Correct & Verified Answers
A nurse is preparing a change-of-shift report for a patient who had chest pain. Which information is
critical for the nurse to include? Correct answer-Sharp pain of 8 on a scale of 1 to 10
A nurse is sitting at the patient's bedside taking a nursing history. Which zone of personal space is the
nurse using? Correct answer-Personal
While teaching the client about management of his heart disease, a nurse might use a strategy that is
implemented to promote learning in the affective domain such as: Correct answer-Encouraging the
client to personally discuss his feelings about his health status
An incident report is to be completed because the client climbed over the side rails and fell to the
floor. The correct reporting of an incident involves which of the following? Correct answer-The
witnessing nurse completes the report
The staff is having a hard time getting an older adult patient to communicate. Which technique
should the nurse suggest the staff use? Correct answer-Allow the patient to reminisce
When meeting for the first time, the home health nurse smiles warmly and shakes the client's hand.
The nurse-client relationship is in the: Correct answer-Orientation phase
When a client newly diagnosed with type 2 diabetes mellitus selects a lunch menu that correlates
with the number of carbohydrates he is allowed for that meal, this is an example of: Correct
answer-Cognitive learning
A patient has trouble speaking words, and the patient's speech is garbled. Which nursing diagnosis is
most appropriate for this patient? Correct answer-Impaired verbal communication
A new nurse asks the preceptor why a change-of-shift report is important since care is documented
in the chart. What is the preceptor's best response? Correct answer-provides an opportunity to
share essential information to ensure patient safety and continuity of care
Nursing documentation should fulfill which of the following criteria? Correct answer-must be
accurate, comprehensive, flexible, maintain continuity of care, track client outcomes, and reflect
current standards
The nurse wants to influence a patient's beliefs so that new behaviors can be incorporated into the
patient's lifestyle. Within which learning Domain does the nurse need to direct teaching? Correct
answer-Affective
Which of the following nursing statements reflects the best understanding of the role of
documentation and the Medicare reimbursement policy? Correct answer-The hospital is
reimbursed for the nursing care documented in the client chart
A major issue of computerized charting is Correct answer-confidentiality
, The nurse is aware of the client's zones of personal space when planning interactions. The zone of
personal space and touch that extends the greatest amount from an individual is the: Correct
answer-Social Zone
The nurse will often display empathy in communication with clients. Of the following responses by
the nurse, which one best conveys empathy? Correct answer-I can understand your concern about
learning to inject yourself
When working with a client with aphasia, the nurse may attempt to enhance communication by:
Correct answer-Using visual cues
Nursing documentation should fulfill which of the following criteria? (Select all that apply.)
1-Record nursing opinion
2-Inclusive
3-Accurate
4-Well organized
5-Show continuity of care
6-Identify client outcomes Correct answer-2, 3, 4, 5, 6
Which interviewing technique is used primarily in a focused interview? Correct answer-Direct
Questions
There are many factors are assessed before teaching the client to learn insulin injection sites, but the
most important factor for the nurse to assess first is the: Correct answer-The willingness of the
client to want to learn the injection sites
Which of the following is a good dietary choice for calcium? Correct answer-Spinach
What factors predispose patients to pressure ulcer development? Correct answer-Alteration in
level of consciousness
What electrolyte imbalance is the nurse most concerned about when giving a diuretic? Correct
answer-Potassium imbalance
The palliative team's PRIMARY obligation to a patient in severe pain includes which of the following?
Correct answer-Enhancing the patient's quality of life
What is delirium? Correct answer-acute mental disorder with symptoms of confusion,
disorientation, and restlessness
A new nurse notes that the health care unit keeps a listing of patient names in a closed book behind
the front desk of the nursing station so patients can be located easily. What action is most
appropriate for the nurse to take? Correct answer-Use the book as needed while keeping it away
from individuals not involved in patient care.
The nurse has become aware of missing narcotics in the patient care area. Which ethical principle
obligates the nurse to report the missing medications? Correct answer-Responsibility
Greater trochanter, thumb pointing to groin, and anterior superior iliac spine are parts of the
landmarks for which type site? Correct answer-ventrogluteal