Beginning Clinical Nursing Question Bank
Course Introduction
Beginning Clinical Nursing introduces students to the foundational concepts and skills necessary for the practice of nursing within clinical settings. The course emphasizes the development of basic competencies in patient care, including health assessment, infection control, vital signs monitoring, communication, and documentation. Students will engage in both theoretical learning and hands-on practice in simulated and real clinical environments, fostering critical thinking, ethical decision-making, and professional conduct. By the end of the course, learners will be prepared to provide safe and effective care under the guidance of registered nurses and contribute as active members of the healthcare team.
Recommended Textbook
Foundations of Nursing 3rd Edition by Lois White
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61 Chapters
2346 Verified Questions
2346 Flashcards
Source URL: https://quizplus.com/study-set/2241
Page 2
Chapter 1: Student Nurse Skills for Success
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/44533
Sample Questions
Q1) To achieve success in an academic program and in life,a nursing student must develop competence in basic skills such as reading,arithmetic and mathematics,writing,and speaking.For the student nurse to understand and process information,which additional skill is required?
A)studying
B)listening
C)memorizing
D)drawing
Answer: B
Q2) Which factor should be examined FIRST when the LP/VN is establishing priorities of care for a client?
A)To whom can certain tasks be assigned?
B)Has the client previously been assigned to be cared for by unlicensed assistive personnel?
C)What is the client's current health care status?
D)Has the client been hospitalized before?
Answer: C
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Chapter 2: Holistic Care
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) In caring for a client who has chosen not to pursue aggressive therapy for a serious health problem,the nurse feels angry at the client for not doing more to improve or prolong life.What is this realization called?
A)self-actualization
B)self-awareness
C)self-concept
D)self-esteem
Answer: B
Q2) One of the most important roles of the nurse is provide nursing of the person as a whole.This is accomplished by assisting clients to:
A)view themselves and their health care as more than physical health
B)focus on overcoming poor health habits such as overeating
C)recognize their limitations in self-care
D)practice moderation in use of alcohol
Answer: A
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Chapter 3: Nursing History, Education, and Organizations
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) As the graduate nurse embarks on a career in the art and science of nursing,it is important to remember the MAIN function of nursing is to:
A)focus on scientific developments in care that advances the profession
B)assist people in learning self-care or provide direct care when client self-care is not possible
C)use critical thinking in combination with current technology to provide client care
D)concentrate on prevention of illness and promotion of wellness
Answer: B
Q2) The first recorded school of nursing was organized to educate deaconesses to care for the sick.It was established in 1836 in Kaiserwerth,Germany,by:
A)Pastor Fliedner
B)Father Moreau
C)Florence Nightingale
D)Dorothea Dix
Answer: A
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Chapter 4: Legal and Ethical Responsibilities
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) A client undergoing renal dialysis is on a transplant list awaiting a suitable donor.Since donors are scarce and transplant candidates are selected according to greatest need and greatest possibility of successful transplant,you realize the client may undergo dialysis for many months or even years.Which ethical principle does this situation represent?
A)beneficence
B)justice
C)material principle of justice
D)nonmaleficence
Q2) Which of these terms describes the specific application of a philosophic concept concerning determination of right from wrong based on a body of knowledge about health care rather than on the basis of opinions?
A)bioethics
B)ethics
C)material principle of justice
D)values
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Chapter 5: The Health Care Delivery System
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) When a client is ill,the health care provider whom a client sees first is considered to be:
A)a general practitioner
B)an exclusive provider
C)a preferred provider
D)a primary care provider
Q2) Populations that can create significant financial burdens on hospital emergency departments include those living at or below poverty level and:
A)illegal aliens
B)the homeless
C)individuals who are HIV-positive
D)children
Q3) Among the factors that influence health care are such things as cost,access,and:
A)management
B)location of services
C)number of persons served
D)number of local and state governmental services
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Page 7
Chapter 6: Arenas of Care
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Criteria for admission to a rehabilitation program usually requires that the client be medically stable and able to:
A)pay for the services
B)learn
C)sit supported for 4 hours a day
D)have bowel and bladder control
Q2) Long-term care facilities provide services to individuals who are not acutely ill and:
A)have no one to care for them
B)cannot function independently at home
C)have intermittent health care needs
D)have at least two or more chronic illnesses
Q3) The following processes assure the health care consumer that a facility or agency meets minimal standards of care.Which process indicates additional confirmation of quality and higher-than-minimum standards in the delivery of care?
A)accreditation
B)approval
C)certification
D)licensure
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Chapter 7: Communication
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) Effective communication skills are essential for the nurse in any health care setting because these skills:
A)are used by clients to judge a nurse's intelligence
B)affect the client's perception and evaluation of services provided
C)can negatively influence a client's well-being
D)help the nurse build self-confidence and self-esteem
Q2) With which of the following clients is it important to continue verbal communication,even though they cannot respond?
A)clients with dysphasia
B)non-English-speaking clients
C)clients who are terminally ill
D)clients who are visually impaired
Q3) In providing care to the client with dysphasia,which of these actions should the nurse take?
A)Continue to provide explanations before doing anything.
B)Encourage a family member to stay with the client as often as possible.
C)Plan care around rehabilitation activities to improve speech.
D)Speak only when absolutely necessary,to avoid confusion for the client.
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Chapter 8: Client Teaching
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31 Verified Questions
31 Flashcards
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Sample
Questions
Q1) The nurse is caring for a client and has provided client education on new medications prior to discharge.The nurse is aware that a final professional responsibility related to client teaching is documentation.What will the nurse ensure is included in the client's documentation?
A)client's education level
B)client's participation in the process
C)content and teaching method used
D)number of family members present during teaching sessions
Q2) When caring for a client,the nurse must use techniques that promote client learning.The nurse is aware that in order for this to occur,which of the following must be used?
A)educational principles
B)learning domains
C)teaching strategies
D)teaching styles
Q3) Which of these phrases BEST describes learning?
A)absorbing facts and concepts
B)sharing information with others
C)behavior change resulting from assimilation of information
D)acquisition of knowledge
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Chapter 9: Nursing Processdocumentationinformatics
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64 Verified Questions
64 Flashcards
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Sample Questions
Q1) Which step of the nursing process involves determination of how successfully the client goals have been met?
A)assessment
B)evaluation
C)implementation
D)planning
Q2) The nurse is gathering data about the client through physical examination and observation.This is an example of:
A)comprehensive data
B)thorough data
C)objective data
D)subjective data
Q3) When a nurse puts data together in a new way,the process is called:
A)analysis
B)assessment
C)evaluation
D)synthesis
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11
Chapter 10: Life Span Development
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) Which of these statements about Kohlberg's six stages of moral development is TRUE?
A)Each state builds upon the previous stage and forms the foundation for the next one.
B)Moral development develops before cognitive development.
C)Moral development in the years from age 9 to 13 focuses on avoiding punishment.
D)By age 50,most persons have achieved their highest level of moral development.
Q2) Which one of the two intrapersonal theorists developed a theory of personality development that emphasizes sexuality as the underlying motivation for behavior?
A)Freud
B)Havighurst
C)Erikson
D)Sullivan
Q3) The MOST important physiologic task of the neonate is to:
A)achieve equilibrium through stabilization of body systems
B)adjust to parental figures
C)learn to cry
D)develop new reflexes
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Chapter 11: Cultural Considerations
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) When a nurse is unsure if the client has understood a teaching or message,which of these actions should be taken?
A)Ask the client if the message is understood.
B)Ask the client to repeat or demonstrate the process.
C)Document the teaching session.
D)Reteach the concept.
Q2) Many nurses fail to provide spiritual care to their clients for which of the following reasons?
A)The client does not request assistance in this area.
B)Their facility prohibits involvement in a client's personal life.
C)Their personal spiritual views differ from the client's.
D)Spiritual needs are viewed as a family or clergy responsibility.
Q3) Which of these cultural groups tends to be more future oriented,viewing time as a commodity for achieving future goals?
A)African Americans
B)Jews
C)Asians
D)Native Americans
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13
Chapter 12: Stress, Adaptation, and Anxiety
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) When the nurse intentionally creates and implements changes to assist the client,the nurse is acting in which role?
A)leader
B)instigator
C)change agent
D)stress manager
Q2) When faced with the sudden loss of a partner,a client appears to be in an acute state of disorganization and is unable to function in activities of daily living.This client is experiencing:
A)anxiety
B)crisis
C)distress
D)eustress
Q3) The body is exposed to stressors and attempts to maintain balance or equilibrium among all of the needs of the body.This is BEST described as:
A)homeostasis
B)catharsis
C)general adaptation syndrome
D)adaptation
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Chapter 14: Wellness Concepts
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of the following tests should be done with every physical exam?
A)blood sugar,testicular exam,rectal exam of the prostate,and electrocardiogram
B)blood sugar,cholesterol,complete blood count,electrocardiogram (EKG),stool for blood,and urinalysis
C)cholesterol,complete blood count,and Papanicolaou smear
D)complete blood count,breast exam,and EKG
Q2) The client verbalizes concern for hospitalization because he doesn't believe there are any health issues.The nurse explains to the client that health is:
A)a state of optimal wellness where the individual moves toward integration of human functioning
B)a state of complete physical,mental,and social well-being
C)promotion of wellness,including disease prevention
D)the absence of illness or disease
Q3) Over which factors affecting health does the individual have no control?
A)environmental influences
B)genetics and human biology
C)health care
D)personal behavior
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Chapter 15: Self-Concept
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When teaching a client to keep a journal,the nurse recognizes that the client needs further teaching if he or she explains the purpose is a way to:
A)assist with issues of confidence
B)assist to bridge a person's thoughts and feelings
C)assist with exploring attitudes toward self
D)assist with discharge planning
Q2) Individuals with low self-esteem may exhibit which of the following? (Select all that apply. )
A)make friend easily
B)put little value on self
C)value their accomplishments
D)feel ashamed of themselves
E)are perfectionists
F)frequently apologize
Q3) According to Erik Erikson,which of the following statements is TRUE?
A)Infants need to develop a sense of focus.
B)Toddlers develop a sense of guilt if their task is not mastered.
C)Preschoolers actively explore their own body.
D)School-age children do not seek the approval of others.
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Page 17
Chapter 16: Spirituality
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) When caring for a client's spiritual needs,the nurse faces challenges such as different values,beliefs,and:
A)dislike of different foods
B)different languages
C)different health care practices
D)different choices
Q2) Which of the following would be the MOST appropriate evaluation criteria for a client experiencing spiritual distress?
A)The client shared thoughts,feelings,and beliefs.
B)The client does not have religious affiliation.
C)The client verbalized anger at God for the current medical problem.
D)The client demonstrated lack of interest when clergy visited.
Q3) A client has received a terminal diagnosis.Which statement by the client causes the nurse the greatest concern?
A)"I had a feeling the news was going to be bad."
B)"This runs in my family.I knew there was a chance it would be terminal."
C)"Why did this happen to me? I thought I was taking care of my health."
D)"Why is God angry with me? Do I deserve this punishment?"
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Chapter 17: Complementary Alternative Therapies
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A client is experiencing acute pain for which pain medication is not indicated.The nurse can teach the client which of the following complementary interventions to assist with pain control?
A)relaxation
B)reflexology
C)tai chi
D)meditation
Q2) The nurse can act as a healing facilitator or instrument of healing to the client in which of the following ways? (Select all that apply. )
A)help a client to attempt to remain healthy and balanced
B)help a client to have a conscious goal or direction
C)help a client use inner resources for healing
D)help a client to care for oneself
E)help a client to prepare for their death
F)help a client to honor culturally based health beliefs
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19
Chapter 18: Basic Nutrition
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) A vegan client who avoids all animal proteins,including dairy products and eggs,may have deficiencies of:
A)vitamins A and D
B)vitamins B complex and C
C)iron
D)magnesium
Q2) A diet deficient in carbohydrates,which causes extra fat to be metabolized to meet the body's energy needs,can cause which of these conditions?
A)arteriosclerosis
B)hyperglycemia
C)hypoglycemia
D)ketosis
Q3) An unconscious client will require nutritional support for approximately 3 to 5 days.Which of these dietary prescriptions should the nurse anticipate?
A)a soft diet
B)enteral nutrition via a nasogastric tube
C)parenteral nutrition
D)supplemental adult formula
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20
Chapter 19: Rest and Sleep
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Sample Questions
Q1) A client complains of frequent insomnia,affecting ability to rest well.Which of the following factors or lifestyle choices is MOST likely to contribute to the client's inability to sleep?
A)having a light snack at bedtime
B)taking 1 baby aspirin each day
C)reading in bed prior to going to sleep
D)smoking 1/2 pack of filtered cigarettes each day
Q2) Somnambulism and bruxism are the MOST common manifestations of which sleep disorder?
A)hypersomnia
B)narcolepsy
C)parasomnia
D)periodic limb movement disorder
Q3) When a client is experiencing sleep deprivation,which of these symptoms can occur?
A)irritability and confusion
B)increased reflexes and snoring
C)sleep talking and periodic limb movements
D)sleepwalking and daytime sleep attacks
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Chapter 20: Safety-Hygiene
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse should instruct a client taking a tub bath to do which of the following FIRST if feeling weak or faint?
A)Add cooler water to the tub.
B)Call the nurse.
C)Pull the plug.
D)Get out of the water as soon as possible.
Q2) What is a nurse's highest priority when providing client care?
A)adhering to facility policy and procedure
B)ensuring client confidentiality
C)maintaining a safe environment
D)providing clinically competent client care
Q3) Which of these nursing activities can protect the nurse from radiation exposure?
A)washing hands before applying gloves
B)wearing fluid-repellant cover gowns
C)covering the client with a lead apron
D)reducing the amount of time spent in client contact
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Chapter 21: Infection Controlasepsis
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) To prevent the transmission of microorganisms,nurses must do which of the following?
A)Break the chain of infection.
B)Discourage client contact with susceptible individuals.
C)Identify colonized individuals.
D)Recognize modes of transmission.
Q2) A nurse is to insert an indwelling urinary catheter into a female client.After thorough hand hygiene,which of these techniques should the nurse use?
A)Cleanse the client's perineal area before catheter insertion.
B)Establish and maintain a sterile field before and during catheter insertion.
C)Don gloves before positioning the client for catheter insertion.
D)Wear cap,gown,gloves,and goggles during the catheter insertion.
Q3) Which of these terms is applied to a client admitted to the hospital with a diagnosis of bacterial pneumonia?
A)biological agent
B)carrier
C)compromised host
D)susceptible host
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Chapter 22: Standard Precautions and Isolation
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Sample Questions
Q1) When a client is admitted to a health care facility,the client will automatically be placed on which type of isolation precautions?
A)airborne
B)contact
C)none
D)standard
Q2) Which of these statements about the Guideline for Isolation Precautions in Hospitals revised in 1996 by the Centers for Disease Control and Prevention (CDC)is TRUE?
A)The recommendations are not subject to legal enforcement.
B)The recommendations are revised every 10 years.
C)The recommendations have been superseded by Occupational Safety and Health Administration (OSHA)regulations.
D)The recommendations are subject to individual hospital and health care facility choice as to implementation.
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24
Chapter 23: Bioterrorism
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Sample Questions
Q1) The community health nurse is presenting a teaching session about anthrax (Bacillus anthracis)and terrorism.The nurse includes which of the following as routes of transmission for anthrax (Bacillus anthracis)? (Select all that apply. )
A)skin
B)sexual contact with an infected person
C)gastrointestinal tract
D)direct contact with an infected person
E)inhalation
Q2) Ricin is one of the newest chemicals used as a nerve agent.Which of the following are potential medical uses for ricin?
A)to prevent certain cancer cells and in bone marrow transplants
B)to kill cancer cells and in bone marrow transplants
C)in bone marrow transplants and to prevent certain cancer cells
D)to kill cancer cells and in renal transplants
Q3) One function of the Centers for Disease Control and Prevention (CDC)is:
A)manage chemical agents for military agencies
B)manage the Strategic National Stockpile
C)manage the National Emergency Stockpile
D)manage the Emergency Relief Program
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Page 25
Chapter 24: Fluid, Electrolyte, and Acid-Base Balance
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80 Flashcards
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Sample Questions
Q1) The process by which substances can pass through the cell membrane without energy expenditure on the part of the cell is called:
A)active transport
B)passive transport
C)permeability
D)dialysis
Q2) The nurse is aware that which of the following results when a decreased concentration of hydrogen ions occurs within body fluids?
A)They become acidic.
B)They become alkaline.
C)Carbon ions are retained.
D)Oxygen ions are released into the blood.
Q3) Which of these terms refers to the maintenance of the body's internal environment within narrow limits?
A)homeostasis
B)osmosis
C)diffusion
D)elimination
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Chapter 25: Medication Administration and IV Therapy
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Sample Questions
Q1) A client severely injured in an auto accident has been receiving morphine sulfate intramuscularly (IM)for pain for several weeks.The physician has increased the prescribed dosage of morphine for the client.What type of adverse drug reaction does this situation represent?
A)cumulation
B)potentiation
C)summation
D)tolerance
Q2) The generic drug ibuprofen has several trade names,including:
A)Aspirin
B)Advil
C)Clinoril
D)Tylenol
Q3) When a drug is administered primarily for a systemic effect,which of these routes provides the quickest onset of action?
A)parenteral
B)rectal
C)sublingual
D)oral
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Chapter 26: Assessment
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Sample Questions
Q1) A client's pulse pressure should be between how many mmHg?
A)10 and 20
B)30 and 40
C)50 and 60
D)70 and 80
Q2) In addition to demographic information and client and family medical history,a client's health history should contain which of these data?
A)type of health insurance coverage
B)reason for seeking health care and perception of health status
C)recent diagnostic tests performed
D)completion of advance directives
Q3) Which of these respiratory assessments would be normal for a 24-year-old client?
A)exhibits costal,sternal,and subclavicular retractions with nasal flaring at a rate of 28 per minute,and complains of shortness of breath
B)exhibits very shallow respirations at a rate of 8 per minute
C)uses abdominal muscles at a rate of 12 per minute,without complaints of dizziness
D)uses thoracic muscles at a rate of 18 per minute
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Chapter 27: Pain Management
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Sample Questions
Q1) When assessing an older adult client for pain,the nurse should recognize which of these statements as TRUE?
A)Older clients often do not report pain for fear of being considered "complainers."
B)Older clients request pain medication more frequently to prevent complications.
C)Older clients believe that taking pain medication will hasten death.
D)Older clients have little experience with the increased efficacy of current pain medications.
Q2) Which of these statements about chronic pain is TRUE?
A)It is accompanied by elevated heart rate,respiratory rate,and blood pressure.
B)It occurs for at least 6 months.
C)It is usually described as sharp but is difficult to pinpoint.
D)Its signs and symptoms are often similar to depression.
Q3) Which of these statements about acute pain is TRUE?
A)It is most often described as dull,diffuse,and aching.
B)Its onset is sudden and of relatively short duration.
C)It increases as healing occurs.
D)It is usually nonspecific in nature.
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Chapter 28: Diagnostic Tests
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Sample Questions
Q1) When preparing a client for a diagnostic procedure,which health care professional is responsible for ensuring that the needed consent form has been signed?
A)nurse
B)physician's assistant
C)health care provider ordering the procedure
D)health care provider performing the procedure
Q2) A pregnant client is scheduled for a fetal ultrasound.The nurse must instruct the client to:
A)request a lead apron be placed over the abdomen during the test
B)delay urination and ensure a full bladder at the time of the test
C)remove all jewelry prior to the test
D)eat a normal breakfast
Q3) When obtaining blood samples from a central line,what action must the nurse take?
A)Discard the first sample in the amount indicated by agency protocol.
B)Suggest that another venue be used.
C)Withdraw a greater amount of blood than required,with a peripheral stick.
D)Withdraw only the amount of blood required for the ordered tests,and document amount in nurse's notes according to agency policy.
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Chapter 29: Basic Procedures
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Sample Questions
Q1) When a nurse is teaching assistive personnel how to make an unoccupied bed,they should be instructed to place which item on the top when fresh linen is gathered?
A)bottom sheet
B)top sheet
C)draw sheet
D)pillowcase
Q2) When completing the client's intake and output record,which of the following is the largest component of clients' fluid volume output?
A)gastric secretions
B)diaphoresis
C)wound drainage
D)urine
Q3) A nurse is teaching assistive personnel how to bathe a client in bed.Effective teaching would include instructions to begin the bath at the:
A)feet
B)arms
C)legs
D)face
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31
Chapter 30: Intermediate Procedures
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Sample Questions
Q1) A nurse who is left-handed is applying sterile gloves for a procedure.What is the correct procedure for this nurse?
A)Glove the left hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand.
B)Glove right hand first by grasping 2-inch cuff with thumb and the first finger of the left hand.
C)Glove either hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand.
D)Glove the left hand first by grasping 2-inch cuff with thumb and the second finger of the right hand.
Q2) When a nurse is adding additional dressings to a sterile field,which of these steps is correct?
A)Grasp the bottom,use a sterile clamp to remove dressing,and drop it anywhere on the field.
B)Place the unopened package directly on the field.
C)Grasp top flaps,pull downward,and drop dressing in center of field.
D)Hold the sides,pull them outward,and drop dressing on the field.
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Chapter 31: Advanced Procedures
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/44563
Sample Questions
Q1) A nurse is to remove an interrupted suture from an incision site.After the site has been cleansed,which of these steps is correct?
A)Use forceps to grasp the middle of the suture,cut it,and pull either end.
B)Use forceps to grasp the suture near the knot,place the curved edge of the scissors under the suture and cut close to the skin,and pull the long end to remove.
C)Use forceps to grasp every other suture,cut each with the curved edge of the scissors down,and pull the short end to remove.
D)Grasp the knot of the suture,cut with the scissors in a position of comfort,and pull either end.
Q2) Which of these statements about selecting a vein for venipuncture to start an IV infusion is TRUE?
A)Choose a vein near a bony prominence.
B)The wrist or hand is the preferred initial site.
C)Use the most distal part of the vein first.
D)Choose an extremity where the client has decreased sensation.
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33
Chapter 32: Anesthesia
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/44564
Sample Questions
Q1) A client is experiencing a large drop in blood pressure when sitting up or standing,as a complication of residual sympathetic block anesthesia.This is known as:
A)orthostatic hypotension
B)positional hypotension
C)postural hypotension
D)sympathetic hypotension
Q2) A client's preanesthetic preparation for surgery in which general anesthesia will be administered includes which of the following? (Select all that apply. )
A)being admitted to the hospital the day prior to the surgery
B)withholding of food and fluids for at least 8 hours before the procedure
C)signing a form indicating informed consent for administration of anesthesia
D)taking regularly scheduled medications on the day of surgery with a minimal amount of water
E)limiting visitors to reduce stress and anxiety prior to surgery
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Chapter 33: Surgery
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/44565
Sample Questions
Q1) Clients who have nutritional deficiencies before surgery are MORE prone to have which of the following postoperative complications?
A)atelectasis
B)delayed wound healing
C)renal failure
D)hepatitis B
Q2) A client experiences dyspnea,chest pain,cyanosis,cough,hemoptysis,and tachycardia on the second postoperative day.Vital signs confirm the client is in shock.The nurse should recognize that the client has MOST likely developed which of these complications?
A)atelectasis
B)myocardial infarction
C)pneumothorax
D)pulmonary embolism
Q3) Which of these postoperative complications is MORE likely to occur in older adult clients?
A)deep vein thrombosis
B)dehydration
C)pneumonia
D)unpredictable responses to medications and anesthetics
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Chapter 34: Oncology
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/44566
Sample Questions
Q1) When medicating a client for cancer pain,the nursing goal should be to:
A)avoid the use of narcotics for as long as possible
B)give the correct amount of medication in relation to the client's level of pain
C)medicate the client within 10 minutes of each request for pain medication
D)prevent pain rather than treat it after its occurrence
Q2) Which of these terms describes any abnormal growth of new tissue?
A)a malignancy
B)a neoplasm
C)a vesicant
D)leukemia
Q3) While caring for a client,the client asks the nurse,"What is the primary cause of lung cancer?" The MOST appropriate response for the nurse to provide is:
A)"Cigarette smoking."
B)"Environmental hazards such as asbestos exposure."
C)"Familial predisposition."
D)"Metastasis of other primary cancers to the lung."
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Chapter 35: Respiratory System
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74 Verified Questions
74 Flashcards
Source URL: https://quizplus.com/quiz/44567
Sample Questions
Q1) Which of the following medications may be used to treat a relatively small pleural effusion?
A)aerosol treatments
B)narcotics such as morphine
C)corticosteroids such as prednisone
D)diuretics such as Lasix and Bumex
Q2) The nurse is caring for a client experiencing a respiratory pattern characterized by irregular periods of increased rate and depth of respiration.The nurse notes this in the client's record as:
A)Biot's respirations
B)Cheyne-Stokes respirations
C)Kussmaul's respirations
D)tachypnea
Q3) Which of the following may predispose an individual to developing chronic bronchitis?
A)cigarette smoking
B)alcoholism
C)exposure to cold,damp air
D)heredity
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Page 37
Chapter 36: Cardiovascular System
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) A nurse is teaching a client who has hypertension (HTN)the stepped-care approach to keeping blood pressure within normal limits.Which of the following is part of the first step in this regimen?
A)frequent rest periods during the day
B)use of antihypertensive medications
C)weight loss and dietary modifications
D)having family members checked for HTN
Q2) Which of the following may cause an aneurysm to develop?
A)hypothyroidism
B)atherosclerosis
C)myocardial infarction
D)heart failure
Q3) What is the MOST common cause of myocardial infarction?
A)atherosclerosis
B)hypertension
C)rheumatic heart disease
D)stress
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Chapter 37: Hematologic and Lymphatic Systems
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/44569
Sample Questions
Q1) The nurse would anticipate medical treatment of DIC,which includes:
A)administration of antibiotics
B)administration of platelets and packed red cells
C)phlebotomy
D)chemotherapy
Q2) Persons with which type of blood are considered universal donors?
A)A
B)B
C)AB
D)O
Q3) In disseminated intravascular coagulation (DIC),what occurs after microthrombi block the arterioles and capillaries?
A)Circulation is impeded,causing edema and damage to the peripheral nerves.
B)Oxygenation is impeded due to the breakdown of association between the arterioles and capillaries.
C)The body's clotting factors respond,causing breakdown of the circulatory system.
D)The body's fibrinolytic process responds,causing hemorrhaging.
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Chapter 38: Gastrointestinal System
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/44570
Sample Questions
Q1) A client is lifting a box and experiences a sudden pain in the lower right side and upper thigh,with a "bulge" in the groin area.The nurse notes a tight band around the bulge.The client has probably developed which type of hernia?
A)abdominal,reducible
B)femoral,strangulated
C)inguinal,incarcerated
D)umbilical,strangulated
Q2) An older adult client tells the nurse about experiencing chronic constipation.The nurse should suggest that the client increase intake of which of these foods?
A)baked potatoes and rice
B)milk and cheese
C)fish and red meat
D)apples and broccoli
Q3) The nursing student is aware that the cause of peptic ulcers is related to:
A)acid/pepsin imbalance
B)erosive gastritis that starts to bleed
C)impaired mucosal defenses
D)high secretion of HCl (hydrochloric acid)
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Chapter 39: Urinary System
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/44571
Sample Questions
Q1) A client who has cystitis complains of extreme dysuria,and Pyridium has been prescribed.Which of these aspects should the nurse include in client teaching?
A)"Drink at least 3 liters of water and 3 liters of cranberry juice per day."
B)"Reduce the amount of whole grains and meats in your diet."
C)"Expect your urine to appear more concentrated."
D)"This medicine turns your urine red-orange and can stain clothes and toilets."
Q2) What is the major cause of intrarenal acute renal failure (ARF)?
A)acute tubular necrosis
B)glomerulonephritis
C)renal tumors
D)urolithiasis
Q3) The nurse should monitor a postoperative kidney transplant client for which sign of organ rejection?
A)polyuria
B)generalized edema
C)flank pain
D)weight loss
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Chapter 40: Musculoskeletal System
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A client who has a cast on the right arm develops severe pain unrelieved by the prescribed narcotic analgesic.The nurse also notes sluggish capillary refill,weak pulses,and numbness below the casted limb.The nurse should suspect the client has developed which fracture complication?
A)ankylosis
B)compartment syndrome
C)fat embolism
D)infection
Q2) What is the cause of gout?
A)ineffective purine metabolism
B)joint overuse,resulting in "wear and tear"
C)diminished mineral and protein matrix components of the bone
D)inflammation of the bone and bone marrow due to pathogenic bacteria
Q3) What is the major disadvantage of open reduction internal fixation (ORIF)?
A)client rejection of implanted device
B)introducing infection into the bone
C)permanent damage to the central nervous system
D)potential for incomplete repair of the fracture
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Chapter 41: Neurological System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/44573
Sample Questions
Q1) Which type of headache is the result of pathological conditions and is caused by compression,inflammation,or hypoxia of pain-sensitive structures?
A)precipitous
B)primary
C)psychosomatic
D)secondary
Q2) Which intervention may be used to decrease the intracranial pressure (ICP)of a client who has sustained a head injury?
A)administration of antibiotics
B)administration of corticosteroids and osmotic diuretics
C)passive range of motion every 3 to 4 hours
D)antacids and histamine receptor antagonists
Q3) A client's response to assessment of the plantar reflex is to fan the toes and dorsiflect the big toe.The nurse should recognize that this response is indicative of:
A)a normal response
B)stereognosis
C)corticospinal disease
D)a brain tumor
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Chapter 42: Sensory System
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) The nurse is caring for an infant with brown eyes and recalls that which portion of the vascular tunic is responsible for the color of the eye?
A)cornea
B)iris
C)retina
D)sclera
Q2) The client has a disorder that is characterized by the classic triad of tinnitus,vertigo,and unilateral fluctuating hearing loss.The nurse is aware that the client has which type of problem?
A)acoustic neuroma
B)Ménière's disease
C)otitis media
D)otosclerosis
Q3) What are the primary clinical manifestations of otosclerosis?
A)dizziness,possible facial weakness,tinnitus,and hearing loss
B)ear pain,fever,and redness of the auricle and ear canal
C)subtle changes in hearing and low-pitched tinnitus
D)vertigo,tinnitus,and unilateral fluctuating hearing loss
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Page 44
Chapter 43: Endocrine System
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The nurse should teach the client to monitor for which complication of diabetic neuropathy?
A)arthrosclerosis
B)diabetic retinopathy
C)injury and undetected foot injury
D)kidney failure
Q2) The MOST appropriate nursing goal for a client with hypoparathyroidism would be:
A)to prevent infections
B)to maintain adequate calcium intake
C)to monitor fluid intake
D)to verbalize feelings about changed appearance
Q3) A client is receiving radioactive iodine for the treatment of hyperthyroidism.Which precaution should the nurse initiate?
A)Avoid close contact with the adult family members.
B)Use disposable eating utensils.
C)Restrict fluids for the 2 days before and after administration.
D)Institute airborne precautions.
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Chapter 44: Reproductive System
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44576
Sample Questions
Q1) A client is scheduled for a subtotal hysterectomy,which means that:
A)only the uterus will be removed
B)the surgery will be performed through an abdominal incision to visualize the entire pelvic region
C)the surgery will be performed with a laparoscopic approach
D)the uterus,cervix,and fallopian tubes will be removed
Q2) A nurse notes that the urethral catheter of a client who had prostate cancer surgery is draining dark bloody urine with clots,but the tubing is not draining freely.Which action should the nurse take FIRST?
A)Call the health care provider immediately.
B)Increase the tension on the catheter by retaping.
C)Irrigate the catheter with 150 cc of sterile normal saline.
D)Milk the tubing.
Q3) When explaining to a client about the innermost layer of the uterus that sloughs with menstruation each month,the nurse would identify this as the:
A)cervix
B)endometrium
C)myometrium
D)perimetrium
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Page 46
Chapter 45: Sexually Transmitted Diseases
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/44577
Sample Questions
Q1) In addition to sexual contact,client teaching should include that the human immunodeficiency virus (HIV)virus can be transmitted by which mode?
A)respiratory
B)from baby to mother
C)blood
D)fecal
Q2) Cytomegalovirus can be misdiagnosed as what illness due to similarity of symptoms?
A)AIDS
B)herpes genitalis
C)mononucleosis
D)syphilis
Q3) For a pregnant client who has trichomoniasis,when will treatment occur?
A)mother and baby will be treated after birth
B)after the first trimester
C)immediately
D)once the repeat test is also positive
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Chapter 46: Integumentary System
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/44578
Sample Questions
Q1) A client develops a severe case of generalized scabies.The nurse should instruct the client to:
A)apply lindane (Kwell)topically to the entire body at bedtime
B)change bed linens daily
C)treat only those family members who have symptoms
D)use cold water to wash all underclothing,bed linens,and bath linens
Q2) All persons coming into contact with a client sustaining burn injury must wear:
A)gown and gloves
B)masks and gloves
C)gowns,gloves,masks,and caps
D)gowns,gloves,and caps
Q3) Which of these therapies is used in the medical treatment of squamous cell carcinoma?
A)chemosurgery
B)chemotherapy
C)electrosurgery
D)radiation therapy
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Chapter 47: Immune System
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/44579
Sample Questions
Q1) A coworker who has just completed an aseptic client procedure is now flushed and wheezing and complains of chest tightness and shortness of breath.Vital signs are heart rate 76,respiratory rate 24,and blood pressure 86/67.The nurse should suspect the coworker is experiencing which of the following?
A)anaphylactic shock
B)hypersensitivity to the antiseptic used in the procedure
C)hypoglycemic shock
D)latex allergy
Q2) The nurse recognizes the MOST common opportunistic infection occurring in over half of clients with acquired immunodeficiency syndrome (AIDS)is:
A)Kaposi's sarcoma
B)mycobacterium avium complex (MAC)
C)non-Hodgkin's lymphoma
D)Pneumocystis carinii pneumonia
Q3) Which of these statements about systemic lupus erythematosus (SLE)is true?
A)It occurs most commonly in young white males.
B)It is characterized by periods of exacerbation and remission.
C)It can be cured with prescribed medications.
D)It is diagnosed by computerized tomography.
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Page 49
Chapter 48: Mental Illness
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/44580
Sample Questions
Q1) Before initiating antidepressant therapy,the health care provider should order which of these tests for the client?
A)CAT scan
B)complete blood count
C)electrocardiogram
D)electrolyte panel
Q2) A client admitted with post-traumatic stress disorder (PTSD)is having a flashback.What is MOST important for the nurse to remember to do during this episode?
A)Avoid touching the client during the flashback.
B)Note and record the episode's length of time and any key ideas expressed.
C)Restrain the client as soon as possible,and administer sedation as ordered.
D)Speak to the client in a soft,calm voice.
Q3) What change,if any,should the nurse expect in the dietary patterns of a client who is clinically depressed?
A)either overeating or eating little to nothing
B)intake is decreased
C)intake is increased
D)none
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Chapter 49: Substance Abuse
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37 Flashcards
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Sample Questions
Q1) A nurse has been administering a client's pain medications to herself and providing the client who is cognitively impaired with an aspirin as a substitute.Once discovered,the nurse is referred to the peer assistance program.Which of the following are goals of the program? (Select all that apply. )
A)Provide her with legal advice.
B)Ensure the nurse does not harm clients.
C)Ensure that the facility and coworkers are aware of the problem so they can support her.
D)Revoke the nurse's licensure.
E)Monitor her when she returns to work.
F)Ensure the nurse has medical treatment for the problem.
Q2) Over a 12-month period,a client has been arrested twice for driving while intoxicated.The client is able to perform activities of daily living (ADLs)without the use of alcohol and restricts drinking to weekend social situations.This client meets the criteria for:
A)alcohol withdrawal syndrome
B)personal bad judgment
C)substance abuse
D)substance dependence
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Chapter 50: The Older Adult
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30 Flashcards
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Sample Questions
Q1) Which of these nursing interventions would be MOST important for an older adult client who has been diagnosed with depression?
A)Assess for verbal or nonverbal signs of suicidal thoughts or intent.
B)Give the client opportunities for making decisions.
C)Involve the client in group activities.
D)Allow the client to remain in the assigned room.
Q2) Which of these changes in the gastrointestinal system of an older adult client place the client at risk?
A)Alcohol is absorbed faster.
B)Saliva production decreases.
C)Gag reflex is less effective.
D)Liver size increases.
Q3) If an older adult client experiences bowel elimination problems,the nurse should take which of these actions?
A)Ask the client's health care provider to order a laxative,stool softener,or enema.
B)Encourage the client to exercise daily.
C)Help the client monitor fluid intake.
D)Include adequate protein in the client's diet.
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Chapter 51: Ambulatory, Restorative, and Palliative Care in Community Settings
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25 Flashcards
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Sample Questions
Q1) A family member is caring for a client with advanced Alzheimer's and is complaining of fatigue,weakness,and apathy.The nurse recognizes the need for which of the following:
A)restorative care
B)rehabilitative care
C)respite care
D)placement in long-term care
Q2) Which of the following are benefits of urgent care centers? (Select all that apply. )
A)easily gained appointments
B)fast paced,similar to a hospital emergency department
C)provides care for clients with severe trauma
D)serves the needs of a growing community
E)accepts all forms of insurance
F)is designed to treat acute illnesses and injuries
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53
Chapter 52: Responding to Emergencies
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Sample Questions
Q1) The initial focus of the nursing management of clients who are in shock is to:
A)identify the type of shock
B)initiate appropriate interventions quickly
C)discuss client status with the family
D)administer medications as ordered
Q2) A client comes to the emergency department complaining of abdominal pain.Nursing assessment should focus on which of the following?
A)acquiring a history of previous surgical procedures
B)identifying location,duration,severity,and radiation of the pain
C)determining normal bowel and bladder patterns
D)obtaining history of food allergies
Q3) When a client has a laceration of the skin,which of these must be initiated after the nurse cleanses the wound?
A)application of pressure dressing
B)administration of pain medication
C)prophylactic administration of antibiotics
D)suturing of laceration
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Chapter 53: Integration
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Sample Questions
Q1) A 45-year-old male client with a history of hypertension for 5 years develops symptoms of congestive heart failure (CHF)and renal failure.What are some of the possible reasons the client has developed CHF and renal failure? Describe the areas in which nursing intervention with this client could have helped prevent development of these complications.
Q2) A 60-year-old male client has just been diagnosed as having type 2 diabetes.The client is 30 pounds overweight and knows very little about his condition.What are the major points that the nurse should include in this client's teaching plan?
Q3) The nurse is providing instruction to a client with diabetes mellitus regarding peritoneal dialysis.The nurse explains to the client that it is important to maintain the dwell time for the dialysis at the prescribed time.The nurse is aware that the rationale for this is because of the risk of:
A)infection
B)hyperglycemia
C)fluid overload
D)disequilibrium syndrome
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Chapter 54: Prenatal Care
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36 Flashcards
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Sample Questions
Q1) A client's last menstrual period began on June 16.Using Naegele's rule,the nurse calculates the client's estimated date of delivery (EDD)as:
A)March 9
B)April 23
C)March 23
D)April 6
Q2) In addition to telling the client to report any warning signs,a nurse should provide anticipatory guidance for a pregnant client that includes which of these topics?
A)avoiding environmental hazards
B)how to maintain or increase a physical exercise program
C)how to reduce kilocalorie intake
D)cultural variations and views of pregnancy
Q3) Which of the following factors place a woman at risk of nutritional inadequacy during pregnancy?
A)adolescence
B)anxiety
C)multiple gestation
D)previous pregnancies
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Chapter 55: Complications of Pregnancy
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30 Flashcards
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Sample Questions
Q1) To prevent fetal infection,a cesarean birth is required for the pregnant client who is infected with which of these organisms at the time of delivery?
A)cytomegalovirus
B)herpes genitalis
C)rubella
D)toxoplasmosis
Q2) When a client undergoing treatment for severe preeclampsia complains of epigastric pain,the nurse should notify her health care provider immediately because the client is:
A)having a reaction to her medications
B)reverting to mild preeclampsia
C)going into labor
D)moving into eclampsia
Q3) Women who desire future fertility and who have an unruptured ectopic pregnancy less than 4 centimeters in size are candidates for which of these procedures?
A)methotrexate therapy
B)salpingostomy
C)laparotomy and salpingectomy
D)vacuum extraction of the products of conception
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Page 57
Chapter 56: The Birth Process
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Sample Questions
Q1) In addition to monitoring vital signs,the nursing care priority during the fourth stage of labor is to:
A)allow the mother to bond with her infant and begin breastfeeding
B)assess uterine tone and the amount of vaginal bleeding
C)assist the mother to void or catheterize her
D)keep an ice pack on the perineum or episiotomy
Q2) When are labor clients urged to bear down?
A)between each contraction as soon as the cervix is completely effaced
B)between each contraction as soon as the membranes have ruptured
C)with each contraction as soon as engagement has occurred
D)with each contraction as soon as the cervix is completely dilated
Q3) A client comes to the hospital at 38 weeks' gestation thinking she is in labor,but after several hours of observation she is sent home.The client asks how she can tell the difference between true labor and false labor.Which of the following should the nurse indicate will occur in true labor?
A)a sudden burst of energy
B)an increase in bloody show
C)more discomfort with the uterine contractions
D)contractions increase in intensity and duration
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Page 58
Chapter 57: Postpartum Care
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27 Flashcards
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Sample Questions
Q1) What is the main goal of medical management of the postpartum client with disseminated intravascular coagulation (DIC)?
A)administration of heparin therapy
B)administration of platelets
C)correction of the underlying cause
D)symptomatic treatment only
Q2) If a nurse observes an increased pulse rate and decreased blood pressure in a new postpartum client,the nurse should suspect the client has developed which of these conditions?
A)positive Homans' sign
B)postpartum hemorrhage
C)dehydration
D)uterine distention
Q3) A client who has a puerperal infection is receiving intravenous (IV)antibiotic treatment.The nurse should recognize that the infant will:
A)receive prophylactic antibiotics
B)be kept separate from the mother until her fever is gone for 24 hours
C)remain with the mother
D)be discharged home before the mother
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Page 59
Chapter 58: Newborn Care
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25 Flashcards
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Sample Questions
Q1) An infant admitted to the newborn nursery has generalized swelling of the scalp.The nurse should recognize this condition as:
A)caput succedaneum,which generally requires no treatment
B)cephalhematoma,which will require aspiration of blood from the scalp
C)an early sign of hydrocephalus,which requires no treatment
D)an early sign of an intracranial hemorrhage
Q2) When a newborn assumes the "fencing position" under the radiant warmer,it means that the infant:
A)extends and arches the spine with flexion of the legs
B)extends the arm and leg on the side the face points to and flexes the opposite arm and leg
C)flexes the arm and leg on the side the face points to and extends the opposite arm and leg
D)rotates the trunk in the direction the head is turned
Q3) What is the most common cause of kernicterus in the newborn?
A)breastfeeding
B)dehydration
C)Rh incompatibility
D)transfusion reaction
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Page 60
Chapter 59: Basics of Pediatric Care
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25 Flashcards
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Sample Questions
Q1) Which of the following interventions would be appropriate for the pediatric client who has a nursing diagnosis of Anxiety related to planned surgery?
A)Arrange for the child to draw a picture of the hospital unit and the operating room.
B)Encourage caregivers to observe the surgery.
C)Provide a favorite blanket or toy for the child pre- and postoperatively.
D)Schedule caregiver visits during sleep to avoid overstimulating the child.
Q2) At what age do federal guidelines state that children have the right to give assent for treatment and research procedures?
A)when the child can verbally state the treatment desired and its benefits
B)when the child can read a consent form and sign his or her name
C)at 7 years of age
D)at 18 years of age
Q3) Keflex 500 mg p.o.q.6.h.for a child weighing 99 lbs.You have Keflex 250 mg capsules available.The recommended daily dose for a child is 25 to 50 mg/kg/day in four equal dosages q.6.h.
What is the child's weight in kg? _________
Safe recommended dosage or range for this child is ________ to _________. Is this order safe?_________
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Chapter 60: Infants With Special Needs: Birth to 12 Months
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/44592
Sample Questions
Q1) As intracranial pressure increases in the infant who has hydrocephalus,the anterior fontanel becomes tense and bulges,and the eyes appear to be pushed downward.What is this condition called?
A)circumoral cyanosis
B)intussusception
C)meningitis
D)sunset eyes
Q2) Which of these conditions usually occurs in preterm infants and requires immediate administration of surfactant through an endotracheal tube at the time of birth?
A)bronchopulmonary dysplasia
B)cystic fibrosis
C)pneumothorax
D)respiratory distress syndrome
Q3) Which of these factors will contribute to preventing otitis media in infants up to 12 months old?
A)a smoke-free environment
B)bottle-feeding infants on a flat surface
C)breastfeeding
D)keeping infant's room at 72 degrees Fahrenheit
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Chapter 61: Common Problems: 1-18 Years
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/44593
Sample Questions
Q1) A nurse palpates enlarged tonsils in a 3-year-old client who exhibits no symptoms of illness.What is the significance of this finding?
A)It is indicative of tumor growth and should be reported to the health care provider.
B)It is a normal finding for a child of this age.
C)It is a precursor to developing illness.
D)It is a response to increased allergens and not necessarily an indicator of illness.
Q2) Why are small children at greater risk for being bitten by an animal?
A)They are unable to follow directions.
B)They have slower reactions to aggressive behavior.
C)They have not been immunized for rabies.
D)Their height puts them at greater risk.
Q3) A female client will be receiving isotretinoin (Accutane)for nodulocystic acne.The nurse should instruct the client to:
A)recognize the risk of developing "super infection" during therapy
B)take prescribed contraceptives before,during,and after treatment
C)restrict intake of allergens such as chocolate and spicy foods
D)expect immediate improvement in acne
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