Clinical Nursing I Mock Exam
Course Introduction
Clinical Nursing I provides students with foundational knowledge and practical skills essential for delivering safe and effective care in various healthcare settings. Emphasizing the nursing process, patient assessment, basic therapeutic interventions, and the application of evidence-based practices, this course introduces students to core nursing concepts such as communication, professional ethics, patient safety, documentation, and infection control. Through a combination of classroom instruction, laboratory simulations, and supervised clinical experiences, students develop critical thinking abilities and hands-on competence, preparing them to address the diverse needs of individuals across the lifespan in real-world clinical environments.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman
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52 Chapters
1464 Verified Questions
1464 Flashcards
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Chapter 1: Historical and Contemporary Nursing Practice
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse has been asked to participate on the hospital's Shared Governance Committee.To which nurse leader should the nurse attribute the ability for nurses to control the profession?
A)Mary Breckinridge
B)Lavinia Dock
C)Margaret Higgins Sanger
D)Virginia Henderson
Answer: B
Q2) The nursing instructor is explaining the present economic challenges in health care to students in a community health course.What should the instructor emphasize as being important for the students to be aware of?
A)Passage of the Affordable Care Act
B)Consumer presence on the boards of nursing associations and regulatory agencies
C)Diagnostic-related groups (DRGs)
D)Advances in science and technology
Answer: A
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Chapter 2: Evidence-Based Practice and Research in Nursing
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse using evidence-based practice to guide care has identified a study in which the findings would be appropriate to address a client's health care need.What actions should the nurse take before implementing these findings?
(Select all that apply)
A)Ask the client if the findings can be used.
B)Immediately apply the findings to client care.
C)Examine how the findings fit with the client's health needs.
D)Determine if resources are available to implement the findings.
E)Identify organization policies to support or address the findings.
Answer: A,C,D,E
Q2) A nursing instructor is researching the implementation of assigning study guides for homework points and the effect this has on the students' test grades.The instructor reports group data for published research.Which research right did the instructor implement?
A)Right of full disclosure
B)Right of privacy
C)Right of self-determination
D)Risk of harm
Answer: B
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Chapter 3: Nursing Theories and Conceptual Frameworks
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28 Verified Questions
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Sample Questions
Q1) The nurse is planning client care while keeping in mind Orem's self-care deficit theory.Which methods of helping should the nurse include when determining the best care for the client?
(Select all that apply)
A)Balancing rest
B)Teaching
C)Supporting
D)Guiding
E)Preventing hazards to life
Answer: B,C,D,E
Q2) The pediatric nurse implements Watson's assumption regarding a caring environment.Which action did the nurse take to implement this assumption?
A)Providing for all needs and cares of the nurse's clients
B)Ensuring that a zone of professionalism is present between the nurse and client
C)Allowing the clients to have choices,as appropriate,in their care
D)Selecting games and activities that are age appropriate for the clients
Answer: C
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5
Chapter 4: Legal Aspects of Nursing
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28 Flashcards
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Sample Questions
Q1) A client scheduled for surgery has signed the consent form but refuses to have a Foley catheter placed,saying "That's not part of the surgery." What should the nurse do?
A)Explain that this is part of the surgical prep and continue with the procedure.
B)Explain that the client has already signed the consent,and place the catheter.
C)Respect the client's wishes and document accordingly.
D)Offer to call the physician.
Q2) An older adult fell at home and fractured a hip,which requires surgical repair.After admittance to the emergency department,the client was given sedation for pain before a surgical permit was signed.What should be done to obtain consent?
A)The physician should have the client's wife sign the consent form.
B)The physician should wait until the effects of the medication wear off and have the client sign the form.
C)Because the client has been medicated,the nurse should thoroughly explain the consent form to the client.
D)This would be considered an emergency situation and consent would be implied.
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Chapter 5: Values, Ethics, and Advocacy
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A decision has been made for an older client to receive aggressive cancer therapy despite knowing that the therapy will actually be more harmful than the disease and subject the client to harmful chemicals.With which ethical principle is this nurse caring for this client struggling?
A)Autonomy
B)Justice
C)Beneficence
D)Nonmaleficence
Q2) A nurse mistakenly gave a client who was NPO a morning breakfast tray.After realizing the mistake,the nurse notified the physician as well as the client;explained the consequences of this mistake,which included a delay in the client's scheduled procedure;and documented the situation in the client's medical record.What did this nurse demonstrate?
A)Altruism
B)Integrity
C)Social justice
D)Human dignity
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Chapter 6: Health Care Delivery Systems
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is considering leaving a position in an organization that utilized differentiated practice.Which type of delivery system should the nurse consider as being the most similar to differentiated practice?
A)Case method
B)Shared governance
C)Functional method
D)Team nursing
Q2) A new graduate nurse is looking for employment and is hoping to find a facility that utilizes nursing personnel based on their educational preparation and skill set.In which type of facility should the new graduate apply for a position?
A)Patient-focused care
B)Shared governance
C)Differentiated practice
D)Managed care
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8
Chapter 7: Community Nursing and Care Continuity
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A parish health nurse is working with a particular congregation in setting up a support program for shut-ins within the congregation who are not able to come to regular prayer services.In which role is this nurse functioning?
A)Counselor
B)Educator
C)Referral source
D)Facilitator
Q2) After implementing health promotion activities and plans to prioritize health problems,the community must evaluate the effectiveness of the interventions.Which groups should be involved in this process?
A)Health care providers at the community level
B)Hospital and clinic personnel who administered health care needs
C)Health care providers,consumers,community leaders,and politicians
D)Those consumers who were directly affected by the services provided
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9
Chapter 8: Home Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) While assessing a client's environment for safety concerns,the nurse finds that most of the rooms in the house have only one outlet with various cords entering the outlet.When this concern is shared with the client and spouse,they state that "this is the way we've lived for years." What should the nurse do?
A)Provide telephone numbers for local electricians.
B)Continue to persuade the client to have the home rewired.
C)Not bring the subject up again.
D)Document the findings and the client and spouse's response to the concern.
Q2) A client who has been the recipient of home health care has made the decision to discontinue hemodialysis.The client understands all the consequences of this decision and is not supported by his family.The nurse is meeting with the family to help them understand the significance of the client's decision and to help them support the client during this difficult time.In which role is the nurse functioning?
A)Caregiver
B)Advocate
C)Educator
D)Counselor
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Page 10
Chapter 9: Electronic Health Records and Information Technology
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A client tells the nurse about researching on the Internet for information about a newly prescribed medication.What should the nurse respond to the client?
A)"I'm glad you're interested in your therapy."
B)"Information on the Internet cannot be trusted.You should check with your pharmacist."
C)"Your physician is the one you should be asking these kinds of questions."
D)"Let's look at some of the sites you've been visiting."
Q2) A small nursing program has limited access to clinical sites,especially those with specialty areas.What should the nurse educators consider as an option to allow students "hands-on" simulated clinical experience in these areas?
A)A field trip to a larger nursing institution
B)Videos
C)CAI
D)Workbook with written study guides
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Chapter 10: Critical Thinking and Clinical Reasoning
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse systematically tries a variety of products to help with healing of a client's wound.Which problem-solving method is the nurse using?
A)Intuition
B)Scientific method
C)Research process
D)Trial and error
Q2) Prior to providing client care,the nurse reviews previous shift charting and the responses to nursing interventions.Which decision-making action is the nurse using?
A)Set the criteria
B)Examine alternatives
C)Implement
D)Evaluate the outcome
Q3) The nurse is providing care to a group of clients.For which situation would the nurse's use of critical thinking be a priority?
A)Administering IV push meds to critically ill clients
B)Educating a home health client about treatment options
C)Teaching new parents car seat safety
D)Assisting an orthopedic client with the proper use of crutches
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Chapter 11: Assessing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse suspects that a client with a history of injuries is a victim of abuse.What did the nurse use to come to this conclusion?
A)Observation of cues
B)Validation
C)Inference
D)Judgment
Q2) While conducting a dressing change,the nurse notes a new area of skin breakdown that was caused from the tape used to secure the dressing.In which phase of the nursing process is the nurse working?
A)Assessment
B)Diagnosis
C)Implementation
D)Evaluation
Q3) The student is learning the steps of the nursing process.What is the first thing that the student should realize about the purpose of this process?
A)Deliver care to a client in an organized way.
B)Implement a plan that is close to the medical model.
C)Identify client needs and deliver care to meet those needs.
D)Make sure that standardized care is available to clients.
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Page 13
Chapter 12: Diagnosing
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24 Flashcards
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Sample Questions
Q1) The nurse is caring for a client recovering from a long and difficult childbirth experience.Which nursing diagnosis did the nurse write appropriately for this client?
A)Constipation,due to tissue trauma,manifested by no bowel movement for 2 days
B)Risk for infection,because of new incision,related to episiotomy
C)Ineffective breast-feeding,related to lack of motivation,secondary to exhaustion
D)Altered urinary elimination,secondary to childbirth
Q2) A client has been having pain without any clear pathology for cause.Which nursing diagnosis should the nurse identify as being the most appropriate for this client?
A)Pain due to unknown factors
B)Pain related to unknown etiology
C)Pain caused by psychosomatic condition
D)Pain manifested by client's report
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14
Chapter 13: Planning
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Sample Questions
Q1) The nurse attends an educational program that provides information about the Nursing Intervention Classifications (NIC)system.Which statements made by the nurse indicate that teaching has been effective?
(Select all that apply)
A)"I can look up interventions according to the nursing diagnosis that I've selected."
B)"The interventions connected to a diagnosis are appropriate for any client with that diagnosis."
C)"If there is a NANDA diagnosis,I should be able to find some appropriate interventions."
D)"Care plans are best written when the interventions are broad and flexible."
E)"I find NIC interventions a really good place to start when I'm working on client interventions."
Q2) The nurse is reviewing interventions written for a client's plan of care.Which intervention should the nurse recognize as being dependent?
A)Repositioning the client every 2 hours
B)Assisting the client with transfers to the bathroom
C)Providing ongoing physical assessment,especially of the incisional sites
D)Administering medications for pain
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Chapter 14: Implementing and Evaluating
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29 Flashcards
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Sample Questions
Q1) The nurse provides care to clients admitted to a mental health facility who exhibit paranoid behavior.Which skill should the nurse use when caring for these clients?
A)Cognitive
B)Interpersonal
C)Technical
D)Therapeutic
Q2) A client has neurologic deficits that are causing tremors,unsteadiness,and weakness.An appropriate diagnosis of Risk for Falls related to unsteady gait,secondary to neurologic dysfunction has been formulated.A goal for this client is not to sustain any injuries for the next month;however,the client has fallen several times.In this situation,what should the nurse do?
A)Review the data and make sure that the diagnosis is relevant.
B)Investigate whether the best nursing interventions were selected.
C)Modify the whole nursing plan.
D)Discard the nursing plan and start over from the assessment phase.
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16
Chapter 15: Documenting and Reporting
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Sample Questions
Q1) When responding to a call light,the nurse finds a client lying on the floor,with the bed linens around the legs.Which chart entry should the nurse document for this finding?
A)Client fell out of bed,but did push the call button for assistance.
B)Client became tangled in the bed linens,then called for assistance after falling out of bed.
C)Recorder responded to client's call light,upon entering the room,found client on floor.
D)Client found on floor,appeared to have fallen out of bed as a result of getting tangled in bed linens.
Q2) A client's condition has deteriorated and the nurse needs to notify the health care provider.What information should the nurse include when providing a telephone report on this client?
(Select all that apply)
A)Client's medical diagnosis
B)Name of unit nurse manager
C)Names of family members visiting
D)Name and relationship to the client
E)Observed changes in the client's status
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Chapter 16: Health Promotion
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28 Verified Questions
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Sample Questions
Q1) The nurse is preparing information packets for incoming college students regarding sexually transmitted disease,drug and alcohol abuse,and the use of stimulants among this age group.In this situation,the nurse has assumed which role?
A)Facilitator
B)Advocate
C)Teacher
D)Coordinator of services
Q2) A client comes to the clinic seeking information regarding smoking cessation classes and ways to improve respiratory function.This client is modeling which behavior?
A)Health promotion
B)Health protection
C)Tertiary prevention
D)Primary prevention
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Chapter 17: Health, Wellness, and Illness
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12 Verified Questions
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Sample Questions
Q1) A nurse is assessing a client who practices yoga for relaxation,is following a nutritionally sound diet,and has supportive,sound relationships with her spouse and children.According to Dunn's high-level wellness grid,this client would exemplify which health characteristic?
A)Emergent high-level wellness in a favorable environment
B)Emergent high-level wellness in an unfavorable environment
C)Protected health in a favorable environment
D)High-level wellness in a favorable environment
Q2) A nurse is working in a rehabilitation center with a client who had a serious injury.Part of the client's care plan includes working on coping with her current limitations since the injury.This nurse is working within which model of health?
A)Role performance
B)Adaptive
C)Eudemonistic
D)Clinical
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19
Chapter 18: Culturally Responsive Nursing Care
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Sample Questions
Q1) A community health nurse works with a variety of cultures providing health care services that include preventive care,acute treatment,and education.Of the following clients,which is most likely to use folk medicine?
A)The client who speaks little English and does not have a job
B)A family who has numerous relatives in a Spanish-American sector of the city
C)A female client whose culture is one of male dominance
D)A Chinese client who has a small,family-run business in the area
Q2) The school nurse is conducting head lice screenings.Before checking the head of an Asian child,the nurse should first take which action?
A)Ask permission.
B)Make sure the child understands the reason for the contact.
C)Put gloves on.
D)Ask the child to wait until last,to avoid embarrassing the child.
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Chapter 19: Complementary and Alternative Healing
Modalities
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Sample Questions
Q1) A client who resides in a long-term care facility has no family or visitors.Her only social contacts are with the staff.The client is confined to bed and is not able to communicate verbally.As part of the client's care plan,the nurses provide massage therapy three times a week.What is the main benefit of this intervention for this client?
A)Stretch and loosen the muscles
B)Speed the removal of metabolic waste products
C)Help satisfy the need for caring and nurturing touch
D)Relieve pain
Q2) A client tells the nurse about an appointment to see an Ayurveda health care practitioner for a specific chronic health problem.What should the nurse instruct the client to expect when visiting this practitioner?
(Select all that apply)
A)A diet
B)Sitting in a sweat lodge
C)An exercise program
D)Acupuncture treatment
E)A list of herbal preparations
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Chapter 20: Concepts of Growth and Development
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Sample Questions
Q1) The nurse is exploring the behavior of children and how they interpret right from wrong or bad from good.Which theorist should the nurse study to learn this information?
A)Vygotsky
B)Skinner
C)Kohlberg
D)Piaget
Q2) A client who has a terminal diagnosis has been using her time to help family members deal with her impending death.Among her activities,she collected pictures for a scrapbook and wrote a journal of favorite memories for family members to read after the client dies.According to Peck,the nurse realizes that this client is working through which developmental task?
A)Body transcendence versus body preoccupation
B)Ego transcendence versus ego preoccupation
C)Ego differentiation versus work-role preoccupation
D)Integrity versus despair
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22
Chapter 21: Promoting Health From Conception Through Adolescence
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Sample Questions
Q1) The school nurse determines that a 14-year-old student has reached an expected level of cognitive development.What did the nurse assess to come to this conclusion?
(Select all that apply)
A)Thinks logically
B)Thinks about the future
C)Makes rational statements
D)Uses a trial-and-error process
E)States things as they could be
Q2) A school nurse is implementing a program to promote psychosocial development among adolescent teens at a high school.Which activity should the nurse include?
A)Career planning
B)Establishing peer groups
C)Playing musical instruments
D)Determining a value system
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23
Chapter 22: Promoting Health in Young and Middle-Aged
Adults
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Sample Questions
Q1) The nurse is preparing information for a community health education seminar.Which statement should the nurse include regarding disease for the middle-aged adult?
A)Cancer is the leading cause of death in the age group from 25 to 64 years.
B)Coronary heart disease is the leading cause of death.
C)Leading causes of death include suicide and motor vehicle crashes.
D)Injuries and chronic disease are the leading causes of death in this age group.
Q2) The nurse working in a community health office that is often frequented by young adults is assessing clients for suicide.Which factors should the nurse identify as indicating a problem in this area?
A)Decreased interest in work
B)Weight loss
C)Depression
D)Brain dysfunction,including tumors
E)Sleep disturbances
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24
Chapter 23: Promoting Health in Older Adults
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Sample Questions
Q1) A nurse is preparing an education program on safety concerns for elderly adults living in their own homes.To address the sensory changes in this age group,what should the nurse recommend to this group?
A)Have carbon monoxide detectors that are checked on a scheduled basis.
B)Place a list of emergency numbers near the phone.
C)Install telephones that use a blinking light instead of a ringer.
D)Ask someone to do their cooking for them.
Q2) A nurse is working with clients in an assisted living facility.In the past month,there have been several deaths among the residents and their spouses.In helping the remaining residents deal with these deaths,the nurse understands that adjustment may be easier for which resident?
A)A resident who spent most of her days attending to her partner who is now deceased
B)A resident who had a wide circle of friends,besides her spouse
C)A resident who was not inclined to participate in any activities offered at the facility
D)A resident who started to become more dependent on the nursing staff at the facility
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25
Chapter 24: Promoting Family Health
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Sample Questions
Q1) The nurse is preparing to assess a family regarding the impact of one of its members being diagnosed with diabetes.What should the nurse include in this assessment?
(Select all that apply)
A)The seriousness of the disorder
B)Whether the family has ever dealt with a chronic illness before
C)The age of the affected member
D)The financial impact the illness will have on the family
E)The number of members of the family
Q2) A nurse is conducting a family assessment and is focusing,for the moment,on the family members' communication patterns.Which observation indicates that there are existing or potential problems with family communication?
A)All members are participating in the discussion equally,some quite vocally.
B)The verbal communication is congruent with the nonverbal messages.
C)A few of the members just sit and listen.
D)Disagreements are not addressed among members;rather,they are ignored by the person who does the most talking.
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Chapter 25: Caring
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Sample Questions
Q1) The nurse suspects that an older client has no living family members and observes the client sitting quietly in the room,crying.What actions should the nurse take to intentionally know this client?
(Select all that apply)
A)Seek cues from the client.
B)Assess the client thoroughly.
C)Avoid assumptions about the client.
D)Center actions on the client's needs.
E)Assume the client wants to be alone.
Q2) A nursing student was involved in a very difficult situation with a client,the client's family,and a physician.The student felt like she was caught in the middle and wasn't sure how to respond to some of the s that were being asked about care,treatment,and scheduling.Instead of getting her instructor,the student fielded these s as best she could.In order to help the student work through this situation,the nursing instructor might advise the student to try which action?
A)Meditation
B)Guided imagery
C)Reflection
D)Music therapy
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Chapter 26: Communicating
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Q1) A nurse enters a client's room and asks about his level of pain.The client,grimacing,says "It's fine." Which communication factor is the client struggling with?
A)Territoriality
B)Environment
C)Congruence
D)Attitude
Q2) The nurse is engaging a client in the introductory phase of the helping relationship.Which stages will be completed during this phase? (Select all that apply)
A)Opening the relationship
B)Clarifying the problem
C)Structuring and formulating the contract
D)Planning before the interview
E)Understanding thoughts and feelings
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28
Chapter 27: Teaching
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Sample Questions
Q1) The nurse planning an educational session for adult clients should include which andragogy concepts?
(Select all that apply)
A)People move from dependence to independence with maturity.
B)Previous experiences can be used as a resource for learning.
C)Learning is related to an immediate need or problem.
D)Learning is reinforced by prompt feedback.
E)Adults are oriented to learning when the material is useful sometime in the future.
Q2) The nurse is instructing a client on self-administration of a subcutaneous injection.The nurse is using which theoretical construct of learning?
A)Thorndike's behaviorism
B)Skinner's positive reinforcement
C)Pavlov's conditioning response
D)Bandura's imitation
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29
Chapter 28: Leading, Managing, and Delegating
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Q1) A nurse is identified as being an effective leader.With this designation,the nurse will most likely demonstrate which characteristics?
(Select all that apply)
A)Self-aware
B)Focus on people
C)Excellent communicator
D)Mentor to others
E)Focus on systems
Q2) A nurse manager has the reputation of being an autocratic leader.Which of the following statements by this manager would support that reputation?
A)"I'd like to hear from you (addressing the staff)what your ideas are for promoting better morale in this unit."
B)"I'm putting a suggestion box in the break room if anyone has ideas that would be helpful to the unit."
C)"The new work schedule is posted for the next 6 weeks."
D)"I put the new procedure manual out.Please add your comments to the blank sheet of paper attached to the front."
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Chapter 29: Vital Signs
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Sample Questions
Q1) The nurse needs to assess a client's respiratory status.Which client position would be the best for this assessment?
A)Prone
B)Semi-Fowler's
C)Side-lying
D)Supine
Q2) A client is unconscious and in respiratory distress after being in a motor vehicle crash.Which should the nurse realize as being a factor that caused a change in this client's respiratory rate?
A)Exercise
B)Increased intracranial pressure
C)Increased environmental temperature
D)Stress
Q3) When assessing a client's peripheral pulse,the health care provider is also assessing which of the following?
A)Depth
B)Rhythm
C)Sound
D)Stress
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Page 31
Chapter 30: Health Assessment Preview As Pdf
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Sample Questions
Q1) The nurse is caring for a client following a cerebrovascular accident (stroke).The client is able to comprehend what is being said to him;however,he is unable to respond by speech or writing.What type of aphasia should the nurse realize this patient is demonstrating?
A)Auditory aphasia
B)Acoustic aphasia
C)Sensory aphasia
D)Expressive aphasia
Q2) The nurse is preparing for morning rounds.What should the nurse avoid delegating to unlicensed assistive personnel?
A)Vital signs
B)Filling of water pitchers
C)Skull and face assessment
D)Ambulation of surgical clients
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32
Chapter 31: Asepsis
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30 Flashcards
Source URL: https://quizplus.com/quiz/79290
Sample Questions
Q1) An older client with gallbladder disease has had a cholecystectomy.Which factor should the nurse realize would influence the development of an infection in this client?
A)Active bowel sounds
B)Dry intact skin
C)Intact mucous membranes
D)Susceptibility of the client
Q2) The nurse is preparing to remove soiled gloves.What action should the nurse take first?
A)Drop the gloves into the appropriate waste receptacle.
B)Ease the fingers into the gloves.
C)Grasp the outside of the nondominant glove.
D)Hook the bare thumb inside the other glove.
Q3) The nurse is concerned that a break occurred in a sterile field.Which action occurred that caused this break?
A)Grasping the edge of the outermost flap and opening it away from oneself
B)Keeping objects on the field 1 inch from the edge
C)Keeping the sterile field in eyesight
D)Transferring a sterile object to a sterile field with a clean gloved hand
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Chapter 32: Safety
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32 Flashcards
Source URL: https://quizplus.com/quiz/79289
Sample Questions
Q1) The nurse is identifying activities and skills to delegate to unlicensed assistive personnel (UAP).Which action can the nurse safely delegate?
A)Provide oral fluids to a newly extubated client.
B)Irrigate the indwelling urinary catheter of a client recovering from prostate surgery.
C)Apply a wrist restraint to a client.
D)Administer oral pain medication to a client before the client attends physical therapy.
Q2) While the nurse is performing morning care,a client begins to have a seizure.What should the nurse do to help this client?
A)Insert a tongue blade into the client's mouth.
B)Loosen any clothing around the neck and chest.
C)Restrain the client.
D)Turn the client to the supine position if possible.
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34
Chapter 33: Hygiene
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/79288
Sample Questions
Q1) A client recovering from acute illness has just received a tub bath.When documenting the bath,what should the nurse include?
(Select all that apply)
A)Client's ability to maintain a conversation during the procedure
B)Client's tolerance of the procedure
C)Condition and integrity of the skin
D)Client strength
E)Percentage of bath done without assistance
Q2) The nurse is preparing to shave a client.Which action step should the nurse consider when providing this care?
A)Assist the client to a prone position.
B)Pull the skin taut with the dominant hand.
C)Rinse the razor after each stroke.
D)Use long strokes.
Q3) A client's hearing aid needs to be removed.What action should the nurse perform?
A)Assist the client with removal when necessary.
B)Instruct the client to remove the aid in the sunroom.
C)Leave the aid in place when bathing.
D)Send the aid home with the family.
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Page 35
Chapter 34: Diagnostic Testing
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/79287
Sample Questions
Q1) A client is scheduled for a bronchoscopy.What should the nurse instruct the client about this procedure?
(Select all that apply)
A)Tissue samples may be taken for biopsy.
B)Eating will not be permitted for 12 hours.
C)A local anesthetic is sprayed on the throat.
D)Bed rest for 8 hours is necessary after the test.
E)Informed consent is required for this procedure.
Q2) An older client is having difficulty handling the specimen cup for a clean catch urine specimen.What can the nurse do to help this client?
A)Provide a clean funnel to pour the urine into the specimen cup.
B)Document that the specimen could not be obtained.
C)Catheterize the client for the specimen.
D)Ask the physician to obtain the specimen.
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Chapter 35: Medications
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/79286
Sample Questions
Q1) A client is prescribed a medication to be administered through the parenteral route.The nurse would expect that this medication will be provided through which method?
(Select all that apply)
A)Subcutaneous injection
B)Intramuscular injection
C)The oral route
D)Intradermal injection
E)Intravenous infusion
Q2) The nurse is planning to administer medications to a new client.What is the nurse's greatest priority in administering these medications?
A)Be certain the medications are given within 15 minutes of the time they are scheduled.
B)Before giving the medications,know what the intended effects are for this client.
C)Assess the client's knowledge of the action of the medications.
D)Document the administration accurately so the reimbursement is correct.
Q3) The client has required 2 sublingual nitroglycerine tablets that are gr 1/150 per tablet.How many mg of nitroglycerine did the client receive?
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Chapter 36: Skin Integrity and Wound Care
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34 Flashcards
Source URL: https://quizplus.com/quiz/79285
Sample Questions
Q1) The nurse is writing the plan of care for a client who is confined to bed.Which intervention should be included to help reduce the effects of shearing forces on the client's skin?
A)Keep the head of the client's bed at 30 degrees.
B)Coat the client's back and buttocks with baby powder after bathing.
C)Use a turn sheet lifted by two staff members to move the client in bed.
D)Dust the linens with cornstarch each morning to allow for easier movement.
Q2) A client has sustained multiple contusions from a motor vehicle accident.What should the nurse do to prepare for this client's care?
A)Obtain ice packs to apply to the wounds.
B)Request gauze to pack the wounds.
C)Organize suture material to close the wounds.
D)Notify the surgical staff that a surgical client will soon be arriving.
Q3) A client's laceration has been closed with tissue adhesive.What instruction should the nurse provide the client about wound healing?
A)Primary intention
B)Open approximation
C)Secondary healing
D)Delayed closure
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Page 38
Chapter 37: Perioperative Nursing
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/79284
Sample Questions
Q1) A client is scheduled for a cholecystectomy.The nurse realizes that the purpose for this surgery is
A)diagnostic.
B)palliative.
C)ablative.
D)constructive.
Q2) The nurse determines that interventions to prevent postoperative constipation have been effective in a client recovering from surgery.What did the nurse assess to make this clinical decision?
A)Abdominal distention present.
B)Gas pains present.
C)Client vomiting.
D)Bowel movement occurred 24 hours after resuming a normal diet.
Q3) The nurse is caring for a client who is having surgery and is currently being transported to the operating room suite.The nurse should document that the client is in which operative phase?
A)Preoperative phase
B)Intraoperative phase
C)Postoperative phase
D)Perioperative phase
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Chapter 38: Sensory Perception
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/79283
Sample Questions
Q1) The odor from a hospitalized client's draining wound permeates the room and is very overwhelming and distracting to the client and the staff.What intervention would be most helpful?
A)Spray the room routinely with a floral room spray.
B)Instill a vinegar solution into the wound.
C)Keep the wound dressing dry and clean.
D)Burn a candle in the room.
Q2) The nurse is identifying diagnoses appropriate for a client recovering from cataract surgery who lives alone.Which diagnosis would be the priority for this client?
A)Social Isolation
B)Risk for Impaired Skin Integrity
C)Disturbed Sensory Perception
D)Risk for Injury
Q3) A client can be aroused only with extreme or repeated stimuli.How should the nurse document this client's behavior?
A)Somnolent
B)Disoriented
C)Comatose
D)Semicomatose
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Chapter 39: Self-Concept
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/79282
Sample Questions
Q1) The staff development instructor planning self-concept development classes for staff nurses is going to include information to improve the nurses' self-concept along with information to use with clients.Why is the information for nurses important?
A)The nurse's self-concept is more important than the client's.
B)Poor self-concept is the number-one reason for nursing burnout.
C)Nurses with positive self-concept are better able to help clients.
D)Nurses with poor self-concept are more likely to make errors.
Q2) A client tells the nurse that her spouse expects the client to maintain the home and children as well as have a job to help with household expenses.The client is demonstrating fatigue and inadequacy.The nurse identifies which nursing diagnosis as appropriate for the client at this time?
A)Chronic Low Self-Esteem
B)Ineffective Role Performance
C)Disturbed Body Image
D)Parental Role Conflict
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Chapter 40: Sexuality
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/79281
Sample Questions
Q1) A client speaks about an adult son who is a practicing homosexual and expresses concern by stating: "I am so worried about him and I know he is going to hell." What is the most important fact for the nurse to consider in formulating a response to this client's concern?
A)Normal sexuality is described as whatever behaviors give pleasure and satisfaction to those adults involved.
B)Because alternative lifestyles are now so well accepted in society,this parent should not feel so much concern.
C)What constitutes normal sexual expression varies among cultures and religions.
D)Sexual development is genetically determined and not affected by environment.
Q2) The 45-year-old client reports that she has no interest in sex and that she and her husband have not had intercourse in 16 years.How should the nurse interpret this assessment data?
A)This couple is experiencing sexual dysfunction.
B)The woman's lack of sexual desire has resulted in impotence in her husband.
C)If both partners share the same lack of desire,there is often not a problem.
D)This situation is so unnatural that some dysfunction is present.
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Page 42
Chapter 41: Spirituality
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/79280
Sample Questions
Q1) The newly hired nurse notices that coworkers routinely pray with clients and their families.The nurse has never been particularly religious or spiritual and is unaccustomed to praying,but holds no strong feeling against prayer.What is the best strategy for the nurse to plan for such situations?
A)Try to ensure assignment to clients who are unlikely to request prayer.
B)Arrange to have a coworker substitute for the nurse in these prayer situations.
C)Memorize two or three short,formal prayers to use when prayer is requested.
D)Just stand silently at the bedside and let others in the room do the praying.
Q2) A client newly diagnosed with a terminal illness asks to talk with the hospital chaplain and requests a Bible to read.What do these client behaviors indicate to the nurse?
A)The client does not have any family members to discuss spiritual issues.
B)The client is searching for answers.
C)The client wants to talk with someone other than the nurse about spiritual concerns.
D)Interventions for Spiritual Distress have been effective.
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43
Chapter 42: Stress and Coping
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36 Flashcards
Source URL: https://quizplus.com/quiz/79279
Sample Questions
Q1) The nurse elects to use a scale of stressful life events to assess the level of a newly admitted client's stress.How should the nurse explain the use of this scale to the client?
A)"We will consider only the negative life events that have happened to you recently."
B)"You should try to remember any stressful event that has occurred to you in the last 10 years to include in the scale."
C)"This scale will give us a definite stress level number that can be used to compare your stress to that of others your age."
D)"This scale will give us some idea about your stress related to both positive and negative recent events in your life."
Q2) A client repeatedly tells the nurse that "all will be well" and "I'm fine" in response to learning of a health problem that requires immediate surgery.The nurse realizes that which diagnosis is appropriate for the client at this time?
A)Compromised Family Coping
B)Ineffective Coping
C)Disabled Family Coping
D)Defensive Coping
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44
Chapter 43: Loss, Grieving, and Death
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/79278
Sample Questions
Q1) The nurse is concerned that a client is experiencing complicated grieving after the unexpected death of a son.The nurse most likely assessed (Select all that apply)
A)the client's denying the son's death.
B)depression.
C)sudden weight loss because of not eating.
D)crying.
E)verbalizing the desire to not live anymore.
Q2) A client recovering from back surgery is seen crying softly in bed.Upon assessment,the nurse learns that the client has been told of the future inability to perform certain sports,activities,and employment types because of the surgery.The nurse interprets this client's reaction as a response to which type of loss?
A)Situational loss
B)Anticipatory loss
C)Psychological loss
D)Developmental loss
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Chapter 44: Activity and Exercise
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/79277
Sample Questions
Q1) The nurse is working on a hospital committee focused on preventing back injury in nurses.Which recommendation by this committee is most likely to result in a decrease in back injuries if followed?
A)Nurses must wear back belts when lifting clients.
B)All nursing personnel must attend annual body mechanics education.
C)In order to prevent injury,nurses must strive to become physically fit.
D)No solo lifting of clients is permitted in the facility.
Q2) The nurse is caring for a client experiencing dyspnea.In which position should the nurse place this client?
A)High Fowler's position with two pillows behind the head
B)Orthopneic position across the overbed table
C)Prone position with knees flexed and arms extended
D)Sims position with both legs flexed
Q3) The nurse is preparing to transfer a client from the bed to a stretcher.The correct position for the bed to be placed is parallel to the stretcher and A)slightly higher.
B)slightly lower.
C)at the same height.
D)at least 2 inches lower.
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Page 46
Chapter 45: Sleep
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32 Flashcards
Source URL: https://quizplus.com/quiz/79276
Sample Questions
Q1) The client reports difficulty sleeping and awakening several times during the night.What intervention should the nurse recommend for the client when unable to sleep?
A)Get out of bed,go into another room,and pursue some relaxing activity until drowsy.
B)Get out of bed,go into another room,and exercise until tired before trying to go back to sleep.
C)Sit in bed and watch the bedroom television until drowsy.
D)Stay in bed with eyes closed and do some mental arithmetic until sleepy.
Q2) A client s why a medication that is used to treat Parkinson's disease has been prescribed for the diagnosis of periodic limb movement disorder (PLMD).What should the nurse do?
A)Contact the physician.
B)Assure the client that medications used to treat Parkinson's disease are also used to treat PLMD.
C)Tell the client not to take the medication because there is most likely an error.
D)Check with the pharmacy to make sure the correct medication has been provided to the client
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Chapter 46: Pain Management
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44 Flashcards
Source URL: https://quizplus.com/quiz/79275
Sample Questions
Q1) A client tells the nurse that an ice pack works well to reduce the intensity of back pain.The nurse realizes that the client is implementing
A)a placebo.
B)distraction.
C)guided imagery.
D)the gate control theory of pain.
Q2) A client recovering from back surgery is refusing pain medication for fear of becoming addicted.What should the nurse say to the client?
A)"I understand."
B)"There are ways to treat addictions to pain medications."
C)"If the medication is taken to treat pain,you will not become addicted to it."
D)"All pain medication causes addiction.There is nothing that can be done to prevent it."
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Chapter 47: Nutrition
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/79274
Sample Questions
Q1) The nurse has delegated administration of tube feeding to a specially trained UAP.What action should be taken by the nurse in regard to this delegation?
A)Order the equipment to give the feeding.
B)Check the tube for placement.
C)Set up the equipment and mix the feeding.
D)Regulate the rate of the feeding.
Q2) The parents of a 7-month-old child have started offering solid foods to their baby.The baby has enjoyed and tolerated rice cereal,applesauce,and other fruits.Which food should the nurse recommend to be introduced next?
A)Strained beef
B)Green beans
C)Squash
D)Strained chicken
Q3) A client is prescribed a 1600-calorie diet.Of this diet,30% of the intake should be protein,20% fat,and 50% carbohydrates.How many grams of carbohydrates should the client ingest every day?
Calculate to the nearest whole number.
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Chapter 48: Urinary Elimination
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/79273
Sample Questions
Q1) Which nursing diagnosis would be appropriate for a client who has a retention catheter if the drainage bag is found lying on the floor?
A)Risk for Impaired Skin Integrity related to catheter placement
B)Risk for Infection related to improper handling
C)Self-Care Deficit related to presence of a retention catheter
D)Risk for Incontinence related to an obstruction
Q2) The nurse is applying an external urinary device to a client.Before attaching the device to the drainage bag,what should the nurse do?
A)Wash his or her hands.
B)Document the client's tolerance of the procedure.
C)Instruct the client about the drainage system.
D)Ensure that the condom is not twisted.
Q3) A client recovering from a transurethral resection of the prostate (TURP)with a three-way indwelling catheter expresses the need to urinate.Which action should the nurse take to help this client?
A)Deflate and then reinflate the balloon.
B)Irrigate the catheter.
C)Reposition the catheter.
D)Retape the catheter to the abdomen.
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Page 50
Chapter 49: Fecal Elimination
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A client is prescribed to receive a cleansing enema.What should the nurse instruct the client prior to administering this enema?
A)Hold the solution for a short time.
B)Lie in the left lateral position.
C)Lie in the right lateral position.
D)Take fast breaths through the nose.
Q2) A client experiencing hard,dry feces is scheduled for an enema.The nurse recognizes that what type of solution would be best for the client?
(Select all that apply)
A)Hypertonic
B)Hypotonic
C)Soapsuds
D)Oil retention
E)Isotonic
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Chapter 50: Oxygenation
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44 Flashcards
Source URL: https://quizplus.com/quiz/79271
Sample Questions
Q1) The nurse is conducting a health history for a client with a respiratory disorder.What should the nurse include in this assessment?
(Select all that apply)
A)Lifestyle
B)Presence of cough
C)Sputum production
D)Pain
E)Diet
Q2) When planning care,for which client should the nurse include close observation for a decreased or absent cough reflex?
A)The client with a nasal fracture
B)The client with impairment of vagus nerve conduction
C)The client with a sinus infection
D)The client with reduction in respiratory membrane conduction
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Chapter 51: Circulation
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28 Flashcards
Source URL: https://quizplus.com/quiz/79270
Sample Questions
Q1) A client is diagnosed with anemia.What will the nurse most likely assess in this client as evidence of an alteration in cardiovascular functioning?
(Select all that apply)
A)Chronic fatigue
B)Lower-extremity edema
C)Pallor
D)Shortness of breath
E)Hypotension
Q2) The nurse is documenting the use of sequential compression devices in a client's medical record.What should be included in this documentation?
(Select all that apply)
A)Calf circumference
B)Skin integrity
C)Peripheral vascular status
D)Neurovascular status
E)Control unit settings
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Chapter 52: Fluid, Electrolyte, and Acidbase Balance
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/79269
Sample Questions
Q1) The nurse is providing discharge instructions to a client who has been started on furosemide (Lasix)once daily.What information is essential to include in this information?
A)Take the medication at bedtime.
B)Avoid high-potassium foods.
C)Stand up slowly from a sitting position.
D)Do not take this medication on the days you take digitalis (Lanoxin).
Q2) An older client receiving intravenous fluids at 175 ml/hr is demonstrating crackles,shortness of breath,and distended neck veins.The nurse recognizes these findings as being which complication of intravenous fluid therapy?
A)An allergic reaction to the antibiotics in the fluid
B)Fluid volume excess
C)Pulmonary embolism
D)Speed shock
Q3) The physician has ordered 50 mL of an IV solution to infuse over the next 20 minutes.In order to accurately infuse this solution,the nurse should set the electronic controller to deliver how many mL/hr? rounding to the nearest whole number.
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