NSG3012 2021 Decmeber Week 1 Quiz Latest

Question 1 A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that including cultural information in his health assessment is important to:

Identify the cause of his illness.

Make accurate disease diagnoses.

Provide cultural health rights for the individual.

Provide culturally sensitive and appropriate care.

Question 2 A patient is brought by ambulance to the emergency department with multiple traumas received in an automobile accident. He is alert and cooperative, but his injuries are quite severe. How would the nurse proceed with data collection?

Collect history information first, then perform the physical examination and institute life-saving measures.

Simultaneously ask history questions while performing the examination and initiating life-saving measures.

Collect all information on the history form, including social support patterns, strengths, and coping patterns.

Perform life-saving measures and delay asking any history questions until the patient is transferred to the intensive care unit.

Question 3 A patient is brought to the emergency department. He is restless, has dilated pupils, is sweating, has a runny nose and tearing eyes, and complains of muscle and joint pains. His girlfriend thinks he has influenza, but she became concerned when his temperature went up to 39.4° C. She admits that he has been a heavy drug user, but he has been trying to stop on his own. The nurse suspects that the patient is experiencing withdrawal symptoms from which substance?

Alcohol

 Heroin

 Crack cocaine

 Sedatives

Question 4 In the health promotion model, the focus of the health professional includes:

Changing the patient’s perceptions of disease.

 Identifying biomedical model interventions.

 Identifying negative health acts of the consumer.

 Helping the consumer choose a healthier lifestyle.

Question 5 The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem?

Patient with postoperative pain

 Newly diagnosed patient with diabetes who needs diabetic teaching

 Individual with a small laceration on the sole of the foot

 Individual with shortness of breath and respiratory distress

Question 6 The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health history?

To provide an opportunity for interaction between the patient and the nurse

 To provide a form for obtaining the patient’s biographic information

 To document the normal and abnormal findings of a physical assessment

 To provide a database of subjective information about the patient’s past and current health

Question 7 Which of these conditions is due to an inadequate intake of both protein and calories?

Obesity

 Bulimia

 Marasmus

 Kwashiorkor

Question 8 A mother brings her 28-month-old daughter into the clinic for a well-child visit. At the beginning of the visit, the nurse focuses attention away from the toddler, but as the interview progresses, the toddler begins to “warm up” and is smiling shyly at the nurse. The nurse will be most successful in interacting with the toddler if which is done next?

Tickle the toddler, and get her to laugh.

 Stoop down to her level, and ask her about the toy she is holding.

 Continue to ignore her until it is time for the physical examination.

 Ask the mother to leave during the examination of the toddler, because toddlers often fuss less if their parent is not in view.

Question 9 When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?

Low self-esteem

 Lack of knowledge

 Abnormal laboratory values

 Severely abnormal vital signs

Question 10 A 29-year-old woman tells the nurse that she has “excruciating pain” in her back. Which would be the nurse’s appropriate response to the woman’s statement?

“How does your family react to your pain?”

 “The pain must be terrible. You probably pinched a nerve.”

 “I’ve had back pain myself, and it can be excruciating.”

 “How would you say the pain affects your ability to do your daily activities?”

 

Question 11 A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems?

Breathing, pain, and sleep

 Breathing, sleep, and pain

 Sleep, breathing, and pain

 Sleep, pain, and breathing

Question 12 As the nurse enters a patient’s room, the nurse finds her crying. The patient states that she has just found out that the lump in her breast is cancer and says, “I’m so afraid of, um, you know.” The nurse’s most therapeutic response would be to say in a gentle manner:

“You’re afraid you might lose your breast?”

 “No, I’m not sure what you are talking about.”

 “I’ll wait here until you get yourself under control, and then we can talk.”

 “I can see that you are very upset. Perhaps we should discuss this later.”

Question 13 The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action?

Establish priorities.

 Identify expected outcomes.

 Evaluate the individual’s condition, and compare actual outcomes with expected outcomes.

 Interpret data, and then identify clusters of cues and make inferences.

Question 14 During a prenatal check, a patient begins to cry as the nurse asks her about previous pregnancies. She states that she is remembering her last pregnancy, which ended in miscarriage. The nurse’s best response to her crying would be:

“I’m so sorry for making you cry!”

 “I can see that you are sad remembering this. It is all right to cry.”

 “Why don’t I step out for a few minutes until you’re feeling better?”

 “I can see that you feel sad about this; why don’t we talk about something else?”

Question 15 In using verbal responses to assist the patient’s narrative, some responses focus on the patient’s frame of reference and some focus on the health care provider’s perspective. An example of a verbal response that focuses on the health care provider’s perspective would be:

Empathy.

 Reflection.

 Facilitation.

 Confrontation.

Question 16 During a nutritional assessment, why is it important for the nurse to ask a patient what medications he or she is taking?

Certain drugs can affect the metabolism of nutrients.

 The nurse needs to assess the patient for allergic reactions.

 Medications need to be documented in the record for the physician’s review.

 Medications can affect one’s memory and ability to identify food eaten in the last 24 hours.

Question 17 During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his son’s treatment, however, he suddenly crosses his arms against his chest and crosses his legs. This changed posture would suggest that the parent is:

Simply changing positions.

 More comfortable in this position.

 Tired and needs a break from the interview.

 Uncomfortable talking about his son’s treatment.

Question 18 The nurse is reviewing the nutritional assessment of an 82-year-old patient. Which of these factors will most likely affect the nutritional status of an older adult?

Increase in taste and smell

 Living alone on a fixed income

 Change in cardiovascular status

 Increase in gastrointestinal motility and absorption

Question 19 In response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which response by the nurse is most appropriate?

“This has been a difficult year for you.”

 “I don’t know how anyone could handle that much stress in 1 year!”

 “What did you do to cope with the loss of both your husband and mother?”

 “That is a lot of stress; now let’s go on to the next section of your history.”

Question 20 Which statement best describes a proficient nurse? A proficient nurse is one who:

Has little experience with a specified population and uses rules to guide performance.

 Has an intuitive grasp of a clinical situation and quickly identifies the accurate solution.

 Sees actions in the context of daily plans for patients.

 Understands a patient situation as a whole rather than a list of tasks and recognizes the long-term goals for the patient.

 

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