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Nursing 1135 Review Questions

Quiz by Bonnie Fournier

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15 questions
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  • Q1
    During data clustering, the nurse performs which of the following tasks?
    Making inferences about patterns of information.
    Organizing cues into patterns that lead to identification of nursing diagnoses
    Reviewing data with other health care providers.
    Providing documentation of nursing care.
  • Q2
    The nursing assessment is which phase of the nursing process?
  • Q3
    Which of the following is an example of an expected outcome statement in measurable terms?
    Patient will have less pain.
    Patient will be pain free.
    Patient will take pain medication every four hours.
    Patient will report pain intensity of less than 4 on a scale of 0 to 10.
  • Q4
    The nurse has gathered the following assessment data about a patient. Which of these cues form a pattern? (Select all that apply.)
    Respirations are 24 breaths per minute and irregular.
    Patient is restless.
    Patient reports feeling short of breath.
    Fluid intake for eight hours is 800 mL.
  • Q5
    A 70-year-old man has just been diagnosed with chronic obstructive pulmonary disease (COPD). At what point should the nurse begin to include the client’s wife in the teaching around the management of the disease?
    As soon as possible
    After the client has had the opportunity to adjust to his treatment regimen
    When the client becomes unable to manage his symptoms independently
    When the client requests assistance from his spouse and family
  • Q6
    The nurse is assessing a client with asthma and notes wheezing and dyspnea. Which of the following pathophysiological changes is attributable to these symptoms?
    Overdistension of the alveoli
    Pulmonary edema
    Narrowing of the airway
  • Q7
    Which of the following positions is best for the nurse to place a client who is experiencing an asthma exacerbation?
    Reverse Trendelenburg
    High Fowler’s
  • Q8
    The nurse is teaching a client with asthma about the appropriate use of a peak flowmeter. Which of the following instructions should the nurse include in the teaching plan?
    Increase the doses of the long-term control medication if the peak flow numbers decrease.
    Keep a record of the peak flowmeter numbers if symptoms of asthma are getting worse. Correct
    Empty the lungs and then inhale quickly through the mouthpiece to measure how fast air can be inhaled.
    Use the flowmeter each morning after taking medications to evaluate their effectiveness.
  • Q9
    The nurse is providing discharge information related to activity levels to a 61-year-old client with chronic obstructive pulmonary disease (COPD) and pneumonia. Which of the following exercise goals is most appropriate once the client is fully recovered from this episode of illness?
    Limit exercise to activities of daily living to conserve energy.
    Walk for 20 minutes/day, keeping the pulse rate less than 130 beats/min.
    Slightly increase activity over the current level.
    Swim for 10 minutes/day, gradually increasing to 30 minutes/day.
  • Q10
    Which of the following modifiable risk factors for stroke would be most important for the nurse to include when planning a community education program?
    Oral contraceptive use
    Alcohol consumption
  • Q11
    Which of the following nursing interventions is most appropriate when communicating with a client suffering from aphasia poststroke?
    Ask open-ended questions to provide the client the opportunity to speak.
    Finish the client’s sentences so as to minimize frustration associated with slow speech.
    Present several thoughts at once so that the client can connect the ideas.
    Use simple, short sentences accompanied by visual cues to enhance comprehension.
  • Q12
    Computed tomography (CT) of a client’s head reveals that he has experienced a hemorrhagic stroke. Which of the following is a nursing priority intervention in the emergency department?
    Control of fluid and electrolyte imbalances
    Administration of tissue plasminogen activator (tPA)
    Maintenance of the client’s airway
    Positioning to promote cerebral perfusion
  • Q13
    The nurse is caring for an older-adult client who has osteoarthritis (OA). In assessing the client’s understanding of this disorder, the nurse concludes that teaching has been effective when the client describes the condition as which of the following statements?
    Degeneration of articular cartilage in synovial joints
    Breakdown of tissue in non–weight-bearing joints by enzymes
    Joint destruction caused by an autoimmune process
    Overproduction of synovial fluid resulting in joint destruction
  • Q14
    The nurse is teaching a client who has osteoarthritis (OA) of the knees the most beneficial measure to protect the joints. Which of the following information should the nurse include?
    Use a wheelchair to avoid walking as much as possible.
    Use a walker for ambulation to relieve the pressure on her hips.
    Sit in chairs that do not cause her hips to be lower than her knees.
    Eat a well-balanced diet to maintain a healthy body weight.
  • Q15
    The nurse is reinforcing health teaching about the management of osteoarthritis (OA) with a client. Which of the following client statements indicate a need for additional instruction?
    “A warm shower in the morning will help relieve the stiffness I have when I get up.”
    “I should take the celecoxib (Celebrex) as prescribed to help control the pain.”
    “I can use a cane if I find it helpful in relieving the pressure on my back and hip.”
    “I should try to stay standing all day to keep my joints from becoming stiff.” Correct

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