PNR 201TEST QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE
What aspects of the therapeutic nurse Client relationship is addressed in the article
"lend an ear"? - Answer-Trust and respect
What is one way a nurse violates the nurse client relationship? - Answer-When we don't
listen.
What is the goal behind listening according to Broeder-morin and land? - Answer-Gain
empathetic understanding
How does a nurse show they are listening? - Answer-Eye contact, arms uncrossed,
facial expression, touch, warmth
What are the client consequences of not being listened to according to the article? -
Answer-Depression, frustration, complaints about care , perceived nurses as being
rude, abrupt and not caring.
What happened in a recents coroners report when a client was not listened to? -
Answer-A man died due to a med error because the client was not listening when he
said it did not like the pills he received before and no double check was made.
What does an electronic health record(EHR) do? - Answer-Enhances communication
among healthcare providers and thus patient safety.
Nurses are legally and ethically to keep patient information confidential, how long are
records retained for? - Answer-Minimum of 10 years.
Communication between healthcare providers is important in client care. What must the
nurse do in order to ensure that communication is adequate? - Answer-provide
accurate, detailed, objective, and timely information.
SOAP - Answer-subjective, objective, assessment, plan
SOAPIE - Answer-subjective, objective, assessment, plan, intervention, evaluation
Focus charting (DAR) - Answer-data, action, response
PIE - Answer-Problem, intervention, evaluation
A nurse has just admitted a patient with a medical diagnosis of heart failure. When the
admission paperwork is filled out, what does the nurse need to record? - Answer-
Objective data that are observed
,Health documentation is an electronic format is an evolving process that faces many
challenges. Which of the following is one of these challenges? - Answer-Ensuring that
documentation is accurate and precise.
What about the patient should be confidential? - Answer-All written, verbal
communication, only people involved in care may have access to records, can not be
copied or duplicated, and clients can view their health record often due with a person in
authority so that questions may be answered
5 red flags that need to be advised in chart altering - Answer-1. Don't add info later
without indicating you did so
2. Don't date the entry so it appears to have e been written at an earlier time
3. Don't add inaccurate info
4. Don't destroy records
5. No writing in margins
When might a health care provider suspect a patient is experiencing urinary retention? -
Answer-The patient indicates pain in the suprapubic region.
Is the rectum sterile? - Answer-No, you have to clean it.
Is the ostomy stertile? - Answer-No.
Patients with cardiovascular disease should be cautioned against straining while having
a bowel movement. What does this help to avoid? - Answer-Decreased venous return to
the heart
To maintain normal elimination patterns in the hospitalized patient, the nurse should
encourage the patient to defecate 1 hour after meals for which reason? - Answer-Mass
colonic peristalsis occurs at this time.
A patient states that he has recently had a change in medications and reports that his
stools are now dry and hard, which makes them difficult to eliminate. What condition is
this type of bowel pattern consistent with? - Answer-Constipation.
What side do patients turn on for rectal checks? - Answer-Patients always go on their
left side with there knees flexed and pad underneath.
Which type of urine specimen is obtained through catheterization? - Answer-Cultural
and sensitivity
What is the medical terminology used for microscopic amounts of blood in stool? -
Answer-Gastrointestinal hematochezia
, A client with a long history of arthritis complains of sensitivity and warmth in both knees.
To determine the degree of limitation, what should the nurse assess? - Answer-The
clients RANGE OF MOTION
When assessing a clients activity tolerance, the nurse must consider which of the
following? - Answer-The clients physiological, emotional, and developmental factors
What is a complication of immobility and is worse in smokers called? - Answer-
Hypostatic pneumonia
What refers to bone on bone - Answer-Crepitation
What can result in constipation? - Answer-Immobility
What can be reduced by performing activities more slowly and for a shorter period? -
Answer-Fatigue
The nurse notices an increased respiratory rate, decreased oxygen saturation, and
increased sputum in an immobilized postoperative Patient, the noted change is
consistent with which one of the following? - Answer-Atelectasis(can't expand lungs)
(collapse of lungs)
When the nurse is caring for a client on bed rest, what is the most appropriate nursing
action? - Answer-Encourage hourly use of the incentive spirometer
infancy - Answer-1/3 awake, 1/3 NON REM, 1/3 REM
old-age - Answer-1/4 REM, 1/2 awake, 1/3 NON REM
Stage 1 NREM sleep - Answer-- lightest sleep, lasts for a few minutes, person is drowsy
and relaxed, easily aroused, aroused 2-5% of adult sleep time
Stage 2 NREM sleep - Answer-Sound sleep, 45-55% of adult sleep time,relaxation
progresses, arousal easy but needs more stimuli than stage 1, body functions slower
Stage 3 NREM - Answer-Deepest sleep, 10% of adult sleep time, difficult to arouse,
muscles completely relaxed, may snore, lasts 15-30min
REM - Answer-Vivid, full colour dreaming(25% of adult sleep time) begins about
90minutes after sleep began, rapidly moving eyes, fluctuating, heart rate, respiratory
rate and BP. Loss of muscle tone, gastric secretions increase, very difficult to arouse,
INCREASED metabolism
During rounds on the night shift, the nurse notes that a client stops breathing for 1-2
minutes several times during the shift. What is this condition called? - Answer-Sleep
apnea
