Nur 2101 Final Exam | Questions and Answers |
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Terms in this set (99)
A nurse in a clinic is interviewing a C. Assessment
client who will undergo diagnostic
testing. The nurse should ask about a
client's potential allergies during
which phase of the nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
,A nurse is caring for an older adult C. Leave a nightlight on in the patient's room
patient who states, "I am afraid that I
may fall while walking to the
bathroom during the night." Which of
the following actions should the
nurse take?
A. Limit the patient's fluid intake in
the evening
B. Obtain a bedside commode for
the patient's use
C. Leave a nightlight on in the
patient's room
D. Put the side rails up and tell the
patient to call the nurse before
voiding
A nurse is caring for a client who is at B. Teach the client to use the call light
risk for falls. Which of the following C. Keep the clients bed in the lowest position
actions should the nurse take? D. Place a fall risk identification band on the clients
(Select All That Apply.) wrist
A. Keep the clients room dark at
night
B. Teach the client to use the call
light
C. Keep the clients bed in the lowest
position
D. Place a fall risk identification band
on the client's wrist
E. Assess the client every 4 hours
,A nurse is completing a client's C. Nausea
history and physical examination.
Which of the following information
should the nurse consider subjective
data?
A. Blood pressure
B. Cyanosis
C. Nausea
D. Petechiae
A nurse is reviewing information A. Information about a patient can be disclosed to
about the health insurance a family member at any time
portability and accountability act
(HIPAA) with a newly licensed nurse.
Which of the following statements by
the newly licensed nurse indicates a
need for further teaching?
A. Information about a patient can
be disclosed to a family member at
any time
B. HIPAA established regulations of
individually identifiable health
information in verbal, electronic, or
written form
C. A patients address would be an
example of personally identifiable
information
D. HIPAA is a federal law not a state
law
, A nurse is giving a presentation D. Reporting laboratory findings to a member of
about patient confidentiality to a the patient's family
group of newly licensed nurses.
Which of the following actions is an
example of a violation of
confidentiality?
A. Discussing a patients surgical
procedure with the nurse manager
B. Notifying the provider of physical
examination findings
C. Identifying the patient by name
when making a referral for home
health services
D. Reporting laboratory findings to a
member of the patient's family
A nurse is receiving change of shift B. Collect and organize patient data
report for a group of assigned
patients. The nurse anticipates which
of the following activities first in
delivering patient care using the
nursing process?
A. Critically analyze patient data to
determine priorities
B. Collect and organize patient data
C. Set patient centered measurable
and realistic goals
D. Determine effectiveness of
interventions
Verified Solutions | 2026 Edition | Pass
Guaranteed
Save
Terms in this set (99)
A nurse in a clinic is interviewing a C. Assessment
client who will undergo diagnostic
testing. The nurse should ask about a
client's potential allergies during
which phase of the nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
,A nurse is caring for an older adult C. Leave a nightlight on in the patient's room
patient who states, "I am afraid that I
may fall while walking to the
bathroom during the night." Which of
the following actions should the
nurse take?
A. Limit the patient's fluid intake in
the evening
B. Obtain a bedside commode for
the patient's use
C. Leave a nightlight on in the
patient's room
D. Put the side rails up and tell the
patient to call the nurse before
voiding
A nurse is caring for a client who is at B. Teach the client to use the call light
risk for falls. Which of the following C. Keep the clients bed in the lowest position
actions should the nurse take? D. Place a fall risk identification band on the clients
(Select All That Apply.) wrist
A. Keep the clients room dark at
night
B. Teach the client to use the call
light
C. Keep the clients bed in the lowest
position
D. Place a fall risk identification band
on the client's wrist
E. Assess the client every 4 hours
,A nurse is completing a client's C. Nausea
history and physical examination.
Which of the following information
should the nurse consider subjective
data?
A. Blood pressure
B. Cyanosis
C. Nausea
D. Petechiae
A nurse is reviewing information A. Information about a patient can be disclosed to
about the health insurance a family member at any time
portability and accountability act
(HIPAA) with a newly licensed nurse.
Which of the following statements by
the newly licensed nurse indicates a
need for further teaching?
A. Information about a patient can
be disclosed to a family member at
any time
B. HIPAA established regulations of
individually identifiable health
information in verbal, electronic, or
written form
C. A patients address would be an
example of personally identifiable
information
D. HIPAA is a federal law not a state
law
, A nurse is giving a presentation D. Reporting laboratory findings to a member of
about patient confidentiality to a the patient's family
group of newly licensed nurses.
Which of the following actions is an
example of a violation of
confidentiality?
A. Discussing a patients surgical
procedure with the nurse manager
B. Notifying the provider of physical
examination findings
C. Identifying the patient by name
when making a referral for home
health services
D. Reporting laboratory findings to a
member of the patient's family
A nurse is receiving change of shift B. Collect and organize patient data
report for a group of assigned
patients. The nurse anticipates which
of the following activities first in
delivering patient care using the
nursing process?
A. Critically analyze patient data to
determine priorities
B. Collect and organize patient data
C. Set patient centered measurable
and realistic goals
D. Determine effectiveness of
interventions
