Basic Nursing Skills
Solved Exam Questions
Course Introduction
Basic Nursing Skills introduces students to the foundational competencies essential for providing effective and compassionate patient care in various healthcare settings. The course covers core topics including infection control, vital signs assessment, hygiene, mobility assistance, basic wound care, therapeutic communication, documentation, and patient safety. Through a blend of theoretical instruction and hands-on practice, students develop the critical thinking and technical abilities necessary to support the well-being of patients while adhering to ethical and professional standards. This course prepares aspiring nurses to confidently perform basic clinical tasks as integral members of the healthcare team.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman
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1464 Verified Questions
1464 Flashcards
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Chapter 1: Historical and Contemporary Nursing Practice
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Sample Questions
Q1) The nurse has starting working in a state other than the one in which the nursing education program was located.Which of the following should the nurse consult in order to understand the implications of this change of venue?
A)American Nurses Association (ANA)
B)National League for Nursing (NLN)
C)National Council of State Boards of Nursing (NCSBN)
D)Nurse State Practice Act
Answer: D
Q2) The student nurse contacts a number of other students to create a study group.What behavior is the student nurse demonstrating?
A)Governance
B)Socialization
C)Service orientation
D)Specialized education
Answer: B
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Chapter 2: Evidence-Based Practice and Research in Nursing
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Sample Questions
Q1) A nursing instructor is researching the implementation of assigning study guides for homework points and the effect this has on the students' test grades.The instructor reports group data for published research.Which research right did the instructor implement?
A)Right of full disclosure
B)Right of privacy
C)Right of self-determination
D)Risk of harm
Answer: B
Q2) A nurse researcher is considering the use of various nonpharmacological distraction techniques that have shown success for behavior control in troubled adolescents.Which criteria is this researcher considering to use?
A)Significance
B)Researchability
C)Feasibility
D)Interest
Answer: A
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Page 4
Chapter 3: Nursing Theories and Conceptual Frameworks
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Sample Questions
Q1) During a hospital stay,the client has taken control of her recovery and rehabilitation and is utilizing available resources for her needs.In which level of Peplau's model should the nurse determine that this patient is functioning?
A)Orientation
B)Identification
C)Exploitation
D)Resolution
Answer: C
Q2) A client is experiencing metabolic acidosis,a condition that involves the body's pH level,carbon dioxide level,and bicarbonate balance.According to Roy's model,to which mode should the nurse realize that this client is responding?
A)Physiologic
B)Self-concept
C)Role function
D)Interdependence
Answer: A
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Chapter 4: Legal Aspects of Nursing
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Sample Questions
Q1) When providing client care the nurse demonstrates practices that are designed to provide legal protections from liability.Which actions is the nurse demonstrating?
(Select all that apply)
A)Checking the client's name band prior to the administration of a preoperative medication
B)Asking for help when moving a comatose client because the client can not be safely handled by one nurse
C)Attending an in-service on the appropriate use of a new piece of equipment used in the facility
D)Delegating only those tasks that he or she can't personally perform
E)Reviewing the five rights of medication administration when the client states,"This doesn't look like my usual pill"
Q2) A nurse on the unit notices that a co-worker exhibits a pattern of behavior suggestive of drug abuse.What should the nurse do?
A)Report the situation to the unit charge nurse.
B)Send an anonymous letter to the director of nursing.
C)Let other co-workers know about the situation.
D)Report the situation,then let management take care of it.
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Chapter 5: Values, Ethics, and Advocacy
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Sample Questions
Q1) A client with a sexually transmitted illness (STI)asks the nurse to not tell anyone about the diagnosis.According to the Health Insurance Portability and Accountability Act (HIPAA)of 1996,what must the nurse do?
A)Honor the client's wishes.
B)Not disclose any information to anyone.
C)Respect the client's privacy and confidentiality.
D)Communicate only necessary information.
Q2) The nurse learns that a home care client is diluting prescribed nutritional supplements because of the cost.What should the nurse do to advocate for this client?
A)Help the client look for available community resources that may be of assistance.
B)Tell the client that she needs to take the prescribed amount.
C)Report the situation to the physician.
D)Weigh the client on a weekly basis to monitor weight gain or loss.
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Chapter 6: Health Care Delivery Systems
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Sample Questions
Q1) A clinic in a rural area depends primarily on the services of a nurse practitioner.Which legislation provided the opportunity for the nurse practitioner to have this position?
A)Medicare
B)Medicaid
C)Rural Health Clinics Act
D)National Health Planning and Resources Development Act
Q2) A client is in the end stages of cancer.Which type of service should the nurse consider as being the best for this client?
A)Rehabilitation
B)Health restoration
C)Acute care
D)Palliative care
Q3) The nurse is reviewing the Healthy People 2020 primary goals.Which plan should the nurse realize is in alignment with one of the goals?
A)Providing free screening to schoolchildren
B)Opening a wellness clinic
C)Developing better insurance controls
D)Developing new pharmacological treatments
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Page 8
Chapter 7: Community Nursing and Care Continuity
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Sample Questions
Q1) A parish nurse is helping a group of new parents within the congregation find appropriate health care providers within the community who specialize in infant/child and family health care needs.In which role is the nurse functioning?
A)Health educator
B)Referral source
C)Facilitator
D)Integrator
Q2) After a community was hit by a tornado,the nurses of the local Red Cross Chapter helped to make sure people had adequate food and clothing.Which function of community were these nurses focused on restoring?
A)Social control
B)Social interparticipation
C)Mutual support
D)Distribution of goods and services
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Chapter 8: Home Care
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23 Flashcards
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Sample Questions
Q1) The nurse has two older parents who were recently hospitalized at the same time and are being discharged home on the same day.What should the nurse do to ensure these family members receive the highest quality of care in the home?
(Select all that apply)
A)Call off from work to provide care to both parents.
B)Adjust his or her personal schedule to provide care to the parents.
C)Move in with the parents until conditions are stabilized.
D)Determine if custodial support is needed for the parents.
E)Find out when the home care nurse is scheduled to arrive.
Q2) A client being discharged needs physical therapy for progressive ambulation,wound care to treat a postoperative wound,and assistance with the payment of hospital bills.Before the nurse contacts a home care agency,who should write the order for the client to receive home care?
A)Physician
B)Nurse
C)Social worker
D)Physical therapist
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Chapter 9: Electronic Health Records and Information Technology
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13 Flashcards
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Sample Questions
Q1) A nurse educator believes computers can enhance student learning.Which actions should the instructor take to demonstrate this belief?
(Select all that apply)
A)Allow students to research a nursing topic either by going to the library or via an online literature search.
B)Require a student to remediate after a failed test by completing appropriate computer-assisted instruction modules.
C)Use PowerPoint slides to reinforce complex concepts during classroom lectures.
D)Assign a collaborative group project to students enrolled in an online course.
E)Use computer-generated graphics to make written material less monotonous.
Q2) The nurse is participating in the development of a research study.What elements of the computer should the nurse ensure are in place before the study begins?
(Select all that apply)
A)Computer speed adequate
B)Print drivers installed
C)Word processing program
D)Computer storage capacity adequate
E)Appropriate software programs
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Chapter 10: Critical Thinking and Clinical Reasoning
Preview As Pdf
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Sample Questions
Q1) Prior to providing client care,the nurse reviews previous shift charting and the responses to nursing interventions.Which decision-making action is the nurse using?
A)Set the criteria
B)Examine alternatives
C)Implement
D)Evaluate the outcome
Q2) A nurse educator has always believed that lectures with focused outlines are the best way to present theory content in class.A colleague,who teaches the same group of students,but a different subject,utilizes group work and in-class activities to teach difficult content and finds that students perform as well,or better,on their tests.The first educator in this situation is starting to rethink her position.What behavior is the first educator demonstrating?
A)Integrity
B)Perseverance
C)Fair-mindedness
D)Humility
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Chapter 11: Assessing
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Sample Questions
Q1) While preparing a client for a procedure,the nurse notes that the client has become unresponsive and respirations have become shallow.What type of assessment should the nurse complete at this time?
A)Initial assessment
B)Problem-focused assessment
C)Emergency assessment
D)Time-lapsed assessment
Q2) The nurse decides to seek wound care alternatives for a client's stasis ulcer that is not healing after treatment for 2 weeks.In which phase of the nursing process is the nurse functioning?
A)Diagnosis
B)Implementation
C)Evaluation
D)Assessment
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13
Chapter 12: Diagnosing
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Sample Questions
Q1) A client has been having pain without any clear pathology for cause.Which nursing diagnosis should the nurse identify as being the most appropriate for this client?
A)Pain due to unknown factors
B)Pain related to unknown etiology
C)Pain caused by psychosomatic condition
D)Pain manifested by client's report
Q2) The nurse is formulating a nursing diagnosis for a client with a long,extensive history of psychiatric problems,beginning in childhood,who is being placed in a long-term,structured institutional environment.Which diagnosis indicates the client's problem is adequately described?
A)Chronic low self-esteem,related to factors too numerous to mention
B)Risk for self-harm,related to many psychiatric problems
C)Impaired social interaction,due to long history of institutionalization
D)Alteration in thought processes,related to complex factors
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Chapter 13: Planning
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Sample Questions
Q1) The nurse identifies for a client the nursing diagnosis "Fluid volume deficit,related to active fluid loss,secondary to diarrhea." What would be and appropriate goal statement for this diagnosis?
A)Client will drink more fluids by tomorrow.
B)Client will have good skin turgor.
C)Client will have moist mucous membranes.
D)Client will have intake of at least 1000 mL within 24 hours.
Q2) The nurse wants to create an intervention to assist a client with ambulation.Which statement is the most appropriate manner for the nurse to write this intervention?
A)Assist client with ambulation.
B)Ambulate with client,using a gait belt,twice daily for 15 minutes.
C)Make sure client understands the rationale for using the gait belt.
D)Client will ambulate in hallway twice daily.
Q3) A discharge goal for a client is to have improved mobility.Which outcome statement did the nurse write appropriately?
A)Client will ambulate without a walker by 6 weeks.
B)Client will ambulate freely in house.
C)Client will not fall.
D)Client will have freer movement in daily activities.
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Page 15
Chapter 14: Implementing and Evaluating
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Sample Questions
Q1) The home health nurse uses creativity and critical thinking to devise a way for a client to receive intravenous medication while sitting outside on the porch.Which skill did the nurse use for this situation?
A)Technical
B)Interpersonal
C)Creativity
D)Cognitive
Q2) The nurse notes that assessment data indicate a change in a client's condition.What should the nurse ask before changing this client's plan of care?
(Select all that apply)
A)How difficult will it be to change the care plan?
B)Are the new data complete?
C)Are the new data accurate?
D)Do the new data require a change in the care plan?
E)Will the primary medical provider agree with the need to alter the care plan?
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16
Chapter 15: Documenting and Reporting
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Sample Questions
Q1) The nurse is documenting care provided to a client.Which action should the nurse take to demonstrate the avoidance of potentially confusing abbreviations when documenting?
(Select all that apply)
A)Documenting vital signs as "TPR."
B)Charting that the "drsg was dry and intact."
C)Transcribing a verbal order as "Carbamazepine 12 mcg/ml IV push daily."
D)Documenting "Client consistently requesting IM MS for pain well before prescribed time."
E)Charting,"Client to be ambulated q.i.d."
Q2) The nurse administered analgesic medications to an assigned client via central line.In which section of PIE charting should the nurse document this information?
A)Plan
B)Intervention
C)Evaluation
D)Progress notes
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17
Chapter 16: Health Promotion
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Sample Questions
Q1) The client is a high school student who is also a single parent.She is attending parenting classes while studying full time and living in an apartment with her child.The student also meets twice a week with a teen peer group and participates in a nutrition program through the county.Which is the most appropriate diagnosis for this client?
A)Risk for Situational Low Self-Esteem
B)High Risk for Caregiver Role Strain
C)Readiness for Enhanced Coping
D)Readiness for Enhanced Nutrition
Q2) Psychologic homeostasis is maintained by a variety of mechanisms.Which client should the nurse identify as being the most likely candidate to obtain psychologic homeostasis?
A)A child who is used to getting ready for school alone
B)A teenager whose circle of friends includes single parents of the same age
C)An elderly person who has just moved to a long-term care facility
D)A young adult who is in a long-term relationship
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18
Chapter 17: Health, Wellness, and Illness
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Sample Questions
Q1) The nurse is assisting a client and his family after the client had a stroke and is no longer able to return to his previous employment.The nurse has made a referral to vocational rehabilitation for assistance in retraining the client in a different occupation.With which component of wellness is the nurse assisting this client?
A)Intellectual
B)Environmental
C)Occupational
D)Emotional
Q2) A nurse has volunteered to go on a health mission to rural Haiti,where the majority of the people do not have access to health care and live in poverty.According to Dunn's high-level wellness grid,the nurse will be working with clients in which quadrant?
A)Emergent high-level wellness in an unfavorable environment
B)Protected poor health in a favorable environment
C)Poor health in an unfavorable environment
D)Protected poor health in an unfavorable environment
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19
Chapter 18: Culturally Responsive Nursing Care
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Sample Questions
Q1) The nurse is planning to conduct a physical assessment with a client from a different culture.What is the best way for the nurse to show cultural sensitivity when addressing the personal s required of the nursing history?
A)Break the assessment into shorter intervals and discuss general topics first.
B)Thoroughly explain the reason for asking many questions before beginning the assessment.
C)Pick a time when the family is present and can help with the admission assessment questions.
D)Wait until the nurse-client relationship has been established.
Q2) The nurse is planning to explain the importance of culturally appropriate care to a new nursing assistant.What should the nurse include when explaining the term "culture" to this staff person?
(Select all that apply)
A)"Culture involves groups who share biological markers."
B)"Cultures seldom have diversity within them."
C)"Male nurses are an example of a culture."
D)"A culture is primarily exhibited through shared thoughts,actions,and beliefs."
E)"A culture shapes its members' view of the world."
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Chapter 19: Complementary and Alternative Healing
Modalities
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Sample Questions
Q1) The client asks whether herbal medicines are a "good idea." What should the nurse respond?
A)"Things found in nature are always healthy."
B)"If your doctor didn't prescribe it,don't take it."
C)"Are there specific ones you're wondering about?"
D)"Everything is good in moderation."
Q2) A nurse who works in a busy neonatal intensive care unit has been having difficulty with concentration after a long day's work.Which therapy should the nurse consider doing to help with this problem?
A)Guided imagery
B)Hypnotherapy
C)Qigong
D)Aromatherapy
Q3) The nurse is preparing to assess a group of assigned clients with chronic illnesses who use essential oils.For which health problem should the nurse particularly assess the clients?
A)Hypertension
B)Cardiac problems
C)Asthma
D)Cancer
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Chapter 20: Concepts of Growth and Development
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Sample Questions
Q1) A toddler shows fear and begins to cry when her parent leaves her at day care.According to Havighurst,which developmental task should the nurse recognize this child is exhibiting?
A)Building wholesome attitudes toward oneself
B)Learning to get along with age-mates
C)Learning to relate emotionally
D)Achieving personal independence
Q2) The nurse is assessing a child's growth and development.What s should the nurse ask the parents that demonstrate an understanding of the factors that affect growth and development processes?
(Select all that apply)
A)How tall the parents are
B)Whether noises seem to bother their child
C)How many ounces of formula their child drinks daily
D)What their yearly income is
E)Whether their child will receive day-care services
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22
Chapter 21: Promoting Health From Conception Through
Adolescence
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Sample Questions
Q1) A school health nurse is working on education programs for high school students.As part of the plan,the nurse wants to address health concern topics besides the dangers of unprotected sex or drug and alcohol abuse.Which class topic should the nurse present to these students?
A)Warning signs of depression for peers to identify among their classmates
B)Injury prevention
C)Early signs of cancer and heart disease
D)Normal physiological changes of this age group
Q2) The nurse suspects that an adolescent is working through the stages of spiritual development.What observations did the nurse make to come to this conclusion?
(Select all that apply)
A)Imitated behavior demonstrated by parents
B)Conceptualized angels and devils with the use of imagination
C)Compartmentalized differences between spiritual beliefs with friends
D)Determined differences between spiritual beliefs as being right or wrong
E)Met with the church priest to talk about the differences in spiritual beliefs
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Chapter 22: Promoting Health in Young and Middle-Aged Adults
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Sample Questions
Q1) A nurse is presenting an educational session regarding psychosocial development to a group of middle-aged adults.According to Erikson's theory,what activity should the nurse select to best meet the needs of this stage?
A)Providing opportunities to mentor school-age children
B)Giving the group handouts regarding peer socialization
C)Helping the members of this group find appropriate civic responsibility
D)Assisting the group members to look at their life accomplishments
Q2) The nurse working in a community health office that is often frequented by young adults is assessing clients for suicide.Which factors should the nurse identify as indicating a problem in this area?
A)Decreased interest in work
B)Weight loss
C)Depression
D)Brain dysfunction,including tumors
E)Sleep disturbances
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Chapter 23: Promoting Health in Older Adults
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Sample Questions
Q1) In planning any health program for elderly adults,the nurse will implement Erikson's theory of task development.The nurse realizes that in this stage of life,the successful completion of the task allows the person to A)have a feeling of satisfaction from past accomplishments.
B)make connections with the younger generation.
C)wish he or she could live life over again.
D)live out his or her last years in physical health.
Q2) The nurse is explaining the difference between dementia and delirium to the spouse of a client with Alzheimer's disease.What should the nurse say to make this distinction?
A)"Delirium is easily distinguished from dementia."
B)"Dementia is reversible and treatable."
C)"Delirium is an acute and reversible syndrome."
D)"Dementia is the only condition that is characterized by changes in memory,judgment,language,mathematic calculation,abstract reasoning,and problem-solving ability."
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Chapter 24: Promoting Family Health
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Sample Questions
Q1) The nurse has been working with a family at the community health office and is concerned about signs of family violence.Which finding should the nurse identify as most concerning?
A)The baby always seems to have a cold.
B)One of the children never speaks and seems "on guard" when in the presence of a parent.
C)The family's clothes are relatively clean,but the children usually have some kind of dirt stain on their shirts or pants.
D)The family does not have a regular physician.
Q2) The nurse is preparing to assess a family regarding the impact of one of its members being diagnosed with diabetes.What should the nurse include in this assessment?
(Select all that apply)
A)The seriousness of the disorder
B)Whether the family has ever dealt with a chronic illness before
C)The age of the affected member
D)The financial impact the illness will have on the family
E)The number of members of the family
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Chapter 25: Caring
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Sample Questions
Q1) The new graduate nurse has committed to improving self-care activities.Which behaviors exemplify that the nurse is following through on this personal commitment?
(Select all that apply)
A)Using meditation to de-stress at the end of a long day at work
B)Eating a low fat-diet,as there is a family history of heart disease
C)Attending workshops designed to enhance professional skills at least twice yearly
D)Volunteering to cover a friend's weekend shifts so the friend can fully recover from a sprained ankle
E)Making sure to reserve the time to read a favorite book between 12 hours of shift work
Q2) During a midterm evaluation,the nurse educator tells the students they need to work on improving their aesthetic knowledge.How should the students plan to accomplish this recommendation?
A)Study harder.
B)Take better notes.
C)Read about the same topic from a variety of sources.
D)Spend time in the clinical area with seasoned nurses.
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Chapter 26: Communicating
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Sample Questions
Q1) A nurse is working in a pediatric clinic and has to explain a nebulizer treatment to a child.Which approach should the nurse use?
A)Give the child's parent a full explanation,but make sure the child hears what is said.
B)Let the child handle the equipment first,then demonstrate on the child's doll.
C)Start the treatment,but make sure that the parent is there to comfort the child if she becomes afraid.
D)Make sure that the physician is available for questions.
Q2) The nurse is engaging a client in the introductory phase of the helping relationship.Which stages will be completed during this phase?
(Select all that apply)
A)Opening the relationship
B)Clarifying the problem
C)Structuring and formulating the contract
D)Planning before the interview
E)Understanding thoughts and feelings
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28
Chapter 27: Teaching
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Sample Questions
Q1) A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment.The client has been sullen and uncommunicative since receiving the diagnosis.How can the nurse best increase the client's motivation to learn?
A)Demonstrating the finger stick on the nurse
B)Offering to do the procedure for the client each time it is scheduled
C)Teaching the client's support system how to perform the procedure
D)Encouraging the client's participation each time the procedure is performed
Q2) A client with an incision necessitating a complex dressing change is being discharged and will require continued dressings at home.Which statement by the client indicates a need to postpone teaching?
A)"It's going to take time for me to understand this whole thing."
B)"Let's make sure my spouse is around before you start explaining."
C)"I wish my doctor would have explained this more in depth."
D)"I'm feeling nauseous,but go ahead and start anyway."
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29
Chapter 28: Leading, Managing, and Delegating
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Sample Questions
Q1) A hospital is implementing a computerized charting system,and all nursing staff is required to be oriented to the system by a specific deadline.Which type of change is occurring with the staff?
A)Overt change
B)Covert change
C)Unplanned change
D)Drift
Q2) A nurse manager allows the staff members to make their own schedules and do their own client assignments on their shifts.However,during a code situation,the nurse manager will make decisions for the staff by instructing which nurse to assume which responsibility.This manager is exemplifying which style of leadership?
A)Permissive
B)Democratic
C)Situational
D)Bureaucratic
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Chapter 29: Vital Signs
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Sample Questions
Q1) The nurse is going to assess the apical-radial pulse of a client with a cardiovascular disorder.Which rationale did the RN use to make this decision?
A)A forceful radial pulse is much too difficult to count correctly.
B)Both arteriole and venous sounds were heard simultaneously.
C)The pulse was bounding and easily obliterated.
D)The thrust of blood from the heart is too feeble for the wave to be felt at the peripheral pulse site.
Q2) When documenting a client's axillary temperature on the graphic sheet,how should the nurse identify the method of assessing the temperature?
A)AX
B)O
C)R
D)SL
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Chapter 30: Health Assessment Preview As Pdf
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Source URL: https://quizplus.com/quiz/79291
Sample Questions
Q1) The nurse is preparing to perform a health assessment of the abdomen.In which order should the nurse perform the assessment?
A)Auscultate,percuss,palpate,inspect
B)Inspect,auscultate,palpate,percuss
C)Inspect,auscultate,percuss,palpate
D)Palpate,percuss,auscultate,inspect
Q2) The nurse is preparing to conduct an assessment of the heart.Where should the nurse place the stethoscope to auscultate heart sounds?
(Select all that apply)
A)Aortic region
B)Pulmonic region
C)Tricuspid valve region
D)Abdomen
E)Mitral valve region
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Chapter 31: Asepsis
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30 Flashcards
Source URL: https://quizplus.com/quiz/79290
Sample Questions
Q1) A client diagnosed with tuberculosis is being admitted to a care area.Which nursing action prevents the transmission of the disease?
A)Have the client wear a mask when coming from admission.
B)Stock the supply cart at the beginning of each shift.
C)Wash the hands only after leaving the room.
D)Wear a mask when exiting the room.
Q2) The nurse is preparing a presentation on standard precautions.Which statement should the nurse include in the presentation?
A)Cut the needle off a syringe after using it to give a client an injection.
B)Dispose of blood-contaminated materials in a biohazard container.
C)Gloves should not be worn for client care unless body fluids are seen.
D)Wear a mask when in direct contact with all clients.
Q3) The nurse is preparing to remove soiled gloves.What action should the nurse take first?
A)Drop the gloves into the appropriate waste receptacle.
B)Ease the fingers into the gloves.
C)Grasp the outside of the nondominant glove.
D)Hook the bare thumb inside the other glove.
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33
Chapter 32: Safety
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32 Flashcards
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Sample Questions
Q1) The nurse is planning care for a client who is prone to falling.Which nursing diagnoses should the nurse use for this client?
A)Deficient Knowledge
B)Risk for Injury
C)Risk for Disuse Syndrome
D)Risk for Suffocation
Q2) The nurse is installing a bed safety-monitoring device for a client.What should the nurse do after testing the device and alarm sound?
A)Place the leg band on the client with the leg in a straight horizontal position.
B)Place the sensor under the mattress near the shoulder region.
C)Set a time delay for 30 seconds.
D)Connect the sensor pad to the control unit.
Q3) While the nurse is performing morning care,a client begins to have a seizure.What should the nurse do to help this client?
A)Insert a tongue blade into the client's mouth.
B)Loosen any clothing around the neck and chest.
C)Restrain the client.
D)Turn the client to the supine position if possible.
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Chapter 33: Hygiene
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/79288
Sample Questions
Q1) During an assessment,the nurse learns a client has soft contact lenses that have not been removed or cleaned for weeks.What should the nurse do?
A)Nothing,because these types of lenses can be worn for months.
B)Remove the client's lenses,wrap in tissue,and place in the bedside table.
C)Assist the client to remove and clean the contacts.
D)Ask the physician for ophthalmology consult because the client will need help removing the lenses.
Q2) The nurse is making an occupied bed.Which step will provide comfort for the client during this linen change?
A)Allow for a toe pleat.
B)Place a bath blanket over the client.
C)Slide the mattress to the head of the bed.
D)Raise the side rail.
Q3) The nurse is shampooing a client's hair.Which assessment finding should the nurse consider as expected?
A)Dry,dark,thin
B)Smooth,taut,shiny
C)Smooth texture and not oily or dry
D)Tender,warm scalp
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Page 35
Chapter 34: Diagnostic Testing
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30 Flashcards
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Sample Questions
Q1) A client asks the nurse,"Why do I have to monitor my blood glucose levels?" What is an appropriate response from the nurse?
A)"Because your doctor ordered it."
B)"If I were you,I would monitor the blood glucose when I didn't feel good."
C)"Monitoring your blood glucose better enables you to manage your diabetes."
D)"You can eat anything you want."
Q2) A client is scheduled to have abdominal ascites fluid removed.What should the nurse instruct the client about this procedure?
A)A catheter will be inserted into the bladder.
B)A liver biopsy will be done.
C)An abdominal paracentesis will be done.
D)A thoracentesis will be done.
Q3) What is the responsibility of the nurse when collecting a specimen from a client?
A)Always accompany the client to collect a specimen.
B)Handle the specimen discreetly.
C)Clean technique should be used with all specimen collection.
D)Use day-old specimens.
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Chapter 35: Medications
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47 Flashcards
Source URL: https://quizplus.com/quiz/79286
Sample Questions
Q1) Upon aspirating a saline lock prior to administering intravenous medication,the nurse notes that there is no blood return.What nursing action should be taken?
A)Discontinue this infiltrated lock and restart another site for medication administration.
B)Slowly infuse 1 mL of saline into the lock,assessing for infiltration.
C)Reinsert the needle into the lock and aspirate using more pressure.
D)Pull the intravenous catheter out 1/8 inch and attempt aspiration.
Q2) At which point of preparing medication from an ampule does the nurse anticipate using a filter needle?
A)Filter needles are not used for this preparation.
B)When drawing the medication from the ampule.
C)When administering the medication to the client.
D)Both for drawing up the medication and for administering the medication.
Q3) The nurse is adding medication to an existing intravenous setup.Which nursing action is indicated?
A)Close the infusion clamp.
B)Ensure that the IV bag is full prior to adding medication.
C)Do not remove the IV bag from the pole.
D)Briskly shake the IV bag after injecting the medication.
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Chapter 36: Skin Integrity and Wound Care
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34 Flashcards
Source URL: https://quizplus.com/quiz/79285
Sample Questions
Q1) The nurse is preparing to apply a moist aquathermia pack to a client's left upper leg.In which order should the nurse prepare and apply this treatment?
A)Use tape or gauze ties to hold the pad in place.
B)Set the desired temperature according to the manufacturer's instructions.
C)Apply the pad to the body part.The treatment is usually continued for 30 minutes.
D)Fill the reservoir of the unit two-thirds full of water as specified by the manufacturer.
E)Cover the pad and plug in the unit.Check for any leaks or malfunctions of the pad before use.
Q2) The continuous quality improvement team is monitoring the nursing care of clean-contaminated wounds.Which operative wound would be excluded from this study?
A)Gastric resection
B)Uncomplicated abdominal hysterectomy
C)Breast biopsy
D)Lung resection
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Chapter 37: Perioperative Nursing
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34 Flashcards
Source URL: https://quizplus.com/quiz/79284
Sample Questions
Q1) The nurse is preparing to apply antiembolic stockings to a postoperative client.What should be done first,before applying the stockings?
A)Measure the calf.
B)Assess for circulatory problems.
C)Assess the client's blood pressure.
D)Clean the stockings.
Q2) A client is scheduled for a cholecystectomy.The nurse realizes that the purpose for this surgery is
A)diagnostic.
B)palliative.
C)ablative.
D)constructive.
Q3) The nurse is caring for an 80-year-old client preparing for surgery.The nurse realizes this client is at increased risk for which reason?
A)The physiological deficits of aging increase the surgical risk for older adults.
B)The older adult has increased kidney function.
C)The older adult has an increase in sensory function.
D)The older adult will turn,cough,and deep-breathe more effectively.
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Chapter 38: Sensory Perception
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/79283
Sample Questions
Q1) A client is experiencing acute confusion.What nursing actions would be appropriate for this client?
(Select all that apply)
A)Eliminate unnecessary noise.
B)Keep eyeglasses within reach.
C)Place a calendar in the room,and identify each day.
D)Keep the room well lit during waking hours.
E)Provide dark glasses.
Q2) The odor from a hospitalized client's draining wound permeates the room and is very overwhelming and distracting to the client and the staff.What intervention would be most helpful?
A)Spray the room routinely with a floral room spray.
B)Instill a vinegar solution into the wound.
C)Keep the wound dressing dry and clean.
D)Burn a candle in the room.
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Chapter 39: Self-Concept
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26 Flashcards
Source URL: https://quizplus.com/quiz/79282
Sample Questions
Q1) A client recovering from a lumpectomy for breast cancer tells the nurse that she "feels ugly." For which nursing diagnosis should the nurse plan interventions?
A)Powerlessness
B)Social Isolation
C)Grieving
D)Hopelessness
Q2) The parents tell the nurse that their preschooler demands to wear specific clothing.They are concerned that the day-care workers might think they are negligent because the preschooler often wears mismatched clothing.What should be the nurse's response to this concern?
A)"Don't worry,day-care workers are accustomed to that sort of thing."
B)"This is normal and the preschooler is just practicing skills needed later in life"
C)"I am glad you brought that to our attention.I will make a note for her pediatrician."
D)"You should have better control of the child now if you have any hope of controlling the child during the teenage years."
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Chapter 40: Sexuality
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37 Flashcards
Source URL: https://quizplus.com/quiz/79281
Sample Questions
Q1) While the nurse is measuring blood pressure,the client lifts his hand and fondles the nurse's breast.What should the nurse do about this behavior?
(Select all that apply)
A)Ignore the fondling.
B)Move the client's hand away.
C)Refocus the client on appropriate behavior.
D)Tell the client to stop performing the behavior.
E)Communicate that the behavior is not acceptable.
Q2) The female client has experienced recurrent candidiasis with intense vaginal itching and excoriation.After treatment the client is reexamined,and the nurse practitioner finds presence of a white,cheesy discharge.What recommendation is necessary?
A)Referral to a surgeon for excision of infected tissue
B)Examination and treatment of sexual partner
C)Treatment with a stronger oral antibiotic
D)Routine douches with a topical antibiotic solution
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Chapter 41: Spirituality
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31 Flashcards
Source URL: https://quizplus.com/quiz/79280
Sample Questions
Q1) As a part of care planning,the nurse considers the client's spiritual needs.What is the rationale for this concern?
A)Nurses are the only health professionals who provide this type of holistic care.
B)Meeting the client's spiritual needs can decrease suffering.
C)Until spiritual needs are met,physical needs cannot be healed.
D)It is important that the nurse's idea of spirituality matches the client's ideas.
Q2) The client states,"I don't know what all this fuss is about religion.God died years ago." The nurse does believe in God and has a strong inclination to share reasons for that belief with the client.What is the best for the nurse to consider before responding to the client's remark?
A)"Will I get into trouble if I say anything?"
B)"How much longer will I be caring for this client?"
C)"Am I meeting my needs or the client's?"
D)"How can I best make this client understand?"
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Chapter 42: Stress and Coping
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36 Flashcards
Source URL: https://quizplus.com/quiz/79279
Sample Questions
Q1) A client tells the nurse about being laid off from work,the spouse wanting a divorce,and being ill with a chest cold for a month.What statement should the nurse make that reflects understanding of a client in crisis?
A)"Once you reach the crisis state,you may remain there for several months until you recover."
B)"People generally find it easier to work through a crisis if someone is working with them."
C)"Men often handle crisis better individually,whereas women do better with a counselor."
D)"Experiencing a crisis is never positive,so we must work to relieve your anxiety as soon as possible."
Q2) A client repeatedly tells the nurse that "all will be well" and "I'm fine" in response to learning of a health problem that requires immediate surgery.The nurse realizes that which diagnosis is appropriate for the client at this time?
A)Compromised Family Coping
B)Ineffective Coping
C)Disabled Family Coping
D)Defensive Coping
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Page 44
Chapter 43: Loss, Grieving, and Death
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29 Flashcards
Source URL: https://quizplus.com/quiz/79278
Sample Questions
Q1) The nurse is concerned that a client is experiencing complicated grieving after the unexpected death of a son.The nurse most likely assessed
(Select all that apply)
A)the client's denying the son's death.
B)depression.
C)sudden weight loss because of not eating.
D)crying.
E)verbalizing the desire to not live anymore.
Q2) The family of a young adult client who has recently been diagnosed with a rapidly progressing terminal illness tells the nurse,"This cannot be happening.There must be some mistake in the testing." What should be the nurse's first step in assisting this family?
A)Provide structure and continuity to promote feelings of security.
B)Examine the nurse's own feelings to ensure denial is not shared.
C)Offer spiritual support.
D)Allow the family to express sadness.
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Chapter 44: Activity and Exercise
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Sample Questions
Q1) While assisting the client with a bath,the nurse encourages full range of motion in all the client's joints.Which activity would best support range of motion in the hand and arm?
A)Give the client a washcloth to wash the face.
B)Move the wash basin farther toward the foot of the bed so the client must reach for it.
C)Have the client brush the hair and teeth.
D)Move each of the client's hand and arm joints through passive range of motion.
Q2) The nurse is considering using the NANDA nursing diagnosis Impaired Physical Mobility in the care plan of a newly admitted client.In order to make this problem statement more individual,the nurse should take which action?
A)Include what mobility is impaired.
B)Use Level 1,2,3,or 4 to describe immobility.
C)Describe what happens when the client attempts mobility.
D)Add strength assessment data.
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Chapter 45: Sleep
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Source URL: https://quizplus.com/quiz/79276
Sample Questions
Q1) The nurse,seeing a client asleep,turns off the television in the room.The client opens her eyes and says "I was watching that.I wasn't sleeping." The nurse realizes that the client was demonstrating which stage of NREM sleep?
A)IV
B)III
C)II
D)I
Q2) The nurse is assessing a client in the intensive care unit who is asleep.What physiological changes will the nurse observe in this client?
(Select all that apply)
A)Lower respiratory rate
B)Increased muscle tension
C)Increased lower extremity edema
D)Lower blood pressure
E)Lower heart rate
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Chapter 46: Pain Management
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Sample Questions
Q1) The nurse is caring for a client who is using morphine through patient-controlled analgesia (PCA).What medication should the nurse have readily available?
A)Naloxone hydrochloride (Narcan)
B)Acetaminophen (Tylenol)
C)Diphenhydramine hydrochloride (Benadryl)
D)Normal saline
Q2) The nurse is performing discharge teaching for a client taking an NSAID.The client states he has heard that taking an antacid with this medication will help decrease the incidence of upset stomach.What is the nurse's best response?
A)"Antacids reduce the absorption and therefore the effectiveness of the NSAID."
B)"Antacids help to reduce the incidence of gastric bleeding that could occur with the use of NSAIDs."
C)"Antacids should never be taken with an NSAID."
D)"Antacids help to reduce the incidence of pain."
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Chapter 47: Nutrition
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Sample Questions
Q1) A client is diagnosed as having a negative nitrogen balance.What should the nurse instruct the client about this finding?
A)Discuss ways to reduce protein in the diet.
B)Review how to limit carbohydrates in the diet.
C)Discuss ways to increase protein in the diet.
D)Analyze reasons why fats should be limited in the diet.
Q2) The nurse notices that the client's continuous open system tube-feeding set is almost empty.What action should the nurse take?
A)Add tube feeding to the set.
B)Discontinue the feeding and hang a closed system bag.
C)Wash out the set and add new feeding.
D)Flush the set with clear carbonated soda and discontinue.
Q3) A client is prescribed a 1600-calorie diet.Of this diet,30% of the intake should be protein,20% fat,and 50% carbohydrates.How many grams of carbohydrates should the client ingest every day?
Calculate to the nearest whole number.
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Chapter 48: Urinary Elimination
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33 Flashcards
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Sample Questions
Q1) A client tells the nurse about the need to get up several times throughout the night to void.The nurse suspects the client is experiencing nocturia due to which factor?
A)Decrease in bladder tone
B)Decrease in blood supply
C)Decrease in number of nephrons
D)Decrease in cardiac output
Q2) An older female client with a history of urinary tract infections has an indwelling urinary catheter.What should the nurse do to reduce this client's risk of developing an infection because of the catheter?
(Select all that apply)
A)Maintain a sterile closed drainage system.
B)Clean the peri-urethral area with antiseptics.
C)Ensure the catheter and tubing are not kinked.
D)Wash his or her hands before manipulating the catheter.
E)Keep the collection bag below the level of the bladder.
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Chapter 49: Fecal Elimination
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35 Flashcards
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Sample Questions
Q1) A client is prescribed a saline enema.Because this solution is hypertonic,the nurse would expect the enema to cause which action?
A)Exerts osmotic pressure and draws fluid from the interstitial space into the colon
B)Exerts a lower osmotic pressure than the surrounding interstitial fluid
C)Exerts the same osmotic pressure as the interstitial fluid surrounding the colon
D)Stimulates peristalsis by increasing the volume in the colon and irritating the colon
Q2) The nurse is discussing different types of ostomy appliances with a client with a new ostomy.During this discussion,the nurse should keep in mind that an ostomy appliance should
(Select all that apply)
A)be changed daily.
B)protect the skin.
C)collect stool.
D)control odor.
E)be open,so the client can empty it sporadically throughout the day.
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Chapter 50: Oxygenation
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44 Flashcards
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Sample Questions
Q1) The nurse is conducting a health history for a client with a respiratory disorder.What should the nurse include in this assessment?
(Select all that apply)
A)Lifestyle
B)Presence of cough
C)Sputum production
D)Pain
E)Diet
Q2) The nurse has just initiated oxygen by nasal cannula for a client with the medical diagnosis of chronic obstructive pulmonary disease.What is the nurse's next action?
A)Fill the humidifier with normal saline.
B)Pad the tubing where it contacts the client's ears.
C)Set the oxygen delivery to 5 liters.
D)Secure the cannula with ties around the client's head.
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Chapter 51: Circulation
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Sample Questions
Q1) The client has experienced a myocardial infarction with damage to the inferior portion of the heart.Due to this history,the nurse monitors the client for the development of rhythm disturbances that are most directly based upon which factor?
A)The resultant change in blood sugar
B)Electrolyte disturbances from tissue damage
C)The automaticity of cardiac cells
D)Decreased blood flow to the liver
Q2) The client has complaints of being tired,listless,and unable to tolerate activity at usual levels.Which laboratory value should the nurse review first while assessing this complaint?
A)Blood urea nitrogen
B)Hemoglobin and hematocrit
C)Blood sugar
D)Serum potassium
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Chapter 52: Fluid, Electrolyte, and Acidbase Balance
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Source URL: https://quizplus.com/quiz/79269
Sample Questions
Q1) A client has had a subclavian central venous catheter inserted.What should the nurse assess as a priority for this client's care?
A)Presence of bibasilar crackles
B)Tachycardia
C)Decreased pedal pulses
D)Headache
Q2) The physician has ordered 50 mL of an IV solution to infuse over the next 20 minutes.In order to accurately infuse this solution,the nurse should set the electronic controller to deliver how many mL/hr? rounding to the nearest whole number.
Q3) The nurse initiates a blood transfusion for a client.What action should the nurse take next?
A)Stay with the client and closely observe him for the first 5 to 10 minutes of the transfusion.
B)Assign the UAP to sit with the client for 15 minutes.
C)Advise the client to notify the nurse if he experiences any chilling,nausea,flushing,or rapid heart rate.
D)Return to the room and take a set of vital signs in 15 minutes.
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