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Nursing Quiz | Nursing Objective Type Questions and Answers

Questions
21 You are doing the evaluation step of the nursing process and find that two of the goals for the client have not been met. Which of the following actions would be best on your part?
A Stop working on these goals, as evaluation is the last step.
B Assess client's motivation for complying with the care plan.
C Reassess problem and then review care plan and revise as needed.
D Determine if the client has a knowledge deficit causing nonattainment.

Answer: Reassess problem and then review care plan and revise as needed.
22 Which of the following activities on the part of the nurse most demonstrates individualization of the nursing-care plan for a client?
A Include client's preferred times of care and methods used.
B Write the care plan instead of taking it off the computer.
C Use a care plan from a book but add some things to it.
D Select nursing diagnoses that match the client's problems

Answer: Include client's preferred times of care and methods used.
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23 The client you are assigned to has four nursing diagnoses. Which of the following would you assign the highest priority?
A chest pain related to cough secondary to pneumonia
B self-care deficit related to activity intolerance secondary to sleep-pattern disturbance
C risk for altered family processes secondary to hospitalization
D self-esteem deficit situational

Answer: chest pain related to cough secondary to pneumonia
24 When writing goals/outcomes for clients, the nurse should do which of the following?
A Combine related diagnoses and write a goal or goals for this set.
B Write goals that the treatment team believes are important.
C Involve the client in determining the goals/desired outcomes.
D Combine no more than two nursing diagnoses per goal.

Answer: Involve the client in determining the goals/desired outcomes.
25 When does the nurse chart an intervention that involves administering medication to a client?
A before the end of shift
B before the next dose of medication or treatment is due
C within one hour
D Immediately

Answer: Immediately
26 The physician writes an order for "progressive ambulation, as tolerated." The RN writes an order for "Dangle for 5 min. 12 h post op and stand at bedside 24 h post op." The LVN assigned to care for this client should do which of the following?
A Call the physician for clarification of the ambulation orders.
B Check with the State Board of Nursing for an opinion.
C Check client's vital signs before dangling or standing client.
D Dangle or stand client only if they are agreeable to this.

Answer: Check client's vital signs before dangling or standing client.
27 When reading the nursing-care plan of a newly assigned client prior to caring for this client, the LPN/LVN will notice that potential problems are stated using how many parts in the statement?
A One
B Two
C Three
D Four

Answer: Two
28 Which of the following statements best describes a wellness nursing diagnosis for an individual, family, or community?
A clinical judgment of transition to a higher level of wellness
B nursing judgment that in some area no pathology exists
C a judgment that in some area there is more wellness than illness
D statement of an area of family strength to use in interventions

Answer: clinical judgment of transition to a higher level of wellness
29 The primary source of data for the client's database is which of the following sources?
A nurse's recording of health history
B recent clinic or hospital records
C Client
D Both B and C

Answer: Both B and C
30 Which of the following reasons is the most important, as well as the most widely accepted, reason for nurses using nursing process?
A Increase the unique body of knowledge known as nursing.
B Help clients meet their actual and potential health problems.
C Communicate with other members of the team.
D Standardize the care of clients with the same diagnoses.

Answer: Communicate with other members of the team.
31 The nurse is checking the placement of a nasogastric tube prior to giving medication and a feeding. Which of the following is the preferred and most accurate method of testing?
A Insert 5 to 20 mm of air into the tube while listening over the stomach with a stethoscope.
B Aspirate 20 to 30 ml of gastrointestinal secretions and test the pH.
C Insert 15 to 20 cc of water into the stomach and listen with the stethoscope.
D Place an open end of the tube into a glass of water and check for bubbles.

Answer: Aspirate 20 to 30 ml of gastrointestinal secretions and test the pH.
32 The phosphate level of a newborn is best described in which of the following ways when comparing the newborn's phosphate level with that of an adult?
A nearly half that of the adult
B about one fourth that of an adult
C nearly twice that of an adult
D approximately the same as an adult

Answer: nearly twice that of an adult
33 You are working with a client who is on a full liquid diet. The client is demanding some ice cream. Which of the following responses on your part would be best?
A Tell the client that ice cream is not allowed on a full liquid diet.
B Call the physician and report the client\92s demands.
C Get the client some plain vanilla ice cream.
D Ask the supervising nurse to talk with the client.

Answer: Get the client some plain vanilla ice cream.
34 You are feeding a newborn infant in the nursery, as the mother is having some procedure done at this time. Before the infant finishes taking the contents of the bottle of formula, the infant slowly stops sucking and falls asleep. Which of the following actions would be best on your part?
A Wake the baby by tickling the bottoms of the feet and then try feeding.
B Wait about 30 minutes, then try to get the infant to take the formula.
C Report this feeding behavior to the supervisior immediately.
D Discontinue the feeding and allow the infant to sleep at this time.

Answer: Report this feeding behavior to the supervisior immediately.
35 The newborn infant's stomach capacity is approximately which of the following in milliliters?
A 50
B 90
C 120
D None of these

Answer: 90
36 A client asks which of the vitamins can be stored in the body. Which of the following answers by the nurse would be correct?
A C
B B1 thiamine
C Biotin
D D

Answer: D
37 In instructing a client on cholesterol, the nurse will teach which of the following things?
A The body does not need cholesterol.
B Most cholesterol in the body is destroyed in the small intestine.
C The majority of cholesterol in the body comes from eating fatty foods.
D Most cholesterol is synthesized in the liver.

Answer: Most cholesterol is synthesized in the liver.
38 When talking with a client about complete and incomplete proteins, which of the following would you use as the best example of a complete protein?
A olives
B rice
C eggs
D Nuts

Answer: eggs
39 Which of the following people have the largest percentage of water in their bodies?
A fat men
B lean men
C lean women
D fat women

Answer: lean men
40 When you discover an electrical fire and decide you need a fire extinguisher, you will need to find a fire extinguisher that is rated for which class of fire?
A Class A
B Class B
C Class C
D Class E

Answer: Class C

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