NRSG 2200 - Exam #5 - Units #9 And
#10 With Complete Solutions
In an assessment for proper body alignment of a standing client, which finding is
normal?
A - The abdominal muscles are held downward and the buttock upward.
B - The weight of the body is distributed on the soles and heels
C - The line of gravity is centered over the clients toes
D - The chest is downward and displaced slightly backward - ANSWER B - The
weight of the body is distributed on the soles and heels
A home health nurse is visiting a client who was taught to crutch-walk in the
hospital following a knee surgery. The client says, "My armpits are so sore."
Which information does the nurse provide?
A - "Try to bear your weight on your hands, not your armpits."
B - "Fortunately you will only need to be on crutches for a week or two."
C - "I hear that a lot from clients."
D - "Your armpits will grow accustomed to the weight in a dew days." - ANSWER
A - "Try to bear your weight on your hands, not your armpits."
A client states, "I understand when the nurse explains the possible
complications of my illness. I am appreciative of what insulin does to my body,
and I can now give myself insulin." Which domains of learning does the nurse
identify for this client as having been successfully addressed by education?
A - Gerogogical, cognitive, and adragogical
B - Cognitive, affective, and psychomotor
C - Cognitive, pedagogical, and psychomotor
D - Gerogogical, andragogical, and pedagogical - ANSWER B - Cognitive,
affective, and psychomotor
,When caring for a client, the nurse observes that the client enjoys reading books
and magazines. In which learning domain does the client's learning style fall?
A - Cognitive
B - Affective
C - Interpersonal
D - Psychomotor - ANSWER A - Cognitive
The nurse is providing education for a client who will be providing self-care at
home. The client states, "I just do not think I can do all of this. It is too much to
learn." What is the best response by the nurse?
A - "I understand that you are frustrated and a bit overwhelmed with all of the
information, but if you do not learn how to do it, who will take care of you?"
B - "I understand that you are frustrated and a bit overwhelmed with all of the
information, but it is not difficult information, this is why I am providing
education."
C - "I understand that you feel overwhelmed with all of the information. Tell me
what I can do to help."
D - "I understand that you feel overwhelmed with all of the information, but you
will be just fine." - ANSWER C - "I understand that you feel overwhelmed with all
of the information. Tell me what I can do to help."
A nurse was injured when a client with Alzheimer disease struck the nurse on
the side of the head during a transfer. The nurse has completed an incident
report. Which statement about an incident report is most accurate?
A - The reports provides a detailed and objective account of the circumstances
before, during, and after the event.
B - The incident report is reviewed by state agencies and the Occupational
Safety and Health administration rather than by hospital administration
C - The report becomes a confidential part of the clients health record once it is
reviewed by hospital administration.
D - The client and the client's family will be required to sign the report,
acknowledging that they read it before it was filed. - ANSWER A - The reports
provides a detailed and objective account of the circumstances before, during,
and after the event.
The nurse observes a client independently move all the joints through their
normal motions. Which range of motion has the client demonstrated?
A - Passive range of motion
B - Active range of motion
C - Limited range of motion
D - Active assistive range of motion - ANSWER B - Active range of motion
,The nurse is assisting a client to ambulate following knee surgery. What is a key
concern when assisting clients with activity?
A - Privacy
B - Safety
C - Confidentiality
D - Nurse-client relationship - ANSWER B - Safety
The nurse is conducting a community health promotion class and has developed
scenarios that will involve active participation by the class attendees. What type
of education strategy is the nurse incorporating into this class?
A - Role modeling
B - Panel discussion
C - Programmed instruction
D - Role-playing - ANSWER D - Role-playing
The nurse is teaching an 80-year-old client how to instill eye drops for glaucoma.
The client's daughter asks, "How do you know that my mother understands what
to do?" What is the appropriate nursing response?
A - "We can never be completely sure that your mother understands
instructions"
B - "After I demonstrate it once, your mother will be able to do it"
C - "I will have you bring your mother back next week to see how things are
going"
D - "When 15 minutes have passed, I will ask your mother to show me how to
instill the drops" - ANSWER D - "When 15 minutes have passed, I will ask your
mother to show me how to instill the drops"
What generalization can be made about safety in client care?
A - Safety is an important need, but not as important as self-actualization
B - Health care providers exclude safety as a client need
C - Although safety is a basic human need, it is provided by self-care
D - Safety is a paramount concern underlying all nursing care - ANSWER D -
Safety is a paramount concern underlying all nursing care
A nurse applies padded boots to maintain the foot in dorsiflexion to a client who
is comatose. The nurse is protecting the client from:
A - Foot drop
B - Blood pressure changes
C - Pooling of blood
D - Decubitus ulcers - ANSWER A - Foot drop
, The nursing instructor is observing a nursing student who is about to administer
a medication. Which nursing student behavior concerning client identification
does the nursing instructor validate as appropriate?
A - Identifies clients room number and full name
B - Identifies clients last name and room number
C - Identifies clients full name and date of birth
D - Identifies clients date of birth and last name - ANSWER C - Identifies clients
full name and date of birth
The nurse is teaching a client newly diagnosed with diabetes about the disease,
testing, diet, and how to self-administer insulin. The client does not speak the
dominant language. What is the appropriate nursing action?
A - Obtain a medical interpreter
B - Use a translating application for cellular phone to aid in communication
C - Have a family members translate
D - Request other health care providers who speak the clients language to care
for the client - ANSWER A - Obtain a medical interpreter
The older adult client is moving to another apartment. The nurse should
encourage the client's family to take which action to reduce the older adult's risk
of falling in the new home?
A - Change the older adults routine
B - Use the stairs in the new home
C - Clear clutter in the walkways of the new home
D - Take walks outside - ANSWER C - Clear clutter in the walkways of the new
home
What is the rationale for health care personnel to orient clients to rooms and
equipment when they are admitted to the hospital?
A - Orienting clients to the surroundings decreases the potential for injury
B - It is part of the routine and is included on the admission checklist
C - It allows time for the healthcare provider to write admission orders
D - It is hospital policy - ANSWER A - Orienting clients to the surroundings
decreases the potential for injury
The home care nurse observes that a child is learning to ride a bicycle. Which
would the nurse teach the child about bicycle safety?
A - The importance of wearing a helmet
B - The importance of using the buddy system
C - The importance of using wrist guards
#10 With Complete Solutions
In an assessment for proper body alignment of a standing client, which finding is
normal?
A - The abdominal muscles are held downward and the buttock upward.
B - The weight of the body is distributed on the soles and heels
C - The line of gravity is centered over the clients toes
D - The chest is downward and displaced slightly backward - ANSWER B - The
weight of the body is distributed on the soles and heels
A home health nurse is visiting a client who was taught to crutch-walk in the
hospital following a knee surgery. The client says, "My armpits are so sore."
Which information does the nurse provide?
A - "Try to bear your weight on your hands, not your armpits."
B - "Fortunately you will only need to be on crutches for a week or two."
C - "I hear that a lot from clients."
D - "Your armpits will grow accustomed to the weight in a dew days." - ANSWER
A - "Try to bear your weight on your hands, not your armpits."
A client states, "I understand when the nurse explains the possible
complications of my illness. I am appreciative of what insulin does to my body,
and I can now give myself insulin." Which domains of learning does the nurse
identify for this client as having been successfully addressed by education?
A - Gerogogical, cognitive, and adragogical
B - Cognitive, affective, and psychomotor
C - Cognitive, pedagogical, and psychomotor
D - Gerogogical, andragogical, and pedagogical - ANSWER B - Cognitive,
affective, and psychomotor
,When caring for a client, the nurse observes that the client enjoys reading books
and magazines. In which learning domain does the client's learning style fall?
A - Cognitive
B - Affective
C - Interpersonal
D - Psychomotor - ANSWER A - Cognitive
The nurse is providing education for a client who will be providing self-care at
home. The client states, "I just do not think I can do all of this. It is too much to
learn." What is the best response by the nurse?
A - "I understand that you are frustrated and a bit overwhelmed with all of the
information, but if you do not learn how to do it, who will take care of you?"
B - "I understand that you are frustrated and a bit overwhelmed with all of the
information, but it is not difficult information, this is why I am providing
education."
C - "I understand that you feel overwhelmed with all of the information. Tell me
what I can do to help."
D - "I understand that you feel overwhelmed with all of the information, but you
will be just fine." - ANSWER C - "I understand that you feel overwhelmed with all
of the information. Tell me what I can do to help."
A nurse was injured when a client with Alzheimer disease struck the nurse on
the side of the head during a transfer. The nurse has completed an incident
report. Which statement about an incident report is most accurate?
A - The reports provides a detailed and objective account of the circumstances
before, during, and after the event.
B - The incident report is reviewed by state agencies and the Occupational
Safety and Health administration rather than by hospital administration
C - The report becomes a confidential part of the clients health record once it is
reviewed by hospital administration.
D - The client and the client's family will be required to sign the report,
acknowledging that they read it before it was filed. - ANSWER A - The reports
provides a detailed and objective account of the circumstances before, during,
and after the event.
The nurse observes a client independently move all the joints through their
normal motions. Which range of motion has the client demonstrated?
A - Passive range of motion
B - Active range of motion
C - Limited range of motion
D - Active assistive range of motion - ANSWER B - Active range of motion
,The nurse is assisting a client to ambulate following knee surgery. What is a key
concern when assisting clients with activity?
A - Privacy
B - Safety
C - Confidentiality
D - Nurse-client relationship - ANSWER B - Safety
The nurse is conducting a community health promotion class and has developed
scenarios that will involve active participation by the class attendees. What type
of education strategy is the nurse incorporating into this class?
A - Role modeling
B - Panel discussion
C - Programmed instruction
D - Role-playing - ANSWER D - Role-playing
The nurse is teaching an 80-year-old client how to instill eye drops for glaucoma.
The client's daughter asks, "How do you know that my mother understands what
to do?" What is the appropriate nursing response?
A - "We can never be completely sure that your mother understands
instructions"
B - "After I demonstrate it once, your mother will be able to do it"
C - "I will have you bring your mother back next week to see how things are
going"
D - "When 15 minutes have passed, I will ask your mother to show me how to
instill the drops" - ANSWER D - "When 15 minutes have passed, I will ask your
mother to show me how to instill the drops"
What generalization can be made about safety in client care?
A - Safety is an important need, but not as important as self-actualization
B - Health care providers exclude safety as a client need
C - Although safety is a basic human need, it is provided by self-care
D - Safety is a paramount concern underlying all nursing care - ANSWER D -
Safety is a paramount concern underlying all nursing care
A nurse applies padded boots to maintain the foot in dorsiflexion to a client who
is comatose. The nurse is protecting the client from:
A - Foot drop
B - Blood pressure changes
C - Pooling of blood
D - Decubitus ulcers - ANSWER A - Foot drop
, The nursing instructor is observing a nursing student who is about to administer
a medication. Which nursing student behavior concerning client identification
does the nursing instructor validate as appropriate?
A - Identifies clients room number and full name
B - Identifies clients last name and room number
C - Identifies clients full name and date of birth
D - Identifies clients date of birth and last name - ANSWER C - Identifies clients
full name and date of birth
The nurse is teaching a client newly diagnosed with diabetes about the disease,
testing, diet, and how to self-administer insulin. The client does not speak the
dominant language. What is the appropriate nursing action?
A - Obtain a medical interpreter
B - Use a translating application for cellular phone to aid in communication
C - Have a family members translate
D - Request other health care providers who speak the clients language to care
for the client - ANSWER A - Obtain a medical interpreter
The older adult client is moving to another apartment. The nurse should
encourage the client's family to take which action to reduce the older adult's risk
of falling in the new home?
A - Change the older adults routine
B - Use the stairs in the new home
C - Clear clutter in the walkways of the new home
D - Take walks outside - ANSWER C - Clear clutter in the walkways of the new
home
What is the rationale for health care personnel to orient clients to rooms and
equipment when they are admitted to the hospital?
A - Orienting clients to the surroundings decreases the potential for injury
B - It is part of the routine and is included on the admission checklist
C - It allows time for the healthcare provider to write admission orders
D - It is hospital policy - ANSWER A - Orienting clients to the surroundings
decreases the potential for injury
The home care nurse observes that a child is learning to ride a bicycle. Which
would the nurse teach the child about bicycle safety?
A - The importance of wearing a helmet
B - The importance of using the buddy system
C - The importance of using wrist guards
