Basic Nursing Concepts
Chapter Exam Questions
Course Introduction
This course introduces students to the foundational principles and practices of nursing. It covers the core concepts necessary for providing safe, effective, and patient-centered care, including the nursing process, communication techniques, ethical and legal considerations, health assessment, and basic clinical skills. Emphasis is placed on developing critical thinking, professional behaviors, and compassionate care within diverse healthcare settings. Through a combination of theoretical instruction and practical application, students gain the essential knowledge and skills required to support patients' health and well-being.
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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Page 2
Chapter 1: Nursing Today
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Sample Questions
Q1) The major difference between a baccalaureate degree nursing program and an associate's degree nursing program is that the baccalaureate program includes studies in
A) Basic sciences and theoretical courses.
B) Social sciences and humanities.
C) Theoretical and clinical courses.
D) Basic sciences and clinical courses.
Answer: B
Q2) The physician is planning to take the patient to surgery in the morning and leaves an order for the nurse to get the patient to sign the surgical permit.The physician's note indicates that the patient has been educated on the procedure.However,the patient tells the nurse,"I have no idea what he's going to do.He rushed in and rushed out so fast,I couldn't ask any questions." The nurse does not allow the patient to sign the permit and calls the physician to inform him of the patient's statement.This is an example of the nurse acting as
A) Patient advocate.
B) Patient educator.
C) Manager.
D) Clinical nurse specialist.
Answer: A
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Page 3
Chapter 2: The Health Care Delivery System
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Sample Questions
Q1) The nurse is feeling overwhelmed by the constant changes that are part of nursing and the health care system in general.Understanding that changes are necessary,the nurse needs to be aware that
A) The nurse has no control over the changes, but needs to accept them.
B) Quality improvement depends on active participation of nurses.
C) Belonging to nursing organizations will help bring the right changes.
D) Active participation in nursing organizations will have no effect on change.
Answer: B
Q2) Primary health care focus includes
A) Individual health screenings.
B) Community health promotion programs.
C) Development of health policies.
D) Disease prevention in communities.
E) Discharge planning for individual patients.
Answer: B,C,D
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4
Chapter 3: Community-Based Nursing Practice
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Sample Questions
Q1) Community-based nursing requires a strong knowledge base in which of the following?
A) Family theory
B) Communication
C) Group dynamics
D) Focus on the individual
E) Cultural diversity
Answer: A,B,C,E
Q2) Community-based nursing care takes place in community settings such as the home or a clinic.Ideally,this is done to
A) Exert greater control over individual or family decisions.
B) Provide services close to where patients live.
C) Isolate patients and prevent the spread of disease.
D) Reduce the need for self-care.
Answer: B
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) Nursing has its own body of knowledge that is both theoretical and practical.Which of the following is an example of theoretical knowledge?
A) Reflection on care experiences
B) Synthesis and integration of the art and science of nursing
C) Reflection on basic values and principles
D) Creating a narrow understanding of nursing practice
Q2) 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.
Q3) The type of theory that is used to develop and test specific nursing interventions is known as _____ theory.
A) Grand
B) Prescriptive
C) Descriptive
D) Middle-range
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6
Chapter 5: Evidence-Based Practice
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Sample Questions
Q1) In collecting the best evidence,the gold standard for research is
A) The randomized controlled trial (RCT).
B) The peer-reviewed article.
C) Qualitative research.
D) The opinion of expert committees.
Q2) The nurse is caring for a patient with chronic low back pain.In providing care for this patient,the nurse wonders whether the guidelines utilized for this type of pain are adequate.The nurse wants to determine the best evidence-based practice regarding these guidelines.What is the best database for the nurse to access?
A) MEDLINE
B) EMBASE
C) PsycINFO
D) AHRQ
Q3) 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.
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Page 7
Chapter 6: Health and Wellness
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Sample Questions
Q1) The patient has quit smoking and has been smoke free for the past 2 years.Of the following stages,which best fits her current stage of change?
A) Contemplation
B) Preparation
C) Action
D) Maintenance
Q2) According to the World Health Organization,what is the best definition for "health"?
A) Simply the absence of disease
B) Involving the total person and environment
C) Strictly personal in nature
D) Status of pathological state
Q3) The nurse is caring for a patient who has been trying to quit smoking.She has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning.What should the nurse anticipate?
A) The patient does not want to and never will quit smoking.
B) The patient will return to the contemplation or precontemplation phase.
C) The patient will need to adopt a new lifestyle for change to be effective.
D) The patient must pick up her attempt right where she left off.
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Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) The patient has had a colostomy placed but has not yet been able to look at it.The nurse is given the task of teaching the patient how to care for it.The nurse sits with the patient,and together they form a plan on how to approach dealing with colostomy care.Which caring process is the nurse performing?
A) Knowing
B) Doing for
C) Enabling
D) Maintaining belief
Q2) Caring is a universal phenomenon that influences the ways in which people A) Learn.
B) Think.
C) Believe.
D) Feel.
E) Behave.
Q3) Caring is a universal phenomenon that involves
A) Being disconnected.
B) Excluding outside phenomena in favor of family relationships.
C) Focusing only on human relationships with one another.
D) What matters to a person.
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Page 9
Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) Which of the following are factors that help ease the psychological stress associated with having cancer?
A) Viewing cancer as a challenge
B) Female gender
C) Using problem-oriented coping processes
D) Social support system
E) Being younger
Q2) Why is cancer survivorship especially difficult for family members in the "sandwich generation"?
A) They are totally dependent on their parents who have cancer but are still the providers, and hence, "make the sandwiches."
B) They are the primary caregivers of children with cancer, and hence, "make their sandwiches."
C) They are cancer survivors who are in between ("sandwiched") treatments and require a great deal of support.
D) They are caught in the middle of caring for their own immediate family, as well as a parent with cancer.
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Chapter 9: Culture and Ethnicity
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Sample Questions
Q1) Foster (1976)identified two distinct categories of healers cross-culturally.Of the following characteristics,which are congruent with the healing practices of naturalistic practitioners?
A) Illness is impersonal and is due to biological forces.
B) Illness is caused by alterations in the body equilibrium.
C) Sorcerers can cause health and illness.
D) Human relationships should be emphasized.
E) Healing modalities include herbs, massage, and surgery.
Q2) When caring for a patient of a different culture,it is important for the nurse to understand that
A) The nurse should protect the patient from family intrusion in her health care decisions.
B) Working within the established family hierarchy produces better outcomes.
C) Women as primary caregivers make independent health decisions.
D) Gender is not a factor when it comes to role expectations.
Q3) Providing culturally congruent care means providing care that
A) Fits the patient's valued life patterns and set of meanings.
B) Is based on meanings generated by predetermined criteria.
C) Is the same as the values of the professional health care system.
D) Holds one's own way of life as superior to those of others.
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Page 11
Chapter 10: Caring for Families
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Sample Questions
Q1) Different approaches may be taken to family nursing practice.When the nurse is caring for a patient who needs constant care in the home setting and for whom most of the care is provided by the patient's family,what is the best approach for the nurse to take?
A) Family as context
B) Family as patient
C) Family as system
D) Patient as individual
Q2) The nurse is caring for an elderly woman and notices that she is not using her cane properly.Which of the following statements by the nurse would most likely elicit a positive response from the patient?
A) "You're doing that all wrong. Let me show you how to do it."
B) "I don't know who showed how to use the cane like that, but you're not doing it right. Let me show you again."
C) "You use the cane the way I did before I was shown a way to keep from tripping over it; do you mind if I show you?"
D) "I used to use the cane the same way you are using it: the wrong way. I'll show you the right way to do it."
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Page 12
Chapter 11: Developmental Theories
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Sample Questions
Q1) Jean Piaget's cognitive developmental theory focuses on four stages of development,including
A) Formal operations.
B) Intimacy versus isolation.
C) Latency.
D) The postconventional level.
Q2) A nurse should instruct the parents of a 10-year-old child to keep which of the following theoretical principles in mind when dealing with a behavioral problem at home?
A) Strategies that worked well with the first child will be equally as effective for the second child.
B) Encourage the child to volunteer some time at a local hospital to instill a sense of fulfillment.
C) Bargaining about chores in exchange for privileges may be an effective method of encouraging helpful activities.
D) Do not offer praise for accomplishments and punishment for behavioral issues.
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Chapter 12: Conception Through Adolescence
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Sample Questions
Q1) The nursing instructor will need to provide further instruction to the student who uses which of these statements when describing the differences between cognitive and psychosocial development in children?
A) "The preschooler develops the ability to play in small groups."
B) "The toddler may participate in parallel play."
C) "The school-aged child still requires total assistance in all activities for safety."
D) "The toddler period is a time of potential frustration manifested by temper tantrums."
Q2) Which of the following is characteristic of the cognitive changes in a preschooler?
A) The ability to think in a logical manner about the here and now
B) The ability to think abstractly and deal effectively with hypothetical problems
C) The inability to assume the view of another person and to use symbols to represent others
D) The ability to classify objects by size or color
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Chapter 13: Young and Middle Adults
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Sample Questions
Q1) When describing relevant family psychosocial factors in middle adulthood that cause stress,the nurse would not include
A) Singlehood and feeling isolated.
B) Choices stemming from marital changes.
C) Financial security and certainty.
D) Planning for the future when children leave home.
Q2) What are the most common life events that occur during young adulthood?
A) Refining self-perception and ability for intimacy
B) Achievement and mastery of the surrounding world
C) Examination of life goals and relationships
D) Rejection of culture-bound definitions of health and illness
E) Women surrendering careers to raise families
Q3) What do changing norms and values about family life in the United States reveal?
A) Basic shifts in attitudes in our society
B) Greater resistance to cohabitation without marriage
C) Decreased numbers of infants born to unmarried women
D) Greater support and acceptance from the health care system
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15
Chapter 14: Older Adults
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Sample Questions
Q1) Which of the following statements by a new graduate nurse should be corrected by an experienced nurse?
A) "Most older patients are ill and disabled. That's why we care for so many of them in the hospital."
B) "Older adults are many times still interested in sexual relations."
C) "Patients over age 65 are still lifelong learners."
D) "Many older adult patients remain independent enough to live alone."
Q2) Which symptom is an expected cognitive change in the older adult patient?
A) Disorientation
B) Slower reaction time
C) Poor judgment
D) Loss of language skills
Q3) An older adult patient in no acute distress reports being less able to taste and smell.What is the nurse's best response to this information?
A) Notify the physician immediately to rule out cranial nerve damage.
B) Perform testing on the vestibulocochlear nerve and a hearing test.
C) Schedule the patient for an appointment at a smell and taste disorders clinic.
D) Explain to the patient that diminished senses are normal findings.
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Chapter 15: Critical Thinking in Nursing Practice
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Sample Questions
Q1) A nurse who is caring for a patient with a pressure ulcer fails to apply the recommended dressing according to hospital policy.If the patient is harmed,the nurse could be subject to legal action for not adhering to
A) Fairness.
B) Intellectual standards.
C) Independent reasoning.
D) Institutional practice guidelines.
Q2) The nurse needs a reminder of professional responsibility when performing which of these actions?
A) Making an informed clinical decision
B) Making an ethical clinical decision
C) Making a clinical decision in the patient's best interest
D) Making a clinical decision based on previous shift assessments
Q3) Which of the following demonstrates a nurse utilizing self-reflection to improve clinical decision making?
A) Uses an objective approach in all situations
B) Obtains data in an orderly fashion
C) Improves a plan of care while thinking back on interventions performed
D) Provides evidence-based explanations for all nursing interventions
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Page 17
Chapter 16: Nursing Assessment
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Sample Questions
Q1) A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while moving around in bed.What is the nurse's best action in response to her observation?
A) Proceed to the next patient's room while making rounds.
B) Offer a massage because the patient does not want any more pain medicine.
C) Administer the pain medication ordered for moderate to severe pain.
D) Ask the patient about the facial grimacing with movement.
Q2) After reviewing the database,the nurse discovers that the patient's vital signs have not been recorded by the nursing assistant.With this in mind,what clinical decision should the nurse make?
A) Administer scheduled medications assuming she would have been informed if the vital signs were abnormal.
B) Have the patient transported to the radiology department for a scheduled x-ray, and review vital signs upon return.
C) Ask the nursing assistant to record the patient's vital signs before administering medications.
D) Omit the vital signs because the patient is presently in no distress.
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Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) After completing a thorough assessment to formulate a patient database,the nurse should proceed to which step of the nursing process?
A) Diagnosis
B) Planning
C) Implementation
D) Evaluation
Q2) Identify the defining characteristics in the nursing diagnosis statement: Constipation related to decreased gastrointestinal motility secondary to pain medication administration as evidenced by the patient reporting no bowel movement in seven days,abdominal distention,and complaints of abdominal pain.
A) Decreased gastrointestinal motility
B) Pain medication
C) Abdominal distention
D) Constipation
Q3) Which diagnosis below is NANDA-I approved?
A) Sleep disorder
B) Acute pain
C) Sore throat
D) High blood pressure
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Page 19
Chapter 18: Planning Nursing Care
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Sample Questions
Q1) Which intervention is most appropriate for the nursing diagnostic statement,Impaired verbal communication related to loss of facial motor control and decreased sensation?
A) Obtain an interpreter for the patient as soon as possible.
B) Assist the patient in performing swallowing exercises each shift.
C) Ask the family to provide a sitter to remain with the patient at all times.
D) Provide the patient with a writing board each shift.
Q2) The following statements are on a patient's nursing care plan.Which of the following statements is written as an outcome?
A) The patient will verbalize a decreased pain level less than 3 on a 0 to 10 scale by the end of this shift.
B) The patient will demonstrate increased mobility in 2 days.
C) The patient will demonstrate increased tolerance to activity over the next month.
D) The patient will understand needed dietary changes by discharge.
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Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) Which intervention is most appropriate for a patient who has a new onset of chest pain?
A) Administer a prn medication for pain.
B) Reassess the patient because of the change in condition.
C) Notify the health care provider.
D) Call radiology for a portable chest x-ray.
Q2) The standing orders for a patient include acetaminophen (Tylenol)650 mg every 4 hours prn for headache.After assessing the patient,identifying the need for headache relief,and determining that the patient has not had Tylenol in the past 4 hours,the nurse
A) Notifies the health care provider to obtain a verbal order.
B) Directs the nursing assistant to give the Tylenol.
C) Administers the Tylenol.
D) Performs a pain assessment only after administering the Tylenol.
Q3) 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.
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Page 21
Chapter 20: Evaluation
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Sample Questions
Q1) After completing a thorough database and carrying out nursing interventions based on priority diagnoses,the nurse proceeds to which step of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Q2) The nurse is evaluating whether a patient's turning schedule was effective in preventing the formation of pressure ulcers.Which finding indicates success of the turning schedule?
A) Staff documentation of turning the patient every 2 hours
B) Absence of skin breakdown
C) Presence of redness only on the heels of the patient
D) Patient's eating 100% of all meals
Q3) Which of these options is a patient outcome indicating positive progress toward resolving the nursing diagnosis of Acute confusion?
A) Side rails are up with bed alarm activated.
B) Patient denies pain while ambulating with assistance.
C) Patient wanders halls at night.
D) Patient correctly states names of family members in the room.
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Page 22
Chapter 21: Managing Patient Care
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Sample Questions
Q1) A nurse manager conducts rounds on the unit and discovers that expired stock medicine is still in the cabinet despite the e-mail she sent stating that it had to be discarded.The staff nurse dress code is not being adhered to,and the staff lounge is not kept neat and tidy as she requested in the same e-mail.Several staff nurses deny having received the e-mail.After evaluating this situation,one way the nurse manager could resolve the issue is to
A) Include the findings on each staff member's annual evaluation.
B) Close the staff lounge.
C) Enforce a stricter dress code.
D) Place a hard copy of announcements and unit policies in each staff member's mailbox.
Q2) A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistant.The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus.The best next action of this nurse is to
A) Ask the nursing assistant to observe while the nurse performs catheter care.
B) Leave the room and ask the nursing assistant to go back and perform proper catheter care.
C) Discontinue the catheter.
D) Document the incident in the patient's chart.
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Page 23
Chapter 22: Ethics and Values
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Sample Questions
Q1) Determinations regarding quality of life are
A) Based on a person's ability to act according to ethical principles.
B) Based on a patient's self-determination.
C) Value judgments that can vary from person to person.
D) Consistent and stable over the course of one's lifetime.
Q2) 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
Q3) Ethical dilemmas are common occurrences when caring for patients.The nurse understands that dilemmas are a result of
A) Presence of conflicting values.
B) Hierarchical systems.
C) Judgmental perceptions of patients.
D) Poor communication with the patient.
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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 nurse notices that his neighbor's preschool children are often playing on the sidewalk and in the street unsupervised and repeatedly takes them back to their home and talks with the parent available,but the situation continues.What immediate action by the nurse is mandated by law?
A) Talk with both parents about safety needs of their children.
B) Contact the appropriate community child protection agency.
C) Tell the parents that the authorities will be contacted shortly.
D) Take pictures of the children to support the overt child abuse.
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25
Chapter 24: Communication
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Sample Questions
Q1) Which person is the best referral for a patient who speaks a foreign language?
A) A family member
B) A speech therapist
C) An interpreter
D) A mental health nurse specialist
Q2) Which types of patients can cause challenging communication situations?
A) A male patient who is cooperative with treatments
B) A female patient who is outgoing and flirty
C) An older adult patient who is demanding
D) An elderly patient who can clearly see small print
E) A teenager frightened by the prospect of impending surgery
F) A child who is developmentally delayed
Q3) A patient is aphasic,and the nurse notices that the patient's hands shake intermittently.Which nursing action is most appropriate to facilitate communication?
A) Use a picture board.
B) Use pen and paper.
C) Use an interpreter.
D) Use a hearing aid.
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26
Chapter 25: Patient Education
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Sample Questions
Q1) A nurse provides teaching about coping with long-term impaired functions.Which situation serves as the best example?
A) Teaching a family member to give medications through the patient's permanent gastric tube
B) Teaching a woman who recently had a hysterectomy about her pathology reports
C) Teaching expectant parents about physical and psychological changes in childbearing women
D) Teaching a teenager with a broken leg how to use crutches
Q2) 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
Q3) Which action best indicates that learning has occurred?
A) A nurse presents information about diabetes.
B) A patient demonstrates how to inject insulin.
C) A family member listens to a lecture on diabetes.
D) A primary care provider hands a diabetes pamphlet to the patient.
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) Which situation will require the nurse to obtain a telephone order?
A) As the nurse and primary care provider leave a patient's room, the primary care provider gives the nurse an order.
B) At 0100, a patient's blood pressure drops from 120/80 to 90/50 and the incision dressing is saturated with blood.
C) At 0800, the nurse and primary care provider make rounds and the primary care provider tells the nurse a diet order.
D) A nurse reads an order correctly as written by the primary care provider in the patient's medical record.
Q2) A nurse is charting on a patient's record.Which action is most accurate legally?
A) Charts legibly
B) States the patient is belligerent
C) Uses correction fluid to correct error
D) Writes entry for another nurse
Q3) A patient is being discharged home.Which information should the nurse include?
A) Acuity level
B) Community resources
C) Standardized care plan
D) Kardex
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Page 28
Chapter 27: Patient Safety
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Sample Questions
Q1) The nurse is instructing the student nurse regarding discharge teaching and medications.Which response by the student would indicate that learning has occurred?
A) "I need to be precise when teaching a patient about Zyprexa (olanzapine) and Zyrtec (cetirizine)."
B) "The medications can be picked up at the pharmacy on the way out of the hospital."
C) "I need to be sure to give the patient leftover medications from the medication drawer."
D) "I need to remember to teach the patient to take all medications at the same time of the day."
Q2) A patient has been admitted and placed on fall precautions.The nurse explains to the patient that interventions for the precautions include
A) Encouraging visitors in the early evening.
B) Placing all four side rails in the "up" position.
C) Checking on the patient once a shift.
D) Placing a high risk for falls armband on the patient.
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Chapter 28: Infection Prevention and Control
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Sample Questions
Q1) What would be required after exposure of a nurse to blood by a cut from a scalpel in the perioperative area?
A) Removing sterile gloves and disposing of in kick bucket
B) Placing the scalpel in a needle safe container
C) Testing the patient and offering treatment to the nurse
D) Providing a medical evaluation of the nurse to the manager
Q2) The nurse is admitting a patient with an infectious disease process.What question would be appropriate for a nurse to ask this patient?
A) "Do you have a chronic disease, and how long have you had it?"
B) "Do you have any children living in the home?"
C) "What is your marital status-single, married, or divorced?"
D) "Do you have any cultural or religious beliefs that will influence your care?"
Q3) The nurse is caring for a patient with a nursing diagnosis of risk for infection.Aware of the need for Standard Precautions,the nurse is careful to
A) Teach the patient about good nutrition.
B) Wear eyewear when emptying a urinary drainage bag.
C) Avoid contact with intact skin without wearing gloves.
D) Don gloves when wearing artificial nails.
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Chapter 29: Vital Signs
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Source URL: https://quizplus.com/quiz/25778
Sample Questions
Q1) The patient is admitted with shortness of breath and chest discomfort.Which of the following laboratory values could account for the patient's symptoms?
A) Hemoglobin level of 8.0
B) Hematocrit level of 45%
C) Red blood cell count of 5.0 million/mm<sup>3</sup>
D) Pulse oximetry of 90%
Q2) The physician order reads "Lopressor (metoprolol)50 mg PO daily.Do not give if blood pressure is less than 100 mm Hg systolic." The patient's blood pressure is 92/66.The nurse does not give the medication and
A) Does not tell the patient what the blood pressure is.
B) Documents only what the blood pressure was.
C) Documents that the medication was not given owing to low blood pressure.
D) Does not need to inform the health care provider that the medication was held.
Q3) The posterior hypothalamus helps control temperature by
A) Causing vasoconstriction.
B) Shunting blood to the skin and extremities.
C) Increasing sweat production.
D) Causing vasodilation.
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Chapter 30: Health Assessment and Physical Examination
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Sample Questions
Q1) Objective physical data describe air moving through small airways over the lung's periphery.The expected inspiratory-to-expiratory phase of this normal vesicular breath sound is which of the following?
A) The inspiratory phase lasts exactly as long as the expiratory phase.
B) The expiration phase is longer than the inspiration phase.
C) The expiration phase is two times longer than the inspiration phase.
D) The inspiratory phase is three times longer than the expiratory phase.
Q2) An elderly patient has been on high doses of antibiotics and is experiencing a sudden loss of hearing.The nurse should contact the health care provider and
A) Stop antibiotic use until the physician responds.
B) Tell the patient that older patients often lose low-frequency hearing.
C) Explain that hearing loss usually occurs with thinning of the eardrum.
D) Assure the patient that rapid hearing loss is normal in the elderly.
Q3) The best term for breath sounds created by air moving through large lung airways is A) Bronchovesicular.
B) Rhonchi.
C) Bronchial.
D) Vesicular.
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Chapter 31: Medication Administration
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Sample Questions
Q1) Which statement by the patient is an indication to use the Z-track method?
A) "I'm really afraid that a big needle will hurt."
B) "The last shot like that turned my skin colors."
C) "I am allergic to many medications."
D) "My legs are too obese for the needle to go through."
Q2) The nurse is preparing to administer a 0.5-mL rabies vaccine into the deltoid muscle of a patient.Which needle size is best for the procedure?
A) 20 gauge x 1 1/2 inch
B) 23 gauge x 1/2 inch
C) 25 gauge x <sup>5</sup>/<sub>8</sub> inch
D) 27 gauge x <sup>3</sup>/<sub>8</sub> inch
Q3) A provider has ordered a STAT medication to be administered.The nurse knows that the best route of administration is
A) IV.
B) IM.
C) SQ.
D) PO.
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Page 33
Chapter 32: Complementary and Alternative Therapies
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25781
Sample Questions
Q1) The organization that facilitates the evaluation of alternative medical treatments is the
A) National Center for Complementary and Alternative Medicine.
B) American Holistic Nurses Association.
C) Food and Drug Administration.
D) U.S. Department of Health and Human Services.
Q2) A teen with an anxiety disorder is referred for biofeedback because her parents do not want her on anxiolytics.The nurse recognizes that the teen understands her health education on biofeedback when she states,"Biofeedback will
A) Allow me to direct my energies in an intentional way when stressed."
B) Allow me to manipulate my stressed out joints."
C) Help me with my thoughts, feelings, and physiological responses to stress."
D) Let me assess and redirect my energy fields."
Q3) A holistic nurse would be a nurse who
A) Recommends a vegan diet for all patients.
B) Recognizes the mind-body-spirit connection.
C) Provides spiritual literature to patients.
D) Knows about resources for fresh herbs.
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34
Chapter 33: Self-Concept
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20 Flashcards
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Sample Questions
Q1) The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment.An appropriate priority for a patient at this clinic would be
A) Identifying local self-help groups before being discharged from the program.
B) Staying away from all triggers that cause substance abuse.
C) Stating a plan to never be tempted by illicit substances after discharge.
D) Identifying personal areas of weakness to grow stronger.
Q2) A priority nursing intervention for a postoperative mastectomy patient is which of the following?
A) Using therapeutic silence to encourage the patient to talk
B) Using communication skills to clarify family and patient expectations
C) Telling her that you know she will do fine because many other women have
D) Rotating nursing personnel in the patient's care, so the patient can talk to many people
Q3) The nurse can best assess the patient's self-concept by evaluating the patient's
A) Drug abuse history.
B) Nonverbal behavior.
C) Personal journal.
D) Social networking site.
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Page 35
Chapter 34: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/25783
Sample Questions
Q1) A male patient with diabetes who is taking medication for erectile dysfunction is experiencing pain and discomfort related to the side effect of priapism.The nurse knows that this patient is at greatest risk for
A) Sexual dysfunction related to low self-esteem.
B) Impaired circulation due to medication.
C) Anxiety related to erectile dysfunction.
D) Ineffective coping related to chronic illness.
Q2) The nurse is caring for a patient who recently had unprotected sex with a partner who has HIV.The nurse informs the patient
A) "You should have your blood drawn today to see if you were infected."
B) "If you have the virus, you will have flulike symptoms in 6 months."
C) "Highly active antiretroviral therapy has been shown effective in slowing the disease process."
D) "I will set you up with a support group to help you cope with dying within the next 10 years."
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Chapter 35: Spiritual Health
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Sample Questions
Q1) The nurse and the patient have the same religious affiliation.Because of this,the nurse
A) Can assume that they have the same spiritual beliefs.
B) Should not impose her personal values on the patient.
C) Must use an assessment tool to assess the patient's beliefs.
D) Can skip the spiritual belief assessment.
Q2) The nurse is caring for a patient who claims that he does not believe in God,nor does he believe in an "ultimate reality." The nurse realizes that this patient
A) Is devoid of spirituality.
B) Is an atheist/agnostic.
C) Finds no meaning through relationships with others.
D) Believes that what he does is meaningless.
Q3) When caring for a terminally ill patient,the nurse should focus on the fact that
A) Spiritual care is possibly the least important nursing intervention.
B) Spiritual needs often need to be sacrificed for physical care priorities.
C) The nurse's relationship with the patient allows for an understanding of patient priorities.
D) Members of the church or synagogue play no part in the patient's plan of care.
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Chapter 36: The Experience of Loss, death, and Grief
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Source URL: https://quizplus.com/quiz/25785
Sample Questions
Q1) Mrs.Harrison's father died a week ago.Mr.Harrison is experiencing headaches and fatigue,and keeps shouting at his wife to turn down the television,although he has not done so in the past.Mrs.Harrison is having trouble sleeping,has no appetite,and says she feels like she is choking all the time.How should the nurse interpret these assessment findings as the basis for a follow-up assessment?
A) Mrs. Harrison is grieving and Mr. Harrison is angry.
B) Mrs. Harrison is ill and Mr. Harrison is grieving.
C) Both Mr. and Mrs. Harrison likely are in denial.
D) Both Mr. and Mr. Harrison likely are grieving.
Q2) The mother of a recently murdered child keeps the child's room intact.Family members are encouraging her to redecorate and move forward in life.The visiting nurse recognizes this behavior as _____ grief.
A) Normal
B) End-of-life
C) Abnormal
D) Complicated
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Chapter 37: Stress and Coping
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20 Flashcards
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Sample Questions
Q1) In a natural disaster relief facility,the nurse observes that an elderly man has a recovery plan,while a 25-year-old man is still overwhelmed by the disaster situation.These different reactions to the same situation would be explained best by which of the following?
A) Restorative care
B) Strong financial resources
C) Maturational and sociocultural factors
D) Immaturity and intelligence factors
Q2) An adult male reports new-onset seizurelike activity.An EEG and a neurology consultant's report rule out a seizure disorder.When considering the ego defense mechanism of conversion,the nurse's next best action would be to
A) Recommend acupuncture.
B) Confront the patient on malingering.
C) Obtain history of any recent life stressors.
D) Recommend a regular exercise program.
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Chapter 38: Activity and Exercise
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30 Flashcards
Source URL: https://quizplus.com/quiz/25787
Sample Questions
Q1) A structural curvature of the spine associated with vertebral rotation is known as A) Scoliosis.
B) Osteogenesis.
C) Osteomalacia.
D) Arthritis.
Q2) Many patients find it difficult to incorporate an exercise program into their daily lives because of time constraints.For these patients,it is beneficial to reinforce that many ADLs are used to accumulate the recommended 30 minutes or more per day of moderate-intensity physical activity.When instructing these patients,the nurse explains that
A) Housework is not considered an aerobic exercise.
B) To strengthen back muscles, the patient should bend using back muscles.
C) Daily chores should begin with gentle stretches.
D) The patient should stick to one chore until it is done before beginning a new one.
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Chapter 39: Hygiene
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Sample Questions
Q1) The nurse is providing a complete bed bath to a patient using a commercial bath cleansing pack (bag bath).In doing so,the nurse should
A) Use one towel for the entire bath.
B) Dry the skin with a towel.
C) Allow the skin to air dry.
D) Not use a bath blanket or towel.
Q2) The patient has been diagnosed with diabetes for the past 12 years.When admitted,the patient is unkempt and is in need of a bath and foot care.When questioned about his hygiene habits,the patient tells the nurse that baths are taken once a week where he comes from,although he takes a sponge bath every other day.To provide ultimate care for this patient,the nurse understands that
A) Personal preferences determine hygiene practices and are unchangeable.
B) Patients who appear unkempt place little importance on hygiene practices.
C) The patient's illness may require teaching of new hygiene practices.
D) All cultures value cleanliness with the same degree of importance.
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Chapter 40: Oxygenation
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48 Flashcards
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Sample Questions
Q1) A 5-year-old who has strep throat was given aspirin for fever.The nurse knows to expect which change in the child's respiratory pattern?
A) Hyperventilation to decrease serum levels of carbon dioxide
B) Hypoventilation to compensate for metabolic alkalosis
C) Flail chest to decrease the work of breathing
D) Shallow respirations to decrease serum pH
Q2) A patient's heart rate increased from 80 bpm to 160 bpm.The nurse knows that what will follow is a(n)
A) Increase in diastolic filling time.
B) Decrease in cardiac output.
C) Increase in stroke volume.
D) Increase in contractility.
Q3) The nurse is assessing a patient with emphysema.Which assessment finding requires further follow-up with the physician?
A) Clubbing of the fingers
B) Increased anterior-posterior diameter of the chest
C) Hemoptysis
D) Tachypnea
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Chapter 41: Fluid, electrolyte, and Acid-Base Balance
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Sample Questions
Q1) The nurse would select the dorsal venous plexus of the foot as an IV site for which patient?
A) A 2-year-old child
B) A 22-year-old adult
C) A 50-year-old patient
D) An 80-year-old patient
Q2) A nurse is caring for a diabetic patient with a bowel obstruction and has orders to ensure that the volume of intake matches the output.In the past 4 hours,the patient received dextrose 5% with 0.9% sodium chloride through a 22-gauge catheter infusing at 150 mL/hr and has eaten 200 mL of ice chips.The patient also has an NG suction tube set to low continuous suction that had 300 mL output.The patient has voided 400 mL of urine.After reporting these values to the physician,what orders does the nurse anticipate?
A) Add a potassium supplement to replace loss from output.
B) Decrease the rate of intravenous fluids to 100 mL/hr.
C) Discontinue the nasogastric suctioning.
D) Administer a diuretic to prevent fluid volume excess.
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43
Chapter 42: Sleep
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30 Flashcards
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Sample Questions
Q1) The nurse is having a conversation with an adolescent regarding the need for sleep.The adolescent states that it is common to stay up with friends several nights a week.Which nursing action should the nurse take?
A) Discuss with the adolescent's parent staying up with friends and the need for sleep.
B) Discuss with the adolescent sleep needs and the effects of excessive daytime sleepiness.
C) This is a normal occurrence for adolescents and action is not required.
D) Explore the reason for staying up late with friends several nights a week.
Q2) A young mother has been hospitalized for an irregular heartbeat (arrhythmia).The night nurse comes in to see the patient awake.What would be the most appropriate nursing intervention?
A) Inform the patient that it is late and time to go to sleep.
B) Ask the patient if she would like medication to help her sleep.
C) Recommend the great movie that is on television tonight.
D) Take time to sit and talk with the patient about her inability to sleep.
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44
Chapter 43: Pain Management
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35 Flashcards
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Sample Questions
Q1) The nurse is administering ibuprofen (Advil)to an older patient.Which of the following assessment data causes the nurse to hold the medication?
A) Past medical history of gastric ulcer
B) Patient states last bowel movement was 4 days ago
C) Stated allergy to aspirin
D) Patient states has 2/10 intermittent joint pain
E) Patient experienced respiratory depression after administration of an opioid medication
Q2) A patient who had a motor vehicle accident 2 days ago is experiencing pain and is receiving patient-controlled analgesia (PCA).How does the nurse know that the patient is experiencing effective pain management with the PCA?
A) The patient is sleeping and is difficult to arouse.
B) The patient rates pain at an acceptable level of 3 on a 0 to 10 scale.
C) Sufficient medication is left in the PCA syringe.
D) The patient presses the control button to deliver pain medication.
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Chapter 44: Nutrition
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Sample Questions
Q1) The nurse is caring for a patient who will be receiving PN.To reduce the risk of developing sepsis,the nurse
A) Takes down a running bag of TPN after 36 hours.
B) Runs lipids for no longer than 24 hours.
C) Wears a sterile mask when changing the CVC dressing.
D) Wears clean gloves when changing the CVC dressing.
Q2) In providing diabetic teaching for a patient with type 1 diabetes mellitus,the nurse instructs the patient that
A) Insulin is the only consideration that must be taken into account.
B) Saturated fat should be limited to less than 7% of total calories.
C) Cholesterol intake should be greater than 200 mg/day.
D) Nonnutritive sweeteners can be used without restriction.
Q3) In providing prenatal care to a patient,the nurse teaches the expectant mother that
A) Protein intake needs to decrease to preserve kidney function.
B) Calcium intake is especially important in the first trimester.
C) Folic acid is needed to help prevent birth defects and anemia.
D) The mother should take in as many extra vitamins and minerals as possible.
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Page 46
Chapter 45: Urinary Elimination
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44 Flashcards
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Sample Questions
Q1) Which of the following symptoms are most closely associated with uremic syndrome?
A) Fever
B) Nausea and vomiting
C) Headache
D) Altered mental status
E) Dysuria
Q2) The nurse would anticipate inserting a Coudé catheter for which patient?
A) An 8-year-old male undergoing anesthesia for a tonsillectomy
B) A 24-year-old female who is going into labor
C) A 56-year-old male admitted for bladder irrigation
D) An 86-year-old female admitted for a urinary tract infection.
Q3) The nurse would question an order to insert a urinary catheter on which patient?
A) A 26-year-old patient with a recent spinal cord injury at T<sub>2</sub>
B) A 30-year-old patient requiring drug screening for employment
C) A 40-year-old patient undergoing bladder repair surgery
D) An 86-year-old patient requiring monitoring of urinary output for renal failure
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Chapter 46: Bowel Elimination
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40 Flashcards
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Sample Questions
Q1) The nurse knows that most nutrients are absorbed in which portion of the digestive tract?
A) Stomach
B) Duodenum
C) Ileum
D) Cecum
Q2) The nurse would anticipate which diagnostic examination for a patient with black tarry stools?
A) Ultrasound
B) Barium enema
C) Upper endoscopy
D) Flexible sigmoidoscopy
Q3) 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
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Page 48
Chapter 47: Mobility and Immobility
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Sample Questions
Q1) The nurse is caring for a patient with the diagnosis of Impaired physical mobility.The nurse needs to be alert for which of the following potential complications?
A) Pulmonary emboli
B) Pneumonia
C) Impaired skin integrity
D) Somnolence
E) Increased socialization
Q2) Correct body alignment reduces strain on musculoskeletal structures and contributes to balance.Balance control is attained by
A) Keeping the body's center of gravity high.
B) Maintaining a wide base of support.
C) Keeping the body's center of gravity low.
D) Maintaining correct body posture.
E) Maintaining immobility to prevent falls.
Q3) Patients on bed rest or otherwise immobile are at risk for
A) Increased metabolic rate.
B) Increased diarrhea (peristalsis).
C) Altered metabolic function.
D) Increased appetite.
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Chapter 48: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a patient who is experiencing a full-thickness repair.The nurse would expect to see which of the following in this type of repair?
A) Eschar
B) Slough
C) Granulation
D) Purulent drainage
Q2) The nurse is caring for a patient with a pressure ulcer on the left hip.The ulcer is black.The nurse recognizes that the next step in caring for this patient includes
A) Monitoring of the wound.
B) Irrigation of the wound.
C) Débridement of the wound.
D) Management of drainage.
Q3) The medical-surgical acute care patient has received a nursing diagnosis of Impaired skin integrity.The nurse consults a
A) Respiratory therapist.
B) Registered dietitian.
C) Chaplain.
D) Case manager.
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Chapter 49: Sensory Alterations
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Sample Questions
Q1) A new nurse is caring for a patient who is undergoing chemotherapy for cancer.The patient is becoming malnourished because nothing tastes good.Which recommendation by the nurse would be most appropriate for this patient?
A) "Rinse your mouth several times a day to hydrate your taste buds."
B) "Blend foods together in interesting flavor combinations."
C) "Eat soft foods that are easy to chew and swallow."
D) "Avoid adding spices or aromatic ingredients to food to prevent nausea."
Q2) A nurse is caring for a patient who is experiencing vertigo.Which nursing intervention would assist the patient in controlling the vertigo?
A) Increasing fluid intake to 3 liters a day
B) Watching television instead of reading books
C) Avoiding riding in vehicles and making sudden motions
D) Placing several antiemetic patches on the patient
Q3) What is the involuntary motion of retracting the body from painful stimuli?
A) Sensation
B) Reception
C) Perception
D) Reaction
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Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse has completed a preoperative assessment for a patient going to surgery and gathers assessment data.Of the following,which would be the most important next step?
A) Notify the operating suite that the patient has a latex allergy.
B) Document that the patient had a bath at home this morning.
C) Ask the nursing assistant to obtain vital signs.
D) Administer the ordered preoperative intravenous antibiotic.
Q2) The nurse is caring for a patient in the postanesthesia care unit.The patient asks for a bedpan and states to the nurse,"I feel like I need to go to the bathroom,but I can't."
Which of the following nursing interventions would be most appropriate?
A) Encourage the patient to wait a minute and try again.
B) Call the physician and obtain an order for catheterization.
C) Assess the patient's intake and the patient for bladder distention.
D) Inform the patient that everyone feels this way after surgery.
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