NURS 320: Exam 2- Prep U Practices Qs questions and
solutions
The nurse is conducting a family assessment of a traditional family. Which assessment data cue describes the
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socioeconomic status of the family? - Correct Answer ✔✔ - The father is an engineer and the mother is an elementary
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
school teacher.
mn mn
A nurse is working with a single-parent family. When planning the care for this family, which need should the nurse
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
anticipate as being a priority concern? - Correct Answer ✔✔ - Financial concerns
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Which statements about the family unit are accurate? Select all that apply. - Correct Answer ✔✔ - The family is a buffe
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
between the needs of individual members and society.
mn mn mn mn mn mn mn mn
Duvall (1977) identified critical family developmental tasks and stages in the family life cycle.
mn mn mn mn mn mn mn mn mn mn mn mn mn
The nuclear family is composed of two parents and their children.
mn mn mn mn mn mn mn mn mn mn
A nurse is working at a community clinic that serves mostly families with young children. What would be a priority
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
intervention for clients in this developmental stage? - Correct Answer ✔✔ - Setting up parenting classes
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A nurse is caring for an adolescent who has just lost a leg in a motor vehicle accident. Which human need would the nur
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
most likely need to address? - Correct Answer ✔✔ - Self-esteem needs
mn mn mn mn mn mn mn mn mn mn mn mn mn
A home health nurse is visiting a family after the recent death of their matriarch. The nurse observes that the family is
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
dressed in black, all of the mirrors are covered, and that the immediate family is sitting on square wooden boxes instea
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
of chairs. The nurse asks what is happening, and is told, "We are Jewish, and the family is 'Sitting Shiva'." This family is
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
fulfilling which family function? - Correct Answer ✔✔ - affective and coping functions
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
What is the focus of community-based nursing? - Correct Answer ✔✔ - Promoting and maintaining the health of
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
individuals and families
mn mn mn
The nurse assists a postoperative client with ambulation. The nurse recognizes that assisting the client when performi
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
this skill meets which of Maslow's basic human needs? - Correct Answer ✔✔ - Safety and security
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
The nurse is explaining the expected developmental tasks of a typical family with adolescents. Which of the following
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
would be incorrect for the nurse to include? - Correct Answer ✔✔ - Adjustment to retirement
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
reports nausea? - Correct Answer ✔✔ - sit with the client and ask them about their feelings
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A nurse is interviewing a hospitalized client. Which nurse-client positioning facilitates an easy exchange of information
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Correct Answer ✔✔ - If the client is in bed, the nurse sits in a chair placed at a 45-degree angle to the bed.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
The purpose of obtaining a nursing history is to: - Correct Answer ✔✔ - identify actual and potential health problems.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A nurse obtaining the most important information first during an assessment of a client is primarily an example of the
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
nurse being: - Correct Answer ✔✔ - being able to prioritize
mn mn mn mn mn mn mn mn mn mn mn mn
,A nurse is performing an assessment on a client. Which should the nurse record as subjective data? Select all that app
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
- Correct Answer ✔✔ - "My leg hurts when I move."
mn mn mn mn mn mn mn mn mn mn mn mn
"I am always anxious."
mn mn mn
"I am so afraid of what my diagnosis is."
mn mn mn mn mn mn mn mn
Which are examples of subjective data? Select all that apply. - Correct Answer ✔✔ - A client reports being cold and
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
requests an extra blanket.
mn mn mn mn
A client feels nauseated after eating breakfast.
mn mn mn mn mn mn
A client describes pain as an 8 on the pain assessment scale.
mn mn mn mn mn mn mn mn mn mn mn
The nurse has identified a collaborative problem of Risk for Complications of Electrolyte Imbalance for a client with
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
diarrhea. The client begins to exhibit a decrease in level of consciousness. What is the nurse's most appropriate action
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
- Correct Answer ✔✔ - Notify the physician for additional orders
mn mn mn mn mn mn mn mn mn mn mn mn
Which describes the best approach for the development of nursing diagnoses? - Correct Answer ✔✔ - Develop nursi
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
diagnoses from clusters of significant data.
mn mn mn mn mn mn
Which component of a nursing diagnosis gives additional meaning to the nursing diagnosis? - Correct Answer ✔✔ -
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Descriptors
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A nurse is caring for a client who has pneumonia. What is an appropriate nursing diagnosis? - Correct Answer ✔✔ -
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Ineffective Airway Clearance
mn mn mn
A client recently diagnosed with pancreatic cancer tells the nurse, "I don't see any hope for my future." What would be t
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
most appropriate nursing diagnosis for the nurse to formulate to address this health problem? - Correct Answer ✔✔ -
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Hopelessness related to difficulty coping secondary to pancreatic cancer diagnosis
mn mn mn mn mn mn mn mn mn mn
The nurse is discharging a client with chronic obstructive pulmonary disease (COPD). Which statement would the nurs
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
use to teach the client about effective breathing patterns? - Correct Answer ✔✔ - "Leaning forward may help you to
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
breathe better."
mn mn
A nurse is demonstrating Foley catheter care to a client. Which type of nursing intervention does this best represent? -
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Correct Answer ✔✔ - Educational
mn mn mn mn mn mn
A nurse administers an antihypertensive medication according to the standardized plan of care for a client admitted wi
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
uncontrolled hypertension. Which assessment information indicates the expected client outcome has been met within
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
the first 24 hours? - Correct Answer ✔✔ - Client is normotensive
mn mn mn mn mn mn mn mn mn mn mn mn mn
The nurse has identified the following outcome for the client: The client will have a soft, formed stool. Which error has th
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
nurse made in writing the outcome? - Correct Answer ✔✔ - The nurse has omitted the time frame.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A client's diagnosis of breast cancer necessitates a bilateral mastectomy and breast reconstruction with tissue
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
expanders. The nurse recognizes that the client's surgery will have a significant impact on the client's activities of daily
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
living (ADLs) during the period of recovery. When should the nurse begin discharge planning to address this client's
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
ADLs? - Correct Answer ✔✔ - On the client's admission to the hospital
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A nurse is assessing a family and identifying where the family is in the family life cycle. During this assessment, the nur
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
applies Duvall's theory. Which theory forms the basis for Duvall's theory? - Correct Answer ✔✔ - Erikson's theory of
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
psychosocial development
mn mn
solutions
The nurse is conducting a family assessment of a traditional family. Which assessment data cue describes the
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
socioeconomic status of the family? - Correct Answer ✔✔ - The father is an engineer and the mother is an elementary
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
school teacher.
mn mn
A nurse is working with a single-parent family. When planning the care for this family, which need should the nurse
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
anticipate as being a priority concern? - Correct Answer ✔✔ - Financial concerns
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Which statements about the family unit are accurate? Select all that apply. - Correct Answer ✔✔ - The family is a buffe
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
between the needs of individual members and society.
mn mn mn mn mn mn mn mn
Duvall (1977) identified critical family developmental tasks and stages in the family life cycle.
mn mn mn mn mn mn mn mn mn mn mn mn mn
The nuclear family is composed of two parents and their children.
mn mn mn mn mn mn mn mn mn mn
A nurse is working at a community clinic that serves mostly families with young children. What would be a priority
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
intervention for clients in this developmental stage? - Correct Answer ✔✔ - Setting up parenting classes
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A nurse is caring for an adolescent who has just lost a leg in a motor vehicle accident. Which human need would the nur
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
most likely need to address? - Correct Answer ✔✔ - Self-esteem needs
mn mn mn mn mn mn mn mn mn mn mn mn mn
A home health nurse is visiting a family after the recent death of their matriarch. The nurse observes that the family is
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
dressed in black, all of the mirrors are covered, and that the immediate family is sitting on square wooden boxes instea
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
of chairs. The nurse asks what is happening, and is told, "We are Jewish, and the family is 'Sitting Shiva'." This family is
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
fulfilling which family function? - Correct Answer ✔✔ - affective and coping functions
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
What is the focus of community-based nursing? - Correct Answer ✔✔ - Promoting and maintaining the health of
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
individuals and families
mn mn mn
The nurse assists a postoperative client with ambulation. The nurse recognizes that assisting the client when performi
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
this skill meets which of Maslow's basic human needs? - Correct Answer ✔✔ - Safety and security
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
The nurse is explaining the expected developmental tasks of a typical family with adolescents. Which of the following
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
would be incorrect for the nurse to include? - Correct Answer ✔✔ - Adjustment to retirement
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
reports nausea? - Correct Answer ✔✔ - sit with the client and ask them about their feelings
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A nurse is interviewing a hospitalized client. Which nurse-client positioning facilitates an easy exchange of information
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Correct Answer ✔✔ - If the client is in bed, the nurse sits in a chair placed at a 45-degree angle to the bed.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
The purpose of obtaining a nursing history is to: - Correct Answer ✔✔ - identify actual and potential health problems.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A nurse obtaining the most important information first during an assessment of a client is primarily an example of the
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
nurse being: - Correct Answer ✔✔ - being able to prioritize
mn mn mn mn mn mn mn mn mn mn mn mn
,A nurse is performing an assessment on a client. Which should the nurse record as subjective data? Select all that app
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
- Correct Answer ✔✔ - "My leg hurts when I move."
mn mn mn mn mn mn mn mn mn mn mn mn
"I am always anxious."
mn mn mn
"I am so afraid of what my diagnosis is."
mn mn mn mn mn mn mn mn
Which are examples of subjective data? Select all that apply. - Correct Answer ✔✔ - A client reports being cold and
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
requests an extra blanket.
mn mn mn mn
A client feels nauseated after eating breakfast.
mn mn mn mn mn mn
A client describes pain as an 8 on the pain assessment scale.
mn mn mn mn mn mn mn mn mn mn mn
The nurse has identified a collaborative problem of Risk for Complications of Electrolyte Imbalance for a client with
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
diarrhea. The client begins to exhibit a decrease in level of consciousness. What is the nurse's most appropriate action
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
- Correct Answer ✔✔ - Notify the physician for additional orders
mn mn mn mn mn mn mn mn mn mn mn mn
Which describes the best approach for the development of nursing diagnoses? - Correct Answer ✔✔ - Develop nursi
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
diagnoses from clusters of significant data.
mn mn mn mn mn mn
Which component of a nursing diagnosis gives additional meaning to the nursing diagnosis? - Correct Answer ✔✔ -
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Descriptors
mn
A nurse is caring for a client who has pneumonia. What is an appropriate nursing diagnosis? - Correct Answer ✔✔ -
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Ineffective Airway Clearance
mn mn mn
A client recently diagnosed with pancreatic cancer tells the nurse, "I don't see any hope for my future." What would be t
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
most appropriate nursing diagnosis for the nurse to formulate to address this health problem? - Correct Answer ✔✔ -
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Hopelessness related to difficulty coping secondary to pancreatic cancer diagnosis
mn mn mn mn mn mn mn mn mn mn
The nurse is discharging a client with chronic obstructive pulmonary disease (COPD). Which statement would the nurs
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
use to teach the client about effective breathing patterns? - Correct Answer ✔✔ - "Leaning forward may help you to
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
breathe better."
mn mn
A nurse is demonstrating Foley catheter care to a client. Which type of nursing intervention does this best represent? -
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Correct Answer ✔✔ - Educational
mn mn mn mn mn mn
A nurse administers an antihypertensive medication according to the standardized plan of care for a client admitted wi
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
uncontrolled hypertension. Which assessment information indicates the expected client outcome has been met within
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
the first 24 hours? - Correct Answer ✔✔ - Client is normotensive
mn mn mn mn mn mn mn mn mn mn mn mn mn
The nurse has identified the following outcome for the client: The client will have a soft, formed stool. Which error has th
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
nurse made in writing the outcome? - Correct Answer ✔✔ - The nurse has omitted the time frame.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A client's diagnosis of breast cancer necessitates a bilateral mastectomy and breast reconstruction with tissue
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
expanders. The nurse recognizes that the client's surgery will have a significant impact on the client's activities of daily
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
living (ADLs) during the period of recovery. When should the nurse begin discharge planning to address this client's
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
ADLs? - Correct Answer ✔✔ - On the client's admission to the hospital
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A nurse is assessing a family and identifying where the family is in the family life cycle. During this assessment, the nur
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
applies Duvall's theory. Which theory forms the basis for Duvall's theory? - Correct Answer ✔✔ - Erikson's theory of
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
psychosocial development
mn mn
