NUR 316 Harrington Final Exam
Questions With Correct Answers
The |nurse |is |caring |for |a |diabetic |patient |in |renal |failure |who |is |in |metabolic |acidosis. |Which |laboratory
|findings |are |consistent |with |metabolic |acidosis?
pH |7.3, |PaCO2 |36 |mm |Hg, |HCO3- |19 |mEq/L
pH |7.5, |PaCO2 |35 |mm |Hg, |HCO3- |35 |mEq/L
pH |7.32, |PaCO2 |47 |mm |Hg, |HCO3- |23 |mEq/L
pH |7.35, |PaCO2 |40 |mm |Hg, |HCO3- |25 |mEq/L |CORRECT |ANSWER: |pH |7.3, |PaCO2 |36 |mm |Hg,
|HCO3- |19 |mEq/L
The |kidneys |act |as |an |acid-base |buffer |by:
using |the |phosphate |system |to |neutralize |acids
|controlling |carbon |dioxide |and |carbonic |acid
|excreting |acids |or |retaining |hydrogen |ions
increasing |respiratory |rate |and |depth |when |CO2 |levels |in |the |blood |are |high |CORRECT |ANSWER:
excreting |acids |or |retaining |hydrogen |ions
A |nurse |is |preparing |to |teach |patients. |Which |patient |finding |will |cause |the |nurse |to |postpone |a |teaching
|session? |(Select |all |that |apply.)
The |patient's |pain |is |not |controlled. |The
|patient |is |reporting |being |fatigued.
The |patient |is |mildly |anxious |about |their |condition.
The |patient |is |asking |numerous |questions |about |their |health |status.
|The |patient |is |currently |febrile |with |an |oral |temperature |of |101.2° |F.
The |patient |is |in |the |acceptance |phase |of |dealing |with |their |medical |diagnosis. |CORRECT |ANSWER:
The |patient's |pain |is |not |controlled. |The
|patient |is |reporting |being |fatigued.
The |patient |is |currently |febrile |with |an |oral |temperature |of |101.2° |F.
A |nurse |is |preparing |to |teach |the |patient |about |cane |use |after |a |stroke. |Which |learning |objective/outcome |is
|most |appropriate |for |the |nurse |to |include |in |the |teaching |plan?
The |patient |will |walk |to |the |bathroom |and |back |to |bed |using |a |cane.
|The |patient |will |understand |the |importance |of |using |a |cane.
The |patient |will |know |the |correct |use |of |a |cane.
The |patient |will |learn |how |to |use |a |cane. |CORRECT |ANSWER: |The |patient |will |walk |to |the |bathroom |and
|back |to |bed |using |a |cane.
A |nurse |is |teaching |a |culturally |diverse |patient |with |a |learning |disability |about |nutritional |needs. |What |must
|the |nurse |do |first |before |starting |the |teaching |session?
Obtain |pictures |of |food.
Get |an |interpreter.
Establish |a |rapport.
Refer |to |a |dietitian. |CORRECT |ANSWER: |Establish |a |rapport.
, A |nurse |is |teaching |a |group |of |healthy |adults |about |the |benefits |of |flu |immunizations. |Which |type |of
|patient |education |is |the |nurse |providing?
Health |analogies
|Restoration |of |health
Coping |with |impaired |functions
Promotion |of |health |and |illness |prevention |CORRECT |ANSWER: |Promotion |of |health |and |illness
|prevention
A |nurse |is |teaching |a |patient |about |healthy |eating |habits. |Which |learning |objective/outcome |for |the |affective
|domain |will |the |nurse |add |to |the |teaching |plan?
The |patient |will |state |three |facts |about |healthy |eating. |The
|patient |will |identify |two |foods |for |a |healthy |snack. |The
|patient |will |verbalize |the |value |of |eating |healthy.
The |patient |will |cook |a |meal |with |low-fat |oil. |CORRECT |ANSWER: |The |patient |will |verbalize |the |value
|of |eating |healthy.
A |nurse |is |reviewing |care |plans. |Which |finding, |if |identified |in |a |plan |of |care, |should |the |registered |nurse
|revise?
Patient's |outcomes |for |learning
Nurse's |assumptions |about |hospital |discharge
|Identification |of |several |actual |health |problems
Documentation |of |patient's |ability |to |meet |the |goal |CORRECT |ANSWER: |Nurse's |assumptions |about
|hospital |discharge
A |nurse |is |using |a |critical |thinking |model |to |provide |care. |Which |component |is |first |implemented |when
|helping |a |nurse |make |clinical |decisions?
Attitude
|Experience
|Nursing |process
Specific |knowledge |base |CORRECT |ANSWER: |Specific |knowledge |base
A |nurse |is |using |the |critical |thinking |skill |of |evaluation. |Which |action |will |the |nurse |take?
Examine |the |meaning |of |data.
|Support |findings |and |conclusions.
Review |the |effectiveness |of |nursing |actions.
Search |for |links |between |the |data |and |the |nurse's |assumptions. |CORRECT |ANSWER: |Review |the
|effectiveness |of |nursing |actions.
A |nursing |instructor |needs |to |evaluate |students' |abilities |to |synthesize |data |and |identify |relationships
|between |nursing |diagnoses. |Which |learning |assignment |is |best |suited |for |this |instructor's |needs?
Concept |mapping
|Reflective |journaling
|Lecture |and |discussion
Questions With Correct Answers
The |nurse |is |caring |for |a |diabetic |patient |in |renal |failure |who |is |in |metabolic |acidosis. |Which |laboratory
|findings |are |consistent |with |metabolic |acidosis?
pH |7.3, |PaCO2 |36 |mm |Hg, |HCO3- |19 |mEq/L
pH |7.5, |PaCO2 |35 |mm |Hg, |HCO3- |35 |mEq/L
pH |7.32, |PaCO2 |47 |mm |Hg, |HCO3- |23 |mEq/L
pH |7.35, |PaCO2 |40 |mm |Hg, |HCO3- |25 |mEq/L |CORRECT |ANSWER: |pH |7.3, |PaCO2 |36 |mm |Hg,
|HCO3- |19 |mEq/L
The |kidneys |act |as |an |acid-base |buffer |by:
using |the |phosphate |system |to |neutralize |acids
|controlling |carbon |dioxide |and |carbonic |acid
|excreting |acids |or |retaining |hydrogen |ions
increasing |respiratory |rate |and |depth |when |CO2 |levels |in |the |blood |are |high |CORRECT |ANSWER:
excreting |acids |or |retaining |hydrogen |ions
A |nurse |is |preparing |to |teach |patients. |Which |patient |finding |will |cause |the |nurse |to |postpone |a |teaching
|session? |(Select |all |that |apply.)
The |patient's |pain |is |not |controlled. |The
|patient |is |reporting |being |fatigued.
The |patient |is |mildly |anxious |about |their |condition.
The |patient |is |asking |numerous |questions |about |their |health |status.
|The |patient |is |currently |febrile |with |an |oral |temperature |of |101.2° |F.
The |patient |is |in |the |acceptance |phase |of |dealing |with |their |medical |diagnosis. |CORRECT |ANSWER:
The |patient's |pain |is |not |controlled. |The
|patient |is |reporting |being |fatigued.
The |patient |is |currently |febrile |with |an |oral |temperature |of |101.2° |F.
A |nurse |is |preparing |to |teach |the |patient |about |cane |use |after |a |stroke. |Which |learning |objective/outcome |is
|most |appropriate |for |the |nurse |to |include |in |the |teaching |plan?
The |patient |will |walk |to |the |bathroom |and |back |to |bed |using |a |cane.
|The |patient |will |understand |the |importance |of |using |a |cane.
The |patient |will |know |the |correct |use |of |a |cane.
The |patient |will |learn |how |to |use |a |cane. |CORRECT |ANSWER: |The |patient |will |walk |to |the |bathroom |and
|back |to |bed |using |a |cane.
A |nurse |is |teaching |a |culturally |diverse |patient |with |a |learning |disability |about |nutritional |needs. |What |must
|the |nurse |do |first |before |starting |the |teaching |session?
Obtain |pictures |of |food.
Get |an |interpreter.
Establish |a |rapport.
Refer |to |a |dietitian. |CORRECT |ANSWER: |Establish |a |rapport.
, A |nurse |is |teaching |a |group |of |healthy |adults |about |the |benefits |of |flu |immunizations. |Which |type |of
|patient |education |is |the |nurse |providing?
Health |analogies
|Restoration |of |health
Coping |with |impaired |functions
Promotion |of |health |and |illness |prevention |CORRECT |ANSWER: |Promotion |of |health |and |illness
|prevention
A |nurse |is |teaching |a |patient |about |healthy |eating |habits. |Which |learning |objective/outcome |for |the |affective
|domain |will |the |nurse |add |to |the |teaching |plan?
The |patient |will |state |three |facts |about |healthy |eating. |The
|patient |will |identify |two |foods |for |a |healthy |snack. |The
|patient |will |verbalize |the |value |of |eating |healthy.
The |patient |will |cook |a |meal |with |low-fat |oil. |CORRECT |ANSWER: |The |patient |will |verbalize |the |value
|of |eating |healthy.
A |nurse |is |reviewing |care |plans. |Which |finding, |if |identified |in |a |plan |of |care, |should |the |registered |nurse
|revise?
Patient's |outcomes |for |learning
Nurse's |assumptions |about |hospital |discharge
|Identification |of |several |actual |health |problems
Documentation |of |patient's |ability |to |meet |the |goal |CORRECT |ANSWER: |Nurse's |assumptions |about
|hospital |discharge
A |nurse |is |using |a |critical |thinking |model |to |provide |care. |Which |component |is |first |implemented |when
|helping |a |nurse |make |clinical |decisions?
Attitude
|Experience
|Nursing |process
Specific |knowledge |base |CORRECT |ANSWER: |Specific |knowledge |base
A |nurse |is |using |the |critical |thinking |skill |of |evaluation. |Which |action |will |the |nurse |take?
Examine |the |meaning |of |data.
|Support |findings |and |conclusions.
Review |the |effectiveness |of |nursing |actions.
Search |for |links |between |the |data |and |the |nurse's |assumptions. |CORRECT |ANSWER: |Review |the
|effectiveness |of |nursing |actions.
A |nursing |instructor |needs |to |evaluate |students' |abilities |to |synthesize |data |and |identify |relationships
|between |nursing |diagnoses. |Which |learning |assignment |is |best |suited |for |this |instructor's |needs?
Concept |mapping
|Reflective |journaling
|Lecture |and |discussion