Nur 207 Exam 2 Master Review – Complete
Questions & Answers Study Guide
1. The nurse is developing a plan of care for a client admitted with pneumonia. The nurse
has determined that a priority nursing diagnosis for this client is Ineffective Airway
Clearance related to copious and tenacious secretions. Based upon this nursing
diagnosis, what is an appropriate nursing intervention to include in the client's care
plan?
ANSWER: encouraging the client to consume 2 to 3 quarts of clear fluids daily
2. According to established standards, which health care provider should conduct a
holistic assessment for all clients admitted to the hospital?
ANSWER: Registered nurse
3. What information would a home care nurse provide to a client who is measuring peak
expiratory flow rate at home?
ANSWER : "You will be asked to forcefully exhale into a mouthpiece."
4. A nurse leader is described as charismatic, motivational, and passionate.
Communications are open and honest, and the nurse is willing to take risks. What type
of leadership is the nurse practicing?
ANSWER: Transformational
5. The nurse has performed an assessment of a client scheduled for discharge to be cared
for by the family. Which situation would the nurse question regarding the discharge of
this client to be cared for by the family?
ANSWER: the client and family lack knowledge of the treatment regimen
6. A nurse manager makes all of the decisions for staff activities. What type of leadership
is demonstrated by this action?
ANSWER: Autocratic
7. What is the rationale for conducting discharge planning?
ANSWER: to ensure client and family needs are met consistently
, 8. The nurse recognizes that the goals established for a client's discharge are more likely
to be accomplished when:
ANSWER: the client assists in developing the goals.
9. Which phrase best describes the continuity of care?
ANSWER: facilitating transition between settings
10. A father of a preschool-age child tells the nurse that his child "has had a constant cold
since going to daycare." How would the nurse respond?
ANSWER: "Children in daycare have more exposure to colds."
11. A nurse is admitting an older woman (Grace Staples) to a long-term care facility. How
should the nurse address the woman?
ANSWER: "30-60minutes”
12. Which of the following nursing care tasks is acceptable for a graduate nurse to
delegate to unlicensed assistive personnel (UAP)?
ANSWER: Assisting a client with ambulation
13. While reading a physician's progress notes, a student notes that an assigned client is
having hypoxia. What abnormal assessments would the student expect to find?
ANSWER: dyspnea, tachycardia, cyanosis
14. A nurse is caring for a client with pneumonia. The client's oxygen saturation is below
normal. What abnormal respiratory process does this demonstrate?
ANSWER: changes in the alveolar-capillary membrane and diffusion
15. A client has had a head injury affecting the brain stem. What is located in the brain
stem that may affect respiratory function?
ANSWER: Respiratory center
16. Regardless of the type of ambulatory care facility, what need is common to all clients
who are given care?
ANSWER: Education
17. A nurse, preparing for a client's discharge after surgery, is teaching the client's wife to
change the dressing. How can the nurse be certain the wife knows the procedure?
ANSWER: Have the wife demonstrate the procedure.
Questions & Answers Study Guide
1. The nurse is developing a plan of care for a client admitted with pneumonia. The nurse
has determined that a priority nursing diagnosis for this client is Ineffective Airway
Clearance related to copious and tenacious secretions. Based upon this nursing
diagnosis, what is an appropriate nursing intervention to include in the client's care
plan?
ANSWER: encouraging the client to consume 2 to 3 quarts of clear fluids daily
2. According to established standards, which health care provider should conduct a
holistic assessment for all clients admitted to the hospital?
ANSWER: Registered nurse
3. What information would a home care nurse provide to a client who is measuring peak
expiratory flow rate at home?
ANSWER : "You will be asked to forcefully exhale into a mouthpiece."
4. A nurse leader is described as charismatic, motivational, and passionate.
Communications are open and honest, and the nurse is willing to take risks. What type
of leadership is the nurse practicing?
ANSWER: Transformational
5. The nurse has performed an assessment of a client scheduled for discharge to be cared
for by the family. Which situation would the nurse question regarding the discharge of
this client to be cared for by the family?
ANSWER: the client and family lack knowledge of the treatment regimen
6. A nurse manager makes all of the decisions for staff activities. What type of leadership
is demonstrated by this action?
ANSWER: Autocratic
7. What is the rationale for conducting discharge planning?
ANSWER: to ensure client and family needs are met consistently
, 8. The nurse recognizes that the goals established for a client's discharge are more likely
to be accomplished when:
ANSWER: the client assists in developing the goals.
9. Which phrase best describes the continuity of care?
ANSWER: facilitating transition between settings
10. A father of a preschool-age child tells the nurse that his child "has had a constant cold
since going to daycare." How would the nurse respond?
ANSWER: "Children in daycare have more exposure to colds."
11. A nurse is admitting an older woman (Grace Staples) to a long-term care facility. How
should the nurse address the woman?
ANSWER: "30-60minutes”
12. Which of the following nursing care tasks is acceptable for a graduate nurse to
delegate to unlicensed assistive personnel (UAP)?
ANSWER: Assisting a client with ambulation
13. While reading a physician's progress notes, a student notes that an assigned client is
having hypoxia. What abnormal assessments would the student expect to find?
ANSWER: dyspnea, tachycardia, cyanosis
14. A nurse is caring for a client with pneumonia. The client's oxygen saturation is below
normal. What abnormal respiratory process does this demonstrate?
ANSWER: changes in the alveolar-capillary membrane and diffusion
15. A client has had a head injury affecting the brain stem. What is located in the brain
stem that may affect respiratory function?
ANSWER: Respiratory center
16. Regardless of the type of ambulatory care facility, what need is common to all clients
who are given care?
ANSWER: Education
17. A nurse, preparing for a client's discharge after surgery, is teaching the client's wife to
change the dressing. How can the nurse be certain the wife knows the procedure?
ANSWER: Have the wife demonstrate the procedure.
