NUR 151 Exam 3 Study Questions
|\ |\ |\ |\ |\ |\
with correct answers |\ |\
Because of difficulties with hemodialysis, peritoneal
|\ |\ |\ |\ |\ |\
dialysis is initiated to treat a client's uremia. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\
finding during this procedure signals a significant
|\ |\ |\ |\ |\ |\ |\
problem?
A. Hematocrit (HCT) of 35%.
|\ |\ |\ |\
B. White blood cell count (WBC) of 20,000/mm3 (0.02 L)
|\ |\ |\ |\ |\ |\ |\ |\ |\
C. Blood glucose level of 200 mg/dl (11.1 mmol/L)
|\ |\ |\ |\ |\ |\ |\ |\
D. Potassium level of 3.5 mEq/L (3.5 mmol/L) - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔B. White blood cell count (WBC) of |\ |\ |\ |\ |\ |\ |\
20,000/mm3 (0.02 L)
|\ |\ |\
A nurse is teaching a client with a leg ulcer about tissue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
repair and wound healing. Which statement by the client
|\ |\ |\ |\ |\ |\ |\ |\ |\
indicates understanding? |\
A. "Increase in redness of the ulcer means better blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
flow."
B. "Increase in redness of the ulcer means better blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
flow."
C. "I'll eat plenty of fruits and vegetables."
|\ |\ |\ |\ |\ |\ |\
D. "I'll make sure that I keep the site covered at all
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
times." - CORRECT ANSWERS ✔✔C. "I'll eat plenty of fruits
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and vegetables."
|\
,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 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 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 entered and is not incorrect, it should be left on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
record. Never use correction fluid in a written medical
|\ |\ |\ |\ |\ |\ |\ |\ |\
record.
A new graduate nurse is providing a telephone report to a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient's health care provider and accepting telephone
|\ |\ |\ |\ |\ |\ |\ |\
orders from the provider. Which of the following actions
|\ |\ |\ |\ |\ |\ |\ |\ |\
requires the new nurse's preceptor to intervene? The new
|\ |\ |\ |\ |\ |\ |\ |\
nurse:
|\
A. Uses SBAR (Situation-Background-Assessment-
|\ |\ |\
Recommendation) as a format when providing the report. |\ |\ |\ |\ |\ |\ |\
B. Gives a newly ordered medication before entering the
|\ |\ |\ |\ |\ |\ |\ |\ |\
order in the patient's medical record.
|\ |\ |\ |\ |\
C. Reads the orders back to the health care provider after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
receiving them and verifies their accuracy.
|\ |\ |\ |\ |\ |\
D. Asks the preceptor to listen in on the phone
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
conversation. - CORRECT ANSWERS ✔✔B. Gives a newly |\ |\ |\ |\ |\ |\ |\ |\
ordered medication before entering the order in the
|\ |\ |\ |\ |\ |\ |\ |\
patient's medical record. |\ |\
, Reasoning: Nurses enter orders into the computer or |\ |\ |\ |\ |\ |\ |\ |\
write them on the order sheet as they are being given to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
allow the read-back process to occur.
|\ |\ |\ |\ |\
As you enter the patient's room, you notice that he is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
anxious to say something. He quickly states, "I don't
|\ |\ |\ |\ |\ |\ |\ |\ |\
know what's going on; I can't get an explanation from my
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
doctor about my test results. I want something done
|\ |\ |\ |\ |\ |\ |\ |\ |\
about this." Which of the following is the most
|\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate documentation of the patient's emotional |\ |\ |\ |\ |\ |\
status?
A. The patient has a defiant attitude and is demanding his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
test results.
|\ |\
B. The patient appears to be upset with his nurse because
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
he wants his test results immediately.
|\ |\ |\ |\ |\ |\
C. The patient is demanding and complains frequently
|\ |\ |\ |\ |\ |\ |\ |\
about his doctor. |\ |\
D.The patient stated that he felt frustrated by the lack of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
information he received regarding his tests. - CORRECT |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔D.The patient stated that he felt frustrated
|\ |\ |\ |\ |\ |\ |\ |\
by the lack of information he received regarding his tests.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Reasoning: This is a nonjudgmental statement regarding |\ |\ |\ |\ |\ |\ |\
the nurse's observations about the patient. Documenting
|\ |\ |\ |\ |\ |\ |\
that the patient had a defiant attitude or was demanding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and frequently complaining is judgmental, and
|\ |\ |\ |\ |\ |\
information in the medical record should be factual and |\ |\ |\ |\ |\ |\ |\ |\ |\
nonjudgmental. Documenting that the patient appears |\ |\ |\ |\ |\ |\
upset needs to be more specific regarding the reason for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the patient's concern.
|\ |\
|\ |\ |\ |\ |\ |\
with correct answers |\ |\
Because of difficulties with hemodialysis, peritoneal
|\ |\ |\ |\ |\ |\
dialysis is initiated to treat a client's uremia. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\
finding during this procedure signals a significant
|\ |\ |\ |\ |\ |\ |\
problem?
A. Hematocrit (HCT) of 35%.
|\ |\ |\ |\
B. White blood cell count (WBC) of 20,000/mm3 (0.02 L)
|\ |\ |\ |\ |\ |\ |\ |\ |\
C. Blood glucose level of 200 mg/dl (11.1 mmol/L)
|\ |\ |\ |\ |\ |\ |\ |\
D. Potassium level of 3.5 mEq/L (3.5 mmol/L) - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔B. White blood cell count (WBC) of |\ |\ |\ |\ |\ |\ |\
20,000/mm3 (0.02 L)
|\ |\ |\
A nurse is teaching a client with a leg ulcer about tissue
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
repair and wound healing. Which statement by the client
|\ |\ |\ |\ |\ |\ |\ |\ |\
indicates understanding? |\
A. "Increase in redness of the ulcer means better blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
flow."
B. "Increase in redness of the ulcer means better blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
flow."
C. "I'll eat plenty of fruits and vegetables."
|\ |\ |\ |\ |\ |\ |\
D. "I'll make sure that I keep the site covered at all
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
times." - CORRECT ANSWERS ✔✔C. "I'll eat plenty of fruits
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and vegetables."
|\
,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 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 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 entered and is not incorrect, it should be left on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
record. Never use correction fluid in a written medical
|\ |\ |\ |\ |\ |\ |\ |\ |\
record.
A new graduate nurse is providing a telephone report to a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient's health care provider and accepting telephone
|\ |\ |\ |\ |\ |\ |\ |\
orders from the provider. Which of the following actions
|\ |\ |\ |\ |\ |\ |\ |\ |\
requires the new nurse's preceptor to intervene? The new
|\ |\ |\ |\ |\ |\ |\ |\
nurse:
|\
A. Uses SBAR (Situation-Background-Assessment-
|\ |\ |\
Recommendation) as a format when providing the report. |\ |\ |\ |\ |\ |\ |\
B. Gives a newly ordered medication before entering the
|\ |\ |\ |\ |\ |\ |\ |\ |\
order in the patient's medical record.
|\ |\ |\ |\ |\
C. Reads the orders back to the health care provider after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
receiving them and verifies their accuracy.
|\ |\ |\ |\ |\ |\
D. Asks the preceptor to listen in on the phone
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
conversation. - CORRECT ANSWERS ✔✔B. Gives a newly |\ |\ |\ |\ |\ |\ |\ |\
ordered medication before entering the order in the
|\ |\ |\ |\ |\ |\ |\ |\
patient's medical record. |\ |\
, Reasoning: Nurses enter orders into the computer or |\ |\ |\ |\ |\ |\ |\ |\
write them on the order sheet as they are being given to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
allow the read-back process to occur.
|\ |\ |\ |\ |\
As you enter the patient's room, you notice that he is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
anxious to say something. He quickly states, "I don't
|\ |\ |\ |\ |\ |\ |\ |\ |\
know what's going on; I can't get an explanation from my
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
doctor about my test results. I want something done
|\ |\ |\ |\ |\ |\ |\ |\ |\
about this." Which of the following is the most
|\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate documentation of the patient's emotional |\ |\ |\ |\ |\ |\
status?
A. The patient has a defiant attitude and is demanding his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
test results.
|\ |\
B. The patient appears to be upset with his nurse because
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
he wants his test results immediately.
|\ |\ |\ |\ |\ |\
C. The patient is demanding and complains frequently
|\ |\ |\ |\ |\ |\ |\ |\
about his doctor. |\ |\
D.The patient stated that he felt frustrated by the lack of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
information he received regarding his tests. - CORRECT |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔D.The patient stated that he felt frustrated
|\ |\ |\ |\ |\ |\ |\ |\
by the lack of information he received regarding his tests.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Reasoning: This is a nonjudgmental statement regarding |\ |\ |\ |\ |\ |\ |\
the nurse's observations about the patient. Documenting
|\ |\ |\ |\ |\ |\ |\
that the patient had a defiant attitude or was demanding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and frequently complaining is judgmental, and
|\ |\ |\ |\ |\ |\
information in the medical record should be factual and |\ |\ |\ |\ |\ |\ |\ |\ |\
nonjudgmental. Documenting that the patient appears |\ |\ |\ |\ |\ |\
upset needs to be more specific regarding the reason for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the patient's concern.
|\ |\
