nurs 314 quizzes questions with complete solutions
Perfusion
A client has VS: Temp 98.5, Pulse 66 (+1), RR 10, BP 130/80,
O2 saturation 88% on 3L nasal cannula and is admitted
following a bicycle accident where he was not wearing a helmet.
He is now answering questions with nonsense answers, he has a
profusely bleeding wound on his leg, and his breathing appears
irregular. Using Maslow's hierarchy of needs to prioritize care,
which nursing concept would be the highest concern?
Answers:
Pain
Perfusion
Safety
Mobility
Physiological
When prioritizing using the ABC's and Maslow's concepts,
which of these would be the highest priority if they were all
strong needs for the current client?
Self Actualization
Safety
,Physiological
Love and Belonging
Love and Belonging
The nursing assistant makes beaded necklaces with an 8-year-
old admitted for her first chemotherapy treatment and then
suggests they trade the necklaces they've made. According to
Maslow, what need level has been addressed?
Self Esteem
Self-actualization
Love and Belonging
Physiological
The presence of defining characteristics/assessment information
What determines a concept to be "actual" instead of "risk for"?
The presence of defining characteristics/assessment information
Actual and "risk for" concepts are basically the same
Client's medical problems that are acute
The concept that is the easiest one to treat of those identified
,Client has low blood pressure
Which of the following written system-specific
assessments/cues written by the nursing student, is not
appropriate to use as documentation for the client's chart?
Client reports "feeling overwhelmed about all these treatments
and medications"
Client has low blood pressure
Client raises their voice and crossing arms when talking with
family.
Client had a serum glucose of 118
This is a subjective cue/defining characteristic/system-specific
assessment.
Indicate the correct statement about this piece of data.
- Patient states he eat < 50% of meals today
his is not a cue/defining characteristic/system-specific
assessment.
This is a subjective cue/defining characteristic/system-specific
assessment.
This is an objective cue/defining characteristic/system-specific
assessment.
, Glucose Metabolism
A diabetic client has had some acute changes when the nurse
goes to do the second assessment of the shift. During the
assessment, the patient states "I'm starving and my vision is
blurry". The nurse, suspecting hypoglycemia, checks the blood
sugar through a fingerstick. The result is 28 (normal is approx.
70-110). The result indicates the patient is having a
hypoglycemic episode. Based on this information, which of the
following is likely the top priority concept that describes the
patient's current status?
Glucose Metabolism
Safety, Risk for Injury
Perfusion: Shock
Coping
Defining characteristics
Fill in the blank. ___________ are signs and symptoms, also
known as cues, that when seen together validate or confirm
concepts that are used in the diagnosis step of the nursing
process.
Risk factors
Etiology
Related factors
Perfusion
A client has VS: Temp 98.5, Pulse 66 (+1), RR 10, BP 130/80,
O2 saturation 88% on 3L nasal cannula and is admitted
following a bicycle accident where he was not wearing a helmet.
He is now answering questions with nonsense answers, he has a
profusely bleeding wound on his leg, and his breathing appears
irregular. Using Maslow's hierarchy of needs to prioritize care,
which nursing concept would be the highest concern?
Answers:
Pain
Perfusion
Safety
Mobility
Physiological
When prioritizing using the ABC's and Maslow's concepts,
which of these would be the highest priority if they were all
strong needs for the current client?
Self Actualization
Safety
,Physiological
Love and Belonging
Love and Belonging
The nursing assistant makes beaded necklaces with an 8-year-
old admitted for her first chemotherapy treatment and then
suggests they trade the necklaces they've made. According to
Maslow, what need level has been addressed?
Self Esteem
Self-actualization
Love and Belonging
Physiological
The presence of defining characteristics/assessment information
What determines a concept to be "actual" instead of "risk for"?
The presence of defining characteristics/assessment information
Actual and "risk for" concepts are basically the same
Client's medical problems that are acute
The concept that is the easiest one to treat of those identified
,Client has low blood pressure
Which of the following written system-specific
assessments/cues written by the nursing student, is not
appropriate to use as documentation for the client's chart?
Client reports "feeling overwhelmed about all these treatments
and medications"
Client has low blood pressure
Client raises their voice and crossing arms when talking with
family.
Client had a serum glucose of 118
This is a subjective cue/defining characteristic/system-specific
assessment.
Indicate the correct statement about this piece of data.
- Patient states he eat < 50% of meals today
his is not a cue/defining characteristic/system-specific
assessment.
This is a subjective cue/defining characteristic/system-specific
assessment.
This is an objective cue/defining characteristic/system-specific
assessment.
, Glucose Metabolism
A diabetic client has had some acute changes when the nurse
goes to do the second assessment of the shift. During the
assessment, the patient states "I'm starving and my vision is
blurry". The nurse, suspecting hypoglycemia, checks the blood
sugar through a fingerstick. The result is 28 (normal is approx.
70-110). The result indicates the patient is having a
hypoglycemic episode. Based on this information, which of the
following is likely the top priority concept that describes the
patient's current status?
Glucose Metabolism
Safety, Risk for Injury
Perfusion: Shock
Coping
Defining characteristics
Fill in the blank. ___________ are signs and symptoms, also
known as cues, that when seen together validate or confirm
concepts that are used in the diagnosis step of the nursing
process.
Risk factors
Etiology
Related factors
