client who has come to the
emergency department reporting severe abdominal pain. The
nurse asks the client whether he has nausea and has been
vomiting. The nurse is assessing which of the following?
a) presence of associated symptoms
b) location of the pain
c) pain quality
d) aggravating and relieving factors Correct Answer a
A nurse is assessing a client and discovers that infusion pump
with client's total parenteral nutrition solution is not infusing.
The nurse should monitor the client for V conditions?
a) excessive thirst and urination
b) shakiness and diaphoresis
c) fever and chills
d) hypertension and crackles Correct Answer b
A nurse is assessing a client who has an acute respiratory
infection that places her at risk for hypoxemia. Which of the
A 4-year-old pediatric patient resists going to sleep. To assist
this patient, the best action to take would be:
a) adding a daytime nap
b) allowing the child to sleep longer in the morning
c) maintaining the child's home sleep routine
d) offering the child a bedtime snack Correct Answer c
A charge nurse is anticipating the admission of four clients and
planning their room assignments. Which of the following clients
should the nurse assign to the room closest to the nurse's station?
a) sustained a head injury and is having periods of confusion
b) reports severe migraine headache
c) suspected diagnosis of TB
d0 history of atrial fibrillation and is on continuous ECG
monitoring Correct Answer a
A client is admitted to the hospital with an acute respiratory
problem resulting from lung disease. The nurse makes a
diagnosis of Ineffective Breathing Pattern related to inability to
maintain adequate rate and depth of respirations. Which nursing
intervention should be listed first on the care plan?
a) determine airway adequacy hourly as needed
b) administer oxygen as needed
c) monitor arterial blood gas values
d) place the client in high fowler's position Correct Answer a
A client receives wrong medication. The nurse who made the
medication error should take which of the following actions
first?
,a) call the provider
b) asses the client
b) notify the nurse manager
d) complete an incident report Correct Answer b
A home health nurse is conducting a home safety assessment for
an older adult client. Which of the following findings should the
nurse identify as a safety risk for the client? Select all that apply.
a) bathtub with rails
b) electronic cords behind the furniture
c) raised toilet seats
d) water heater temperature 130 F
e) throw rugs Correct Answer d,e
A newly licensed nurse is applying prescribed wrist restraints on
a client. Which of the following actions should the nurse take?
a) secure the restraints using a quick release tie
b) ensure four fingers fit under the restraints to prevent
constriction
c) secure the restraints to the lowest bar on the side rail
d) anticipate removing the restraints every 4 hr Correct Answer
a
A nurse in a provider's office is caring for a patient who states
that, for the past week, she has felt tired during the day and
cannot sleep at night. Which of the following questions should
the nurse ask when collecting data about the patient's difficulty
sleeping. (Select all that apply)
a)Does your lack of sleep interfere with your ability to function
during the day?
b)Do you feel confused in the late afternoon?
,c)Do you drink coffee tea or other caffeinated drinks? If so how
many cups per day?
d)Has anyone ever told you that you seem to stop breathing for a
few seconds while you are asleep?
e)Tell me about your personal stress you are experiencing
Correct Answer a,c,d,e
A nurse instructs a female client about collecting a midstream
urine sample. Which of the following client statements indicates
an understanding of the procedure?
a) "I'll urinate a little then stop"
b) "I'll use the cleansing wipe from front to back"
c) "I'll clean the inside of the container with a wipe"
d) "I'll use each cleansing wipe twice" Correct Answer b
A nurse is administering a cold therapy application to a client.
Which of the following manifestations should the nurse identify
as an indication for discontinuing the application due to a
systemic response?
a) hypotension
b) numbness
c) shivering
d) reduced blood viscosity Correct Answer c
A nurse is admitting a client who is arriving back from the unit
from the PACU following hip arthroplasty. Which of the
following tasks should the nurse assign to the AP?
a) obtain vitals
b) determine if the client is in need of pain med
c) record the amount of urine in the catheter drainage bag
, d) instruct the client on the use of the incentive spirometer
Correct Answer c
A nurse is admitting a client who reports anorexia and is
experiencing malnutrition. Which of the following laboratory
findings should the nurse expect to be altered?
a) creatine kinase
b) troponin
c) total bilirubin
d) albumin Correct Answer d
A nurse is assess the pain level of a client who has come to the
emergency department reporting severe abdominal pain. The
nurse asks the client whether he has nausea and has been
vomiting. The nurse is assessing which of the following?
a) presence of associated symptoms
b) location of the pain
c) pain quality
d) aggravating and relieving factors Correct Answer a
A nurse is assessing a client and discovers that infusion pump
with client's total parenteral nutrition solution is not infusing.
The nurse should monitor the client for V conditions?
a) excessive thirst and urination
b) shakiness and diaphoresis
c) fever and chills
d) hypertension and crackles Correct Answer b
A nurse is assessing a client who has an acute respiratory
infection that places her at risk for hypoxemia. Which of the
