Nursing Process Exam 1 Questions With Complete
Solutions
. A patient describes practicing a complementary and alternative
therapy involving breathwork and yoga. The nurse also
recommends using energy field therapies. Which techniques did
the nurse suggest?
a. Prayer and tai chi
b. The "zone" and acupressure
c. Massage therapy and ayurveda
d. Reiki therapy and therapeutic touch Correct Answer ANS: D
"I'm such a loser. I only had that job for a month." Identify
appropriate nursing outcome criteria for this individual.
a. The patient will verbalize two life areas in which he or she
functions well.
b. The patient will find new employment before the next clinic
visit.
c. The patient will confront his or her former boss about work
problems.
d. The patient will identify why he or she is considered a bad
employee. Correct Answer A
*A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(select all that apply)*
1) inadequate lighting
2) throw rugs
3) multiple medications
,4) doorway thresholds
5) cords covered by carpets
6) staircases with handrails Correct Answer *Answer: 1, 2, 3,
4, 5*
*A male patient has been laid off from his construction job and
has many unpaid bills. He is going through a divorce from his
marriage of 15 years and has been seeing his pastor to help him
through this difficult time. He does not have a primary health
care provider because he has never really been sick and his
parents never took him to a physician when he was a child.
Which external variables influence the patient's health practices?
(Select all that apply)*
1) Difficulty paying his bills
2) Seeing his pastor as a means of support
3) Age of patient (46 years)
4) Stress from the divorce and the loss of a job
5) Family practice of not routinely seeing a health care provider
Correct Answer *Answer: 1, 5
*A nurse is conducting a home visit with an older-adult couple.
While in the home the nurse weighs each individual and reviews
the 3-day food diary with them. She also checks their blood
pressure and encourages them to increase their fluids and
activity levels to help with their voiced concern about
constipation. The nurse is addressing which level of need
according to Maslow?*
1) Physiological
2) Safety and security
,3) Love and belonging
4) Self-actualization Correct Answer *Answer: 1*
*A nurse is educating parents to look for clues in teenagers for
possible substance abuse. Which environmental and
psychosocial clues should the nurse include? (select all that
apply)*
1) blood spots on clothing
2) long-sleeved shirts in warm weather
3) changes in relationships
4) wearing dark glasses indoors
5) increased computer use Correct Answer *Answer: 1, 2, 3, 4*
*A nurse is evaluating a pt who is in soft wrist restraints. Which
of the following activities does the nurse perform? (select all
that apply)*
1) check the pt's peripheral pulse in the restrained extremity
2) evaluate the pt's need for toileting
3) offer the pt fluids if appropriate
4) release both limbs at the same time to perform range of
motion (ROM)
5) inspectors the skin under each restraint Correct Answer
*Answer: 1, 2, 3, 5*
*A nurse is presenting a program to workers in a factory
covering safety topics, including the wearing of hearing
protectors when workers are in the factory. Which level of
prevention is the nurse practicing?* Correct Answer Rationale:
Primary prevention is aimed at health promotion and includes
, health education programs, immunizations, and physical and
nutritional fitness activities. It can be provided to an individual
and includes activities that focus on maintaining or improving
the general health of individuals, families, and communities. It
also includes specific protection such as hearing protection in
occupational settings.
*A nurse knows that the people most at risk for accidental
hypothermia are: (select all that apply)*
1) people who are homeless
2) people with respiratory conditions
3) people with cardiovascular conditions
4) the very old
5) people with kidney disorders Correct Answer *Answer: 1, 3,
4*
*A parent calls the pediatrician's office to ask about directions
for using a car seat. Which of the following is most correct set of
instructions the nurse gives to this parent?*
1) only infants and toddlers need to ride in the back seat
2) all toddlers can move to a forward facing car seat when they
reach age 2
3) toddlers must reach age 2 AND the height/weight
requirement before they ride forward facing
4) toddlers must reach age 2 OR the height/weight requirement
before they ride forward facing Correct Answer *Answer: 4*
*A patient comes to the local health clinic and states: "I've
noticed how many people are out walking in my neighborhood.
Solutions
. A patient describes practicing a complementary and alternative
therapy involving breathwork and yoga. The nurse also
recommends using energy field therapies. Which techniques did
the nurse suggest?
a. Prayer and tai chi
b. The "zone" and acupressure
c. Massage therapy and ayurveda
d. Reiki therapy and therapeutic touch Correct Answer ANS: D
"I'm such a loser. I only had that job for a month." Identify
appropriate nursing outcome criteria for this individual.
a. The patient will verbalize two life areas in which he or she
functions well.
b. The patient will find new employment before the next clinic
visit.
c. The patient will confront his or her former boss about work
problems.
d. The patient will identify why he or she is considered a bad
employee. Correct Answer A
*A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(select all that apply)*
1) inadequate lighting
2) throw rugs
3) multiple medications
,4) doorway thresholds
5) cords covered by carpets
6) staircases with handrails Correct Answer *Answer: 1, 2, 3,
4, 5*
*A male patient has been laid off from his construction job and
has many unpaid bills. He is going through a divorce from his
marriage of 15 years and has been seeing his pastor to help him
through this difficult time. He does not have a primary health
care provider because he has never really been sick and his
parents never took him to a physician when he was a child.
Which external variables influence the patient's health practices?
(Select all that apply)*
1) Difficulty paying his bills
2) Seeing his pastor as a means of support
3) Age of patient (46 years)
4) Stress from the divorce and the loss of a job
5) Family practice of not routinely seeing a health care provider
Correct Answer *Answer: 1, 5
*A nurse is conducting a home visit with an older-adult couple.
While in the home the nurse weighs each individual and reviews
the 3-day food diary with them. She also checks their blood
pressure and encourages them to increase their fluids and
activity levels to help with their voiced concern about
constipation. The nurse is addressing which level of need
according to Maslow?*
1) Physiological
2) Safety and security
,3) Love and belonging
4) Self-actualization Correct Answer *Answer: 1*
*A nurse is educating parents to look for clues in teenagers for
possible substance abuse. Which environmental and
psychosocial clues should the nurse include? (select all that
apply)*
1) blood spots on clothing
2) long-sleeved shirts in warm weather
3) changes in relationships
4) wearing dark glasses indoors
5) increased computer use Correct Answer *Answer: 1, 2, 3, 4*
*A nurse is evaluating a pt who is in soft wrist restraints. Which
of the following activities does the nurse perform? (select all
that apply)*
1) check the pt's peripheral pulse in the restrained extremity
2) evaluate the pt's need for toileting
3) offer the pt fluids if appropriate
4) release both limbs at the same time to perform range of
motion (ROM)
5) inspectors the skin under each restraint Correct Answer
*Answer: 1, 2, 3, 5*
*A nurse is presenting a program to workers in a factory
covering safety topics, including the wearing of hearing
protectors when workers are in the factory. Which level of
prevention is the nurse practicing?* Correct Answer Rationale:
Primary prevention is aimed at health promotion and includes
, health education programs, immunizations, and physical and
nutritional fitness activities. It can be provided to an individual
and includes activities that focus on maintaining or improving
the general health of individuals, families, and communities. It
also includes specific protection such as hearing protection in
occupational settings.
*A nurse knows that the people most at risk for accidental
hypothermia are: (select all that apply)*
1) people who are homeless
2) people with respiratory conditions
3) people with cardiovascular conditions
4) the very old
5) people with kidney disorders Correct Answer *Answer: 1, 3,
4*
*A parent calls the pediatrician's office to ask about directions
for using a car seat. Which of the following is most correct set of
instructions the nurse gives to this parent?*
1) only infants and toddlers need to ride in the back seat
2) all toddlers can move to a forward facing car seat when they
reach age 2
3) toddlers must reach age 2 AND the height/weight
requirement before they ride forward facing
4) toddlers must reach age 2 OR the height/weight requirement
before they ride forward facing Correct Answer *Answer: 4*
*A patient comes to the local health clinic and states: "I've
noticed how many people are out walking in my neighborhood.
