Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 14
Question 1
Type: MCSA
The home health nurse uses creativity and critical thinking to devise a way for a client to receive intravenous
medication while sitting outside on the porch. Which skill did the nurse use for this situation?
1. Technical
2. Interpersonal
3. Creativity
4. Cognitive
Question 2
Type: MCSA
A home care client must correctly self-administer insulin injections before being discharged from the agency. On
what skill is this client being evaluated?
1. Technical
2. Cognitive
3. Interpersonal
4. Academic
Question 3
Type: MCSA
The nurse provides care to clients admitted to a mental health facility who exhibit paranoid behavior. Which skill
should the nurse use when caring for these clients?
1. Cognitive
2. Interpersonal
3. Technical
4. Therapeutic
Question 4
Type: MCMA
The nurse is preparing to provide care planned for a client. What actions should the nurse complete during this
phase of client care?
1. Evaluating the outcome of the interventions
2. Reassessing the client
3. Documenting the history and physical
4. Supervising delegated care
5. Implementing the nursing interventions
Question 5
Type: MCSA
Upon entering a room, a client and spouse are found crying. The nurse decides to sit with both of them, offering
presence and listening to their fears instead of providing the planned education. What action did the nurse
perform?
1. Implementing nursing intervention
2. Determining the nurse’s need for assistance
3. Supervising delegated care
4. Reassessing the client
Question 6
Type: MCSA
The nurse is caring for a new mother and infant. Which action should the nurse take that allows the new parents to
feel in control when being taught how to bathe their infant?
1. Telling the parents everything the nurse is doing and why
2. Letting the parents watch a video after the bath
3. Letting the parents bathe the baby with direction and guidance from the nurse
4. Giving lots of advice and suggestions about different methods
Question 7
Type: MCSA
During teaching, the nurse makes sure the client understands how to activate the safety mechanism on the syringe
to prevent needlestick injuries when self-administering insulin. Which guideline of implementing interventions is
the nurse using?
1. Adapt activities to the individual client.
2. Encourage clients to participate actively in implementing nursing interventions.
3. Base nursing interventions on scientific knowledge, research, and standards of care.
4. Implement safe care.
Question 8
Type: MCSA
On one of the first days working alone, the new nurse with limited patient teaching experience needs to instruct
tracheostomy care to a client and spouse. What action should the nurse take?
1. Ask the nurse mentor to assist with the teaching after reviewing the procedure.
2. Read the policy and procedure manual before the teaching session.
3. Do the best the nurse can by remembering what was taught in nursing school.
4. Ask for a different assignment until the nurse feels comfortable with this one.
Question 9
Type: MCSA
A client is prescribed a medication that the nurse has never administered and information about the medication is
not in the drug reference manual. What should the nurse do?
1. Follow the physician’s orders as written and give the medication.
2. Call the pharmacy and do further investigating before administering the medication.
3. Ask the client about this medication.
4. Call the physician and ask what the medication is and what it is for.
Question 10
Type: MCSA
The nurse is providing care to an assigned client. Which action indicates that the nurse supports the client’s
respect for dignity?
1. Allowing the client to complete hygienic care when possible
2. Providing all care to the client whenever possible
3. Telling the other staff that the client is demanding, so they are able to meet the client’s needs
4. Presenting information to the client’s family about the client’s condition
Question 11
Type: MCSA
The nurse provides routine morning care to a client, including all the medications and scheduled treatments. What
action should the nurse make next?
1. Move on to the next assignment to increase the nurse’s efficiency.
2. Report this to the charge nurse.
3. Document all care in the progress notes.
4. Get supplies organized for the next client’s medications and treatments.
Question 12
Type: MCSA
The nurse is reviewing the difference between evaluation and assessment with a new graduate nurse. What should
the nurse emphasize as the major difference between these two steps in the nursing process?
1. Assessment is done at the beginning of the process.
2. Evaluation is completed at the end of the process.
3. They are the same and there is no need to differentiate.
4. The difference is in how the data are used.
Question 13
Type: MCSA
The nurse notes that a client has the outcome goal “Client will have a decrease in pain level (down to a 3) within
45 minutes of receiving oral analgesic.” Which client statement should the nurse use to evaluate this goal?
1. “I’m getting really sleepy from that medication. I think I’ll take a nap.”
2. “My pain is a 4.”
3. “I still have some pain.”
4. “Will the pain ever go away?”
Question 14
Type: MCSA
A client has the goal statement “Client will be able to state two positive aspects of rehab therapy by the end of the
week.” What statement demonstrates that the nurse appropriately evaluated this goal?
1. Goal not met, client able to state one positive aspect by the end of the week.
2. Goal met, client able to state one positive aspect by the end of the week.
3. Goal met, client able to state two positive aspects of therapy by week’s end.
4. Goal incomplete, client not able to positively state anything about rehab.
Question 15
Type: MCSA
A client has the goal statement “Client will have clear lung sounds bilaterally within 3 days.” One intervention to
meet this goal is for the nurse to teach the client to cough and deep breathe and have the client do this several
times every 2 hours. At the end of the third day, the client’s lungs are indeed clear. What should the nurse do to
relate the intervention to the outcome?
1. Ask how many times per day the client practiced the coughing and deep breathing exercises.
2. Tell the client that the lungs are clear.
3. Document the assessment findings to show the effectiveness of the intervention.
4. Write this evaluation statement: Goal met, lung sounds clear by third day.
Question 16
Type: MCSA
A nursing diagnosis of Risk for Deficient Fluid Volume related to excessive fluid loss, secondary to diarrhea and
vomiting was implemented for a home health client who began with these symptoms 5 days ago. A goal was that
the client’s symptoms would be eliminated within 48 hours. The client is being seen after a week, and has had no
diarrhea or vomiting for the past 5 days. What should the nurse do?
1. Keep the problem on the care plan, in case the symptoms return.
2. Document that the problem has been resolved and discontinue the care for the problem.
3. Assume that whatever the cause was, the symptoms may return, but document that the goal was met.
4. Document that the potential problem is being prevented because the symptoms have stopped.
Question 17
Type: MCSA