Basic Nursing
Final Exam Questions
Course Introduction
Basic Nursing provides foundational knowledge and essential skills for students pursuing a career in nursing. This course covers the core concepts and principles of nursing practice, including patient care techniques, safety protocols, infection control, effective communication, and documentation. Emphasis is placed on understanding the role of the nurse within the healthcare team, ethical and legal responsibilities, and the importance of delivering compassionate, patient-centered care. Through both theoretical instruction and hands-on clinical experiences, students gain confidence in performing fundamental nursing procedures and develop the critical thinking abilities necessary for success in advanced nursing courses and clinical practice.
Recommended Textbook
Fundamentals of Nursing 1st Edition by Barbara Yoost
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42 Chapters
1050 Verified Questions
1050 Flashcards
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Page 2
Chapter 1: Nursing, Theory, and Professional Practice
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Sample Questions
Q1) The nurse is determining the patient care assignments for a nursing unit.Which of the following responsibilities may be delegated to the licensed practical nurse?
A) Initiating the nursing care plans
B) Formulating nursing diagnoses
C) Assessing a newly admitted patient
D) Administering oral medications
Answer: D
Q2) The nursing student develops a plan of care based on a recently published article describing the effects of bedrest on a patient's calcium blood levels.In creating the plan of care,the nursing student has the obligation to:
A) Critically appraise the evidence and determine validity.
B) Ensure that the plan of care does not alter current practice.
C) Change the process even when there is no problem identified.
D) Maintain the plan of care regardless of initial outcome.
Answer: A
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3
Chapter 2: Values,Beliefs,and Caring
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Q1) The most effective approach for dealing with a values conflict in which substance abuse or an addiction is involved is to begin with an assessment interview,during which the nurse should: (Select all that apply. )
A) listen for subtle signs of denial.
B) directly confront the patient about his drug abuse.
C) use a matter-of-fact approach to inform the patient.
D) provide straightforward information.
E) avoid direct confrontation.
Answer: A,C,D,E
Q2) The student nurse is planning care for a patient who believes that Western medicine is effective but not always accurate.Nursing theory would best explain the patient's health practices?
A) Nursing: Human Science and Human Care
B) Cultural Care Theory
C) Human-to-Human Relationship Model
D) Five Caring Processes
Answer: B
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4
Chapter 3: Communication
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Sample Questions
Q1) During a shift report,a staff member briefly describes the history of a patient admitted with chronic gastrointestinal bleeding.In which SBAR topical area would this information be presented?
A) Situation
B) Background
C) Assessment
D) Recommendation
Answer: B
Q2) The nurse is assisting a co-worker who is preparing to change a deep wound dressing on a patient's abdomen.Several of the patient's out-of-town friends are at the bedside watching a football game.Which action is most appropriate for the nurse to consider prior to the dressing change?
A) Ask the friends to leave the room.
B) Pull the curtain around the bed.
C) Allow visitors to stay in the room during the procedure.
D) Ask the patient to turn up the volume on the television.
Answer: A
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Chapter 4: Critical Thinking in Nursing
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Sample Questions
Q1) The nurse is preparing to administer an anticoagulant when the patient says,"Why do I have these bruises on my arms?" The nurse reviews the patient's blood tests and notes an abnormal bleeding time.Based on the findings,the nurse decides to hold the medication and notifies the health care provider.This action,by the nurse,is an example of:
A) thinking aloud.
B) reviewing the literature.
C) applying knowledge .
D) role playing.
Q2) The nurse is preparing to teach Foley insertion techniques to a group of graduate nurses.Which of the following teaching-learning strategies would the nurse find most useful in teaching this skill?
A) Concept mapping
B) Simulation
C) Role playing
D) Literature review
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6
Chapter 5: Introduction to the Nursing Process
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Q1) The nurse is caring for a patient diagnosed with Lyme disease.The patient tells the nurse,"My heart seems to be skipping some beats.My doctor told me to let the nurse know if this happens since it might be a complication of my disease." The nurse auscultates the heart and confirms the palpitations.Which step of the nursing process does the nurse's action demonstrate?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Q2) The term nursing process was first used in 1955.In 1973,the American Nurses Association identified five specific steps of the process.The essential step that was added in 1991 is:
A) assessment.
B) diagnosis.
C) outcome identification.
D) evaluation.
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Chapter 6: Assessment
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Q1) The nurse is admitting a patient for uncontrolled diabetes mellitus.The nurse suspects that the patient could benefit from diabetic teaching.To corroborate her suspicion,during the patient interview the nurse: (Select all that apply. )
A) determines the patient's cognitive ability and potential language barriers.
B) gathers information about what the patient already knows about diabetes.
C) Attempts to determine the need for referrals and education.
D) Formulates the patient's plan of care using a standard protocol.
E) Prepares to teach the patient using materials written at a third-grade level.
Q2) The nurse is performing an assessment of a patient's right kidney.The nurse bluntly strikes the area of the costovertebral angle while observing the patient's reaction.The physical assessment technique being used is:
A) inspection.
B) percussion.
C) palpation.
D) auscultation.
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8
Chapter 7: Nursing Diagnosis
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Q1) The nurse is caring for a patient diagnosed with blood clots in the right lower extremity.The admitting physician orders bed rest.The patient tells the nurse,"I usually exercise three times a week.It helps me go to the bathroom." The nurse determines that the patient may have difficulty with bowel movements.Which nursing diagnosis statement accurately reflects the nurse's concern?
A) Constipation related to bed rest as manifested by hard,dry stools.
B) Perceived constipation resulting from patient's expectation manifested by patient statement.
C) Risk for constipation related to immobility as manifested by verbal complaint.
D) Risk for constipation related to insufficient physical activity.
Q2) A group of nursing students is discussing the importance of accurately selecting nursing diagnoses.Which of the following are reasons for choosing the diagnoses carefully? (Select all that apply. )
A) Patient satisfaction
B) Positive patient outcomes
C) Quality patient care
D) Help develop standardized care plans
E) Determine appropriate interventions
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Chapter 8: Planning
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Sample Questions
Q1) Setting priorities among identified nursing diagnoses is the first step in the planning process.The nurse is responsible for:
A) monitoring patient responses.
B) carrying out the physician's plan of care.
C) providing all interventions.
D) preventing interference from other disciplines.
Q2) Which statement is correct regarding diversity considerations?
A) The male gender may struggle less with health care terminology.
B) High numbers of minority populations do not understand health teachings.
C) Older adults have an easier time understanding health teachings because of life experience.
D) Disabilities have no impact on the development of patient care goals.
Q3) The nurse is accurate when stating that adequate discharge planning:
A) "May decrease the incidence of patients required to return to the hospital."
B) "Increases complications and readmissions in most cases."
C) "Adapts to the situation as the patient's conditions changes."
D) "Should begin as soon as the patient is discharged home."
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Chapter 9: Implementation and Evaluation
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Q1) The nurse is learning to identify readiness to learn in patients.Which one of the following patients would the nurse identify correctly as ready to learn?
A) The patient requesting pain medication for treatment of severe discomfort
B) The patient with nausea and vomiting
C) The patient who learned 30 minutes ago that she has cancer of the pancreas
D) The patient who was recently diagnosed with diabetes mellitus and is scheduled to be discharged in 2 days
Q2) The nurse correctly identifies which one of the following referrals as an inappropriate nursing referral?
A) Music therapist
B) Community agencies
C) Adaptive care services
D) Dermatologist
Q3) Repositioning a patient,providing hygiene,and active listening are examples of:
A) dependent interventions.
B) independent nursing interventions.
C) standing orders.
D) counseling.
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11
Chapter 10: Documentation, Electronic Health Records, and Reporting
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Sample Questions
Q1) If a verbal or phone order is necessary in an emergency,the order:
A) must be taken by an RN or LPN.
B) must be repeated verbatim to confirm accuracy.
C) documented as a written order.
D) does not need further verification by the provider.
Q2) PIE,APIE,SOAP,and SOAPIE are:
A) chronologic.
B) examples of problem-oriented charting.
C) narrative charting.
D) forms of "charting by exception."
Q3) The nurse is caring for a patient for the first time and needs background information such as history,medications taken at home,etc.The best central location to obtain this information is the:
A) admission summary.
B) discharge summary.
C) flow sheet.
D) Kardex.
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Page 12
Chapter 11: Ethical and Legal Considerations
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Sample Questions
Q1) Which law protects health care professionals from charges of negligence when providing emergency care at the scene of an accident?
A) Good Samaritan Act
B) HIPPA
C) Licensure
D) Living wills
Q2) Nurses are consistently considered to be honest and ethical professionals by most respondents in an annual Gallup poll.This is because professional nurses understand that ethics are:
A) internal values developed outside the influence of societal norms.
B) influenced by family,friends,and socioeconomics,among other variables.
C) societal in nature and do not involve personal influences.
D) totally independent from a person's character.
Q3) "First,do no harm" defines what ethical principle?
A) Beneficence
B) Justice
C) Fidelity
D) Nonmaleficence
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13
Chapter 12: Leadership and Management
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Sample Questions
Q1) The nurse has made patient care assignments and expects all team members to set their own goals for the day and manage their time to meet their goals.The nurse is implementing what style of leadership?
A) Autocratic
B) Democratic
C) Bureaucratic
D) Laissez-faire
Q2) The nurse is acting as a leader in the role of charge nurse and notes that the unlicensed assistive personnel (UAP)on the floor are stressed related to their increased workload.The nurse changes the original planned approach based on the presenting situation.What theory of leadership is being implemented?
A) Situational
B) Transactional
C) Transformational
D) Autocratic
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14
Chapter 13: Evidence-Based Practice and Nursing Research
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Q1) The acronym PICO assists in remembering the steps to constructing a good research question.The "O" in the acronym stands for:
A) objectivity.
B) ordinal approach.
C) outcome.
D) observer.
Q2) The nurse is conducting a qualitative research study.Qualitative research:
A) is based on a constructivist philosophy.
B) assumes that reality is the same for everyone.
C) is deductive in nature and approach.
D) proceeds from specific facts to generalizations.
Q3) The nurse is ready to analyze the data obtained through a qualitative study.What approach to data analysis should the nurse use?
A) Content analysis
B) Statistical analysis
C) Coding of themes
D) Dissemination
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15
Chapter 14: Health Literacy and Patient Education
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Q1) The nurse is preparing a teaching plan and is applying evidence-based practice.To promote involvement,the nurse must:
A) provide the latest professional literature to the patient.
B) ensure that the patient understands relevant information.
C) use only one teaching method to reduce confusion.
D) not review previously learned information.
Q2) The nurse is to teach an 84-year-old Spanish-speaking patient newly diagnosed with diabetes how to self-administer insulin.The patient has hearing and visual impairments.In order to be effective as a teacher,the nurse should: (Select all that apply. )
A) assess reading level and learning style.
B) determine readiness to learn.
C) use family members as interpreters.
D) provide written instruction in English.
E) place the patient in group classes.
Q3) In determining patient goals,the nurse should:
A) allow patients to identify what is most important to them.
B) take the lead and determine what is best for the patient.
C) should focus on health promotion and staying healthy.
D) explain the importance of avoiding complications.
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Chapter 15: Nursing Informatics
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Sample Questions
Q1) The use of telemonitoring offers the opportunity to: (Select all that apply. )
A) reduce cost of health care.
B) improve patient satisfaction.
C) increase duplicate orders.
D) improve patient outcomes.
E) improve organization.
Q2) When technology such as a bar-code medication administration (BCMA)system is used as part of the process of medication administration,fewer errors are made.The proper procedure when using the BCMA includes:
A) signing into the system using the patient's ID number.
B) typing in the patient's name and room number.
C) scanning the patient's ID,MAR,and medication.
D) discontinuing the medication if the system signals an error.
Q3) The Computer Ethics Institute has developed guidelines for ethics in the development and use of computer technologies.These guidelines are called:
A) the Ten Commandments of Computer Ethics.
B) the eHealth Code of Ethics.
C) HIPAA guidelines.
D) the Internet Healthcare Coalition.
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Page 17
Chapter 16: Health and Wellness
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Q1) Self-concept refers to the way in which individuals perceive unchanging aspects of themselves,such as social character,cognitive abilities,physical appearance,and body image.As such,self-concept:
A) if negative,will allow the patient to compensate for weaknesses.
B) if positive,will cause the patient to see challenges as devastating.
C) is a concept that is derived from the patient internally.
D) depends on relationships with family and friends.
Q2) The patient is asking about using the Internet for resources regarding lifestyle behaviors and benefits of modification.The nurse's should tell the patient that:
A) information on lifestyle behaviors is not available on the Internet.
B) the patient should use websites that are easy to understand.
C) ,most websites are designed for health care providers only.
D) only negative outcomes are evaluated on the Internet.
Q3) The genetic vulnerability of an organism,or risk of disease expression based on genotype,is
A) involuntarily passed from biologic parents to offspring.
B) totally unrelated to environmental factors.
C) non-responsive to alteration by way of lifestyle modification.
D) not a factor in mental illness because it is behavioral.
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Page 18
Chapter 17: Human Development: Conception Through Adolescence
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Q1) A nurse is assessing an adolescent female who began menstruating 2 years ago.She has grown 1/2 inch in the last 2 years but has not gained any weight.What action by the nurse is most appropriate?
A) Ask the teen to provide a 24-hour diet recall.
B) Talk to the teen about healthy dietary practices.
C) Reassure the teen she will have a growth spurt soon.
D) Collaborate with the provider for endocrine testing.
Q2) The nurse is conducting a home visit on a newborn.What observation would require the nurse to provide further education?
A) The caregiver warms the bottle and tests heat on the inside of the wrist.
B) The parents state the infant is sleeping with them until they buy a crib.
C) One parent states that when the child gets frustrating,the other parent takes over.
D) Caregivers consistently wash their hands before holding the baby.
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Chapter 18: Human Development Young Adult to Older Adult
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Q1) An adult caregiver for an older adult reports the adult is doing well other than sleeping more frequently and for longer periods.What response by the nurse is best?
A) Assess the older adult for exercise habits.
B) Perform a screening for depression.
C) Reassure the caregiver that this is normal.
D) Ask the older adult to provide a sleep diary.
Q2) The nurse is performing wellness checks at a community center for older adults.Which person would the nurse evaluate as having the highest risk of stroke?
A) White,55 years of age,BP 148/92 mm Hg
B) African-American,70 years of age,BP 150/100 mm Hg
C) Asian-American,40 years of age,BP 146/78 mm Hg
D) White,74 years of age,BP 150/82 mm Hg
Q3) The nurse working with older adults encourages them to stay healthy.What instruction by the nurse takes priority?
A) Eat at least seven servings of produce a day.
B) Get at least 8 hours of sleep a night.
C) Get some exercise at least most days of the week.
D) Stay away from people who are ill.
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Chapter 19: Vital Signs
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Q1) The nurse assessing respirations understands that problems in what organs can directly affect the process of respiration? (Select all that apply. )
A) Brain
B) Lungs
C) Heart
D) Liver
E) Skeletal muscle
Q2) A patient's blood pressure is 142/76 mm Hg.What does the nurse chart as the pulse pressure?
A) 28
B) 42
C) 58
D) 66
Q3) A nurse notes a patient has abnormal vital signs.What action by the nurse is best?
A) Document the findings.
B) Notify the provider.
C) Compare with prior readings.
D) Retake the vital signs.
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Chapter 20: Health History and Physical Assessment
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Q1) The nurse reads in a chart that a patient has a paronychia.What assessment technique is most appropriate?
A) Auscultate the patient's bowel sounds.
B) Test the cranial nerves for sensory function.
C) Inspect the patient's nails and surrounding skin.
D) Inspect the skin using the ABCDE mnemonic.
Q2) A nurse has assessed a patient's capillary refill,which was 5 seconds.What action by the nurse is most appropriate?
A) Document the findings and continue the examination.
B) Ask the patient about the use of artificial nails.
C) Ask the patient about his/her occupation.
D) Assess the patient for signs of hypoxia.
Q3) The nurse is assessing a patient whose chart indicates a Grade 3 heart murmur.What action is best in order to hear the murmur?
A) Ensure that the room is extremely quiet.
B) Use a specialized stethoscope with amplification.
C) Auscultate the patient's chest with a stethoscope.
D) Place the stethoscope diaphragm on the patient's back.
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Chapter 21: Ethnicity and Cultural Assessment
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Q1) What does the nursing student learn about race?
A) It is biologically based.
B) It is a social construct.
C) It is chosen by the person.
D) It helps establish superiority.
Q2) A faculty member is contrasting culture and ethnicity to students.Which statement is most accurate?
A) Culture is biologically determined;ethnicity is chosen.
B) Culture is socially transmitted;ethnicity is identification with a group.
C) Culture is a chosen identity whereas ethnicity is biologically based.
D) Culture and ethnicity are similar constructs used interchangeably.
Q3) A patient refuses to take his blood pressure medication because "I feel totally fine and don't need it." What action by the nurse is best?
A) Assess the patient's time orientation.
B) Document the patient's non-compliance.
C) Educate the patient about the medication.
D) Warn the patient about possible complications.
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Chapter 22: Spiritual Health
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Q1) A patient is scheduled to have an MRI and has a metal religious icon pinned to his gown,which can't go in the scanner.What action by the nurse is best?
A) Take the icon off the patient's gown until she returns.
B) Give the icon to the patient's family for safekeeping.
C) Pin the icon to the patient's pillow so it can go to radiology.
D) Explain the restriction and ask the patient's preference.
Q2) The student nurse asks why spirituality is important in health care.What response by the registered nurse is best?
A) "All people have a spiritual aspect to their beings."
B) "Spirituality affects behavior,which also affects health."
C) "Knowledge of it is needed to understand a patient holistically."
D) "People who are less spiritual have worse outcomes."
Q3) The nursing student learns which facts about religion and spirituality? (Select all that apply. )
A) Spirituality focuses on the meaning of life to people.
B) Religion and spirituality are mutually exclusive.
C) Religion implies an organized way of worship.
D) Religion provides the structure by which to understand spirituality.
E) Spirituality is an individual practice that does not include others.
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Page 24
Chapter 23: Public Health, community Base, and Home
Health Care
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Q1) A nurse is discharging a patient and is planning on what material to give the patient to take home.What action by the nurse is best?
A) Assess the patient's ability to read and understand.
B) Determine if the patient wants to take written material home.
C) Give the patient the same material as other patients get.
D) Ask the patient if he/she has a need for written material.
Q2) The student learns that which is the best definition of a public health nurse?
A) Works with the public
B) Works in public areas
C) Works with the greater community
D) Works with public funding
Q3) The nurse is conducting a windshield survey.What items does the nurse assess? (Select all that apply. )
A) Types of housing available
B) Recreational facilities
C) Cars seen in parking lots
D) Health care facilities
E) Places of worship
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Chapter 24: Human Sexuality
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Q1) A parent confides to the nurse that the parent's 3-year-old son seems to be touching his genitals frequently.What response by the nurse is best?
A) "This is normal behavior at his age."
B) "Why do you think he is doing that?"
C) "Does he complain of burning with urination?"
D) "I'd ignore that behavior;it's attention-seeking."
Q2) A nurse is planning sexuality education programs.Which topics are important to each age group? (Select all that apply. )
A) Adolescents: contraception
B) Adolescents: infertility
C) Young adults: conception
D) Middle adulthood: sexual dysfunction
E) Old age: decreased sexuality
Q3) A male patient takes a medication known to cause erectile dysfunction.What action by the nurse is best?
A) State,"If this medication has bad side effects,talk to your doctor."
B) Ask,"Are you having any sexual problems in your life right now?"
C) Give the patient written information on the side effects of the drug.
D) State,"Many men have erectile dysfunction on this drug."
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Page 26
Chapter 25: Safety
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Q1) The nurse displays an understanding of high-risk populations for MRSA when identifying which group as the lowest risk?
A) Prison inmates
B) College dorm residents
C) Team athletes
D) Food service workers
Q2) The patient has a nursing diagnosis of risk for falls.Which goal is most important?
A) Patient will ambulate twice a day.
B) Patient will have no symptoms of infection.
C) Patient will perform activities of daily living.
D) Patient will have no injuries during hospital stay.
Q3) The nurse is working with a student nurse to teach her about restraint use in patients.Which statement by the student nurse indicates a learning need regarding restraints?
A) "Having all four side rails up on the bed is considered a restraint."
B) "The use of restraints has been shown to decrease fall-related injuries."
C) "Death has been associated with the use of restraints."
D) "Medications administered to control behavior are considered a chemical restraint."
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Chapter 26: Asepsis and Infection Control
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Q1) The nurse knows that standard precautions are indicated for: (Select all that apply. )
A) all patients.
B) patients with HIV.
C) patients with MRSA.
D) patients with tuberculosis.
E) None of above
Q2) The nurse knows that which of the following skills does not require the use of sterile technique?
A) NG tube insertion
B) Foley catheterization
C) Tracheostomy care
D) PICC line insertion
Q3) The nurse is caring for a patient who is comatose.Her intervention is appropriate when she performs oral care:
A) every shift.
B) twice daily.
C) every 4 hours.
D) daily.
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28
Chapter 27: Hygiene and Personal Care
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Q1) The nurse notes that a trauma patient has multiple tangles in the hair.Which of the following actions taken by the nurse is appropriate? (Select all that apply. )
A) Work the tangles to the ends of the hair,then trim with scissors.
B) Apply warm water and conditioner.
C) Apply detangler as available.
D) Use a comb or fingers to work through tangles.
Q2) Which tool is used to determine risk for impaired skin integrity?
A) Braden scale
B) Glasgow scale
C) Vanderbilt scale
D) MMSE scale
Q3) What statement is true regarding oral care of patients on anticoagulants?
A) Use an electric toothbrush daily.
B) Avoid oral care.
C) Use mouthwash only.
D) Use a soft-bristled toothbrush.
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Chapter 28: Activity, Immobility, and Safe Movement
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Q1) The nurse appropriately delegates care of her patient to the properly trained UAP when she: (Select all that apply. )
A) assigns the UAP to reposition the patient.
B) assigns the UAP to complete the MORSE falls risk scale.
C) assigns the UAP to provide range-of-motion exercises.
D) assigns the UAP to ambulate the patient in the hallway.
Q2) The nurse knows that a patient with a compromised cardiopulmonary system has a diminished capacity for exercise because of the following: (Select all that apply. )
A) Decreased tissue perfusion
B) Loss of sensation
C) Hemiparesis
D) Diminished respiratory capacity
Q3) The nurse knows rheumatoid arthritis affects the musculoskeletal system by causing:
A) muscle weakness.
B) muscle wasting.
C) muscle inflammation.
D) muscle mobility.
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Chapter 29: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse knows that cold therapy is contraindicated in the following conditions: (Select all that apply. )
A) Edema
B) Shivering
C) Bleeding
D) Circulatory issues
Q2) The nurse knows that the following factors contribute to the development of wounds and lead to delays in wound healing: (Select all that apply. )
A) A patient who has diabetes
B) A patient with COPD on long-term steroid therapy
C) A patient with on bed rest who is repositioned
D) A patient who is obese and sweats excessively
E) None of above
Q3) The nurse is performing a wet/damp to dry dressing change when the patient begins to complain of severe pain.What should the nurse do first?
A) Notify the physician.
B) Notify the wound care nurse.
C) Stop the procedure.
D) Give the patient pain medication.
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Chapter 30: Nutrition
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Sample Questions
Q1) The nurse is concerned about aspiration precautions when feeding her patient who has recently suffered a stroke.Which of the following procedures that the nurse performs would demonstrate a need for further education?
A) The nurse uses thickened liquids.
B) The nurse puts the bed at 30 degrees.
C) The nurse encourages slow eating.
D) The nurse has the patient alternate between food and sips of fluid.
Q2) The nurse is providing education to an older adult around diet to support the challenges related to aging.Which statement indicates a need for further education?
A) "I should choose foods that are nutrient dense."
B) "High-fiber foods minimize the risk of constipation."
C) "I should eat more calories to avoid malnutrition."
D) "I can add spices to enhance the taste of food."
Q3) The nurse knows that patients should consume the following amounts of fiber every day:
A) 25-35 g
B) 20-35 g
C) 25-40 g
D) 20-40 g
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Page 32
Chapter 31: Cognitive and Sensory Alterations
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Sample Questions
Q1) The nurse is caring for a diabetic patient who has had a long history of poor glucose control.For what complications is the patient at risk? (Select all that apply. )
A) Sudden loss of consciousness
B) Diabetic retinopathy
C) Stroke
D) Peripheral neuropathy
E) Memory loss
Q2) The nurse is caring for a patient with receptive aphasia.Which interventions will assist the nurse in communicating with the patient? (Select all that apply. )
A) Use simple phrases.
B) Speak softly.
C) Stand in front of the patient.
D) Use a picture board.
E) Be patient and unrushed.
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33
Chapter 32: Stress and Coping
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Sample Questions
Q1) The nurse is educating the patient on the use of relaxing therapy.Which statement by the patient indicates a need for further education?
A) "I should relax my muscles from head to toe."
B) "I visual the relaxed muscle."
C) "I should do this three times a week."
D) "I focus on muscles that are tense."
Q2) The nurse knows an appropriate goal for the nursing diagnosis of Ineffective coping would be:
A) The patient will report an ability to remember discharge instructions.
B) The patient's family will understand how to access respite care services.
C) The patient will discuss possible coping strategies during weekly counseling sessions.
D) The patient will attend an online support group weekly.
Q3) The nurse knows that when coordination between multiple health care disciplines is needed,the following role is used:
A) Pastoral care
B) Case manager
C) Social worker
D) Dietitian
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Chapter 33: Sleep
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Sample Questions
Q1) The nurse is providing discharge education for a patient with restless leg syndrome.The following statement by the patient indicates a need for further education:
A) "I should avoid all caffeine."
B) "I can using leg massage and knee bends."
C) "Taking magnesium supplements may be helpful."
D) "Taking a walk regularly may be helpful."
Q2) The nurse is performing an assessment of the patient's sleep patterns.Which question will elicit the best response?
A) "Do you feel rested when you awaken?"
B) "What is your normal eating pattern?"
C) "Do you awaken during the night?"
D) "Do you drink beverages with caffeine?"
Q3) The nurse knows an appropriate goal for the nursing diagnosis Disturbed sleep pattern during hospitalization is:
A) the patient will fall asleep within 15 minutes of going to bed.
B) the patient will report an ability to concentrate on tasks.
C) the patient will repeat medication instructions on discharge.
D) the patient will be able to sleep for at least 2 hours at a time.
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Chapter 34: Diagnostic Testing
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Sample Questions
Q1) The nurse is caring for a patient who has been having abdominal pain.The doctor suspects that the patient may have an abdominal aortic aneurysm.Which tests would confirm the doctor's suspicion? (Select all that apply. )
A) Magnetic resonance imaging (MRI)scan
B) Needle aspiration with biopsy
C) Fiberoptic endoscopy
D) Computed tomography (CT)scan
E) Flexible sigmoidoscopy
Q2) The nurse is caring for an elderly patient with dementia.Which laboratory finding indicates to the nurse that that patient is often forgetting to eat meals?
A) Serum bilirubin 0.4 mg/dL
B) PLT (platelet count)425,000/mm<sup>3</sup>
C) Serum cholesterol 175 mg/dL
D) Albumin 1.4 g/dL
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Chapter 35: Medication Administration
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Sample Questions
Q1) After administering an antibiotic to the patient,the patient complains of feeling very ill.The nurse notes that the patient is scratching and has hives.The patient soon starts having difficulty breathing and his blood pressure drops.What is the nurse's assessment of the situation?
A) The patient is having a mild allergic reaction and an antihistamine will make the patient feel better.
B) The patient is having an anaphylactic reaction and epinephrine should be administered right away.
C) The patient's infection is worsening and progressing to septic shock so blood cultures should be drawn.
D) The patient has developed toxic shock syndrome and the antibiotic orders must be changed right away.
Q2) The nurse is noting an order for a medication to be given TID.Which times will the nurse plan to administer the medication to the patient?
A) 9 A.M. ,1 P.M. ,5 P.M.and 10 P.M.
B) 9 A.M.and 9 P.M.
C) 9 A.M. ,1 P.M.and 5 P.M.
D) Nightly before the patient goes to sleep
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Chapter 36: Pain Management
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Sample Questions
Q1) The nurse administered 100 mcg sublingual fentanyl spray (Subsys)at 10:00 A.M.to a patient experiencing severe breakthrough pain.At what time will the nurse ask the patient if pain relief was obtained?
A) 10:30 A.M.
B) 11:00 A.M.
C) 11:30 A.M.
D) 12:00 noon
Q2) Which patient is best suited for PCA analgesia?
A) A patient who is confused after a head injury
B) A patient recovering from total hysterectomy surgery
C) A patient who has severe psychogenic pain
D) A patient with arthritis who is unable to push the nurse call button
Q3) The nurse is caring for a patient who only speaks a foreign language.What is the best method for the nurse to assess the patient's pain level?
A) Perform a pain assessment using a translator.
B) Check the patient's vital signs and pulse oximetry.
C) Check the patient's respiratory rate,depth,and rhythm.
D) Look to see if the patient appears to be resting comfortably.
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Chapter 37: Perioperative Nursing Care
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Q1) The nurse will be caring for a patient who has just arrived on the medical-surgical unit following surgical repair of his fractured right ankle.Which is the priority action of the nurse when the patient arrives on the unit?
A) Instruct the patient how to call for assistance using the call light.
B) Assess the color and warmth of the toes on the patient's right foot.
C) Determine when the patient's next pain medication is due.
D) Check pulse oximetry and obtain a full set of vital signs.
Q2) The nurse is caring for a patient who is recovering from chest surgery.Which action by the patient indicates that additional teaching is needed about how to use the ordered incentive spirometer correctly?
A) The patient breathes into the spirometer so that the marker rises slowly.
B) The patient uses the spirometer at least 10 times every hour while awake.
C) The patient seals his lips tightly around the spirometer mouthpiece.
D) The patient rests for 5 to 10 seconds after each time the spirometer is used.
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Chapter 38: Oxygenation and Tissue Perfusion
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Sample Questions
Q1) The nurse is caring for a patient with advanced COPD who reports feeling short of breath.The nurse notes that the patient's lung sounds are diminished bilaterally and the patient's pulse oximetry is 91% on 2 L/min oxygen via nasal cannula.What actions will the nurse take to make the patient more comfortable? (Select all that apply. )
A) Increase the patient's oxygen to 4 L/min via nasal cannula.
B) Suction the patient's airway using sterile technique.
C) Maintain eye contact and provide calm reassurance.
D) Turn the patient onto the side for postural drainage.
E) Administer the ordered nebulized bronchodilator.
F) Elevate the head of the patient's bed to fully upright.
Q2) The nurse is caring for a patient who is slow to awaken following general anesthesia.The patient is breathing spontaneously but is minimally responsive and having difficulty maintaining a patent airway.Which intervention is the most appropriate for the patient to improve oxygenation?
A) Insert an oral airway.
B) Lower the head of the bed.
C) Turn the patient's head to the side.
D) Monitor the patient's pulse oximetry.
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Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
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Q1) The nurse is caring for a patient who has a central venous catheter (CVC).Which nursing intervention is the most important for the nurse to include in the patient's plan of care?
A) Carefully document all assessments of the catheter site.
B) Use strict sterile procedure when performing dressing changes.
C) Label each new dressing with the date,time,and nurse's initials.
D) Ensure that the CVC is discontinued as soon as possible.
Q2) The nurse is caring for a patient who was brought to the ER after overdosing on narcotic pain medication.The patient was found unresponsive with no respirations.Arterial blood gases were drawn shortly after the patient's arrival to the hospital.Which results will the nurse expect to see?
A) pH 7.56,PaCO<sub>2</sub> 32 mm Hg,HCO<sub>3</sub> 32 mEq/L,PaO<sub>2</sub>
90 mm Hg
B) pH 7.35,PaCO<sub>2</sub> 45 mm Hg,HCO<sub>3</sub> 26 mEq/L,PaO<sub>2</sub> 70 mm Hg
C) pH 7.45,PaCO<sub>2</sub> 38 mm Hg,HCO<sub>3</sub> 28 mEq/L,PaO<sub>2</sub> 80 mm Hg
D) pH 7.27,PaCO<sub>2</sub> 58 mm Hg,HCO<sub>3</sub> 24 mEq/L,PaO<sub>2</sub> 60 mm Hg
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Page 41
Chapter 40: Bowel Elimination
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Sample Questions
Q1) A student nurse is working with a preceptor to administer an enema to the patient.Which action by the student prompts intervention and redirection by the preceptor?
A) Water-soluble lubricant is applied to the end of the enema tubing.
B) The enema tubing is primed with solution that has been warmed.
C) The patient is positioned comfortably in the right side-lying Sims position.
D) The patient's bedpan is put at the bedside in preparation for use.
Q2) The nurse is caring for a patient who is recovering from gastroenteritis.The nurse teaches the patient about dietary recommendations as the digestive system recovers.Which menu selection by the patient indicates that additional teaching is needed?
A) Applesauce
B) Orange Popsicle
C) White toast
D) Coffee with cream
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Chapter 41: Urinary Elimination
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Sample Questions
Q1) The nurse is caring for a postoperative patient whose urinary catheter was removed 8 hours previously.The patient has not been able to void since the catheter was removed and now reports suprapubic pain.What is the priority action of the nurse?
A) Encourage oral fluid intake and administer a diuretic.
B) Obtain a urine sample to test for culture and sensitivity.
C) Carefully calculate the patient's daily intake and output.
D) Obtain an order to straight-catheterize the patient.
Q2) The nurse is caring for a patient who reports an urgent need to urinate but is unable to pass more than a few drops of urine on the toilet.Which is the priority assessment to be performed by the nurse?
A) Bladder scan to determine the amount of urine in the bladder
B) Auscultation to assess circulation through the right and left renal arteries
C) Bimanual palpation to assess for possible enlargement of the kidneys
D) Calculate the patient's intake and output to check for fluid volume deficit
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43
Chapter 42: Death and Loss
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Q1) The nurse is caring for a male Islamic patient who has just died.Which action is the priority for the nurse to take when postmortem care is provided?
A) Arranging for embalming to preserve the body until burial
B) Arranging for male staff to gently wash the patient's body
C) Arranging for transportation of the body to the crematorium
D) Preparing the room so that the family can say the rosary at the bedside
Q2) The nurse is caring for a terminally ill patient who appears to be calmly having a conversation with someone even though there is nobody else in the room.The patient reaches out and appears to take something out of thin air and hold it close.Which is the appropriate action of the nurse?
A) Reorient the patient and reassure that nobody else is in the room.
B) Be present but quiet and let the patient continue the conversation.
C) Carefully assess the patient's mental status and level of attention.
D) Obtain a set of vital signs and check the patient's pulse oximetry.
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