Nursing Concepts Advanced Test Questions and
Answers Graded A
A nurse is caring for a client who was admitted
for acute alcohol delirium withdrawal 2 days ago.
Which of the following findings is associated with
this diagnosis? - ANSWER -Elevated A nurse is caring for a client who had a
temperature cerebrovascular accident 2 days ago. Which of
the following is the first sign of increased
The content of this question emphasizes the intracranial pressure (ICP)? - ANSWER -
concept of client-centered care through Lethargy
identifying findings associated with a client's
diagnosis. Client-centered care focuses on the The content of this question emphasizes the
client and emphasizes the client's cultural, concept of safety through the identification of an
ethnic, and social values. The identification of initial manifestation of increased ICP. Safety in
expected and unexpected findings associated nursing practice is the minimization of risk factors
with a client's diagnosis assists the nurse to that can cause injury or harm while promoting
distinguish possible unrelated complications the quality care and maintaining a secure
client might be experiencing, which indicates the environment for clients, self, and others. By
need for further investigation. The specific focus recognizing and anticipating potential
on the client enhances the provision of safe, complications, nurses are better able to predict a
quality nursing care. An elevated temperature is needed intervention, which assists in preventing
a finding associated with acute alcohol delirium. or minimizing physical or psychological harm to
the client. Lethargy occurs when pressure is
placed on the reticular activating system within
the brainstem. Along with other indicators of a
A nurse working in a hospice facility is talking to change in the level of consciousness, such as
a client's son who is distressed because his restlessness, irritability, and disorientation,
mother cries frequently and says she wants to lethargy is the first sign of increased ICP.
die. Which of the following responses by the
nurse is appropriate? - ANSWER -"Let's
discuss some strategies you can use when this
happens again." A nurse working in a provider's office is
reinforcing teaching with a client who is 14 weeks
The content of this question emphasizes the of gestation. The nurse should instruct the client
concept of client-centered care through the use to immediately notify the provider if she
of therapeutic communication. Client-centered experiences which of the following? -
care focuses on the client and emphasizes the ANSWER -Facial edema
client's cultural, ethnic, and social values. The
use of therapeutic communication assists the The content of this question emphasizes the
nurse to develop client relationships that foster concept of client education by determining
trust and respect. This response by the nurse manifestations the client should be taught to
offers to provide information, which can reduce immediately report to the provider. Client
anxiety and enhance decision-making. This education is the provision of health-related
response by the nurse creates a safe and secure education to clients to facilitate the acquisition of
environment, fosters trust and respect, and is new knowledge and skills, adoption of new
appropriate. behaviors, and modification of attitudes. It is
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, Nursing Concepts Advanced Test Questions and
Answers Graded A
important for the client to be taught symptoms The content of this question emphasizes the
that should be immediately reported to the concept of client education by determining the
provider to prevent or reduce potential harm to appropriate communication strategy to include in
herself or the fetus. Facial edema is an indication teaching to the caregiver of a client who has
of pregnancy-induced hypertension and should aphasia. Client education is the provision of
be reported immediately to the provider. health-related education to clients to facilitate the
acquisition of new knowledge and skills, adoption
of new behaviors, and modification of attitudes.
Appropriate communication techniques will
A nurse is caring for a client who is receiving enhance the caregiver's ability to care for the
parenteral nutrition through a nontunneled client, as well as the client's self-expression,
central venous catheter and reports hearing a thereby ensuring the client's needs are met.
gurgling sound on the side of the catheter. The Clients who have aphasia have difficulty
nurse suspects the catheter has migrated to the expressing themselves and understanding what
jugular vein. Which of the following actions is being said. Using picture cards that portray
should the nurse take first? - ANSWER - common needs provides cues for the client and
stop the infusion enhances communication. The nurse should
include this communication strategy in the
The content of this question emphasizes the teaching.
concept of priority setting by determining the first
action the nurse should take when suspecting a
central venous catheter has migrated to the
jugular vein. Priority setting is the use of nursing A nurse is caring for a client who has a urinary
judgment when making decisions about the rank tract infection and is prescribed ciprofloxacin
order in which to take nursing actions. Various (Cipro). The client exhibits urticaria and
priority setting frameworks, such as Maslow's angioedema following administration of the
Hierarchy of Needs, nursing process, ABC, and medication. Which of the following is the first
safety and risk reduction, can be useful in action the nurse should take? - ANSWER -
determining the priority of needed actions. Determine respiratory status
Stopping the infusion is the first action the nurse
should take when suspecting a central venous The content of this question emphasizes the
catheter has migrated to the jugular vein. This concept of priority setting by determining priority
prevents further damage to vessel and minimizes nursing action for a client experiencing an allergic
any additional harm to the client. reaction. Priority setting is the use of nursing
judgment when making decisions about the rank
order in which to take nursing actions. Various
priority setting frameworks, such as Maslow's
A nurse is reinforcing teaching with the caregiver Hierarchy of Needs, nursing process, ABC, and
of a client who has aphasia. The nurse should safety and risk reduction, can be useful in
include which of the following communication determining the priority of needed actions. This
strategies in the teaching? - ANSWER -cue item can be answered using both nursing
client by providing cards that portray common process and the ABC priority setting framework.
needs The client is experiencing angioedema, indicating
the possibility of an anaphylactic reaction, which
is life-threatening; therefore, the nurse should
2/7
Answers Graded A
A nurse is caring for a client who was admitted
for acute alcohol delirium withdrawal 2 days ago.
Which of the following findings is associated with
this diagnosis? - ANSWER -Elevated A nurse is caring for a client who had a
temperature cerebrovascular accident 2 days ago. Which of
the following is the first sign of increased
The content of this question emphasizes the intracranial pressure (ICP)? - ANSWER -
concept of client-centered care through Lethargy
identifying findings associated with a client's
diagnosis. Client-centered care focuses on the The content of this question emphasizes the
client and emphasizes the client's cultural, concept of safety through the identification of an
ethnic, and social values. The identification of initial manifestation of increased ICP. Safety in
expected and unexpected findings associated nursing practice is the minimization of risk factors
with a client's diagnosis assists the nurse to that can cause injury or harm while promoting
distinguish possible unrelated complications the quality care and maintaining a secure
client might be experiencing, which indicates the environment for clients, self, and others. By
need for further investigation. The specific focus recognizing and anticipating potential
on the client enhances the provision of safe, complications, nurses are better able to predict a
quality nursing care. An elevated temperature is needed intervention, which assists in preventing
a finding associated with acute alcohol delirium. or minimizing physical or psychological harm to
the client. Lethargy occurs when pressure is
placed on the reticular activating system within
the brainstem. Along with other indicators of a
A nurse working in a hospice facility is talking to change in the level of consciousness, such as
a client's son who is distressed because his restlessness, irritability, and disorientation,
mother cries frequently and says she wants to lethargy is the first sign of increased ICP.
die. Which of the following responses by the
nurse is appropriate? - ANSWER -"Let's
discuss some strategies you can use when this
happens again." A nurse working in a provider's office is
reinforcing teaching with a client who is 14 weeks
The content of this question emphasizes the of gestation. The nurse should instruct the client
concept of client-centered care through the use to immediately notify the provider if she
of therapeutic communication. Client-centered experiences which of the following? -
care focuses on the client and emphasizes the ANSWER -Facial edema
client's cultural, ethnic, and social values. The
use of therapeutic communication assists the The content of this question emphasizes the
nurse to develop client relationships that foster concept of client education by determining
trust and respect. This response by the nurse manifestations the client should be taught to
offers to provide information, which can reduce immediately report to the provider. Client
anxiety and enhance decision-making. This education is the provision of health-related
response by the nurse creates a safe and secure education to clients to facilitate the acquisition of
environment, fosters trust and respect, and is new knowledge and skills, adoption of new
appropriate. behaviors, and modification of attitudes. It is
1/7
, Nursing Concepts Advanced Test Questions and
Answers Graded A
important for the client to be taught symptoms The content of this question emphasizes the
that should be immediately reported to the concept of client education by determining the
provider to prevent or reduce potential harm to appropriate communication strategy to include in
herself or the fetus. Facial edema is an indication teaching to the caregiver of a client who has
of pregnancy-induced hypertension and should aphasia. Client education is the provision of
be reported immediately to the provider. health-related education to clients to facilitate the
acquisition of new knowledge and skills, adoption
of new behaviors, and modification of attitudes.
Appropriate communication techniques will
A nurse is caring for a client who is receiving enhance the caregiver's ability to care for the
parenteral nutrition through a nontunneled client, as well as the client's self-expression,
central venous catheter and reports hearing a thereby ensuring the client's needs are met.
gurgling sound on the side of the catheter. The Clients who have aphasia have difficulty
nurse suspects the catheter has migrated to the expressing themselves and understanding what
jugular vein. Which of the following actions is being said. Using picture cards that portray
should the nurse take first? - ANSWER - common needs provides cues for the client and
stop the infusion enhances communication. The nurse should
include this communication strategy in the
The content of this question emphasizes the teaching.
concept of priority setting by determining the first
action the nurse should take when suspecting a
central venous catheter has migrated to the
jugular vein. Priority setting is the use of nursing A nurse is caring for a client who has a urinary
judgment when making decisions about the rank tract infection and is prescribed ciprofloxacin
order in which to take nursing actions. Various (Cipro). The client exhibits urticaria and
priority setting frameworks, such as Maslow's angioedema following administration of the
Hierarchy of Needs, nursing process, ABC, and medication. Which of the following is the first
safety and risk reduction, can be useful in action the nurse should take? - ANSWER -
determining the priority of needed actions. Determine respiratory status
Stopping the infusion is the first action the nurse
should take when suspecting a central venous The content of this question emphasizes the
catheter has migrated to the jugular vein. This concept of priority setting by determining priority
prevents further damage to vessel and minimizes nursing action for a client experiencing an allergic
any additional harm to the client. reaction. Priority setting is the use of nursing
judgment when making decisions about the rank
order in which to take nursing actions. Various
priority setting frameworks, such as Maslow's
A nurse is reinforcing teaching with the caregiver Hierarchy of Needs, nursing process, ABC, and
of a client who has aphasia. The nurse should safety and risk reduction, can be useful in
include which of the following communication determining the priority of needed actions. This
strategies in the teaching? - ANSWER -cue item can be answered using both nursing
client by providing cards that portray common process and the ABC priority setting framework.
needs The client is experiencing angioedema, indicating
the possibility of an anaphylactic reaction, which
is life-threatening; therefore, the nurse should
2/7
