RNSG 1125 Exam 1|| 116 QUESTIONS
AND ANSWERS (GRADED A)
A nurse is caring for a group of clients on a medical-surgical unit. For which of the
following client care needs should the nurse initiate a referral for a social worker?
(Select all that apply.)
A. A client who has terminal cancer requests hospice care in the home.
B. A client asks about community resources available for older adults. C. A client states,
"I would like to have my child baptized before surgery."
D. A client requests an electric wheelchair for use after discharge.
E. A client states, "I do not understand how to use a nebulizer." - ANSWER-A,B,D
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to
use adaptive devices. The nurse caring for the client should initiate a referral to which of
the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist - ANSWER-D. OT
A client who is postoperative following knee arthroplasty is concerned about the
adverse effects of the medication prescribed for pain management. Which of the
following members of the interprofessional care team can assist the client in
understanding the medication's effects? (Select all that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - ANSWER-A. Provider, C. Pharmacist, D. RN
A client who had a cerebrovascular accident has persistent problems with dysphagia.
The nurse caring for the client should initiate a referral with which of the following
members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - ANSWER-D. Speech - Language Pathologist
A nurse is acquainting a group of newly licensed nurses with the roles of the various
members of the health care team they will encounter on a medical-surgical unit. When
providing examples of the types of tasks certified nursing assistants (CNAs) can
perform, which of the following client activities should the nurse include? (Select all that
apply.)
, A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs - ANSWER-A. Bathing, B. Ambulating, C. Toileting, E.
Measuring VS
A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia
repair. The client is tolerating clear liquids well, has active bowel sounds, and is
expressing a desire for "real food." The nurse tells the client, "I will call the surgeon and
ask for a change in diet." The surgeon hears the nurse's report and prescribes a full
liquid diet. The nurse used which of the following levels of critical thinking? A. Basic B.
Commitment C. Complex D. Integrity - ANSWER-A. Basic
A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse
checks the client's medical record, discovers that the client is allergic to the antibiotic,
and calls the provider to request a prescription for a different antibiotic. Which of the
following critical thinking attitudes did the nurse demonstrate?
A. Fairness B. Responsibility C. Risk-taking D. Creativity - ANSWER-B. Responsibility
A newly licensed nurse is considering strategies to improve critical thinking. Which of
the following actions should the nurse take? (Select all that apply.)
A. Find a mentor.
B. Use a journal to write about the outcomes of clinical judgments.
C. Review articles about evidence-based practice.
D. Limit consultations with other professionals involved in a client's care.
E. Make quick decisions when unsure about a client's needs. - ANSWER-B. Use a
journal, C. Review articles, E. Quick decisions
By the second postoperative day, a client has not achieved satisfactory pain relief.
Based on this evaluation, which of the following actions should the nurse take,
according to the nursing process?
A. Reassess the client to determine the reasons for inadequate pain relief.
B. Wait to see whether the pain lessens during the next 24 hr.
C. Change the plan of care to provide different pain relief interventions.
D. Teach the client about the plan of care for managing the pain. - ANSWER-A.
Reassess the client to determine the reasons for inadequate pain relief.
A charge nurse is observing a newly licensed nurse care for a client who reports pain.
The nurse checked the client's MAR and noted the last dose of pain medication was 6
hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the
medication and checked with the client 40 min later, when the client reported
improvement. The newly licensed nurse left out which of the following steps of the
nursing process?
A. Assessment
B. Planning
AND ANSWERS (GRADED A)
A nurse is caring for a group of clients on a medical-surgical unit. For which of the
following client care needs should the nurse initiate a referral for a social worker?
(Select all that apply.)
A. A client who has terminal cancer requests hospice care in the home.
B. A client asks about community resources available for older adults. C. A client states,
"I would like to have my child baptized before surgery."
D. A client requests an electric wheelchair for use after discharge.
E. A client states, "I do not understand how to use a nebulizer." - ANSWER-A,B,D
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to
use adaptive devices. The nurse caring for the client should initiate a referral to which of
the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist - ANSWER-D. OT
A client who is postoperative following knee arthroplasty is concerned about the
adverse effects of the medication prescribed for pain management. Which of the
following members of the interprofessional care team can assist the client in
understanding the medication's effects? (Select all that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - ANSWER-A. Provider, C. Pharmacist, D. RN
A client who had a cerebrovascular accident has persistent problems with dysphagia.
The nurse caring for the client should initiate a referral with which of the following
members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - ANSWER-D. Speech - Language Pathologist
A nurse is acquainting a group of newly licensed nurses with the roles of the various
members of the health care team they will encounter on a medical-surgical unit. When
providing examples of the types of tasks certified nursing assistants (CNAs) can
perform, which of the following client activities should the nurse include? (Select all that
apply.)
, A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs - ANSWER-A. Bathing, B. Ambulating, C. Toileting, E.
Measuring VS
A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia
repair. The client is tolerating clear liquids well, has active bowel sounds, and is
expressing a desire for "real food." The nurse tells the client, "I will call the surgeon and
ask for a change in diet." The surgeon hears the nurse's report and prescribes a full
liquid diet. The nurse used which of the following levels of critical thinking? A. Basic B.
Commitment C. Complex D. Integrity - ANSWER-A. Basic
A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse
checks the client's medical record, discovers that the client is allergic to the antibiotic,
and calls the provider to request a prescription for a different antibiotic. Which of the
following critical thinking attitudes did the nurse demonstrate?
A. Fairness B. Responsibility C. Risk-taking D. Creativity - ANSWER-B. Responsibility
A newly licensed nurse is considering strategies to improve critical thinking. Which of
the following actions should the nurse take? (Select all that apply.)
A. Find a mentor.
B. Use a journal to write about the outcomes of clinical judgments.
C. Review articles about evidence-based practice.
D. Limit consultations with other professionals involved in a client's care.
E. Make quick decisions when unsure about a client's needs. - ANSWER-B. Use a
journal, C. Review articles, E. Quick decisions
By the second postoperative day, a client has not achieved satisfactory pain relief.
Based on this evaluation, which of the following actions should the nurse take,
according to the nursing process?
A. Reassess the client to determine the reasons for inadequate pain relief.
B. Wait to see whether the pain lessens during the next 24 hr.
C. Change the plan of care to provide different pain relief interventions.
D. Teach the client about the plan of care for managing the pain. - ANSWER-A.
Reassess the client to determine the reasons for inadequate pain relief.
A charge nurse is observing a newly licensed nurse care for a client who reports pain.
The nurse checked the client's MAR and noted the last dose of pain medication was 6
hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the
medication and checked with the client 40 min later, when the client reported
improvement. The newly licensed nurse left out which of the following steps of the
nursing process?
A. Assessment
B. Planning
