3015: Exam #2 Study Guide Questions
with All Verified Solutions.
A nurse has developed a plan of care for an adult client. What nursing function is important
when using nursing diagnoses to guide the care of this client? - Answer Prioritize the nursing
diagnoses
A nurse caring for a client with a respiratory condition notices the client's breathing pattern is
getting more irregular and the rate has greatly increased from 18 to 32 breaths per minute. The
nurse notes that this client's vital signs are assessed once every shift, but believes the
assessment should be done more frequently. Who is responsible for increasing the frequency of
this client's assessments? - Answer The nurse
After assessing a client, a nurse identifies the nursing diagnosis, "Ineffective Airway Clearance
related to thick tracheobronchial secretions." The nurse would classify this nursing diagnosis as
which type? - Answer Actual
The nurse has identified a collaborative problem of Risk for Complication of Electrolyte
Imbalance for a client with diarrhea. The client begins to exhibit a decrease in level of
consciousness. What is the nurse's MOST appropriate action? - Answer Notify the physician
for additional orders
Which are cognitive client outcomes? Select all that apply. - Answer - The client list the side
effects of digoxin
- The client describes how to perform progressive muscle relaxation
- The client identifies signs and symptoms of hypoglycemia
A specially trained nurse has inserted a PICC line. What would be done NEXT? - Answer Send
the client to the radiology department
An older adult has fluid volume deficit and needs to consume more fluids. Which approach by
the nurse demonstrates gerontologic considerations? - Answer Offer small amounts of
preferred beverage frequently
A nurse is formulating a nursing diagnosis for a client with a respiratory disease. Which nursing
diagnosis would be correct? - Answer Ineffective Airway Clearance related to thick mucus
, A client is being admitted from the emergency room reporting shortness of breath, wheezing,
and coughing. What would the nurse formulate as an appropriate nursing diagnosis? - Answer
Ineffective Airway Clearance
A nurse is preparing to insert a intravenous line and begin administering intravenous fluids. The
client has a visitors in the room. What should the nurse do? - Answer Ask the client whether
visitors should remain in the room
Which dietary guideline would be appropriate for the older adult homebound client with
advanced respiratory disease who informs the nurse that she has no energy to eat? - Answer
Eat smaller meals that are high in protein
Which is the BEST example of person-centered care provided by a registered nurse? - Answer
Reassuring a client who is anxious about a procedure
A nurse is examine alternatives and judging the worth of evidence as part of preparing the plan
of care for a client. The nurse would most likely be involved in which phase of the nursing
process? - Answer Planning
When developing a nursing diagnosis for a client, which should the nurse do first? - Answer
Identifying the significant data
Which is an accurately phrased risk nursing diagnosis? - Answer Risk for Falls related mobility
A client is unconscious and unable to provide input into outcome identification. Which plan of
care will the nurse initiate and share with the family? - Answer A plan designed to support
the client physically
The emergency room nurse is performing an initial assessment of a new client who presents
with severe dizziness. The client reports a medical history of hypertension, gout, and migraine
headaches. Which step should the nurse take first in the comprehensive assessment? - Answer
Perform vital signs and blood glucose level
A nurse in a community health center has been having regular meetings with a client who wants
to stop smoking. Which outcome decision option should the nurse document if the client has
not smoked fore 7 months? - Answer Outcome met
Identifying the kind and amount of nursing services required is a possible solution for: - Answer
inadequate staffing
with All Verified Solutions.
A nurse has developed a plan of care for an adult client. What nursing function is important
when using nursing diagnoses to guide the care of this client? - Answer Prioritize the nursing
diagnoses
A nurse caring for a client with a respiratory condition notices the client's breathing pattern is
getting more irregular and the rate has greatly increased from 18 to 32 breaths per minute. The
nurse notes that this client's vital signs are assessed once every shift, but believes the
assessment should be done more frequently. Who is responsible for increasing the frequency of
this client's assessments? - Answer The nurse
After assessing a client, a nurse identifies the nursing diagnosis, "Ineffective Airway Clearance
related to thick tracheobronchial secretions." The nurse would classify this nursing diagnosis as
which type? - Answer Actual
The nurse has identified a collaborative problem of Risk for Complication of Electrolyte
Imbalance for a client with diarrhea. The client begins to exhibit a decrease in level of
consciousness. What is the nurse's MOST appropriate action? - Answer Notify the physician
for additional orders
Which are cognitive client outcomes? Select all that apply. - Answer - The client list the side
effects of digoxin
- The client describes how to perform progressive muscle relaxation
- The client identifies signs and symptoms of hypoglycemia
A specially trained nurse has inserted a PICC line. What would be done NEXT? - Answer Send
the client to the radiology department
An older adult has fluid volume deficit and needs to consume more fluids. Which approach by
the nurse demonstrates gerontologic considerations? - Answer Offer small amounts of
preferred beverage frequently
A nurse is formulating a nursing diagnosis for a client with a respiratory disease. Which nursing
diagnosis would be correct? - Answer Ineffective Airway Clearance related to thick mucus
, A client is being admitted from the emergency room reporting shortness of breath, wheezing,
and coughing. What would the nurse formulate as an appropriate nursing diagnosis? - Answer
Ineffective Airway Clearance
A nurse is preparing to insert a intravenous line and begin administering intravenous fluids. The
client has a visitors in the room. What should the nurse do? - Answer Ask the client whether
visitors should remain in the room
Which dietary guideline would be appropriate for the older adult homebound client with
advanced respiratory disease who informs the nurse that she has no energy to eat? - Answer
Eat smaller meals that are high in protein
Which is the BEST example of person-centered care provided by a registered nurse? - Answer
Reassuring a client who is anxious about a procedure
A nurse is examine alternatives and judging the worth of evidence as part of preparing the plan
of care for a client. The nurse would most likely be involved in which phase of the nursing
process? - Answer Planning
When developing a nursing diagnosis for a client, which should the nurse do first? - Answer
Identifying the significant data
Which is an accurately phrased risk nursing diagnosis? - Answer Risk for Falls related mobility
A client is unconscious and unable to provide input into outcome identification. Which plan of
care will the nurse initiate and share with the family? - Answer A plan designed to support
the client physically
The emergency room nurse is performing an initial assessment of a new client who presents
with severe dizziness. The client reports a medical history of hypertension, gout, and migraine
headaches. Which step should the nurse take first in the comprehensive assessment? - Answer
Perform vital signs and blood glucose level
A nurse in a community health center has been having regular meetings with a client who wants
to stop smoking. Which outcome decision option should the nurse document if the client has
not smoked fore 7 months? - Answer Outcome met
Identifying the kind and amount of nursing services required is a possible solution for: - Answer
inadequate staffing
