Medical Surgical Nursing Care 3rd

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Exam

Name

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
1) The nurse is preparing to conduct an assessment on a client in the clinic setting. The client asks 1)
the
nurse why nurses assess when the physician will as well. The nurse responds with which of
the
following?
A) The physician will treat with procedures.
B) The nurse assesses to determine needed medications.
C) The physician does not really assess.
D) The nurse treats the clientʹs response to illness.

2) The nurse is conducting an assessment of a 65-year-old client who has come for an 2)
annual assessment. The nurse expects to give the client immunizations as a part of:
(Select all that apply.)
A) Caring for the clientʹs
illness. B) Promoting client
health.
C) Alleviating the clientʹs
suffering. D) Maintaining the
clientʹs health.
E) Caring for the clientʹs family.

3) The nurse performs daily, routine equipment checks to detect possible malfunction. Which 3)
core
competency is the nurse demonstrating with this action?
A) Working on an interdisciplinary team
B) Providing agency-centered care
C) Applying quality improvement principles
D) Using information technology

4) A client who is experiencing abdominal pain is being assessed by the Emergency Department 4)
nurse. The nurse asks the client to describe the pain and the clientʹs usual means of relieving
pain.
The nurse is providing:
A) A nursing diagnosis. B) Health promotion.
C) Client-centered care. D) Health maintenance.

5) The nurse is caring for an elderly client who lives with an extended family. The nurse B
plans to )
teach the client and family regarding safety issues for the client in the home. The nurse is:
A) Relieving pain and suffering. A
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 dvocating for lifestyle changes for the client. C) 5)
Providing disease management.
D) Adapting care to the needs of the client.

6) The nurse is planning care for a client who is experiencing a chronic disease. The nurse asks 6)
the
client about food preferences when discussing needed lifestyle changes. The nurse is
providing
client-centered care by:
A) Planning care for the client.
B) Allowing the client to assume the primary role in planning.
C) Assessing the clientʹs needs.
D) Following the care ordered by the dietician.

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 7) A client is requesting a second opinion. The nurse who supports and promotes the clientʹs 7)
rights is acting as the clientʹs:
A) Advisor. B) Advocate. C) Supporter. D) Teacher.

8) A client is being discharged, and needs instructions on wound care. When planning to teach 8)
the
client, the nurse should:
A) Identify the clientʹs learning needs and learning ability.
B) Provide pamphlets and videotapes for ongoing learning.
C) Identify the clientʹs learning needs and advise the client on what to do
D) Identify the clientʹs problems and make the appropriate referral.

9) The nurse is managing care for a client, and asks the nursing assistant to gather the clientʹs 9)
vital
signs twice during the shift. The nurse is providing care by:
A) Delegating. B) Prioritizing. C) Teaching. D)
Advocating.

10) After administering pain medication, the nurse returns to check the clientʹs level of comfort. 10)
This
stage of the nursing process is known as:
A) Implementation. B) Evaluation.
C) Planning. D) Assessment.

11) The nurse is developing a nursing diagnosis for a client who has pneumonia. The nurse 11)
recognizes
that the diagnosis describes an actual or potential problem that:
A) Requires a physicianʹs intervention.
B) Relates to the clientʹs primary diagnosis.
C) The nurse can treat independently.
D) The nurse can treat with a physicianʹs order.

12) The client tells the nurse she has been smoking one pack of cigarettes a day for the past 20 12)
years.
The nurse recognizes that this is which part of the nursing
process?
A) Assessment B) Evaluation
C) Implementation D)
Planning

13) A client is in the hospital, and develops a new problem. The nurse uses critical thinking 13)
during
assessment, which includes: (Select all that apply.)
A) Nursing habits.
B) Goal-directed
thinking. C) Cognitive
knowledge. D) Clinical
skills.
E) Assumptions.

14) A problem-solving process that requires empathy, knowledge, divergent thinking, discipline, A
and creativity is known as: )

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 Framework for nurses. B) Care management. 14)
C) Nursing process. D) Critical thinking.

15) The nurse has completed an assessment on a client who is experiencing dehydration, and 15)
determines the clientʹs needs and appropriate interventions that should lead to the return of
health.
The nurse used which of the following in this process?
A) Scope of practice B) Evaluation
C) Intellectual courage D) Clinical reasoning

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16) The nurse is caring for a client who has lab work ordered in the morning. The nurse becomes 16)
busy, and forgets to draw the labs, which would have identified a worsening condition. The
nurse might be guilty of:
A) Tort law. B) Unintentional
tort. C) Omission. D) Liability.

17) The Commonwealth of Virginia allows the LPN/LVN to start an intravenous line on a client 17)
after
the LPN/LVN has taken a class and passed the test on starting IVs. This law is an example
of:
A) Administrative law. B) A nurse licensure
compact. C) Tort law. D) Statutory law.

18) The new graduate LPN/LVN has been assigned to float to a critical care unit, and has been 18)
given
two critically ill clients to care for. The nurse
should: A) Prepare to care for the clients.
B) Document the supervisorʹs action.
C) Notify the supervisor that this care is outside the scope of care for the LPN/LVN
D) Call a lawyer.

19) The nurse is assessing the respiratory status of a client admitted yesterday for pneumonia. 19)
This
assessment is:
A) A focused assessment. B) Care
management. C) An admission assessment. D)
Communication.

20) The nurse is caring for a client with an endocrine disorder who is in the hospital for evaluation. 20)
The
client asks the nurse for yesterdayʹs laboratory results, which are well outside of normal limits.
The nurse should:
A) Notify the physician/RN of the clientʹs
requests. B) Tell the client he cannot have the
results.
C) Tell the client the results are not completed
yet. D) Give the client the results.

21) The nurse has assisted with the admission of a client to the unit. Regarding formulating a 21)
plan of
care, the nurse:
A) Enlists the physicianʹs assistance with the plan of care.
B) Collaborates with the RN.
C) Formulates the plan of care.
D) Informs the client of the plan of care.

22) At the end of the shift, the nurse is ready to leave, but has not been relieved by the oncoming 22)
shift
nurse. The nurseʹs responsibility to provide care for clients is part of the nurseʹs:
A) Nursing process. B) Code of ethics.
C) Quality assurance. D) Critical thinking.

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23) A client who is in the clinic for an annual assessment asks the nurse for advice regarding an 23)
upcoming election in the state. The nurse tells the client who is the best candidate for the job,
and tells the client to vote for that candidate. The nurse has violated:
A) The ANA code of ethics. B) Professional
boundaries. C) The law. D) The rights
of the client.

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24) The nurse is caring for a client who is refusing to take the prescribed medication ordered by 24)
the physician. The nurse attempts to convince the client to adhere to the plan of care, and then
notifies the RN of the refusal. This nurse experienced:
A) A dilemma. B) A breach of professional
boundaries. C) A NAPNES code of ethics violation. D) A HIPAA violation.

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Answer Key
Testname: UNTITLED1

1) D
2) B, D
3) C
4) C
5) D
6) B
7) B
8) A
9) A
10) B
11) C
12) A
13) B, C, D
14) D
15) D
16) B
17) A
18) C
19) A
20) A
21) B
22) B
23) B
24) A