Basics Of Nursing Practice – Questions &
Solutions
The nurse should place the client in which position to obtain the most
accurate reading of jugular vein distention?
1.Upright at 90 degrees
2.Supine position
3.Raised to 45 degrees
4.Raised to 10 degrees ✔️Ans - 3.Raised to 45 degrees
A nurse assesses the lungs of a client and auscultates soft, crackling, bubbling
breath sounds that are more obvious on inspiration. This assessment should
be documented as:
1.Vesicular
2.Bronchial
3.Crackles
4.Rhonchi ✔️Ans - 3.Crackles
A nurse fails to act in a reasonable, prudent manner. Which legal principle is
most likely to be applied?
1.Malice
2.Tort law
3.Malpractice
4.Case law ✔️Ans - 3.Malpractice
The nurse is preparing discharge instructions for a client who has begun to
demonstrate signs of early Alzheimer's dementia. The client lives alone. The
client's adult children live nearby. According to the prescribed medication
regimen the client is to take medications six times throughout the day. What is
priority nursing intervention to assist the client with compliance with
medication-taking?
1.Contact the client's children and ask them to hire a private duty aide who
will provide round-the-clock care.
, 2.Develop a chart for the client, listing the times the medication should be
taken.
3.Contact the primary healthcare provider and discuss the possibility of
simplifying the medication regimen.
4.Instruct the client and client's children to put medications in a weekly pill
organizer ✔️Ans - 3.Contact the primary healthcare provider and discuss
the possibility of simplifying the medication regimen.
A daughter of a Chinese-speaking client approaches a nurse and asks multiple
questions while maintaining direct eye contact. What culturally related
concept does the daughter's behavior reflect?
1.Prejudice
2.Stereotyping
3.Assimilation
4.Ethnocentrism ✔️Ans - 3.Assimilation
What should the nurse consider when obtaining an informed consent from a
17-year-old adolescent?
1.If the client is allowed to give consent.
2.The client cannot make informed decisions about health care.
3.If the client is permitted to give voluntary consent when parents are not
available.
4.The client probably will be unable to choose between alternatives when
asked to consent ✔️Ans - 1.If the client is allowed to give consent.
A senior high school student, whose immunization status is current, asks the
school nurse which immunizations will be included in the precollege physical.
Which vaccine should the nurse tell the student to expect to receive?
1.Hepatitis C (HepC)
2.Influenza type B (HIB)
3.Measles, mumps, rubella (MMR)
4.Diphtheria, tetanus, pertussis (DTaP) ✔️Ans - 3.Measles, mumps, rubella
(MMR)
Solutions
The nurse should place the client in which position to obtain the most
accurate reading of jugular vein distention?
1.Upright at 90 degrees
2.Supine position
3.Raised to 45 degrees
4.Raised to 10 degrees ✔️Ans - 3.Raised to 45 degrees
A nurse assesses the lungs of a client and auscultates soft, crackling, bubbling
breath sounds that are more obvious on inspiration. This assessment should
be documented as:
1.Vesicular
2.Bronchial
3.Crackles
4.Rhonchi ✔️Ans - 3.Crackles
A nurse fails to act in a reasonable, prudent manner. Which legal principle is
most likely to be applied?
1.Malice
2.Tort law
3.Malpractice
4.Case law ✔️Ans - 3.Malpractice
The nurse is preparing discharge instructions for a client who has begun to
demonstrate signs of early Alzheimer's dementia. The client lives alone. The
client's adult children live nearby. According to the prescribed medication
regimen the client is to take medications six times throughout the day. What is
priority nursing intervention to assist the client with compliance with
medication-taking?
1.Contact the client's children and ask them to hire a private duty aide who
will provide round-the-clock care.
, 2.Develop a chart for the client, listing the times the medication should be
taken.
3.Contact the primary healthcare provider and discuss the possibility of
simplifying the medication regimen.
4.Instruct the client and client's children to put medications in a weekly pill
organizer ✔️Ans - 3.Contact the primary healthcare provider and discuss
the possibility of simplifying the medication regimen.
A daughter of a Chinese-speaking client approaches a nurse and asks multiple
questions while maintaining direct eye contact. What culturally related
concept does the daughter's behavior reflect?
1.Prejudice
2.Stereotyping
3.Assimilation
4.Ethnocentrism ✔️Ans - 3.Assimilation
What should the nurse consider when obtaining an informed consent from a
17-year-old adolescent?
1.If the client is allowed to give consent.
2.The client cannot make informed decisions about health care.
3.If the client is permitted to give voluntary consent when parents are not
available.
4.The client probably will be unable to choose between alternatives when
asked to consent ✔️Ans - 1.If the client is allowed to give consent.
A senior high school student, whose immunization status is current, asks the
school nurse which immunizations will be included in the precollege physical.
Which vaccine should the nurse tell the student to expect to receive?
1.Hepatitis C (HepC)
2.Influenza type B (HIB)
3.Measles, mumps, rubella (MMR)
4.Diphtheria, tetanus, pertussis (DTaP) ✔️Ans - 3.Measles, mumps, rubella
(MMR)
