NURSING MAKING CONNECTIONS TO
PRACTICE 2ND EDITION HOFFMAN SULLIVAN
TEST BANK WITH DETAILED QUESTIONS AND
ANSWERS (VERIFIED ANSWERS) | NEW
RELEASE UPDATE 2025-2026 BRAND NEW!! |
GURANTEED A+ | WITH A BRIEF SUMMARY
EXPLANATION OF EACH QUESTION AND
ANSWER!!
A client with a pressure ulcer has the following laboratory values: white blood count
8000/mm3, prealbumin 15.2 mg/dL, albumin 4.2 mg/dL, and lymphocyte count
2000/mm3. Which action by the nurse is most appropriate?
A) Request a dietary consult.
B) Assess the client's vital signs.
C) Document the findings.
D) Place the client in isolation. - ANSWER: A
Albumin, prealbumin, and lymphocyte counts all give information related to
nutritional status. The albumin and lymphocyte count given are normal. The white
blood cell count is not directly related to nutritional status. The prealbumin count is
low and is a more specific indicator of nutritional status than is the albumin count.
This puts the client at risk for impaired wound healing, so the nurse should request
a dietary consult.
,When describing patient education approaches, the nurse educator would explain
that informal teaching is an approach that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs - ANSWER: C. Informal teaching is individualized one on
one teaching which represents the majority of patient education done by nurses that
occurs when an intervention is explained or a question is answered. Group needs are
often the focus of formal patient education courses or classes. Informal teaching does
not necessarily follow a specific formalized plan. It may be planned with specific
content, but it is individualized responses to patient needs. Formal teaching involves
the use of a curriculum/course plan with standardized content.
What information about nutrition does the nurse teach a client with chronic
obstructive pulmonary disease (COPD)? (Select all that apply.)
A) Eat dry foods rather than wet foods, which are heavier.
B) Increase carbohydrate intake for energy.
C) Have about six small meals a day.
D) Practice diaphragmatic breathing against resistance four times daily.
E) Avoid drinking fluids just before and during meals.
F) Eat high-fiber foods to promote gastric emptying.
G) Rest before meals if you have dyspnea. - ANSWER:C, E, G
Fluids can make a client feel bloated and should be avoided with meals. Resting
before the meal will help a client with dyspnea. Six small meals a day also will help
to decrease bloating. Dry foods can cause coughing. Fibrous foods can produce gas,
,which can cause abdominal bloating and can increase shortness of breath.
Diaphragmatic breathing will not necessarily help nutrition.
The nurse is assessing a group of clients. Which clients are at greater risk for
hypothermia or frostbite? (select all that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six martinis
d. an older man who smokes a pack of cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic - ANSWER:C, D, E, F
clients with poor nutrition, fatigue, and multiple chronic illnesses are at greater risk
for hypothermia. Clients who smoke, consume alcohol, or have impaired peripheral
circulation have a higher incidence of frostbite.
Which statement made by a nurse represents the need for further education regarding
pain management in older adult clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than younger clients
c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do not feel it as much -
ANSWER:D
A patient expresses a strong interest in returning to their work, family, and hobbies
after having a stroke. Which theory type would the nurse use to develop a plan of
care for the best results of this patient's motivation style?
, a. field
b. biological
c. cognitive
d. sociologic - ANSWER: C. Cognitive theorists believe that attention, relevance,
confidence, and satisfaction (ARCS) are the conditions that, when integrated,
motivate someone to learn. Field theorists place significance on how achievement,
power, the need for affiliation, and avoidance motives influence individual behavior.
Sociologic theories are not involved in motivation.
There is no evidence to support the idea that older adult clients perceive pain any
differently than younger clients. The other statements are accurate regarding older
clients and pain.
The nurse is working at a first aid booth for a spring training game on a hot day. A
spectator comes in, reporting that he is not feeling well. Vital signs are temp 104.1
F, pulse 132 BPM, respires 26 breaths/min, and blood pressure 106/66 mm Hg. He
trips over his feet as the nurse leads him to a cot. What is the priory action of the
nurse?
a. admin Tylenol 650 mg orally
b. encourage rest, and reassess in 15 minutes
c. sponges the victim with cool water and remove his shirt
d. encourages drinking of cool water or sports drink - ANSWER:C
The spectator shows signs of heat stroke, which is a medical emergency. The
spectator should be transported to the ED ASAP. The nurse should take actions to
lower his body temp in the meantime by removing his shirt and sponging his body
with cool water. Lowering body temp by drinking cool fluids or taking