NSG 3160 UNIT 1 & 2
Which of the following is an example of an open-ended question that the nurse may use in
the interview process?
A. "Did you take your medication today?"
B. "Are you a student at the local college?"
C. "How have you been feeling lately?"
D. "Have you ever had to undergo surgery?" - CORRECT ANSWER -C. "How have you been
feeling lately?"
Which of the following are true related to nursing diagnoses? (Select all that apply)
A. Relates contributing factors or relationships to identified health problem
B. Actual or potential physiology complications related to disease or treatment
C.Include descriptors and risk factors
D. Describes a disease or pathology of body systems
E. There are not associated legal ramifications
F. Describes human response to a health problem - CORRECT ANSWER -A. Relates
contributing factors or relationships to identified health problem
C. Include descriptors and risk factors
F. Describes human response to a health problem.
A nurse is recieving change-of shift report for a group of assigned clients. The nurse
anticipates which of the following activities first in delivering client care using the nursing
process?
A. Collect and organize client data
B. Set client centererd measurable and realistic goals.
C. Determine effectiveness of interventions.
,D. Critically analyze client data to determine priorities - CORRECT ANSWER -A. Collect and
organize client data
The nurse reassess a client's temperature 45 minutes after adminstering acetaminophen.
This is an example of what type of assessment?
A. Routine
B. Intermittent
C. Terminal
D. Ongoing - CORRECT ANSWER -D. Ongoing
A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse
should ask about a client's potential allergies during which phase of the nursing process?
A. Implementation
B. Assessment
C. Planning
D. Evaluation - CORRECT ANSWER -B. Assessment
The nurse is measuring the drainage from a Jackson- Pruitt (JP) drain. Which of the following
is considered objective data?
A. The drainage measurement is 25 mL
B. The client stated that he has a pain level of 5.
C. The client is reporting abdominal pain.
D. The client stated, "I did not empty the drain." - CORRECT ANSWER -A. The drainage
measurement is 25 mL
A home health nurse is discussing the dangers of carbon monozide poisoning with a client.
Which of the following information should be included in the teaching?
A. the lungs are damaged from carbon monoxide inhalation
B. Carbon monoxide has a distinct odor, so report any unusual smells immediately.
C. Water heaters should be inspected every 5 years.
, D. Carbon monoxide binds with the hemoglobin in the body - CORRECT ANSWER -D.
Carbon monoxide binds with the hemoglobin in the body
The nurse is teaching a newly hired group of UAP about infection-control measures on the
unit. It is crucial for the nurse to remind the UAPs that which of the following is the most
effective way to prevent the spread of pathogens during client care?
A. Discarding used syringes in appropriate containers
B. Peforming hand hygiene frequently and consistently
C. Properly disposing of contaminated equipment
D. Chaning soiled linens daily for clients who have draining wounds. - CORRECT ANSWER -
B. Peforming hand hygiene frequently and consistently
A nurse is providing nail care for a non-diabetic client. Which of the following actions should
the nurse take?
A. Clean under the nail with an orange stick
B. Push the cuticles back with a metal nail file.
C. Trim the nails at the lateral corners.
D. File the nails in a rounded shape. - CORRECT ANSWER -A. Clean under the nail with an
orange stick
The nurse is providing oral care for a client who is immobile. Which of the following actions
should the nurse take?
A. Apply petroleum jelly to the client's lips after oral care.
B. Use a stiff toothbrush to clean the client's teeth
C. Turn the client on his side before starting oral care.
D. Use the thumb and index finger to keep the client's mouth open - CORRECT ANSWER -C.
Turn the client on his side before starting oral care.
The nurse is reviewing information about Evidence based practice. Which statement best
reflects EBP?
A. EBP does not consider the patient's own preferences as important.
Which of the following is an example of an open-ended question that the nurse may use in
the interview process?
A. "Did you take your medication today?"
B. "Are you a student at the local college?"
C. "How have you been feeling lately?"
D. "Have you ever had to undergo surgery?" - CORRECT ANSWER -C. "How have you been
feeling lately?"
Which of the following are true related to nursing diagnoses? (Select all that apply)
A. Relates contributing factors or relationships to identified health problem
B. Actual or potential physiology complications related to disease or treatment
C.Include descriptors and risk factors
D. Describes a disease or pathology of body systems
E. There are not associated legal ramifications
F. Describes human response to a health problem - CORRECT ANSWER -A. Relates
contributing factors or relationships to identified health problem
C. Include descriptors and risk factors
F. Describes human response to a health problem.
A nurse is recieving change-of shift report for a group of assigned clients. The nurse
anticipates which of the following activities first in delivering client care using the nursing
process?
A. Collect and organize client data
B. Set client centererd measurable and realistic goals.
C. Determine effectiveness of interventions.
,D. Critically analyze client data to determine priorities - CORRECT ANSWER -A. Collect and
organize client data
The nurse reassess a client's temperature 45 minutes after adminstering acetaminophen.
This is an example of what type of assessment?
A. Routine
B. Intermittent
C. Terminal
D. Ongoing - CORRECT ANSWER -D. Ongoing
A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse
should ask about a client's potential allergies during which phase of the nursing process?
A. Implementation
B. Assessment
C. Planning
D. Evaluation - CORRECT ANSWER -B. Assessment
The nurse is measuring the drainage from a Jackson- Pruitt (JP) drain. Which of the following
is considered objective data?
A. The drainage measurement is 25 mL
B. The client stated that he has a pain level of 5.
C. The client is reporting abdominal pain.
D. The client stated, "I did not empty the drain." - CORRECT ANSWER -A. The drainage
measurement is 25 mL
A home health nurse is discussing the dangers of carbon monozide poisoning with a client.
Which of the following information should be included in the teaching?
A. the lungs are damaged from carbon monoxide inhalation
B. Carbon monoxide has a distinct odor, so report any unusual smells immediately.
C. Water heaters should be inspected every 5 years.
, D. Carbon monoxide binds with the hemoglobin in the body - CORRECT ANSWER -D.
Carbon monoxide binds with the hemoglobin in the body
The nurse is teaching a newly hired group of UAP about infection-control measures on the
unit. It is crucial for the nurse to remind the UAPs that which of the following is the most
effective way to prevent the spread of pathogens during client care?
A. Discarding used syringes in appropriate containers
B. Peforming hand hygiene frequently and consistently
C. Properly disposing of contaminated equipment
D. Chaning soiled linens daily for clients who have draining wounds. - CORRECT ANSWER -
B. Peforming hand hygiene frequently and consistently
A nurse is providing nail care for a non-diabetic client. Which of the following actions should
the nurse take?
A. Clean under the nail with an orange stick
B. Push the cuticles back with a metal nail file.
C. Trim the nails at the lateral corners.
D. File the nails in a rounded shape. - CORRECT ANSWER -A. Clean under the nail with an
orange stick
The nurse is providing oral care for a client who is immobile. Which of the following actions
should the nurse take?
A. Apply petroleum jelly to the client's lips after oral care.
B. Use a stiff toothbrush to clean the client's teeth
C. Turn the client on his side before starting oral care.
D. Use the thumb and index finger to keep the client's mouth open - CORRECT ANSWER -C.
Turn the client on his side before starting oral care.
The nurse is reviewing information about Evidence based practice. Which statement best
reflects EBP?
A. EBP does not consider the patient's own preferences as important.
