NURSING 101 module 11-14 test bank Questions With
Complete Solutions
A 15-year-old patient is concerned because her mother wants
her to receive the human papillomavirus (HPV) vaccination, but
the patient is unsure if she wants it. Which response by
the nurse is most therapeutic?
a. Ask the patient what concerns she may have about the
vaccination.
b. Inquire about how many sexual partners she has had in the
past year.
c. Remind her that her mother knows best and that she should
respect her parents'
wishes.
d. Promote the importance of the vaccine and recommend that
the patient get the
vaccine as soon as possible. Correct Answer a. Ask the patient
what concerns she may have about the vaccination
A co-worker asks the nurse to explain spirituality. What is the
nurse's best response?
a. It has a minor effect on health.
b. It is awareness of one's inner self.
c. It is not as essential as physical needs.
d. It refers to fire or giving of life to a person. Correct Answer
b. It is awareness of one's inner self.
A female teen diagnosed with celiac disease continues to eat
food she knows will make her ill several hours after ingestion.
While planning care, the nurse considers maturational and
,tertiary-level interventions. Which intervention will the nurse
add to the care plan?
a. Teach the teen about the food pyramid.
b. Administer antidiarrheal medications with meals.
c. Gently admonish the teen and her parents regarding the
consistently poor diet choices.
d. Assist the teen in meeting dietary restrictions while eating
foods similar to those eaten by her friends. Correct Answer d.
Assist the teen in meeting dietary restrictions while eating foods
similar to those eaten by her friends.
A male patient in stable condition is in the intensive care unit
(ICU) and is asking to see his spouse and two daughters. What
should the nurse be prepared to plan for?
a. 5 to 10 minutes for the family visit
b. Complying with the patient's request
c. Arranging for the two daughters to visit, then the wife
d. Asking the family to decide which two persons will visit
Correct Answer b. Complying with the patient's request
A nurse delegates a position change to a nursing assistive
personnel. The nurse instructs the assistive personnel (AP) to
place the patient in the lateral position. Which finding by the
nurse indicates a correct outcome?
a. Patient is lying on side.
b. Patient is lying on back.
c. Patient is lying semi-prone.
d. Patient is lying on abdomen. Correct Answer a. Patient is
lying on side.
,A nurse encounters a family who experienced the death of their
adult child last year. The parents are talking about the upcoming
anniversary of their child's death. The nurse spends time with
them discussing their child's life and death. Which nursing
principle does the nurse's action best demonstrate?
a. Facilitation of normal mourning
b. Pain-management technique
c. Grief evaluation
d. Palliative care Correct Answer a. Facilitation of normal
mourning
A nurse facilitates the transplant coordinator in make a request
for organ and tissue donation from the patient's family. What is
the primary rationale for the nurse's action?
a. The nurse is not as knowledgeable as the coordinator.
b. The nurse is uncomfortable asking the family.
c. The nurse does not want to upset the family.
d. The nurse is following a federal law. Correct Answer d. The
nurse is following a federal law.
A nurse is assessing a child for sexual abuse. Which assessment
findings will the nurse expect?
a. Physical aggression and sleep disturbances
b. A few good friends and no drug usage
c. Panic attacks and anorexia
d. Anxiety and depression Correct Answer a. Physical
aggression and sleep disturbances
A nurse is assessing a patient with prolonged stress. Which
conditions will the nurse monitor for in this patient? (Select all
that apply.)
, a. Cancer
b. Diabetes
c. Infections
d. Allostasis
e. Low blood pressure Correct Answer a. Cancer
b. Diabetes
c. Infections
A nurse is assessing body alignment. What is the nurse
monitoring?
a. The relationship of one body part to another while in different
positions
b. The coordinated efforts of the musculoskeletal and nervous
systems
c. The force that occurs in a direction to oppose movement
d. The inability to move about freely Correct Answer a. The
relationship of one body part to another while in different
positions
A nurse is assessing pressure points in a patient placed in the
Sims' position. Which areas will the nurse observe?
a. Chin, elbow, hips
b. Ileum, clavicle, humerus
c. Shoulder, anterior iliac spine, ankles
d. Occipital region of the head, coccyx, heels Correct Answer
b. Ileum, clavicle, humerus
A nurse is assessing the body alignment of a standing patient.
Which finding will the nurse report as normal?
a. When observed laterally, the spinal curves align in a reversed
―S‖ pattern.
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