Nurs 170 Exam 1 Questions With Correct
Answers
Which would be considered a personal value?
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1. Making honesty a priority
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2.Believing that all men are liars | | | | |
3.Claiming that praying before bed is vital
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4.Stating that handwashing before meals is important - CORRECT ANSWER✔✔-1.
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Making honesty a priority
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What does the nurse know is true about conducting the nursing assessment?
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Select All That Apply.
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1.Assessments must be completed within 24 hours of inpatient admission.
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2.Assessment cannot be delegated to others. | | | | |
3.All clients are assessed for pain, nutritional status, and risk for falls.
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4.Vital signs can always be conducted by nursing assistive personnel.
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5.Assessments are not required for clients who are not being admitted.
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6.Administering a sedative to the client - CORRECT ANSWER✔✔-1, 2, & 3 | | | | | | | | | | |
Which are examples of nursing diagnoses? Select All That Apply
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1.Risk for impaired skin/tissue integrity
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2.Ineffective impulse control | |
3.Insufficient breast milk | |
,4.Renal failure
|
5.Emphysema with chronic obstructive pulmonary disease (COPD) - CORRECT
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ANSWER✔✔-1, 2, & 3 | | |
Which scenarios are considered collaborative problems? Select All That Apply.
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1.Hyperglycemia with type 2 diabetes | | | |
2.Infection in a postsurgical client
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3.Hemorrhage in a postpartum client | | | |
4.Oliguria with renal failure
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5.Shortness of breath with emphysema - CORRECT ANSWER✔✔-1, 2, & 3
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Which are examples of cue clusters for a nursing diagnosis? Select All That Apply
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1.Hard, painful bowel movement approximately every 3 to 4 days; sedentary
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lifestyle; low dietary fiber intake; dry skin
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2.Pain and limited range of motion in knees, use of walker, medical diagnosis of
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osteoarthritis
3.Sore throat, fever, inability to ambulate, medical diagnosis of depression
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4.Dry skin, painful urination, epistaxis
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5.Urinary incontinence, lower abdominal pain, bladder spasm - CORRECT
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ANSWER✔✔-1, 2, & 5 | | |
Which type of data should be included in the discharge planning? Select All That
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Apply.
1.Functional and self-care limitations
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2.Emotional stability and ability to learn
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, 3.Family or other caregivers available
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4.Use of community services before admission
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5.Medical diagnosis - CORRECT ANSWER✔✔-1, 2, 3, & 4
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Which describes components of implementation in the nursing process? Select all
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that apply.
| |
1.Doing
2.Deciding
3.Delegating
4.Documenting
5.Caring - CORRECT ANSWER✔✔-1, 3, & 4
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Which is an example of a nurse using subjective data to clarify objective data?
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1.The nurse palpates the client's knee after the client complains of pain and
| | | | | | | | | | | | |
swelling.
2.The nurse notes the client has a rash and asks the client if the rash is itching.
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3.The nurse notices a mole with an irregular border and documents this finding.
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4.The nurse notices the client has a cough and checks the medical record to see if
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the client is a smoker. - CORRECT ANSWER✔✔-2. The nurse notes the client has a
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rash and asks the client if the rash is itching
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A nurse has created a plan of care that involves assisting a client with ambulation.
| | | | | | | | | | | | | |
She attempts to get the client out of bed, but the client is obese and unable to
| | | | | | | | | | | | | | | | | |
move without pain. What action should the nurse take?
| | | | | | | |
1.Change the outcome goals. | | |
Answers
Which would be considered a personal value?
| | | | | |
1. Making honesty a priority
| | | |
2.Believing that all men are liars | | | | |
3.Claiming that praying before bed is vital
| | | | | |
4.Stating that handwashing before meals is important - CORRECT ANSWER✔✔-1.
| | | | | | | | | |
Making honesty a priority
| | |
What does the nurse know is true about conducting the nursing assessment?
| | | | | | | | | | | |
Select All That Apply.
| | |
1.Assessments must be completed within 24 hours of inpatient admission.
| | | | | | | | |
2.Assessment cannot be delegated to others. | | | | |
3.All clients are assessed for pain, nutritional status, and risk for falls.
| | | | | | | | | | |
4.Vital signs can always be conducted by nursing assistive personnel.
| | | | | | | | |
5.Assessments are not required for clients who are not being admitted.
| | | | | | | | | |
6.Administering a sedative to the client - CORRECT ANSWER✔✔-1, 2, & 3 | | | | | | | | | | |
Which are examples of nursing diagnoses? Select All That Apply
| | | | | | | | |
1.Risk for impaired skin/tissue integrity
| | | |
2.Ineffective impulse control | |
3.Insufficient breast milk | |
,4.Renal failure
|
5.Emphysema with chronic obstructive pulmonary disease (COPD) - CORRECT
| | | | | | | | |
ANSWER✔✔-1, 2, & 3 | | |
Which scenarios are considered collaborative problems? Select All That Apply.
| | | | | | | | |
1.Hyperglycemia with type 2 diabetes | | | |
2.Infection in a postsurgical client
| | | |
3.Hemorrhage in a postpartum client | | | |
4.Oliguria with renal failure
| | |
5.Shortness of breath with emphysema - CORRECT ANSWER✔✔-1, 2, & 3
| | | | | | | | | |
Which are examples of cue clusters for a nursing diagnosis? Select All That Apply
| | | | | | | | | | | | |
1.Hard, painful bowel movement approximately every 3 to 4 days; sedentary
| | | | | | | | | | |
lifestyle; low dietary fiber intake; dry skin
| | | | | |
2.Pain and limited range of motion in knees, use of walker, medical diagnosis of
| | | | | | | | | | | | | |
osteoarthritis
3.Sore throat, fever, inability to ambulate, medical diagnosis of depression
| | | | | | | | |
4.Dry skin, painful urination, epistaxis
| | | |
5.Urinary incontinence, lower abdominal pain, bladder spasm - CORRECT
| | | | | | | | |
ANSWER✔✔-1, 2, & 5 | | |
Which type of data should be included in the discharge planning? Select All That
| | | | | | | | | | | | | |
Apply.
1.Functional and self-care limitations
| | |
2.Emotional stability and ability to learn
| | | | |
, 3.Family or other caregivers available
| | | |
4.Use of community services before admission
| | | | |
5.Medical diagnosis - CORRECT ANSWER✔✔-1, 2, 3, & 4
| | | | | | | |
Which describes components of implementation in the nursing process? Select all
| | | | | | | | | |
that apply.
| |
1.Doing
2.Deciding
3.Delegating
4.Documenting
5.Caring - CORRECT ANSWER✔✔-1, 3, & 4
| | | | | |
Which is an example of a nurse using subjective data to clarify objective data?
| | | | | | | | | | | | |
1.The nurse palpates the client's knee after the client complains of pain and
| | | | | | | | | | | | |
swelling.
2.The nurse notes the client has a rash and asks the client if the rash is itching.
| | | | | | | | | | | | | | | |
3.The nurse notices a mole with an irregular border and documents this finding.
| | | | | | | | | | | |
4.The nurse notices the client has a cough and checks the medical record to see if
| | | | | | | | | | | | | | |
the client is a smoker. - CORRECT ANSWER✔✔-2. The nurse notes the client has a
| | | | | | | | | | | | | | |
rash and asks the client if the rash is itching
| | | | | | | | | |
A nurse has created a plan of care that involves assisting a client with ambulation.
| | | | | | | | | | | | | |
She attempts to get the client out of bed, but the client is obese and unable to
| | | | | | | | | | | | | | | | | |
move without pain. What action should the nurse take?
| | | | | | | |
1.Change the outcome goals. | | |
