NUR 152 Exam 2 Review
A client is in the late stages of a terminal diagnosis. The client
has often made mention of the fact that he has a long-estranged
daughter and that he was a "miserable father". The client has
recently asked for the social worker's assistance in locating his
daughter before his death. What Spiritual need likely underlies
the client's request? The need for:
A. Meaning
B. Purpose
C. Forgiveness
D. Love Correct Answers C. Forgiveness
A client of the catholic faith has been admitted to the hospital.
They tell the nurse that they are concerned because the next day
is Ash Wednesday and if they are in the hospital, they will not
be able to receive ashes. What would be the nurse's best action
in this case?
A. Tell the client you will contact their priest to see if he can
bring the ashes.
B. Tell the client you will contact their priest to see of he can
bring the ashes.
C. Tell the client that it is not a big deal, as they can get ashes
next year.
D. Tell the client that you understand how they must feel but
there is nothing you can do about it. Correct Answers B. Tell
the client you will contact their priest to see of he can bring the
ashes.
A client strongly refuses to be admitted to a long-term facility
despite having no family to assist them with their needs at home.
,The client states "If I go, I wont be able to to church every
Sunday!" The nurse understands that this statement is reflective
of which issue?
A. Previous experience with the long-term facility
B. Moral issues regarding the situation
C. Fear of inadequate care
D. Separation form spiritual ties Correct Answers D.
Separation from spiritual ties
A client with dark skin color who has jaundice has been
admitted to the health care facility. Which body area is the best
place to assess jaundice?
A. Sclera
B. Nailbeds
C. Lips
D. Palm Correct Answers A. Sclera
A home nurse is visiting a client who recently was hospitalized
for repair of a fractured hip. The client tells the nurse, "I have
had a lot of pain in my abdomen." What type of assessment
would the nurse conduct?
A. Comprehensive
B. Ongoing
C. Focused
D. Emergency Correct Answers C. Focused
A nurse caring for a client of the Jewish faith knows the
importance of asking about any food preferences when
discussing diet. This is important for which reason?
A. Religious practices and beliefs make caring for clients
interesting.
,B. Religious practices and beliefs can directly influence a
client's self-care practices.
C. Religious practices and beliefs are not that important in
relation to the client's illness.
D. Religious practices and beliefs are difficult to understand.
Correct Answers B. Religious practices and beliefs can directly
influence a client's self-care practices.
A nurse is performing an integumentary inspection on a client
gently pinches the skin under the clavicle. What is the nurse
assessing?
A. Texture
B. Moisture
C. Vascularity
D. Turgor Correct Answers D. Turgor
A nurse is preparing a client for a physical assessment. The
client appears anxious appears anxious about the assessment.
Which statement by the nurse would be most appropriate?
A. "This is nothing to worry about. I won't hurt you."
B. "Some of the examination may be painful, but I will be
gentle"
C. "Let me tell you what I will be doing. It should not be
painful:
D. "I have to do this, so just relax and it won't last long" Correct
Answers C. "Let me tell you what I will be doing. It should not
be painful"
A nurse who provides care on the palliative unit of a hospital is
aware of the importance of the spiritual assessment and the
integration of spirituality into client's care. What assessment
, question should the nurse us in an effort to determine client's
spiritual beliefs?
A. "Are there any spiritual or religious beliefs or practices that
are important to you?"
B. "Would you identify yourself as a religious person or a
spiritual person?"
C. "What religion are you affiliated?"
D. " What church do you normally attend? Correct Answers A.
"Are there any spiritual or religious beliefs or practices that are
important to you?"
A patient receives several tube feeding each day. After
documenting the patient's assessment findings, and tolerance of
the feeding, the nurse should also document the amount of
feeding provided in which section of the patient's medical
record?
A. Dietary notes
B. Intake and output
C. Vital signs
D. Nurse's notes Correct Answers B. Intake and Ouput
A rush of what hormone into the stomach causes nausea and
vomiting? Correct Answers Serotonin
An emerging ulcer on dark pigmented skin may show as what
color? Correct Answers Purple
Course crackes (ronchi) happen because Correct Answers
Mucous/ Sputum in lungs that needs to be coughed up.
A client is in the late stages of a terminal diagnosis. The client
has often made mention of the fact that he has a long-estranged
daughter and that he was a "miserable father". The client has
recently asked for the social worker's assistance in locating his
daughter before his death. What Spiritual need likely underlies
the client's request? The need for:
A. Meaning
B. Purpose
C. Forgiveness
D. Love Correct Answers C. Forgiveness
A client of the catholic faith has been admitted to the hospital.
They tell the nurse that they are concerned because the next day
is Ash Wednesday and if they are in the hospital, they will not
be able to receive ashes. What would be the nurse's best action
in this case?
A. Tell the client you will contact their priest to see if he can
bring the ashes.
B. Tell the client you will contact their priest to see of he can
bring the ashes.
C. Tell the client that it is not a big deal, as they can get ashes
next year.
D. Tell the client that you understand how they must feel but
there is nothing you can do about it. Correct Answers B. Tell
the client you will contact their priest to see of he can bring the
ashes.
A client strongly refuses to be admitted to a long-term facility
despite having no family to assist them with their needs at home.
,The client states "If I go, I wont be able to to church every
Sunday!" The nurse understands that this statement is reflective
of which issue?
A. Previous experience with the long-term facility
B. Moral issues regarding the situation
C. Fear of inadequate care
D. Separation form spiritual ties Correct Answers D.
Separation from spiritual ties
A client with dark skin color who has jaundice has been
admitted to the health care facility. Which body area is the best
place to assess jaundice?
A. Sclera
B. Nailbeds
C. Lips
D. Palm Correct Answers A. Sclera
A home nurse is visiting a client who recently was hospitalized
for repair of a fractured hip. The client tells the nurse, "I have
had a lot of pain in my abdomen." What type of assessment
would the nurse conduct?
A. Comprehensive
B. Ongoing
C. Focused
D. Emergency Correct Answers C. Focused
A nurse caring for a client of the Jewish faith knows the
importance of asking about any food preferences when
discussing diet. This is important for which reason?
A. Religious practices and beliefs make caring for clients
interesting.
,B. Religious practices and beliefs can directly influence a
client's self-care practices.
C. Religious practices and beliefs are not that important in
relation to the client's illness.
D. Religious practices and beliefs are difficult to understand.
Correct Answers B. Religious practices and beliefs can directly
influence a client's self-care practices.
A nurse is performing an integumentary inspection on a client
gently pinches the skin under the clavicle. What is the nurse
assessing?
A. Texture
B. Moisture
C. Vascularity
D. Turgor Correct Answers D. Turgor
A nurse is preparing a client for a physical assessment. The
client appears anxious appears anxious about the assessment.
Which statement by the nurse would be most appropriate?
A. "This is nothing to worry about. I won't hurt you."
B. "Some of the examination may be painful, but I will be
gentle"
C. "Let me tell you what I will be doing. It should not be
painful:
D. "I have to do this, so just relax and it won't last long" Correct
Answers C. "Let me tell you what I will be doing. It should not
be painful"
A nurse who provides care on the palliative unit of a hospital is
aware of the importance of the spiritual assessment and the
integration of spirituality into client's care. What assessment
, question should the nurse us in an effort to determine client's
spiritual beliefs?
A. "Are there any spiritual or religious beliefs or practices that
are important to you?"
B. "Would you identify yourself as a religious person or a
spiritual person?"
C. "What religion are you affiliated?"
D. " What church do you normally attend? Correct Answers A.
"Are there any spiritual or religious beliefs or practices that are
important to you?"
A patient receives several tube feeding each day. After
documenting the patient's assessment findings, and tolerance of
the feeding, the nurse should also document the amount of
feeding provided in which section of the patient's medical
record?
A. Dietary notes
B. Intake and output
C. Vital signs
D. Nurse's notes Correct Answers B. Intake and Ouput
A rush of what hormone into the stomach causes nausea and
vomiting? Correct Answers Serotonin
An emerging ulcer on dark pigmented skin may show as what
color? Correct Answers Purple
Course crackes (ronchi) happen because Correct Answers
Mucous/ Sputum in lungs that needs to be coughed up.
