NURS 221 EXAM QUESTIONS AND
ANSWERS ALL CORRECT
The nurse is preparing to implement plans of care with several clients. Which action
would be inappropriate for the nurse to perform?
Ask the English-as-a-Second-Language (ESOL) client to state in his or her own words
what it means to be NPO.
Seek input from the family of how the client with aphasia normally communicates at
home.
Respond to the postoperative client's question that baths are given only in the morning.
Request that family members provide ethnic/cultural foods of the African client's liking. -
Answer-Respond to the postoperative client's question that baths are given only in the
morning.
A nurse in the ICU (intensive care unit) has been assigned to care for a client who was
seriously injured during a gang rape. The nurse was raped 6 months ago and feels that
she will be too upset to care for the client properly. How should the nurse deal with the
assignment?
Recognize her limitations and ask for another nurse to be assigned.
Recognize that she may be faced with this issue again and care for the client.
Recognize her limitations and ask another nurse to assist her if she becomes too
emotional.
Recognize the issue and care for the client to the best of her ability. - Answer-
Recognize her limitations and ask for another nurse to be assigned.
A nurse just reported to the oncoming shift that she had failed to do an ordered dressing
change. She reported to the nurse manager that this was the second time this week she
had not had time to do the dressing change. The nurse manager recognized that the
nurse normally was very punctual and was known to provide good care for her clients
however the unit census had been very high on this particular week. The nurse
manager knows that quality care must be provided and reports this occurrence as what
type of quality approach?
Quality by inspection
Quality by opportunity
Quality by design
Quality by promotion - Answer-Quality by opportunity
, The nurse is caring for Mr. H., a 35-year-old man who is hospitalized following a
motorcycle accident. He has a traumatic brain injury. The nurse is working with Mr. H.
on self-care behaviors. The following would help the nurse to assess the success of the
nursing interventions except which of the following?
Check with the client to ensure personal goals are met.
Model self-care behaviors for the client. Collect data on the number of self-care
activities performed that day.
Ask client to discuss his goals for the day at the start of the shift. - Answer-Model self-
care behaviors for the client.
Which action should the nurse take when client data indicate that the stated goals have
not been achieved?
Collect more data for the database. Review each preceding step of the nursing
process.
Implement a standardized plan of care. Change the nursing orders. - Answer-Review
each preceding step of the nursing process.
A health care facility plans to evaluate and revise the plan of care for a client based on
the client's health care records. The physician, dietitian, and nurse involved in the
client's care are required to collate all of the information for easy access. Which style
would the nurse conclude that the facility is following in order to record the client
details?
FOCUS charting
Narrative charting
PIE charting
SOAP charting - Answer-SOAP charting
A nurse helps a client who has cystic fibrosis prepare a standalone personal health
record. Which statement by the nurse best explains this type of information?
"You can fill in information from your own records and store it on your computer or the
Internet."
"You can link your record to a specific health care organization's electronic health
record system."
"Your health care provider is obligated to read your personal health record and share it
with your insurance provider." "Your entire health care team may access and securely
share your vital medical information electronically." - Answer-"You can fill in information
from your own records and store it on your computer or the Internet."
Which method of charting did the nurse used to document "Fluid Volume Overload. On
assessment client's lower limbs oedmatous ++. Affected leg elevated and furosemide
40 mg intramuscular given. No signs of deep vein thrombosis noted. Limbs now
oedema +"?
ANSWERS ALL CORRECT
The nurse is preparing to implement plans of care with several clients. Which action
would be inappropriate for the nurse to perform?
Ask the English-as-a-Second-Language (ESOL) client to state in his or her own words
what it means to be NPO.
Seek input from the family of how the client with aphasia normally communicates at
home.
Respond to the postoperative client's question that baths are given only in the morning.
Request that family members provide ethnic/cultural foods of the African client's liking. -
Answer-Respond to the postoperative client's question that baths are given only in the
morning.
A nurse in the ICU (intensive care unit) has been assigned to care for a client who was
seriously injured during a gang rape. The nurse was raped 6 months ago and feels that
she will be too upset to care for the client properly. How should the nurse deal with the
assignment?
Recognize her limitations and ask for another nurse to be assigned.
Recognize that she may be faced with this issue again and care for the client.
Recognize her limitations and ask another nurse to assist her if she becomes too
emotional.
Recognize the issue and care for the client to the best of her ability. - Answer-
Recognize her limitations and ask for another nurse to be assigned.
A nurse just reported to the oncoming shift that she had failed to do an ordered dressing
change. She reported to the nurse manager that this was the second time this week she
had not had time to do the dressing change. The nurse manager recognized that the
nurse normally was very punctual and was known to provide good care for her clients
however the unit census had been very high on this particular week. The nurse
manager knows that quality care must be provided and reports this occurrence as what
type of quality approach?
Quality by inspection
Quality by opportunity
Quality by design
Quality by promotion - Answer-Quality by opportunity
, The nurse is caring for Mr. H., a 35-year-old man who is hospitalized following a
motorcycle accident. He has a traumatic brain injury. The nurse is working with Mr. H.
on self-care behaviors. The following would help the nurse to assess the success of the
nursing interventions except which of the following?
Check with the client to ensure personal goals are met.
Model self-care behaviors for the client. Collect data on the number of self-care
activities performed that day.
Ask client to discuss his goals for the day at the start of the shift. - Answer-Model self-
care behaviors for the client.
Which action should the nurse take when client data indicate that the stated goals have
not been achieved?
Collect more data for the database. Review each preceding step of the nursing
process.
Implement a standardized plan of care. Change the nursing orders. - Answer-Review
each preceding step of the nursing process.
A health care facility plans to evaluate and revise the plan of care for a client based on
the client's health care records. The physician, dietitian, and nurse involved in the
client's care are required to collate all of the information for easy access. Which style
would the nurse conclude that the facility is following in order to record the client
details?
FOCUS charting
Narrative charting
PIE charting
SOAP charting - Answer-SOAP charting
A nurse helps a client who has cystic fibrosis prepare a standalone personal health
record. Which statement by the nurse best explains this type of information?
"You can fill in information from your own records and store it on your computer or the
Internet."
"You can link your record to a specific health care organization's electronic health
record system."
"Your health care provider is obligated to read your personal health record and share it
with your insurance provider." "Your entire health care team may access and securely
share your vital medical information electronically." - Answer-"You can fill in information
from your own records and store it on your computer or the Internet."
Which method of charting did the nurse used to document "Fluid Volume Overload. On
assessment client's lower limbs oedmatous ++. Affected leg elevated and furosemide
40 mg intramuscular given. No signs of deep vein thrombosis noted. Limbs now
oedema +"?
