EXAM 1 N112 QUESTIONS WITH
ACCURATE ANSWERS
1) A client who had outpatient surgery is given an instruction
sheet in preparation for discharge. When the nurse asks if the
instructions are clear, the client says, "I'll read them later when I
have my glasses; besides, you told me everything I need to
know." Based on these statements, what would the nurse
suspect?
A) The client may be unable to read the instructions.
B) The client already knows the information.
C) The client does not want the written information.
D) The client is ready to learn. correct answer A
1) A client with terminal cancer has signed an advance directive
indicating that no parenteral nutrition or hydration will be
implemented. For several days the client has refused food and
fluids, pushing the caregiver's hands away when attempts are
made to feed the client or offer any kind of fluid. The family is
considering placing a gastrostomy tube because they feel the
client is "starving to death." Which actions by the nurse are
appropriate? Select all that apply.
A) Take the case to the hospital's ethics committee.
B) Honor the client's refusal of parenteral nutrition and hydration.
C) Talk to the healthcare provider so the family's wishes can be
acted upon.
D) Help the family come to terms with the situation.
E) Honor the family's wishes and have them sign a consent form
correct answer B, D
1) A novice nurse on a medical-surgical unit is released from the
orientation phase of training. The nurse is able to care for a four-
to five-client assignment independently and is assigned a coach
on the unit who will help with problem solving if needed.
According to Benner's stages of nursing expertise, this nurse
would belong in which stage?
A) Stage II
B) Stage V
C) Stage III
,D) Stage IV correct answer A
1) A nurse is preparing to discharge a client who experienced a
myocardial infarction. The client will have to make many lifestyle
changes, and the nurse is providing instruction on how to
implement a heart-healthy lifestyle. Which is the best description
of the client education the nurse is presenting to this client?
A) Dependent function of nursing that needs a healthcare
provider's order to implement
B) Important independent nursing function
C) Activity nurses begin to learn after training on the job
D) Way to establish the client's dependence on the nurse correct
answer B
1) An older adult client is brought to the emergency department.
The client has been experiencing fever, nausea, and vomiting for
the past 2 days. The client denies thirst. Urine dipstick indicates a
decreased urine specific gravity. Based on this data, which
diagnosis should the nurse most anticipate for this client?
A) Congestive heart failure
B) Dehydration
C) Fluid overload
D) Normal changes of aging correct answer B
1) During a health history, a client becomes upset because the
nurse is asking many questions. Which response by the nurse is
the most appropriate in this situation?
A) "I use the answers to determine your current health needs."
B) "I am sorry the questions disturb you."
C) "I will skip the questions that bother you."
D) "I cannot help you if you do not answer me." correct answer A
1) The nurse decides to use a standardized plan of care to
address a client's health problems. Which criterion differentiates
this plan of care from other types? Select all that apply.
A) Is preprinted
B) Has blank lines
C) Has various shapes connected with lines
D) Has checklists
,E) Includes different colors correct answer A, B, D
1) The nurse is providing teaching to a client who is scheduled to
undergo surgery in 2 weeks. Which topics should the nurse
include that will prepare the client to help reduce complications
during the postoperative phase? Select all that apply.
A) Maintaining a patent airway
B) Deep breathing and coughing
C) Caring for the surgical incision
D) Managing constipation
E) Managing pain correct answer B, C, D, E
1) The nurse on a medical-surgical unit completes the shift
assessment for a client diagnosed with a multisystem fluid
volume deficit. In the assessment, the nurse documents that the
client is experiencing tachycardia, decreased urine output, and
pale, cool skin. Based on this information, which should the nurse
anticipate as the cause of the client's current symptoms?
A) Natural compensatory mechanisms
B) Cardiac failure
C) Pharmacological effects of a diuretic
D) Rapidly infused intravenous fluids correct answer A
10) A client asks the student nurse to explain the pathophysiology
of diabetes. The student nurse does not know the answer to this
question. What should the student respond to the client? A) "I do
not know, but I will find out." B) "You'll have to ask the doctor that
question." C) "Why do you need to know that?" D) "I do not
know." correct answer A
10) A nurse enters a client's room to evaluate the response to IV
pain medication administered by request 20 minutes earlier. The
nurse finds the client in the same position as when the medication
was administered. The client states, "I do not want to move." The
nurse asks the client to rate the current level of pain. Which
aspects of the nursing process do these action represent? Select
all that apply.
A) Assessment
B) Diagnosis
, C) Planning
D) Implementation
E) Evaluation correct answer A, D, E
10) The nurse is providing care to a client who is exhibiting
clinical manifestations of a severe fluid and electrolyte imbalance.
Based on this data, which of the following orders should the nurse
anticipate from the healthcare provider? Select all that apply.
A) Initiate intravenous therapy.
B) Initiate hypodermoclysis.
C) Administer antibiotics.
D) Administer diuretics.
E) Administer red blood cells correct answer A, B, D
10) The school nurse is preparing a class session for high school
students on ways to maintain fluid balance during the summer
months. Which interventions should the nurse recommend to
decrease the risk of fluid imbalance? Select all that apply.
A) Drink diet soda.
B) Drink more fluids during hot weather.
C) Drink flat caffeine-free cola or ginger ale if vomiting.
D) Reduce the intake of coffee and tea.
E) Exercise between the hours of 10 a.m. and 2 p.m. correct
answer B, C, D
10) What drug may be used to treat nausea and vomiting
associated with operative procedures?
A) Metoclopramide
B) Acetaminophen
C) Midazolam
D) Fentanyl correct answer A
10) What is a good way for a nurse to prepare the environment
for teaching?
A) Keep to a strict schedule decided in advance.
B) Emphasize the importance of paying close attention if client
reactions demonstrate confusion.
C) Evaluate client abilities to perform skills with return
demonstrations.
ACCURATE ANSWERS
1) A client who had outpatient surgery is given an instruction
sheet in preparation for discharge. When the nurse asks if the
instructions are clear, the client says, "I'll read them later when I
have my glasses; besides, you told me everything I need to
know." Based on these statements, what would the nurse
suspect?
A) The client may be unable to read the instructions.
B) The client already knows the information.
C) The client does not want the written information.
D) The client is ready to learn. correct answer A
1) A client with terminal cancer has signed an advance directive
indicating that no parenteral nutrition or hydration will be
implemented. For several days the client has refused food and
fluids, pushing the caregiver's hands away when attempts are
made to feed the client or offer any kind of fluid. The family is
considering placing a gastrostomy tube because they feel the
client is "starving to death." Which actions by the nurse are
appropriate? Select all that apply.
A) Take the case to the hospital's ethics committee.
B) Honor the client's refusal of parenteral nutrition and hydration.
C) Talk to the healthcare provider so the family's wishes can be
acted upon.
D) Help the family come to terms with the situation.
E) Honor the family's wishes and have them sign a consent form
correct answer B, D
1) A novice nurse on a medical-surgical unit is released from the
orientation phase of training. The nurse is able to care for a four-
to five-client assignment independently and is assigned a coach
on the unit who will help with problem solving if needed.
According to Benner's stages of nursing expertise, this nurse
would belong in which stage?
A) Stage II
B) Stage V
C) Stage III
,D) Stage IV correct answer A
1) A nurse is preparing to discharge a client who experienced a
myocardial infarction. The client will have to make many lifestyle
changes, and the nurse is providing instruction on how to
implement a heart-healthy lifestyle. Which is the best description
of the client education the nurse is presenting to this client?
A) Dependent function of nursing that needs a healthcare
provider's order to implement
B) Important independent nursing function
C) Activity nurses begin to learn after training on the job
D) Way to establish the client's dependence on the nurse correct
answer B
1) An older adult client is brought to the emergency department.
The client has been experiencing fever, nausea, and vomiting for
the past 2 days. The client denies thirst. Urine dipstick indicates a
decreased urine specific gravity. Based on this data, which
diagnosis should the nurse most anticipate for this client?
A) Congestive heart failure
B) Dehydration
C) Fluid overload
D) Normal changes of aging correct answer B
1) During a health history, a client becomes upset because the
nurse is asking many questions. Which response by the nurse is
the most appropriate in this situation?
A) "I use the answers to determine your current health needs."
B) "I am sorry the questions disturb you."
C) "I will skip the questions that bother you."
D) "I cannot help you if you do not answer me." correct answer A
1) The nurse decides to use a standardized plan of care to
address a client's health problems. Which criterion differentiates
this plan of care from other types? Select all that apply.
A) Is preprinted
B) Has blank lines
C) Has various shapes connected with lines
D) Has checklists
,E) Includes different colors correct answer A, B, D
1) The nurse is providing teaching to a client who is scheduled to
undergo surgery in 2 weeks. Which topics should the nurse
include that will prepare the client to help reduce complications
during the postoperative phase? Select all that apply.
A) Maintaining a patent airway
B) Deep breathing and coughing
C) Caring for the surgical incision
D) Managing constipation
E) Managing pain correct answer B, C, D, E
1) The nurse on a medical-surgical unit completes the shift
assessment for a client diagnosed with a multisystem fluid
volume deficit. In the assessment, the nurse documents that the
client is experiencing tachycardia, decreased urine output, and
pale, cool skin. Based on this information, which should the nurse
anticipate as the cause of the client's current symptoms?
A) Natural compensatory mechanisms
B) Cardiac failure
C) Pharmacological effects of a diuretic
D) Rapidly infused intravenous fluids correct answer A
10) A client asks the student nurse to explain the pathophysiology
of diabetes. The student nurse does not know the answer to this
question. What should the student respond to the client? A) "I do
not know, but I will find out." B) "You'll have to ask the doctor that
question." C) "Why do you need to know that?" D) "I do not
know." correct answer A
10) A nurse enters a client's room to evaluate the response to IV
pain medication administered by request 20 minutes earlier. The
nurse finds the client in the same position as when the medication
was administered. The client states, "I do not want to move." The
nurse asks the client to rate the current level of pain. Which
aspects of the nursing process do these action represent? Select
all that apply.
A) Assessment
B) Diagnosis
, C) Planning
D) Implementation
E) Evaluation correct answer A, D, E
10) The nurse is providing care to a client who is exhibiting
clinical manifestations of a severe fluid and electrolyte imbalance.
Based on this data, which of the following orders should the nurse
anticipate from the healthcare provider? Select all that apply.
A) Initiate intravenous therapy.
B) Initiate hypodermoclysis.
C) Administer antibiotics.
D) Administer diuretics.
E) Administer red blood cells correct answer A, B, D
10) The school nurse is preparing a class session for high school
students on ways to maintain fluid balance during the summer
months. Which interventions should the nurse recommend to
decrease the risk of fluid imbalance? Select all that apply.
A) Drink diet soda.
B) Drink more fluids during hot weather.
C) Drink flat caffeine-free cola or ginger ale if vomiting.
D) Reduce the intake of coffee and tea.
E) Exercise between the hours of 10 a.m. and 2 p.m. correct
answer B, C, D
10) What drug may be used to treat nausea and vomiting
associated with operative procedures?
A) Metoclopramide
B) Acetaminophen
C) Midazolam
D) Fentanyl correct answer A
10) What is a good way for a nurse to prepare the environment
for teaching?
A) Keep to a strict schedule decided in advance.
B) Emphasize the importance of paying close attention if client
reactions demonstrate confusion.
C) Evaluate client abilities to perform skills with return
demonstrations.
