NUR 309 EXAM I PRACTICE QUESTIONS AND CORRECT ANSWERS
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Course
NUR 309
Institution
NUR 309
The nurse is taking a health history for an older client who appears upset. What question will assist in developing rapport and assess the cognitive abilities of this client?
A. "You seem upset; can you tell me what is bothering you?"
B. "Can you tell me what day today is?"
C. "Do you have pain ...
NUR 309 EXAM I PRACTICE QUESTIONS
AND CORRECT ANSWERS
The nurse is taking a health history for an older client who appears upset. What
question will assist in developing rapport and assess the cognitive abilities of this client?
A. "You seem upset; can you tell me what is bothering you?"
B. "Can you tell me what day today is?"
C. "Do you have pain anywhere today?"
D. "What brings you to the office today?" ✅A. "You seem upset; can you tell me what
is bothering you?"
The nurse is assessing a young adult female client who appears immature for her age.
What technique by the nurse demonstrates the modification needed to perform a
complete head to toe assessment on this client?
A. Utilizes child-like language to explain the process
B. Uses simple words and pictures to explain the assessment process
C. Completes the assessment with witnesses so the client would not be alone
D. Performs the assessment with female witnesses so the client does not become afraid
✅B
The nurse is completing a physical assessment on a 38-year-old client. Which should
the nurse recognize as a possible barrier to communication?
A. Client wears reading glasses
B. Exam conducted in a cold room
C. Quiet environment
D. Need to provide simple explanations ✅B
,During a health interview, a client tells the nurse about engaging in unprotected sexual
intercourse with a known intravenous drug user. How should the nurse respond to this
client?
A. "Would you like to talk more about this?"
B. "You should not do that anymore."
C. "Why would you do that?"
D. "I would not do that anymore if I were you." ✅A
A client with a 20-year history of smoking asks the nurse for information about quitting.
What statement is most appropriate when responding to this client?
A. "It is about time for you to decide to quit smoking."
B. "Your family will be glad that you decided to stop smoking."
C. "Deciding to stop smoking is a positive step towards better health."
D. "You have been smoking for such a long time." ✅C
The nurse is assessing multiple clients in the emergency department. What situation
would constitute a violation of client confidentiality?
A. Asking a parent to answer health questions for a toddler.
B. Asking the uninjured passenger in a car accident about the driver who sustained a
head injury and is disoriented.
C. Asking a hospital translator to translate for a client who does not speak English.
D.Asking the spouse of a competent adult client for more information when the client
refuses to disclose drug use. ✅D
The student nurse is preparing to perform a health history interview. Which statements
indicate that the student nurse requires further education regarding the purpose of the
health history?
Select all that apply.
A. "As the nurse, I will mainly focus on the course of the client's illness."
B. "The client's health history can be gathered during the initial interview."
C. "I realize that the client is sick, but I also need to perform a wellness assessment."
D. "The healthcare provider's and nurse's assessments should be almost identical with
the same focus."
, E. "The nurse typically has a more holistic point of view regarding the client's health."
✅A, D
While interviewing the client during the focused interview, the client begins to cry softly.
Which interventions by the nurse are appropriate?
Select all that apply.
A. The nurse states, "It's all right, I think we're done with the interview."
B. The nurse places the tissues within arm's reach of the client.
C. The nurse remains quiet until the nurse feels that the client is prepared to proceed
with the interview.
D. The nurse states, "I don't like these questions any more than you do, but we need to
get on with the interview so you can go home and cry later."
E. The nurse states, "I can see you are upset. It's all right to cry." ✅B, C, E
The nurse is gathering client data from secondary sources. Which sources would the
nurse utilize to collect this data?
Select all that apply.
A. The client's past medical records.
B. The client.
C. The history and physical.
D. The client's physical therapist.
E. The client's spouse. ✅A, C, D, E
The nurse is performing a focused interview with the client. Which behaviors indicate
that the client may be feeling anxious?
Select all that apply.
A. While seated, the client begins to wiggle his foot back and forth quickly.
B. The client leans back in his chair and seems to move away from the nurse.
C. The client crosses his arms and becomes very quiet.
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