Clinical Foundations of Nursing
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Course Introduction
Clinical Foundations of Nursing provides students with a comprehensive introduction to the core principles, skills, and knowledge necessary for effective nursing practice. The course emphasizes foundational concepts such as patient assessment, infection control, safety, communication, and the nursing process. Through a combination of theoretical instruction, practical simulations, and supervised clinical experiences, students learn to deliver patient-centered care, apply critical thinking, and collaborate within healthcare teams. Additionally, the course explores ethical and legal responsibilities, professional standards, and evidence-based practices essential for developing competence and confidence in clinical nursing settings.
Recommended Textbook
Fundamentals of Nursing 8th Edition by Patricia
A. Potter
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50 Chapters
1445 Verified Questions
1445 Flashcards
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Chapter 1: Nursing Today
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Sample Questions
Q1) Which concept means that the nurse is responsible,professionally and legally,for the type and quality of nursing care provided?
A) Autonomy
B) Accountability
C) Patient advocacy
D) Patient education
Answer: B
Q2) After licensure,the practicing nurse is required to update his or her knowledge about the latest research and practice developments.The most common way nurses do this is through _____ programs.
A) Continuing education
B) Master's degree
C) In-service education
D) DNP
Answer: A,C
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Page 3
Chapter 2: The Health Care Delivery System
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Sample Questions
Q1) Primary health care focus includes
A) Individual health screenings.
B) Community health promotion programs.
C) Development of health policies.
D) Disease prevention in communities.
E) Discharge planning for individual patients.
Answer: B,C,D
Q2) Nurses who work in a skilled nursing facility need nursing expertise in which of the following areas?
A) Gerontological nursing
B) IV fluid management
C) Ventilator management
D) Depression/violent behavior management
E) Wound care management
Answer: A,B,C,E
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Chapter 3: Community-Based Nursing Practice
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Sample Questions
Q1) Vulnerable populations include those patients who are more likely to develop health problems as a result of
A) Pregnancy.
B) Nontraditional healing practices.
C) Excessive risk.
D) Unlimited access to health care.
Answer: C
Q2) Community-based nursing requires a strong knowledge base in which of the following?
A) Family theory
B) Communication
C) Group dynamics
D) Focus on the individual
E) Cultural diversity
Answer: A,B,C,E
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Page 5
Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) As the initial model for nursing,Nightingale's "descriptive theory" encouraged nurses to
A) Know all about the disease processes affecting their patient.
B) Think about their patients and patients' environment.
C) Combine nursing knowledge with medicine.
D) Focus on medication administration and treatments.
Q2) Psychosocial theories are needed in nursing because nursing is a diverse discipline that strives to meet which criteria?
A) Physiological needs of the patient
B) Psychological needs of the patient
C) Sociocultural needs of the patient
D) Spiritual needs of the patient
E) The nurse-patient relationship
Q3) A system is made up of separate components.A closed system
A) Interacts with the environment.
B) Is exemplified by the human organism.
C) Does not interact with the environment.
D) Is exemplified by the nursing process.
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Chapter 5: Evidence-Based Practice
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Sample Questions
Q1) When evaluating quality improvement (QI)programs in relation to evidence-based practice (EBP),it is easy to note that
A) Both are designed to improve performance.
B) When implementing EBP projects, it is important to review QI data.
C) EBP is not at all related to QI.
D) Evaluation of processes is the realm of performance improvement (PI), not QI.
Q2) In caring for patients,it is important for the nurse to realize that evidence-based practice is
A) The only valid source of knowledge that should be used.
B) Secondary to traditional or standard care knowledge.
C) Dependent on patient values and expectations.
D) Not shown to provide better patient outcomes.
Q3) In conducting a research study,the researcher must guarantee that any information the subject provides will not be reported in any manner that identifies the subject and will not be accessible to people outside the research team.This concept is known as A) Anonymity.
B) Confidentiality.
C) Informed consent.
D) The research process.
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Page 7
Chapter 6: Health and Wellness
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Sample Questions
Q1) According to the World Health Organization,what is the best definition for "health"?
A) Simply the absence of disease
B) Involving the total person and environment
C) Strictly personal in nature
D) Status of pathological state
Q2) The nurse is caring for a patient who has been trying to quit smoking.She has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning.What should the nurse anticipate?
A) The patient does not want to and never will quit smoking.
B) The patient will return to the contemplation or precontemplation phase.
C) The patient will need to adopt a new lifestyle for change to be effective.
D) The patient must pick up her attempt right where she left off.
Q3) The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in the drinking water of the community.In doing so,the nurse is fostering the concept of
A) Illness prevention.
B) Active health promotion.
C) Wellness education.
D) Passive health promotion.
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Page 8
Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) In trying to determine patients' perception of caring,several studies have suggested that
A) The nurse's effectiveness in performing tasks defines her profession.
B) The affective dimension of nursing care is of primary importance.
C) All patients have the same needs and similar personalities.
D) Patients value both task performance and the affective dimension of nursing.
Q2) The patient is about to undergo a certain procedure and has voiced concern about outcomes and prognosis.The nurse caring for the patient underwent a similar procedure a few years earlier and stops to listen to the patient's concerns.Which of the following responses by the nurse may be most beneficial?
A) "I had a similar procedure last year and I can tell you what I went through."
B) "I don't think you have anything to worry about. They do lots of these."
C) "If you're really concerned, I can call the doctor and cancel the procedure."
D) "Of course there are no guarantees, but I think you'll be all right."
Q3) Providing "presence" involves "being there" and "being with." What does this involve?
A) Closeness and a sense of caring
B) Focusing on the task that needs to be done
C) Jumping in to provide patient comfort
D) Being there without an identified goal
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Page 9
Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) Nurses and other health care providers need to become more vigilant in recognizing cancer survivors and attempting to link them with the support and resources that they require because
A) All health care agencies provide survivorship care plans.
B) Survivorship care plans are reviewed with the patient after the patient goes home.
C) Many survivors are discharged with no survivor plan.
D) The plan does not deal with future cancer care.
Q2) The patient has lung cancer and voices concerns about his cancer treatment.He wants to know how chemotherapy will affect his sexuality.What is the nurse's best reply?
A) "Chemotherapy will work in the lungs and should have no effect on your sexuality."
B) "That is something that you should ask your doctor. He can direct you."
C) "Sexual changes are common with cancer therapy. Let me get someone who can answer your questions."
D) "How cancer treatment affects sexuality depends on how active you are and your age."
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Chapter 9: Culture and Ethnicity
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Sample Questions
Q1) The nurse is caring for a Native American who has had recent surgery.In the patient's culture,it is a sign of weakness to complain of pain.In the nurse's culture,people who are having pain ask for pain medicine.The nurse has assumed that the patient has not been having pain and does not need medication because he has not complained of pain.What is the nurse doing?
A) Utilizing cultural imposition by not asking the patient about his pain
B) Striving to provide culturally congruent care by allowing the patient to suffer
C) Operating from an emic worldview of the patient's cultural beliefs
D) Practicing discrimination by not giving the patient pain medicine
Q2) When asked to describe the differences between ethnicity and race,what should the student nurse explain?
A) Ethnicity refers to a shared identity, whereas race is limited to biological attributes.
B) Ethnicity and race are actually the same and are based in cultural norms.
C) Ethnicity can be understood only through an ethic worldview.
D) Race refers to a shared identity, whereas ethnicity is limited to biological attributes.
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11
Chapter 10: Caring for Families
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Sample Questions
Q1) Balancing employment and family life creates a variety of challenges in terms of child care and household work for both parents.This has major implications in health care because
A) Maternal employment has been demonstrated to be harmful for children.
B) Maternal employment has shifted the majority of household tasks to the male.
C) Fathers now participate more fully in day-to-day parenting responsibilities.
D) The number of single-parent families has decreased since 1970.
Q2) A husband brings his children in to visit their mother in the hospital.The nurse asks how the family is getting along at home without their mom around.The husband states,"None of her jobs are getting done,and I don't do those jobs,so the house and the kids are falling apart." The nurse suspects that this family structure is
A) Very flexible.
B) Quite rigid.
C) Extremely open.
D) Hardy.
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12
Chapter 11: Developmental Theories
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Sample Questions
Q1) According to Piaget's formal operations level,a 13-year-old adolescent will likely
A) Hit other students to deal with environmental change.
B) Use play to understand her surroundings.
C) Question her parents about an upcoming presidential election.
D) Question where the ice is hiding when ice has melted in her drink.
Q2) Which of these statements would be most appropriate for a nurse to state when assessing an adult patient for growth and developmental delays?
A) "How many times per week do you exercise?"
B) "Are you able to stand on one foot for 5 seconds?"
C) "Would you please describe your usual activities during the day?"
D) "How many hours a day do you spend watching television or sitting in front of a computer?"
Q3) Jean Piaget's cognitive developmental theory focuses on four stages of development,including
A) Formal operations.
B) Intimacy versus isolation.
C) Latency.
D) The postconventional level.
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13
Chapter 12: Conception Through Adolescence
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Q1) A mother expresses concern because her 5-year-old child frequently talks about friends who don't exist.What is the nurse's best response to this mother's concern?
A) "Have you considered a child psychological evaluation?"
B) "It's very normal for a 5-year-old child to have imaginary playmates."
C) "You should stop your child from playing electronic games."
D) "Pretend play is a sign your child watches too much television."
Q2) Which of these manifestations,if identified in a school-aged child during a routine assessment,should a nurse associate with a possible developmental delay or problem?
A) Withdrawn demeanor and verbalizes that he has no friends
B) Absence of secondary sex characteristics
C) Lack of peer relationships
D) Curiosity about his or her sexuality
Q3) The priority assessment immediately after birth is to
A) Assess infant-parent interactions.
B) Promote parent-newborn physical contact.
C) Open the airway.
D) Assess gestational age.
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Chapter 13: Young and Middle Adults
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Sample Questions
Q1) Nurses need to provide competent care to young and middle adult patients.Why must nurses be knowledgeable about developmental theories to care for this group?
A) These theories provide nurses with a basis for understanding the life events and developmental tasks of young and middle adults.
B) It is important to understand societal structures and roles because they have not changed in the past 20 or 30 years.
C) Patients present challenges to nurses, who themselves are often young or middle adults coping with the demands of their respective developmental period.
D) Nurses need to recognize the needs of their patients even if they are not experiencing the same challenges and events.
Q2) What are the most common life events that occur during young adulthood?
A) Refining self-perception and ability for intimacy
B) Achievement and mastery of the surrounding world
C) Examination of life goals and relationships
D) Rejection of culture-bound definitions of health and illness
E) Women surrendering careers to raise families
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15
Chapter 14: Older Adults
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Sample Questions
Q1) The nurse correctly describes psychosocial theories on aging as theories that
A) Describe role changes in behaviors in older adults.
B) Emphasize that all adults age in similar ways.
C) Stress the need for the aging to discontinue activities as they age.
D) Describe behavior patterns for all aging adults as unpredictable.
Q2) To promote physical well-being and socialization in an older adult,what should the nurse realize?
A) Social isolationism is always a chosen behavior.
B) Body image plays no role in decision making by the older adult.
C) No community resources are focused on the older adult.
D) Older adults may have a functional purpose in social arenas.
Q3) During assessment of an older adult's skin integrity,expected findings include which of the following?
A) Decreased elasticity
B) Oily skin
C) Increased facial hair in men
D) Faster nail growth
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16
Chapter 15: Critical Thinking in Nursing Practice
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Sample Questions
Q1) Which of the following demonstrates a nurse utilizing self-reflection to improve clinical decision making?
A) Uses an objective approach in all situations
B) Obtains data in an orderly fashion
C) Improves a plan of care while thinking back on interventions performed
D) Provides evidence-based explanations for all nursing interventions
Q2) The patient appears to be in no apparent distress,but vital signs taken by assistive personnel reveal an extremely low pulse.The nurse then auscultates an apical pulse and asks the patient whether he has any complaints or a history of heart problems.The nurse is utilizing which critical thinking skill?
A) Interpretation
B) Evaluation
C) Self-regulation
D) Explanation
Q3) Critical thinking characteristics include
A) Considering what is important in a given situation.
B) Accepting one, established way to provide patient care.
C) Making decisions based on intuition.
D) Being able to read and follow physician's orders.
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Page 17
Chapter 16: Nursing Assessment
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Sample Questions
Q1) A patient expresses fear of going home and being alone.Her vital signs are stable and her incision is nearly completely healed.The nurse can infer from the subjective data that
A) The patient can now perform the dressing changes herself.
B) The patient can begin retaking all her previous medications.
C) The patient is apprehensive about discharge.
D) Surgery was not successful.
Q2) To gather information about a patient's home and work surroundings,the nurse will need to utilize which method of data collection?
A) Carefully review lab results.
B) Conduct the physical assessment before collecting subjective information.
C) Perform a thorough nursing health history.
D) Prolong the termination phase of the interview.
Q3) While interviewing an older female patient of Asian descent,the nurse notices that the patient looks at the ground when answering questions.This nurse should
A) Notify the physician to recommend a psychological evaluation.
B) Consider cultural differences during this assessment.
C) Ask the patient to make eye contact to determine her affect.
D) Continue with the interview and document that the patient is depressed.
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Page 18
Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) A patient presents to the emergency department following a motor vehicle crash and suffers from a right femur fracture.The leg is stabilized in a full leg cast.Otherwise,the patient has no other major injuries,is in good health,and complains only of moderate discomfort.What is the most pertinent nursing diagnosis to be included in the plan of care based on the assessment data provided?
A) Posttrauma syndrome
B) Constipation
C) Urinary retention
D) Acute pain
Q2) Which of these selections is an etiology for Acute pain versus a defining characteristic?
A) Complaint of pain as a 7 on a 0 to 10 scale
B) Disruption of tissue integrity
C) Dull headache
D) Discomfort while changing position
Q3) One purpose of using standard formal nursing diagnoses in practice is to
A) Form a language that can be encoded only by nurses.
B) Distinguish the nurse's role from the physician's role.
C) Allow for the communication of patient needs to assistive personnel.
D) Help nurses focus on the scope of medical practice.
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Chapter 18: Planning Nursing Care
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Sample Questions
Q1) Which of the following options correctly explains what the nurse should do with the plan of care for a patient after it is developed?
A) Place the original copy in the chart, so it cannot be tampered with or revised.
B) Communicate the plan of care to all health care professionals involved in the patient's care.
C) Send the plan of care to the administration office to be filed.
D) Send the plan of care to quality assurance for review.
Q2) What is the first step in making a consult?
A) Avoid bias by not providing a lot of information based on opinion to the consultant.
B) Identify the problem.
C) Provide the consultant with relevant information about the problem.
D) Ensure that the right professional, with the appropriate knowledge and expertise, is contacted.
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Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) A patient recovering from a leg fracture after a fall states that he has dull pain in the affected leg and rates it as a 7 on a 0 to 10 scale.The patient is not able to walk around in the room with crutches because of leg discomfort.What is the priority nursing intervention for this patient?
A) Assist the patient to walk in the room with crutches.
B) Obtain a walker for the patient.
C) Consult physical therapy.
D) Administer pain medication.
Q2) The nurse is intervening for an identified nursing diagnosis of Risk for infection.Which direct care nursing intervention is most appropriate?
A) Teaching the family proper handwashing technique
B) Leaving side rails up at all times
C) Teaching the patient how to use crutches
D) Counseling the family on stress reduction techniques
Q3) What is the first intervention included on any patient's plan of care?
A) Determine patient outcomes and goals.
B) Prioritize the patient's nursing diagnoses.
C) Reassess the patient.
D) Assess for a patent airway.
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Page 21
Chapter 20: Evaluation
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Sample Questions
Q1) Which of these statements made by a patient who has Disturbed body image is the best indicator of the patient's patient early acceptance of body image?
A) "I just won't go to the pool this summer."
B) "I'm worried about what those other girls will think of me."
C) "I can't wear that color. It makes my hips stick out."
D) "I'll wear the blue dress. It matches my eyes."
Q2) After assessing the patient and identifying the need for headache relief,the nurse administers acetaminophen (Tylenol)for the patient's headache.What is the nurse's next priority action for this patient?
A) Eliminate Acute pain from the nursing care plan.
B) Direct the nursing assistant to ask if the patient's headache is relieved.
C) Reassess the patient's pain level in 30 minutes.
D) Revise the plan of care.
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) The five rights of delegation include
A) Right task.
B) Right circumstances.
C) Right monetary compensation.
D) Right person.
E)Right direction.
F) Right opinion.
G) Right supervision.
Q2) A nurse observes a patient care technician using all these measures when taking vital signs.Which measure requires the nurse to intervene?
A) Palpates brachial artery before inflating blood pressure cuff
B) Counts respirations while palpating radial pulse
C) Inserts thermometer into sublingual pocket after patient sips water
D) Asks patient to relax arm before taking blood pressure
Q3) In which nursing care model is the RN usually appointed the position of group leader?
A) Total patient care
B) Primary nursing
C) Team nursing
D) Case management
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Chapter 22: Ethics and Values
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Q1) During a severe respiratory epidemic,the local health care organizations decide to give health care providers priority access to ventilators over other members of the community who also need that resource.Which philosophy would give the strongest support for this decision?
A) Feminist ethics
B) Utilitarianism
C) Deontology
D) Ethics of care
Q2) Four patients in labor all request epidural analgesia to manage their pain at the same time.Which ethical principle is compromised when only one nurse anesthetist is on call?
A) Justice
B) Nonmaleficence
C) Beneficence
D) Fidelity
Q3) Determinations regarding quality of life are
A) Based on a person's ability to act according to ethical principles.
B) Based on a patient's self-determination.
C) Value judgments that can vary from person to person.
D) Consistent and stable over the course of one's lifetime.
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Chapter 23: Legal Implications in Nursing Practice
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Q1) A pediatric oncology nurse floats to an orthopedic trauma unit.What actions should the nurse manager of the orthopedic unit take to enable safe care to be given by this nurse?
A) Provide a complete orientation to the functioning of the entire unit.
B) Determine patient acuity and care the nurse can safely provide.
C) Allow the nurse to choose which meal time she would like.
D) Assign nursing assistive personnel to assist her with care.
Q2) An obstetrical nurse comes across an automobile accident.The patient seems to have a crushed upper airway,and while waiting for emergency medical services to arrive,the nurse makes a cut in the trachea and inserts a straw from her purse to provide an airway.The patient survives and has a permanent problem with his vocal cords,making it difficult to talk.Which statement is true regarding the nurse's performance?
A) The nurse acted appropriately and saved the patient's life.
B) The nurse acted within the guidelines of the Good Samaritan Law.
C) The nurse took actions beyond those that are standard and appropriate.
D) The nurse should have just stayed with the patient and waited for help.
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Chapter 24: Communication
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Q1) A nurse is sitting at the patient's bedside taking a nursing history.Which zone of personal space is the nurse using?
A) Intimate
B) Personal
C) Social
D) Public
Q2) A smiling patient angrily states,"I will not cough and deep breathe." How will the nurse interpret this finding?
A) The patient's personal space was violated.
B) The patient's affect is inappropriate.
C) The patient's vocabulary is poor.
D) The patient's denotative meaning is wrong.
Q3) When making rounds,the nurse finds a patient who is not able to sleep because of surgery in the morning.Which therapeutic response is most appropriate?
A) "It will be okay. Your surgeon will talk to you in the morning."
B) "Why can't you sleep? You have the best surgeon in the hospital."
C) "Don't worry. The surgeon ordered a sleeping pill to help you sleep."
D) "It must be difficult not to know what the surgeon will find. What can I do to help?"
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26
Chapter 25: Patient Education
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Sample Questions
Q1) After a teaching session on taking blood pressures,the nurse tells the patient,"You took that blood pressure like an experienced nurse." What type of reinforcement did the nurse use?
A) Material
B) Activity
C) Social
D) Entrusting
Q2) A student nurse learns that a normal adult heartbeat is 60 to 100 beats/minute.In which domain did learning take place?
A) Kinesthetic
B) Cognitive
C) Affective
D) Psychomotor
Q3) Which action best indicates that learning has occurred?
A) A nurse presents information about diabetes.
B) A patient demonstrates how to inject insulin.
C) A family member listens to a lecture on diabetes.
D) A primary care provider hands a diabetes pamphlet to the patient.
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) A nurse in a long-term care setting that is funded by Medicare and Medicaid is completing standardized protocols for assessment and care planning and for meeting quality improvement within and across facilities.Which task did the nurse just complete?
A) A focused assessment/specific body system
B) The Resident Assessment Instrument/Minimum Data Set
C) An admission assessment and acuity level
D) An intake assessment form and auditing phase
Q2) A preceptor is working with a new nurse on documentation.Which situation will cause the preceptor to intervene?
A) The new nurse uses a black ink pen to chart.
B) The new nurse charts consecutively on every other line.
C) The new nurse ends each entry with signature and title.
D) The new nurse keeps the password secure.
Q3) After providing care,a nurse charts in the patient's record.Which entry should the nurse document?
A) Appears restless when sitting in the chair
B) Drank adequate amounts of water
C) Apparently is asleep with eyes closed
D) Skin pale and cool
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Page 28
Chapter 27: Patient Safety
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Q1) The nurse has placed a patient on high-risk alert for falls.Which of the following observations by the nurse would indicate that the patient has an understanding of this alert?
A) The patient removes the high alert armband to bathe.
B) The patient wears the red nonslip footwear.
C) The call light is kept on the bedside table.
D) The patient insists on taking a "water" pill on home schedule in the evening.
Q2) The nurse is teaching a group of older adults at an assisted-living facility about age-related physiological changes.Which question would be the most important to ask this group?
A) "Are you able to hear the tornado sirens in your area?"
B) "Are you able to read your favorite book?"
C) "Are you able to remember the name of the person you just met?"
D) "Are you able to open a jar of pickles?"
Q3) The nurse knows that children in late infancy and toddlerhood are at risk for injury owing to
A) Learning to walk.
B) Trying to pull up on furniture.
C) Being dropped by a caregiver.
D) Growing ability to explore and oral activity.
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Chapter 28: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25777
Sample Questions
Q1) The nurse is caring for an adult patient in the clinic who has been evacuated and is a victim of flooding.The patient presents with signs and symptoms of a urinary tract infection.Along with needed education surrounding this diagnosis,the nurse teaches the patient about rest,exercise,eating properly,and how to utilize deep breathing and visualization.Which of these explanations would best support these nursing interventions?
A) Urinary tract infections are painful, and these techniques would help with managing the pain.
B) Interventions listed are standard topics taught during health care visits.
C) Stress for long periods of time can lead to exhaustion and decreased resistance to infection.
D) The patient requested this information to teach to extended family at home.
Q2) The nurse is providing an education session to an adult community group about the effects of smoking.Which of the following is the most important point to be included in the educational session?
A) Smoke from tobacco products clings to your clothing and hair.
B) Smoking affects the cilia lining the upper airways in the lungs.
C) Smoking tobacco products can be very expensive.
D) Smoking can affect the color of the patient's fingernails.
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Page 30
Chapter 29: Vital Signs
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25778
Sample Questions
Q1) The nurse needs to obtain a radial pulse from a patient.To obtain the correct measure,what must the nurse do?
A) Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.
B) Place the thumb over the groove along the thumb side of the patient's wrist.
C) Apply a very light touch so that the pulse is not obliterated.
D) Apply very strong pressure to detect the pulse.
Q2) Of the following values,which value would be considered prehypertension?
A) 98/50 in a 7-year-old child
B) 115/70 in an infant
C) 140/90 in an older adult
D) 120/80 in a middle-aged adult
Q3) The patient requires routine temperature assessment but is confused and easily agitated and has a history of seizures.The nurse's best option would be to take his temperature
A) Orally.
B) Tympanically.
C) Rectally.
D) By the axillary method.
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Page 31
Chapter 30: Health Assessment and Physical Examination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25779
Sample Questions
Q1) Having misplaced his stethoscope,a nurse borrows a colleague's stethoscope.He next enters the patient's room and identifies himself,washes his hands with soap,and states the purpose of his visit.He performs proper identification of the patient before he auscultates her lungs.Which critical health assessment step was not performed?
A) Running warm water over stethoscope for patient comfort
B) Cleaning stethoscope with Betadine
C) Using alcohol-based hand disinfectant
D) Cleaning stethoscope with alcohol
Q2) The nurse is urgently called to the gymnasium regarding an injured student.The student is crying in severe pain with a malformed fractured lower leg.The proper sequence for the nurse's initial assessment is
A) Deep palpation, light palpation, inspection.
B) Light palpation, deep palpation, inspection.
C) Inspection, light palpation.
D) Auscultation, deep palpation, light palpation.
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Chapter 31: Medication Administration
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50 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient who is in hypertensive crisis.When the nurse is flushing the patient's peripheral IV,the patient complains of pain.Upon assessment,the nurse notices a red streak that is warm to the touch.What is the nurse's initial action?
A) Notify the physician.
B) Administer pain medication.
C) Discontinue the IV.
D) Apply a cool compress to the site.
Q2) A drug requires a low pH to be metabolized.Knowing this,the nurse anticipates that the medication will be administered by which route?
A) Oral
B) Parenteral
C) Buccal
D) Inhalation
Q3) A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen 500 mg (Vicodin)every 4 hours.He is also taking 2 tablets of acetaminophen (Tylenol)325 mg every 12 hours.How many grams of acetaminophen is he taking daily?
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Chapter 32: Complementary and Alternative Therapies
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A patient asks about the new clinic in town that is staffed by allopathic and complementary practitioners.The nurse recognizes that the patient is most likely asking about which clinic?
A) Integrative medical clinic
B) Ayurvedic clinic
C) Naturopathic medical clinic
D) Healing intention clinic
Q2) A 70-year-old patient is newly admitted to a skilled nursing facility with the diagnoses of Alzheimer's dementia,lipidemia,and hypertension,and a history of pulmonary embolism.Medications brought on admission included lisinopril,hydrochlorothiazide,warfarin,low-dose aspirin,ginkgo biloba,and echinacea.The nurse contacts the patient's medical provider over which potential drug-drug interaction?
A) Lisinopril and echinacea
B) Warfarin and ginkgo biloba
C) Echinacea and warfarin
D) Lisinopril and hydrochlorothiazide
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Chapter 33: Self-Concept
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20 Flashcards
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Sample Questions
Q1) Based on the following data,which person is likely to have the highest self-esteem?
A) Latino adolescent female who has strong ethnic pride
B) Caucasian boy who lives below federal poverty level
C) African American adolescent male who has severe acne
D) Adolescent who was suspended twice from high school
Q2) The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment.An appropriate priority for a patient at this clinic would be
A) Identifying local self-help groups before being discharged from the program.
B) Staying away from all triggers that cause substance abuse.
C) Stating a plan to never be tempted by illicit substances after discharge.
D) Identifying personal areas of weakness to grow stronger.
Q3) A nurse who grimaces when seeing a patient's colostomy opening while changing the colostomy bag is most likely to have what effect on the patient?
A) Assist recovery by using honest communication.
B) Motivate the patient to increase physical activity.
C) Promote development of a negative body image.
D) Develop a kind nickname for the colostomy opening.
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Chapter 34: Sexuality
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23 Flashcards
Source URL: https://quizplus.com/quiz/25783
Sample Questions
Q1) The nurse is leading a seminar about menopause and age-related changes.The nurse knows that a patient does not fully understand the changes of aging when the patient says
A) "I will no longer ovulate after menopause."
B) "Orgasms are no longer achievable after menopause."
C) "Hormones of sexual regulation such as estrogen decrease with age."
D) "As men age, their ability to sexually perform may decrease."
Q2) A 68-year-old female asks the nurse if a contraceptive is still necessary.What is the best response by the nurse?
A) "A barrier such as a condom is recommended if you are unsure whether your sexual partners have been tested for STIs."
B) "No, because you have gone through menopause and can no longer become pregnant."
C) "Let's discuss this further, what is your current level of sexual activity?"
D) "Yes, as long as using a barrier does not decrease sexual performance."
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Chapter 35: Spiritual Health
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25784
Sample Questions
Q1) The patient is admitted with chronic back pain.The nurse who is caring for this patient should
A) Focus on finding quick remedies for the back pain.
B) Look at how pain influences the patient's ability to function.
C) Realize that the patient's only goal is relief of the back pain.
D) Help the patient realize that there is little hope of relief from chronic pain.
Q2) The nurse and the patient have the same religious affiliation.Because of this,the nurse
A) Can assume that they have the same spiritual beliefs.
B) Should not impose her personal values on the patient.
C) Must use an assessment tool to assess the patient's beliefs.
D) Can skip the spiritual belief assessment.
Q3) When evaluating a patient's risk for spiritual crises,which of the following are part of the evaluation process?
A) Review the patient's self-perception regarding spiritual health.
B) Review the patient's view of his/her purpose in life.
C) Discuss with family and associates the patient's connectedness.
D) Ask whether the patient's expectations are being met.
E) Impress on the patient that spiritual health is permanent once obtained.
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Page 37
Chapter 36: The Experience of Loss, death, and Grief
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24 Flashcards
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Sample Questions
Q1) Enuresis is reported in a previously toilet trained toddler.While gathering a health history from the grandparent,the nurse asks about which factor as the most likely cause?
A) Lack of outside playtime
B) Having too many toys
C) Dietary changes
D) Recent parental death
Q2) A man is hospitalized after surgery that amputated both lower extremities owing to injuries sustained during military service.The nurse should recognize his need to grieve for what type of loss?
A) Maturational loss
B) Situational loss
C) Perceived loss
D) Uncomplicated loss
Q3) Validation of a dying person's life would be demonstrated by which nursing action?
A) Taking pictures of visitors
B) Calling the organ donation coordinator
C) Listening to family stories about the person
D) Providing quiet visiting time
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Chapter 37: Stress and Coping
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20 Flashcards
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Sample Questions
Q1) A young adult's chief complaint is "seizure fits." A chart review shows a negative EEG report and a normal neurological consultation report.A psychosocial history reveals increased family stress,bankruptcy,and a recent divorce.The nurse recognizes that this young man's pseudo-seizures most likely are an example of which unconscious coping mechanism?
A) Compensation
B) Conversion
C) Dissociation
D) Denial
Q2) A nurse is teaching guided imagery to a prenatal class.Identify an example of guided imagery from the options below.
A) Singing
B) Back massage
C) Sensory peaceful words
D) Listening to music
Q3) Identify a sociocultural factor that can lead to developmental problems.
A) Family relocation
B) Childhood obesity
C) Prolonged poverty
D) Loss of stamina
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Chapter 38: Activity and Exercise
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The patient has been in bed for several days and needs to be ambulated.Before ambulation,the nurse
A) Removes the gait belt to allow for unrestricted movement.
B) Has the patient get up from bed before he has a chance to get dizzy.
C) Has the patient look down to watch his feet to prevent tripping.
D) Dangles the patient on the side of the bed.
Q2) A structural curvature of the spine associated with vertebral rotation is known as A) Scoliosis.
B) Osteogenesis.
C) Osteomalacia.
D) Arthritis.
Q3) The nurse is developing an exercise plan for someone diagnosed with congestive heart failure and exercise intolerance.In doing so,the nurse should
A) Plan for 20 minutes of continuous aerobic activity and increase as tolerated.
B) Perform 6-minute walks at the patient's pace at least 2 times a day.
C) Instruct the patient that he should not take his beta blocker medication on exercise days.
D) Encourage a high-calorie diet to plan for extra calorie expenditure.
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Page 40
Chapter 39: Hygiene
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50 Flashcards
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Sample Questions
Q1) The nurse is teaching the patient about flossing and oral hygiene.The nurse teaches the patient that
A) Flossing needs to be done at least three times a day.
B) To prevent bleeding, the patient should use waxed floss.
C) Flossing removes plaque and tartar from the teeth.
D) Applying toothpaste to the teeth before flossing is harmful.
Q2) The female nurse is caring for a male patient who is uncircumcised but not ambulatory,although he has full function of arms and hands.The nurse is providing the patient with a partial bed bath.Perineal care for this patient
A) Is not necessary because he is not circumcised.
B) Should be postponed because it may cause him embarrassment.
C) Should be done by the patient.
D) Should be done by the nurse.
Q3) The nurse is caring for a patient who has multiple ticks on her legs and body.To rid the patient of ticks,the nurse should
A) Burn the ticks in an ashtray once removed.
B) Use blunt tweezers and pull upward with steady pressure.
C) Allow the ticks to drop off by themselves.
D) Use products containing lindane to kill the ticks.
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Page 41
Chapter 40: Oxygenation
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48 Flashcards
Source URL: https://quizplus.com/quiz/25789
Sample Questions
Q1) The nurse knows that a myocardial infarction is an occlusion of what blood vessel?
A) Pulmonary artery
B) Ascending aorta
C) Coronary artery
D) Carotid artery
Q2) A nurse is caring for a patient who suffered a myocardial infarction to the left coronary artery.Upon assessment,the nurse expects to find
A) Blood in the sputum.
B) Distended jugular vein.
C) Peripheral edema.
D) Crackles in the lungs.
Q3) The nurse is assessing a patient with emphysema.Which assessment finding requires further follow-up with the physician?
A) Clubbing of the fingers
B) Increased anterior-posterior diameter of the chest
C) Hemoptysis
D) Tachypnea
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42
Chapter 41: Fluid, electrolyte, and Acid-Base Balance
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The nurse selects appropriate tubing for a blood transfusion by ensuring that the tubing has
A) Two-way valves to allow the patient's blood to mix and warm the blood transfusing.
B) An injection port to mix additional electrolytes into the blood.
C) An air vent to let bubbles in the blood escape.
D) A filter to ensure that clots do not enter the patient.
Q2) Approximately two thirds of the body's total water volume exists in the _____ fluid.
A) Intracellular
B) Interstitial
C) Intravascular
D) Transcellular
Q3) When discontinuing a peripheral IV access,the nurse should
A) Use scissors to remove the IV site dressing and tape.
B) Keep the catheter parallel to the skin while removing it.
C) Apply firm pressure with sterile gauze during removal.
D) Stop the infusion before removing the IV catheter.
E) Wear sterile gloves and a mask.
F) Apply pressure to the site for 2 to 3 minutes after removal.
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43
Chapter 42: Sleep
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30 Flashcards
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Sample Questions
Q1) Which of the following would be most important for the nurse to monitor in a patient who has obstructive sleep apnea?
A) Gastrointestinal function
B) Circulatory status
C) Respiratory status
D) Neurological function
Q2) A young mother has been hospitalized for an irregular heartbeat (arrhythmia).The night nurse comes in to see the patient awake.What would be the most appropriate nursing intervention?
A) Inform the patient that it is late and time to go to sleep.
B) Ask the patient if she would like medication to help her sleep.
C) Recommend the great movie that is on television tonight.
D) Take time to sit and talk with the patient about her inability to sleep.
Q3) The patient shares with the nurse the vivid,full color dreams experienced by the patient last night.These data would indicate that the patient has reached what stage of sleep?
A) Stage 1 NREM
B) Stage 2 NREM
C) Stage 3 NREM
D) REM
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Chapter 43: Pain Management
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) What nursing intervention is most effective in preventing injury to a patient following administration of epidural anesthesia?
A) Keeping the reversal agent in a syringe in the patient's bedside table
B) Applying a gauze dressing to the epidural catheter insertion site
C) Labeling the tubing that leads to the epidural catheter
D) Asking the nursing assistive personnel to check on the patient at least once every 2 hours
Q2) Which of the following is the best way for the nurse to manage pain for a patient with chronic pain from arthritis?
A) Administer pain medication before any activity.
B) Provide intravascular bolus as needed for breakthrough pain.
C) Give medications around-the-clock.
D) Administer pain medication only when nonpharmacological measures have failed.
Q3) The nurse is caring for a patient who suddenly experiences chest pain.What is the nurse's first priority?
A) Call the rapid response team.
B) Ask the patient to rate and describe the pain.
C) Raise the head of the bed.
D) Administer pain relief medications.
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Page 45
Chapter 44: Nutrition
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Sample Questions
Q1) The ChooseMyPlate program includes guidelines for A) Children younger than 2 years.
B) Balancing calories.
C) Increasing portion size.
D) Decreasing water consumption.
Q2) At present,the most reliable method for verification of placement of small-bore feeding tubes is A) Auscultation.
B) Aspiration of contents.
C) X-ray.
D) pH testing.
Q3) Some proteins are manufactured in the body,but others are not.Those that must be obtained through diet are known as
A) Amino acids.
B) Dispensable amino acids.
C) Triglycerides.
D) Indispensable amino acids.
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46
Chapter 45: Urinary Elimination
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44 Flashcards
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Sample Questions
Q1) A nurse notifies the provider immediately if a patient with an indwelling catheter
A) Complains of discomfort upon insertion of the catheter.
B) Places the drainage bag higher than the waist while ambulating.
C) Has not collected any urine in the drainage bag for 2 hours.
D) Is incontinent of stool and contaminates the external portion of the catheter.
Q2) When caring for a hospitalized patient with a urinary catheter,which nursing action best prevents the patient from acquiring an infection?
A) Inserting the catheter using strict clean technique
B) Performing hand hygiene before and after providing perineal care
C) Fully inflating the catheter's balloon according to the manufacturer's recommendation
D) Disconnecting and replacing the catheter drainage bag once per shift
Q3) The nurse would anticipate inserting a Coudé catheter for which patient?
A) An 8-year-old male undergoing anesthesia for a tonsillectomy
B) A 24-year-old female who is going into labor
C) A 56-year-old male admitted for bladder irrigation
D) An 86-year-old female admitted for a urinary tract infection.
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Chapter 46: Bowel Elimination
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Sample Questions
Q1) The nurse knows that the ideal time to change an ostomy pouch is
A) Before eating a meal, when the patient is comfortable.
B) When the patient feels that he needs to have a bowel movement.
C) When ordered in the patient's chart.
D) After the patient has ambulated the length of the hallway.
Q2) Which nursing action best reduces risk of excoriation to the mucosal lining of the nose from a nasogastric tube?
A) Lubricating the nares with water-soluble lubricant
B) Applying a small ice bag to the nose for 5 minutes every 4 hours
C) Instilling Xylocaine into the nares once a shift
D) Changing the tape holding the tube in place once a shift
Q3) After a patient returns from a barium swallow,the nurse's priority is to
A) Encourage the patient to increase fluids to flush out the barium.
B) Monitor stools closely for bright red blood or mucus, which indicates trauma from the procedure.
C) Inform the patient that his bowel movements are radioactive, and that he should be sure to flush the toilet three times.
D) Thicken all patient drinks to prevent aspiration.
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Chapter 47: Mobility and Immobility
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Sample Questions
Q1) What is meant by "concentric tension" of muscles?
A) Increased muscle contraction results in movement.
B) The speed and direction of movement are controlled.
C) Tension causes no shortening or active movement.
D) Tension does not result in isotonic contraction.
Q2) The term body alignment refers to positioning of the joints,tendons,ligaments,and muscles while standing,sitting,and lying.A term that is similar to body alignment is A) Weight.
B) Posture.
C) Friction.
D) Body mechanics.
Q3) The nurse must assess the patient for hazards of immobility by performing a head-to-toe physical assessment.When assessing the respiratory system,the nurse should
A) Assess the patient at least every 4 hours.
B) Inspect chest wall movements during the expiratory cycle only.
C) Auscultate the entire lung region to assess lung sounds.
D) Focus auscultation on the upper lung fields.
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Chapter 48: Skin Integrity and Wound Care
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/25797
Sample Questions
Q1) The nurse is caring for a patient with a stage II pressure ulcer and has assigned a nursing diagnosis of Risk for infection.The patient is unconscious and bedridden.The nurse is completing the plan of care and is writing goals for the patient.What is the best goal for this patient?
A) The patient's family will demonstrate specific care of the wound site.
B) The patient will state what to look for with regard to an infection.
C) The patient will remain free of an increase in temperature and of odorous or purulent drainage from the wound.
D) The patient's family members will wash their hands when visiting the patient.
Q2) The nurse is completing a skin risk assessment utilizing the Braden scale.The patient has some sensory impairment and skin that is rarely moist,walks occasionally,and has slightly limited mobility,along with excellent intake of meals and no apparent problem with friction and shear.What would be the patient's Braden scale total score?
A) 15
B) 17
C) 20
D) 23
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Page 50
Chapter 49: Sensory Alterations
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29 Flashcards
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Sample Questions
Q1) Which nursing assessment best measures cognitive functioning?
A) Administer a Mini-Mental Status Exam (MMSE).
B) Ask the patient his name, where he is, and what month it is.
C) Ask the patient's family if the patient is behaving normally.
D) Evaluate the patient's ability to read the newspaper.
Q2) The nurse is creating a plan of care for a patient with glaucoma.Which nursing diagnosis addresses the complication of the sensory deficit that places the patient at greatest risk for injury?
A) Risk for falls
B) Body image disturbance
C) Social isolation
D) Fear
Q3) A nurse is caring for a patient with right-sided weakness following a stroke.Which nursing action would be least effective in promoting positive adaptation of the patient's sensory deficit?
A) Placing the patient's belongings on the affected side
B) Approaching the patient from the affected side
C) Teaching the patient how to create a safe environment
D) Completing sentences that the patient cannot finish
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Page 51
Chapter 50: Care of Surgical Patients
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25799
Sample Questions
Q1) The nurse is preparing a patient for a surgical procedure on the right great toe.Which of the following actions would be most important to include in this patient's preparation?
A) Ascertain that the surgical site has been correctly marked.
B) Ascertain where the family will be located during the procedure.
C) Place the patient in a clean surgical gown.
D) Ask the patient to remove all hairpins and cosmetics.
Q2) The nurse is encouraging a reluctant postoperative patient to deep breathe and cough.What explanation can the nurse provide that may encourage the patient to cough more effectively?
A) "If you don't deep breathe and cough, you will get pneumonia."
B) "Deep breathing and coughing will clear out the anesthesia."
C) "Coughing will not harm the incision if done correctly."
D) "You will need to cough only a few times during this shift."
Q3) The nurse is caring for a postoperative patient with an abdominal incision.A pillow is used during coughing to provide
A) Pain relief.
B) Splinting.
C) Distraction.
D) Anxiety reduction.
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Page 52