Advanced Concepts in Nursing Exam Preparation Guide
Course Introduction
Advanced Concepts in Nursing provides an in-depth exploration of complex nursing theories and practices that support advanced clinical decision-making in diverse healthcare settings. The course emphasizes critical thinking, evidence-based practice, and leadership in managing patient care for individuals and communities with multifaceted health needs. Students will study advanced assessment techniques, the integration of pharmacological and non-pharmacological interventions, interdisciplinary collaboration, and culturally sensitive approaches to care. Through case studies, simulations, and research analysis, learners develop the competencies necessary for advanced nursing roles and professional growth in a rapidly evolving healthcare environment.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume II 2nd Edition by Pearson Education
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30 Chapters
961 Verified Questions
961 Flashcards
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Page 2
Chapter 22: Addiction
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A nurse is caring for a client with congestive heart failure (CHF)who currently smokes cigarettes and has a 50 pack-year smoking history.When providing smoking cessation education to the client,which statements regarding the pathophysiology of nicotine use are appropriate? Select all that apply.
A) "In low doses, nicotine stimulates nicotinic receptors in the brain to release dopamine."
B) "In high doses, nicotine stimulates the parasympathetic system to release epinephrine, causing vasoconstriction."
C) "Initially, nicotine increases mental alertness and cognitive ability."
D) "Nicotine is a nonpsychoactive substance found in tobacco."
E) "Gradual reduction of nicotine appears to be the best method of cessation."
Answer: A,C
Q2) A college student attends a seminar on alcohol abuse.Which statement would alert the nurse that the student needs more education?
A) "The children of alcoholics are less likely to become alcoholics."
B) "Native Americans are more likely to become alcoholics."
C) "Married college graduates are less likely to become alcoholics."
D) "Childless people are more likely to become alcoholics than parents."
Answer: A
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Chapter 23: Cognition
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51 Flashcards
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Sample Questions
Q1) The staff on a care area that has a high percentage of clients with confusion attends an educational program on delirium management.Which statement,made by a staff nurse,indicates that teaching has been effective?
A) "It is important to provide education for family members as needed."
B) "Sensory deprivation and overstimulation can worsen the symptoms the client exhibits."
C) "Decreasing all stimulation in the client's room is essential."
D) "The family should involve the client in all conversations and interactions involving care."
Answer: B
Q2) A non-English-speaking school-age client is hospitalized with encephalitis and is experiencing delirium.Which intervention promotes a therapeutic environment for this child and family?
A) Making sure the parents can set up the treatments for their child
B) Encouraging the family to remain at the bedside with the client
C) Making sure the child comes back for the follow-up appointment
D) Providing written instructions before discharge
Answer: B
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Chapter 24: Culture and Diversity
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse is working at a healthcare clinic serving the needs of an inner-city,predominantly African-American population.A neighbor says the nurse must be brave because most of "those" people have guns and are in gangs.Which response by the nurse is appropriate?
A) "It's very difficult for me when you discriminate like that."
B) "It's okay because I'm not a gang member so I will be okay."
C) "Hey, it's a job like any other job. All jobs have problems."
D) "That's an unfortunate stereotype. Can we talk about the reality?"
Answer: D
Q2) The nurse notices that a client,who is from another country,appears uncomfortable when the nurse asks to look at the client's abdominal incision from a recent surgery.Which nursing action is the most culturally competent?
A) Close the client's curtain to maintain privacy.
B) Ask the client to explain why she is uncomfortable.
C) Explain the reason for the intervention using lay terms.
D) Wait until the next assessment time to observe the incision.
Answer: C
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Page 5
Chapter 25: Development
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48 Flashcards
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Sample Questions
Q1) The school nurse cares for students with physical challenges and suspects that the needs for physical safety are not being adequately met for several students in the home environment.Which assessment findings support the nurse's concern? Select all that apply.
A) Wearing the same clothes to school several days of the week
B) Limited arm range of motion
C) Scrapes on knees caused be falling from a bicycle
D) Hand burn from touching a hot stove
E) Lunch contains leftovers from previous evening dinner
Q2) The parents of an infant report that the baby is fussy all of the time and does not eat or sleep well.Which action by the nurse is most appropriate?
A) Giving the baby medicine for colic
B) Drawing blood for laboratory work
C) Feeding the baby
D) Observing the interactions between the parents and the infant
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Chapter 26: Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) During a home visit,the nurse observes children acting out,shouting,and hitting each other when taking a small amount of food out of the refrigerator.The mother sits nearby yelling for the children to shut up while reaching for a cigarette.Which should the nurse consider as being helpful for this family situation? Select all that apply.
A) Suggesting ways to improve the family's financial resources
B) Suggesting ways to improve the parent's behavior
C) Contacting the authorities because of child abuse
D) Making a list of community resources to help this family cope
E) Creating a genogram
Q2) The community nurse is planning a wellness seminar for families in an urban community.Which resources should the nurse consider obtaining to support these families' needs? Select all that apply.
A) Emergency first responder personnel
B) Information about community healthcare providers
C) Individuals who provide mental health services
D) Law enforcement officials
E) Nutritionists
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Chapter 27: Grief and Loss
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46 Flashcards
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Sample Questions
Q1) The nurse is caring for a client whose spouse died 3 years ago.The client states to the nurse,"I have dinner with my wife every Saturday night." The client tells the nurse that he includes a table setting for her and prepares their "usual" steak dinner.He also lights a candle for her each week marking the time of her death.Based on this data,which nursing diagnosis is most appropriate for this client when planning care?
A) Risk for Bereavement
B) Ineffective Coping
C) Complicated Grieving
D) Death Anxiety
Q2) The nurse educator is developing a seminar to help children who have experienced a loss.Which information should the nurse include to help these children adapt?
A) Explain that magical thinking helps with the pain.
B) Remind the child that big children don't cry.
C) Help create new memories.
D) Pretend that the individual has not really gone.
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Chapter 28: Mood and Affect
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Sample Questions
Q1) An older adult client receiving pain medication for abdominal discomfort reports no relief of pain and continues to describe multiple somatic complaints.Which action by the nurse is appropriate?
A) Assessing the client for depression
B) Obtaining an order for different pain medication
C) Contacting the family to talk to the client
D) Reviewing of the client's lab values
Q2) A client being treated for depression reports the desire to get out of bed,shower,eat,and contact friends and family for socialization.Which conclusion regarding the client's behavior is appropriate by the nurse?
A) Risk factors for self-harm
B) Improvement in depression
C) Denial of the diagnosis of depression
D) The need for assistance with activities of daily living
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9
Chapter 29: Self
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Sample Questions
Q1) A college student tells the nurse about being "out of control" with eating.The client states,"I am trying to keep my weight down so my mom does not call me fat.I make myself throw up after eating." Based on this data,which disorder does the nurse use when planning care for this client?
A) Binge-eating
B) Anorexia nervosa
C) Bulimia
D) Purging disorder
Q2) The nurse is providing care to a preadolescent client who is diagnosed with an eating disorder.The client's mother states,"I am very weight and exercise conscious.This must be a genetic trait from her birth mother." Based on this data,which conclusion by the nurse is the most appropriate?
A) The mother is obsessed with weight and exercise, and the child learned the behavior.
B) The child must have inherited a genetic predisposition to an eating disorder.
C) The child must have a neurotransmitter abnormality.
D) The mother is setting a good example with eating and exercise.
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Chapter 30: Spirituality
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30 Flashcards
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Sample Questions
Q1) A client requests that surgery be delayed for several days until after a period of Holy Days has concluded.Which action by the nurse supports this client's request?
A) Remind the client that one's health is more important than following Holy Days.
B) Provide the client with alternative forms of treatment to replace having surgery.
C) Suggest the client think about whether having the surgery is the right decision, as the client is willing to delay it now.
D) Communicate the client's request to the surgeon.
Q2) A client who was raped tells the nurse that she is planning to have an abortion because she cannot raise a child who was conceived this way; however,abortion is against her religion.Which action by the nurse is the most appropriate?
A) Remind the client that abortion is killing and that's why it is against her religion
B) Ask the client what she needs to support her decision.
C) Provide information on giving up children for adoption.
D) Suggest she talk with her clergy.
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11
Chapter 31: Stress and Coping
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65 Flashcards
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Sample Questions
Q1) A client states,"I haven't left my house for 6 years." Based on this data,which diagnosis does the nurse anticipate for this client?
A) Hematophobia
B) Social phobia
C) Pathophobia
D) Agoraphobia
Q2) A client is prescribed fluoxetine (Prozac)for treatment of obsessive-compulsive disorder.During the latest office visit,the client washes the hands while counting to 10 and repeats the process every 5 minutes.Which is the priority assessment for the nurse to complete for this client?
A) The amount of medication the client is taking
B) Side effects from the medication the client is experiencing
C) Whether the client is taking the medication as prescribed
D) Foods that may be interacting with the client's medication
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Chapter 32: Violence
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66 Verified Questions
66 Flashcards
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Sample Questions
Q1) A client recovering from a motor vehicle crash develops hypotension and jugular distension with a tracheal deviation.Based on this data,which should the nurse suspect occurred?
A) Hemorrhage
B) Compensatory shock
C) Hypovolemic shock
D) Tension pneumothorax
Q2) What should the nurse do to assist a client brought to the emergency department as a victim of a gunshot wound?
A) Ask the client who shot him.
B) Bathe the client and provide a clean gown.
C) Ask the client where the weapon is.
D) Preserve the chain of evidence.
Q3) The nurse is caring for a client that is the victim of domestic violence and is visited by the spouse in the hospital.Which action by the nurse supports the client?
A) Call the police to have the spouse arrested for assault.
B) Refuse to permit the spouse to visit with the client.
C) Call security to have the spouse removed.
D) Ask the client if there is anything that is needed at this time.
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Page 13
Chapter 33: Reproduction
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) The nurse is caring for a pregnant client who has asthma.The client has a cold and has an exacerbation of asthma symptoms,including mild wheezing.To help avoid hypoxia-related complications in the fetus,which medication prescription does the nurse anticipate?
A) IV corticosteroid (e.g., prednisone)
B) Oral pseudoephedrine (e.g., Sudafed)
C) Inhaled beta2-agonist (e.g., albuterol)
D) Oral acetylsalicylic acid (e.g., aspirin)
Q2) When palpating the fundus of a woman on her first day postpartum,the nurse finds that the woman's uterus is higher than expected and is deviated to the right.She is not having excessive uterine bleeding.Which is the priority nursing action for this client?
A) Notify the client's midwife of this condition.
B) Ask another nurse to assess the client to verify the findings.
C) Ask the client to void and then reassess fundal height.
D) Perform a straight catheterization on the client and then reassess fundal height.
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Chapter 34: Assessment
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is reviewing the medical record for a school-age client prior to a scheduled health maintenance visit.Which data indicates the client is overweight?
A) A BMI of > 85th percentile.
B) A BMI of > 95th percentile.
C) A 25 percentage point increase in weight in 6 months is categorized as being overweight, regardless of the baseline (e.g., 6 month's previous) percentile.
D) A 35 percentage points in 6 months is categorized as being overweight, regardless of the baseline (e.g., 6 month's previous) percentile.
Q2) The nurse is conducting a physical assessment for a middle-age adult female client during an annual exam.When discussing the importance of diet and exercise,which with the nurse include in the teaching session? Select all that apply.
A) Increasing caloric intake
B) Decreasing the intake of grains, fruits, and vegetables
C) Increasing fat and cholesterol intake
D) Encouraging adequate calcium intake
E) Engaging in regular physical activity
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15
Chapter 35: Caring Interventions
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) During a performance appraisal,a unit manager praises a staff nurse on the ability to use presencing when caring for terminally ill clients.What did the nurse demonstrate that would exemplify this caring behavior? Select all that apply.
A) Face-to-face discussions with clients
B) Instructing clients on how they should perform certain functions
C) Sitting quietly with clients
D) Taking the time to hold a client's hand
E) Guaranteeing quality and safety in care
Q2) The family members of a recently deceased client wrote a letter to the unit manager,expressing their appreciation for the way the client was treated while dying in the hospital.The family mentioned characteristics that indicate the nurses were caring.What behaviors did the family most likely use to explain the caring actions of the nurses? Select all that apply.
A) Delivered care with style
B) Treated the client as a human being
C) Respected the client
D) Maintained client confidentiality
E) Established limits with the client
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Chapter 36: Clinical Decision Making
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A postoperative client prescribed pain medication every 4 to 6 hours is requesting medication every 6 hours.At 4 hours the client's pain level is 8 on a rating scale of 1 to 10.The nurse decides to give the pain medication now.What does this nurse's action exemplify?
A) Meeting a client goal
B) Time management skills
C) Prioritizing the client's care
D) A response to a change in the client's condition
Q2) The nurse is caring for an older school-age client who is sleeping when the menu choices for dinner are brought to the room.Which intervention should the nurse use to meet the dietary needs of this client?
A) Wake the child to choose a meal for dinner.
B) Order chicken nuggets because most children like this meal.
C) Ask the dietary worker to come back later.
D) Ask the parents to bring dinner from home for the client.
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Chapter 37: Collaboration
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is discussing follow-up care with a client who is being discharged.The client and family cross their arms and state angrily that the team's suggestions are not acceptable.Which response by the nurse is appropriate?
A) "We will leave you alone to discuss your options."
B) "We only want what's best for you."
C) "Let's discuss other options that might work well for you and your family."
D) "Perhaps you did not understand the recommendations."
Q2) The case manager assembles a team of healthcare professionals,including the client's primary healthcare provider,physical therapist,and social worker,for the purpose of collaborative discharge planning and decision making.Which type of team did the case manager assemble? Select all that apply.
A) Intradisciplinary team
B) Interdisciplinary team
C) Primary nursing care team
D) Management team
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18
Chapter 38: Communication
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42 Verified Questions
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Sample Questions
Q1) The nurse is caring for a client with a new colostomy.The client has been taught care and has been successful with return demonstration to the staff.Although the client is able to perform care independently,and has asked to do so,the charge nurse has instructed the nursing staff to continue performing colostomy care for this client.When addressing this issue directly with the charge nurse,which statement by the nurse is the most appropriate?
A) "The client will change the apparatus whether you like it or not."
B) "The client has been trained to change the apparatus and has expressed interest to continue doing so."
C) "You have no right to continue delegating this task to nursing when the client has been trained to change the apparatus."
D) "I will report you to the nurse manager for not allowing the client to change the apparatus independently."
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19
Chapter 39: Managing Care
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Sample Questions
Q1) A veteran nurse is working on a large medical-surgical unit.The nurse is caring for a client with MRSA who requires frequent dressing changes.Which action by the nurse would help control the cost associated with this client's care?
A) Wiping down equipment at the end of the shift
B) Storing equipment in the client's room
C) Making sure the client's room is stocked with all needed supplies
D) Placing a cart with supplies outside the client's room
Q2) A client recovering from an emergency appendectomy is a citizen of France.The client asks the nurse to explain why the United States has chosen such a different healthcare reimbursement system from other Western countries.Which American value could the nurse mention to explain the system in this country?
A) Acceptance of the role of government
B) Individual accountability
C) Skepticism about markets and competition
D) Universality
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20
Chapter 40: Professional Behaviors
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Sample Questions
Q1) During a staff meeting,the new nurse manager informs the staff that they will be getting an e-mail account that will need to be checked every day for information from the manager.Which responses would be expected of a "Generation X" new graduate nurse to this policy? Select all that apply.
A) "Can we access the e-mail from home?"
B) "That sounds like a great idea."
C) "I would rather get the information directly from you."
D) "I would rather receive the information in a unit newsletter."
E) "Can we e-mail one another?"
Q2) The staff nurse observes the student nurse's behavior on the unit,and notes the student is always on time,neat in appearance,and caring toward clients.Which conclusion regarding the student's level of professional commitment is most appropriate?
A) A pattern of behaviors congruent with the nurses' professional code of ethics
B) A strong belief in and acceptance of the company's goals, values, and mores
C) A willingness to be able to exert control over personal behaviors
D) A strong desire to be a part of a group
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Chapter 41: Teaching and Learning
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who is prone to falls.Which nursing diagnosis would be most appropriate for this client?
A) Risk for Injury
B) Risk for Suffocation
C) Deficient Knowledge
D) Risk for Disuse Syndrome
Q2) A novice nurse is talking to the nurse mentor regarding the benefits of joining a professional organization.Which is the greatest benefit from becoming involved in a professional organization?
A) Establish networking to provide better client care.
B) Learn about new nursing products on the market.
C) Gain an appreciation of the history of nursing.
D) Increase knowledge of hospital policy.
Q3) The nurse is caring for an adult client who has been diagnosed with high cholesterol.Which is important for the nurse to consider when teaching this adult client?
A) Adults are more oriented to learning when the material is useful immediately.
B) Adults are more likely to adhere to a regimen than are children.
C) Adults usually can find information on their own.
D) Adults do not need to be evaluated for understanding as children do.
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Page 22
Chapter 42: Accountability
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Sample Questions
Q1) A registered nurse (RN),who now works as a nursing supervisor at a local hospital,is asked to talk about nursing at the career day at a local high school.When explaining to the students why nursing is a profession rather than a job,which criteria will the RN include to illustrate this point? Select all that apply.
A) Ongoing research
B) High salaries
C) Nursing shortage
D) Service orientation
E) General knowledge
Q2) A novice nurse on a medical-surgical unit is released from the orientation phase of training.The nurse is able to care for a four- to five-client assignment independently and is assigned a coach on the unit who will help with problem solving,if needed.According to Benner's stages of nursing expertise,this nurse would belong to which stage?
A) Stage II
B) Stage V
C) Stage III
D) Stage IV
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Chapter 43: Advocacy
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Sample Questions
Q1) The nurse has been working in a long-term care facility for 1 week.The nurse notes that during the evening meal,an unlicensed assistive personnel (UAP)takes a tray to a client who is unable to cut up and eat the food independently.After the nurse assists the client with eating the meal,which action is appropriate to advocate for this client?
A) Report the UAP for neglect.
B) Notify the healthcare provider.
C) Call the client's family to have them assist with evening meals.
D) Discuss the situation with the director of nursing.
Q2) The nurse is working in a low-income neighborhood as a home health nurse.During one of the home care visits,the nurse notes that the children's playground has broken equipment,which the children continue to play on.The nurse has already contacted the owner of the playground about the issue.What action might the nurse take as a public advocate?
A) Write an article to the local newspaper to gain public attention.
B) No action is required; this is a civil problem beyond the realm of the nurse.
C) Call the police to report the owner's neglect.
D) Tell the parents they should not pay their rent until the playground is fixed.
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Chapter 44: Ethics
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Sample Questions
Q1) A nurse educator is talking to a student about how to deal with an ethical dilemma in practice.Which does the nurse educator explain to the student as important regarding actions during an ethical dilemma?
A) Examining all conflicts in the situation.
B) Investigating all aspects of the situation.
C) Relying on nursing judgment.
D) Making a decision based on the policy of the agency.
Q2) A pregnant client with a history of drug use refuses testing for human immunodeficiency virus (HIV),despite the recommendation of her nurse-midwife.Which actions by the nurse are appropriate in this situation? Select all that apply.
A) Refuse to treat the client.
B) Do the testing anyway.
C) Re-emphasize the importance of HIV testing.
D) Offer counseling.
E) Throughout the pregnancy, encourage the client to reconsider the decision not to be tested.
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Chapter 45: Evidence-Based Practice
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Sample Questions
Q1) The nurse is working with a client who has agreed to participate in a research study.Which actions would constitute a violation of disclosure for the client? Select all that apply.
A) Giving the client false information about his or her participation
B) Telling a mutual friend of the client's involvement in the study
C) Withholding information about the study
D) Providing the client's name as a participant in the study
E) Suggesting that participation would greatly benefit the client's financial situation
Q2) A nurse is preparing to conduct a research study and wants to do a literature search of relevant articles.Which are elements will the nurse look for as part of an article based on research? Select all that apply.
A) Abstract
B) Study
C) Funding
D) Results
E) References
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Chapter 46: Health Care Systems
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Sample Questions
Q1) The nurse is caring for a client who sustained multiple injuries in an automobile accident.As a part of secondary prevention for this client,which does the nurse include in the plan of care?
A) Promote wellness.
B) Detect early disease.
C) Restore the client to previous functioning.
D) Prevent the progression of more symptoms.
Q2) The nurse knows that Congress enacted the Emergency Medical Treatment and Labor Act (EMTALA)of 1986 to prevent which action by emergency services?
A) Refusing to treat uninsured clients
B) Servicing suburban clients only
C) Stopping the poor from using emergency services as primary care
D) Providing free examinations to the poor
Q3) During a mass casualty event,the demand for nursing skills increases and calls for which implementation?
A) Reverse triage
B) Assessment skills
C) Collaboration with primary caregivers
D) Triage skills
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Page 27
Chapter 47: Health Policy
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Sample Questions
Q1) A nursing student is talking to the instructor about developing professional behavior.Which action does the instructor recommend to the student in order to access information that may be useful in developing professional demeanor?
A) Join the America Nurses Association (ANA).
B) Join the National Student Nurses Association (NSNA).
C) Read the Nurse Practice Act.
D) Use the Internet to obtain information.
Q2) An older adult client experiences an extended hospitalization due to a chronic illness.The client states to the nurse,"I don't know how I can pay for this hospital stay and afford all of the new medication that I have been prescribed." Which response by the nurse is the most appropriate?
A) "I'll have someone from the business office come and talk to you about your bill."
B) "You need to focus on recovering and stop worrying about money."
C) "Much of your care will be covered by Medicare."
D) "Don't worry. I'm sure everything will work out okay."
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28
Chapter 48: Informatics
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Sample Questions
Q1) The nurse is preparing an educational to teach clients how to determine the validity of content obtained from health-related Internet websites.Which information should the nurse plan to include in this teaching tool? Select all that apply.
A) Source for the information
B) Sponsor of the website
C) Ways to identify if the site is selling a product
D) Number of visitors to the website
E) Date the content was last reviewed
Q2) The nurse is documenting in the electronic medical record (EMR)after providing care in the client's room.The client's asks the nurse why a computer is being used.Which response by the nurse is appropriate?
A) "The information that is uploaded is available for anyone to view."
B) "Computers improve client care because information is readily available."
C) "The computer decreases documentation time for nurses."
D) "Computers allow you access to your medical record."
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Chapter 49: Legal Issues
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Sample Questions
Q1) A client on a medical-surgical unit experiences a code blue situation unexpectedly.The emergency situation has ended and the client survived.The nurses are breaking for lunch and plan to process their feelings about the emergency.Which action by the nurses will facilitate this?
A) Discussing the event outside the hospital.
B) Asking management for the use of a private room to debrief.
C) Talking while riding in the staff elevator.
D) Debriefing about the situation at home.
Q2) The nurse manager is evaluating the success of staff training on just culture.Which observations indicate that training has been successful? Select all that apply.
A) Staff members are reporting safety errors.
B) Staff members are taking responsibility for actions.
C) Staff members are naming others responsible for errors.
D) Staff members are neglecting client safety initiatives.
E) Staff members are reporting unsafe staffing conditions to the media.
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Chapter 50: Quality Improvement
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Sample Questions
Q1) The nurse instructor is preparing a teaching session for staff nurses on intradisciplinary assessments.Which information should the instructor consider when preparing this presentation? Select all that apply.
A) Utilization reviews
B) Peer review
C) Audits
D) Performance appraisals
E) Outcomes management
Q2) The nurse on a medical-surgical unit is asked to participate in data collection on skin care for the unit.Which is the rationale for cooperating with this request?
A) Participate in the quality improvement process
B) Advance the nurse's practice
C) Prevent problems from arising in the unit
D) Fulfill legal requirements
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Chapter 51: Safety
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Sample Questions
Q1) The nurse is planning care for a client who is experiencing confusion.Which action by the nurse ensures safety for this client?
A) Keep the windows in the client's room closed.
B) Keep the side rails up on the bed when the client is with a staff member.
C) Place the call bell next to the client.
D) Administer ordered medication.
Q2) The nurse is conducting a class for a group of pregnant clients.Which topics should the nurse include when teaching this group about safety of the fetus?
A) Pedestrian accidents
B) Suffocation in the crib
C) Alcohol consumption
D) Drowning
Q3) The nurse is conducting a home risk assessment for a family with toddler and preschool-age children.Which finding is considered a safety hazard for this family?
A) Safety plugs in electrical outlets
B) Medications on the kitchen counter
C) Lack of helmets next to bicycles
D) Deadbolt locks on the doors
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