SOAL UTS B.

INGGRIS

1. The RN has received her client assignment for the day-shift. After making the initial
rounds and assessing the clients, which client would the RN need to develop a care
plan first?
a. A client, who has a fever, is diaphoretic and restless.
b. A client scheduled for OT at 1300.
c. A client who is ambulatory.
d. A client who just had an appendectomy and has just received pain medication.
2. A client centered goal is a specific and measurable behavior or response that reflects a
client’s:
a. Physician’s goal for the specific client.
b. Response when compared to another client with a like problem.
c. Highest possible level of wellness and independence in function.
d. Desire for specific health care interventions
3. Carnivorous plants_____insects to obtain nitrogen.
a. trap generally
b. are trapped generally
c. generally trap
d. are generally trapped
4. Well formulated, client-centered goals should:
a. Include preventative health care.
b. Meet immediate client needs.
c. All of the above.
d. Include rehabilitation needs.
5. February normally has twenty-eight days, but every fourth year, _____has twenty
nine.
a. its
b. is a leap year
c. a leap year, it
d. there
6. After determining a nursing diagnosis of acute pain, the nurse develops the following
appropriate client-centered goal:
a. Encourage client to implement guided imagery when pain begins.
 b. Administer analgesic 30 minutes before physical therapy treatment.
c. Determine effect of pain intensity on client function.
d. Pain intensity reported as a 3 or less during hospital stay.
7. The Wilmington Oil Field, in Long Beach California, is one of____oil fields in the
continental United States.
a. productive
b. most are productive
c. the most productive
d. productive
8. The following statement appears on the nursing care plan for an immunosuppressed
client: The client will remain free from infection throughout hospitalization. This
statement is an example of a (an):
a. Short-term goal
b. Nursing diagnosis
c. Expected outcome
d. Long-term goal
9. The planning step of the nursing process includes which of the following activities?
a. Assessing and diagnosing
b. Performing nursing actions and documenting them
c. Evaluating goal achievement
d. Setting goals and selecting interventions
10. The Caldecott Medal_____for the best children’s pictures book, is awarded each
January.
a. which is a prize
b. is a prize
c. which prize
d. is a prize which
11. Evidence suggest that one-quarter of operations____ bypass surgery may be
unnecessary.
a. they involve
b. involving
c. involve
d. which they involve
12. ….. a tornado spins in a counterclockwise direction in the northern hemisphere, it
spins in the opposite direction in the southern hemisphere.
a. That
b. Because of
c. However
d. Although
13. The following statements appear on a nursing care plan for a client after a
mastectomy: Incision site approximated; absence of drainage or prolonged erythema
at incision site; and client remains afebrile. These statements are examples of:
a. Long-term goals
b. Short-term goals
c. Expected outcomes
d. Nursing interventions
14. The nurse writes an expected outcome statement in measurable terms. An example is:
a. Client will take pain medication every 4 hours around the clock
b. Client will report pain acuity less than 4 on a scale of 0-10
c. Client will be pain free.
d. Client will have less pain
15. Sports medicine is a medical specially that deals with the identification and treatment
of injuries to persons______
a. they are involved in sports
b. involved in sports
c. sports are involved
d. sports involve them
16. Thunder occurs as_____through air, causing the heated air to expand and collide with
layers of cooler air.
a. an electrical charge passes
b. passes an electrical charge
c. the passing of an electrical charge
d. an electrical charge
17. The primary nurse asked a clinical nurse specialist (CNS) to consult on a difficult
nursing problem. The primary nurse is obligated to:
a. Implement the specialist’s recommendations
b. Report the recommendations to the primary physician
 c. Clarify the suggestions with the client and family members
d. Discuss and review advised strategies with CNS
18. Which of the following statements about the nursing process is most accurate?
a. Beginning in Florence Nightingale’s days, nursing students learned and practiced
the nursing process.
b. The state board examinations for professional nursing practice now use the
nursing process rather than medical specialties as an organizing concept.
c. Use of the nursing process is optional for nurses, since there are many ways to
accomplish the work of nursing.
d. The nursing process is a four-step procedure for identifying and resolving patient
problems.
19. A client’s wound is not healing and appears to be worsening with the current
treatment. The nurse first considers:
a. Consulting with another nurse
b. Calling the wound care nurse
c. Changing the wound care treatment
d. Notifying the physician
20. When developing a nursing care plan for a client with a fractured right tibia, the nurse
includes in the plan of care independent nursing interventions, including:
a. Apply a cold pack to the tibia.
b. Administer aspirin 325 mg every 4 hours as needed
c. Perform range of motion to right leg every 4 hours.
d. Elevate the leg 5 inches above the heart.
21. The nurse is reviewing the critical paths of the clients on the nursing unit. In
performing a variance analysis, which of the following would indicate the need for
further action and analysis?
a. A client demonstrating accurate medication administration following teaching.
b. Normal VS and absence of wound infection in a post-op client.
c. A client’s family attending a diabetic teaching session.
d. Canceling physical therapy sessions on the weekend.
22. When establishing realistic goals, the nurse:
a. Must have the client’s cooperation.
b. Bases the goals on the nurse’s personal knowledge.
c. Knows the resources of the health care facility, family, and the client.
 d. Must have a client who is physically and emotionally stable.
23. A Federal type of government result in_______
a. the distribution of power is vertical
b. a vertical distribution of power
c. power is distribution vertically
d. vertically distributed
24. Range in color from pale yellow to bright orange.
a. Canaries
b. Canaries which
c. Canaries that are
d. That canaries
25. When calling the nurse consultant about a difficult client-centered problem, the
primary nurse is sure to report the following:
a. Client’s concern about the current treatment
b. Length of time the current treatment has been in place
c. The spouse’s reaction to the client’s dressing change
d. Physician’s reluctance to change the current treatment plan
26. Priorities are established to help the nurse anticipate and sequence nursing
interventions when a client has multiple problems or alterations. Priorities are
determined by the client’s:
a. Physician
b. Urgency of problems
c. Future well-being
d. Non Emergent, non-life threatening needs
27. As goals, outcomes, and interventions are developed, the nurse must:
a. Not change the plan of care for the client.
b. Be aware of and committed to accepted standards of practice from nursing
and other disciples.
c. Be in charge of all care and planning for the client.
d. Be in control of all interventions for the client.
28. After assessing the client, the nurse formulates the following diagnoses. Place them in
order of priority, with the most important (classified as high) listed first. 1.
Constipation 2. Anticipated grieving 3. Ineffective airway clearance 4. Ineffective
tissue perfusion.
 a. 3, 4, 2, 1
b. 3, 4, 1, 2
c. 4, 3, 2, 1
d. 1, 3, 2, 4
29. Planning is a category of nursing behaviors in which:
a. Client-centered goals and expected outcomes are established.
b. The Physician determines the plan of care for the client.
c. The client determines the care needed.
d. The nurse determines the health care needed for the client.
30. For clients to participate in goal setting, they should be:
a. Alert and have some degree of independence.
b. Ambulatory and mobile.
c. Able to speak and write.
d. Able to read and write
31. The nursing care plan is:
a. A tool to set goals and project outcomes
b. A projection of potential alterations in client behaviors
c. A documentation of client care.
d. A written guideline for implementation and evaluation.
32. Once a nurse assesses a client’s condition and identifies appropriate nursing
diagnoses, a:
a. Review of the assessment is conducted with other team members.
b. Physical assessment begins.
c. List of priorities is determined.
d. Plan is developed for nursing care.
33. Collaborative interventions are therapies that require:
a. Nurse and client interventions.
b. Multiple health care professionals.
c. Physician and nurse interventions.
d. Client and Physician intervention.
34. To initiate an intervention the nurse must be competent in three areas, which include:
a. Experience, advanced education, and skills.
b. Leadership, autonomy, and skills
c. Skills, finances, and leadership.
 d. Knowledge, function, and specific skills
35. Which of the following nursing interventions are written correctly? (Select all that
apply.)
a. Apply continuous passive motion machine during day
b. Elevate head of bed 30 degrees before meals
c. Perform neurovascular checks
d. Change dressing once a shift