NURS 1871 EAQs Questions With Complete Solutions
A 72-year-old patient with bilateral hearing loss wears a hearing
aid in her left ear. Which approach best facilitates
communication with her?
A. Speak directly into the patient's left ear
B. Approach the patient from behind and speak frequently
C. Face the patient when speaking; speak slower and in a normal
volume
D. Face the patient when speaking; use a louder than normal
tone of voice Correct Answer C. Face the patient when
speaking; speak slower and in a normal voice
A 74-year-old patient who has returned to the nursing home
following surgical removal of bilateral cataracts reports feeling a
little uncertain about walking alone. Which approach do you use
to assist the patient with ambulation?
A. Walk one-half step behind and slightly to the patient's side
B. Have the patient grasp your arm just above the elbow and
walk at a comfortable pace, warning when you approach
obstacles
C. Allow the patient to stand alone in unfamiliar areas to build
confidence
D. If the patient requires assistance, place your hand around the
patient's waist Correct Answer B. Have the patient grasp your
arm just above the elbow and walk at a comfortable pace,
warning when you approach obstacles
A goal describes a desired change in a patient's condition or
behavior. For which patient is a short-term goal appropriate?
A. A patient who has undergone cancer therapy
,B. A patient who requires rehabilitation post amputation
C. A patient who is diagnosed with diabetic neuropathy
D. A patient who has acute pain related to incisional trauma
Correct Answer D. A patient who has acute pain related to
incisional trauma
A group of nurses is organizing an educational session to teach
the population of a particular community about the roots of
cardiovascular disease and its impact on the human body. Which
type of nursing diagnosis is being followed in this scenario?
A. Medical diagnosis
B. Risk nursing diagnosis
C. Problem-focused nursing diagnosis
D. Health promotion nursing diagnosis Correct Answer D.
Health promotion nursing diagnosis
A group of nursing students is being taught independent nursing
interventions. Which interventions should be included in the
teaching? Select all that apply.
A. Health promotion
B. Starting an intravenous infusion
C. Administration of analgesics
D. Assisting with daily activities
E. Repositioning a patient for pain relief Correct Answer A,
D, E
A patient admitted to the hospital with chest pain has been
treated and is ready for discharge. The patient's baseline blood
pressure is 170/100 mm Hg and serum cholesterol is 240 mg/dL.
Which considerations should be included in the patient's diet
plan? Select all that apply.
, A. Restrict intake of salt
B. Restrict intake of white beans
C. Include saturated fats
D. Include spinach
E. Increase intake of omega-3 fatty acids Correct Answer A,
D, E
A patient complains of pain when swallowing solid food. The
nurse asks the patient if he or she has a history of substance
abuse that has caused this pain. What kind of diagnostic error
does the nurse make in this scenario?
A. Errors in data collection
B. Errors in data clustering
C. Errors in the diagnostic statement
D. Errors in interpretation and analysis of data Correct Answer
A. Errors in data collection
A patient has been newly diagnosed with chronic obstructive
pulmonary disease (COPD). Which statement made by the
patient to the nurse indicates a need for further teaching?
A. "I'll space out my activities."
B. "I'll rest for 30 minutes before eating meals."
C. "I'll use two or three pillows to prop up if I have trouble
breathing in bed."
D. "If I get short of breath, I'll turn up my oxygen level to 6
L/min." Correct Answer D. "If I get short of breath, I'll turn
up my oxygen level to 6 L/min."
A patient has reduced taste sensation and is finding food less
appealing. What does the nurse instruct the patient?
A. Avoid smelling baked bread
A 72-year-old patient with bilateral hearing loss wears a hearing
aid in her left ear. Which approach best facilitates
communication with her?
A. Speak directly into the patient's left ear
B. Approach the patient from behind and speak frequently
C. Face the patient when speaking; speak slower and in a normal
volume
D. Face the patient when speaking; use a louder than normal
tone of voice Correct Answer C. Face the patient when
speaking; speak slower and in a normal voice
A 74-year-old patient who has returned to the nursing home
following surgical removal of bilateral cataracts reports feeling a
little uncertain about walking alone. Which approach do you use
to assist the patient with ambulation?
A. Walk one-half step behind and slightly to the patient's side
B. Have the patient grasp your arm just above the elbow and
walk at a comfortable pace, warning when you approach
obstacles
C. Allow the patient to stand alone in unfamiliar areas to build
confidence
D. If the patient requires assistance, place your hand around the
patient's waist Correct Answer B. Have the patient grasp your
arm just above the elbow and walk at a comfortable pace,
warning when you approach obstacles
A goal describes a desired change in a patient's condition or
behavior. For which patient is a short-term goal appropriate?
A. A patient who has undergone cancer therapy
,B. A patient who requires rehabilitation post amputation
C. A patient who is diagnosed with diabetic neuropathy
D. A patient who has acute pain related to incisional trauma
Correct Answer D. A patient who has acute pain related to
incisional trauma
A group of nurses is organizing an educational session to teach
the population of a particular community about the roots of
cardiovascular disease and its impact on the human body. Which
type of nursing diagnosis is being followed in this scenario?
A. Medical diagnosis
B. Risk nursing diagnosis
C. Problem-focused nursing diagnosis
D. Health promotion nursing diagnosis Correct Answer D.
Health promotion nursing diagnosis
A group of nursing students is being taught independent nursing
interventions. Which interventions should be included in the
teaching? Select all that apply.
A. Health promotion
B. Starting an intravenous infusion
C. Administration of analgesics
D. Assisting with daily activities
E. Repositioning a patient for pain relief Correct Answer A,
D, E
A patient admitted to the hospital with chest pain has been
treated and is ready for discharge. The patient's baseline blood
pressure is 170/100 mm Hg and serum cholesterol is 240 mg/dL.
Which considerations should be included in the patient's diet
plan? Select all that apply.
, A. Restrict intake of salt
B. Restrict intake of white beans
C. Include saturated fats
D. Include spinach
E. Increase intake of omega-3 fatty acids Correct Answer A,
D, E
A patient complains of pain when swallowing solid food. The
nurse asks the patient if he or she has a history of substance
abuse that has caused this pain. What kind of diagnostic error
does the nurse make in this scenario?
A. Errors in data collection
B. Errors in data clustering
C. Errors in the diagnostic statement
D. Errors in interpretation and analysis of data Correct Answer
A. Errors in data collection
A patient has been newly diagnosed with chronic obstructive
pulmonary disease (COPD). Which statement made by the
patient to the nurse indicates a need for further teaching?
A. "I'll space out my activities."
B. "I'll rest for 30 minutes before eating meals."
C. "I'll use two or three pillows to prop up if I have trouble
breathing in bed."
D. "If I get short of breath, I'll turn up my oxygen level to 6
L/min." Correct Answer D. "If I get short of breath, I'll turn
up my oxygen level to 6 L/min."
A patient has reduced taste sensation and is finding food less
appealing. What does the nurse instruct the patient?
A. Avoid smelling baked bread
