Kozier and Erb test blank questions (ch 11-14) With
Complete Solutions
A care area has been short staffed for the past month with a
heavy client load and high acuity. The nurses have been working
extra as well as double shifts and often do not have time to make
sure that properly working equipment is cleaned, returned, and
stored in the appropriate areas. At what level should this care
area be evaluated?
1. Management
2. Structure
3. Process
4. Outcome Correct Answers 2
A client comes to the clinic seeking information and education
regarding healthy lifestyles and eating habits. Which type of
diagnosis should the nurse select for this client?
1. Risk nursing diagnosis
2. Syndrome diagnosis
3. Wellness diagnosis
4. Actual diagnosis Correct Answers 3
,A client has been admitted for acute dehydration, secondary to
nausea and diarrhea. When is the best time for the nurse to
conduct this clients interview?
1. As soon as the client gets to the floor
2. After the client has settled in and been oriented to the room
3. When the family is available to help
4. After the client has been medicated Correct Answers 2
A client has been having pain without any clear pathology for
cause. Which nursing diagnosis should the nurse identify as
being the most appropriate for this client?
1. Pain due to unknown factors
2. Pain related to unknown etiology
3. Pain caused by psychosomatic condition
4. Pain manifested by clients report Correct Answers 2
A client has neurologic deficits that are causing tremors,
unsteadiness, and weakness. An appropriate diagnosis of Risk
for Falls related to unsteady gait, secondary to neurologic
dysfunction has been formulated. A goal for this client is not to
sustain any injuries for the next month; however, the client has
fallen several times. In this situation, what should the nurse do?
,1. Review the data and make sure that the diagnosis is relevant.
2. Investigate whether the best nursing interventions were
selected.
3. Modify the whole nursing plan.
4. Discard the nursing plan and start over from the assessment
phase. Correct Answers 2
A client has the goal statement Client will be able to state two
positive aspects of rehab therapy by the end of the week. What
statement demonstrates that the nurse appropriately evaluated
this goal?
1. Goal not met, client able to state one positive aspect by the
end of the week.
2. Goal met, client able to state one positive aspect by the end of
the week.
3. Goal met, client able to state two positive aspects of therapy
by weeks end.
4. Goal incomplete, client not able to positively state anything
about rehab. Correct Answers 3
A client has the goal statement Client will have clear lung
sounds bilaterally within 3 days. One intervention to meet this
goal is for the nurse to teach the client to cough and deep
breathe and have the client do this several times every 2 hours.
, At the end of the third day, the clients lungs are indeed clear.
What should the nurse do to relate the intervention to the
outcome?
1. Ask how many times per day the client practiced the coughing
and deep breathing exercises.
2. Tell the client that the lungs are clear.
3. Document the assessment findings to show the effectiveness
of the intervention.
4. Write this evaluation statement: Goal met, lung sounds clear
by third day. Correct Answers 1
A client in the emergency department has a non-lifethreatening
wound. The unit is busy with other clients, families, and people
in the waiting room. How should the nurse conduct an interview
with this client?
1. Have the client wait until the department quiets down, as the
wound is not too serious.
2. Tell the client to wait in the waiting room and fill out the
paperwork.
3. Draw curtains around the client and nurse to provide as much
privacy as possible.
4. Make sure the clients back is to the rest of the room so as not
to be heard by passersby. Correct Answers 3
Complete Solutions
A care area has been short staffed for the past month with a
heavy client load and high acuity. The nurses have been working
extra as well as double shifts and often do not have time to make
sure that properly working equipment is cleaned, returned, and
stored in the appropriate areas. At what level should this care
area be evaluated?
1. Management
2. Structure
3. Process
4. Outcome Correct Answers 2
A client comes to the clinic seeking information and education
regarding healthy lifestyles and eating habits. Which type of
diagnosis should the nurse select for this client?
1. Risk nursing diagnosis
2. Syndrome diagnosis
3. Wellness diagnosis
4. Actual diagnosis Correct Answers 3
,A client has been admitted for acute dehydration, secondary to
nausea and diarrhea. When is the best time for the nurse to
conduct this clients interview?
1. As soon as the client gets to the floor
2. After the client has settled in and been oriented to the room
3. When the family is available to help
4. After the client has been medicated Correct Answers 2
A client has been having pain without any clear pathology for
cause. Which nursing diagnosis should the nurse identify as
being the most appropriate for this client?
1. Pain due to unknown factors
2. Pain related to unknown etiology
3. Pain caused by psychosomatic condition
4. Pain manifested by clients report Correct Answers 2
A client has neurologic deficits that are causing tremors,
unsteadiness, and weakness. An appropriate diagnosis of Risk
for Falls related to unsteady gait, secondary to neurologic
dysfunction has been formulated. A goal for this client is not to
sustain any injuries for the next month; however, the client has
fallen several times. In this situation, what should the nurse do?
,1. Review the data and make sure that the diagnosis is relevant.
2. Investigate whether the best nursing interventions were
selected.
3. Modify the whole nursing plan.
4. Discard the nursing plan and start over from the assessment
phase. Correct Answers 2
A client has the goal statement Client will be able to state two
positive aspects of rehab therapy by the end of the week. What
statement demonstrates that the nurse appropriately evaluated
this goal?
1. Goal not met, client able to state one positive aspect by the
end of the week.
2. Goal met, client able to state one positive aspect by the end of
the week.
3. Goal met, client able to state two positive aspects of therapy
by weeks end.
4. Goal incomplete, client not able to positively state anything
about rehab. Correct Answers 3
A client has the goal statement Client will have clear lung
sounds bilaterally within 3 days. One intervention to meet this
goal is for the nurse to teach the client to cough and deep
breathe and have the client do this several times every 2 hours.
, At the end of the third day, the clients lungs are indeed clear.
What should the nurse do to relate the intervention to the
outcome?
1. Ask how many times per day the client practiced the coughing
and deep breathing exercises.
2. Tell the client that the lungs are clear.
3. Document the assessment findings to show the effectiveness
of the intervention.
4. Write this evaluation statement: Goal met, lung sounds clear
by third day. Correct Answers 1
A client in the emergency department has a non-lifethreatening
wound. The unit is busy with other clients, families, and people
in the waiting room. How should the nurse conduct an interview
with this client?
1. Have the client wait until the department quiets down, as the
wound is not too serious.
2. Tell the client to wait in the waiting room and fill out the
paperwork.
3. Draw curtains around the client and nurse to provide as much
privacy as possible.
4. Make sure the clients back is to the rest of the room so as not
to be heard by passersby. Correct Answers 3
