Basic Clinical Nursing Skills
Final Exam Questions
Course Introduction
Basic Clinical Nursing Skills introduces students to fundamental hands-on competencies essential for safe and effective patient care within healthcare settings. This course covers principles of infection control, vital signs measurement, patient hygiene, mobility assistance, basic wound care, communication techniques, medication administration, and documentation. Emphasis is placed on developing critical thinking, ethical practice, and professionalism while performing clinical procedures. Students engage in a combination of classroom learning, laboratory practice, and supervised clinical experiences that prepare them to deliver compassionate, patient-centered care and collaborate effectively within interdisciplinary healthcare teams.
Recommended Textbook
Fundamentals of Nursing 8th Edition by
Patricia A. Potter
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50 Chapters
1445 Verified Questions
1445 Flashcards
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Chapter 1: Nursing Today
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Sample Questions
Q1) Graduates of baccalaureate degree or associate's degree nursing programs are eligible to take which of the following to become registered nurses in the state in which they will practice?
A) Continuing education credits
B) In-service education programs
C) National Council Licensure Examination
D) Graduate education
Answer: C
Q2) After licensure,the practicing nurse is required to update his or her knowledge about the latest research and practice developments.The most common way nurses do this is through _____ programs.
A) Continuing education
B) Master's degree
C) In-service education
D) DNP
Answer: A,C
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Chapter 2: The Health Care Delivery System
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Sample Questions
Q1) A major outcome of managed care is that managed care organizations such as hospitals
A) Assume financial risk, as well as provide care.
B) Focus more on individual illness.
C) Decrease discharge planning activities.
D) Have increased lengths of stay.
Answer: A
Q2) The nurse is applying for a position with a home care organization that specializes in spinal cord injury.In doing so,the nurse is applying for a position in _____care.
A) Secondary acute
B) Tertiary
C) Continuing
D) Restorative
Answer: D
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Chapter 3: Community-Based Nursing Practice
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Sample Questions
Q1) Of the following list of patients,which would be considered at high risk to be members of a vulnerable population?
A) An immigrant who speaks only Chinese
B) An Hispanic truck driver who speaks limited English
C) A 22-year-old pregnant woman
D) A 15-year-old rape victim
E) A 40-year-old schizophrenic
Answer: A,B,D,E
Q2) The nurse is working with a 16-year-old pregnant female who tells the nurse that she needs an abortion.The nurse provides the patient with information on alternatives to abortion,but after several sessions,the patient still insists on having the abortion.The competency of the counselor requires the nurse to
A) Insist that the patient speak with a "Right-to-Life" advocate.
B) Provide a referral to an abortion service.
C) Refuse to provide referral to an abortion service.
D) Delay referral to an abortion service.
Answer: B
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) A paradigm is useful in describing the domain of a discipline.Nursing's paradigm includes which of the following?
A) Person
B) Disease
C) Health
D) Environment
E) Nursing
Q2) The student nurse is learning nursing theories but fails to see how they relate to the nursing process.The professional nurse realizes that nursing theory
A) Has a minor role in professional nursing.
B) Requires the nursing process to develop knowledge.
C) Can direct how a nurse uses the nursing process.
D) is specific to certain patients only.
Q3) Many aspects of nursing theory are based on developmental theories because human growth and development is believed to be
A) Erratic and difficult to predict.
B) An orderly predictive process.
C) An orderly process until adulthood.
D) Unpredictable during childhood.
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Page 6
Chapter 5: Evidence-Based Practice
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Sample Questions
Q1) The nurse is preparing to conduct research that will allow precise measurement of a phenomenon.Which of the following methods will provide the nurse with the right kind of data?
A) Experimental research
B) Surveys
C) Evaluation research
D) Phenomenology
E) Grounded theory
Q2) To provide patient care of the highest quality,nurses utilize an evidence-based practice approach because evidence-based practice is
A) A guide for nurses in making clinical decisions.
B) Based on the latest textbook information.
C) Easily attained at the bedside.
D) Always right for all situations.
Q3) Qualitative nursing research is valuable in that it
A) Excludes all bias.
B) Uses randomization in structure.
C) Determines associations between variables and conditions.
D) Studies phenomena that are difficult to quantify.
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Page 7
Chapter 6: Health and Wellness
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Sample Questions
Q1) The nurse is working in a clinic that is designed to provide health education and immunizations.As such,this clinic is designed to provide
A) Primary prevention.
B) Secondary prevention.
C) Tertiary prevention.
D) Diagnosis and prompt intervention.
Q2) An argument for passing "universal health care" legislation is that it would help fulfill the Healthy People 2020 goal of
A) Increasing quality of life in America.
B) Prolonging healthy life in America.
C) Eliminating health disparities in America.
D) Promoting healthy behaviors.
Q3) To increase quality and years of healthy life,Healthy People 2020 focuses on four areas.One of those areas is
A) Allowing people to continue current behaviors to reduce the stress of change.
B) Focusing only on individual health changes that will lead to better communities.
C) Creating social and physical environments that promote good health.
D) Focusing on illness treatment to provide fast recuperation.
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Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) The nurse is making her first set of rounds in the morning.In doing so,she meets a patient whom she has never worked with before.She introduces herself and explains the plan of the day.She also asks the patient how he normally takes his morning medications,such as before breakfast,after breakfast,or during breakfast.She does this because most of the morning medications in that institution are scheduled by pharmacy for 0900.Getting to know her patient will allow her to
A) Choose the most appropriate time to give the medication.
B) Explain to the patient that he will not get his medication at his usual time.
C) Know what information to put on the medication error report form.
D) Evaluate whether or not the patient is taking his medication correctly at home.
Q2) The concept of "knowing" the patient comprises both the nurse's understanding of a specific patient and the nurse's subsequent selection of interventions.To know a patient means that the nurse
A) Avoids assumptions.
B) Focuses on the patient.
C) Engages in a caring relationship.
D) Forms the relationship quickly.
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Page 9
Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) The nurse is caring for a patient with known coronary artery disease who has recently been diagnosed with lung cancer.What should the nurse do?
A) Focus her assessment on the cancer diagnosis because it is the newer diagnosis.
B) Ask questions about cardiac symptoms and their relationship to the cancer.
C) Ignore symptom management and focus on palliative care.
D) Say nothing because cancer survivors dislike prying.
Q2) The National Coalition for Cancer Survivorship has defined a cancer survivor as a person who has
A) Been cancer free for 5 years after diagnosis.
B) Been cancer free for 3 years after diagnosis.
C) Had cancer until he or she dies.
D) Had cancer but is declared cancer free.
Q3) When working with cancer survivors,the nurse must understand that cancer survivors
A) Face depression that is devastating and destroys one's sense of life.
B) Seek a balance between independence and interdependence.
C) Experience similar long-term impact regardless of cultural beliefs.
D) Are at much lower risk for developing a new cancer.
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Chapter 9: Culture and Ethnicity
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Sample Questions
Q1) Compare the following statements.Which are considered predominant in non-Western cultures?
A) Causes of illness are biomedical in nature.
B) Illness is an imbalance between humans and nature.
C) Caring patterns are based in self-care and self-determination.
D) Diagnoses are described as holistic.
E) Treatment of disease can be magico-religious based.
Q2) According to the Office of Minority Health (OMH),the thoughts,communications,actions,customs,beliefs,values,and institutions of racial,ethnic,religious,or social groups are known as
A) Culture.
B) Subculture.
C) Ethnicity.
D) Cultural backlash.
Q3) Which statement is true relative to caring for a Hindu patient who is dying?
A) The family will turn his head eastward or to the right.
B) A close kin will stay with the patient to hear his last wishes.
C) Anointing of the sick is a common right of the dying.
D) The family will place a drop of water on the patient's lips.
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Page 11
Chapter 10: Caring for Families
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Sample Questions
Q1) The nurse is caring for a patient in hospice.As she observes the family dynamics,she notes that the patient is getting adequate care,but the wife is not sleeping well and needs rest.The nurse also assesses the need for better family nutrition and meals assistance.The nurse discusses these assessments with the patient and his family and formulates a plan of care with them to address these issues.The nurse is utilizing which approach to family nursing practice?
A) Family as context
B) Family as patient
C) Family as system
D) Autocratic determination
Q2) When initiating the care of families,one factor that helps organize the family approach to the nursing process is that the nurse
A) Views all patients as unique individuals.
B) Realizes that families have little impact on individuals.
C) Understands that individuals have little impact on families.
D) Realizes that individuals have an impact on families.
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Chapter 11: Developmental Theories
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Sample Questions
Q1) The nurse is teaching a young adult couple about promoting the health of their 8-year-old child.The nurse knows that the parents understand the developmental stage their child is in according to Erikson when they state,"We should
A) Provide proper support for learning new skills."
B) Encourage devoted relationships with others."
C) Limit choices and provide harsh punishment for mistakes."
D) Not leave our child at school for longer than 3 hours at a time."
Q2) The parents of a 14-year-old boy express concern over their child's rebellious behavior.The nurse should plan to respond to the parents' concern by informing them that their
A) Child should be referred to a juvenile correctional facility.
B) Child's behavior is normal because the adolescent is trying to adjust to his emerging identity.
C) Child's behavior is a matter of concern because he is likely conflicted about establishing companionship with a partner.
D) Child's behavior is expected because he is expressing his need to support future generations.
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Page 13
Chapter 12: Conception Through Adolescence
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Sample Questions
Q1) The nursing student correctly explains health promotion teaching points for parents of toddlers when she states
A) "Setting consistent, firm limits will help the child cope with the frustration of learning self-control."
B) "Slower development of motor skills prevents the child from participating in self-care activities."
C) "Toddlers have a natural sense of right and wrong and know when they do something wrong."
D) "Temper tantrums should never be tolerated, and toddlers need to do what they are told."
Q2) A mother expresses concern because her 5-year-old child frequently talks about friends who don't exist.What is the nurse's best response to this mother's concern?
A) "Have you considered a child psychological evaluation?"
B) "It's very normal for a 5-year-old child to have imaginary playmates."
C) "You should stop your child from playing electronic games."
D) "Pretend play is a sign your child watches too much television."
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Chapter 13: Young and Middle Adults
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Sample Questions
Q1) When choosing an appropriate topic for a young adult health fair,the nurse ranks which topic as least relevant?
A) Unplanned pregnancies
B) Menopause and climacteric factors
C) Smoking cessation
D) Alcohol and drug use
Q2) During middle adulthood,the 50-year-old patient is likely to adapt favorably to a changing body image if he or she
A) Decreases the amount of physical exercise.
B) Eats a diet composed of 40% fat.
C) Gets less than 5 hours of sleep per night.
D) Engages in good hygiene practices.
Q3) What should the nurse recognize when comparing the physical changes in young and middle adulthood?
A) Fertility issues do not occur in young adulthood.
B) Young adults are quite active but are at risk for illness in later years.
C) Young adults tend to suffer more from severe illness.
D) Exercise is less important in young adulthood than in middle adulthood.
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Chapter 14: Older Adults
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Sample Questions
Q1) A 72-year-old woman was recently widowed.She worked as a teller at a bank for 40 years and has been retired for the past 5 years.She never learned how to drive.She lives in a rural area that does not have public transportation.Which of the following psychosocial changes does the nurse focus on as a priority?
A) Sexuality
B) Housing and environment
C) Retirement
D) Social isolation
Q2) The nurse correctly describes psychosocial theories on aging as theories that
A) Describe role changes in behaviors in older adults.
B) Emphasize that all adults age in similar ways.
C) Stress the need for the aging to discontinue activities as they age.
D) Describe behavior patterns for all aging adults as unpredictable.
Q3) A patient asks the nurse what the term polypharmacy means.The nurse defines this term as
A) Multiple side effects experienced when taking a medication.
B) The concurrent use of many medications.
C) The many adverse drug effects reported to the pharmacy.
D) The risks of medication effects due to aging.
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Page 16
Chapter 15: Critical Thinking in Nursing Practice
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Sample Questions
Q1) A new nurse is pulled from the surgical unit to work on the oncology unit.The nurse displays the critical thinking attitudes of humility and responsibility by
A) Refusing the assignment.
B) Asking for an orientation to the unit.
C) Assuming that patient care will be the same as on the other units.
D) Admitting lack of knowledge and going home.
Q2) Critical thinking characteristics include
A) Considering what is important in a given situation.
B) Accepting one, established way to provide patient care.
C) Making decisions based on intuition.
D) Being able to read and follow physician's orders.
Q3) A patient is having trouble reaching the water fountain while holding on to crutches.The nurse suggests that the patient place the crutches against the wall while stabilizing himself with two hands on the water fountain.Which critical thinking attitude is utilized in this situation?
A) Humility
B) Confidence
C) Risk taking
D) Creativity
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Page 17
Chapter 16: Nursing Assessment
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Sample Questions
Q1) A nurse comparing data validation and data interpretation correctly explains the difference with which statement?
A) "Validation involves looking for patterns in professional standards."
B) "Data interpretation involves discovering patterns in professional standards."
C) "Validation involves comparing data with other sources for accuracy."
D) "Data interpretation occurs before data validation."
Q2) To gather information about a patient's home and work surroundings,the nurse will need to utilize which method of data collection?
A) Carefully review lab results.
B) Conduct the physical assessment before collecting subjective information.
C) Perform a thorough nursing health history.
D) Prolong the termination phase of the interview.
Q3) Which of the following are examples of subjective data?
A) Patient describing excitement about discharge
B) Patient's wound appearance
C) Patient's expression of fear regarding upcoming surgery
D) Patient pacing the floor while awaiting test results
E) Patient's temperature
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18
Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) Which of these questions would be most appropriate for a nurse to ask a patient to assist in establishing a nursing diagnosis of Diarrhea?
A) "What types of foods do you think caused your upset stomach?"
B) "How many bowel movements a day have you had?"
C) "Are you able to get to the bathroom in time?"
D) "What medications are you currently taking?"
Q2) A new graduate nurse is not sure what the heart sound is that she is listening to on a patient.To avoid diagnostic error,what should the nurse do?
A) Assign the nursing diagnosis of Decreased cardiac output.
B) Ask the patient if he has a history of cardiac problems before assigning the diagnosis of Decisional conflict.
C) Check the previous shift's assessment and document what was noted on the last shift.
D) Ask a more experienced nurse to listen also.
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19
Chapter 18: Planning Nursing Care
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Sample Questions
Q1) A patient's son decides to stay at the bedside while his father is confused.When developing the plan of care for this patient,what should the nurse do?
A) Individualize the care plan only according to the patient's needs.
B) Request that the son leave at bedtime, so the patient can rest.
C) Suggest that a female member of the family stay with the patient.
D) Involve the son in the plan of care as much as possible.
Q2) What is the first step in making a consult?
A) Avoid bias by not providing a lot of information based on opinion to the consultant.
B) Identify the problem.
C) Provide the consultant with relevant information about the problem.
D) Ensure that the right professional, with the appropriate knowledge and expertise, is contacted.
Q3) Which intervention is most appropriate for the nursing diagnostic statement,Impaired skin integrity related to shearing forces?
A) Administer pain medication every 4 hours as needed.
B) Perform the ordered dressing change twice daily.
C) Do not document the wound appearance in the chart.
D) Keep the bed side rails up at all times.
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Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) Which is the appropriate initial intervention for the nursing diagnostic statement Impaired skin integrity related to poor wound healing?
A) Reinforce the wound dressing as needed with 4 x 4 gauze.
B) Perform the ordered dressing change twice daily.
C) Document wound characteristics.
D) Assess wound appearance each shift.
Q2) The nurse is intervening for an identified nursing diagnosis of Risk for infection.Which direct care nursing intervention is most appropriate?
A) Teaching the family proper handwashing technique
B) Leaving side rails up at all times
C) Teaching the patient how to use crutches
D) Counseling the family on stress reduction techniques
Q3) A patient visiting with family members in the waiting area tells the nurse that his stomach is not feeling good.Before intervening,what should the nurse do?
A) Ask the patient to return to his room so the nurse can inspect his abdomen.
B) Request that the family leave, so the patient can rest.
C) Ask the patient when his last bowel movement was and to lie down on the sofa.
D) Tell the patient that his dinner tray will be ready in 15 minutes.
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Chapter 20: Evaluation
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Sample Questions
Q1) A nurse is providing education to a patient about self-administering subcutaneous injections.Which of these patient statements indicates that the patient understands the instructions?
A) "I need to use a needle 1/2 inch longer than my thumb."
B) "I will give the medicine deep into my deltoid."
C) "My belly is a good place to give my injection."
D) "I need to throw the syringe and needle into the garbage when I am done giving myself my shot."
Q2) The nurse is caring for a patient who has an order to change a dressing twice a day,at 0600 and 1800.At 1400,the nurse notices that the dressing is saturated.What is the nurse's next action?
A) Wait and change the dressing at 1800 as ordered.
B) Revise the plan of care and change the dressing now.
C) Reassess the dressing and the wound in 1 hour.
D) Discontinue the plan of care.
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22
Chapter 21: Managing Patient Care
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Sample Questions
Q1) A nurse observes a patient care technician using all these measures when taking vital signs.Which measure requires the nurse to intervene?
A) Palpates brachial artery before inflating blood pressure cuff
B) Counts respirations while palpating radial pulse
C) Inserts thermometer into sublingual pocket after patient sips water
D) Asks patient to relax arm before taking blood pressure
Q2) A staff nurse delegates a task to a nursing assistant,knowing that the assistant has never performed the task before.As a result,the patient is injured,and the nurse defensively states that the nursing assistant should have known how to perform such a simple task.This nurse is demonstrating lack of
A) Responsibility.
B) Autonomy.
C) Authority.
D) Accountability.
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Chapter 22: Ethics and Values
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Sample Questions
Q1) Which issue has increased the attention paid to quality of life concerns in recent history?
A) Health care disparities
B) National movement regarding disabled persons
C) Aging of the population
D) Health care financial reform
Q2) The patient's son requests to view the documentation in his mother's medical record.What is the nurse's best response to this request?
A) "I'll be happy to get that for you."
B) "You will have to talk to the physician about that."
C) "You will need your mother's permission."
D) "You are not allowed to see it."
Q3) The nurse questions a physician's order to administer a placebo to the patient.The nurse's action is based on which ethical principle?
A) Autonomy
B) Beneficence
C) Justice
D) Fidelity
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24
Chapter 23: Legal Implications in Nursing Practice
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Q1) Conjoined twins are in the neonatal department of the community hospital until transfer to the closest medical center.A photographer from the local newspaper gets off the elevator on the neonatal floor and wants to take pictures of the infants.What initial action should the nurse take?
A) Escort the cameraman to the neonatal unit while a few pictures are taken quietly.
B) Tell the cameraman where the hospital's public relations department is located.
C) Ask the cameraman to wait while permission is obtained from the physician.
D) Ask the cameraman how the pictures are to be used in the local newspaper.
Q2) A patient with sepsis as a result of long-term leukemia dies 25 hours after admission to the hospital.A full code was conducted without success.The patient had a urinary catheter,an intravenous line,an oxygen cannula,and a nasogastric tube.What question is priority for the nurse to ask the family before beginning postmortem care?
A) "Do you want to assist in bathing your loved one?"
B) "Is an autopsy going to be done?"
C) "To which funeral home do you want your loved one transported?"
D) "Do you want me to remove the lines and tubes before you see your loved one?"
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Chapter 24: Communication
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Q1) Which situation will cause the nurse to intervene and follow up on the nurse aide's behavior?
A) The nurse aide is calling the older adult patient "honey."
B) The nurse aide is facing the older adult patient when talking.
C) The nurse aide cleans the older adult patient's glasses.
D) The nurse aide allows time for the older adult patient to respond.
Q2) The nurse using critical thinking to enhance communication with patients is one who A) Shows sympathy appropriately.
B) Uses automatic responses fluently.
C) Self-examines personal communication skills.
D) Demonstrates passive remarks accurately.
Q3) The staff is having a hard time getting an older adult patient to communicate.Which technique should the nurse suggest the staff use?
A) Allow the patient to reminisce.
B) Try changing topics often.
C) Involve only the patient in conversations.
D) Ask the patient for explanations.
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Chapter 25: Patient Education
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Sample Questions
Q1) A patient has been taught how to cough and deep breathe.Which evaluation method is most appropriate?
A) Return demonstration
B) Computer instruction
C) Verbalization of steps
D) Cloze test
Q2) Which situation indicates to the nurse that the patient is ready to learn?
A) A patient has sufficient upper body strength to move from a bed to a wheelchair.
B) A patient has the ability to grasp and apply the elastic bandage.
C) A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.
D) A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe.
Q3) Which nursing action is most appropriate for assessing a patient's learning needs?
A) Assess the patient's total health care needs.
B) Assess the patient's health literacy.
C) Assess all sources of patient data.
D) Assess the goals of patient care.
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) A nurse prepared an audiotaped exchange with another nurse of information about a patient.Which action did the nurse complete? The nurse completed a A) Report.
B) Record.
C) Consultation.
D) Referral.
Q2) A patient has a diagnosis of pneumonia.Which entry should the nurse chart to help with financial reimbursement?
A) Used incentive spirometer to encourage coughing and deep breathing. Lung congested upon auscultation in lower lobes bilaterally. Pulse ox 86%. Oxygen per nasal cannula applied at 2 L/min per standing order.
B) Cooperative, patient coughed and deep breathed using a pillow as a splint. Stated, "felt better." Finally, patient had no complaints.
C) Breathing without difficulty. Sitting up in bed watching TV. Had a good day.
D) Status unchanged. Remains stable with no abnormal findings. Checked every 2 hours.
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Chapter 27: Patient Safety
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Questions
Q1) The home health nurse is caring for a patient in the home who is using an electrical infusion device.While visiting the patient,the nurse smells smoke and notices an electrical fire started by this device.The nurse uses the fire extinguisher and fights the fire when
A) All occupants have left the home.
B) Fire department has been called.
C) Fire is confined to one room.
D) An exit route is available.
E) The correct extinguisher is available.
F) The nurse thinks she can use the fire extinguisher.
Q2) The patient applies sequential compression devices after going to the bathroom.The nurse checks the patient's application of the devices and finds that they have been put on upside down.Which of the following nursing diagnoses will the nurse add to the patient's plan of care?
A) Risk for poisoning
B) Deficient knowledge
C) Risk for imbalanced body temperature
D) Risk for suffocation
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Chapter 28: Infection Prevention and Control
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Sample Questions
Q1) The nurse is assessing a new patient admitted to home health.To decrease the risk of infection,which of these questions would be most appropriate to ask?
A) "Will you demonstrate how to wash your hands?"
B) "Do you have a working refrigerator?"
C) "Can you explain the risk for infection in your home?"
D) "What are the signs and symptoms of infection?"
E) "Who runs errands for you?"
F) "Are you able to walk to the mailbox?"
Q2) The nurse is caring for a patient in the endoscopy area.The nurse observes the technician performing these tasks.Which of these observations would require the nurse to intervene?
A) Washing hands after removing gloves
B) Placing the endoscope in a container for transfer
C) Removing gloves to transfer the endoscope
D) Disinfecting endoscopes in the workroom
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Chapter 29: Vital Signs
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Sample Questions
Q1) When taking the pulse of an infant,the nurse notices that the rate is 145 beats/min and the rhythm is regular.The nurse realizes that his rate is
A) Normal for an infant.
B) The proper rate for a toddler.
C) Too slow for an infant.
D) The same as that of a normal adult.
Q2) When temperature assessment is required,which of the following cannot be delegated to nursing assistive personnel?
A) Temperature measurement
B) Assessment of changes in body temperature
C) Selection of appropriate route and device
D) Consideration of factors that falsely raise temperature
Q3) When focusing on temperature regulation of newborns and infants,the nurse understands that
A) Temperatures are basically the same for infants and older adults.
B) Infants have well-developed temperature-regulating mechanisms.
C) The normal temperature range gradually increases as the person ages.
D) Newborns need to wear a cap to prevent heat loss.
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Chapter 30: Health Assessment and Physical Examination
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Sample Questions
Q1) While assessing the skin of an 82-year-old male patient,a nurse discovers nonpainful ruby red papules on the patient's trunk.What is the nurse's next action?
A) Explain that the patient has basal cell carcinoma and should watch for spread.
B) Document cherry angiomas as a normal geriatric skin finding.
C) Tell the patient that he has a benign squamous cell carcinoma.
D) Document the presence of edema.
Q2) A head and neck physical examination is completed on a 50-year-old female patient.All physical findings are normal except for fine brittle hair.Based on the physical findings,which of the following laboratory tests would the nurse expect to be ordered?
A) Liver function test
B) Lead level
C) Thyroid-stimulating hormone test
D) Complete blood count
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Chapter 31: Medication Administration
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Sample Questions
Q1) A patient who is being discharged today is going home with an inhaler.The patient is to administer 2 puffs of his inhaler twice daily.The inhaler contains 200 puffs.When should the nurse appropriately advise the patient to refill his medication?
A) As soon as he leaves the hospital
B) When the inhaler is half empty
C) 6 weeks from the start of using the inhaler
D) 50 days after discharge
Q2) The nurse knows that patient education about a buccal medication has been effective when the patient states
A) "I should let the medication dissolve completely."
B) "I can only drink water, not juice, with this medication."
C) "For faster distribution, I should chew my medication first."
D) "I should place the medication in the same location."
Q3) Which patient using an inhaler would benefit most from using a spacer?
A) 3-year-old with a cleft palate
B) 25-year-old with multiple sclerosis
C) 50-year-old with hearing impairment
D) 72-year-old with left-sided hemiparesis
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Chapter 32: Complementary and Alternative Therapies
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20 Flashcards
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Sample Questions
Q1) Drawbacks of complementary and alternative therapies would be all of the following except
A) Lack of evidence-based guidelines.
B) Minimal supportive research studies.
C) Strong support by allopathic medical providers.
D) Lack of a long tradition of therapies taught in health care education.
Q2) Physiological symptoms of a stress response include all of the following except A) Constricted pupils.
B) Tachycardia.
C) Tachypnea.
D) Elevated blood pressure.
Q3) Which medication could cause an abnormal drug interaction in a patient taking an antidepressant medication?
A) Digoxin
B) Aspirin
C) Chamomile
D) Ginger
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34
Chapter 33: Self-Concept
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Sample Questions
Q1) A 9-year-old is proudly telling everyone about mastering the yellow belt in her martial arts class.Identify the appropriate developmental task.
A) Initiative versus guilt
B) Industry versus inferiority
C) Identity versus role confusion
D) Autonomy versus shame and doubt
Q2) While gathering an adolescent's health history,the nurse recognizes that the patient began to act out behaviorally and engage in risky behavior when her parents divorced.In considering an altered self-concept nursing diagnosis,the nurse would gather what information?
A) How long the parents were married
B) How the patient views her behaviors
C) Why the parents are divorcing
D) Why she is acting out of control
Q3) Identify the assessments suggestive of an altered self-concept.
A) Limping gait and large smile
B) Slumped posture and poor personal hygiene
C) Verbally responds when asked a question
D) Appropriately dressed with clean clothes
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Chapter 34: Sexuality
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23 Flashcards
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Sample Questions
Q1) A 68-year-old female asks the nurse if a contraceptive is still necessary.What is the best response by the nurse?
A) "A barrier such as a condom is recommended if you are unsure whether your sexual partners have been tested for STIs."
B) "No, because you have gone through menopause and can no longer become pregnant."
C) "Let's discuss this further, what is your current level of sexual activity?"
D) "Yes, as long as using a barrier does not decrease sexual performance."
Q2) A 12-year-old female patient complains that her periods are making her fat.Which response by the nurse is most therapeutic?
A) "Try to stop snacking on sweets when you get cravings, and replace them with healthy veggies instead."
B) "Does the weight fluctuate throughout the month, getting worse around the time of your period?"
C) "You are emotional around the time of your period; I promise no one notices this but you."
D) "Those changes are normal with menstruation; try not to get upset about it."
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Page 36
Chapter 35: Spiritual Health
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Sample Questions
Q1) A complex concept that is unique to each individual; is dependent upon a person's culture,development,life experiences,beliefs,and ideas about life; and is a unifying theme in peoples' lives is called
A) Spirituality.
B) Religion.
C) Self-transcendence.
D) Faith.
Q2) The nurse is admitting a patient to the hospital.The patient states that he is a very spiritual person but does not practice any specific religion.The nurse understands that these statements
A) Are contradictory.
B) Indicate a strong religious affiliation.
C) Indicate a lack of faith.
D) Are reasonable.
Q3) In caring for the patient's spiritual needs,the nurse understands that
A) Establishing presence is part of the art of nursing.
B) Presence involves "doing for" the patient.
C) A caring presence involves listening to the patient's wishes only.
D) The nurse must use her expertise to make decisions for the patient.
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Page 37
Chapter 36: The Experience of Loss, death, and Grief
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Sample Questions
Q1) The nurse has had three patients die during the past 2 days.Which approach is most appropriate to manage the nurse's sadness?
A) Telling the next patients why the nurse is sad
B) Talking with a colleague or writing in a journal
C) Exercising vigorously rather than sleeping
D) Avoiding friends until the nurse feels better
Q2) A family is grieving after learning of a family member's accidental death.The transplant coordinator requests to talk with the family about possible organ and tissue donation.The nurse recognizes that
A) All religions allow for organ donation.
B) Life support must be removed before organ and tissue retrieval occurs.
C) The best time for organ and tissue donation is immediately after the autopsy.
D) The transplant coordinator is working in accordance with federal law.
Q3) A dying patient with liver and renal failure requires pain medication.The nurse anticipates that the medication dose will be
A) Given at appropriate milligrams per kilogram medication levels.
B) A decreased dose from milligrams per kilogram levels.
C) An increased dose from milligrams per kilogram levels.
D) Given at midrange for dosing at recommended levels.
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Page 38
Chapter 37: Stress and Coping
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20 Flashcards
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Sample Questions
Q1) A teen with celiac disease continues to eat food she knows will make her ill several hours after ingestion.Given appropriate tertiary level interventions,the nursing intervention would be to
A) Teach the patient about the food pyramid.
B) Administer antidiarrheal medications with meals.
C) Assist the teen in meeting dietary restrictions while eating foods similar to those eaten by her friends.
D) Admonish the teen and her parents regarding her consistently poor diet choices.
Q2) Identify a sociocultural factor that can lead to developmental problems.
A) Family relocation
B) Childhood obesity
C) Prolonged poverty
D) Loss of stamina
Q3) An assessment finding example for caregiver strain would be which of the following?
A) Caregiver routinely creates a weekly menu plan.
B) Caregiver has not received medical care when ill.
C) Caregiver can identify respite care provider.
D) Caregiver attends religious service.
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Chapter 38: Activity and Exercise
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Sample Questions
Q1) The nurse is working with the patient in developing an exercise plan.The patient tells the nurse that she just will not participate in a formal exercise program.The nurse then suggests that exercise activities can be incorporated into activities of daily living.The patient seems to be agreeable to that concept.Of the following activities,which would be considered a moderate-intensity activity?
A) Doing laundry
B) Making the bed
C) Ironing
D) Folding clothes
Q2) The nurse is developing an exercise program for elderly patients living in a nursing home.To develop a beneficial health promotion program,the nurse needs to understand that when dealing with the elderly
A) Exercise is of very little benefit because the patients are old.
B) It is important to disregard their current interests in favor of exercise.
C) No physical benefit can be gained without a formal exercise program.
D) Adjustments to exercise programs may have to be made to prevent problems.
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Chapter 39: Hygiene
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Sample Questions
Q1) In providing perineal care to a female patient,the nurse should wash
A) Upward from rectum to pubic area.
B) From back to front.
C) From pubic area to rectum.
D) In a circular motion.
Q2) The nurse is providing oral care to an unconscious patient and notes that the patient has extremely bad breath.The term for "bad breath" is
A) Alopecia.
B) Halitosis.
C) Dental caries.
D) Neuropathy.
Q3) Successful critical thinking requires synthesis of knowledge,experience,information gathered from patients,critical thinking attitudes,and intellectual and professional standards.Once the assessment has been done,it is important for the nurse to understand that
A) The nursing diagnoses never change.
B) The patient's condition never changes.
C) Critical thinking is ongoing.
D) Hygiene needs to become a simple routine.
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Chapter 40: Oxygenation
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Sample Questions
Q1) The nurse is caring for a patient with a tracheostomy tube.Which nursing intervention is most effective in promoting effective airway clearance?
A) Suctioning respiratory secretions several times every hour
B) Administering humidified oxygen through a tracheostomy collar
C) Instilling normal saline into the tracheostomy to thin secretions before suctioning
D) Deflating the tracheostomy cuff before allowing the patient to cough up secretions
Q2) Which nursing intervention is most effective in preventing hospital-acquired pneumonia in an elderly patient?
A) Assist patient to cough, turn, and deep breathe every 2 hours.
B) Encourage patient to drink through a straw to prevent aspiration.
C) Discontinue humidification delivery device to keep excess fluid from lungs.
D) Monitor oxygen saturation, and frequently assess lung bases.
Q3) The nurse knows that the primary function of the alveoli is to
A) Carry out gas exchange.
B) Store oxygen.
C) Regulate tidal volume.
D) Produce hemoglobin.
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Chapter 41: Fluid, electrolyte, and Acid-Base Balance
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Sample Questions
Q1) The process of passively moving water from an area of lower particle concentration to an area of higher particle concentration is known as
A) Hydrolysis.
B) Osmosis.
C) Filtration.
D) Active transport.
Q2) The nurse is caring for a diabetic patient in renal failure.Which laboratory findings would the nurse expect?
A) pH 7.3, PaCO<sub>2</sub> 36 mm Hg, HCO<sub>3</sub><sup>- </sup>19 mEq/L
B) pH 7.5, PaCO<sub>2</sub> 35 mm Hg, HCO<sub>3</sub><sup>- </sup>35 mEq/L
C) pH 7.3, PaCO<sub>2</sub> 47 mm Hg, HCO<sub>3</sub><sup>- </sup>23 mEq/L
D) pH 7.35, PaCO<sub>2</sub> 40 mm Hg, HCO<sub>3</sub><sup>- </sup>25 mEq/L
Q3) Which assessment finding would the nurse expect for a patient with the following laboratory values: sodium 145 mEq/L,potassium 4.5 mEq/L,calcium 4.5 mg/dL?
A) Lightheadedness when standing up
B) Weak quadriceps muscles
C) Tingling of the extremities and tetany
D) Decreased deep tendon reflexes
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Chapter 42: Sleep
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Sample Questions
Q1) The nurse is caring for a patient in the sleep lab.The nurse recognizes that the patient is in stage 4 NREM from which of the following assessments?
A) The patient awakens easily.
B) Body functions slow.
C) The patient is difficult to awaken.
D) Eyes rapidly move.
Q2) The nurse is discussing lack of sleep with a middle-aged adult.The nurse recognizes that insomnia in this age group is commonly due to A) Anxiety.
B) Teenagers keeping them awake.
C) Caring for pets.
D) Late night television.
Q3) The patient has just been diagnosed with narcolepsy.The nurse provides an educational session and teaches the patient to avoid
A) Antidepressant medications.
B) Naps shorter than 20 minutes.
C) Sitting in hot, stuffy rooms.
D) Chewing gum.
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Chapter 43: Pain Management
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Sample Questions
Q1) A nurse receives an order from a health care provider to administer Vicodin ES,which contains 750 mg acetaminophen and 7.5 mg hydrocodone,to a patient who is experiencing 8/10 postsurgical pain.The order is to give 2 tablets every 6 hours by mouth as needed for pain.What is the nurse's best next action?
A) Give the Vicodin ES to the patient immediately because the patient is experiencing severe pain.
B) Ask the health care provider to verify the dosage and frequency of the medication.
C) Ask the health care provider for an order for a nonsteroidal antiinflammatory drug (NSAID).
D) Ask the health care provider for an order to play music for the patient, in addition to providing the pain medication.
Q2) The nurse recognizes that which of the following is a modifiable contributor to a patient's perception of pain?
A) Age and gender
B) Anxiety and fear
C) Culture
D) Previous pain experience
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Chapter 44: Nutrition
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Sample Questions
Q1) The patient has just been started on an enteral feeding and has developed diarrhea after being on the feeding for 2 hours.The most likely cause of the diarrhea would be
A) Clostridium difficile.
B) Antibiotic therapy.
C) Formula intolerance.
D) Bacterial contamination.
Q2) The patient is on PN and is lethargic.He has been complaining of thirst and headache and has had increased urination.Which of the following problems would cause these symptoms?
A) Electrolyte imbalance
B) Hypoglycemia
C) Hyperglycemia
D) Hypercapnia
Q3) Before giving the patient an intermittent tube feeding,the nurse should
A) Make sure that the tube is secured to the gown with a safety pin.
B) Have the tube feeding at room temperature.
C) Inject air into the stomach via the tube and auscultate.
D) Place the patient in a supine position.
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Chapter 45: Urinary Elimination
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Sample Questions
Q1) When caring for a patient with urinary retention,the nurse would anticipate an order for
A) Limited fluid intake.
B) A urinary catheter.
C) Diuretic medication.
D) A renal angiogram.
Q2) To reduce patient discomfort during closed catheter irrigation,the nurse should
A) Use room temperature irrigation solution.
B) Administer the solution as quickly as possible.
C) Allow the solution to sit in the bladder for at least 1 hour.
D) Raise the bag of irrigation solution at least 12 inches above the bladder.
Q3) A patient asks about treatment for urge urinary incontinence.The nurse's best response is to advise the patient to
A) Perform pelvic floor exercises.
B) Drink cranberry juice.
C) Avoid voiding frequently.
D) Wear an adult diaper.
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Chapter 46: Bowel Elimination
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Sample Questions
Q1) The nurse is assessing a patient 2 hours after a colonoscopy.Based on the procedure done,what focused assessment will the nurse include?
A) Bowel sounds
B) Presence of flatulence
C) Bowel movements
D) Nausea
Q2) A patient with a hip fracture is having difficulty defecating into a bed pan while lying in bed.Which action by the nurse would assist the patient in having a successful bowel movement?
A) Administering laxatives to the patient
B) Raising the head of the bed
C) Preparing to administer a barium enema
D) Withholding narcotic pain medication
Q3) The nurse would expect the least formed stool to be present in which portion of the digestive tract?
A) Ascending
B) Descending
C) Transverse
D) Sigmoid
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Page 48
Chapter 47: Mobility and Immobility
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Sample Questions
Q1) When assessing the body alignment of a patient while he or she is standing,the nurse is aware that
A) When observed posteriorly, the hips and shoulders form an "S" pattern.
B) When observed laterally, the spinal curves align in a reversed "S" pattern.
C) The arms should be crossed over the chest or in the lap.
D) The feet should be close together with toes pointed out.
Q2) The nurse is caring for a patient who has had a recent stroke and is paralyzed on his left side.He has no respiratory or cardiac issues,but he cannot walk.He becomes extremely frustrated when he cannot button his shirt and cannot feed himself because he was left-handed.He has shown no signs of dysphagia,but he has been eating very little and has lost 2 lbs.He asks the nurse,"How can I go home like this? I'm not getting better.I can't ask my wife to take care of me like a baby." Of the following list of health care team members,which member would the nurse need to consult?
A) Physical therapy
B) Occupational therapy
C) Respiratory therapy
D) Cardiac rehabilitation
E) Psychology services
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Chapter 48: Skin Integrity and Wound Care
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50 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who has experienced a total hysterectomy.Which nursing observation would indicate that the patient was experiencing a complication of wound healing?
A) The incision site has started to itch.
B) The incision site is approximated.
C) The patient has pain at the incision site.
D) The incision has a mass, bluish in color.
Q2) The nurse is caring for a patient with a large abrasion from a motorcycle accident.The nurse recalls that if the wound is kept moist,it can resurface in _____ day(s).
A) 4
B) 2
C) 1
D) 7
Q3) Which of the following would be the most important piece of assessment data to gather with regard to wound healing?
A) Muscular strength assessment
B) Sleep assessment
C) Pulse oximetry assessment
D) Sensation assessment
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Chapter 49: Sensory Alterations
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Sample Questions
Q1) The nurse is caring for a patient who is recovering from a traumatic brain injury and frequently becomes disoriented to everything except her location.Which nursing intervention would be effective in orienting a patient with neurological deficit?
A) Assessing the patient's level of consciousness and documenting every 4 hours
B) Keeping a day-by-day calendar at the patient's bedside and having the patient manage it
C) Placing a patient observer in the patient's room for safety
D) Informing the patient that she cannot be discharged unless she is awake, alert, and oriented
Q2) A nurse is caring for a patient with a nursing diagnosis of Hearing deficit related to presbycusis.Which assessment of the patient would indicate an adaptation to the sensory deficit?
A) The patient frequently cleans out his ears with a cotton swab.
B) The patient turns one ear toward the nurse during conversation.
C) The patient isolates himself from social situations.
D) The patient asks the nurse to speak loudly during conversations.
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Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse is caring for a patient who will undergo a coronary artery bypass graft procedure.What level of care will the patient require immediately post procedure?
A) Acute care-medical-surgical unit
B) Acute care-intensive care unit
C) Ambulatory surgery
D) Ambulatory surgery-extended stay
Q2) The nurse is providing preoperative teaching for the ambulatory surgery patient who will be having a cyst removed from the right arm.Which would be the best explanation for diet progression after surgery?
A) "Start with clear liquids, soup, and crackers. Advance to a normal diet as you tolerate."
B) "There is no limitation on your diet. You can have whatever you want."
C) "Stay on clear liquids for 24 hours. Then you can progress to a normal diet."
D) "Start with clear liquids for 2 hours, then full liquids for 2 hours. Then progress to a normal diet."
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