NUR 151 Exam 3 Study Questions EXAM
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Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia.
Which finding during this procedure signals a significant problem?
A. Hematocrit (HCT) of 35%.
B. White blood cell count (WBC) of 20,000/mm3 (0.02 L)
C. Blood glucose level of 200 mg/dl (11.1 mmol/L)
D. Potassium level of 3.5 mEq/L (3.5 mmol/L) - B. White blood cell count (WBC) of
20,000/mm3 (0.02 L)
A nurse is teaching a client with a leg ulcer about tissue repair and wound healing. Which
statement by the client indicates understanding?
A. "Increase in redness of the ulcer means better blood flow."
B. "Increase in redness of the ulcer means better blood flow."
C. "I'll eat plenty of fruits and vegetables."
D. "I'll make sure that I keep the site covered at all times." - C. "I'll eat plenty of fruits and
vegetables."
A client is admitted with severe abdominal pains and the diagnosis of acute pancreatitis. The
nurse should develop a plan of care during the acute phase of pancreatitis that will involve
interventions to manage which of the following problems?
A.Risk for injury.
,B. Ineffective airway clearance.
C. Severe pain.
D. Drug and alcohol abuse. - C. Severe pain.
A client with pancreatitis has been receiving total parenteral nutrition (TPN) for the past week.
Which nursing intervention helps determine if TPN is providing adequate nutrition?
A. Recording fluid intake and output
B. Ensuring that the TPN tubing has an in-line filter
C. Ensuring that the TPN tubing has an in-line filter
D. Monitoring the client's weight every day - D. Monitoring the client's weight every day
A manager who is reviewing the nurses' notes in a patient's medical record finds the following
entry, "Patient is difficult to care for, refuses suggestion for improving appetite." Which of the
following directions does the manager give to the staff nurse who entered the note?
A. Avoid rushing when charting an entry.
B. Use correction fluid to remove the entry
C. Draw a single line through the statement and initial it.
D. Enter only objective and factual information about the patient. - D. Enter only objective
and factual information about the patient.
Reasoning: Nurses should enter only objective and factual information about patients. Opinions
have no place in the medical record. Because the information has already been entered and is
not incorrect, it should be left on the record. Never use correction fluid in a written medical
record.
A new graduate nurse is providing a telephone report to a patient's health care provider and
accepting telephone orders from the provider. Which of the following actions requires the new
nurse's preceptor to intervene? The new nurse:
, A. Uses SBAR (Situation-Background-Assessment-Recommendation) as a format when providing
the report.
B. Gives a newly ordered medication before entering the order in the patient's medical record.
C. Reads the orders back to the health care provider after receiving them and verifies their
accuracy.
D. Asks the preceptor to listen in on the phone conversation. - B. Gives a newly ordered
medication before entering the order in the patient's medical record.
Reasoning: Nurses enter orders into the computer or write them on the order sheet as they are
being given to allow the read-back process to occur.
As you enter the patient's room, you notice that he is anxious to say something. He quickly
states, "I don't know what's going on; I can't get an explanation from my doctor about my test
results. I want something done about this." Which of the following is the most appropriate
documentation of the patient's emotional status?
A. The patient has a defiant attitude and is demanding his test results.
B. The patient appears to be upset with his nurse because he wants his test results immediately.
C. The patient is demanding and complains frequently about his doctor.
D.The patient stated that he felt frustrated by the lack of information he received regarding his
tests. - D.The patient stated that he felt frustrated by the lack of information he received
regarding his tests.
Reasoning: This is a nonjudgmental statement regarding the nurse's observations about the
patient. Documenting that the patient had a defiant attitude or was demanding and frequently
complaining is judgmental, and information in the medical record should be factual and
nonjudgmental. Documenting that the patient appears upset needs to be more specific
regarding the reason for the patient's concern.
You are reviewing Health Insurance Portability and Accountability Act (HIPAA) regulations with
your patient during the admission process. The patient states, "I've heard a lot about these
fully solved & updated (latest version
verified for accuracy) (Questions +
Answers) Solved 100% Correct!!
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia.
Which finding during this procedure signals a significant problem?
A. Hematocrit (HCT) of 35%.
B. White blood cell count (WBC) of 20,000/mm3 (0.02 L)
C. Blood glucose level of 200 mg/dl (11.1 mmol/L)
D. Potassium level of 3.5 mEq/L (3.5 mmol/L) - B. White blood cell count (WBC) of
20,000/mm3 (0.02 L)
A nurse is teaching a client with a leg ulcer about tissue repair and wound healing. Which
statement by the client indicates understanding?
A. "Increase in redness of the ulcer means better blood flow."
B. "Increase in redness of the ulcer means better blood flow."
C. "I'll eat plenty of fruits and vegetables."
D. "I'll make sure that I keep the site covered at all times." - C. "I'll eat plenty of fruits and
vegetables."
A client is admitted with severe abdominal pains and the diagnosis of acute pancreatitis. The
nurse should develop a plan of care during the acute phase of pancreatitis that will involve
interventions to manage which of the following problems?
A.Risk for injury.
,B. Ineffective airway clearance.
C. Severe pain.
D. Drug and alcohol abuse. - C. Severe pain.
A client with pancreatitis has been receiving total parenteral nutrition (TPN) for the past week.
Which nursing intervention helps determine if TPN is providing adequate nutrition?
A. Recording fluid intake and output
B. Ensuring that the TPN tubing has an in-line filter
C. Ensuring that the TPN tubing has an in-line filter
D. Monitoring the client's weight every day - D. Monitoring the client's weight every day
A manager who is reviewing the nurses' notes in a patient's medical record finds the following
entry, "Patient is difficult to care for, refuses suggestion for improving appetite." Which of the
following directions does the manager give to the staff nurse who entered the note?
A. Avoid rushing when charting an entry.
B. Use correction fluid to remove the entry
C. Draw a single line through the statement and initial it.
D. Enter only objective and factual information about the patient. - D. Enter only objective
and factual information about the patient.
Reasoning: Nurses should enter only objective and factual information about patients. Opinions
have no place in the medical record. Because the information has already been entered and is
not incorrect, it should be left on the record. Never use correction fluid in a written medical
record.
A new graduate nurse is providing a telephone report to a patient's health care provider and
accepting telephone orders from the provider. Which of the following actions requires the new
nurse's preceptor to intervene? The new nurse:
, A. Uses SBAR (Situation-Background-Assessment-Recommendation) as a format when providing
the report.
B. Gives a newly ordered medication before entering the order in the patient's medical record.
C. Reads the orders back to the health care provider after receiving them and verifies their
accuracy.
D. Asks the preceptor to listen in on the phone conversation. - B. Gives a newly ordered
medication before entering the order in the patient's medical record.
Reasoning: Nurses enter orders into the computer or write them on the order sheet as they are
being given to allow the read-back process to occur.
As you enter the patient's room, you notice that he is anxious to say something. He quickly
states, "I don't know what's going on; I can't get an explanation from my doctor about my test
results. I want something done about this." Which of the following is the most appropriate
documentation of the patient's emotional status?
A. The patient has a defiant attitude and is demanding his test results.
B. The patient appears to be upset with his nurse because he wants his test results immediately.
C. The patient is demanding and complains frequently about his doctor.
D.The patient stated that he felt frustrated by the lack of information he received regarding his
tests. - D.The patient stated that he felt frustrated by the lack of information he received
regarding his tests.
Reasoning: This is a nonjudgmental statement regarding the nurse's observations about the
patient. Documenting that the patient had a defiant attitude or was demanding and frequently
complaining is judgmental, and information in the medical record should be factual and
nonjudgmental. Documenting that the patient appears upset needs to be more specific
regarding the reason for the patient's concern.
You are reviewing Health Insurance Portability and Accountability Act (HIPAA) regulations with
your patient during the admission process. The patient states, "I've heard a lot about these
