Kozier and Erbs Fundamentals of Nursing 8th Edition Berman Snyder Test Bank
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Below you will find some free nursing test bank questions from this test bank:
- MC The home health nurse must devise a way to administer IV antibiotics to a client who insists on being outside during the infusion. Using creativity and critical thinking, the nurse is able to meet the client’s requests. This is an example of which of the following?
A. Technical skill
B. Interpersonal skill
D. * Cognitive skill2. MC The student nurse must accurately perform a sterile dressing change before completing a unit of the course. This student is being evaluated on which of the following?
A. * Technical skill
B. Cognitive skill
C. Interpersonal skill
D. Academic skill
3. MC A nurse works in an acute psychiatric setting and sees clients as they are admitted for inpatient psychiatric care. Many of the clients exhibit paranoid behavior. The most important skill this nurse can utilize for these clients is which of the following?
A. Cognitive skill
B. * Interpersonal skill
C. Technical skill
D. Therapeutic skill
4. MC During the process of implementing cares and treatments for a client, the nurse realizes there are several entities included in this phase. (Select all that apply):
- Evaluating the outcome of the interventions
- * Reassessing the client
- Documenting the history and physical
- * Supervising delegated care
- * Implementing the nursing interventions
- MC A client is struggling to learn how to care for a new colostomy. The nurse is following the written care plan and has selected to provide written information along with a demonstration on how to accurately measure the stoma for attaching the appliance. Upon entering the room, the client is crying along with the client’s spouse. The nurse decides to sit with both of them, offering presence and listening to their fears instead of the planned education. This is an example of which of the following?
A. Implementing nursing intervention
B. Determining the nurse’s need for assistance
C. Supervising delegated care
D. * Reassessing the client6. MC The nurse is teaching new parents how to bathe their bafor the first time. An action that allows the parents to feel in control of this situation would be when the nurse:
A. Tells the parents everything the nurse is doing and why.
B. Lets the parents watch a video after the bath.
C. * Lets the parents bathe the bawith direction and guidance from the nurse.
D. Gives lots of advice and suggestions about different methods.
7. MC A client is learning how to administer insulin. The nurse makes sure that the client understands how to activate the safety mechanism on the syringe to prevent needlestick injuries. This is an example of which of the guidelines for implementing interventions?
A. Adapt activities to the individual client.
B. Encourage clients to participate actively in implementing nursing interventions.
C. Base nursing interventions on scientific knowledge, research, and standards of care.
D. * Implement safe care.
8. MC A new graduate nurse was working with a nurse mentor during the first 3 months of employment. On one of the first days working alone, the nurse is assigned to care for a client with a new tracheostomy and must provide teaching to the client as well as the client’s spouse. This nurse is not familiar with the teaching aspect. The best action for the nurse is to:
A. * Ask the nurse mentor to assist with the teaching after reviewing the procedure.
B. Read the policy and procedure manual before the teaching session.
C. Do the best the nurse can remembering what was taught in nursing school.
D. Ask for a different assignment until the nurse feels comfortable with this one.
9. MC A nurse is working in a busy research hospital. One of the clients assigned to the nurse’s care is to receive a medication that the nurse is not familiar with and is not listed in the drug reference manual. The best action of the nurse is to:
A. Follow the physician’s orders as written and give the medication.
B. * Call the pharmacy and do further investigating before administering the medication.
C. Ask the client about this medication.
D. Call the physician and ask what the medication is and what it is for.
10. MC The nurse understands that respect for the dignity of the client is extremely important in providing nursing care. Which of the following is an example of this aspect?
A. * Allowing clients to complete their own hygienic cares when possible
B. Providing all cares to all clients whenever possible
C. Telling the other staff that the client is demanding, so they are able to meet the client’s needs
D. Presenting information to the client’s family about the client’s condition
11. MC A nurse has provided routine morning cares to a client, including all the medications and scheduled treatments. The most appropriate action after this is completed is for the nurse to:
A. Move on to the next assignment to increase the nurse’s efficiency.
B. Report this to the charge nurse.
C. * Document all cares in the progress notes.
D. Get supplies organized for the next client’s medications and treatments.
12. MC After implementing interventions and reassessing the client’s response, the nurse completes the process evaluating. Evaluation includes which of the following? (Select all that apply.)
- * Purposeful activity
- * Nursing accountability
- * Continuous
- * Judgments
- MC A nursing student does not understand the difference between evaluation and assessment-both are ongoing, and both are areas of data collection. In order to differentiate between the two, the student should remember that:
A. Assessment is done at the beginning of the process.
B. Evaluation is completed at the end of the process.
C. They are the same and there is no need to differentiate.
D. * The difference is in how the data are used.14. MC A client had an outcome goal stated as follows: Client will have a decrease in pain level (down to a 3) within 45 minutes of receiving oral analgesic. Which statement the client will the nurse use to evaluate this goal?
A. “I’m getting really sleepy from that medication. I think I’ll take a nap.”
B. * “My pain is a 4.”
C. “I still have some pain.”
D. “Will the pain ever go away?”
15. MC The goal statement for a client’s care plan read as follows: Client will be able to state two positive aspects of rehab therapy the end of the week. Which of the following is an appropriately written evaluation statement?
A. Goal not met, client able to state one positive aspect the end of the week.
B. Goal met, client able to state one positive aspect the end of the week.
C. * Goal met, client able to state two positive aspects of therapy week’s end.
D. Goal incomplete, client not able to positively state anything about rehab.
16. MC The written goal statement in a client’s care plan is: Client will have clear lung sounds bilaterally within 3 days. One of the interventions to meet this goal is that the nurse will teach the client to cough and deep breathe and have the client do this several times every 2 hours. At the end of the third day, the client’s lungs are indeed clear. In order to relate the intervention to the outcome, the nurse should:
A. * Ask how many times per day the client practiced the coughing and deep breathing exercises.
B. Tell the client that the lungs are clear.
C. Document the assessment findings to show the effectiveness of the intervention.
D. Write this evaluation statement: Goal met, lung sounds clear third day.
17. MC A nursing diagnosis of Risk for Deficient Fluid Volume related to excessive fluid loss, secondary to diarrhea and vomiting was implemented for a home health client who began with these symptoms 5 days ago. A goal was that the client’s symptoms would be eliminated within 48 hours. The client is being seen after a week, and has had no diarrhea or vomiting for the past 5 days. The nurse should:
A. Keep the problem on the care plan, in case the symptoms return.
B. * Document that the problem has been resolved and discontinue the care for the problem.
C. Assume that whatever the cause was, the symptoms may return, but document that the goal was met.
D. Document that the potential problem is being prevented since the symptoms have stopped.
18. MC A client with terminal cancer has this nursing diagnosis: Pain related to neuromuscular involvement of disease process. The goal statement is as follows: Client will be free of pain within 48 hours. As an intervention, the nurse will administer narcotic analgesics and titrate to an appropriate level. What is the flaw in this plan?
A. The goal statement is written inaccurately.
B. The interventions are dependent of nursing.
C. * The goal is unrealistic.
D. The interventions are not clear enough.
19. MC A teenage client has been having problems with peer support, school performance, and parental expectations, all of which have led to an eating disorder. After gathering this assessment data, the nurse formulate the diagnosis Activity Intolerance related to weakness. After evaluating this information, the nurse should realize which of the following?
A. The data collected would support the diagnosis.
B. The diagnosis is directly related to the data presented.
C. The nursing diagnosis is not relevant to the data.
D. * The data are not sufficient enough to support this diagnosis.
20. MC A client has neurologic deficits that are causing tremors, unsteadiness, and weakness. An appropriate diagnosis of Risk for Falls related to unsteady gait, secondary to neurologic dysfunction has been formulated. A goal for this client is not to sustain any injuries for the next month. The client however, has fallen several times. In this situation, the nurse should do which of the following?
A. Review the data and make sure that the diagnosis is relevant.
B. * Investigate whether the best nursing interventions were selected.
C. Modify the whole nursing plan.
D. Discard the nursing plan and start over from the assessment phase.
21. MC A nurse manager has been charged with implementing a quality assurance program at the hospital. Quality assurance requires evaluation of several components of care. Select those that apply:
- * Structure
- * Process
- * Outcome
- MC A nursing unit has been short staffed for the past month with a heavy client load and high acuity. The nurses on this unit have been working extra as well as double shifts and often do not have time to make sure that properly working equipment is cleaned, returned, and stored in the appropriate areas. This unit should be evaluated at which level?
B. * Structure
D. Outcome23. MC A nursing unit has had a large number of negative client responses about various aspects of their care in the previous quarter. The quality assurance officer is evaluating this unit, paying particular attention to which of the components of care?
C. * Process
24. MC A nursing unit’s records of client care have been reviewed for accuracy in documentation. This type of review is which of the following?
A. * Nursing audit
B. Peer review
C. Individual audit
D. Concurrent audit
25. MC A nurse has taken a position with an insurance company to review clients’ records and the care they received while they were inpatient status. Part of the job description requires the nurse to make sure the client (and insurance company) were billed for services and treatment/therapies rendered and that there were no errors in billing. This type of audit is which of the following?
B. Peer review
C. Nursing audit
D. * Retrospective
26. FI A nurse is working on a medical unit and assigns a nurse’s aide to take vital signs for several clients. The aide completes this task and documents them accordingly. One of the clients had a blood pressure reading of 180/110, and it wasn’t until the end of the shift that the nurse realized this value. The physician was notified and orders were received for treatment, but not until much later in the shift. Which of the two responsibilities of delegation did the nurse fail to carry out? __________
A. adequate supervision