NSG 3160 UNIT 1 & 2
questions and answers
Which of the following is an example of an open-ended question that the nurse may 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?" - AnswersC. "How have you been feeling
lately?"
Which of the following are true related to nursing diagnoses? (Select all that apply)
A. Relates contributing factors or relationships to identified health problem
B. Actual or potential physiology complications related to disease or treatment
C.Include descriptors and risk factors
D. Describes a disease or pathology of body systems
E. There are not associated legal ramifications
F. Describes human response to a health problem - AnswersA. Relates contributing
factors or relationships to identified health problem
C. Include descriptors and risk factors
F. Describes human response to a health problem.
A nurse is recieving change-of shift report for a group of assigned clients. The nurse
anticipates which of the 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.
D. Critically analyze client data to determine priorities - AnswersA. Collect and organize
client data
The nurse reassess a client's temperature 45 minutes after adminstering
acetaminophen. This is an example of what type of assessment?
A. Routine
B. Intermittent
C. Terminal
D. Ongoing - AnswersD. Ongoing
A nurse in a clinic is interviewing a client who will undergo 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 - AnswersB. Assessment
The nurse is measuring the drainage from a Jackson- Pruitt (JP) drain. Which of the
following is considered objective data?
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." - AnswersA. The drainage
measurement is 25 mL
A home health nurse is discussing the dangers of carbon monozide poisoning with a
client. Which of the following information should be included in the teaching?
A. the lungs are damaged from carbon monoxide inhalation
B. Carbon monoxide has a distinct odor, so report any unusual smells immediately.
C. Water heaters should be inspected every 5 years.
D. Carbon monoxide binds with the hemoglobin in the body - AnswersD. Carbon
monoxide binds with the hemoglobin in the body
The nurse is teaching a newly hired group of UAP about infection-control measures on
the unit. It is crucial for the nurse to remind the UAPs that which of the following is the
most effective way to prevent the spread of pathogens during client care?
A. Discarding used syringes in appropriate containers
B. Peforming hand hygiene frequently and consistently
C. Properly disposing of contaminated equipment
D. Chaning soiled linens daily for clients who have draining wounds. - AnswersB.
Peforming hand hygiene frequently and consistently
A nurse is providing nail care for a non-diabetic client. Which of the following actions
should the nurse take?
A. Clean under the nail with an orange stick
B. Push the cuticles back with a metal nail file.
C. Trim the nails at the lateral corners.
D. File the nails in a rounded shape. - AnswersA. Clean under the nail with an orange
stick
The nurse is providing oral care for a client who is immobile. Which of the following
actions should the nurse take?
A. Apply petroleum jelly to the client's lips after oral care.
B. Use a stiff toothbrush to clean the client's teeth
C. Turn the client on his side before starting oral care.
D. Use the thumb and index finger to keep the client's mouth open - AnswersC. Turn the
client on his side before starting oral care.
The nurse is reviewing information about Evidence based practice. Which statement
best reflects EBP?
A. EBP does not consider the patient's own preferences as important.
, B. EBP relies on tradition for support of best practices
C. EBP emphasizez the use of best evidence with the clinician's experience
D. EBP is simply the use of best practice techniques for the treatment of patients. -
AnswersC. EBP emphasizez the use of best evidence with the clinician's experience
When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these?
A. holistic health views the mind, body, and spirit as interdependent.
B. Disease originates from the external environment.
C. Nurses are response for a patient's health state.
D. The individual human is a closed system. - AnswersA. holistic health views the mind,
body, and spirit as interdependent.
A visiting nurse is making an initial home visit for a patient who has several chronic
medical problems. Which type of database is most appropriate to collect in this setting?
A. focused
B. Emergency
C. Follow-up
D. Complete - AnswersD. A complete database
The clinic nurse is caring for a patient who has been coming to the clinic weekly for
blood bressure checks since she changed medications 2 months ago. Which the is the
most appropriate action for the nurse to take?
A. Obtain a complete health history on the patient before checking her BP.
B. Collect a follow up database and then check the patient's BP.
C. Ask the patient to read her health record and inidicate any changes since her last
visit
D. Check the patient's BP - AnswersB. Collect a follow up database and then check the
patient's BP.
A female nurse is interviewing a male patient who is near the same age the nurse.
During the interview, the patient makes an overtly sexual comment. Which is the best
response by the nurse?
A. " Oh you are too funny. Let's keep going with the interview."
B. "Do you really think I would be interested?"
C. "It makes me uncomfortable when you talk that way. Please stop. "
D. "Stop that immediately". - AnswersC. "It makes me uncomfortable when you talk that
way. Please stop. "
During an interview, the nurse would expect that most of the interview will take place at
what distance?
A. public
B. personal
C. intimate
D. social - AnswersD. social distance
questions and answers
Which of the following is an example of an open-ended question that the nurse may 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?" - AnswersC. "How have you been feeling
lately?"
Which of the following are true related to nursing diagnoses? (Select all that apply)
A. Relates contributing factors or relationships to identified health problem
B. Actual or potential physiology complications related to disease or treatment
C.Include descriptors and risk factors
D. Describes a disease or pathology of body systems
E. There are not associated legal ramifications
F. Describes human response to a health problem - AnswersA. Relates contributing
factors or relationships to identified health problem
C. Include descriptors and risk factors
F. Describes human response to a health problem.
A nurse is recieving change-of shift report for a group of assigned clients. The nurse
anticipates which of the 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.
D. Critically analyze client data to determine priorities - AnswersA. Collect and organize
client data
The nurse reassess a client's temperature 45 minutes after adminstering
acetaminophen. This is an example of what type of assessment?
A. Routine
B. Intermittent
C. Terminal
D. Ongoing - AnswersD. Ongoing
A nurse in a clinic is interviewing a client who will undergo 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 - AnswersB. Assessment
The nurse is measuring the drainage from a Jackson- Pruitt (JP) drain. Which of the
following is considered objective data?
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." - AnswersA. The drainage
measurement is 25 mL
A home health nurse is discussing the dangers of carbon monozide poisoning with a
client. Which of the following information should be included in the teaching?
A. the lungs are damaged from carbon monoxide inhalation
B. Carbon monoxide has a distinct odor, so report any unusual smells immediately.
C. Water heaters should be inspected every 5 years.
D. Carbon monoxide binds with the hemoglobin in the body - AnswersD. Carbon
monoxide binds with the hemoglobin in the body
The nurse is teaching a newly hired group of UAP about infection-control measures on
the unit. It is crucial for the nurse to remind the UAPs that which of the following is the
most effective way to prevent the spread of pathogens during client care?
A. Discarding used syringes in appropriate containers
B. Peforming hand hygiene frequently and consistently
C. Properly disposing of contaminated equipment
D. Chaning soiled linens daily for clients who have draining wounds. - AnswersB.
Peforming hand hygiene frequently and consistently
A nurse is providing nail care for a non-diabetic client. Which of the following actions
should the nurse take?
A. Clean under the nail with an orange stick
B. Push the cuticles back with a metal nail file.
C. Trim the nails at the lateral corners.
D. File the nails in a rounded shape. - AnswersA. Clean under the nail with an orange
stick
The nurse is providing oral care for a client who is immobile. Which of the following
actions should the nurse take?
A. Apply petroleum jelly to the client's lips after oral care.
B. Use a stiff toothbrush to clean the client's teeth
C. Turn the client on his side before starting oral care.
D. Use the thumb and index finger to keep the client's mouth open - AnswersC. Turn the
client on his side before starting oral care.
The nurse is reviewing information about Evidence based practice. Which statement
best reflects EBP?
A. EBP does not consider the patient's own preferences as important.
, B. EBP relies on tradition for support of best practices
C. EBP emphasizez the use of best evidence with the clinician's experience
D. EBP is simply the use of best practice techniques for the treatment of patients. -
AnswersC. EBP emphasizez the use of best evidence with the clinician's experience
When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these?
A. holistic health views the mind, body, and spirit as interdependent.
B. Disease originates from the external environment.
C. Nurses are response for a patient's health state.
D. The individual human is a closed system. - AnswersA. holistic health views the mind,
body, and spirit as interdependent.
A visiting nurse is making an initial home visit for a patient who has several chronic
medical problems. Which type of database is most appropriate to collect in this setting?
A. focused
B. Emergency
C. Follow-up
D. Complete - AnswersD. A complete database
The clinic nurse is caring for a patient who has been coming to the clinic weekly for
blood bressure checks since she changed medications 2 months ago. Which the is the
most appropriate action for the nurse to take?
A. Obtain a complete health history on the patient before checking her BP.
B. Collect a follow up database and then check the patient's BP.
C. Ask the patient to read her health record and inidicate any changes since her last
visit
D. Check the patient's BP - AnswersB. Collect a follow up database and then check the
patient's BP.
A female nurse is interviewing a male patient who is near the same age the nurse.
During the interview, the patient makes an overtly sexual comment. Which is the best
response by the nurse?
A. " Oh you are too funny. Let's keep going with the interview."
B. "Do you really think I would be interested?"
C. "It makes me uncomfortable when you talk that way. Please stop. "
D. "Stop that immediately". - AnswersC. "It makes me uncomfortable when you talk that
way. Please stop. "
During an interview, the nurse would expect that most of the interview will take place at
what distance?
A. public
B. personal
C. intimate
D. social - AnswersD. social distance
