EAQ NCLEX| Assignment #2 Fundamentals of Nursing-
Qs & As
Which of these programs is least likely to focus on medication delivery process modification?
1. Evaluation research
2. Quality improvement
3. Experimental research
4. Performance improvement Correct Ans-3. Experimental research
*Experimental research is least likely to focus on medication delivery process modification.
Quality improvement, evaluation research, and performance improvement are all likely to
focus on medication delivery process modification to make the process better for the client.
The client reports difficulty in breathing. The nurse auscultates lung sounds and assess the
respiratory rate. Which is the purpose of the nurses' action?
1. Data collection
2. Data validation
3. Data clustering
4. Data interpretation Correct Ans-1. Data collection
*The nurse is gathering objective data to support the subjective data. The client's report of
difficulty breathing is subjective data that must be supported by data obtained during the
physical examination. The nurse reviews the database after data collection to decide if it is
accurate and complete. This step is called data validation. The grouping of data that forms a
pattern is called data clusters. The nurse uses critical thinking to interpret the data and
analyze it before it is classified and organized into data clusters.
, EAQ NCLEX| Assignment #2 Fundamentals of Nursing-
Qs & As
Which member of the inter-professional team in a palliative care setting serves as the client
advocate, evaluating the physical, emotional, and spiritual needs of the client?
1. Nurse
2. Pharmacist
3. Music therapist
4. Primary health care provider Correct Ans-1. Nurse
*In a palliative care setting, the health care team would comprise professionals of various
disciplines to help achieve care outcomes. The nurse on the inter-professional team evaluates
the physical, emotional, and spiritual needs of the client and provides referrals to other
members of the team. The primary health care provider assesses the client manifestations of
the client. The pharmacist supports the care of the client and the needs of the family. Music
therapists help increase the comfort of the client.
The nurse is conducting a client interview. Which response by the nurse is an example of back
channeling?
1. "All right, go on..."
2. "What else is bothering you?"
3. "Tell me what brought you here.?
4. "How would you rate your pain on a scale of 0 to 10?" Correct Ans-1. "All right go on..."
*Back channeling involves the use of active listen prompts such as "Go on...", "All right," and
"uh-huh." Such prompts encourage the client to complete the full story. The nurse uses
probing by asking the client, "What else is bothering you?" Such open-ended questions help
obtain more information until the client has nothing more to say. The statement, "Tell me
what brought you here" is an open-ended statement that allows the client to explain his or
, EAQ NCLEX| Assignment #2 Fundamentals of Nursing-
Qs & As
her health concerns in his or her own words. Closed-ended questions such as, "How would
you rate your pain on a scale of 0 to 10?" are used to obtain a definite answer. The client
answers by stating a number to describe the severity of pain.
Which activity places a client at risk for hyperthermia?
1. Snowmobiling
2. Skiing in the winter
3. Hiking Alaskan mountains
4. Performing strenuous activity in high humidity Correct Ans-4. Performing strenuous
activity in high humidity
*When a client performs strenuous activity in high humidity, it reduces heat loss from the
body and results in hyperthermia. Activities such as snowmobiling, skiing, and hiking in cold
weather may cause hypothermia because they occur in cold temperatures and may lower the
body temperature.
Which signs and symptoms are observed in the human body with a decrease in body
temperature? Select all that apply. One, some, or all responses may be correct.
1. Shivering
2. Profuse sweating
3. Flushed appearance
4. Dilation of blood vessels
5. Contraction of blood vessels Correct Ans-1. Shivering
5.Contraction of blood vessels
, EAQ NCLEX| Assignment #2 Fundamentals of Nursing-
Qs & As
*A client who has decreased body temperature may experience shivering due to contraction
of the blood vessels in the body. The client who has decreased body temperature may not
experience profuse sweating, flushed appearance, and dilated blood vessels. These signs and
symptoms appear with an increase in body temperature.
Which is the goal of school health nursing programs?
1. Health promotion
2. Disease management
3. Chronic care management
4. Environmental surveillance Correct Ans-1. Health promotion
*The goal of school health nursing programs is health promotion through the school
curriculum. A class on nutritional planning for parents contributes to health promotion.
Disease management is one of the many programs of community health centers. These
centers provide primary care to a specific client population within a community. Nurse-
managed clinics provide nursing care management. The occupational health nurse may
conduct environment surveillance for health promotion and accident prevention in the work
setting.
A client does not take his or her medication regularly and is depressed. Which inference can
the nurse make about the client's motivational level?
1. Not motivated
2. Intrinsically motivated
3. Extrinsically motivated with self determination
4. Extrinsically motivated without self-determination Correct Ans-1. Not motivated
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