Final review nur168 UPDATED ACTUAL
Exam Questions and CORRECT Answers
A client comes to the clinic complaining of abdominal pain. Which first question would be most
appropriate for the nurse to ask to facilitate the assessment? - CORRECT ANSWER -
What activities exaggerate the pain
A client has been recently diagnosed with diabetes. He is seen in the emergency room every day
with high blood sugar. The client apologizes to the nurse for bothering them every day, but he
cannot give himself insulin injections. What should the nurse's response be? - CORRECT
ANSWER - Has someone taught you how to take them?
A client tells the nurse that he is very worried about his surgery. Which of the following
responses by the nurse is a cliche? - CORRECT ANSWER - Don't worry, everything will
be fine.
A group of nursing students is working together on a presentation for their clinical instructor.
One student in the group participates by arguing and attempting to block each step of the process
of this presentation. The student's behavior is causing frustration for the others and slowing their
progress. Which of the following best describes the role this individual student is playing in
relationship to the group dynamics? - CORRECT ANSWER - self-serving
An older adult client who has had a colostomy for over 10 years states, "I won't need any
teaching about colostomies. I understand how to change the bag and care for my colostomy, but
I'm not sure how to best clean my stoma." WHat does this statement indicate? - CORRECT
ANSWER - An incongruent relationship
A nurse has drafted an SBAR communication before contacting the primary care provider of a
client whose condition has worsened suddenly. How should the nurse best conclude this
communication? - CORRECT ANSWER - Ask the care provider to come and assess the
client.
,A nurse is caring for a client who is visually impaired. WHich of the following is a
recommended guideline for communication with this client? - CORRECT ANSWER -
Explain reason for touching client before doing so
A nurse is educating a home care client on how to administer a topical medication. The client is
watching television while the nurse is talking. What might be the result of this interaction? -
CORRECT ANSWER - The message will likely be misunderstood.
A nurse is sitting near a client while conducting a health history. The client keeps edging away
from the nurse. What might this mean in terms of personal space? - CORRECT
ANSWER - The nurse is in the client's personal space.
Which of the nursing roles is primarily performed during the working phase of the helping
relationship? - CORRECT ANSWER - Educator and counselor
Why is communication important to the "assessing" step of the nursing process? - CORRECT
ANSWER - The major focus of assessing is to gather information.
A male client age 42 years recovering from a MI is having difficulty following the care plan to
stop smoking and exercise. WHat is the nurse's best response to this client? - CORRECT
ANSWER - Ignore the behavior and recommend a behavior modification program
A male client age 61 years has been admitted to a medical unit with a diagnosis of pancreatitis
secondary to alcohol use. Which of the client's following statements suggests that nurses'
education has resulted in effective learning? - CORRECT ANSWER - "I'm starting to see
how my lifestyle has caused me to end up here"
A mother of a toddler wants to learn how to do CPR. What education strategy would be most
effective in helping her learn? - CORRECT ANSWER - Demonstration
A nurse instructs a client to tell her about the side effects of a medication. What learning domain
is the nurse evaluating? - CORRECT ANSWER - Cognitive
, A nurse is writing learning outcomes for a client recovering from severe burns. Which of the
following verbs would be good choices to use when preparing outcomes related to learning how
to change dressings? select all - CORRECT ANSWER - assembles
demonstrates
gives examples
A nurse believes in listening to clients and coworkers more than talking to them, allowing more
personal control for all involved. This is a quality of which of the following manegerial
mindsets? - CORRECT ANSWER - Collaborative
A nurse is attempting to change the method for documenting client care in a hospital setting.
Which of the following should be considered before planning change? select all - CORRECT
ANSWER - Is the group ready for change?
Are the changes major or minor?
How does the group function as a unit?
What is amenable to change?
A nurse leader is described as charismatic, motivational, and passionate. Communications are
open and honest, and the nurse is willing to take risks. What type of leadership is the nurse
practicing? - CORRECT ANSWER - Transformational
A nurse manager has encountered resistance to a planned change. What is one way the nurse can
overcome the resistance? - CORRECT ANSWER - Encourage open communication and
feedback
In Lewin's classic theory of change, what happens during unfreezing? - CORRECT
ANSWER - The need for change is recognized
Which of the following nursing care tasks is acceptable for a graduate nurse to delegate to a
UAP? - CORRECT ANSWER - Assisting a client with ambulation
Exam Questions and CORRECT Answers
A client comes to the clinic complaining of abdominal pain. Which first question would be most
appropriate for the nurse to ask to facilitate the assessment? - CORRECT ANSWER -
What activities exaggerate the pain
A client has been recently diagnosed with diabetes. He is seen in the emergency room every day
with high blood sugar. The client apologizes to the nurse for bothering them every day, but he
cannot give himself insulin injections. What should the nurse's response be? - CORRECT
ANSWER - Has someone taught you how to take them?
A client tells the nurse that he is very worried about his surgery. Which of the following
responses by the nurse is a cliche? - CORRECT ANSWER - Don't worry, everything will
be fine.
A group of nursing students is working together on a presentation for their clinical instructor.
One student in the group participates by arguing and attempting to block each step of the process
of this presentation. The student's behavior is causing frustration for the others and slowing their
progress. Which of the following best describes the role this individual student is playing in
relationship to the group dynamics? - CORRECT ANSWER - self-serving
An older adult client who has had a colostomy for over 10 years states, "I won't need any
teaching about colostomies. I understand how to change the bag and care for my colostomy, but
I'm not sure how to best clean my stoma." WHat does this statement indicate? - CORRECT
ANSWER - An incongruent relationship
A nurse has drafted an SBAR communication before contacting the primary care provider of a
client whose condition has worsened suddenly. How should the nurse best conclude this
communication? - CORRECT ANSWER - Ask the care provider to come and assess the
client.
,A nurse is caring for a client who is visually impaired. WHich of the following is a
recommended guideline for communication with this client? - CORRECT ANSWER -
Explain reason for touching client before doing so
A nurse is educating a home care client on how to administer a topical medication. The client is
watching television while the nurse is talking. What might be the result of this interaction? -
CORRECT ANSWER - The message will likely be misunderstood.
A nurse is sitting near a client while conducting a health history. The client keeps edging away
from the nurse. What might this mean in terms of personal space? - CORRECT
ANSWER - The nurse is in the client's personal space.
Which of the nursing roles is primarily performed during the working phase of the helping
relationship? - CORRECT ANSWER - Educator and counselor
Why is communication important to the "assessing" step of the nursing process? - CORRECT
ANSWER - The major focus of assessing is to gather information.
A male client age 42 years recovering from a MI is having difficulty following the care plan to
stop smoking and exercise. WHat is the nurse's best response to this client? - CORRECT
ANSWER - Ignore the behavior and recommend a behavior modification program
A male client age 61 years has been admitted to a medical unit with a diagnosis of pancreatitis
secondary to alcohol use. Which of the client's following statements suggests that nurses'
education has resulted in effective learning? - CORRECT ANSWER - "I'm starting to see
how my lifestyle has caused me to end up here"
A mother of a toddler wants to learn how to do CPR. What education strategy would be most
effective in helping her learn? - CORRECT ANSWER - Demonstration
A nurse instructs a client to tell her about the side effects of a medication. What learning domain
is the nurse evaluating? - CORRECT ANSWER - Cognitive
, A nurse is writing learning outcomes for a client recovering from severe burns. Which of the
following verbs would be good choices to use when preparing outcomes related to learning how
to change dressings? select all - CORRECT ANSWER - assembles
demonstrates
gives examples
A nurse believes in listening to clients and coworkers more than talking to them, allowing more
personal control for all involved. This is a quality of which of the following manegerial
mindsets? - CORRECT ANSWER - Collaborative
A nurse is attempting to change the method for documenting client care in a hospital setting.
Which of the following should be considered before planning change? select all - CORRECT
ANSWER - Is the group ready for change?
Are the changes major or minor?
How does the group function as a unit?
What is amenable to change?
A nurse leader is described as charismatic, motivational, and passionate. Communications are
open and honest, and the nurse is willing to take risks. What type of leadership is the nurse
practicing? - CORRECT ANSWER - Transformational
A nurse manager has encountered resistance to a planned change. What is one way the nurse can
overcome the resistance? - CORRECT ANSWER - Encourage open communication and
feedback
In Lewin's classic theory of change, what happens during unfreezing? - CORRECT
ANSWER - The need for change is recognized
Which of the following nursing care tasks is acceptable for a graduate nurse to delegate to a
UAP? - CORRECT ANSWER - Assisting a client with ambulation
