Unit 7 Pearson Practice Questions
The nurse is evaluating a client's pain. The client states that the pain is at level 2. The client is indicating which aspect of pain assessment? a.Duration b.Intensity c.Quality d.Onset
b.Intensity
Which intervention is most appropriate for a client experiencing childhood traumatic grief? a.Psychotherapy b.Discussing feelings c.Grief counseling d.Providing reassurance
c.Grief counseling
The nurse is caring for the older adult client on a Friday immediately before Easter. The client is picking at his lunch, moving the meat from one side to another. What would be a priority question for the nurse to ask the client? a."Are you not very hungry today? You know you need to at least eat something at this meal." b."I noticed that you are not eating your lunch. Is there something else I can order for you that you would like?" c."Can you eat just half of your lunch for me, please? It sure would make me happy if you would eat." d."Do you want me to write down that you only ate part of your meal? The doctor will not be happy."
b."I noticed that you are not eating your lunch. Is there something else I can order for you that you would like?"
The nurse is preparing to conduct a spiritual history on a new client being admitted in the inpatient hospice unit. The nurse used the FICA tool. The nurse is aware that the "C" in FICA stands for which aspect? a.Confusion: areas that the client is confused about is their spiritual journey b.Community: support of individuals or a group of individuals with whom the client meets c.Contribution: what has been the client's contribution to society d.Communication: how does the client wish to talk about his spiritual needs
b.Community: support of individuals or a group of individuals with whom the client meets
The nurse is caring for a toddler who is experiencing a painful medical procedure. Which nursing intervention would be most appropriate? a.Offer a pacifier to the toddler. b.Offer distractions such as toys or treats to the toddler. c.Assist the toddler in guided imagery. d.Have parent swaddle the toddler.
b.Offer distractions such as toys or treats to the toddler.
A hospice nurse caring for a terminally ill client should adjust the dose of morphine administered to the client based on which assessment? a.Level of consciousness b.Pain assessment c.Request of family member d.Blood pressure
b.Pain assessment
The nurse is preparing a presentation for a group of adults in a community-based support group. The nurse is aware that which category is the most basic when referring to Maslow's hierarchy of needs? a.Love and belonging b.Physiological c.Safety and security d.Self-actualization
b.Physiological
The nurse is aware that the A-delta fibers conduct which aspect of pain? a.Dull, aching pain impulses b.Sharp, shooting pain impulses c.No transmissions d.Slow transmissions
b.Sharp, shooting pain impulses
When describing pain, the client reports having a dull, aching pain. The nurse determines the client's pain is most likely of what type? a.Neuropathic pain b.Visceral pain c.Referred pain d.Phantom pain stenosis
b.Visceral pain
The nurse designs a teaching plan for a client with chronic fatigue syndrome that includes which intervention? a.A graded exercise program b.Hot chocolate at bedtime c.Longer daytime naps d.A relaxation and flexibility program
a.A graded exercise program
The nurse is working with the family of a client with cancer who has been diagnosed with chronic fatigue syndrome. The nurse explains to the family which fact about chronic fatigue syndrome? a.It includes severe tiredness greater than 6 months that is not caused by a primary condition. b.Only one symptom has to be present for a formal diagnosis of the disease. c.The disease can be relieved with stress-reduction strategies. d.It usually presents initially with a fever of >102°F.
a.It includes severe tiredness greater than 6 months that is not caused by a primary condition.
The nurse is evaluating a client's pain. When documenting the pain assessment, the nurse should take into consideration what information about pain? a.Whatever the client says it is b.Described only in objective terms c.The same for everyone d.Managed only through opioid intervention
a.Whatever the client says it is
Which would be an appropriate spiritual screening assessment question by the nurse? a."Tell me more about your religion." b."How can we support your spiritual beliefs and practices?" c."How has your prayer experience been affected by your illness?" d."What do you see as the purpose or mission for your life?"
b."How can we support your spiritual beliefs and practices?"
Which situation would the nurse anticipate for a client with a spiritual need related to others? a.Need to transcend life challenges b.Need to prepare for and accept death c.Need to know when to give and take d.Need to cope with loss of a loved one
d.Need to cope with loss of a loved one
A client in the emergency department has a severe injury, and treatment requires red blood cells. The client is a Jehovah's Witness who believes it would be medical rape for the nurse to give the transfusion. Which statement by the nurse would most likely lead to resolution of this conflict? a."You must accept the transfusion; if you don't, you will need to leave." b."Don't worry, you can ask for pardon after the transfusion." c."May I call a representative of your religion so I can understand your position?" d."I understand your position and I'll be with you as you die."
c."May I call a representative of your religion so I can understand your position?"
A client asks the nurse to pray for him. What would be the best initial response by the nurse who believes in prayer? a."May I call the chaplain to come pray with you?" b."I know your faith is important to you. It is to me, too." c."What should I pray for?" d."Isn't it wonderful that we have God with whom to share our concerns?"
c."What should I pray for?"
The nurse delivers the evening meal tray to a Jewish client who states that the tray is unacceptable because there is meat and a carton of milk on the tray. Which is the appropriate intervention by the nurse? a.Remove the milk from the tray. b.Remove the meat from the tray. c.Call the dietary staff for a new appropriate tray. d.Tell the client to only eat the meat or drink the milk.
c.Call the dietary staff for a new appropriate tray.
A client indicates an intensity of 8 on the 0-10 pain scale. Which is the most appropriate nursing action to take? a.Check back in 30 minutes to see whether the pain has changed. b.Give pain medication. c.Further assess pain to determine the best intervention. d.Do nothing, because the pain is at a tolerable level.
c.Further assess pain to determine the best intervention.
The nurse, caring for a client who was informed of a cancer diagnosis, believes the client is experiencing stress when noting which assessment finding? a.Constricted pupils b.Dilated peripheral blood vessels c.Hyperventilation d.Decreased heart rate
c.Hyperventilation
What does research evidence that supports providing nursing spiritual care to older adults suggest? a.Older adults are not religious, but are spiritual. b.Older adults who are more religious have more illness. c.Spiritual health and mental health are correlated. d.Increased spiritual well-being is found among older adults with depression.
c.Spiritual health and mental health are correlated.
A nurse is counseling a client who is experiencing insomnia. Which intervention should the nurse include in the plan of care? a.Exercise for half an hour each night before bedtime. b.Consume an alcoholic beverage just before bedtime. c.Use relaxation skills such as imagery during bedtime. d.Set the alarm clock for the morning before bedtime.
c.Use relaxation skills such as imagery during bedtime.
The nurse is planning care in a skilled nursing facility for an older client who is searching to make life more meaningful. Which nursing action would be most beneficial? a.Assess for depression. b.Diagnose and document spiritual distress. c.Keep the client busy with social activities. d.Explore with the client the desired legacy.
d.Explore with the client the desired legacy.
The nurse is caring for a client who has experienced loss of a spouse a year ago. Which assessment finding consistent with complicated grief would require immediate intervention by the nurse? a.Avoidance of places associated with the deceased individual b.Inability to proceed with daily activities and lack of self-care c.Visual and/or auditory hallucinations of the deceased individual d.Intense feelings of depression, which are accompanied by suicidal thoughts
d.Intense feelings of depression, which are accompanied by suicidal thoughts
