NURS 221 – Midterm Exam Questions With
Correct Answers
A |patient |is |preparing |for |discharge |following |hip |surgery |and |the |patient |will |likely |require |
extensive |physiotherapy. |What |assessment |question |should |the |nurse |prioritize? |- |CORRECT |
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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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): |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |-
|CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |
ANSWER✔✔-SOAP |chartin
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? |- |CORRECT |
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 |+"? |- |
CORRECT |ANSWER✔✔-focus |charting
Correct Answers
A |patient |is |preparing |for |discharge |following |hip |surgery |and |the |patient |will |likely |require |
extensive |physiotherapy. |What |assessment |question |should |the |nurse |prioritize? |- |CORRECT |
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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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): |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |-
|CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |
ANSWER✔✔-SOAP |chartin
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? |- |CORRECT |
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 |+"? |- |
CORRECT |ANSWER✔✔-focus |charting
