NU 211 Exam 3 Questions with Correct Answers Graded A+
The nurse notes that the client's grandmother is looked to for input whenever questions arise about the
client's care choices. Which cultural specific will guide the nurse's plan of care?
A. Communication
B. Social organization
C. Environmental control
D. Biological variations - Answers B
The charge nurse of a unit tries, as a rule, to admit Hispanic clients to a room at the end of the hall so
that "the noise from the family will not disturb others." This nurse is exhibiting:
A. Racism
B. Prejudice
C. Discrimination
D. Sexism - Answers C
Your client is a 17-year-old client who lost her right leg in a motor vehicle accident. After her parents
leave, she asks you, "Why did God let this happen to me? I have always followed his commandments."
Which action best depicts the "Caring" aspect of SENC? Explain your thinking.
A. "Let me call you parents back to support you."
B. "I think the chaplain can provide the support you need."
C. Cry with the client as you hug her.
D. Hold her hand, sit with her, and listen. - Answers D
Would this statement by the nurse be correct?
"We should pray to God that your cancer goes into remission."
Yes or No - Answers No
During the communication process, "decoding" is:
A. The selection of words by the sender
B. The interpretation of the message by the receiver
,C. The method by which the message is given
D. The way in which feedback is interpreted - Answers B
The nurse is teaching the client about their upcoming procedure and the client is very stressed. What is
most important for the nurse to do?
A. Use humor first to decrease the client's stress level.
B. Determine if the teaching should take place at a different time.
C. Introduce themself as the RN to give credibility to their message.
D. Speak to the client when family members are there so they can teach the client. - Answers B
Use of the statements "Tell me more about ..." or "I see" encourages clients to continue talking and
expressing themselves. This is called:
A. Summarizing
B. Open-ended questions
C. Focusing
D. Encouraging elaboration - Answers D
Nurses must possess the knowledge and skills needed for patient teaching so that
A. They can complete the documentation forms related to client teaching accurately.
B. They can help the hospital meet Joint Commission standards requiring client teaching.
C. They can promote the health, safety, and rights of clients through education.
D. They can meet the patient rights delineated in the "Patient Care Partnership." - Answers C
The client needs to be taught how to find and check their own radial pulse the nurse will complete this
teaching:
A. Only if the client asks the nurse to do so, to avoid causing stress.
B. When the client recognizes the need to learn the skill.
C. Before pain medication is administered, when the client is alert. - Answers B
The client is given a pamphlet to read about how to manage their newly inserted central venous access
device at home. It will be most important for the nurse to asess the client's:
, A. Health benefits
B. Literacy level
C. Fine motor abilities
D. Ability to see - Answers D
The nurse documents the following: "Client able to administer own insulin per subcutaneous injection
using correct technique." In Focus charting, this statement would be followed by which letter?
A. D
B. R
C. P
D. E - Answers B
Documentation task force recommended Focused charting with flowsheets for the electronic
documentation system for a high acuity postoperative surgical unit. Goal is to have a system that
promotes interprofessional collaboration. What is the primary reason to accept this recommendation?
A. Only abnormal findings will be documented for ease of use and review.
B. Client problems are readily identified and use the DAR format.
C. Client problems are numbered, easily followed, and use a PIE format. - Answers B
Documentation of nursing care for home health clients requires ongoing assessment of need for skilled
nursing care.
A. True
B. False - Answers A
Which diagnostic test/exam would best measure a client's level of hypoxemia?
A. Chest x-ray
B. Pulse oximeter reading
C. Arterial blood gas (ABG) sampling
D. Peak expiratory flow rate - Answers C
The term "Kussmaul" refers to a high-pitched, harsh, crowing inspiratory sound that occurs due to
partial obstruction of the larynx.
A. True
The nurse notes that the client's grandmother is looked to for input whenever questions arise about the
client's care choices. Which cultural specific will guide the nurse's plan of care?
A. Communication
B. Social organization
C. Environmental control
D. Biological variations - Answers B
The charge nurse of a unit tries, as a rule, to admit Hispanic clients to a room at the end of the hall so
that "the noise from the family will not disturb others." This nurse is exhibiting:
A. Racism
B. Prejudice
C. Discrimination
D. Sexism - Answers C
Your client is a 17-year-old client who lost her right leg in a motor vehicle accident. After her parents
leave, she asks you, "Why did God let this happen to me? I have always followed his commandments."
Which action best depicts the "Caring" aspect of SENC? Explain your thinking.
A. "Let me call you parents back to support you."
B. "I think the chaplain can provide the support you need."
C. Cry with the client as you hug her.
D. Hold her hand, sit with her, and listen. - Answers D
Would this statement by the nurse be correct?
"We should pray to God that your cancer goes into remission."
Yes or No - Answers No
During the communication process, "decoding" is:
A. The selection of words by the sender
B. The interpretation of the message by the receiver
,C. The method by which the message is given
D. The way in which feedback is interpreted - Answers B
The nurse is teaching the client about their upcoming procedure and the client is very stressed. What is
most important for the nurse to do?
A. Use humor first to decrease the client's stress level.
B. Determine if the teaching should take place at a different time.
C. Introduce themself as the RN to give credibility to their message.
D. Speak to the client when family members are there so they can teach the client. - Answers B
Use of the statements "Tell me more about ..." or "I see" encourages clients to continue talking and
expressing themselves. This is called:
A. Summarizing
B. Open-ended questions
C. Focusing
D. Encouraging elaboration - Answers D
Nurses must possess the knowledge and skills needed for patient teaching so that
A. They can complete the documentation forms related to client teaching accurately.
B. They can help the hospital meet Joint Commission standards requiring client teaching.
C. They can promote the health, safety, and rights of clients through education.
D. They can meet the patient rights delineated in the "Patient Care Partnership." - Answers C
The client needs to be taught how to find and check their own radial pulse the nurse will complete this
teaching:
A. Only if the client asks the nurse to do so, to avoid causing stress.
B. When the client recognizes the need to learn the skill.
C. Before pain medication is administered, when the client is alert. - Answers B
The client is given a pamphlet to read about how to manage their newly inserted central venous access
device at home. It will be most important for the nurse to asess the client's:
, A. Health benefits
B. Literacy level
C. Fine motor abilities
D. Ability to see - Answers D
The nurse documents the following: "Client able to administer own insulin per subcutaneous injection
using correct technique." In Focus charting, this statement would be followed by which letter?
A. D
B. R
C. P
D. E - Answers B
Documentation task force recommended Focused charting with flowsheets for the electronic
documentation system for a high acuity postoperative surgical unit. Goal is to have a system that
promotes interprofessional collaboration. What is the primary reason to accept this recommendation?
A. Only abnormal findings will be documented for ease of use and review.
B. Client problems are readily identified and use the DAR format.
C. Client problems are numbered, easily followed, and use a PIE format. - Answers B
Documentation of nursing care for home health clients requires ongoing assessment of need for skilled
nursing care.
A. True
B. False - Answers A
Which diagnostic test/exam would best measure a client's level of hypoxemia?
A. Chest x-ray
B. Pulse oximeter reading
C. Arterial blood gas (ABG) sampling
D. Peak expiratory flow rate - Answers C
The term "Kussmaul" refers to a high-pitched, harsh, crowing inspiratory sound that occurs due to
partial obstruction of the larynx.
A. True
