Name: Score:
104 Multiple choice questions
Term
which of the following approaches are recommended when gathering assessment data from an
82 year old male patient entering a primary care clinic for the first time?
- recognize normal changes associated with age.
- allow for pauses as patient tells history.
- initiative in reading current evidence from literature.
- application of nursing theory
- collaboration between staff members from sending and receiving departments.
- using a standardized transfer policy and transfer tool.
- providing respect.
- viewing the patient as a whole.
- showing interest.
- being present.1 of 104
Term
a nurse is visiting a patient who live at home alone. the nurse is assessing the patients adherence
to medications. while talking with the family care giver, the nurse learns that the patient has been
missing doses. the nurse wants to perform interventions to improve the patients adherence. which
of the following will affect how this nurse will make clinical decisions about how to implement
care for this patient?
- determining the value the patient places on taking medications
- determining all consequences associated with the patient missing specific medicines.
- spending time during the patient assessment
- caring for the patient on consecutive days
- knowing the pattern of patient behavior about ambulating.
a question about perspective.
- the call to ostomy and wound care specialist is an indirect care measure.
- the cleaning of the skin is a direct care measure.2 of 104 Term
a nurse is preparing medica tion for a patient. the nur se checks the name of the medica tion on the
label with the name of the medica tion on the doct ors order. at the bedside, the nur ses checks the
patients name agains t the medica tion order as well. the nur se is following which critical think ing
attitude?
Authority
Integrity
Account ability
Responsibil ity3 of 104
Term
a nurse conducts an assessment of a 42 y ear old woman at a heal th clinic. the woman is married
and l ives in a condo with her husb and. she r eports having frequent voiding and p ain when she
passes urine . the nur se asks whether she has to go to the b athroom at night and the p atient
responds "yes, actual ly twice or more." the p atient has an episo de of diarrhea 1 week ago. she
weighs 300 l bs and r eports having difficul ty cleaning her self after voiding or passing s tool. which
of the following demons trate assessment findings that cluster to indica te the nur sing diagnosis
impaired urina tion?
Adminis tering the IV fluids.
- Dysuria
- Nocturia
- deductiv e reasoning
- asse ssment
- relevant
- risk taking
- creativity4 of 104 Term
the nur se applying e ffectiv e communica tion sk ills throughout the nur sing pr ocess shoul d:
1. truth seek ing; being objectiv e when asking questions of a patient .
2. open minde dness; being tolerant of the p atient s views and bel iefs.
3. Analyticity ; anticip ate how a patient might respond to a treatment .
4. systematicity ; organiz e asse ssment on the b asis of patient priority .
1. compl ete a nursing his tory using verbal communic ation technique s.
2. validate health care nee ds through verbal discussion with the p atient .
3. provide s upport through therapeutic communic ation technique s.
4. comp are actual and e xpect ed patient care outcomes with the p atient .
- have patient identify a quiet room in the r oom that has minimal interruptions.
-sugge st the u se of a quiet fan running in the r oom.
- sho w the p atient how to sit comfortably with the l imitation of his arthritis and focus on
prayer.
- promot es the p atient to talk when they feel ready
- allows the p atient time to think and gain insight5 of 104
Term
setting priorities for a patients nursing diagnoses or heal th pr oblems is an import ant step in
planning p atient care. which of the following describes elements to consider when pl anning
patient care?
- caring for simil ar groups of patient s over time
- learning ho w patient s typic ally respond to their clinical experienc es/ situa tions.
- observing p atient s
- enga ging with p atient s who are experiencing il lness.
- palliative care is for any patient , any time, any disease, in any setting.
- palliative care relieves the s ympt oms of illness and treatment
- allow the p atient to determine the timing and s cheduling of interventions.
- allow patient to have vistitors at any time.
- enc ourage the p atient to eat whene ver they are hungr y.
- priority setting e stablishes a preferential odder for nursing int erventions.
- recognition of sympt om p atterns help under standing when to plan int erventions.6 of 104 Term
A nurse has been caring for a patient for over 2 consecutiv e days. during that time that patient
had an IV catheter in the right forearm. at the end of the shift on the second day the nur se
inspects the catheter site, obser ves for redness, and asks whether the p atient feels tenderness
when the sit e is palpated. the nur se reviews the medical record from 24 hour s ago and finds that
the catheter site was without redness or tenderness. which of the activities below reflect the
nurses ability to perf orm p atient evaluation?
- asking the p atient to describe ho w their breathing feels.
the delay in adminis tration of the analgesic
Adminis tering the IV fluids.
- comp aring p atient response with pr evious response .
- examining r esults of clinical data.7 of 104
Term
a nurse obser ves a patient walking dow the hal l with a shuffl ing gait. when they return to bed, the
nurse checks the s trength in both the legs. the nur se applies the inf orma tion gained to suspect
that the p atient has a mobil ity problem. this concl usion is an exampl e of:
data cluster
clinical interference.
establishing pr esenc e
validation.8 of 104
104 Multiple choice questions
Term
which of the following approaches are recommended when gathering assessment data from an
82 year old male patient entering a primary care clinic for the first time?
- recognize normal changes associated with age.
- allow for pauses as patient tells history.
- initiative in reading current evidence from literature.
- application of nursing theory
- collaboration between staff members from sending and receiving departments.
- using a standardized transfer policy and transfer tool.
- providing respect.
- viewing the patient as a whole.
- showing interest.
- being present.1 of 104
Term
a nurse is visiting a patient who live at home alone. the nurse is assessing the patients adherence
to medications. while talking with the family care giver, the nurse learns that the patient has been
missing doses. the nurse wants to perform interventions to improve the patients adherence. which
of the following will affect how this nurse will make clinical decisions about how to implement
care for this patient?
- determining the value the patient places on taking medications
- determining all consequences associated with the patient missing specific medicines.
- spending time during the patient assessment
- caring for the patient on consecutive days
- knowing the pattern of patient behavior about ambulating.
a question about perspective.
- the call to ostomy and wound care specialist is an indirect care measure.
- the cleaning of the skin is a direct care measure.2 of 104 Term
a nurse is preparing medica tion for a patient. the nur se checks the name of the medica tion on the
label with the name of the medica tion on the doct ors order. at the bedside, the nur ses checks the
patients name agains t the medica tion order as well. the nur se is following which critical think ing
attitude?
Authority
Integrity
Account ability
Responsibil ity3 of 104
Term
a nurse conducts an assessment of a 42 y ear old woman at a heal th clinic. the woman is married
and l ives in a condo with her husb and. she r eports having frequent voiding and p ain when she
passes urine . the nur se asks whether she has to go to the b athroom at night and the p atient
responds "yes, actual ly twice or more." the p atient has an episo de of diarrhea 1 week ago. she
weighs 300 l bs and r eports having difficul ty cleaning her self after voiding or passing s tool. which
of the following demons trate assessment findings that cluster to indica te the nur sing diagnosis
impaired urina tion?
Adminis tering the IV fluids.
- Dysuria
- Nocturia
- deductiv e reasoning
- asse ssment
- relevant
- risk taking
- creativity4 of 104 Term
the nur se applying e ffectiv e communica tion sk ills throughout the nur sing pr ocess shoul d:
1. truth seek ing; being objectiv e when asking questions of a patient .
2. open minde dness; being tolerant of the p atient s views and bel iefs.
3. Analyticity ; anticip ate how a patient might respond to a treatment .
4. systematicity ; organiz e asse ssment on the b asis of patient priority .
1. compl ete a nursing his tory using verbal communic ation technique s.
2. validate health care nee ds through verbal discussion with the p atient .
3. provide s upport through therapeutic communic ation technique s.
4. comp are actual and e xpect ed patient care outcomes with the p atient .
- have patient identify a quiet room in the r oom that has minimal interruptions.
-sugge st the u se of a quiet fan running in the r oom.
- sho w the p atient how to sit comfortably with the l imitation of his arthritis and focus on
prayer.
- promot es the p atient to talk when they feel ready
- allows the p atient time to think and gain insight5 of 104
Term
setting priorities for a patients nursing diagnoses or heal th pr oblems is an import ant step in
planning p atient care. which of the following describes elements to consider when pl anning
patient care?
- caring for simil ar groups of patient s over time
- learning ho w patient s typic ally respond to their clinical experienc es/ situa tions.
- observing p atient s
- enga ging with p atient s who are experiencing il lness.
- palliative care is for any patient , any time, any disease, in any setting.
- palliative care relieves the s ympt oms of illness and treatment
- allow the p atient to determine the timing and s cheduling of interventions.
- allow patient to have vistitors at any time.
- enc ourage the p atient to eat whene ver they are hungr y.
- priority setting e stablishes a preferential odder for nursing int erventions.
- recognition of sympt om p atterns help under standing when to plan int erventions.6 of 104 Term
A nurse has been caring for a patient for over 2 consecutiv e days. during that time that patient
had an IV catheter in the right forearm. at the end of the shift on the second day the nur se
inspects the catheter site, obser ves for redness, and asks whether the p atient feels tenderness
when the sit e is palpated. the nur se reviews the medical record from 24 hour s ago and finds that
the catheter site was without redness or tenderness. which of the activities below reflect the
nurses ability to perf orm p atient evaluation?
- asking the p atient to describe ho w their breathing feels.
the delay in adminis tration of the analgesic
Adminis tering the IV fluids.
- comp aring p atient response with pr evious response .
- examining r esults of clinical data.7 of 104
Term
a nurse obser ves a patient walking dow the hal l with a shuffl ing gait. when they return to bed, the
nurse checks the s trength in both the legs. the nur se applies the inf orma tion gained to suspect
that the p atient has a mobil ity problem. this concl usion is an exampl e of:
data cluster
clinical interference.
establishing pr esenc e
validation.8 of 104
