Concept of Man
A nurse conducted a seminar about
1. All social needs of man are the same.
 False
2. Man cannot live without attaining the:
 Physiologic needs
3. The belief to the unseen is a manifestation
of what aspect of man:
 Spiritual
4. A baby cries out loud when the mother
stops breastfeeding him/her. The baby’s
reaction is an indication of man’s response
to:
 Physiologic need
5. A toddler cries out loud when he/she
cannot see his/her mother and stops when
the mother comes back to him/her. The
young child’s reaction to the mother’s
presence is an example of:
 Secured environment
6. Man and woman enter in the bond of
marriage. Marrying and starting a family is
a:
 Psychological need
 Physiologic need
 Sociologic need
7. “No man is an island.” However, man
needs to be in solitude to reflect on his/her
circumstance. Having ‘time alone’ to make
reflection enhances the ______ aspect of
man.
 Psychological
8. According to Abraham Maslow, man cannot
achieve self-confidence without:
 Being safe and secure
 Health
 Being belong
Health, Illness and Wellness
9. Dunn: Health- Illness continuum; _______:
Stages of illness experience
 Suchman
10. Leavell & Clark: Levels of prevention;
Parson: ______________________
 Sick role model
11. Illness: Subjective; __________: Objective
 Disease
12. Environment: weather; Agent:
_________________
 bacteria
13.
reproductive health and correct
contraceptive use. This is a:
 primary prevention
14. Physical therapy for a patient who is
recovering from stroke is an example of a:
 Tertiary prevention
15. Monthly breast self-examination for a
female client:
 Secondary prevention
16. A patient who is currently enrolled for TB-
DOTS is an example of a:
 Secondary prevention
Nursing as a Profession
17. Florence Nightingale- environment
utilization; Virginia Henderson-_________:
 Gain independence
18. To observe the Nightingale’s theory in
maintaining health and preventing disease,
the nurse must:
 Maintain a clean and well-
ventilated patient’s room
19. The nurse works smoothly with other
members of the healthcare team:
 Team-player
20. The nurse maintains his/her composure
during difficult situation:
 Emotionally intelligent
21. The nurse is genuinely concern to others:
 Helper
22. Sue with his/her actions during pressured
moments:
 Competent
23. Clarifies statements heard and listens to
concerns:
 Communicator
24. The nurse is interested to learn:
 Open-minded
25. The nurse protects the patient’s human
rights and legal rights:
 Advocate
26. The nurse manages patient care and
delivers specific nursing service:
 Caregiver
27. This attribute is central to nurse-patient
relationship:
 Communicator
 28. A nurse is caring for a patient with end-
stage lung disease. The patient wants to go
home on oxygen. However, the family
wants the patient to have a new surgical
procedure. Nurse Shan Cai explains the risk
and benefits of the surgery to the family
and discusses the patient’s wishes. The
nurse is acting as the patient’s:
 Advocate
29. A Nurse reviewed to the patient and family
to perform wound dressing properly. The
patient’s wife demonstrated how to do
proper wound dressing. The nurse is acting
to what role?
 Educator
30. Nurse meets the Registered Dietician to
develop a plan of care which focuses on
improving the patient’s nutrition. This is an
example of:
 Team work and collaborator
31. Nurse in an acute care setting attended a
unit-based education program to learn how
to use a new pressure-relieving device for
patients at risk of bedsores. The nurse’s
action is an example of maintaining:
 Competence
32. When Nurse refers and coordinates t to the
community services for her patient, she is
functioning in the role of:
 Collaborator
33. A nurse consultant decided to compare two
types of treatment for bedsores. The first
procedure is the traditional way while the
other treatment is a new one. The nurse
exemplifies:
A. Researcher
B. Collaborator
C. Team player
D. Competence
Answer: A
Nursing as a Profession
34. Using Maslow’s hierarchy of need, identify
the PRIORITY for a patient who is
experiencing chest pain and difficulty of
breathing:
 Physiologic needs
35. A nurse is taking care of patient who is
grieving for the loss spouse. What would be
the best theory to help in the plan of care?
 Sis Callista Roy’s model
36. Nurse assumes responsibility in bathing and
feeding the patient until the patient is able
to begin performing these activities. Nurse
Xi Men is applying the theory developed by:
 Orem
37. Nurse routinely asks his patient if they take
vitamins or herbal medications.
Additionally, encourages patient to listen to
music. The nurse practices which model?
 Holistic
38. Nurse also encourages the patient to
increase their fluids and activity levels to
help with the patient’s voiced concern
about constipation. The nurse is addressing
which level of need according to Maslow?
 Physiological
39. Nurse developed a health promotion
program on breast self-examination (BSE)
for the women’s group. As a nurse, one
must learn to understand cues and clues.
Which statement would indicate that the
participant was able to identify her
susceptibility to the illness?
 “My mother died of breast cancer, I
know that I am at risk of developing it
too.”
40. Which activity shows a nurse engaged in
primary prevention?
 A school health nurse provides a
program to the first year students on
health eating.
41. The nurse understands the Pender’s health
promotion model when he/she states that:
 “The desired outcome of the model is
health promoting behaviour.”
42. Which statement made by a nurse
indicating that he/she is engage in an
activity to help cope with secondary
traumatic stress and burnout?
 “I am enjoying my quilting group that
meets each week at my church.”
43. A nurse applying the theory of Leininger
considers:
 Culturally specific nursing care
Knowing in Nursing
44. Develops social awareness of social
problems and taking action to create social
change:
 Emancipatory
45. Encompasses knowing one’s own self as
well as the self in relation to others:
 Personal
46. It is expressed in practice as a scientific
competence:
 Empirical
47. Critically reflecting upon social, cultural and
political status quo:
 Socio-political
48. It is expressed in the moment of
experience-action in the transformative art:
 Aesthetic
49. This involves moment-to-moment
judgments about what ought to be done:
 Aesthetic
50. Individuals can only know through personal
experience:
 Personal
51. Appreciation of the meaning of a situation:
 Aesthetic
Nursing as an Art
52. This is central to nursing practice:
 Caring
53. Leininger’s care theory are derived largely
from:
 Culture
54. The nurse do not compromise nursing
standards or honesty in delivering nursing
care:
 Competence
55. The nurse refers to the policy and
procedure manual to review steps of a skill:
 Competence
56. The nurse listens to both sides in any
discussion:
 Communication
57. The nurse recognizes the need for more
information to make a decision:
 Courage
58. Elderly patients report loss of memory and
difficulty solving problems. The nurse
understands that this is an example of
impaired:
 Psychological well-being
59. The nurse demonstrates caring by:
 Maintaining professionalism at all cost
60. When planning care for a patient
considering the concept of a family, the
nurse:
 Realizes the cultural background is an
important variable when assessing the
family.
61. To be effective in the care of various ethnic
groups, the nurse should:
 Be aware of patients’ cultural difference
62. A nurse is talking with a young adult patient
about the purpose of a new medication, the
nurse says" I want to be clear, can you tell
me in your own words the purpose of this
medicine?" This exchange is an example of
which element of the transactional
communication process?
 Channel
63. A nurse prepares to contact a physician
about a change in the patient’s condition.
What is the correct order of statements
using SBAR (Situation, Background,
Assessment, and Recommendation)
communication?
1. Would you like to make a change in
antibiotics?
2. Patient reported feeling nauseated after
dose of Levaquin
3. A 53 year old female admitted 2 days ago
with pneumonia, started Levaquin
yesterday, and complains of poor appetite
4. The patient complained of nausea
yesterday evening and has vomited during
the night.
Choices:
 4,3,2,1
64. A nurse has been gathering physical
assessment data on a patient and is now
listening to the patients concerns. The
nurse sets a goal of care that incorporates
the patients desire to make treatment
decisions, this is an example a nursing gage
 n which phase of nurse- patient
relationship?
 Working phase
65. A nursing student is reviewing a process
recording with the instructor. The student
engaged the patient with discussion about
availability with family members to provide
support at home once the patient is
discharged; the student reviews with the
instructor whether the comments used
encourage openness and allow the patient
to tell his story. This is an example of what
step in nursing process?
 Evaluation
66. The nurse states to a patient, "When you
tell me that you're having a hard time living
up to expectations, are you talking about
your family's expectations?" Which
therapeutic communication technique does
this illustrate?
 Clarifying
67. The primary goals of good relationship
building and client care are best achieved
when all members of the inter-professional
care team:
 a trusting relationship.
68. You are caring for an 80-year-old woman,
and you ask her a question while you are
across the room washing your hands. She
does not answer. What should you do next?
 Move to her bedside, get her attention,
and rephrase the question while facing
her.
69. Which of the following nursing actions helps
you establish a therapeutic relationship
with a patient for whom English is not the
primary language?
 Provide the patient with a
professional interpreter.
70. A patient is evaluated in the ER after
causing a car accident while being under
the influence of alcohol, which statement
would be most therapeutic?
 "Tell me what happened before,
during, and after the accident
tonight?"
71. Which strategies should a nurse use to
facilitate a safe transition of care during a
patient’s transfer from the hospital to a
skilled nursing facility?
1. Collaboration between staff
members from sending and
receiving departments
2. Using a standardized transfer
policy and transfer tool
3. Requiring that the patient
visit the facility before a
transfer is arranged
4. Arranging all patient
transfers during the same
time each day.
5. Relying on family members
to share information with the
new facility.
 1,2
72. When a client expresses doubt whether a
complicated procedure will actually help his
condition, the nurse best avoids blocking
the communication by responding:
 "What makes you doubt that your
condition will benefit from having the
procedure done?"
73. A patient states, "No one talked with me
about a change in my medications, so just
bring me what I take at home." Which of
the following responses by the nurse is the
best example of a therapeutic
communication technique?
 "I understand that you're concerned.
Let me tell you about the
medications."
74. A patient states, "I'm not sure my doctor
has ordered the right medication for my
hypertension." Which of the following
responses is the most therapeutic as an
immediate response?
  "So you're concerned that this
medication may not be right for you?"
75. A nurse is attempting to establish a
therapeutic relationship with an angry,
depressed patient on a medical surgical
unit. Which of the following is the best
nursing intervention?
 Empathize with the patient as he
describes current stressors.
76. You are working with an eighty-five years
old male patient, who is hearing-impaired,
the use of which techniques would improve
communication for the both of you?
1. Check for needed adaptive equipment.
2. Exaggerate lip movements to help the
patient lip read.
3. Give patient time to respond to
questions.
4. Keep communication short and to the
point.
5. Communicate only through written
information.
 1,3,4
77. The following are the reasons why nurses
must communicate effectively with the
health care team, except:
 Prevent issues need to be reported to
outside agencies.
78. A new nurse complains to her preceptor
that she has no time for therapeutic
communication with her patients. Which of
the following is the best strategy to help the
nurse find more time for this
communication?
 Include communication while
performing task such as changing
dressings and checking vital signs.
79. Motivational interviewing (MI) is a
technique that applies understanding a
patient’s values and goals in helping the
patient make behaviour changes. What are
other benefits of using MI techniques?
(select all that apply)
1. Identifying differences in patient’s
health goals and current behaviours.
2. Providing assessment data that can
be shared with families to promote
change
3. Gaining an understanding of
patients motivation
4. Recognize patients’ strengths and
support their efforts
5. Focusing on opportunities to avoid
poor health choices
 1,3,4
80. A patient who is Spanish speaking does
appear to understand the nurse's
information on wound care. Which action
should the nurse take?
 Use a professional interpreter to
provide wound care education in
Spanish
81. A nurse is assigned to a patient for the first
time and states, "I don't know a lot about
your culture and want to learn about how
to better your health care needs." Which
therapeutic communication technique is
used?
 Humility
82. A new nurse is experiencing lateral violence
at work, which steps could the nurse take to
address this problem?
 Talk the manager and ask for
assistance with handling this issue
83. The nurse uses silence as a therapeutic
communication technique. What is the
purpose of the nurse’s silence?
1. Prompt the patient to talk when he
or she is ready.
2. Allow the patient time to gain
insight.
3. Let the patient realized that you are
impatiently waiting for the
response.
4. Allow the patient time to think.
  1, 2, 3 and 4
84. The most likely reason a 9-year-old child
cries and refuses to cooperate with an
injection is:
 the child's past experiences with
injections.
85. The most important concept to remember
when using both verbal and nonverbal
communication is that:
 Non-verbal messages are accepted as
true more often than verbal ones.
86. Nursing's primary concern related to the
appropriate use of social media is to
preserve:
 confidentiality.
PATIENT EDUCATION
87. The nurse is organizing a disease prevention
program for a specific cultural group. To
effectively meet the needs of this group the
nurse will: (Select all that apply.)
1. Assess the needs of the community
in general.
2. Involve those affected by the
problem in the planning process.
3. Develop generalized goals and
objectives for the program.
4. Use educational materials that are
simplistic and have many pictures.
5. Assess commonly held health beliefs
among the cultural group.
6. Educate the specific cultural group
about Western concepts of health
and illness.
7. Include cultural practices that are
relevant to the specific community.
Choices:
 2,5,7
88. A patient needs to learn how to administer
a subcutaneous injection. Which of the
following reflects that the patient is ready
to learn?
 Expressing the importance of learning
the skill correctly
89. A nurse is teaching a group of young
college-age women the importance of using
sunscreen when going out in the sun. Which
type of content is the nurse providing?
 Health promotion and illness
prevention
90. An older man is being given a new
antihypertensive medication. In teaching
the client about the medication, the nurse
should:
 Allow the client time to express
him/herself and ask questions.
91. A learning objective for a client taking
digoxin (Lanoxin) is to correctly take a radial
pulse for 1 minute before medication
administration. The learning objective has
been achieved when the client:
 Demonstrates correct finger
placement and counts the beats
correctly
92. The nurse is demonstrating the proper
technique for using a glucometer to a group
of clients newly diagnosed with diabetes.
The nurse smiles and praises one of the
clients when she correctly performs a finger
stick. This teaching approach is referred to
as:
 Reinforcing
93. Which of the following represents the most
complex behaviour in the psychomotor
learning domain?
 activities of daily living after acquiring
left-sided paralysis due to a brain
injury
94. When planning for instruction on cardiac
diets to a patient with heart failure, which
of the following instructional methods
would be the most appropriate for
someone identified as a visual/spatial
learner?
  Colored visual diagrams that
categorize foods according to fat and
sodium content
95. When a nurse is teaching a patient about
how to administer an epinephrine injection
in case of a severe allergic reaction, the
nurse tells the patient to hold the injection
like a dart. Which of the following
instructional methods did the nurse use?
 Analogy
96. A nurse needs to teach a young woman
newly diagnosed with asthma how to
manage her disease. Which of the following
topics does the nurse teach first?
 How to use an inhaler during an
asthma attack
97. A client needs to learn how to administer a
subcutaneous injection. The nurse knows
the client is ready to learn when the client:
 Expresses the importance of learning
the skill
98. The client who is most ready to begin a
client teaching session is the client who has:
 Voiced a concern about how insulin
injections will affect her lifestyle
99. Which of the following is an example of an
appropriately stated learning objective?
 The client will state three factors that
affect cholesterol by the end of the
teaching session.
100. When a nurse is teaching a client
how to draw up and mix insulin injections,
which of the following best demonstrates
that psychomotor learning has taken place?
 the client is able to demonstrate the
appropriate technique
Nursing Process
101. It is a continuous process that is
carried out all throughout the nursing
process.
 Assessment
102. What is the most favorable seating
arrangement of the nurse and the client in
an interview?
 Two parties sit on two chairs placed at
right angles or a few feet apart, with
no table between.
103. What component of the nursing
diagnosis that identifies one or more
probable causes of the health problem,
gives direction to the required nursing
therapy, and enables the nurse to
individualize the client care?
 Etiology
104. thalia, a 39-year-old homemaker is
admitted to the hospital because of
gastroenteritis. She has no appetite and
barely touches her meals. She has not eaten
for 12 hours already. What nursing problem
could the nurse identify to thalia?
 Imbalanced Nutrition: less than body
requirement
105. A nurse is about to perform her
planned nursing interventions to her client.
Which of the following steps should she do
first?
 Reassessing the client
106. Which of the following nursing
actions is not included in the implementing
phase of the nursing process?
 Identifying health problems
107. Which of the following statements is
NOT true about the relationship of
evaluating to other nursing process phases?
 During the evaluating phase, the nurse
collects data for the purpose of
making diagnoses.
108. Which of the following nursing
actions is specific in the evaluation phase of
the nursing process?
 Continuing, modifying, or terminating
the nursing care plan
109. Which of the following data will the
nurse document as subjective data?
  Complaints of thirst
110. Nurse Rock is establishing priorities
for patient care. Which one would not be
her basis?
 Attend to equipment & apparatus first,
such as IV fluids, urinary catheter,
drainage tubes
111. All but one are the activities during
evaluation:
 Performing nursing interventions &
procedures
112. Nursing diagnosis is characterized by
which of the following statements, BUT
ONE?
 It is constant from admission till
discharge
113. Upon admission, Mr. claus
presented the following objective data
EXCEPT:
 Fear of his current condition
114. In prioritizing patient’s care, Trina
utilized Maslow’s Hierarchy of Needs. Thus
of the following problems the topmost
priority is:
 Ineffective Airway Clearance
115. In writing the nurses notes, Nurse
Digna made a wrong entry. To correct the
notation, which of the following is the right
thing to do by Nurse Digna?
 Put a line on the mistaken entry & affix
her signature, then write the correct
entry right after the corrected one;
116. shania propped up the patient who
had difficulty of breathing as she listened to
her stories of achievements. The action of
Sheena is:
 Dependent function
117. At the station, she wrote the
diagnosis for the patient as: Difficulty of
breathing related to coughing. This is:
 Actual diagnosis
118. Assessment of patient always
includes signs & symptoms. All of the
following which are considered signs, but
one:
 Experience of gnawing pain
119. Type of data that is apparent only to
the person affected and can be described or
verified only by that person.
 Covert data
120. Which of the following is the
primary purpose of the evaluating phase of
the care-planning?
A. Desired outcomes have been met
121. The following are the activities
under assessment phase in nursing process
EXCEPT:
 Analyze data
122. In which of the following is the
nursing diagnostic statement properly
worded?
 Activity intolerance related to muscle
pain
123. Which of the following behaviors is
most representative of the nursing
diagnosis phase of the nursing process?
 Identifying major problems or needs
124. The action phase in which the nurse
performs the nursing interventions:
 Implementation
125. Which of the following
documentation belongs to Subjective (S)
category?
 “The pain increases every time I turn
on my left side.”
126. The nurse disposes the printed
information appropriately when he/she:
 Places papers with patient information
in a secure canister marked for
shredding
127. The nurse manager is reviewing the
nursing documentation of the staff nurses
and finds the following entry, “Patient is
difficult to care for, refuses suggestion for
improving appetite. Which of the following
statement is most appropriate for the
 manager to make to the staff nurse who
entered this information?
 “Enter only objective and factual
information about a patient in a
medical record.”
128. Which of the following actions
requiring intervention from a senior nurse
to a novice nurse?
 Gives the newly ordered medication
before entering the order in the
patient’s medical health record.
129. As the nurse enters into the
patient’s room, the nurse notices that the
patient is anxious. The patient quickly sates,
“I don’t know what is going on. I cannot get
an explanation form my doctor about my
tests results. I want something done about
this.” Which of the following documents
this observation appropriately?
 “The patient stated feelings of
frustration from the lack of information
received regarding test results.”
130. Which among the following is true
about Health Insurance Portability and
Accountability Act (HIPAA)?
 HIPAA provides you with greater
protection of your personal health
information.
131. The patient is asking the nurse if she
could read her medical records. The nurse
best response will be:
 “You have the right to read your
record.”
132. A nurse develops strategies to
resolve a client’s health care issue. Which
step of the nursing process does this
represent?
 Planning
133. Nurses are faced with stressful
situations at both the clinical and
community setting. How would the nurse
handle situation when 4 clients
simultaneously calls for him?
 Prioritize based on the client’s needs.
134. The nurse is making assessment
notes about the client’s health concern.
Which of the following are objective data?
 The nurse notes abdominal guarding.
135. The nurse is making nursing care
plan for his diabetic client who underwent
below the knee amputation. Which of the
following should be put as entry in the
diagnosis?
 Social isolation related to the outcome
of surgery as manifested by isolation.
136. Which type of interview question
does the nurse first use when assessing the
reason for a patient seeking health care?
 Open-ended
137. The nurse observes a patient
walking down the hall with a shuffling gait.
When the patient returns to bed, the nurse
checks the strength in both of the client’s
legs. The nurse applies the information
gained to suspect that the patient has a
mobility problem. This conclusion is an
example of:
 Clinical Inference
138. The nursing diagnosis Impaired
Parenting related to mother’s
developmental delay is an example of a(n):
 Problem-focused nursing
139. The nurse knows that the best
source of nursing practice should be from?
 Research articles and journals.
140. The nurse is preparing nursing care
plan for his cancer client. He knows that this
part of the nursing process lets the nurse
know if the interventions done are
effective. What part of the nursing process
is this?
 Evaluation
141. The nurse that goal-setting is part of
the nursing process. What phase of the
nursing process does it belong?
 Planning
142. Critical thinking is necessary for
nurses to make a proper judgment. Critical
thinking involves the following, EXCEPT;
A. Problem solving
B. Intuition
C. Decision making
D. Creativity
143. This is a technique one can use to
look beneath the surface, recognize and
examine assumptions, search for
 inconsistencies, examine multiple points of
view, and differentiate one knows from
what one merely believes.
 Socratic Questioning
144. This is a formal, organized and
systematic approach in solving problems.
This is used to build disciplines or evidence-
based practices among the sciences.
 Research process
145. The nurse provides care for a client
admitted for severe abdominal pain. The
nurse instructs the nursing student that
which action depicts the evaluation step in
the nursing process.
 Reassessment of pain after
administering pain medicine.
146. The nurse cares for a client with a
pressure injury. What is the proper
sequence of the nursing process to address
this? (From first to the last) 1. Planning, 2.
Nursing diagnosis, 3. Implementation, 4.
Evaluation, and 5. Assessment:
 5,2,1,3,4
147. A nurse meets with the family of an
infant client. Which action demonstrates
collaboration of care?
 The nurse schedules a meeting with all
health care providers and the family for
discussion of plan of care.
148. A nurse manager seeks to improve
the quality of client care using evidence-
based practice. What steps does the nurse
use when implementing this concept?
(From first to last) 1. Evaluate the evidence,
2. Acquire evidence, 3. Identify the
problem, 4. Apply the evidence, 5. Assess
the outcome
 3,2,1,4,5
149. The nurse is most likely to collect
timely, specific information by asking which
of the following questions?
 “Would you describe what you are
feeling?”
150. Which of the following descriptors is
most appropriate to use when stating the
“problem” part of a nursing diagnosis?
 Anxiety
151. Priorities are established to help the
nurse anticipate and sequence nursing
interventions when a client has multiple
problems or alterations. Priorities are
determined by the client’s:
 Urgency of problems
152. Once a nurse assesses a client’s
condition and identifies appropriate nursing
diagnosis, a:
 Plan is developed for nursing care.
153. The nurse writes an expected
outcome statement in a measurable term.
An example is:
 Client will report pain acuity less than 4
on a scale of 0-10.
154. Collaborative interventions are
therapies that require:
 Multiple health care professionals
155. A client centered goal is a specific
and measurable behavior or response that
reflects a client’s:
 Highest possible level of wellness and
independence in function.
156. For clients to participate in goal
setting, they should be:
 Alert and have some degree of
independence.
157. After determining a nursing
diagnosis of acute pain, the nurse develops
the following appropriate client-centered
goal:
 Pain intensity reported as a 3 or less
during hospital stay.
158. This is the blueprint of nursing care.
 Nursing process
159. This makes the nursing care given to
clients safe, competent and skillful.
 Critical thinking
160. This is the application of a set of
questions to a particular situation or idea to
determine essential information and ideas
and discard superfluous information and
ideas.
 Critical analysis
161. The best source of subjective data
would come from:
  Primary Source
162. This is form of interview that elicits a
specific question and usually uses a close-
ended question.
 Directive interview
163. The nurse is planning to interview a
client. The plan should include the
following, EXCEPT:
 Persons involved
164. This is a set of cues, the signs or
symptoms gathered during assessment.
 Data cluster
165. A nurse interviewed and conducted
a physical examination of a patient. Among
the assessment data the nurse gathered
were an increased respiratory rate, the
patient reporting difficulty breathing while
lying flat, and pursed-lip breathing. This
data set is an example of:
 Data cluster
166. A nurse is using the problem-
oriented approach to data collection. Which
action will the nurse take first?
 Focus on the patient’s presenting
situation.  the patient to elaborate on the reports of
167. After reviewing the database, the
nurse discovers that the patient’s vital signs
have not been recorded by the nursing
assistive personnel (NAP). Which clinical
decision should the nurse make?
 Ask the NAP to record the patient’s
vital signs before administering
medications.
168. a nurse is gathering data on a
patient. Which data will the nurse report as
objective data?
 Respirations 16  tells the nurse about an inability to rest at
169. A patient expresses fear of going
home and being alone. Vital signs are stable
and the incision is nearly completely
healed. What can the nurse infer from the
subjective data?
 The patient is apprehensive about
discharge. 
170. Which method of data collection will
the nurse use to establish a patient’s
database?
 Performing a physical examination 
171. A nurse is gathering information
about a patient’s habits and lifestyle
patterns. Which method of data collection
will the nurse use that will best obtain this
information?
 Perform a thorough nursing health
history. 
172. While interviewing an older female
patient of Asian descent, the nurse notices
that the patient looks at the ground when
answering questions. What should the
nurse do?
 Consider cultural differences during
this assessment. 
173. A nurse has already set the agenda
during a patient-centered interview. What
will the nurse do next?
 Ask about the chief concerns or
problems.
174. The nurse is attempting to prompt
daytime fatigue. Which question should the
nurse ask?
 “What reasons do you think are
contributing to your fatigue?” 
175. A nurse is conducting a nursing
health history. Which component will the
nurse address?
 Patient expectations 
176. While the patient’s lower extremity,
which is in a cast, is assessed, the patient
night. The nurse disregards this
information, thinking that no correlation
has been noted between having a leg cast
and developing restless sleep. Which action
would have been best for the nurse to
take?
  Ask the patient about usual sleep
patterns and the onset of having
difficulty resting.  nurse?
177. The nurse begins a shift assessment
by examining a surgical dressing that is
saturated with serosanguineous drainage
on a patient who had open abdominal
surgery yesterday (or 1 day ago). Which
type of assessment approach is the nurse
using?
 Problem-oriented assessment  regarding the manufacture, processing, and
178. Which statement by a nurse
indicates a good understanding about the
differences between data validation and
data interpretation?
 “Validation involves comparing data
with other sources for accuracy.”  186.
179. Which scenario best illustrates the
nurse using data validation when making a
nursing clinical decision for a patient?
 The nurse determines to remove a
wound dressing when the patient
reveals the time of the last dressing
change and notices old and new
drainage. 
180. While completing an admission
database, the nurse is interviewing a
patient who states “I am allergic to latex.”
Which action will the nurse take first?
 Ask the patient to describe the type
of reaction.  189.
181. A patient verbalizes a low pain level
of 2 out of 10 but exhibits extreme facial
grimacing while moving around in bed.
What is the nurse’s initial action in
response to these observations?
 Ask the patient about the facial
grimacing with movement.   Procedure-related accidents
182. The nurse is interviewing a patient
with a hearing deficit. Which area should
the nurse use to conduct this interview?
 The patient’s room with the door
closed  191.
183. A new nurse is completing an
assessment on an 80-year-old patient who
is alert and oriented. The patient’s daughter
is present in the room. Which action by the
nurse will require follow-up by the charge
 The nurse speaks only to the
patient’s daughter. 
184. It reduces, and in some cases
prevents, the transmission of disease from
person to person.
 Immunization
185. It is a federal agency responsible for
the enforcement of federal regulations
distribution of foods, drugs, and cosmetics
to protect consumers against the sale of
impure or dangerous substances.
 Food and Drugs Administration
( FDA)
Accidents that are equipment
related from the malfunction, despair, or
misuse of equipment or from an electrical
hazard.
 Equipment-related accident
187. It encompass all nursing
interventions to protect a patient from
traumatic injury, position for adequate
ventilation and drainage of oral secretions,
and provide privacy and support following
the seizure.
 Siezure precautions
188. It is often a bright light, smell, or
taste.
 Aura
It is caused by health care providers
and include medication and fluid
administration errors, improper application
of external devices, and accidents related to
improper performance of procedures such
as dressing changes or urinary catheter
insertion.
190. It is a medical emergency that
requires intensive monitoring and
treatment.
 Status epilepticus
A patient has been newly admitted
to a medicine unit with a history of diabetes
and advanced heart failure. The nurse is
assessing the patient's fall risks. Which of
 the following is the proper order of steps
for the "Timed Get-up and Go Test"
(TGUGT)? 1. Have patient rise from straight-
back chair without using arms for support.
2. Begin timing. 3. Tell patient to walk 10
feet as quickly and safely as possible to a
line you marked on the floor, turn around,
walk back, and sit down. 4. Check time
elapsed. 5. Look for unsteadiness in
patient's gait. 6. Have patient return to
chair and sit down without using arms for
support.
 3, 1, 2, 5, 6, 4
192. Parent calls the pediatrician's office
to ask about directions for using a car seat.
Which of the following is the most correct
set of instructions the nurse gives to this
parent?
 Toddlers must reach age 2 or the
height or weight requirement before
they ride forward facing.
193. The nursing assessment of a 78-
year-old woman reveals orthostatic
hypotension, weakness on the left side, and
fear of falling. On the basis of the patient's
data, which one of the following nursing
diagnoses indicates an understanding of the
assessment findings?
 Risk for Falls
194. The nursing assessment of an 80-
year-old patient who demonstrates some
confusion but no anxiety reveals that the
patient is a fall risk because she continues
to get out of bed without help despite
frequent reminders. The initial nursing
intervention to prevent falls for this patient
is to:
 Place a bed alarm device on the bed.
195. At 12 noon the emergency
department nurse hears that an explosion
has occurred in a local manufacturing plant.
Which action does the nurse take first?
 Prepare for an influx of patients
196. You are caring for a patient who
frequently tries to remove his intravenous
catheter and feeding tube. You have an
order from the health care provider to
apply a wrist restraint. What is the correct
order for applying a wrist restraint? 1. Be
sure that patient is comfortable with arm in
anatomic alignment. 2. Wrap wrist with soft
part of restraint toward skin and secure
snugly. 3. Identify patient using two
identifiers. 4. Introduce self and ask patient
about his feelings of being restrained. 5.
Assess condition of skin where restraint will
be placed.
 3, 4, 1, 5, 2
197. A nurse knows that the people most
at risk for accidental hypothermia are: 1.
People who are homeless. 2. People with
respiratory conditions. 3. People with
cardiovascular conditions. 4. The very old.
5. People with kidney disorders.
 1,3,4
198. A couple who is caring for their
aging parents are concerned about factors
that put them at risk for falls. The following
factors are most likely to contribute to an
increase in falls in the elderly except:
 Staircases with handrails
199. The family of a patient who is
confused and ambulatory insists that all
four side rails be up when the patient is
alone. What is the best action to take in this
situation? 1. Contact the nursing supervisor.
2. Restrict the family's visiting privileges. 3.
Ask the family to stay with the patient if
possible. 4. Inform the family of the risks
associated with side-rail use. 5. Thank the
family for being conscientious and put the
four rails up. 5. Discuss alternatives that are
appropriate for this patient with the family.
 3,4,6
200. You are conducting an education
class at a local senior center on safe-driving
tips for seniors. Which of the following
should you include? 1. Drive shorter
distances. 2. Drive only during daylight
hours. 3. Use the side and rearview mirrors
carefully. 4. Keep a window rolled down
while driving if has trouble hearing. 5. Look
behind toward the blind spot. 6. Stop
driving at age 75
 All except 6
201. A nurse is evaluating a patient who
is in soft wrist restraints. Which of the
 following activities does the nurse perform?
1. Check the patient's peripheral pulse in
the restrained extremity. 2. Evaluate the
patient's need for toileting. 3. Offer the
patient fluids if appropriate. 4. Release both
limbs at the same time to perform range of
motion (ROM). 5. Inspect the skin under
each restraint
 1,2,3,5
202. You are admitting Mr. Jones, a 64-
year-old patient who had a right
hemisphere stroke and a recent fall. His
wife stated that he has a history of high
blood pressure, which is controlled by an
antihypertensive and a diuretic. Currently
he exhibits left-sided neglect and problems
with spatial and perceptual abilities and is
impulsive. He has moderate left-sided
weakness that requires the assistance of
two and the use of a gait belt to transfer to
a chair. He currently has an intravenous (IV)
line and a urinary catheter in place. The
following are factors increase his fall risk at
this time except: 1. Smokes a pack a day. 2.
Used a cane to walk at home. 3. Takes
antihypertensive and diuretics. 4. History of
recent fall. 5. Neglect, spatial and
perceptual abilities, impulsive. 6. Requires
assistance with activity, unsteady gait. 7. IV
line, urinary catheter
 1 and 2
203. The nurse is caring for a patient who
is having a seizure. Which of the following
measures will protect the patient and the
nurse from injury? 1. If patient is standing,
attempt to get him or her back in bed. 2.
With patient on floor, clear surrounding
area of furniture or equipment. 3. If
possible, keep patient lying supine. 4. Do
not restrain patient; hold limbs loosely if
they are flailing. 5. Never force apart a
patient's clenched teeth.
 2,4,5
204. What is your role as a nurse during a
fire? 1. Help to evacuate patients. 2. Shut
off medical gases. 3. Use a fire extinguisher.
4. Single-carry patients out. 5. Direct
ambulatory patients
 All except 4
205. A nurse is educating parents to look
for clues in teenagers for possible substance
abuse. Which environmental and
psychosocial clues should the nurse
include? 1. Blood spots on clothing, 2. Long-
sleeved shirts in warm weather, 3.Changes
in relationships, 4. Wearing dark glasses
indoors, 5. Increased computer use
 All except 5
206. The nurse is preparing nursing care
plan for his cancer client. He knows that this
part of the nursing process lets the nurse
know if the interventions done are
effective. What part of the nursing process
is this?
 Evaluation
207. The nurse that goal-setting is part of
the nursing process. What phase of the
nursing process does it belong?
 Planning
208. Among the many patients who
should be attended first by Nurse Edith?
 thalia on the chest pain
209. The nurse provides care for a client
admitted for severe abdominal pain. The
nurse instructs the nursing student that
which action depicts the evaluation step in
the nursing process.
 Reassessment of pain after
administering pain medicine.
210. The nurse cares for a client with a
pressure injury. What is the proper
sequence of the nursing process to address
this? (From first to the last) 1. Planning, 2.
Nursing diagnosis, 3. Implementation, 4.
Evaluation, and 5. Assessment:
 5,2,1,3,4
211. A nurse meets with the family of an
infant client. Which action demonstrates
collaboration of care?
 The nurse schedules a meeting with all
health care providers and the family for
discussion of plan of care.
212. A nurse manager seeks to improve
the quality of client care using evidence-
based practice. What steps does the nurse
use when implementing this concept?
 (From first to last) 1. Evaluate the evidence,
2. Acquire evidence, 3. Identify the
problem, 4. Apply the evidence, 5. Assess
the outcome
 3,2,1,4,5
213. The nurse is most likely to collect
timely, specific information by asking which
of the following questions?
 “Would you describe what you are
feeling?”
214. Which of the following descriptors is
most appropriate to use when stating the
“problem” part of a nursing diagnosis?
 Anxiety
215. Priorities are established to help the
nurse anticipate and sequence nursing
interventions when a client has multiple
problems or alterations. Priorities are
determined by the client’s:
 Urgency of problems
216. Once a nurse assesses a client’s
condition and identifies appropriate nursing
diagnosis, a:
 Plan is developed for nursing care.
217. The nurse writes an expected
outcome statement in a measurable term.
An example is:
 Client will report pain acuity less than 4
on a scale of 0-10.
218. Collaborative interventions are
therapies that require:
 Multiple health care professionals
219. A client centered goal is a specific
and measurable behavior or response that
reflects a client’s:
 Highest possible level of wellness and
independence in function.
220. For clients to participate in goal
setting, they should be:
 Alert and have some degree of
independence.
221. After determining a nursing
diagnosis of acute pain, the nurse develops
the following appropriate client-centered
goal:
 Pain intensity reported as a 3 or less
during hospital stay.
222. The best source of subjective data
would come from:
 Primary Source
223. This is form of interview that elicits a
specific question and usually uses a close-
ended question.
 Directive interview
224. This is a set of cues, the signs or
symptoms gathered during assessment.
 Data cluster
225. The nursing assessment of a 78-
year-old woman reveals orthostatic
hypotension, weakness on the left side, and
fear of falling. On the basis of the patient's
data, which one of the following nursing
diagnoses indicates an understanding of the
assessment findings?
 Risk for Falls
226. The nursing assessment of an 80-
year-old patient who demonstrates some
confusion but no anxiety reveals that the
patient is a fall risk because she continues
to get out of bed without help despite
frequent reminders. The initial nursing
intervention to prevent falls for this
patient is to:
 Place a bed alarm device on the bed.
227. At 12 noon the emergency
department nurse hears that an explosion
has occurred in a local manufacturing
plant. Which action does the nurse take
first?
 Prepare for an influx of patients
228. You are caring for a patient who
frequently tries to remove his intravenous
catheter and feeding tube. You have an
order from the health care provider to
apply a wrist restraint. What is the correct
order for applying a wrist restraint? 1. Be
sure that patient is comfortable with arm
in anatomic alignment. 2. Wrap wrist with
soft part of restraint toward skin and
secure snugly. 3. Identify patient using two
identifiers. 4. Introduce self and ask
patient about his feelings of being
restrained. 5. Assess condition of skin
where restraint will be placed.
 3, 4, 1, 5, 2
 229. A nurse knows that the people most
at risk for accidental hypothermia are: 1.
People who are homeless. 2. People with
respiratory conditions. 3. People with
cardiovascular conditions. 4. The very old.
5. People with kidney disorders.
 1,3,4
230. A couple who is caring for their
aging parents are concerned about factors
that put them at risk for falls. The following
factors are most likely to contribute to an
increase in falls in the elderly except:
 Staircases with handrails
231. The family of a patient who is
confused and ambulatory insists that all
four side rails be up when the patient is
alone. What is the best action to take in
this situation? 1. Contact the nursing
supervisor. 2. Restrict the family's visiting
privileges. 3. Ask the family to stay with
the patient if possible. 4. Inform the family
of the risks associated with side-rail use. 5.
Thank the family for being conscientious
and put the four rails up. 5. Discuss
alternatives that are appropriate for this
patient with the family.
 3,4,6
232. A nurse is evaluating a patient who
is in soft wrist restraints. Which of the
following activities does the nurse
perform? 1. Check the patient's peripheral
pulse in the restrained extremity. 2.
Evaluate the patient's need for toileting. 3.
Offer the patient fluids if appropriate. 4.
Release both limbs at the same time to
perform range of motion (ROM). 5. Inspect
the skin under each restraint
 1,2,3,5
Leadership, Management and Ethics in Nursing
233. The nurse manager has asked that
all staff nurses develop effective leadership
competencies. How should the staff nurses
interpret this request?
 If the nurses know about leadership
and management theories, this is
realistic.
234. Which behaviour demonstrates the
nurse’s competency as emotionally
intelligent leader?
 The nurse supports team members
235. What statement made in the
morning shift report, would help an
effective manager develop trust on the
nursing unit?
 “I’m sorry but I do not have spare
today to help on your unit. I cannot
make a change now but we should talk
further about schedules and needs.”
236. The nurse has just been promoted
to unit manager. Which advice would you
offer to help the newly-promoted nurse to
be inspired and motivated?
 “If you make mistake with your staff,
admit it, apologize and correct the
error if possible.”
237. This is a common trait of a leader
which is defined as the ability to possess
honesty, responsibility and maturity in the
area:
 Integrity
238. Why is good communication
important in managing personnel?
 It motivates the staff to do
their job well.
 It promotes independence
and collaboration
 It fosters influence and
power.
239. Four patients in labor all request
epidural analgesia to manage their pain at
the same time. Which ethical principle is
most compromised when only one nurse
anesthetist is on call?
 Justice
240. The patient reports to the nurse of
being afraid to speak up regarding a desire
to end care for fear of upsetting spouse and
children. Which principle in the nursing
code of ethics ensures that the nurse will
promote the patient’s cause?
 Advocacy
241. The patient’s son requests to view
documentation in the medical record. What
is the nurse’s best response to this request?
 “You will need your mother’s
permission.”
242. When professionals work together
to solve ethical dilemmas, nurses must
examine their own values. What is the best
rationale for this step?
 So different perspectives are respected
243. The nurse questions a health care
provider’s decision to not tell the patient
about a cancer diagnosis. Which ethical
principle is the nurse trying to uphold for
the patient?
 Autonomy
244. The nurse finds it difficult to care for
a patient whose advance directive states
that no extraordinary resuscitation
measures should be taken. Which step may
help the nurse to find resolution in this
assignment?
 Scrutinize personal values.
245. The nurse values autonomy above
all other principles. Which patient
assignment will the nurse find most difficult
to accept?
 Family elder who is making the
decisions for a young-adult female
member
246. The nurse has become aware of
missing narcotics in the patient care area.
Which ethical principle obligates the nurse
to report the missing medications?
 Responsibility
247. The nurse is caring for a dying
patient. Which intervention is considered
futile?
 Administering the influenza vaccine
248. A newly hired experienced nurse is
preparing to change a patient’s abdominal
dressing and hasn’t done it before at this
hospital. Which action by the nurse is best?
 Check the policy and procedure manual
for the facility’s method.
249. A new nurse notes that the health
care unit keeps a listing of patient names in
a closed book behind the front desk of the
nursing station so patients can be located
easily. Which action is most appropriate for
the nurse to take?
 Use the book as needed while keeping
it away from individuals not involved in
patient care. Move the book to the
upper ledge of the nursing station for
easier access.
250. A 17-year-old patient, dying of heart
failure, wants to have organs removed for
transplantation after death. Which action
by the nurse is correct?
 Instruct the patient to talk with parents
about the desire to donate organs.
251. A nurse performs cardiopulmonary
resuscitation (CPR) on a 92-year-old with
brittle bones and breaks a rib during the
procedure, which then punctures a lung.
The patient recovers completely without
any residual problems and sues the nurse
for pain and suffering and for malpractice.
Which key point will the prosecution
attempt to prove against the nurse?
 The CPR procedure was done
incorrectly.
252. A recent immigrant who does not
speak English is alert and requires
hospitalization. What is the initial action
that the nurse must take to enable
informed consent to be obtained?
 Request an official interpreter to
explain the terms of consent.
253. A pediatric oncology nurse floats to
an orthopedic trauma unit. Which action
should the nurse manager of the orthopedic
unit take to enable safe care to be given by
this nurse?
 Determine patient acuity and care the
nurse can safely provide.
254. While recovering from a severe
illness, a hospitalized patient wants to
change a living will, which was signed 9
months ago. Which response by the nurse is
most appropriate?
 “Let me check with someone here in
the hospital who can assist you.”
255. A confused patient with a urinary
catheter, nasogastric tube, and intravenous
line keeps touching these needed items for
care. The nurse has tried to explain to the
patient that these lines should not be
touched, but the patient continues. Which
is the best action by the nurse at this time?
  Try other approaches to prevent the
patient from touching these care items.
256. Conjoined twins are in the neonatal
department of the community hospital until
transfer to the closest medical center. A
photographer from the local newspaper
gets off the elevator on the neonatal floor
and wants to take pictures of the infants.
Which initial action should the nurse take?
 Tell the cameraman where the
hospital’s public relations department
is located.
257. A nursing student has been written
up several times for being late with
providing patient care and for omitting
aspects of patient care and not knowing
basic procedures that were taught in the
skills course one term earlier. The nursing
student says, “I don’t understand what the
big deal is. As my instructor, you are there
to protect me and make sure I don’t make
mistakes.” What is the best response from
the nursing instructor?
 “You are expected to perform at the
level of a professional nurse.”
258. A female nursing student in the final
term of nursing school is overheard by a
nursing faculty member telling another
student that she got to insert a nasogastric
tube in the emergency department while
working as a nursing assistant. Which
advice is best for the nursing faculty
member to give to the nursing student?
 “You are not allowed to perform any
procedures other than those in your
job description even with the nurse’s
permission.”
259. The nurse calculates the medication
dose for an infant on the pediatric unit and
determines that the dose is twice what it
should be based upon the drug book’s
information. The pediatrician is contacted
and says to administer the medication as
ordered. Which actions should the nurse
take next? (Select all that apply.)
 Notify the nursing supervisor.
 Administer the medication as ordered.
 Give the amount listed in the drug
book.
 Ask the mother to give the drug to her
child.
 Check the chain of command policy for
such situations.
260. The nurse is using critical thinking
skills during the first phase of the
nursing process. Which action indicates
the nurse is in the first phase?
 Completes a comprehensive
database
261. A nurse is using the problem-
oriented approach to data collection.
Which action will the nurse take first?
Focus on the patient’s presenting
situation.
262. After reviewing the database, the
nurse discovers that the patient’s vital signs
have not been recorded by the nursing
assistive personnel (NAP). Which clinical
decision should the nurse make?
 Ask the NAP to record the patient’s
vital signs before administering
medications.
263. The nurse is gathering data
on a patient. Which data will the nurse
report as objective data?
 Rapid and shallow breathing
264. A patient expresses fear of
going home and being alone. Vital signs are
stable and the incision is nearly completely
healed. What can the nurse infer from the
subjective data?
 The patient is apprehensive about
discharge.
265. Which method of data collection will
the nurse use to establish a patient’s
database?
 Performing a physical examination
266. A nurse is gathering
information about a patient’s habits and
lifestyle patterns. Which method of data
collection will the nurse use that will best
obtain this information?
  Perform a thorough nursing health
history.
267. While interviewing an older female
patient of Asian descent, the nurse notices
that the patient looks at the ground when
answering questions. What should the
nurse do?
 Consider cultural differences during
this assessment.
268. A nurse has already set the agenda
during a patient-centered interview. What
will the nurse do next?
 Ask about the chief concerns or
problems.
269. The nurse is attempting to prompt
the patient to elaborate on the reports of
daytime fatigue. Which question should the
nurse ask?
 “What reasons do you think are
contributing to your fatigue?”
270. A nurse is conducting a nursing
health history. Which component will the
nurse address?
 Patient expectations
271. While the patient’s lower
extremity, which is in a cast, is assessed, the
patient tells the nurse about an inability to
rest at night. The nurse disregards this
information, thinking that no correlation
has been noted between having a leg cast
and developing restless sleep. Which action
would have been best for the nurse to take?
 Ask the patient about usual sleep
patterns and the onset of having
difficulty resting
272. The nurse begins a shift assessment
by examining a surgical dressing that is
saturated with serosanguineous drainage
on a patient who had open abdominal
surgery yesterday (or 1 day ago). Which
type of assessment approach is the nurse
using?
 d. Problem-oriented
assessment
273. which statement by a nurse
indicates a good understanding about the
differences between data validation and
data interpretation?
 “Validation involves comparing data
with other sources for accuracy.”
274. . Which scenario best
illustrates the nurse using data validation
when making a nursing clinical decision for
a patient?
 The nurse determines to remove a
wound dressing when the patient
reveals the time of the last dressing
change and notices old and new
drainage.
275. While completing an
admission database, the nurse is
interviewing a patient who states “I am
allergic to latex.” Which action will the
nurse take first?
 Ask the patient to describe the type
of reaction.
276. . A patient verbalizes a low
pain level of 2 out of 10 but exhibits
extreme facial grimacing while moving
around in bed. What is the nurse’s initial
action in response to these observations?
 Ask the patient about the facial
grimacing with movement.
277. The nurse is interviewing a patient
with a hearing deficit. Which area should
the nurse use to conduct this interview?
 The patient’s room with the door
closed
278. A new nurse is completing an
assessment on an 80-year-old patient who
is alert and oriented. The patient’s daughter
is present in the room. Which action by the
nurse will require follow-up by the charge
nurse?
 The nurse speaks only to the
patient’s daughter.
279. A nurse is completing an
assessment. Which findings will the nurse
report as subjective data? (Select all that
apply.)
a. Patient’s temperature
b. Patient’s wound appearance
c. Patient describing excitement about
discharge
d. Patient pacing the floor while awaiting test
results
e. Patient’s expression of fear regarding
upcoming surgery 287. Which finding indicates the best
 C ,E quality improvement process?
 Staff identifies the wait time in the
280. . An experienced medical-surgical emergency department is too long.
nurse chooses to work in obstetrics. Which
level of proficiency is the nurse upon initial 288. . A nurse is providing home care to a
transition to the obstetrical floor? home-bound patient treated with
 Novice intravenous (IV) therapy and enteral
nutrition. What is the home health nurse’s
281. . The nurse has been working in the primary objective?
clinical setting for several years as an  Education
advanced practice nurse. However, the
nurse has a strong desire to pursue 289. . A nurse hears a co-worker state
research and theory development. To fulfill that anybody could be a nurse since it is so
this desire, which program should the nurse automated with infusion devices and
attend? electronic monitoring; technology is doing
 Doctor of Philosophy degree the work. What is the nurse’s best
(PhD) response?
 “Technology use has to be combined
282. . A nurse provides immunization to with nursing judgment.”
children and adults through the public
health department. Which type of health
care is the nurse providing?
 Preventive care
283. A nurse is following the PDSA cycle
for quality improvement. Which action will
the nurse take for the letter “A”?
 Act
284. An older adult patient has extensive Matching TYPE
wound care needs after discharge from the
Patterns of Knowing in Nursing
hospital. Which facility should the nurse a. Empirical e. Unknowing
discuss with the patient?
b. Aesthetics f. Emancipatory
 Skilled nursing
285. . A nurse working in a community c. Moral g. Socio-political
hospital’s emergency department provides d. Personal
care to a patient having chest pain. Which
level of care is the nurse providing? ___ 290 the art of nursing B
 Tertiary care ___ 291. create social change F
286. A nurse wants to become an ___ 292. use of senses A
advanced practice registered nurse. Which ___ 293. ethics in nursing C
options should the nurse consider? (Select ___ 294. suspending previous ideas and
all that apply.) thoughts E
a. Patient advocate
Human Responses
b. Nurse administrator a. Moving f. Communicating
c. Certified nurse-midwife b. Feeling g. Knowing
d. Clinical nurse specialist c. Perceiving h. Exchanging
e. Certified nurse practitioner d. Valuing i. Relating
 C,D,E
 e. Choosing 316. a nurse wants to find all pertinent pt. info.
Regardless of the number of times the pt. entered
295. meaning associated with information G the health care system. Which record should the
296. selecting alternatives E nurse find?
297. sending messages F  *EHR
298. establishing bonds I 317. a nurse taught the pt how to use crutches. The
299. reception of information C pt went up and down the stairs with no difficulty..
300. mutual giving and receiving H which info will the nurse use for the I in PIE
301. assigning relative worth D charting
302. subjective awareness of information B  *demonstrated use of crutches
318. a nurse wants to find the daily weights of a pt.
which form will the nurse use?
Nursing as an Art: The Caring Nurse  *graphic record and flow sheet
a. Care d. Communication 319. a nurse is a member of an interdisciplinary
b. Compassion e. Courage team that uses critical pathways. According to the
c. Competence f. Commitment pathway day2 of hospital stay- pt can sit. Day3- pt.
_ 303 Admits error and rectify it E cannot sit on the chair. What should the nurse do
_ 304 Monitoring the patient C  document the variances int the pt.
_ 305. Reporting to work even there is an incoming record.
typhoon F 320. a nurse needs to begin DISCHARGED planning
_ 306. Keeping the patient safe and avoiding harm A for a pt admitted, when is the best time to start?
_ 307. Demonstrating the 6 Cs B  Upon admission
_ 308. Listens to the patient D 321. a pt is being DISCHARGED HOME. Which info
_ 309. Acknowledging the worth of the patient A should the nurse include?
_ 310. Keen in determining and mitigating risks to
 *Community/home resources
patients C
322. a home health nurse is preparing an INITIAL
311. a novice nurse is working with a student home visit. Which info should be included in the pt.
nurse. Which behavior by the student nurse will HOME CARE MEDICAL RECORD?
require an intervene  Third party Payers/ insurance
 Student nurse share information company
with a friend 323. a nurse is completing an OASIS data set on a
312. a nurse is auditing and monitoring pt. health Pt.?
records. Which action is the nurse taking  *home health//home care facility
 Determining the degree of standard 324. a HOSPITAL IS USING COMPUTER SYSTEM
of care are met by reviewing the pt. that allows all health care providers to use a
health record protocol system to document. Which type of
313. after providing care, nurse charts in the system/design will be using ?
record?  critical pathway design
 Skin pale and cool 325.when PROFESSIONAL WORK TOGETHER to
314. a novice nurse is working with a newly hired solve ethical dilemmas, nurses examine their own
nurse on documentation. Which of the following values. What is the best rationale for this?
needs a follow up?  diff. perspective are RESPECTED.
 charts consecutively on every other 326. a nurse is experiencing ethical dilemma with a
line pt.. which info indicates the nurse has correct
315. a nurse is charting on a pt record, which is understanding of THE PRIMARY CAUSE OF ETHICAL
accurately legal? DILEMMA?
 Charts/writes LEGIBLY  *Presence of conflicting VALUES.
327.the nurse ask a health care provider decision
to NOT TELL the pt about cancer diagnosis. Which
ethical principle?
 AUTONOMY
328.a nurse agrees with regulations for mandatory
immunizations for children. Which ethical
principle?
 Utilitarinanism
329. a nurse has become aware of missing
narcotics in the pt care area/room, which ethical
principle obligates the nurse to report the
incident?
 RESponsibility
330. a nurse is describing THE PURPOSE OF A
HEALTH CARE RECORD to a group of nursing
students

 Communication
 Legal docu.
 Research
 Education
 Reimbursement