Basic Nursing Skills Test Preparation
Course Introduction
Basic Nursing Skills introduces foundational concepts and practices essential to providing safe, effective, and compassionate care to patients in various healthcare settings. The course covers fundamental topics such as infection control, hygiene, vital sign measurement, patient positioning and mobility, documentation, and communication with patients and healthcare teams. Through a combination of classroom instruction and hands-on lab experiences, students gain the knowledge and practical experience necessary to perform routine nursing procedures, support patient comfort and well-being, and prepare for more advanced clinical training. This course is crucial for those beginning their journey in nursing education and is designed to build confidence and competency in the core skills required for entry-level nursing roles.
Recommended Textbook
Essentials for Nursing Practice 9th Edition by Potter FAAN
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40 Chapters
977 Verified Questions
977 Flashcards
Source URL: https://quizplus.com/study-set/2491
Page 2
Chapter 1: Professional Nursing
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/49521
Sample Questions
Q1) The nurse is mandated by the state to complete 25 contact hours of nursing education before the nursing license may be renewed.Which term best describes this requirement?
A) In-service education
B) Advanced education
C) Continuing education
D) Certification education
Answer: C
Q2) Which action of the nurse demonstrates coordination of care for the patient?
A) The nurse creates a warm,therapeutic relationship with the patient by actively listening to what the patient has to say.
B) The nurse works with the physical therapist to determine how to best transfer the patient from the bed to the chair.
C) The nurse educates the patient about energy conservation techniques to increase activity tolerance.
D) The nurse uses clear and objective language when documenting assessment findings in the patient's medical record.
Answer: B
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Page 3
Chapter 2: Health and Wellness
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/49522
Sample Questions
Q1) Which action by the patient reflects a cultural influence on health practices?
A) The patient uses seaside purification rituals to ease arthritis pain.
B) The patient refuses to take blood pressure medicine due to the side effects.
C) The patient has annual mammograms to screen for breast cancer.
D) The patient avoids eating red meat due to a family history of heart disease.
Answer: A
Q2) Which assessment finding indicates that the family processes were interrupted by the patient's illness?
A) The patient must now follow a gluten-free,low-carbohydrate diet.
B) The patient must use a walker for ambulation to prevent a fall or injury.
C) The patient's spouse had to return to work to maintain the family's income.
D) The patient must take three antihypertensive drugs to control high blood pressure
Answer: C
Q3) Which is an example of an environmental risk factor?
A) The patient's drinking water contains high levels of lead.
B) The patient has a strong family history of autoimmune diseases.
C) The patient carefully follows a lactose-free,gluten-free diet.
D) The patient drinks one glass of red wine every night before bed.
Answer: A
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Page 4
Chapter 3: The Health Care Delivery System
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/49523
Sample Questions
Q1) Which action by the nurse helps to achieve the goals of the Hospital Readmissions Reduction Program?
A) The nurse ensures that the patient understands how to take prescribed medications correctly.
B) The nurse develops a close therapeutic relationship with the patient and provides privacy when care is provided.
C) The nurse uses therapeutic touch to promote relaxation,reduce anxiety,and promote healing.
D) The nurse elevates the head of the patient's bed and administers oxygen when the patient feels short of breath.
Answer: A
Q2) Which is a responsibility of the Centers for Medicare and Medicaid (CMS)?
A) Create teaching materials to educate health care professionals.
B) Research evidenced-based practices to improve health care for patients.
C) Accredit and certify hospitals in order to ensure safe health care for patients.
D) Manage health insurance coverage for elderly,disabled,and low-income patients.
Answer: D
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5
Chapter 4: Community-Based Nursing Practice
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which is an appropriate goal within the scope of Healthy People 2020?
A) Uninsured patients will receive the same level of care as patients with private health insurance.
B) The patient will be able to transfer to the wheelchair with a gait belt and assistance of one person.
C) The patient's family will verbalize reduction of stressors when respite care is provided for the patient.
D) Family members are taught how to assist the patient with feeding and other activities of daily living.
Q2) Which is the highest priority problem for a homeless patient without family in December?
A) Risk for loneliness
B) Risk for hypothermia
C) Risk for social isolation
D) Risk for compromised human dignity
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6
Chapter 5: Legal Principles in Nursing
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/49525
Sample Questions
Q1) Which description of the state Nurse Practice Act is correct?
A) It is a judicial decision.
B) It is a federal senate bill.
C) It is a statute enacted by state legislature.
D) It is a law enacted by the federal government.
Q2) In which case might the patient be ordered by the court to receive treatment?
A) The patient has infectious TB and refuses to take the prescribed antibiotics.
B) The patient's mother refuses a vaccine for her child because he is allergic to it.
C) A Jehovah's Witness refuses a blood transfusion based on religious convictions.
D) A patient refuses treatment to slow the advancement of an inoperable brain tumor.
Q3) Which example demonstrates a breach of confidentiality and a violation of the Health Insurance Portability and Accountability Act (HIPAA)of 1996?
A) Giving a report to the oncoming nurse in a conference room
B) Discussing a patient's diagnosis with the patient's health care provider
C) Providing patient information to the nursing assistant caring for the patient
D) Sharing a patient's diagnosis and prognosis with other nurses in the cafeteria
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Page 7
Chapter 6: Ethics
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/49526
Sample Questions
Q1) The family is unsure what treatment is appropriate for the comatose patient who is terminally ill.Which steps will the nurse take to help the family process this ethical dilemma?
A) Consider all possible treatment options.
B) Calculate the odds of the patient's survival.
C) Clarify own values and opinions about the issues.
D) Provide personal opinions about treatment options.
E) Gather all relevant information about the situation.
Q2) The patient's family members disagree about which treatment is most appropriate for the terminally ill comatose patient.Which nursing intervention is most appropriate for this situation?
A) The nurse will provide statistical information about the patient's odds of survival.
B) The nurse will promote effective communication between the family members.
C) The nurse will ask the family members to leave medical decisions to the physician.
D) The nurse will wait until the patient is able to make the decisions about treatment.
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Chapter 7: Evidence-Based Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/49527
Sample Questions
Q1) After the implementation of a well-researched fall prevention protocol,patients at the agency have a lower incidence of falls than the national average.Which term will the nurse use to describe this finding?
A) Sentinel event
B) Qualitative research
C) Manuscript narrative
D) Nursing-sensitive outcome
Q2) The nurse manager will use evidence-based practice to address a recent increase in catheter-associated urinary tract infections on the unit.Which type of trigger did the nurse manager use?
A) Literature-focused
B) Problem-focused
C) Knowledge-focused
D) Expectations-focused
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Chapter 8: Critical Thinking
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which is the best tool that the nurse can use to make sense of the patient's multiple medical diagnoses,assessment findings,and medications?
A) Plan of care
B) Concept map
C) Reflective journal
D) Intellectual standards
Q2) The nurse inappropriately assumed that the patient did not require pain medication due to a history of substance abuse.Which critical thinking concept did the nurse fail to use?
A) Criticism
B) Maturity
C) Analysis
D) Organization
Q3) Which action by the nurse best demonstrates independent thinking?
A) Removing and carefully cleaning the patient's dentures every night
B) Initiating swallow precautions when the patient shows signs of aspiration
C) Teaching the diabetic patient how to self-administer insulin injections
D) Actively listening to the patient when recording the patient's health history
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Chapter 9: Nursing Process
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/49529
Sample Questions
Q1) The nurse observed a postoperative patient trying to take her friend's narcotic pain pills in addition to the pain medication administered by the nurse.Which nursing diagnosis is the highest priority for this patient?
A) Health-seeking behaviors
B) Risk-prone health behavior
C) Readiness for enhanced comfort
D) Situational low self-esteem
Q2) The nurse is caring for a patient who will be having surgery shortly.The patient requests that a religious bracelet be worn in the operating room to help ensure a good surgical outcome.Which is the most appropriate action of the nurse?
A) Call the operating room staff to determine if the bracelet can stay on during surgery.
B) Insist that the patient remove the bracelet and give it to a family member during surgery.
C) Notify the patient's surgeon of the patient's refusal to remove the bracelet before having surgery.
D) Remove the bracelet from the patient's wrist after sedating medication has been administered.
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Chapter 10: Informatics and Documentation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which statement by the nurse accurately reflects a benefit of installing a new electronic medical record system?
A) "I am thankful that I won't have to keep changing my passwords all the time."
B) "I'll be able to see my son's medical record using my password and user ID."
C) "I won't have to worry about reading the doctor's messy handwriting anymore."
D) "It will take me so much less time than writing everything out on paper."
Q2) The nurse is working at a hospital whose electronic medical records system uses charting by exception.Which entry would be appropriate to include in the narrative section of the patient's chart?
A) The patient voided 400 mL of clear yellow urine during the last 12 hours.
B) The patient denies smoking,alcohol intake,or use of illicit substances.
C) The patient states that the pain level in his right knee is 7 on a 1-to-10 scale.
D) The patient's lung sounds are clear bilaterally with no cyanosis or dyspnea.
Q3) Which information must be shared during the hand-off report to the oncoming nurse?
A) The patient is nauseated and complaining of moderate generalized pain.
B) The patient has six children and fourteen grandchildren.
C) The patient will drink chicken broth but prefers to have lime gelatin.
D) The patient sent back the dinner tray twice because the food was cold.
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Page 12
Chapter 11: Communication
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/49531
Sample Questions
Q1) The nurse informs the patient that a code pink is paged overhead when an infant is abducted from the hospital.What is the best description of the use of the term code pink in this situation?
A) Denotative meaning
B) Perceptual stereotype
C) Emotional inflection
D) Sender territoriality
Q2) Which statement by the nurse is an example of an SBAR recommendation?
A) "The patient has become increasingly short of breath over the last few hours."
B) "The patient has a history of chronic respiratory failure due to emphysema."
C) "The patient's pulse oximetry is 84% and crackles are heard over all lung fields."
D) "The patient needs oxygen titrated to maintain oximetry between 90% and 92%."
Q3) Which technique by the nurse will facilitate communication with an older adult?
A) Allow reminiscing.
B) Use long sentences.
C) Ask several questions in a row.
D) Play soft music in the background.
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Page 13
Chapter 12: Patient Education
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which is the best method to begin teaching the adult patient how to self-administer tube feeding through a new gastrostomy tube?
A) Analogies
B) Detachment
C) Role play
D) Demonstration
Q2) Which patient is appropriate for the nursing diagnosis readiness for enhanced knowledge related to the prescribed treatment regimen?
A) The patient who asks the nurse how a pill organizer can help to ensure that all medications are taken on time.
B) The patient who insists that the blood sugar levels will never stabilize no matter how many medications are taken.
C) The patient who believes that influenza was contracted as a result of the flu immunization last year.
D) The patient who was just diagnosed with diabetes and has no idea about how to inject insulin.
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14
Chapter 13: Managing Patient Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which is the first action of the nurse when starting care for the patient at the beginning of the shift?
A) Administer prescribed medications.
B) Conduct the patient's health history.
C) Perform a focused patient assessment.
D) Create the nursing care plan for the patient.
Q2) Which preoperative task may be delegated to the nursing assistant?
A) Apply the patient's thromboembolism deterrent (TED)stockings.
B) Teach the patient how to perform incentive spirometry exercises.
C) Witness the patient's signature on the informed consent document.
D) Make sure that the patient swallowed the prescribed preoperative medication.
Q3) Which action indicates the new nurse is fulfilling entry-level competencies?
A) Communicating concerns to the patient's physician
B) Developing a theoretical framework for practice
C) Creating a quality improvement plan for the unit
D) Monitoring staff compliance with unit policies
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Chapter 14: Infection Prevention and Control
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The patient's urine cultures tested positive for Escherichia coli (E.coli)following urinary catheterization.Which term describes this type of infection?
A) Protozoan
B) Endogenous
C) Diagnostic
D) Bactericidal
Q2) Which action of the nurse will minimize the onset and spread of infection?
A) Insert indwelling urinary catheters to prevent incontinence.
B) Use aseptic technique when providing mouth care to the patient.
C) Keep the patient's mucus membranes dry to prevent maceration.
D) Use masks and gowns sparingly to reduce the patient's sense of isolation.
Q3) The nurse maintains a sterile field when inserting a urinary catheter into the patient's bladder.Which term best describes the infection control practice of the nurse?
A) Pathogenesis
B) Bacteriostasis
C) Medical asepsis
D) Surgical asepsis
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Chapter 15: Vital Signs
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) The nurse is caring for an extremely anxious patient.Which assessment findings would be expected as a result of the patient's emotional state?
A) Temperature 96.8° F
B) Pulse 124
C) Respiratory rate 32
D) Blood pressure 188/88
E) Pulse oximetry 84%
Q2) The nurse is caring for an unconscious,intubated patient in the intensive care unit.Which methods may be used to check the patient's temperature?
A) Axillary
B) Rectal
C) Oral
D) Tympanic
E) Pulmonary artery
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Chapter 16: Health Assessment and Physical Examination
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) When is the best time for a male patient to perform a testicular self-assessment?
A) Before getting out of bed in the morning
B) After having a bowel movement
C) After getting out of a hot tub
D) Immediately following ejaculation
Q2) Which technique can the nurse use to facilitate assessment of the thyroid gland?
A) Have the patient tip the head back and cough twice.
B) Watch the patient's neck when sipping water from a straw.
C) Have the patient slowly turn the head from side to side.
D) Gently palpate from underneath the jaw to behind the ear.
Q3) The patient comes to the hospital with a variety of symptoms.Which symptom will the nurse assess first?
A) The patient experiences joint stiffness after sitting still for long periods of time.
B) The patient developed an itchy rash after taking the second dose of antibiotics.
C) The patient is nauseated and vomited a small amount earlier this morning.
D) The patient feels short of breath and has audible expiratory wheezes.
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Chapter 17: Administering Medications
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The patient's rheumatoid arthritis symptoms were not adequately controlled with methotrexate so adalimumab was prescribed as well.What is the rationale for prescribing both medications?
A) To obtain a synergistic effect
B) To prevent an anaphylactic reaction
C) To reduce medication interactions
D) To avoid an iosyncratic reaction
Q2) Order: Potassium chloride solution 9 mL PO daily
Potassium chloride
Oral solution
USP 10%
20 mEq per 15 mL
How many mEq of medication will be administered? _____ mEq
Q3) Which medication order is written appropriately?
A) Morphine 2.5 mg PO
B) Methotrexate 15.0 mg PO
C) Meropenem 1.0 g IV
D) Metformin .5 g PO
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Chapter 18: Fluid, Electrolyte, and Acid-Base Balances
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Order: Merrem 500 mg in 100 mL D W IVPB infuse over 30 minutes
IV tubing: 10 drops/mL
What will the infusion pump rate be set at-how many mL/hour? _____
Q2) Which is the highest priority of the nurse immediately after withdrawing the needle from the IV catheter after venipuncture?
A) Engage the safety device to cover the needle.
B) Check for blood return in the flashback chamber.
C) Stabilize the catheter with the nondominant hand.
D) Align the catheter on the top of vein at a 15-degree angle.
Q3) The patient is receiving an intravenous infusion of 40 mEq of potassium chloride in a 1000 mL solution of 0.9% saline.The patient states that the area around the IV site burns.What intervention does the nurse perform first?
A) Notify the physician.
B) Stop the IV infusion.
C) Document the finding.
D) Increase the IV drip rate.
Q4) Order: 500 mL D W to infuse at 50 mL/hour
IV tubing: 10 drops/mL
How many mL will infuse over the nurse's 12 hour shift? _____
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Chapter 19: Complementary and Alternative Therapies
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which assessment finding indicates to the nurse that the patient has begun to master the cognitive skill of receptivity?
A) The patient readily accepts feedback from the nurse about how to perform dressing changes.
B) The patient calmly accepts the physician's recommendation for surgery without a request for a second opinion.
C) The patient chooses not to inform family members about the complications and risks of upcoming surgery.
D) The patient uses guided imagery techniques to minimize anxiety and push negative thoughts out of the mind.
Q2) The patient reports using chaparral to ease breathing.Which assessment finding leads the nurse to advise stopping the supplement immediately?
A) The patient has a history of hepatitis C.
B) The patient is morbidly obese.
C) The patient requires supplemental oxygen.
D) The patient has frequent sinus infections.
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Chapter 20: Caring in Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which nursing goal is consistent with Watson's Transpersonal Theory of Caring?
A) The nurse will develop a therapeutic relationship with the patient.
B) The nurse will tell the patient what needs to be done to resolve health problems.
C) The nurse will be viewed as the authority when it comes to health care issues.
D) The nurse will exclude the family from health discussions to protect privacy.
Q2) Which action of the nurse demonstrates Florence Nightingale's beliefs about caring?
A) The nurse hangs the patient's get well cards on the wall for the patient to enjoy.
B) The nurse uses active listening skills to communicate effectively with the patient.
C) The nurse teaches the family member how to care for the patient's tracheostomy.
D) The nurse develops a toileting schedule for a patient with functional incontinence.
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Chapter 21: Cultural Awareness
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Which assessment findings are social determinants of health?
A) Living in a house containing lead paint
B) Genetic predisposition to spinal osteoarthritis
C) Growing up in a neighborhood without grocery stores
D) Annual income 125% above the federal poverty level
E) Completed high school and 1 year of community college
Q2) Which intervention is most appropriate for the patient with the nursing diagnosis Noncompliance related to the patient's preference for cultural therapies rather than prescription medications?
A) Create a clearly written medication schedule and instruction list with dosages and side effects.
B) Describe the negative health outcomes that will be experienced if the cultural therapies are continued.
C) Attempt to coordinate the patient's cultural therapies with the prescribed treatments.
D) Inform the patient that the hospital will not be able to continue providing care if the noncompliant behavior continues.
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23
Chapter 22: Spiritual Health
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) The patient is distressed because hospitalization has prevented participation in church services and adherence to important prayer rituals.Which nursing diagnosis is most appropriate for this patient?
A) Impaired religiosity related to inability to participate in religious services
B) Noncompliance related to failure to adhere to prescribed treatment regimens
C) Disturbed thought processes related to delirium and altered level of consciousness
D) Ineffective role performance related to discrimination and inadequate coping
Q2) Which assessment finding leads the nurse to include hopelessness as a nursing diagnosis in the patient's plan of care?
A) The patient does not wish to attend any type of religious services.
B) The patient does not believe in a higher power,spirit guide,or God.
C) The patient has a source of structure and guidance for difficult times.
D) The patient has no motivation or resources to achieve any life goals.
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Chapter 23: Growth and Development
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A young adult is balancing the need to live and work independently with the desire to have a girlfriend for companionship and love.Which developmental stage is the young adult experiencing?
A) Intimacy versus isolation
B) Obedience and orientation
C) Self-control and independence
D) Generosity versus self-absorption
Q2) Which technique is best to calm a preschooler's fears before auscultating bowel sounds?
A) Reassure the child that listening to bowel sounds will not hurt in the least.
B) Allow the child to use the stethoscope to listen to a teddy bear's abdomen.
C) Explain how a stethoscope is used to listen to the functioning of the bowel.
D) Seat the child in the parent's lap and have the parent hold the child's hands.
Q3) Which are expected physical assessments finding for a middle-aged adult?
A) Difficulty hearing female voices
B) Diminished breath sounds bilaterally
C) Gradual loss of senses of taste and smell
D) Need for reading glasses to see small print
E) Decreased ability to solve practical problems
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Page 25
Chapter 24: Self-Concept and Sexuality
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which is the priority nursing intervention for a patient who presents to the emergency department after a sexual assault?
A) Assist the patient to take a long hot shower to relax and feel clean again.
B) Discuss the possibility of pregnancy and sexually transmitted infections.
C) Provide personal hygiene items such as shampoo and soap for the patient.
D) Stay with the patient and contact the sexual assault response (SART)team.
Q2) Which is the priority intervention for an elderly patient with the nursing diagnosis ineffective sexuality pattern related to vaginal dryness?
A) Help the patient to communicate the need for privacy for sexual activity.
B) Encourage the patient to utilize a water-based vaginal lubricant for comfort.
C) Let the patient know that vaginal dryness is a normal finding in older women.
D) Instruct the patient to void immediately after intercourse to prevent irritation.
Q3) Which is the priority nursing diagnosis for an adolescent who is being bullied by peers?
A) Powerlessness related to inability to stop bullying from peers
B) Social isolation related to dysfunctional relationships with peers
C) Risk for self-directed violence related to feelings of worthlessness
D) Risk for loneliness related to inability to make supportive friendships
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Chapter 25: Family Dynamics
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which assessment finding leads the nurse to include caregiver role strain related to overwhelming responsibilities in the patient's care plan?
A) The patient refuses to take any of his prescribed blood pressure medications.
B) The patient's spouse switched to a part-time job to spend more time at home.
C) The patient's spouse cannot sleep and has lost 10 pounds in the last 2 months.
D) The patient can feed himself using adaptive utensils and cups with large handles.
Q2) Which is the priority nursing diagnosis for a family without health insurance?
A) Ineffective health maintenance related to lack of access to medical care
B) Risk-prone health behavior related to nonacceptance of health status
C) Readiness for enhanced immunization status related to annual flu shots
D) Health-seeking behavior related to use of emergency room for medical care
Q3) Which example best demonstrates family durability?
A) Four generations of family have lived at the same address.
B) Two of the couple's children were adopted because of infertility.
C) The grandparents watch the children while the parents are at work.
D) The mother works full time while the father stays home with the children.
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Chapter 26: Stress and Coping
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The new mother experiences insomnia,irritability,and lack of appetite after several weeks in the neonatal care unit with her critically ill infant.Which nursing diagnosis is most appropriate for the new mother?
A) Stress overload related to ongoing stress and worry about her critically ill infant
B) Chronic low self-esteem related to lack of success at beginning of motherhood
C) Disturbed sensory perception related to change in problem-solving abilities
D) Disturbed personal identity related to inability to distinguish day shift from night
Q2) The patient refuses to believe the physician's diagnosis and insists on a second opinion from a specialist.Which ego-defense mechanism is used by the patient?
A) Denial
B) Dissociation
C) Deterioration
D) Displacement
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Chapter 27: Loss and Grief
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The female patient grieves the loss of her child to adoption and finds it difficult to cope because the pregnancy was kept a secret from the family and community.Which type of grief is being experienced by the patient?
A) Delayed
B) Complicated
C) Anticipatory
D) Disenfranchised
Q2) A nurse is caring for a patient who is depressed because her children have gone away to college.Which type of loss is experienced by the patient?
A) Perceived
B) Situational
C) Conditional
D) Maturational
Q3) Which treatment would be refused by a patient who has requested palliative care?
A) Therapeutic touch
B) Supplemental oxygen
C) Narcotic pain medications
D) Knee-replacement surgery
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29
Chapter 28: Exercise and Activity
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25 Flashcards
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Sample Questions
Q1) Which assessment findings lead the nurse to select the nursing diagnosis impaired bed mobility for the patient?
A) The patient uses a seat belt and footrest when seated in the wheelchair.
B) The patient utilizes a rollator walker to ambulate to and from the bathroom.
C) The patient struggles to use the over-bed trapeze for repositioning in bed.
D) The nursing staff must log-roll the patient to get on and off the bedpan.
E) The patient transfers to the wheelchair with assistance of the nurse and a gait belt.
Q2) The nurse is caring for a patient with a traumatic injury to the cerebellum.Which assessment finding will be expected as a result?
A) The patient sways from side to side when walking.
B) The patient's ligaments are weak and easily ruptured.
C) The patient has fine tremors with purposeful movement.
D) The patient's joints are reddened,swollen,and warm to touch.
Q3) Which instruction directs the patient to perform an isometric exercise?
A) "Use the trapeze to lift your upper body off the bed."
B) "Tighten and hold your stomach muscles for 15 seconds."
C) "Close your fists and squeeze them tightly,release and repeat."
D) "Lift your buttocks off the bed by pushing against the mattress."
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Chapter 29: Immobility
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Sample Questions
Q1) Which is the priority nursing diagnosis for a patient with orthostatic hypotension after several days of bed rest?
A) Risk for falls related to light-headedness upon standing and getting out of bed
B) Dressing/grooming self-care deficit related to cognitive impairment and fatigue
C) Impaired bed mobility related to inability to move from supine to sitting position
D) Excess fluid volume related to insensible fluid loss due to prolonged immobility
Q2) The nurse is caring for a patient with nonblanchable redness of the coccyx after a lengthy surgical procedure in the supine position.Which nursing diagnosis is appropriate for this patient?
A) Risk for impaired skin integrity related to lengthy surgical procedure
B) Noncompliance related to failure to frequently reposition self
C) Ineffective therapeutic regimen management related to improper positioning
D) Impaired skin integrity related to tissue pressure from prolonged supine position
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Chapter 30: Safety
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Sample Questions
Q1) Which assessment finding indicates that the patient is at higher risk for a motor vehicle accident?
A) The patient is 18 years of age.
B) The patient drives a bright blue sedan.
C) The patient is the youngest of six children.
D) The patient has a history of juvenile arthritis.
Q2) The patient keeps more than 30 cats in the home and is unable to adequately care for them.Which is the priority nursing diagnosis for this patient?
A) Disturbed sensory perception related to inability to smell cat feces
B) Caregiver role strain related to inability to adequately care for 30 cats
C) Impaired home maintenance related to unhygienic,unclean surroundings
D) Risk for situational low self-esteem related to neglected home environment
Q3) Which intrinsic assessment finding could lead a patient to fall?
A) The patient has orthostatic hypotension and faints when standing too quickly.
B) The patient's room is located at the end of the hall far from the nursing station.
C) The patient's roommate sometimes spills the contents of a urinal on the floor.
D) The patient's room is crowed with walkers,wheelchairs,and bedside commodes.
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32
Chapter 31: Hygiene
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Sample Questions
Q1) What will the nurse do with extra clean linens that were left over after the patient's bath?
A) Place them back in the linen closet.
B) Place them on the patient's bedside table.
C) Use them to bathe the patient's roommate.
D) Place them in a laundry bag to be laundered.
Q2) Which hygiene interventions are appropriate for a patient with the nursing diagnosis ineffective protection related to impaired blood clotting?
A) Use an emery board to file the patient's nails.
B) Use a soft toothbrush and avoid flossing the teeth.
C) Rinse with a chlorhexidine mouthwash after meals.
D) Use antibacterial soap for showering each morning.
E) Use an electric razor to shave the patient's facial hair.
Q3) How can the nurse best respect the patient's cultural preferences for hygiene?
A) Shave the patient's facial hair every morning after the bath.
B) Add scented bath oils to the water before bathing the patient.
C) Ensure that a staff member of the same sex bathes the patient.
D) Accommodate the patient's wish to wash before morning prayers.
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Chapter 32: Oxygenation
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Sample Questions
Q1) Which respiratory problem is experienced by premature infants due to lack of surfactant in their lungs?
A) The alveoli shrivel and are unable to exchange oxygen for carbon dioxide.
B) Weakness of the respiratory muscles limits airflow in and out of the lungs.
C) Swelling of abdominal organs limits expansion and contraction of the diaphragm.
D) Insufficient hemoglobin impairs delivery of oxygen to tissues throughout the body.
Q2) The nursing staff is caring for a patient who collapsed in cardiac arrest.When will breaths be delivered via the bag-valve mask device?
A) After the patient is intubated
B) After every 30 chest compressions
C) When the patient's lips start to become cyanotic
D) When another nurse takes over chest compressions
Q3) Which patient would benefit from education about pursed-lip breathing?
A) A patient with emphysema after many years of smoking
B) A patient with a pneumothorax and a chest tube to suction
C) A patient with a tracheostomy following throat cancer surgery
D) A patient with respiratory muscle paralysis after spinal cord injury
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Chapter 33: Sleep
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Sample Questions
Q1) Which is the highest priority nursing diagnosis for a patient who is starting CPAP therapy for sleep apnea?
A) Risk for impaired skin integrity related to tight-fitting mask on face
B) Impaired bed mobility related to presence of CPAP mask on face
C) Health-seeking behaviors related to expressed desire for better sleep
D) Risk for powerlessness related to inability to breathe regularly during sleep
Q2) Which assessment is most important to determine if a patient is receiving sufficient sleep?
A) Sleep-wake pattern
B) Frequency of nocturia
C) Hours of sleep each night
D) Whether the patient feels rested
Q3) Why is it important for a postoperative patient to get enough sleep after being discharged from the hospital?
A) Sleep restores biological processes.
B) Sleep stimulates appetite on waking.
C) Sleep causes a mental and physiological calm.
D) Sleep produces dreams that decrease epinephrine.
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Chapter 34: Pain Management
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Sample Questions
Q1) The nurse is caring for a patient who just underwent knee-replacement surgery.The patient complains of pain at the operative site but it is too soon for the nurse to administer the next dose of pain medication.What is the appropriate action of the nurse?
A) Give the next dose of prescribed pain medication early.
B) Contact the surgeon immediately to assess the patient's knee.
C) Caution the patient about the risk of addiction to pain medications.
D) Apply an ice pack to the knee and elevate the patient's knee on pillows.
Q2) Which medication order will provide the most immediate relief of the patient's acute pain?
A) Morphine sulfate 5 mg PO
B) Hydromorphone 0.5 mg IV
C) Buprenorphine transdermal patch 10 mg
D) Oxymorphone 30 mg extended release
Q3) Which assessment question enables the nurse to determine provocative factors of the patient's pain?
A) "What does your pain feel like?"
B) "Does anything make your pain worse?"
C) "Can you show me where the pain is?"
D) "Is the pain constant or does it come and go?"
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Page 36
Chapter 35: Nutrition
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Sample Questions
Q1) The nurse is caring for a pediatric patient with the nursing diagnosis constipation related to side effects of medications.Which menu option will the nurse recommend to the patient?
A) Baked chicken nuggets and canned peaches
B) Pancakes with sausage,butter,and maple syrup
C) Peanut butter and jelly sandwich on white bread
D) Snack mix with dried apricots,raisins,and almonds
Q2) Which is the most appropriate nursing diagnosis for a patient with a BMI of 46?
A) Risk for imbalanced fluid volume related to rapid intravascular fluid shift
B) Risk for imbalanced body temperature related to impaired thermoregulation
C) Risk for compromised human dignity related to loss of control of body functions
D) Imbalanced nutrition: more than body requirements related to chronic overeating
Q3) Which laboratory finding indicates that the patient has not been eating well?
A) Serum albumin level 2.1 g/dL
B) Presence of nitrites in the urine
C) Prothrombin time 11.5 seconds
D) Serum creatinine level 0.8 mg/dL
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Page 37
Chapter 36: Urinary Elimination
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Sample Questions
Q1) The home care nurse is caring for a patient with an indwelling urinary catheter after spinal cord injury.The catheter is patent with clear yellow urine after being in place for 8 weeks.Which is the appropriate action of the nurse?
A) Request an order for a urinalysis with culture and sensitivity.
B) Irrigate the patient's catheter using 60 mL of sterile normal saline.
C) Remove the catheter immediately and notify the health care provider.
D) Contact the health care provider for an order to change the catheter.
Q2) Which is the appropriate method to obtain a urinalysis specimen for culture and sensitivity from an incontinent female patient?
A) Obtain a midstream specimen.
B) Perform straight catheterization.
C) Obtain a double-voided specimen.
D) Leave a fresh bedpan under the patient.
Q3) Which assessment finding leads the nurse to question an order for an abdominal flat plate test?
A) The patient is very claustrophobic.
B) The patient is 8 weeks pregnant.
C) The patient has a history of renal failure.
D) The patient is allergic to iodine and shrimp.
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Page 38
Chapter 37: Bowel Elimination
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Sample Questions
Q1) The nurse is caring for a patient who has just undergone knee-replacement surgery.The patient has incontinent of continuous oozing stool for the last few days.Which is the appropriate action of the nurse?
A) Administer loperamide 8 mg PO BID.
B) Check the patient's rectum for presence of impacted stool.
C) Liberally apply skin barrier cream to prevent perineal irritation.
D) Encourage the patient to drink at least 2 L of fluid each day.
Q2) The nurse is caring for a patient with a new,unexpected sigmoid colostomy.The nursing diagnosis knowledge deficit related to colostomy care is included in the patient's care plan.Which is the appropriate outcome for the patient?
A) The patient will empty and change the colostomy appliance.
B) The patient will resume a sexual relationship with the spouse.
C) The patient will verbalize feelings about presence of colostomy.
D) The patient will use clothing to effectively conceal the colostomy.
Q3) Which patient would benefit from a sitz bath?
A) A patient who has not had a bowel movement for the last 4 days
B) A patient with painful,swollen hemorrhoids after vaginal childbirth
C) A patient with perineal skin breakdown due to continuous oozing of stool
D) A patient who is having difficulty adhering the ostomy appliance to the skin
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Page 39
Chapter 38: Skin Integrity and Wound Care
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Q1) Which outcomes are appropriate for the patient with the nursing diagnosis risk for impaired skin integrity related to immobility and muscle weakness?
A) The patient's skin will remain intact without redness or ulceration.
B) The nurse will assess the patient's skin daily for any sign of breakdown.
C) The patient will verbalize at least two methods to prevent skin breakdown.
D) The patient's wounds will be kept clean and will not develop signs of infection.
E) The nurse will reposition the patient every 2 hours and pad bony prominences.
Q2) The patient has a deep decubitus ulcer on the heel that is covered in thick necrotic tissue.Which term will the nurse use to describe the ulcer in the patient's medical record?
A) Fluctuant
B) Indurated
C) Macerated
D) Unstageable
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Chapter 39: Sensory Alterations
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Sample Questions
Q1) The nurse is caring for a patient with the nursing diagnosis of disturbed sensory perception related to loud,bright hospital environment.Which is the priority intervention for the patient's care plan?
A) Maintain eye contact with the patient and avoid chewing gum.
B) Ask the patient to repeat information back to ensure understanding.
C) Repeatedly orient the patient to time,place,and the hospital room surroundings.
D) Shut the patient's door and avoid turning on the bright overhead lights in the room.
Q2) Which term will the nurse use to document the patient's age-related hearing loss?
A) Tinnitus
B) Meniere's disease
C) Presbycusis
D) Presbyopia
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Chapter 40: Surgical Patient
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Sample Questions
Q1) Four hours after major abdominal surgery,the nurse notes that the patient does not have any bowel sounds.What is the appropriate action of the nurse?
A) Notify the surgeon immediately and prepare the patient for emergency surgery.
B) Keep the patient NPO and document the finding in the patient's medical record.
C) Allow the patient to have clear liquids as tolerated to help bowel function return.
D) Provide meticulous oral care and allow the patient to have ice chips for dry mouth.
Q2) Which is the most appropriate outcome for the postoperative patient with the nursing diagnosis ineffective breathing pattern related to side effects of pain medication?
A) The patient will correctly demonstrate how to use pursed-lip breathing.
B) The patient will report the ability to breathe comfortably without anxiety.
C) The patient's pulse oximetry will stay greater than 94% with at least 12 breaths/minute.
D) The patient will rest comfortably and rate pain no higher than 4 on 0-to-10 scale.
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