2
1. Which of the following is an example of an
C. "How have you been
open-end- ed question that the nurse may
feeling lately?"
use in the interview process?
A. "Did you take your medication today?"
B. "Are you a student at the local college?"
C. "How have you been feeling lately?"
D. "Have you ever had to undergo surgery?"
2. Which of the following are true related to
A. Relates contributing
nursing di- agnoses? (Select all that apply)
fac- tors or
relationships to
A. Relates contributing factors or relationships to iden- identified
health problem
tified health problem C. Include descriptors
and
B. Actual or potential physiology complications related risk factors
to disease or treatment F. Describes human
C. Include descriptors and risk factors re- sponse to a
D. Describes a disease or pathology of body health prob- lem.
systems
E. There are not associated legal ramifications
F.Describes human response to a health
problem A. Collect and organize
3. A nurse is recieving change-of shift report for a
group
of assigned clients. The nurse anticipates which of the client data
following activities first in delivering client
care using the nursing process?
A. Collect and organize client data
B. Set client centererd measurable and realistic goals.
C. Determine effectiveness of interventions.
, NSG 3160 UNIT 1 &
2
D. Critically analyze client data to determine priorities
4. The nurse reassess a client's temperature 45 D. Ongoing
minutes after adminstering acetaminophen.
This is an example of what type of
assessment?
A. Routine
, NSG 3160 UNIT 1 &
2
B. Intermittent
C. Terminal
D. Ongoing
5. A nurse in a clinic is interviewing a client who B. Assessment
will un- dergo diagnostic testing. The nurse
should ask about a client's potential allergies
during which phase of the nursing process?
A. Implementation
B. Assessment
C. Planning
D. Evaluation
6. The nurse is measuring the drainage from a A. The drainage
Jackson- Pruitt ( JP) drain. Which of the measure- ment is 25
following is considered objective data? mL
A. The drainage measurement is 25 mL
B. The client stated that he has a pain level of
5.
C. The client is reporting abdominal pain.
D. The client stated, "I did not empty the drain."
7. A home health nurse is discussing the dangers D. Carbon monoxide
of car- bon monozide poisoning with a client. binds with the
Which of the hemoglobin in the
following information should be included in the teach- body
ing?
A. the lungs are damaged from carbon
monoxide in- halation
B. Carbon monoxide has a distinct odor, so
report any unusual smells immediately.
C. Water heaters should be inspected every 5 years.
, NSG 3160 UNIT 1 &
2
D.Carbon monoxide binds with the hemoglobin
in the body