NUR 151 Exam 3 Study Questions With Complete Solutions
A client is admitted with severe abdominal pains and the
diagnosis of acute pancreatitis. The nurse should develop a plan
of care during the acute phase of pancreatitis that will involve
interventions to manage which of the following problems?
A.Risk for injury.
B. Ineffective airway clearance.
C. Severe pain.
D. Drug and alcohol abuse. Correct Answers C. Severe pain.
A client is diagnosed with DVT. Which nursing diagnosis
should receive highest priority at this time?
A. Risk for injury related to edema.
B. Ineffective peripheral tissue perfusion related to venous
congestion
C. Excess fluid volume related to PVD
D. Impaired gas exchange related to increased blood flow.
Correct Answers B
A client is recovering from an infected abdominal wound.
Which of the following foods should the nurse encourage the
client to eat to support would healing and recovery from the
infection?
A. Chicken and orange slices
B.Cheeseburger and french fries
C. Cheese omelet and french fries
D. Gelatin salad and tea. Correct Answers A.
,A client with pancreatitis has been receiving total parenteral
nutrition (TPN) for the past week. Which nursing intervention
helps determine if TPN is providing adequate nutrition?
A. Recording fluid intake and output
B. Ensuring that the TPN tubing has an in-line filter
C. Ensuring that the TPN tubing has an in-line filter
D. Monitoring the client's weight every day Correct Answers D.
Monitoring the client's weight every day
A group of nurses is discussing the advantages of using
computerized provider order entry (CPOE). Which of the
following statements indicates that the nurses understand the
major advantage of using CPOE?
A. "CPOE reduces transcription errors."
B. "CPOE reduces the time necessary for health care providers
to write orders."
C. "Health care providers can write orders from any computer
that has Internet access."
D. "CPOE reduces the time nurses use to communicate with
health care providers." Correct Answers A. "CPOE reduces
transcription errors."
Reasoning: CPOE eliminates the need for someone to transcribe
the orders because it allows the provider to enter the order
directly.
A home care nurse is preparing the home for a patient who is
discharged to home following a left-sided stroke. The patient is
cooperative and can ambulate with a quad-cane. Which of the
following must be corrected or removed for the patient's safety?
(Select all that apply.)
, A. The rubber mat in the walk-in shower
B. The three-legged stool on wheels in the kitchen
C. The braided throw rugs in the entry hallway and between the
bedroom and bathroom
D. The night-lights in the hallways, bedroom, and bathroom
E. The cordless phone next to the patient's bed Correct Answers
B. The three-legged stool on wheels in the kitchen
C. The braided throw rugs in the entry hallway and between the
bedroom and bathroom
Reasoning: Stools on wheels and braided throw rugs are hazards
that put the patient at risk for falls. By planning ahead and
collaborating, the home care nurse can provide a safe home
environment for the patient after discharge.
A manager who is reviewing the nurses' notes in a patient's
medical record finds the following entry, "Patient is difficult to
care for, refuses suggestion for improving appetite." Which of
the following directions does the manager give to the staff nurse
who entered the note?
A. Avoid rushing when charting an entry.
B. Use correction fluid to remove the entry
C. Draw a single line through the statement and initial it.
D. Enter only objective and factual information about the
patient. Correct Answers D. Enter only objective and factual
information about the patient.
Reasoning: Nurses should enter only objective and factual
information about patients. Opinions have no place in the
medical record. Because the information has already been
A client is admitted with severe abdominal pains and the
diagnosis of acute pancreatitis. The nurse should develop a plan
of care during the acute phase of pancreatitis that will involve
interventions to manage which of the following problems?
A.Risk for injury.
B. Ineffective airway clearance.
C. Severe pain.
D. Drug and alcohol abuse. Correct Answers C. Severe pain.
A client is diagnosed with DVT. Which nursing diagnosis
should receive highest priority at this time?
A. Risk for injury related to edema.
B. Ineffective peripheral tissue perfusion related to venous
congestion
C. Excess fluid volume related to PVD
D. Impaired gas exchange related to increased blood flow.
Correct Answers B
A client is recovering from an infected abdominal wound.
Which of the following foods should the nurse encourage the
client to eat to support would healing and recovery from the
infection?
A. Chicken and orange slices
B.Cheeseburger and french fries
C. Cheese omelet and french fries
D. Gelatin salad and tea. Correct Answers A.
,A client with pancreatitis has been receiving total parenteral
nutrition (TPN) for the past week. Which nursing intervention
helps determine if TPN is providing adequate nutrition?
A. Recording fluid intake and output
B. Ensuring that the TPN tubing has an in-line filter
C. Ensuring that the TPN tubing has an in-line filter
D. Monitoring the client's weight every day Correct Answers D.
Monitoring the client's weight every day
A group of nurses is discussing the advantages of using
computerized provider order entry (CPOE). Which of the
following statements indicates that the nurses understand the
major advantage of using CPOE?
A. "CPOE reduces transcription errors."
B. "CPOE reduces the time necessary for health care providers
to write orders."
C. "Health care providers can write orders from any computer
that has Internet access."
D. "CPOE reduces the time nurses use to communicate with
health care providers." Correct Answers A. "CPOE reduces
transcription errors."
Reasoning: CPOE eliminates the need for someone to transcribe
the orders because it allows the provider to enter the order
directly.
A home care nurse is preparing the home for a patient who is
discharged to home following a left-sided stroke. The patient is
cooperative and can ambulate with a quad-cane. Which of the
following must be corrected or removed for the patient's safety?
(Select all that apply.)
, A. The rubber mat in the walk-in shower
B. The three-legged stool on wheels in the kitchen
C. The braided throw rugs in the entry hallway and between the
bedroom and bathroom
D. The night-lights in the hallways, bedroom, and bathroom
E. The cordless phone next to the patient's bed Correct Answers
B. The three-legged stool on wheels in the kitchen
C. The braided throw rugs in the entry hallway and between the
bedroom and bathroom
Reasoning: Stools on wheels and braided throw rugs are hazards
that put the patient at risk for falls. By planning ahead and
collaborating, the home care nurse can provide a safe home
environment for the patient after discharge.
A manager who is reviewing the nurses' notes in a patient's
medical record finds the following entry, "Patient is difficult to
care for, refuses suggestion for improving appetite." Which of
the following directions does the manager give to the staff nurse
who entered the note?
A. Avoid rushing when charting an entry.
B. Use correction fluid to remove the entry
C. Draw a single line through the statement and initial it.
D. Enter only objective and factual information about the
patient. Correct Answers D. Enter only objective and factual
information about the patient.
Reasoning: Nurses should enter only objective and factual
information about patients. Opinions have no place in the
medical record. Because the information has already been
