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Basics of Professional Nursing introduces students to the foundational principles and practices essential to the nursing profession. The course covers the history and evolution of nursing, the roles and responsibilities of professional nurses, and core concepts such as patient-centered care, communication, ethics, and cultural competence. Students learn about healthcare systems, interdisciplinary teamwork, infection control, and the nursing process, including assessment, planning, implementation, and evaluation of patient care. Emphasis is placed on developing critical thinking, clinical judgment, and professional values, preparing students for safe and effective practice in a variety of healthcare settings.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Berman
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42 Chapters
1234 Verified Questions
1234 Flashcards
Source URL: https://quizplus.com/study-set/3913 Page 2
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77919
Q1) A client has been admitted for acute dehydration,secondary to nausea and diarrhea.When is the best time for the nurse to conduct this client's interview?
A)As soon as the client gets to the floor
B)After the client has settled in and been oriented to the room
C)When the family is available to help
D)After the client has been medicated
Q2) The nurse documents: "Client avoids eye contact and gives only vague,nonspecific answers to direct questioning by the professional staff.Is quite animated (laughs aloud,smiles,uses hand gestures)in conversation with spouse." Which method of data collection does this documentation demonstrate?
A)Examining
B)Interviewing
C)Listening
D)Observing
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3

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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/77918
Sample Questions
Q1) The nurse has completed the initial assessment of a client and has analyzed and clustered the data.What should the nurse complete next in the diagnostic process?
A)Formulate a diagnosis.
B)Verify the data.
C)Research collaborative and nursing-related interventions.
D)Identify the client's problem,health risks,and strengths.
Q2) The graduate nurse is struggling with identifying cues from clustered data.What should the nurse use to recognize data patterns and cues?
A)Depend on knowledge gained from peers' experiences.
B)Work with seasoned and experienced nurses and learn from them.
C)Take assessment notes and utilize information from textbooks for comparison.
D)Know that this will take time,and experience is the best teacher.
Q3) 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
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4

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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/77917
Q1) The nursing staff is reviewing standards of care,standardized care plans,protocols,policies,and procedures for a multi-system health care facility.Why are these documents important to the nursing staff when providing client care?
Standard Text: Select all that apply.
A)To make sure all clients have the same type of care
B)To ensure that minimally accepted standards of care are met
C)To promote efficient use of the nurse's time
D)To eliminate care disparities among clients
E)To minimize health care costs
Q2) The nurse identifies the diagnosis Risk for aspiration,related to neuromuscular dysfunction for a client who experienced a cerebrovascular accident.Which intervention should the nurse identify as including a rationale?
A)Have suction equipment available at all times.
B)Clear secretions from oral/nasal passageways as needed.
C)Keep client in low-Fowler's position to prevent reflux.
D)Provide frequent assessment for presence of obstructive material in mouth and throat.
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29 Verified Questions
29 Flashcards
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Q1) During teaching,the nurse makes sure the client understands how to activate the safety mechanism on the syringe to prevent needlestick injuries when self-administering insulin.Which guideline of implementing interventions is the nurse using?
A)Adapt activities to the individual client.
B)Encourage clients to participate actively in implementing nursing interventions.
C)Base nursing interventions on scientific knowledge,research,and standards of care.
D)Implement safe care.
Q2) The nurse is reviewing the difference between evaluation and assessment with a new graduate nurse.What should the nurse emphasize as the major difference between these two steps in the nursing process?
A)Assessment is done at the beginning of the process.
B)Evaluation is completed at the end of the process.
C)They are the same and there is no need to differentiate.
D)The difference is in how the data are used.
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/77915
Sample Questions
Q1) When responding to a call light,the nurse finds a client lying on the floor,with the bed linens around the legs.Which chart entry should the nurse document for this finding?
A)Client fell out of bed,but did push the call button for assistance.
B)Client became tangled in the bed linens,then called for assistance after falling out of bed.
C)Recorder responded to client's call light,upon entering the room,found client on floor.
D)Client found on floor,appeared to have fallen out of bed as a result of getting tangled in bed linens.
Q2) A client has specific cultural needs that affect the plan of care.In which part of the client's problem-oriented medical record should the nurse document this information?
A)Database
B)Problem list
C)Plan of care
D)Progress notes
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77914
Sample Questions
Q1) The nurse is preparing information packets for incoming college students regarding sexually transmitted disease,drug and alcohol abuse,and the use of stimulants among this age group.In this situation,the nurse has assumed which role?
A)Facilitator
B)Advocate
C)Teacher
D)Coordinator of services
Q2) The nurse is structuring activities that take a client's developmental stage into consideration.Which activities should the nurse include?
Standard Text: Select all that apply.
A)Implementing seizure precautions
B)Creating a schedule for daily wound care
C)Monitoring intake,output,and daily weights
D)Preparing newborn care classes for new parents
E)Scheduling instruction sessions on self-administration of insulin
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8
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/77913
Sample Questions
Q1) A nurse is working in a rehabilitation center with a client who had a serious injury.Part of the client's care plan includes working on coping with her current limitations since the injury.This nurse is working within which model of health?
A)Role performance
B)Adaptive
C)Eudemonistic
D)Clinical
Q2) The nurse case manager is concerned about a particular client being discharged from the hospital.Which factors should alert the nurse to possible problems with this client's adherence to treatment?
A)The prescribed therapy is costly and of unknown duration.
B)The therapy will require no lifestyle changes of the client.
C)The client has not had difficulty understanding the regimen.
D)The client's culture is supportive of Western medicine.
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9
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/77912
Sample Questions
Q1) A newly immigrated client is constantly attended to by family members.This has presented a problem to the nursing staff and the delivery of nursing care.In order to address this issue in a culturally sensitive manner,the nurse should take which action?
A)Explain to the client that he has to limit visitors.
B)Evaluate the benefits of family participation in the client's care.
C)Question the family members as to how they see their interaction with the client.
D)Have the physician limit the number of visitors the client can have.
Q2) The community health nurse is using the Heritage Assessment Interview tool with a group of community members.Which data indicate heritage consistent?
Standard Text: Select all that apply.
A)A client frequently visits the "old country neighborhood" he grew up in.
B)A client is raised by a single parent.
C)The client's education occurred at a religious school.
D)The client participates in religious festivals and cultural events.
E)The client has been the first of his family to earn a college degree.
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77911
Sample Questions
Q1) A client comes to the clinic with a chief complaint of feeling "dirty inside" and asks the nurse how colonics would work to improve the client's overall well-being.What should the nurse respond to this client?
A)"Colonics is a dangerous and not useful technique that no one should try."
B)"There is much controversy about colonics.What do you know about it?"
C)"This is a good way to get rid of toxins in your system."
D)"You'd better ask your doctor about this."
Q2) A client has been diagnosed with post-traumatic stress syndrome and has difficulty sleeping because of recurrent nightmares.In working with this client to overcome the problem,what should the nurse implement as part of therapy?
A)Guided imagery
B)Hypnotherapy
C)Yoga
D)Meditation
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/77910
Sample Questions
Q1) A college-age client shares that he is struggling with feelings of both independence and dependence regarding his family.The nurse recognizes this as which stage of development,according to Roger Gould?
A)Stage 2
B)Stage 3
C)Stage 4
D)Stage 5
Q2) A parent reports to the nurse that his child is learning new words faster than he can write them in the baby book.According to Piaget,the nurse realizes that this child is in which phase?
A)Intuitive thought phase
B)Preconceptual phase
C)Concrete operations phase
D)Formal operations phase
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25 Verified Questions
25 Flashcards
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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 is completing a health history with a client who is 10 weeks pregnant.Which factor should the nurse identify as increasing this client's risk for a spontaneous abortion?
A)Having taken a medication that is a known teratogen
B)Smoking
C)Having low levels of folic acid
D)Genetic history
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/77908
Q1) The nurse is completing a spiritual assessment with a middle-aged client.What should the nurse recognize as expected characteristics of moral development in this client?
Standard Text: Select all that apply.
A)Uses religion for comfort
B)Seeks religious explanations for death
C)Compares characteristics of various religions
D)Questions the purpose of religion in one's life
E)Relies upon spiritual beliefs to help with illness
Q2) A nurse is working in a community of factory workers and is planning an educational session for wellness,targeting the young adult group.In order to address one of the health problems of this group,the nurse plans to:
A)help the group become more aware of marketing efforts by tobacco companies. AU: pls check--if this is correct answer,s/b "help the group become more aware of"?
B)tell this group that smoking is unacceptable.
C)make sure the group is aware of the increased risk of liver disease and cancer of the esophagus.
D)counsel the group regarding addiction.
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/77907
Sample Questions
Q1) The elderly client comes to the clinic reporting gastrointestinal problems,including frequent constipation and indigestion,but denies any recent weight loss.The nurse initially recognizes that these symptoms
A)indicate a concern and could be caused by cancer.
B)indicate the need for an upper and lower GI x-ray series.
C)could be related to normal changes in muscle tone and activity.
D)are probably indicative of a gastric ulcer or colitis.
Q2) A group of older clients is interested in living options available in the community when they may need some assistance with their daily needs.What should the nurse suggest as possibilities to meet these needs?
A)Adult foster care
B)Group homes
C)Retirement villages
D)Long-term care facilities
E)Adult day-care centers
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15

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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/77906
Sample Questions
Q1) A nurse is conducting a family assessment and is focusing,for the moment,on the family members' communication patterns.Which observation indicates that there are existing or potential problems with family communication?
A)All members are participating in the discussion equally,some quite vocally.
B)The verbal communication is congruent with the nonverbal messages.
C)A few of the members just sit and listen.
D)Disagreements are not addressed among members;rather,they are ignored by the person who does the most talking.
Q2) The nurse is planning to complete a family assessment.For which reasons is the nurse completing this assessment?
Standard Text: Select all that apply.
A)Determine the level of family functioning.
B)Identify family strengths and weaknesses.
C)Provide legal guidelines for consent to health care.
D)Clarify family interaction patterns.
E)Describe the health status of individual members.
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77905
Q1) 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.
Q2) A nursing student was involved in a very difficult situation with a client,the client's family,and a physician.The student felt like she was caught in the middle and wasn't sure how to respond to some of the questions that were being asked about care,treatment,and scheduling.Instead of getting her instructor,the student fielded these questions as best she could.In order to help the student work through this situation,the nursing instructor might advise the student to try which action?
A)Meditation
B)Guided imagery
C)Reflection
D)Music therapy
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17

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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/77904
Q1) The nurse is conducting an admission interview.Which response indicates that the nurse is attentively listening to the client's explanations?
A)"Can you explain what your symptoms are like?"
B)"When was the last time you saw a doctor for this?"
C)"Uh-huh," while nodding the head
D)"I'm sorry,say that again?"
Q2) A client has just lost her second baby to preterm complications.Which statement demonstrates the best therapeutic response for the nurse to make?
A)"Don't be so sad.You can always try again."
B)"Didn't your doctor advise you about genetic counseling?"
C)"I know how you feel.I have children of my own."
D)"I am so sad for you.I'll stay with you for a while if you need to talk."
Q3) A nurse enters a client's room and asks about his level of pain.The client,grimacing,says "It's fine." Which communication factor is the client struggling with?
A)Territoriality
B)Environment
C)Congruence
D)Attitude
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18

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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/77903
Sample Questions
Q1) The nurse is instructing a client on self-administration of insulin.Which statement regarding feedback will be most beneficial to the client?
A)"You know,there are children who can learn to do this."
B)"Maybe it would be better if we taught your spouse to help you with this."
C)"Next time,dart the needle in your skin,instead of pushing it in."
D)"If you don't learn this,you can't be discharged."
Q2) A client who is legally blind requires vitamin B<sub>12</sub> injections every 2 weeks and insists on self-administration.What is the best way for the nurse to assist this client?
A)Teach the spouse to draw up the medication,then the client can give the injection.
B)Make sure that the injection is scheduled during a visit,so the nurse can supervise.
C)Prefill syringes with the correct dose,so the client can use them for self-administration.
D)Schedule the client's clinic appointments in accordance with the dosing schedule,then give the injection when the client is at the clinic.
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/77902
Sample Questions
Q1) A nurse manager has the reputation of being an autocratic leader.Which of the following statements by this manager would support that reputation?
A)"I'd like to hear from you (addressing the staff)what your ideas are for promoting better morale in this unit."
B)"I'm putting a suggestion box in the break room if anyone has ideas that would be helpful to the unit."
C)"The new work schedule is posted for the next 6 weeks."
D)"I put the new procedure manual out.Please add your comments to the blank sheet of paper attached to the front."
Q2) The nurse manager is implementing risk management for a client-care issue.In what order will the manager implement risk management?
Standard Text: Click and drag the options below to move them up or down.
A)Analyzing,classifying,and prioritizing risks
B)Evaluating and modifying risk reduction programs
C)Anticipating and seeking sources of risk
D)Developing a plan to avoid and manage risk
E)Gathering data that indicate success at avoiding or minimizing risk
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/77901
Sample Questions
Q1) The nurse is assessing a client's blood pressure.What should the nurse hear during phase 2 of Korotkoff's sounds?
A)A muffled,whooshing,or swishing sound
B)Disappearance of sound
C)Faint,clear tapping sound
D)Increased intensity of sound
Q2) When assessing a client's respirations,the nurse realizes that the respiratory centers and chemoreceptors respond to changes in which factors?
Standard Text: Select all that apply.
A)Oxygen concentration
B)Carbon dioxide concentration
C)Hydrogen ions
D)Potassium level
E)Serum calcium level
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21

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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/77900
Sample Questions
Q1) The nurse is preparing to assess a client's reflexes.What equipment should the nurse gather before entering the room?
A)Sterile gloves
B)Clean gloves
C)Percussion hammer
D)Penlight
Q2) The nurse is preparing to assess a client with the Glasgow Coma Scale.Which areas is the nurse assessing in this patient?
Standard Text: Select all that apply.
A)Eye response
B)Motor response
C)Verbal response
D)Orientation
E)Musculoskeletal response
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/77899
Sample Questions
Q1) The nurse is concerned that a break occurred in a sterile field.Which action occurred that caused this break?
A)Grasping the edge of the outermost flap and opening it away from oneself
B)Keeping objects on the field 1 inch from the edge
C)Keeping the sterile field in eyesight
D)Transferring a sterile object to a sterile field with a clean gloved hand
Q2) The nurse is using medical asepsis when providing client care.Which action did the nurse demonstrate?
A)Administering parenteral medications
B)Changing a dressing
C)Performing a urinary catheterization
D)Using personal protective equipment
Q3) The nurse is planning care for a client.Which intervention would be appropriate to reduce the risk of infection?
A)Assess vital signs only once daily.
B)Raise the temperature in the client's room.
C)Wash hands.
D)Wear a mask for all client care.
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/77898
Q1) The nurse is identifying care goals for a client who is prone to getting hurt.Which care goal should the nurse select for this client?
A)Assess the client's mental status.
B)Keep the client dependent on the staff for all care.
C)Make all choices for the client.
D)Remain free from injury.
Q2) The nurse is evaluating teaching provided to a client about home safety.Which observation indicates that teaching has been effective?
A)Smoke alarm functioning with new batteries installed
B)Scatter rugs located in the kitchen and bathroom only
C)Cord for a space heater stretched across a hallway
D)Light bulbs burned out in the bathroom and living room
Q3) As a member of the safety committee,the nurse's task is to identify actions to prevent falls within the organization.Which intervention should the nurse emphasize as important to prevent falls?
A)Display the phone number to the nurses' station.
B)Keep electrical cords under the bed.
C)Keep the environment tidy.
D)Read label directions.
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77897
Sample Questions
Q1) A client is prescribed bed rest with bathroom privileges.Which types of bath would be appropriate for this client?
Standard Text: Select all that apply.
A)Shower
B)Tub bath
C)Self-help bed bath
D)Therapeutic bath
E)Partial bath
Q2) A client has the nursing diagnosis Risk for Impaired Skin Integrity related to immobility.Which nursing intervention should be identified for this client's problem?
A)Encourage the client to eat at least 40% of meals.
B)Keep linens dry and wrinkle-free.
C)Restrict fluid intake.
D)Turn client every 3 hours.
Q3) A client's hearing aid needs to be removed.What action should the nurse perform?
A)Assist the client with removal when necessary.
B)Instruct the client to remove the aid in the sunroom.
C)Leave the aid in place when bathing.
D)Send the aid home with the family.
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/77896
Sample Questions
Q1) Unlicensed assistive personnel (UAP)will be conducting a test on a client's urine.What should the nurse instruct the UAP about the test?
Standard Text: Select all that apply.
A)Nothing,because the UAP can perform urine testing.
B)Remind the UAP to tell the client the results of the test.
C)Notify the physician with the results of the test.
D)Report the results of the test to the nurse.
E)Save the urine,in case the nurse wants to repeat the test.
Q2) The nurse is preparing to collect a throat culture from a client.What client response indicates to the nurse that teaching about this test has not been effective?
A)"I need to hyperextend my neck."
B)"I need to say 'ah.'"
C)"I will need to sit up."
D)"The nurse will use a light."
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/77895
Sample Questions
Q1) The nurse identifies that the ordered dose for a medication is twice the amount generally administered.What action should the nurse take?
A)Administer the medication as it was ordered.
B)Check to see if previous shift nurses gave the medication.
C)Collaborate with the prescriber about the order.
D)Administer only the standard dose of the medication.
Q2) While reviewing a medication order,the nurse determines that it is written using the metric system.What did the nurse observe to come to this conclusion about the medication order?
Standard Text: Select all that apply.
A)Number of ounces
B)Number of drams of the solution
C)Number of milligrams of the medication
D)Number of grains of the medication
E)Number of milliliters of the solution
Q3) A client weighing 220 lbs.is prescribed to receive 25 mg/kg of a medication,divided over 4 equal doses.How many mg of the medication should the nurse provide for each dose?
Standard Text: Round to the nearest whole number.
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77894
Sample Questions
Q1) After completing a scheduled every-2-hour turn by turning the client to the left side,the nurse notices a reddened area over the coccyx.The area blanches when the nurse compresses it with thumb pressure.One hour later,the nurse reassesses the area and finds the redness has disappeared.How should the nurse document this area?
A)Reactive hyperemia
B)Stage I pressure ulcer
C)Stage II pressure ulcer
D)Stage III pressure ulcer
Q2) While changing a client's dressing,the nurse notes thick yellow-green drainage on the gauze.How should the nurse document this wound's drainage?
A)Purulent
B)Serous
C)Sanguineous
D)Serosanguinous
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Source URL: https://quizplus.com/quiz/77893
Sample Questions
Q1) The nurse is planning care for a client during the postoperative period.What should the nurse identify as the goal of care for this client?
A)Provide necessary preoperative teaching.
B)Assist the client to achieve the most optimal health status possible.
C)Ensure client safety.
D)Maintain an aseptic environment.
Q2) The nurse has removed the sutures from a client's surgical wound.What should the nurse document about this procedure?
Standard Text: Select all that apply.
A)Number of sutures removed
B)Appearance of the incision
C)Client teaching
D)Client tolerance of the procedure
E)Name of the surgeon.
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/77892
Sample Questions
Q1) A client is experiencing acute confusion.What nursing actions would be appropriate for this client?
Standard Text: 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 nurse is concerned that a hospitalized client is experiencing sensory overload.What did the nurse assess to come to this conclusion?
Standard Text: Select all that apply.
A)Sleeplessness
B)Anxiety
C)Apathy
D)Racing thoughts
E)Somatic complaints
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Sample Questions
Q1) The nurse is planning to assess a client's family relationships.What questions should the nurse ask to obtain this information?
Standard Text: Select all that apply.
A)"How do you spend your free time?"
B)"What is your home like?"
C)"Who is most important to you?"
D)"How well do you feel you accomplish what is expected of you?"
E)"Whom do you seek out for help?"
Q2) Which statement made by a new mother would indicate to the nurse that there is potential for lowered self-esteem due to role ambiguity?
A)"I don't know if I know how to be a mom."
B)"My husband will be a stay-at-home dad while I work."
C)"I'm so disappointed that this baby is not a girl."
D)"I haven't even finished the baby's room."
Q3) Which statement,made by the client,would indicate a "me-centered" self-concept?
A)"I couldn't stand to disappoint my parents."
B)"My sister is so much smarter than I am."
C)"My future is based on the decisions I make today."
D)"The world has always been against people like me."
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37 Flashcards
Source URL: https://quizplus.com/quiz/77890
Sample Questions
Q1) The nurse is preparing to assess a client's sexual health.What will the nurse include in this assessment?
Standard Text: Select all that apply.
A)Sexual self-concept
B)Body image
C)Gender identity
D)Contraceptive choices
E)Employment
Q2) The mother of a 5-year-old tells the nurse that her daughter has always been closer to her than to her husband.The mother expresses concern that,over the last 2 months,the little girl wants to spend all of her time with her father instead of with the mother.The nurse recognizes that this behavior
A)may indicate sexual abuse by the father and should be further investigated.
B)is a normal expectation of a preschooler developing sexuality.
C)indicates that the girl is overidentifying with the male gender.
D)can be a sign of precocious puberty and should be monitored.
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Q1) During assessment,the client tells the nurse,"I don't believe that the existence of God has been proven.I don't see the scientific evidence I need to be certain." How should the nurse document this finding?
A)The client demonstrates polytheism.
B)The client is an atheist.
C)The client has beliefs that support monotheism.
D)The client is agnostic.
Q2) The nurse and client have spent several minutes praying together that the client's upcoming surgery will be successful.What action should the nurse take at this point?
A)Gently tell the client that the nurse must take care of other duties.
B)Smile and pat the client and silently leave the room.
C)Stay with the client until the emotion evoked by the prayer dissipates.
D)Ask the client if there is anything else the nurse can do.
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Q1) After hearing the diagnosis of cancer,a client becomes withdrawn and refuses to talk with friends or family.The nurse realizes this client is demonstrating which type of reaction to stress?
A)Stimulus
B)Response
C)Combination
D)Transaction
Q2) A client newly diagnosed with colon cancer finishes dinner and turns on the nightly news.The nurse suspects the client is experiencing which cognitive indicator of stress?
A)Problem solving
B)Self-control
C)Structuring
D)Daydreaming.
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Q1) When observing an older client's response upon learning of the death of a close family friend,the nurse realizes that the significance of the loss to the client is dependent upon which factors
Standard Text: Select all that apply.
A)Importance of the person to the client
B)Amount of changes that will occur because of the loss
C)The client's beliefs
D)The client's values
E)The client's socioeconomic status
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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Q1) 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.
Q2) 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.
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Q1) The client has been prescribed zolpidem (Ambien)for the short-term management of insomnia.What information should the nurse include when teaching the client about this medication?
A)For best results,take the medication just prior to bedtime.
B)Take the medication at dinnertime to avoid gastric upset.
C)Do not take the medication with any liquid that contains calcium.
D)Drink an entire glass of water with the dose to avoid kidney stones.
Q2) A client tells the nurse about having problems falling and staying asleep.What should the nurse ask the client to gain more information about this client problem?
Standard Text: Select all that apply.
A)"How often does this happen?"
B)"How much coffee do you drink each day?"
C)"How do you feel when you wake up in the morning?"
D)"When do you eat your evening meal?"
E)"What have you done to deal with this sleeping problem?"
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Q1) The nurse has completed a back massage for a client.What should the nurse document about this procedure?
Standard Text: Select all that apply.
A)Effectiveness of pain medication using a rating scale from 0 to 10
B)Position to perform the massage
C)Content of communication that occurred during the back massage
D)Amount of lotion used during the back massage
E)Client response
Q2) The nurse is preparing to instruct a client on nonpharmacologic interventions that target the body for pain control.What should the nurse include in these instructions?
Standard Text: Select all that apply.
A)Massage
B)Acupressure
C)Self-hypnosis
D)Exercise
E)Nutritional supplements
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Q1) The nurse has delegated administration of tube feeding to a specially trained UAP.What action should be taken by the nurse in regard to this delegation?
A)Order the equipment to give the feeding.
B)Check the tube for placement.
C)Set up the equipment and mix the feeding.
D)Regulate the rate of the feeding.
Q2) The nurse completes triceps skinfold measurement on a client.In order to obtain the most meaningful data,how soon should the nurse repeat this measurement?
A)2 days
B)10 days to 2 weeks
C)1 month
D)1 year
Q3) What criteria should the nurse use to evaluate to determine if an infant's regurgitation,or spitting up,should be further investigated?
A)How often the baby spits up
B)How much the baby spits up at a time
C)If the baby is gaining weight adequately
D)The consistency of the regurgitated matter
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Q1) The nurse is concerned that an older client with a retention catheter is developing a urinary tract infection.What assessment finding caused this concern?
A)Elevated blood pressure
B)Elevated heart rate
C)Confusion
D)Leg pain
Q2) The nurse is instructing a client on ways to manage stress urinary incontinence.What should be included in this client's teaching?
Standard Text: Select all that apply.
A)Limit intake of caffeine.
B)Limit intake of alcohol.
C)Increase intake of citrus juices.
D)Limit evening fluid intake.
E)Increase intake of beverages with artificial sweeteners.
Q3) A client with an indwelling urinary catheter is prescribed to receive sterile normal saline bladder irrigation at 100 mL/hr.After an 8-hour shift the nurse measures the client's output as being 1425 mL.What is the client's urine output for the 8-hour shift?
Standard Text: Calculate to the nearest whole number.
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Q1) After eating dinner,a client asks for help to get to the bathroom because of an extreme urge to defecate.The nurse realizes that the client has experienced which physiological function of the colon?
A)Flatus
B)Mass peristalsis
C)Haustral churning
D)Peristalsis
Q2) The nurse suspects that a client is experiencing compromised gastrointestinal function.What assessment data did the nurse use to make this clinical decision?
A)Bowel sounds active in all four quadrants
B)Clay-colored stool
C)Increased appetite
D)Semisolid and moist stool
Q3) A client has a bowel movement of hard,dry,but formed stool.The nurse associates these characteristics with
A)bowel incontinence.
B)constipation.
C)diarrhea.
D)fecal impaction.
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Q1) When planning care,for which client should the nurse include close observation for a decreased or absent cough reflex?
A)The client with a nasal fracture
B)The client with impairment of vagus nerve conduction
C)The client with a sinus infection
D)The client with reduction in respiratory membrane conduction
Q2) The nurse is performing nasotracheal suctioning of a client.What should the nurse do when suctioning this client?
A)Apply suction for 5-10 seconds.
B)Plan to suction for 10 minutes.
C)Apply suction while inserting the catheter.
D)Apply suction for 20-30 seconds.
Q3) The client complains of difficulty breathing.Which assessment findings should the nurse associate with that complaint?
A)Use of accessory muscles
B)Increased respiratory depth
C)Increased respiratory rate
D)Decreased respiratory depth
E)Decreased respiratory rate
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Q1) The client is admitted with a possible deep vein thrombosis.Nursing interventions should be designed to prevent which complication?
A)Myocardial infarction
B)Renal failure
C)Pulmonary embolism
D)Pneumonia
Q2) The nurse assessing a 1-day-old infant discovers the heart rate is 140 and irregular.What action should the nurse take?
A)Immediately contact the infant's physician.
B)Prepare to resuscitate the infant.
C)Note this normal finding in the infant's medical record.
D)Stimulate the infant gently.
Q3) The nurse is collecting equipment to assess a client's ankle/brachial index (ABI).What equipment should be taken to the client's bedside?
A)Blood pressure cuff and a Doppler ultrasound device
B)None,as no special equipment is needed
C)Stethoscope and penlight
D)Reflex hammer and tuning fork
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Q1) 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.
Q2) A client tells the nurse about rarely feeling thirsty.The nurse realizes that further assessment is needed to evaluate
Standard Text: Select all that apply.
A)status of osmotic pressure.
B)vascular volume.
C)presence of angiotensin.
D)urine output.
E)body weight.
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