NURS 221 MIDTERM QUESTIONS AND
CORRECT DETAILED ANSWERS | SCORED
A+ | NEW UPDATE 2025
A patient is preparing for discharge following hip surgery and the patient will likely
require extensive physiotherapy. What assessment question should the nurse
prioritize? - ANSWER "Are you able to pay for the costs of your physiotherapy
treatments?"
A nurse is providing care for a patient who has undergone a partial foot
amputation for the treatment of osteomyelitis (bone infection). The nurse
observes that the patient will not look at her foot when the nurse changes the
dressing. How should the nurse best follow up this observation? - ANSWER
Gather more data to better understand the patient's behaviour.
A nurse is interviewing a new client admitted to the hospital for surgery. Which
action would the nurse perform in the introductory phase of the interview? -
ANSWER The nurse assesses the client's comfort and ability to participate in
the interview.
A client who gave birth yesterday refuses to eat the food provided by the hospital.
She states that she must eat special food brought from home by her family. How
would the nurse most appropriately address this situation? - ANSWER The
nurse should plan no action because the client is not exhibiting a health problem.
A client who is scheduled for coronary angioplasty is concerned if the surgery is
safe and wonders whether it would be beneficial to him. Which nursing diagnosis
relates to this client's condition? - ANSWER Fear related to potential risk and
surgical outcomes
,A client with a new colostomy often becomes short and sarcastic when nurses
attempt to teach him about the management of his new appliance. The nurse has
consequently documented "Noncompliance related hostility" on the client's chart.
What mistake has the nurse made when choosing and documenting this nursing
diagnosis? - ANSWER presuming to know the factors contributing to the
problem
A nurse is reviewing the plan of care for a client and notes the following: "The
client verbalizes three signs of hypoglycemia to the staff accurately before
discharge." The nurse interprets this statement as a(n): - ANSWER outcome
criteria
A client with multiple leg fractures following a motor vehicle accident tells the
nurse, "I am going crazy here. I have to wait 2 months before I can practice
walking, again." What is the priority nursing diagnosis? - ANSWER deficient
diversional activity
A preceptor reviews the client outcomes written by a new nurse. Which outcome
is the priority for the client with paranoid delusions? - ANSWER Within 3 days,
client will mingle in the day room without violence.
The home health nurse caring for a client with limited eyesight notes that the
client's route to the bathroom is cluttered. What is the most effective way for the
nurse to ensure the client's long-term safety? - ANSWER Assist the client to
identify strategies to promote safety in the home.
, The nurse is preparing to implement plans of care with several clients. Which
action would be inappropriate for the nurse to perform? - 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? - ANSWER Recognize her limitations and ask
for another nurse to be assigned.
A client has a nursing diagnosis of Possible Spiritual Distress. What is the most
appropriate nursing intervention? - ANSWER Discuss spirituality with the
client.
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? - 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? - ANSWER
Model self-care behaviors for the client.
CORRECT DETAILED ANSWERS | SCORED
A+ | NEW UPDATE 2025
A patient is preparing for discharge following hip surgery and the patient will likely
require extensive physiotherapy. What assessment question should the nurse
prioritize? - ANSWER "Are you able to pay for the costs of your physiotherapy
treatments?"
A nurse is providing care for a patient who has undergone a partial foot
amputation for the treatment of osteomyelitis (bone infection). The nurse
observes that the patient will not look at her foot when the nurse changes the
dressing. How should the nurse best follow up this observation? - ANSWER
Gather more data to better understand the patient's behaviour.
A nurse is interviewing a new client admitted to the hospital for surgery. Which
action would the nurse perform in the introductory phase of the interview? -
ANSWER The nurse assesses the client's comfort and ability to participate in
the interview.
A client who gave birth yesterday refuses to eat the food provided by the hospital.
She states that she must eat special food brought from home by her family. How
would the nurse most appropriately address this situation? - ANSWER The
nurse should plan no action because the client is not exhibiting a health problem.
A client who is scheduled for coronary angioplasty is concerned if the surgery is
safe and wonders whether it would be beneficial to him. Which nursing diagnosis
relates to this client's condition? - ANSWER Fear related to potential risk and
surgical outcomes
,A client with a new colostomy often becomes short and sarcastic when nurses
attempt to teach him about the management of his new appliance. The nurse has
consequently documented "Noncompliance related hostility" on the client's chart.
What mistake has the nurse made when choosing and documenting this nursing
diagnosis? - ANSWER presuming to know the factors contributing to the
problem
A nurse is reviewing the plan of care for a client and notes the following: "The
client verbalizes three signs of hypoglycemia to the staff accurately before
discharge." The nurse interprets this statement as a(n): - ANSWER outcome
criteria
A client with multiple leg fractures following a motor vehicle accident tells the
nurse, "I am going crazy here. I have to wait 2 months before I can practice
walking, again." What is the priority nursing diagnosis? - ANSWER deficient
diversional activity
A preceptor reviews the client outcomes written by a new nurse. Which outcome
is the priority for the client with paranoid delusions? - ANSWER Within 3 days,
client will mingle in the day room without violence.
The home health nurse caring for a client with limited eyesight notes that the
client's route to the bathroom is cluttered. What is the most effective way for the
nurse to ensure the client's long-term safety? - ANSWER Assist the client to
identify strategies to promote safety in the home.
, The nurse is preparing to implement plans of care with several clients. Which
action would be inappropriate for the nurse to perform? - 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? - ANSWER Recognize her limitations and ask
for another nurse to be assigned.
A client has a nursing diagnosis of Possible Spiritual Distress. What is the most
appropriate nursing intervention? - ANSWER Discuss spirituality with the
client.
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? - 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? - ANSWER
Model self-care behaviors for the client.
