Course Introduction
Clinical Nursing I Review Questions
Clinical Nursing I introduces students to the foundational principles and practices of professional nursing care across diverse healthcare settings. Emphasizing the development of essential clinical skills, the course covers patient assessment, basic nursing interventions, infection prevention, medication administration, and effective communication with patients and healthcare teams. Through a combination of classroom learning, laboratory practice, and supervised clinical experiences, students gain hands-on exposure to delivering safe, ethical, and compassionate care to individuals and families, laying the groundwork for advanced nursing practice.
Recommended Textbook
Fundamentals of Nursing Two Volume Set 3rd Edition by Judith M. Wilkinson
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46 Chapters
1461 Verified Questions
1461 Flashcards
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Page 2
Chapter 1: Evolution of Nursing Thought Action
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Strategies to improve the status of nursing include which of the following? Select all that apply.
A) Standardizing the educational requirements for entry into practice
B) Enacting uniform continuing education requirements
C) Guaranteeing that all nurses will obtain employment upon graduation
D) Encouraging participation in professional organizations
Answer: A,B,D
Q2) Which of the following is the most important reason to develop a definition of nursing?
A) Recruit more informed people into the nursing profession
B) Evaluate the degree of role satisfaction
C) Dispel the stereotypical images of nurses and nursing
D) Differentiate nursing activities from those of other health professionals
Answer: D
Q3) Which member of the healthcare team typically serves as the case manager?
A) Occupational therapist
B) Physician
C) Physician's assistant
D) Registered nurse
Answer: D
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Chapter 2: Critical Thinking: Nursing Process
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following characteristics do the various definitions of critical thinking have in common? Critical thinking:
A) Requires reasoned thought
B) Asks the questions "why" or "how"
C) Is a hierarchical process
D) Demands specialized thinking skills
Answer: A
Q2) The nurse enters a room to find the client sitting up in the chair,crying.The nurse best displays a critical-thinking attitude,as well as a caring attitude,by:
A) Telling the client that she'll be back to chat after she sees her other clients
B) Calling the family to come and sit with the client
C) Trying to determine the reasons for the client's crying
D) Placing a "do not disturb" sign on the door to protect the client's privacy
Answer: C
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Chapter 3: Nursing Process: Assessment
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Which situation is the most conducive to conducting a successful interview of an elderly woman whose husband and two children are in the hospital room visiting and watching television? The woman is alert and oriented.
A) Provide enough chairs so the family and you are able to sit facing the client.
B) Introduce yourself and ask, "Dear, what name do you prefer to go by?" before asking any further questions.
C) After the family leaves, ask the client whether she is comfortable and willing to answer a few questions.
D) Ask the client whether you can talk with her while her family is watching the television. Answer: C
Q2) The Joint Commission requires which type of assessment to be performed on all patients?
A) Functional ability
B) Pain
C) Cultural
D) Wellness Answer: B
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Chapter 4: Nursing Process: Diagnosis
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Which of the following reflects the most accurate use of an etiology?
A) Knowledge deficit related to abdominal ultrasound
B) Knowledge deficit related to incorrect use of walker
C) Knowledge deficit related to diabetes
D) Knowledge deficit related to age
Q2) Which statement made by the nurse is an example of stereotyping?
A) "Be sure to take your shoes off when entering a Japanese family's home."
B) "Patients with type 1 diabetes do not make insulin; therefore, they will need to take insulin regularly."
C) "The patient in room 3 cries every time she gets out of bed. She needs to understand that getting out of bed is helping her."
D) "My 2-year-old child never had a temper tantrum. I don't understand why the 2-year-old child in room 4 is having one."
Q3) When making a diagnosis using NANDA-I,which of the following provides support for the diagnostic label you choose?
A) Etiology
B) Related factors
C) Diagnostic label
D) Defining characteristics
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Page 6
Chapter 5: Nursing Process: Planning Outcomes
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is true for goals/outcomes for collaborative problems?
A) They are monitored only by other disciplines.
B) They are usually sensitive to nursing interventions.
C) They state that a complication will not occur.
D) They state only broad performance criteria.
Q2) What do initial,ongoing,and discharge planning have in common?
A) They are based on assessment and diagnosis.
B) They focus on the patient's perception of his needs.
C) They require input from a multidisciplinary team.
D) They have specific time lines in which to be completed.
Q3) Which of the following outcome statements contains the best example of performance criteria? The patient will:
A) Turn herself in bed frequently while awake
B) Understand how to use crutches by day two
C) State that pain is decreased after being medicated
D) Eat 75% of each meal without complaint of nausea
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Chapter 6: Nursing Process: Planning Interventions
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20 Flashcards
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Sample Questions
Q1) A client newly diagnosed with diabetes is admitted to the hospital because her diabetes is out of control.Which of the following is an appropriate direct-care intervention for this client during her stay?
A) Consulting the diabetic nurse educator for help with a teaching plan
B) Making arrangements for the client to join a diabetic support group
C) Demonstrating blood glucose monitoring and insulin administration to the client
D) Consulting with the dietician about the client's dietary concerns
Q2) The nurse is completing her plan of care for a patient with congestive heart failure.In performing a direct-care nursing intervention the nurse will:
A) Collaborate with the physician for further medication orders
B) Instruct the patient about low sodium and low fat diets
C) Refer the patient to the cardiac rehabilitation program for a home-care exercise program
D) Consult with physical therapist for cardiac rehabilitation exercises
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Chapter 7: Nursing Process: Implementation Evaluation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following is the best example of the implementation phase of the nursing process?
A) Patient verbalizes pain is reduced from an 8 to a 3 after receiving pain medication.
B) Nurse observes that patient has a small, quarter-sized skin tear over coccyx area.
C) Nurse writes in the care plan: Patient requires 2 person assist with ambulation to bathroom.
D) Nurse inserts Foley catheter after reporting to physician patient's inability to void.
Q2) The nurse is preparing to insert a Foley catheter for her patient.What is the best strategy for the nurse to use to perform this insertion in a timely and efficient manner?
A) Call another nurse to assist with the procedure
B) Gather all supplies and equipment before entering the patient room
C) Instruct and explain the procedure to the patient
D) Check the patient's schedule for the day for the most convenient time
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Chapter 8: Evidence-Based Practice: Theory Research
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which theorist developed the nursing theory known as the Science of Human Caring?
A) Florence Nightingale
B) Patricia Benner
C) Jean Watson
D) Nola Pender
Q2) A patient who emigrated from India is admitted to the medical step-down unit with a bowel obstruction.A nasogastric (NG)tube is inserted to decompress her stomach.She asks the nurse whether her daughter can bring in garlic to administer through her NG tube.The nurse tells the patient that she will ask the physician when she makes rounds.This nurse is using the theory developed by which nurse theorist?
A) Betty Neuman
B) Dorothea Orem
C) Callista Roy
D) Madeline Leininger
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Chapter 9: Life Span: Infancy Through Middle Adulthood
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A 16-year-old male tells the nurse that he is not in the mood to do anything with his friends.He states,"For weeks now I am just not interested in doing anything and I've stopped all my sports activities.I just feel sad all the time and I just don't want to go on." The nurse completes her assessment and begins her plan of care.What is the most appropriate nursing intervention at this time?
A) Inform the patient you will be contacting his parents
B) Inform the patient you are completing a mental health referral
C) Teach the male coping strategies
D) Contact the patient's teachers for further information
Q2) A mother has brought her 8-month-old daughter to the healthcare clinic for a well-child appointment and any needed immunizations.To assess the child's physical development with age-appropriate norms,which of the following questions should the nurse ask? Is your child able to:
A) Walk while holding onto furniture?
B) Crawl on her hands and knees?
C) Pick up food with her fingers?
D) Sit up without support?
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Page 11
Chapter 10: Life Span: Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The new nursing student is caring for a 75-year-old patient on the medical-surgical unit.The patient states,"I hope I can go home soon.I want to get back to the gym.I like to do a little walking on the treadmill and lift some light weights." Which response by the nursing student demonstrates the use of ageism?
A) "That's great. I should go to the gym more often myself."
B) "Exercising is important but you need to concentrate on your illness while you are here."
C) "At your age, you need to be careful with exercise."
D) "Follow up with your doctor on how much activity you will be able to do when you get home.
Q2) The nurse in the local nursing home is planning a memory activity for the older adult residents.What is the most effective activity she might use to enhance memory?
A) Reading a book
B) Reading the newspaper
C) Baking a cake
D) Doing a crossword puzzle
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Chapter 11: Experiencing Health Illness
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) To establish a trusting relationship with a client,the nurse will focus on:
A) Providing solutions to the patient
B) Completing procedures and administering medication
C) Taking time to get to know the patient
D) The present, not the past
Q2) Which of the following is most reflective of a life change for managing chronic illness?
A) Beginning self-injection of insulin for diabetes
B) Taking an antibiotic for a streptococcus throat infection
C) Going to the gym for an exercise program
D) Taking a pain medication after a tooth extraction
Q3) Patients may fail to comply with a proposed healthcare regimen and therefore are perceived to be noncompliant.Identify common reason(s)a patient may be noncompliant with a plan of care? Select all that apply.
A) There is no available support system in place to assist with compliance.
B) The patient does not understand the plan.
C) The plan of care is inconvenient.
D) The patient is stubborn by nature.
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13
Chapter 12: Stress Adaptation
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30 Flashcards
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Sample Questions
Q1) A 75-year-old patient is tearful,shaky,and withdrawn.She tells you that she is "worrying herself to death" about losing her aging husband and being "all alone." Why do you recognize this reaction as Anxiety rather than Fear? Select all that apply.
A) It concerns future or anticipated events.
B) It concerns anticipation of danger rather than a present danger.
C) There is no shakiness or tearfulness present.
D) There is a psychological rather than a physical threat.
Q2) A 35-year-old female comes to the clinic for her annual physical.Upon examination,the nurse palpates a lump in the left breast.She informs the client of the finding and the client responds,"Yes,I found it a few months ago too but just didn't want to think about it." The nurse recognizes that this client has been using which approach to coping with the lump?
A) Altering
B) Adapting
C) Changing
D) Avoiding
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Chapter 13: Psychosocial Health Illness
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A 13-year-old patient is admitted to the hospital.There is no medical restriction on visitation.To help maintain the patient's social identity while hospitalized,it is most important for the nurse to encourage visits by:
A) Peers
B) Grandparents
C) Siblings
D) Parents
Q2) A patient undergoing fertility treatments for the past 9 months learns that despite in vitro fertilization she still is not pregnant.This patient is at risk for experiencing a crisis in which component of self-concept?
A) Body image
B) Self-esteem
C) Personal identity
D) Role performance
Q3) Which nursing intervention specifically helps reduce a patient's anxiety?
A) Teaching the importance of adequate nutrition and hydration
B) Giving clear facts pertaining to the patient's circumstances
C) Promoting small-group activities to improve self-esteem
D) Monitoring the patient for the risk of suicide
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Page 15
Chapter 14: The Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nursing student is caring for a patient with diabetes on a medical-surgical unit.During a teaching session with the patient and family,she asks them questions regarding care at home,ability to perform blood glucose testing,and administering insulin.The student is providing family care using which perspective of family nursing?
A) Family as context for care
B) Family as unit of care
C) Family as a system
D) A blend of all of the above
Q2) The study of genomics and the use of a genogram are playing a larger role in personalizing a patient's plan of care.How are genomics and the use of a genogram helpful in personalizing a patient plan of care? Select all that apply.
A) Assists in identifying at-risk individuals for certain conditions enabling better preventative care
B) Helps to more accurately detect illness, even before symptoms appear
C) Provides understanding of how people may respond differently to certain drugs and treatments
D) Increases the trust a patient and family have in the healthcare professionals
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Chapter 15: Culture Ethnicity
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24 Verified Questions
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Sample Questions
Q1) Which statement is most reflective of Madeleine Leininger's theory of cultural care?
A) The goal of her theory is to guide research that will assist nurses to provide culturally congruent care.
B) The model for cultural competence stresses teamwork in providing culturally sensitive and competent care to improve outcomes for individuals, families, and communities.
C) The model focuses on five components of cultural competence: Awareness, skills, knowledge, encounters, and desire.
D) The theory focuses on increasing levels of one's consciousness to improve the possibilities to provide culturally competent care.
Q2) As a nursing student and nurse,you will encounter many patients from diverse cultures.When caring for a culturally diverse patient,what initial question can you ask your patient that will best assist you to improve your cultural competency?
A) "Can you tell me about your culture and cultural practices?"
B) "Do you understand how we do things here in the United States?"
C) "What matters most to you about your illness and treatment?"
D) "Can you please make me a list of your cultural preferences?"
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Chapter 16: Spirituality
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Sample Questions
Q1) A female patient tells the charge nurse that she does not want a male nurse caring for her.Which intervention by the charge nurse is best?
A) Explain that hospital policy does not allow nursing assignments based on the gender of the nurse.
B) Explore with the patient her beliefs and determine which might have caused her to make this statement.
C) Assure the patient that each nurse is capable of providing professional nursing care, regardless of gender.
D) Comply with the patient's request and assign a female nurse to care for the patient.
Q2) Over the past few centuries,nurses have placed less attention on spiritual care primarily because:
A) Nurses providing care are less religious and spiritual now
B) Spirituality and religion are unproven with regard to influencing health
C) Greater emphasis has been placed on science and scientific evidence
D) Nurses are uncomfortable when discussing spiritual aspects of care
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18
Chapter 17: Loss,Grief, Dying
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Sample Questions
Q1) What emotional response is typical during the Rando's confrontation phase of the grieving process?
A) Anger and bargaining
B) Shock with disbelief
C) Denial
D) Emotional upset
Q2) Which of the following might be a warning sign that a child needs professional help after the death of a loved one? Choose all that apply.
A) Interest in his usual activities
B) Extended regression
C) Withdrawal from friends
D) Inability to sleep
E) Intermittent sadness
Q3) According to the Uniform Determination of Death Act,which bodily function must be lost to declare death?
A) Consciousness
B) Brain stem function
C) Cephalic reflexes
D) Spontaneous respirations
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Page 19
Chapter 18: Documenting Reporting
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Sample Questions
Q1) Which action by the nurse breaches patient confidentiality? Select all that apply.
A) Leaving patient data displayed on a computer screen where others may view it
B) Remaining logged on to the computer system after documenting patient care
C) Faxing a patient report to the nurses' station where the patient is being transferred
D) Informing the nurse manager of a change in the patient's condition
Q2) What is one advantage of problem-intervention-evaluation (PIE)charting?
A) Focuses on a complete list of client problems
B) Assesses the client in a comprehensive manner
C) Documents the planning portion of the client's care
D) Establishes an ongoing plan of care for the client
Q3) What is the deadline after admission for using the Minimum Data Set to evaluate a newly admitted resident is of a long-term care facility?
A) 14 days
B) 3 days
C) 2 days
D) 24 hours
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Chapter 19: Teaching Learning
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which technique is best for teaching a nursing assistant how to perform finger-stick glucose testing?
A) Provide a manufacturer's pamphlet with detailed instruction.
B) Explain the best technique for performing glucose testing.
C) Demonstrate the procedure; then ask for a return demonstration.
D) Suggest that the assistant watch a DVD showing the procedure.
Q2) The nurse explains to a patient that dressing changes will improve healing and decrease infection and then demonstrates the correct aseptic technique to the patient.The patient is asked to return a demonstration of this dressing change and to describe the reasons for it to the nurse.This example includes what learning domain(s)? Select all that apply.
A) Affective
B) Active
C) Cognitive
D) Psychomotor
E) Passive
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Chapter 20: Measuring Vital Signs
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Sample Questions
Q1) The nurse volunteers to work at the annual summer 20-mile marathon in her community.In planning for the event,the nurse knows that which of the following nursing diagnoses is most important to include in the plan?
A) Risk for Fatigue
B) Risk for Elevated Heart Rate
C) Risk for Alterations in Blood Pressure
D) Risk for Imbalanced Body Temperature
Q2) A postsurgical patient has just returned from the recovery room to the surgical unit.After the first hour on the unit,what is the likely schedule for measuring the patient's vital signs?
A) Every 4 hours for 24 hours
B) Every 8 hours for 24 hours
C) Once per shift
D) Every 2 hours for 24 hours
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22
Chapter 21: Communication Therapeutic Relationships
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Sample Questions
Q1) The nurse caring for a patient with recurrent abdominal pain of unknown origin addresses the patient by name and puts her hand on her shoulder and offers reassuring words: "You'll be okay.Try not to think about things too much,if you can." How would you evaluate the nurse's verbal and nonverbal communication?
A) Words offer hope and consolation
B) Nurse's interaction is comforting
C) Response builds nurse-patient trust
D) Message provides false reassurance
Q2) A patient who speaks only French was admitted to the hospital after a motor vehicle accident.Assuming that the nurse does not speak French,what is the best way to communicate with this patient?
A) Use sign language for communicating.
B) Ask a family member to serve as a translator.
C) Request the services of a hospital translator.
D) Speak in English, but speak very slowly.
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Chapter 22: Health Assessment
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Sample Questions
Q1) The left pupil of a patient fails to accommodate.This finding may reflect an abnormality in which cranial nerve?
A) CN III
B) CN V
C) CN VIII
D) CN X
Q2) The nurse is performing a vision examination.In assessing for color blindness,the nurse applies which knowledge? Select all that apply.
A) It may be genetically inherited.
B) It is more common in males.
C) It may be the result of macular degeneration.
D) It may be the result of a lens defect of the eye.
Q3) Bronchovesicular breath sounds are best heard over which area?
A) Midline over the trachea just below the larynx
B) Fourth intercostal space, in the midclavicular line
C) First and second intercostal spaces next to the sternum
D) At the base of the lungs near the diaphragm
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Chapter 23: Promoting Asepsis Preventing Infection
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Sample Questions
Q1) A patient asks the nurse why there is no vaccine available for the common cold.Which response by the nurse is correct?"
A) "The virus mutates too rapidly to develop a vaccine."
B) "Vaccines are developed only for very serious illnesses."
C) "Researchers are focusing efforts on an HIV vaccine."
D) "The virus for the common cold has not been identified."
Q2) What is the most frequent cause of the spread of infection among institutionalized patients?
A) Airborne microbes from other patients
B) Contact with contaminated equipment
C) Hands of healthcare workers
D) Exposure from family members
Q3) The nurse caring for several patients on the intermediate care unit considers which of the following patients to be most at risk for developing an infection? A patient with a/an:
A) Centrally venous catheter
B) Indwelling urinary catheter
C) Colostomy
D) Nasoenteric feeding tube
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Page 25
Chapter 24: Promoting Safety
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Sample Questions
Q1) A nurse is teaching a group of mothers about first aid.Should poison come in contact with their child's clothing and skin,which action should the nurse instruct the mothers to take first?
A) Remove the contaminated clothing immediately.
B) Flood the contaminated area with lukewarm water.
C) Wash the contaminated area with soap and water and rinse.
D) Call the nearest poison control center immediately.
Q2) During a thermometer exchange program at a local hospital,a person drops a mercury thermometer on the floor.Assume the nurse has been trained in cleanup of such a spill.How should the nurse intervene? Select all that apply.
A) Using gloves and a paper towel, place the mercury in a plastic bag and dispose of it.
B) Notify the hazardous material management team immediately.
C) Evacuate the area immediately.
D) After putting on a gown, gloves, and a mask, clean up the mercury.
E) Wash her hands well after removing the spill.
F) Ventilate the area well for several days.
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Chapter 25: Facilitating Hygiene
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Sample Questions
Q1) A client's epidermis has insufficient melanin.Which nursing diagnosis is appropriate?
A) Risk for Infection
B) Risk for Impaired Skin Integrity
C) Risk for Deficient Fluid Volume
D) Impaired Skin Integrity
Q2) A patient admitted with an acute exacerbation of chronic obstructive pulmonary disease has a nursing diagnosis of Activity Intolerance.Which type of bath is preferred for this patient?
A) Tub bath
B) Complete bed bath
C) Towel bath
D) Bed bath
Q3) A patient with dementia becomes belligerent when the nurse attempts to give him a tub bath.How should the nurse proceed?
A) Call for assistance to help the patient into the bathtub.
B) Wait for the patient to calm down, and then give him a towel bath.
C) Allow the patient to go without bathing for a day or two.
D) Ask another staff member to attempt the tub bath.
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Chapter 26: Administering Medications
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Sample Questions
Q1) An adult patient admitted with lower gastrointestinal bleeding is prescribed a unit of packed red blood cells.Which gauge needle should be inserted to administer this blood product?
A) 18 gauge
B) 22 gauge
C) 24 gauge
D) 26 gauge
Q2) The home health nurse is caring for a 75-year-old patient with severe arthritis of her hands and fingers.The patient states,"I can't use these childproof safety lock caps because I can't open them." What is the most appropriate response(s)by the nurse? Select all that apply.
A) "I see this is difficult for you. Do you have any family members or friends who can help you?"
B) "We can ask the pharmacist not to put childproof caps on your medications; you may need to sign a form."
C) "You can transfer your medications to different containers that are easier for you to open."
D) "All medications come in childproof containers, so there isn't much we can do about this."
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Chapter 27: Nutrition
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Sample Questions
Q1) A patient with trigeminal neuralgia is prescribed a mechanical soft diet.This diet places the patient at risk for which complication?
A) Dehydration
B) Constipation
C) Hyperglycemia
D) Diarrhea
Q2) Which polysaccharide is stored in the liver?
A) Insulin
B) Ketones
C) Glycogen
D) Glucose
Q3) A patient who was prescribed furosemide (Lasix)is deficient in potassium.Which of the following is an appropriate nutritional goal for this patient? The patient will increase his consumption of:
A) Bananas, peaches, molasses, and potatoes
B) Eggs, baking soda, and baking powder
C) Wheat bran, chocolate, eggs, and sardines
D) Egg yolks, nuts, and sardines
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29
Chapter 28: Urinary Elimination
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Sample Questions
Q1) The nurse is teaching an older female patient how to manage urge incontinence at home.What is the first-line approach to reducing involuntary leakage of urine?
A) Insertion of a pessary
B) Intermittent self-catheterization
C) Bladder training
D) Anticholinergic medication
Q2) A patient who sustained a spinal cord injury will perform intermittent self-catheterization after discharge.After discharge teaching,which statement by the patient would indicate correct understanding of the procedure?
A) "I will need to replace the catheter weekly."
B) "I can use clean, rather than sterile, technique at home."
C) "I will remember to inflate the catheter balloon after insertion."
D) "I will dispose of the catheter after use and get a new one each time."
Q3) What is the best technique for obtaining a sterile urine specimen from an indwelling urinary catheter?
A) Use antiseptic wipes to cleanse the meatus prior to obtaining the sample.
B) Briefly disconnect the catheter from the drainage tube to obtain sample.
C) Withdraw urine through the port using a needleless access device.
D) Obtain the urine specimen directly from the collection bag.
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Page 30
Chapter 29: Bowel Elimination
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/47150
Sample Questions
Q1) A patient with a skin infection is prescribed cephalexin (an antibiotic)500 mg orally q 12 hours.The patient complains that the last time he took this medication,he had frequent episodes of loose stools.Which recommendation should the nurse make to the patient?
A) Stop taking the drug immediately if diarrhea develops.
B) Take an antidiarrheal agent, such as diphenoxylate.
C) Consume yogurt daily while taking the antibiotic.
D) Increase your intake of fiber until the diarrhea stops.
Q2) The nurse assesses a patient's abdomen 4 days after abdominal surgery and notes that bowel sounds are absent.This finding most likely suggest which postoperative complication?
A) Paralytic ileus
B) Small bowel obstruction
C) Diarrhea
D) Constipation
Q3) Which of the following structures is considered a vestigial organ?
A) Sigmoid colon
B) Rectum
C) Appendix
D) Internal sphincter of the anus
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Chapter 30: Sensation,Perception, Cognition
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39 Flashcards
Source URL: https://quizplus.com/quiz/47151
Sample Questions
Q1) Which structure within the brain is responsible for consciousness and alertness?
A) Reticular activating system
B) Cerebellum
C) Thalamus
D) Hypothalamus
Q2) Which step should the nurse take first when performing otic irrigation in an adult?
A) Warm the irrigation solution to room temperature.
B) Position the patient so she is sitting with her head tilted away from the affected ear.
C) Straighten the ear canal by pulling up and back on the pinna.
D) Place the tip of the nozzle into the entrance of the ear canal.
Q3) The home health nurse is developing a plan of care for her patient with a visual impairment.What is the priority nursing diagnosis for this patient?
A) Self-Neglect
B) Social Isolation
C) Risk for Falls
D) Risk for Imbalanced Nutrition: Less Than Body Requirements
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Chapter 31: Pain
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47 Flashcards
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Sample Questions
Q1) The nurse conducting a pain assessment for a patient would recognize deep somatic pain as which of the following?
A) Achy
B) Superficial
C) Radiating
D) Crampy
Q2) Which action should the nurse take first when the patient has a score of 4 on the sedation rating scale?
A) Stimulate the patient.
B) Prepare to administer naloxone (Narcan).
C) Administer a dose of pain medication.
D) Notify the physician immediately.
Q3) The pediatric nurse is caring for a 4-year-old child who is experiencing chronic pain secondary to tissue injury from past sickle cell anemia crises.Which of the following nonpharmacological pain reduction interventions might the nurse implement? Have the child:
A) Perform vigorous activity
B) Practice visualization
C) Listen to rap music
D) Watch a funny movie
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Chapter 32: Physical Activity Mobility
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37 Flashcards
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Sample Questions
Q1) A 32-year-old with a high spinal cord injury has been admitted to the hospital for antibiotic therapy to treat pneumonia.He lives independently and has developed strong upper-body strength to maximize his independence.Which transfer device should be used when transferring him from the bed to his wheelchair?
A) Mechanical lift
B) Transfer belt
C) Draw sheet
D) Transfer board
Q2) What is the correct method for turning an adult patient who recently sustained a spinal cord injury?
A) Ask the patient to assist with the turn by holding the siderails of the bed.
B) Place a draw sheet under the patient to assist with turning.
C) Request help from another nurse to perform the logrolling technique.
D) Use a mechanical lift for safe turning and protecting the nurse's back.
Q3) To achieve balance,body mass must be distributed around which point?
A) Center of body alignment
B) Center of balance
C) Center of gravity
D) Base of support
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Page 34
Chapter 33: Sexual Health
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33 Flashcards
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Sample Questions
Q1) A 19-year-old client asks if he is normal because he has always viewed himself as a female,although he has acted like a male to please his parents.The nurse should provide the client with education on which concept?
A) Intersex
B) Transsexual
C) Transvestite
D) Bisexual
Q2) Your 35-year-old client tells you that his boss requires him to massage her shoulders and she rubs his legs,thighs,and genitals.He further states that he does not want to upset her because he needs the job.Which statement best applies to this situation?
A) The male is receiving sexual satisfaction from having his legs, thighs, and genitals massaged.
B) This is an example of quid pro quo sexual harassment and should be reported to her supervisor.
C) This is an example of hostile work environment sexual harassment and should be immediately reported to her supervisor.
D) This is not a situation of harassment because no sexual intercourse occurred.
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Chapter 34: Sleep and Rest
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19 Flashcards
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Sample Questions
Q1) The patient is diagnosed with obstructive sleep apnea.Identify the symptoms you would expect the client to exhibit.Choose all that apply.
A) Bruxism
B) Enuresis
C) Daytime fatigue
D) Snoring
E) Drooling
Q2) During which of the following developmental stages does a person tend to need the most hours of sleep?
A) Toddler
B) Adolescence
C) Middle adulthood
D) Older adulthood
Q3) From what stage of sleep are people typically most difficult to arouse?
A) NREM, alpha waves
B) NREM, sleep spindles
C) NREM, delta waves
D) REM
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Chapter 35: Skin Integrity-Wound Healing
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48 Flashcards
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Sample Questions
Q1) Which of the following are examples of nonselective mechanical debridement methods? Select all that apply.
A) Wet-to-dry dressings
B) Sharp debridement
C) Whirlpool
D) Pulsed lavage
Q2) An adult patient is fully able to detect and respond to pain and discomfort.He has no incontinence or mobility limitations.He is of normal weight and consumes a nutritious diet.The patient has no problem with rubbing,friction,or shear.What is the Braden score for this patient?
A) 0
B) 15
C) 20
D) 23
Q3) For the client with a stage IV pressure ulcer,what would an applicable patient goal/outcome be?
A) Client will maintain intact skin throughout hospitalization.
B) Client will limit pressure to wound site throughout treatment course.
C) Wound will close with no evidence of infection within 6 weeks.
D) Wound will improve prior to discharge as evidenced by a decrease in drainage.
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Chapter 36: Oxygenation
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36 Flashcards
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Sample Questions
Q1) A patient has just had a chest tube inserted to dry-seal suction drainage.Which of the following is a correct nursing intervention for maintenance?
A) Keep the head of the bed flat for 6 hours.
B) Avoid using mouth rinses or mouthwashes.
C) Provide the patient with a paper and pencil or letter board.
D) Drain condensation into the humidifier when it collects in the tubing.
Q2) The nurse admits a patient to the surgical unit from the postanesthesia care unit.The patient has an oral airway in place and awakens only to painful stimuli.What is the priority nursing action?
A) Remove the oral airway and elevate the head of the bed.
B) Position the patient with the head turned to the side.
C) Measure vital signs and check surgical dressing.
D) Call the surgeon and obtain postoperative prescriptions.
Q3) Which of the following factors influence normal lung volumes and capacities? Select all that apply.
A) Age
B) Race
C) Body size
D) Activity level
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Page 38
Chapter 37: Circulation
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Sample Questions
Q1) Three days ago,a patient had cardiac surgery to bypass three occlusions of his coronary arteries.Veins for the bypass were harvested from his right leg.He informs the nurse that his leg is warm and tender in his right calf.The nurse notes a 3-cm periwound erythema and swelling at the distal end of the incision.Staples are intact along the incision,and there is no drainage.Vital signs are stable.The nurse would suspect that the patient has what kind of complication?
A) Deep vein thrombosis
B) Dehiscence of the wound
C) Internal bleeding
D) Infection at the incisional site
Q2) The nurse is planning care for an elderly patient diagnosed with end-stage heart failure and a nursing diagnosis of Decreased Cardiac Output secondary to ineffective left ventricular function.What outcome would the nurse plan for this patient to measure improvement in cardiac output?
A) Brisk capillary refill in feet bilaterally.
B) Heart rate within expected range
C) Breath sounds clear with no shortness of breath
D) Regular pulse rhythm
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Page 39
Chapter 38: Fluids,Electrolytes, Acidbase Balance
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49 Flashcards
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Sample Questions
Q1) A patient had gastric surgery 10 days ago and continues to require gastric suction because of a paralytic ileus.The patient reports tingling in the fingers,has hypertonic reflexes,and has a respiratory rate of 8 breaths per minute that are deep in nature.The nurse recognizes that these symptoms are consistent with which diagnosis?
A) Respiratory alkalosis
B) Metabolic acidosis
C) Respiratory acidosis
D) Metabolic alkalosis
Q2) The nurse is caring for a patient with metabolic acidosis secondary to renal failure caused by poor glucose regulation.The patient reports a headache,weakness,and nausea.The nurse assesses an elevated blood sugar,Kussmaul breathing,and peripheral vasodilation.What collaborative interventions will the nurse anticipate to restore pH balance? Select all that apply.
A) Insulin to lower blood sugar
B) Tylenol for headache
C) Mechanical ventilation to correct breathing
D) Dialysis to remove toxins
E) Bicarbonate administration
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Chapter 39: Perioperative Care
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37 Flashcards
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Sample Questions
Q1) A patient is admitted for hip surgery.The patient usually takes the following medications daily: an anticoagulant,a multivitamin,and vitamin E.He stopped taking his anticoagulant 4 days ago as instructed by his surgeon,but has continued to take the multivitamin and vitamin E.An important collaborative problem or nursing diagnosis for this patient is which of the following?
A) Potential complication: anemia
B) Risk for infection related to inadequate anticoagulant dosage
C) Risk for noncompliance related to inability to follow instructions
D) Potential complication: increased bleeding
Q2) Surgeries are commonly classified by which of the following? Select all that apply. A) Acuity
B) Level of urgency
C) Length of surgery
D) Organ involved
Q3) The preoperative phase encompasses which period of time?
A) Entry to the operating suite until admission to postanesthesia care
B) Entry into the operating suite until discharge from the hospital
C) The decision to have surgery until admission to postanesthesia care
D) The decision to have surgery until entry to the operating suite
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Page 41
Chapter 40: Leading Managing
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Sample Questions
Q1) The student nurse is starting the first clinical shift in a new facility and assesses the nurses working on the unit to identify a possible mentor.Which nurse would be the best choice for a mentor?
A) The friendliest, most outgoing nurse on the shift
B) The new graduate who remembers what it is like to be a student
C) The nurse others come to when they are unsure of how to proceed
D) The nurse who is the most outspoken during change of shift report
Q2) The nurse manager has evaluated a staff nurse who needs to improve attendance.What strategy can the nurse manager use to correct this staff nurse's attendance?
A) Provide recognition.
B) Reinforce constructive behavior.
C) Discourage unproductive behavior.
D) Assign someone to monitor attendance.
Q3) Which of the following are characteristics of an effective nurse manager? Select all that apply.
A) Clinical expertise
B) Business sense
C) Master's degree
D) Leadership skills
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Chapter 41: Nursing Informatics
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is preparing to conduct a literature search to find evidence related to care of a patient with diabetes experiencing neuropathy.Which of the following keywords would the nurse use to best identify the information searched for?
A) Caring for diabetics
B) Nursing care of neuropathy
C) Diabetic neuropathy
D) Complications of diabetes
Q2) The nurse is using an EHR system.Which feature does not improve the safety of patient care delivered by the nurse?
A) Physician order entry
B) Decision support tools
C) Elimination of poor handwriting
D) Improved accessibility
E) None of the above
Q3) What is(are)the primary benefit(s)of computer physician order entry (CPOE)?
A) Increased privacy
B) Improved access to patient data
C) Cost savings
D) Reduced medication errors
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Page 43
Chapter 42: Promoting Health
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27 Flashcards
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Sample Questions
Q1) The nurse teaches a class for the community discussing routine screening tests for different types of cancer.What level of health prevention would the nurse classify this activity?
A) Primary
B) Secondary
C) Tertiary
D) Maintenance
Q2) Hardiness is a quality in which an individual experiences high levels of stress yet does not fall ill.What are the general characteristics of a hardy person? Select all that apply.
A) Contemplation
B) Control
C) Commitment
D) Challenge
Q3) The nurse working in an acute care setting provides what level of health prevention most often?
A) Primary
B) Secondary
C) Tertiary
D) Assessment
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Chapter 43: Community-Home Health Nursing
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47164
Sample Questions
Q1) Which of the following groups represents a vulnerable population? Select all that apply.
A) Homeless persons with no known illnesses
B) Women who have experienced domestic violence
C) Fifth grade students at the local elementary school
D) Persons with type 1 diabetes mellitus
Q2) The similarities between the Omaha System and the NANDA-I taxonomy are that both contain which of the following?
A) Evaluation tools expressed in standardized language
B) Nursing diagnoses expressed in standardized language
C) Diagnoses, outcomes, and interventions
D) Labels that are intended for use in any healthcare setting
Q3) A community health nurse gathers information about how individuals in a low-income neighborhood perceive the community and its state of health.Which of the following assessment strategies would be appropriate?
A) Conducting a windshield survey while driving
B) Reviewing a multitude of community databases
C) Interviewing residents living on every fifth block
D) Analyzing demographic data on the community
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Page 45
Chapter 44: Ethics Values
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Sample Questions
Q1) The emergency department nurse cares for a 17-year-old adolescent who is diagnosed with cervical cancer secondary to human papillomavirus.The patient declines treatment,saying,"I don't want my parents to know I have been sexually active,and if they find out about the cancer,they'll figure out the rest of it." The nurse explains the risk of death if the cancer is not treated,but the patient continues to refuse therapy.What conflicting principles is this nurse facing as the result of this patient's choices?
A) Autonomy versus nonmaleficence
B) Autonomy versus veracity
C) Fidelity versus justice
D) Veracity versus beneficence
Q2) The nurse believes that abortion is murder of the unborn child.While at work,the nurse is assigned a woman with septicemia following an abortion.Which concept most specifically requires the nurse to provide high-quality care for this patient?
A) Ethics
B) Morals
C) Bioethics
D) Nursing ethics
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Chapter 45: Legal Accountability
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Sample Questions
Q1) Effective delegation is a vital part of the nurse's responsibilities.What factor should guide the nurse to correctly delegate a nursing task?
A) The education and experience of the delegatee
B) The job description of the delegatee
C) The patient request for the delegatee
D) The staffing levels on a unit
Q2) A registered nurse forgot to put the siderails up for a confused patient.The patient fell out of bed and fractured his hip.The patient sues and wins a judgment (award)for $2 million.The nurse has an occurrence policy with double limit coverage of $3 million/$10 million that covered the time period when the incident occurred.The statement that best describes the nurse's situation is that her insurance policy will do which of the following?
A) Not cover her
B) Pay $4 million
C) Pay $2 million
D) Pay 75% of the $2 million
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Chapter 46: Holistic Healing
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Sample Questions
Q1) A woman is receiving physical therapy after surgery to repair a hip fracture.She tells the therapist before therapy begins that she expects therapy to be very painful.She rates her pain as 1 on a scale of 1 to 10 before therapy.Three minutes into the treatment session,the patient complains of excruciating pain rated as 10 and says she cannot tolerate exercise any longer.The therapist is concerned with the amount of pain,because severe pain is not expected during that form of exercise.The therapist considers the patient could be experiencing:
A) Phantom limb pain
B) Ineffective pain medication
C) A nocebo effect
D) A complication from the surgery
Q2) A patient is receiving healthcare focused on his illness and counteracting his symptoms.What type of healthcare is he receiving?
A) Holistic
B) Integrative
C) Complementary
D) Allopathic
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