NUR 378: EXAM 1 Concordia University-Saint Paul | UPDATED
Questions with 100% Verified Answers
Question:
(Lilley, Ch. 1) The nurse is developing a human needs statement
for a patient who has a new diagnosis of heart failure.
Identification of human needs statements occur with which of
these activities?
a. Collection of patient data
b. Administering interventions
c. Deciding on patient outcomes
d. Documenting the patient's behavior
Answer:
Collection of patient data
Question:
(Lilley, Ch. 1) The patient is to receive oral guaifenesin twice a
day. Today, the nurse was busy and gave the medication 2
hours after the scheduled dose was due. What type of
problem does this represent?
a. Right time
b. Right dose
c. Right route
d. Right medication
Answer:
Right time
Question:
(Lilley, Ch. 1) The nurse has been monitoring the patient's
progress on a new drug regimen since the first dose and
documenting the patient's therapeutic response to the
medication. Which phase of the nursing process do these
actions illustrate?
a. Human needs statement
,b. Planning
c. Implementation
d. Evaluation
Answer:
Evaluation
Question:
(Lilley, Ch. 1) The nurse is assigned to a patient who is newly
diagnosed with type 1 diabetes mellitus. Which statement best
illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing
technique.
Answer:
The patient will demonstrate correct blood glucose testing technique.
Question:
(Lilley, Ch. 1) Which activity best reflects the implementation
phase of the nursing process for the patient who is newly
diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure
readings
b. Setting goals and outcome criteria with the patient's input
c. Recording a drug history regarding OTC meds used at
home
d. Formulating human needs statements regarding deficient
knowledge related to the new treatment regimen
Answer:
Formulating human needs statements regarding deficient knowledge related to the new
treatment regimen
,Question:
(Lilley, Ch. 1) The medication order reads, "Give ondansetron 4
mg, 30 minutes before beginning chemotherapy to prevent
nausea." The nurse notes that the route is missing from the
order. What is the nurse's best action?
a. Give the medication intravenously because the patient
might vomit.
b. Give the medication orally because the tablets are available
in 4mg doses.
c. Contact the prescriber to clarify the route of the medication
ordered.
d. Hold the medication until the prescriber returns to make
rounds.
Answer:
Contact the prescriber to clarify the route of the medication ordered.
Question:
(Lilley, Ch. 1) When the nurse considers the timing of a drug
dose, which factor is appropriate to consider when deciding
when to give a drug?
a. The patient's ability to swallow
b. The patient's height
c. The patient's last meal
d. The patient's allergies
Answer:
The patient's last meal
Question:
(Lilley, Ch. 1) The nurse is performing an assessment of a newly
admitted patient. Which is an example of subjective data?
a. Weight 155 pounds
b. Pulse 72 beats/minute
c. The patient reports that he uses the herbal product ginkgo
d. The patient's complete blood count results
, Answer:
The patient reports that he uses the herbal product ginkgo
Question:
(Lilley, Ch. 1) When giving medications, the nurse will follow
the rights of medication administration. The rights include the
right documentation, the right reason, the right response, and
the patient's right to refuse. Which of these are additional
rights? (Select all that apply.)
a. Right drug
b. Right route
c. Right dose
d. Right diagnosis
e. Right time
f. Right patient
Answer:
ANS: A, B, C, E, F
Right drug
Right route
Right dose
Right time
Right patient
Question:
(Lilley, Ch. 1) Place the phases of the nursing process in the
correct order, with 1 as the first phase and 5 as the last phase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Human needs statement
Answer:
ANS: C, E, A, D, B
1: Assessment
Questions with 100% Verified Answers
Question:
(Lilley, Ch. 1) The nurse is developing a human needs statement
for a patient who has a new diagnosis of heart failure.
Identification of human needs statements occur with which of
these activities?
a. Collection of patient data
b. Administering interventions
c. Deciding on patient outcomes
d. Documenting the patient's behavior
Answer:
Collection of patient data
Question:
(Lilley, Ch. 1) The patient is to receive oral guaifenesin twice a
day. Today, the nurse was busy and gave the medication 2
hours after the scheduled dose was due. What type of
problem does this represent?
a. Right time
b. Right dose
c. Right route
d. Right medication
Answer:
Right time
Question:
(Lilley, Ch. 1) The nurse has been monitoring the patient's
progress on a new drug regimen since the first dose and
documenting the patient's therapeutic response to the
medication. Which phase of the nursing process do these
actions illustrate?
a. Human needs statement
,b. Planning
c. Implementation
d. Evaluation
Answer:
Evaluation
Question:
(Lilley, Ch. 1) The nurse is assigned to a patient who is newly
diagnosed with type 1 diabetes mellitus. Which statement best
illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing
technique.
Answer:
The patient will demonstrate correct blood glucose testing technique.
Question:
(Lilley, Ch. 1) Which activity best reflects the implementation
phase of the nursing process for the patient who is newly
diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure
readings
b. Setting goals and outcome criteria with the patient's input
c. Recording a drug history regarding OTC meds used at
home
d. Formulating human needs statements regarding deficient
knowledge related to the new treatment regimen
Answer:
Formulating human needs statements regarding deficient knowledge related to the new
treatment regimen
,Question:
(Lilley, Ch. 1) The medication order reads, "Give ondansetron 4
mg, 30 minutes before beginning chemotherapy to prevent
nausea." The nurse notes that the route is missing from the
order. What is the nurse's best action?
a. Give the medication intravenously because the patient
might vomit.
b. Give the medication orally because the tablets are available
in 4mg doses.
c. Contact the prescriber to clarify the route of the medication
ordered.
d. Hold the medication until the prescriber returns to make
rounds.
Answer:
Contact the prescriber to clarify the route of the medication ordered.
Question:
(Lilley, Ch. 1) When the nurse considers the timing of a drug
dose, which factor is appropriate to consider when deciding
when to give a drug?
a. The patient's ability to swallow
b. The patient's height
c. The patient's last meal
d. The patient's allergies
Answer:
The patient's last meal
Question:
(Lilley, Ch. 1) The nurse is performing an assessment of a newly
admitted patient. Which is an example of subjective data?
a. Weight 155 pounds
b. Pulse 72 beats/minute
c. The patient reports that he uses the herbal product ginkgo
d. The patient's complete blood count results
, Answer:
The patient reports that he uses the herbal product ginkgo
Question:
(Lilley, Ch. 1) When giving medications, the nurse will follow
the rights of medication administration. The rights include the
right documentation, the right reason, the right response, and
the patient's right to refuse. Which of these are additional
rights? (Select all that apply.)
a. Right drug
b. Right route
c. Right dose
d. Right diagnosis
e. Right time
f. Right patient
Answer:
ANS: A, B, C, E, F
Right drug
Right route
Right dose
Right time
Right patient
Question:
(Lilley, Ch. 1) Place the phases of the nursing process in the
correct order, with 1 as the first phase and 5 as the last phase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Human needs statement
Answer:
ANS: C, E, A, D, B
1: Assessment