NUR 110 Exam 2
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NUR 110 EXAM 2 PRACTICE QUESTIONS
The HCP has written a prescription to advance the pt's diet from clear liquids
to full liquids. Which food items would be found on the pt's tray?
Milkshake
Ice cream
Apple juice
Vegetable soup
Chicken broth
Milkshake, ice cream, apple juice, chicken broth
which is a type of a nursing diagnostic statement?
Collaborative problem
Concept mapping
Risk diagnosis
Data interpretation
Risk diagnosis, problem focused, or health promotion
The nurse assesses the client and formulates the following diagnoses. Which
has the highest priority?
Risk for constipation
Impaired skin integrity
Decreased cardiac output
Impaired physical mobility
Decreased cardiac output
A client is admitted with complaints of abdominal pain. Which expected
outcome BEST meets criteria for an accurately written outcome?
Pt states "My pain is much better now that I am on a in meds"
client will receive pain meds every 4 hours in the first 24 hours of admission
Client will state the presence of adequate pain control while hospitalized
client will rate pain no more than a 2 within 1 hour of receiving pain meds
Client will rate pain no more than a 2 within 1 hour of receiving pain meds
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The nurse documents the plan of care after an admission assessment for a
client with right side paralysis. What short term goal BEST applies to the
client?
State two positive comments prior to discharge about bodily changes
Ambulate without assistance within 48 hours of admission
Independently dress self after four weeks of PT
Feed self with use of left hand within 3 days of admission
Feed self with use of left hand within 3 days of admission
A nurse documents the outcome: "The client will ave an oxygen saturation of
95-100% after nebulizer treatments." How would the nurse evaluate the
outcome?
Assess lung sounds bilaterally after the treatment
Elevate the head of bed prior to the treatment
Obtain O2 sat following the treatment
Ask the respiratory therapist if treatment was done
Obtain O2 sat following the treatment
A client is two days post-operative from a left hip fracture repair. The client
reports a pain rating of 8/10. Which intervention for pain relief is an
independent nursing action?
Reposition the pt
Apply heat therapy
Administer pain meds
Consult PT
Reposition the pt
Proper body mechanics includes which concept?
Keeping the knees in a locked position
Bending at the waist to maintain a center of gravity
Holding an object away from the body for improved leverage
Maintaining a wide base of support and bending at the knees
Maintaining a wide base of support and bending at the knees
The nurse is caring for a client with right-sided weakness. The nurse prepares
to ambulate the client in the hallway. Which action should the nurse take?
Apply gait belt and provide support on the right side
Hold pt's left hand while ambulating