NUR 170 EXAM 3 CERTIFICATION EVALUATION
TESTED QUESTIONS COMPLETE ANSWERS
◉ The female client states to the nurse, "I'm so distressed. It seems
like every time I laugh hard, I wet myself." The nurse knows that this
condition is known as
A. Stress incontinence
B. Urge incontinence
C. Functional incontinence
D. Unconscious incontinence.
Answer: A. Stress incontinence
Stress incontinence results from increased pressure within the
abdominal cavity.
◉ The nurse knows that the results of a fecal occult blood test can be
inaccurate if
1.The client has had an excessive intake of red meat.
2.The female client is menstruating
3.The client takes high doses of vitamin C
,4.All of the above.
Answer: 4.All of the above
Rationale: The results of a fecal occult blood test can be inaccurate
for any of the reasons given.
◉ Mrs. Addie is 70 years old. While the nurse is gathering admission
assessment data, the patient states, "I've taken a tablespoon of Milk
of Magnesia every day for 3 years." Which nursing diagnosis is most
appropriate for the nurse to use in her plan of care?
1.Diarrhea
2.Constipation
3.Risk for Ineffective Therapeutic Regimen
4.Perceived Constipation.
Answer: 4.Perceived Constipation
Rationale: Daily laxative use by the patient might suggest that she
perceives she is constipated, and the nurse would gather further
assessment data related to the client's bowel pattern. There is not
enough data to infer actual constipation.
,◉ You are caring for a patient with a colostomy. In order to provide
safe care you understand that when irrigating a colostomy a proper
fitting cone is needed to prevent
1.Introducing air into the colon
2.Leaking the solution around the stoma
3.Administering the solution too rapidly
4.Introduction of bacteria from the stoma.
Answer: 2.Leaking the solution around the stoma
Rationale: A proper fitting cone prevents leakage of the solution
around the stoma that may cause irritation and damage to the skin
surrounding the stoma.
◉ The nurse is assisting the client in caring for her ostomy. The
client states, "Oh, this is so disgusting. I'll never be able to touch this
thing." The nurse's best response is
1."I'm sure you will get used to taking care of it eventually."
2."Yes, it is pretty messy, so I'll take care of it for you today."
3."It sounds like you are really upset."
4."You sound very angry. Should I call the chaplain for you?".
Answer: 3."It sounds like you are really upset."
, Rationale: This statement reflects the principles of therapeutic
communication.
◉ In meeting the safety needs of the adolescent client, it would be
most important for the nurse to focus his or her teaching on
1.Smoking cessation
2.Sports injuries
3.Alcohol abuse
4.Driver's education.
Answer: 4.Driver's education
Rationale: The leading cause of death for adolescents is motor
vehicle accidents.
◉ A child has had hiccups for 2 hr. Is this a sign of suspected
ingestion of poison?
1.Yes
2.No.
Answer: 2.No
TESTED QUESTIONS COMPLETE ANSWERS
◉ The female client states to the nurse, "I'm so distressed. It seems
like every time I laugh hard, I wet myself." The nurse knows that this
condition is known as
A. Stress incontinence
B. Urge incontinence
C. Functional incontinence
D. Unconscious incontinence.
Answer: A. Stress incontinence
Stress incontinence results from increased pressure within the
abdominal cavity.
◉ The nurse knows that the results of a fecal occult blood test can be
inaccurate if
1.The client has had an excessive intake of red meat.
2.The female client is menstruating
3.The client takes high doses of vitamin C
,4.All of the above.
Answer: 4.All of the above
Rationale: The results of a fecal occult blood test can be inaccurate
for any of the reasons given.
◉ Mrs. Addie is 70 years old. While the nurse is gathering admission
assessment data, the patient states, "I've taken a tablespoon of Milk
of Magnesia every day for 3 years." Which nursing diagnosis is most
appropriate for the nurse to use in her plan of care?
1.Diarrhea
2.Constipation
3.Risk for Ineffective Therapeutic Regimen
4.Perceived Constipation.
Answer: 4.Perceived Constipation
Rationale: Daily laxative use by the patient might suggest that she
perceives she is constipated, and the nurse would gather further
assessment data related to the client's bowel pattern. There is not
enough data to infer actual constipation.
,◉ You are caring for a patient with a colostomy. In order to provide
safe care you understand that when irrigating a colostomy a proper
fitting cone is needed to prevent
1.Introducing air into the colon
2.Leaking the solution around the stoma
3.Administering the solution too rapidly
4.Introduction of bacteria from the stoma.
Answer: 2.Leaking the solution around the stoma
Rationale: A proper fitting cone prevents leakage of the solution
around the stoma that may cause irritation and damage to the skin
surrounding the stoma.
◉ The nurse is assisting the client in caring for her ostomy. The
client states, "Oh, this is so disgusting. I'll never be able to touch this
thing." The nurse's best response is
1."I'm sure you will get used to taking care of it eventually."
2."Yes, it is pretty messy, so I'll take care of it for you today."
3."It sounds like you are really upset."
4."You sound very angry. Should I call the chaplain for you?".
Answer: 3."It sounds like you are really upset."
, Rationale: This statement reflects the principles of therapeutic
communication.
◉ In meeting the safety needs of the adolescent client, it would be
most important for the nurse to focus his or her teaching on
1.Smoking cessation
2.Sports injuries
3.Alcohol abuse
4.Driver's education.
Answer: 4.Driver's education
Rationale: The leading cause of death for adolescents is motor
vehicle accidents.
◉ A child has had hiccups for 2 hr. Is this a sign of suspected
ingestion of poison?
1.Yes
2.No.
Answer: 2.No
