NUR 110 EXAM 2 PRACTICE
QUESTIONS AND ANSWERS
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 - Answer-Milkshake, ice cream, apple juice, chicken broth
which is a type of a nursing diagnostic statement?
Collaborative problem
Concept mapping
Risk diagnosis
Data interpretation - Answer-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 - Answer-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 - Answer-Client will rate pain
no more than a 2 within 1 hour of receiving pain meds
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 - Answer-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 - Answer-Obtain O2 sat following the treatment
QUESTIONS AND ANSWERS
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 - Answer-Milkshake, ice cream, apple juice, chicken broth
which is a type of a nursing diagnostic statement?
Collaborative problem
Concept mapping
Risk diagnosis
Data interpretation - Answer-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 - Answer-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 - Answer-Client will rate pain
no more than a 2 within 1 hour of receiving pain meds
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 - Answer-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 - Answer-Obtain O2 sat following the treatment
