NUR 110 EXAM 2 PRACTICE QUESTIONS
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1. The HCP has written a prescription to advance the pt's Milkshake, ice
diet from clear liquids to full liquids. Which food items cream, apple juice,
would be found on the pt's tray? chicken broth
Milkshake
Ice cream
Apple juice
Vegetable soup
Chicken broth
2. which is a type of a nursing diagnostic statement? Risk diagnosis,
Collaborative problem problem focused,
Concept mapping or health promo-
Risk diagnosis tion
Data interpretation
3. The nurse assesses the client and formulates the fol- Decreased car-
lowing diagnoses. Which has the highest priority? diac output
Risk for constipation
Impaired skin integrity
Decreased cardiac output
Impaired physical mobility
4. A client is admitted with complaints of abdominal Client will rate pain
pain. Which expected outcome BEST meets criteria no more than a 2
for an accurately written outcome? within 1 hour of re-
Pt states "My pain is much better now that I am on a ceiving pain meds
in meds"
client will receive pain meds every 4 hours in the first
24 hours of admission
Client will state the presence of adequate pain control
while hospitalized
client will rate pain no more than a 2 within 1 hour of
receiving pain meds
5. The nurse documents the plan of care after an admis- Feed self with use
sion assessment for a client with right side paralysis. of left hand within
What short term goal BEST applies to the client? 3 days of admis-
State two positive comments prior to discharge about sion
bodily changes
, NUR 110 EXAM 2 PRACTICE QUESTIONS
Study online at https://quizlet.com/_g0a9n9
Ambulate without assistance within 48 hours of ad-
mission
Independently dress self after four weeks of PT
Feed self with use of left hand within 3 days of admis-
sion
6. A nurse documents the outcome: "The client will ave Obtain O2 sat fol-
an oxygen saturation of 95-100% after nebulizer treat- lowing the treat-
ments." How would the nurse evaluate the outcome? ment
Assess lung sounds bilaterally after the treatment
Elevate the head of bed prior to the treatment
Obtain O2 sat following the treatment
Ask the respiratory therapist if treatment was done
7. A client is two days post-operative from a left hip Reposition the pt
fracture repair. The client reports a pain rating of 8/10.
Which intervention for pain relief is an independent
nursing action?
Reposition the pt
Apply heat therapy
Administer pain meds
Consult PT
8. Proper body mechanics includes which concept? Maintaining a wide
Keeping the knees in a locked position base of support
Bending at the waist to maintain a center of gravity and bending at the
Holding an object away from the body for improved knees
leverage
Maintaining a wide base of support and bending at the
knees
9. The nurse is caring for a client with right-sided weak- Apply gait belt and
ness. The nurse prepares to ambulate the client in the provide support on
hallway. Which action should the nurse take? the right side
Apply gait belt and provide support on the right side
Hold pt's left hand while ambulating
Hold pt's right hand while ambulating
Apply gait belt and provide support on the left side
10.
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