POTTER PERRY FUNDAMENTALS OF
K
NURSING I CH 15,16,17,18,19,20
QUESTIONS WITH COMPLETE
SOLUTION
-address the client with the appropriate title and her last name
-use a mix of open-ended and close-ended questions
-perform the general survey before the examination - A nurse is introducing herself to a client as the first
step of a comprehensive physical examination. Which of the following strategies should the nurse use
with this client?
-posture
-skin lesions
-speech - A nurse in a provider's office is documenting his findings following an examination he
performed for a client new to the practice. Which of the following parameters should he include as part
of the general survey?
auscultation - A nurse is collecting data for a client's comprehensive physical examination. After the
nurse inspects the client's abdomen, which of the following skills of the physical examination process
should she perform next?
-plan to allow plenty of time for position changes
-make sure the client has any essential sensory aids in place
-tell the client to take her time answering questions
-invite the client to use the bathroom before beginning the examination - A nurse is performing a
comprehensive physical examination of an older adult client. Which of the following interventions should
the nurse use in consideration of the client's age?
dorsal surface - A nurse in a family practice clinic is performing a physical examination of an adult client.
Which part of her hands should she use during palpation for optimal assessment of skin temperature?
, basic - A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The
client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for "real food".
The nurse tells the client that she will call the surgeon and ask. The surgeon hears the nurse's report and
prescribes a full liquid diet. The nurse used which of the following levels of critical thinking?
responsibility - A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse
checks the client's medical record, discovers that she is allergic to the antibiotic, and call the provider to
request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the
nurse demonstrate?
-the client is nonadherent with coughing, deep breathing, and dangling
-the client may have pain medication every 4 to 6 hr but accepts it every 6 to 7 hr
-the client's vital sings are heart rate 110/min, respiratory rate 20/min, temperature 98.6 F, and blood
pressure 136/80 mm Hg - A nurse is caring for a client who is 24 hr postoperative following abdominal
surgery. The nurse suspects the client's pan management is inadequate. Which of the following data
reinforce this suspicion?
knowledge - A nurse is caring for a client who has a new prescription for antihypertensive medication.
Prior to administering the medication, the nurse uses an electronic database to gather information about
the medication and the effects it might have on this client. Which of the following components of critical
thinking is the nurse using when he reviews the medication information?
discipline - A nurse uses a head-to-toe approach to conduct a physical assessment of a client who will
undergo surgery the following week. Which of the following critical thinking attitudes did the nurse
demonstrate?
reassess the client to determine the reasons for inadequate pain relief - By the second postoperative day,
a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions
should the nurse take, according to the nursing practice?
assessment - A newly licensed nurse is reporting to the charge nurse about the are she gave to a client.
She states, "The client said his leg pain was back, so I checked his medical record, and he last received his
pain medication 6 hr ago. The prescription reads every 4 hrs PRN for pain, so I decided he needs it. I
asked the unit nurse to observe me preparing and administering it. I checked with the client 40 minutes
K
NURSING I CH 15,16,17,18,19,20
QUESTIONS WITH COMPLETE
SOLUTION
-address the client with the appropriate title and her last name
-use a mix of open-ended and close-ended questions
-perform the general survey before the examination - A nurse is introducing herself to a client as the first
step of a comprehensive physical examination. Which of the following strategies should the nurse use
with this client?
-posture
-skin lesions
-speech - A nurse in a provider's office is documenting his findings following an examination he
performed for a client new to the practice. Which of the following parameters should he include as part
of the general survey?
auscultation - A nurse is collecting data for a client's comprehensive physical examination. After the
nurse inspects the client's abdomen, which of the following skills of the physical examination process
should she perform next?
-plan to allow plenty of time for position changes
-make sure the client has any essential sensory aids in place
-tell the client to take her time answering questions
-invite the client to use the bathroom before beginning the examination - A nurse is performing a
comprehensive physical examination of an older adult client. Which of the following interventions should
the nurse use in consideration of the client's age?
dorsal surface - A nurse in a family practice clinic is performing a physical examination of an adult client.
Which part of her hands should she use during palpation for optimal assessment of skin temperature?
, basic - A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The
client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for "real food".
The nurse tells the client that she will call the surgeon and ask. The surgeon hears the nurse's report and
prescribes a full liquid diet. The nurse used which of the following levels of critical thinking?
responsibility - A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse
checks the client's medical record, discovers that she is allergic to the antibiotic, and call the provider to
request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the
nurse demonstrate?
-the client is nonadherent with coughing, deep breathing, and dangling
-the client may have pain medication every 4 to 6 hr but accepts it every 6 to 7 hr
-the client's vital sings are heart rate 110/min, respiratory rate 20/min, temperature 98.6 F, and blood
pressure 136/80 mm Hg - A nurse is caring for a client who is 24 hr postoperative following abdominal
surgery. The nurse suspects the client's pan management is inadequate. Which of the following data
reinforce this suspicion?
knowledge - A nurse is caring for a client who has a new prescription for antihypertensive medication.
Prior to administering the medication, the nurse uses an electronic database to gather information about
the medication and the effects it might have on this client. Which of the following components of critical
thinking is the nurse using when he reviews the medication information?
discipline - A nurse uses a head-to-toe approach to conduct a physical assessment of a client who will
undergo surgery the following week. Which of the following critical thinking attitudes did the nurse
demonstrate?
reassess the client to determine the reasons for inadequate pain relief - By the second postoperative day,
a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions
should the nurse take, according to the nursing practice?
assessment - A newly licensed nurse is reporting to the charge nurse about the are she gave to a client.
She states, "The client said his leg pain was back, so I checked his medical record, and he last received his
pain medication 6 hr ago. The prescription reads every 4 hrs PRN for pain, so I decided he needs it. I
asked the unit nurse to observe me preparing and administering it. I checked with the client 40 minutes
