Clinical Nursing Practice
Final Exam
Course Introduction
Clinical Nursing Practice is designed to immerse students in hands-on patient care within clinical settings, bridging the gap between theoretical knowledge and real-world application. The course emphasizes the development of critical nursing skills, including assessment, planning, implementation, and evaluation of patient care. Through supervised clinical rotations, students gain experience in areas such as medical-surgical nursing, pediatrics, mental health, and community health, while learning the importance of communication, ethical decision-making, and interprofessional collaboration. The course prepares students to deliver holistic, evidence-based care and fosters the competencies necessary for safe, effective, and compassionate nursing practice.
Recommended Textbook Essentials for Nursing Practice 8th Edition by Potter
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39 Chapters
1000 Verified Questions
1000 Flashcards
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Chapter 1: The Nursing Profession
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7466
Sample Questions
Q1) A nurse uses effective strategies to communicate and handle conflict with nurses and other health care professionals.Which Quality and Safety Education for Nurses (QSEN)competency is the nurse demonstrating?
A) Informatics
B) Quality improvement
C) Teamwork and collaboration
D) Evidence-based practice
Answer: C
Q2) A nurse is teaching the staff about the characteristics of a profession.Which information should the nurse include? (Select all that apply.)
A) Extended education
B) Theoretical body of knowledge
C) Code of ethics for practice
D) Practice developments
E) Provision of a specific service
Answer: A,B,C,E
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Chapter 2: Health and Wellness
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A patient states,"I will avoid social situations where people are drinking alcohol so I am not tempted to start drinking again." The nurse assesses the patient to be in which stage of change?
A) Contemplation
B) Precontemplation
C) Maintenance
D) Engagement
Answer: C
Q2) A nurse is assessing a patient's risk factors for heart disease and finds that the patient has several risk factors.How should the nurse interpret this finding?
A) The patient needs surgery for heart disease.
B) The patient has a genetic disease.
C) The patient will develop the disease.
D) The patient has an increased chance to develop the disease.
Answer: D
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4
Chapter 3: The Health Care Delivery System
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse admits an older adult patient who states that he or she has no living relatives and only two close friends.Upon admission to the hospital,which action should the nurse initiate first?
A) Implement a process of payment.
B) Implement a discharge plan.
C) Implement a visit with the family.
D) Implement a resource utilization group.
Answer: B
Q2) A nurse wants to practice using the Institute of Medicine Competencies.Which competencies should the nurse use? (Select all that apply.)
A) Working in interdisciplinary teams
B) Using informatics
C) Providing physical comfort
D) Offering access to care
E) Preventing catheter-associated urinary tract infections
Answer: A,B
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Chapter 4: Community-Based Nursing Practice
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The teen pregnancy rate in one community significantly increased; as a result,the school system was seeing an increase in the dropout rate of teenage mothers.A nurse recently worked with the local school system to develop a day care program for the children of high school students so that they could return to school.Which technique did the nurse use?
A) Incorporating immunizations for the infants and mothers
B) Responding to changes within the community
C) Influencing chronic environmental factors
D) Managing disease
Q2) A community health nurse is caring for vulnerable populations.The nurse is caring for which patients? (Select all that apply.)
A) Patients living at home
B) Patients with abusive habits
C) Immigration patients
D) Middle-aged patients
E) Patients living in poverty
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6
Chapter 5: Legal Principles in Nursing
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Sample Questions
Q1) As part of the admission process the nurse asks if the patient has an advance directive.The patient doesn't know for sure.What is the nurse's best response?
A) It is autopsy permission.
B) It is a living will.
C) It is informed consent.
D) It is an organ donation card.
Q2) A student nurse must pass the NCLEX before practicing as a registered nurse.NCLEX stands for __________ Examination.
A) Nursing Council of Licensing
B) Nightingale Code of Licensure
C) Nursing Code of Licensure
D) National Council Licensure
Q3) A patient died from suspicious circumstances.What should the nurse do next?
A) Notify the coroner.
B) Notify the newspaper.
C) Chart what the nurse thinks happened.
D) Chart opinions from the health care staff.
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Chapter 6: Ethics
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The code of ethics for nursing sets forth ideals of nursing conduct and was developed by what organization?
A) The Board of Nursing
B) The American Medical Association
C) The National League for Nursing
D) The American Nurses Association
Q2) A registered nurse has recently been reassigned to the gynecology unit at the hospital.The nurse is strongly against abortion because of religious beliefs and contacts the nursing supervisor regarding the assignment because the unit cares for women who are undergoing abortions.The nurse is having a conflict in which area?
A) Confidentiality
B) Values
C) Social networking
D) Culture
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Chapter 7: Evidence-Based Practice
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A nurse's manager has suggested that a nurse formulate a PICO question to clarify the topic before doing a literature review.When the nurse asks what the acronym PICO stands for,how should the nurse manager respond?
A) Policy, information, comparison, outcome
B) Patient, information, collection, outcome
C) Patient, intervention, comparison, outcome
D) Policy, intervention, communication, outcome
Q2) At a health care organization,patients are turned every 2 hours to help prevent pressure ulcers.Because of this nursing intervention,patients exhibit far fewer pressure ulcers than the national average.Which term should the nurse use to describe this finding?
A) Sentinel event
B) Qualitative research
C) Manuscript narrative
D) Nursing-sensitive outcome
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9
Chapter 8: Critical Thinking
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A registered nurse is caring for a postoperative patient whose systolic blood pressure has dropped 10 points during the shift.The nurse remembers that this was similar to a situation that happened in the past when a patient developed an internal bleed.Based upon the nurse's thoughts,which skill did the nurse use?
A) Intuition
B) Critical thinking
C) Nursing process
D) Reflection
Q2) A nurse is using scientific knowledge and experience to choose strategies to use in the care of a patient.Which critical thinking skill is the nurse using?
A) Analysis
B) Evaluation
C) Explanation
D) Self-regulation
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Chapter 9: Nursing Process
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A postoperative patient has denied the need for pain medication.The nurse has noted that the patient describes the pain as a "1" on a 0 to 10 scale.The nurse also notes that the patient grimaces when he or she changes position and guards the incision.The nurse believes that the patient is experiencing pain based on the information gathered in the assessment.What is this phenomenon known as?
A) Cue
B) Inference
C) Diagnosis
D) Health pattern
Q2) Which action by the nurse is the final step in a complete assessment?
A) Forming diagnostic conclusions
B) Documentation of findings
C) Auscultation
D) Palpation
Q3) A nurse is evaluating care for a patient.Which action should the nurse take?
A) Compares patient findings with the goals and outcomes
B) Determines if interventions were completed
C) Develops a nursing diagnosis
D) Writes a care plan
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Chapter 10: Informatics and Documentation
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A nurse is told during orientation that the organization is very patient focused and that it uses a documentation system with the acronym PIE.What will the nurse be charting?
A) Problem, intervention, evaluation
B) Patient, interview, evaluation
C) Population, intervention, encourage
D) Plan, interview, enhance
Q2) A nurse works at a health care organization that is accredited by The Joint Commission.What is the best method for this health care organization to demonstrate that it is providing quality patient care?
A) Cost of care per patient day
B) Number of registered nurses
C) Absence of sentinel events
D) Documentation audits
Q3) Which documentation by the nurse is most appropriate?
A) "The patient states would except moving to a semi-private room."
B) "Developed aspiration pneumonia due to dysphasia."
C) "Bruise noted on right side over fractured abdimin."
D) "Right jugular vein distended."
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Page 12
Chapter 11: Communication
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse is working in a busy emergency department of an urban hospital.The family of a patient brought in by ambulance asks the nurse what the doctor meant when he or she said that the patient was coding.In this situation,the word coding is an example of which of the following?
A) Denotative meaning
B) Connotative meaning
C) Intonation
D) Pacing
Q2) A nurse forms a contract with the patient to specify roles during a therapeutic helping relationship.The nurse is in which phase of the therapeutic relationship?
A) Working
B) Termination
C) Pre-interaction
D) Orientation
Q3) Which technique by the nurse will facilitate communication with an older adult?
A) Have the TV play lightly in the background.
B) Ask several questions in a row.
C) Allow reminiscing.
D) Use long sentences.
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Page 13
Chapter 12: Patient Education
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient must learn to apply a lower leg orthotic device but has a minor paralysis of the right upper extremity.Before teaching this skill,the nurse must assess the patient's physical capabilities.Which areas will the nurse assess? (Select all that apply.)
A) Size
B) Strength
C) Coordination
D) Sensory acuity
E) Learning environment
Q2) A nurse needs to begin teaching about crutch walking with a 14-year-old patient.Which action should the nurse take first?
A) Motivate the patient to comply with the use of crutches.
B) Prevent diseases and learn good health promotion activities for crutch walking.
C) Allow the entire health care team to give the patient a variety of strategies for crutch walking.
D) Determine the patient's level of knowledge and perception of the learning needed for crutch walking.
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Chapter 13: Managing Patient Care
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Sample Questions
Q1) A registered nurse works as a case manager in the local hospital.What primary role will the nurse be fulfilling?
A) Coordinating care for patients with a specific condition
B) Only working with primary health care providers
C) Directing care of all patients in the hospital setting
D) Providing direct care to specific patients
Q2) A newly graduated nurse has been assigned to work with one assistive personnel staff member.When delegating skills,which guidelines should the nurse use? (Select all that apply.)
A) Assign just bed making skills and feeding tasks.
B) Assess the knowledge of the assistive personnel.
C) Match tasks to the assistant's skills.
D) Have the nursing assistant document assessment findings.
E) Assess skill levels of assistive personnel.
Q3) A registered nurse is prioritizing care for four patients.Which patient should the nurse see first?
A) A 44-year-old woman 1 day postoperative
B) A 64-year-old man who had a stroke 2 days ago
C) A 56-year-old woman with an acute asthma attack
D) A 67-year-old man with a fractured hip
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Chapter 14: Infection Prevention and Control
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nurse is assigned to multiple patients on a busy surgical unit.To minimize the onset and spread of infection,the nurse should:
A) insert indwelling catheters to prevent incontinence.
B) use aseptic technique when performing procedures.
C) use barriers sparingly to reduce the patient's sense of isolation.
D) keep mucus membranes dry to prevent maceration.
Q2) The nurse and is very concerned about infection control in the Surgery Department.Recently she provided education to the surgery staff on ways to eliminate transient hand flora.The most precise description for this is hand:
A) hygiene.
B) washing.
C) antisepsis.
D) rub.
Q3) Which of the following situations is most likely to contribute to a health care-acquired infection?
A) A closed urinary drainage system
B) Use of aseptic technique during dressing changes
C) Foley catheter drainage bag touching the floor
D) Changing IV access site when site is red and warm
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Page 16
Chapter 15: Vital Signs
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A nurse is ready to take the temperature of an adult patient rectally.The nurse's realizes that rectal temperatures are which of the following?
A) Preferable to oral temperatures
B) Safer than oral temperatures if the patient has neutropenia
C) The best way to obtain temperatures in newborns
D) That readings can be influenced by impacted stool
Q2) The patient has just returned to the postsurgical unit after undergoing surgery to remove a lung tumor.During one of the postoperative vital sign checks,the nurse notes that the patient's systolic blood pressure had dropped by 30 points.In addition to the drop in systolic blood pressure,the patient's skin is pale and "clammy." The nurse should do which of the following?
A) Report the findings to the health care provider immediately.
B) Understand that the patient's arteries are constricting, causing pallor.
C) Wait to see if the blood pressure increases in 30 minutes.
D) Nothing; this is a normal occurrence following a thoracic surgery.
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17
Chapter 16: Health Assessment and Physical Examination
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The patient recently had a cast applied to his left lower leg after a football injury in which he broke his tibia.After the application of the cast,the nurse felt the toes of his left and right feet.To assess circulation in the left foot,the nurse should do which of the following?
A) Use the tips of her fingers to assess temperature.
B) Expect that the temperature in the left leg will be lower than that in the right.
C) Expect that the temperature of the left foot to be the same as the right foot.
D) Expect that the left foot will be warmer than the left.
Q2) A nurse inspects the thorax of an older adult patient who has chronic lung disease.An expected finding would be a(n):
A) round shape of the chest.
B) barrel-shaped chest.
C) AP diameter greater than the transverse diameter.
D) AP diameter less than the transverse diameter.
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Chapter 17: Administering Medications
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The intended or desired physiological response of a medication is known as a(n)_____ effect.
A) adverse
B) side
C) therapeutic
D) toxic
Q2) When the effect of two medications combined is greater than the effects of the medications when given separately,the two medications are said to have a(n):
A) synergistic effect.
B) anaphylactic reaction.
C) medication interaction.
D) idiosyncratic reaction.
Q3) Undesired,unintended,and often unpredictable responses to medication are referred to as _____ effects.
A) Adverse
B) Side
C) Therapeutic
D) Toxic
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Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A college freshman has bulimia.She vomits after eating and has recently noticed tingling of her fingers and toes and muscle cramps.Her roommate is a nursing student and is concerned about which imbalance?
A) Respiratory acidosis
B) Metabolic acidosis
C) Respiratory alkalosis
D) Metabolic alkalosis
Q2) The nurse is working for a medical unit in a hospital.The nurse is responsible for obtaining intake and output measurements for patients.What items should be considered intake? (Select all that apply.)
A) Gelatin eaten as a snack or for lunch or dinner
B) Water used to flush tubing between jejunostomy feedings
C) Amount of fluid contained in the gastric suction container
D) Volume of the blood components that were given IV
E) Volume of the postsurgical wound drainage
Q3) A patient is diagnosed with renal insufficiency.The results of an ABG analysis indicate metabolic acidosis.In metabolic acidosis,the nurse would expect the pH to decrease to less than _____ and the bicarbonate level to decrease to less than _____.
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Chapter 19: Caring in Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A nurse is working in a health care clinic.She loves her work because of all the different people she meets.She professes to care for all of them and states that she understands them because she realizes which of the following is true?
A) Basically all patients are the same.
B) Each person has a unique background.
C) Caring for people requires very little experience.
D) There are standard solutions to most health care problems.
Q2) Which of the following would indicate that the nurse has established a level of mutual problem solving?
A) The nurse helps the patient develop questions to ask the health care provider.
B) The nurse tells the patient what needs to be done to resolve health problems.
C) The nurse is seen as the authority when it comes to health care issues.
D) The nurse excludes the family from health discussions to protect privacy.
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Chapter 20: Cultural Awareness
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Sample Questions
Q1) When dealing with cultural awareness,the nurse realizes that the term oppression involves which of the following?
A) Maintaining advantages based on social group membership
B) Systems that maintain disadvantages aimed purely at individuals
C) Intentional discrepancies alone
D) Issues at institutional levels independent of individual or cultural factors
Q2) The current focus on promoting a culturally competent health care environment is on which of the following?
A) The health care provider's efforts to become self-aware
B) The health care provider learning about other cultures
C) Avoiding the systematic provision of care
D) Ensuring that cultural competence is integrated into administrative processes
Q3) A student nurse is caring for a patient of Mexican descent.In an attempt to become culturally aware,the student should consciously think about which of the following?
A) What people of Mexican descent believe
B) The relationship between culture and ethnicity
C) The fact that the patient belongs to an isolated social group
D) Where the person is in the intersections of socially constructed categories
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Chapter 21: Spiritual Health
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) An elderly patient is dying,and begins talking to loved ones who have died before him.The nurse feels a sense of inner peace as his patient quietly dies.What is the best term for this feeling of peace?
A) Self-transcendence
B) Intrapersonal connectedness
C) Interpersonal connectedness
D) Transpersonal connectedness
Q2) A nurse who works in a neonatal intensive care unit is caring for a critically ill infant with a poor prognosis.She is Christian and feels responsible to care for both the physical and spiritual needs of the infant and his parents.What is the best statement for the nurse to make to the parents of the infant?
A) "You should have the child baptized so that its soul will be saved."
B) "Would you like me to call the chaplain to christen your child at the bedside?"
C) "What can I do to support your spiritual needs?"
D) "I have asked my pastor to stop by and talk to you."
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23
Chapter 22: Growth and Development
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A student nurse who works in a pediatric clinic is assisting with an assessment on a young child who is not yet walking.She knows that it is considered a delayed gross motor ability if the child does not walk by _____ months.
A) 16
B) 18
C) 20
D) 22
Q2) The nurse is caring for an older adult who seems depressed and states that "I hate going to Bingo.I'd really like to get back in shape.Maybe if I could join a health club,I could get back to feeling like myself." The nurse should do which of the following?
A) Inform the patient that at his age it's probably not a good idea to join a health club.
B) Recommend that the patient have a complete physical examination.
C) Explain that physical impairments would prevent any worthwhile exercising.
D) Tell the patient that at his age he would probably hurt himself.
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Chapter 23: Self-Concept and Sexuality
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18 Verified Questions
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Sample Questions
Q1) The nurse is attempting to obtain a sexual history on a patient who is being evaluated for a possible hysterectomy.The nurse should do which of the following?
A) Assume that the patient will not appreciate questions about sexual practices.
B) Avoid information relative to medication effect on sexuality.
C) Use specific gender terms to emphasize sexuality.
D) Recognize that many patients welcome the chance to talk about their sexuality.
Q2) A nurse is caring for an adult patient who retired last year.While rendering care,the nurse identifies that the patient is struggling emotionally with this change.This situation is most likely associated with what self-concept component?
A) Role performance
B) Identity stressors
C) Self-esteem
D) Body image stressors
Q3) Reviewing sexuality changes associated with aging is important because:
A) very few older women experience any type of sexual problems.
B) in older men, the penis does not become firm as quickly.
C) ejaculation remains the same throughout life.
D) ejaculation is quicker with aging.
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25
Chapter 24: Family Context in Nursing
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Sample Questions
Q1) The nurse is caring for a family within an impoverished community.What is it important for the nurse to understand about families?
A) They are made up of a set of interacting individuals related by blood, marriage or adoption.
B) They are comprised of a group of individuals living together who may not be related.
C) They all have one unique form independent of cultural or ethnic orientations.
D) They all have the same strengths, weaknesses, resources and challenges.
Q2) Homeless children are more likely to do which of the following? (Select all that apply.)
A) Drop out of school.
B) Develop risky behaviors.
C) Become more employable because of life experience.
D) Develop long-term health problems.
E) Be better supervised after school.
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Chapter 25: Stress and Coping
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Sample Questions
Q1) A patient and family attend a counseling session.The patient has become depressed after a job loss.The nurse leading the counseling session informs the patient and his family that this type of crisis is caused by:
A) situational factors.
B) maturational factors.
C) sociocultural factors.
D) compassion fatigue.
Q2) The nurse is talking to a patient who was involved in a motor vehicle accident.The patient asks the nurse why there was no sensation of pain at the time of the accident.The best explanation would be:
A) "Vasopressin was released to decrease pain sensation."
B) "Endorphins are released during a time of stress to reduce pain."
C) "Alcohol reduces the perception of stress when injury occurs."
D) "You probably have chronic high levels of cortisol to help with chronic pain."
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Chapter 26: Loss and Grief
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Sample Questions
Q1) The patient's home has been demolished by a tornado.The patient's spouse and child were killed and the spouse is in need of a leg amputation.The nurse realizes that which of the following is true?
A) The patient will deal with his losses using usual coping strategies.
B) A patient's normal coping strategies are always adequate.
C) Patients usually seek new strategies to deal with loss.
D) At the end of life, people still rely on the usual coping strategies.
Q2) For a nurse to be effective in assisting patients with problems associated with loss and grief,what should the nurse do? (Select all that apply.)
A) Help people acknowledge the reality of their loss.
B) Encourage the use of a support network.
C) Reinforce that people all grieve in the same way.
D) Assure people that it will take a year to get over the loss, but it will end.
E) Provide continuing support even after an extended time.
Q3) Which of the following is true for a patient to receive home hospice care?
A) A primary caregiver must be living in the home.
B) Caregiver support is available 9 AM to 5 PM daily.
C) If the patient goes to the hospital, all prehospital orders are canceled.
D) In the hospital, the home hospice care person must provide personal care.
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Page 28
Chapter 27: Exercise and Activity
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Sample Questions
Q1) A nurse is caring for a patient with osteogenesis imperfecta.The nurse needs to assess the patient's muscle movement and strength.In doing so,the nurse recalls that osteogenesis imperfecta is characterized by fractures and bone deformities.This condition is known as which of the following?
A) A form of osteoporosis
B) A form of arthritis
C) A congenital defect
D) A neurological defect
Q2) The nurse is in charge of caring for five orthopedic patients during a shift.Nursing assistive personnel are available to assist the nurse with care of the patients.Which of the following tasks is most appropriate for the nurse to delegate to the nursing assistive personnel?
A) Moving a 45-year-old patient who had a CVA toward the head of the bed
B) Transferring an 85-year-old patient for the first time after a total hip replacement
C) Providing discharge teaching for a 49-year-old patient who had a stroke
D) Preparing a 77-year-old patient for hip replacement surgery
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29
Chapter 28: Safety
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Sample Questions
Q1) A nursing student is volunteering with a local agency to help prepare the community for a potential bioterrorist attack.On which of the following threats would be the nursing student's primary focus?
A) Hurricane
B) Earthquake
C) Anthrax
D) Tornado
Q2) A 75-year-old patient in an acute care hospital who underwent surgery for an abdominal aneurysm developed a urinary tract infection 3 days after placement of a Foley catheter.The nurse believes that this is a reportable incident,and which of the following will happen as a result?
A) Medicare will be denied to the patient.
B) Medicare will take the hospital to court.
C) Nothing; it is not a reportable incident.
D) Medicare will not reimburse the hospital for this infection.
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Chapter 29: Hygiene
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Sample Questions
Q1) The student nurse caring for a 56-year-old patient with acquired immunodeficiency syndrome (AIDS).While providing oral care for the patient the student nurse notes that the gums are reddened and bleed easily.The student nurse identifies this as a sign of what condition?
A) Dental caries
B) Gingivitis
C) Oral herpes
D) Thrush
Q2) The nursing assistive personnel (NAP)has been delegated the task of changing a postsurgical patient's bed.The NAP miscalculated the amount of linen needed and took more than needed.What is the best thing for the NAP to do with the unused linen?
A) Replace it in the linen closet.
B) Leave it in the room on the bedside table.
C) Use it in another patient's room.
D) Place it in a laundry bag to be laundered.
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Chapter 30: Oxygenation
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Sample Questions
Q1) When giving CPR,compressions are causing the heart to pump blood into and out of the lungs to the body's organs.This movement of oxygenated blood is best described as which of the following?
A) Ventilation
B) Diffusion
C) Respiration
D) Perfusion
Q2) The nurse is admitting a patient with chronic obstructive pulmonary disease (COPD).During the initial head-to-toe assessment the patient's pulse oximetry reading is 89% on room air.What is the nurse's first priority?
A) Administer oxygen immediately @ 4L/NC.
B) Call the primary health care provider for an order for oxygen.
C) Assist the patient into a recumbent position.
D) Determine the patient's normal pulse oximetry reading.
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Chapter 31: Sleep
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Q1) The long-term care facility nurse is assessing the patient's sleep environment for safety.Which finding will cause the nurse to intervene as it is an unsafe situation for the patient?
A) A small night light left on in the bedroom
B) All clutter removed between the bed and the bathroom
C) Bed in high position with side rails up
D) Call bell at the bedside for the patient to alert family members
Q2) A nurse is admitting a patient to the hospital.The patient admits to a history of sleep problem.Which of the following questions will help the nurse understand the severity of the patient's sleep problem?
A) "How long does it take you to fall asleep?"
B) "Tell me why you think you have a sleep problem."
C) "Have you been told that you snore loudly?"
D) "When did you notice the problem?"
Q3) Which of the following bedtime snack(s)helps to promote sleep in a patient?
A) Cereal and milk
B) A full meal
C) Chips and cola
D) Coffee and toast
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Page 33
Chapter 32: Pain Management
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Q1) The patient is being seen for chronic back pain.The patient states,"I'm always in pain,and I don't like taking the pain medication because it makes me sleepy.I have to work to support my family." The nurse is aware that this patient may be a candidate for cutaneous stimulation.Cutaneous stimulation includes which of the following? (Select all that apply.)
A) TENS unit
B) NSAIDs
C) Massage
D) Yoga
E) Ice bags
Q2) According to established standards,nurses must frequently assess patients experiencing pain.The most appropriate action for the nurse to take when assessing a patient's pain is which of the following?
A) Ask what precipitates pain.
B) Question the patient about the location of the pain.
C) Offer the patient a pain scale to objectify the patient's response.
D) Use closed-ended questions to find out about the patient's sensations.
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Chapter 33: Nutrition
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Sample Questions
Q1) A patient is having a problem with wound healing.The nurse assesses the patient's tray and finds that only 25% of all meals are eaten.The nurse teaches the patient that protein intake is important for what reasons? (Select all that apply.)
A) It is essential for body tissue growth.
B) It is essential for tissue maintenance.
C) Essential amino acids can only be obtained from dietary sources.
D) It is essential for repair.
E) Negative nitrogen balance is needed for wound healing.
Q2) A patient is receiving intermittent enteral tube feedings.When introducing a feeding to this patient,what is the first thing the nurse needs to do?
A) Place the patient in a supine position.
B) Irrigate the tube with normal saline.
C) Check to see that the tube is in the proper position.
D) Introduce a small amount of fluid into the tube before the tube feeding.
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Chapter 34: Urinary Elimination
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Sample Questions
Q1) A 56-year-old patient,who has recently become postmenopausal,made an appointment with her health care provider for symptoms of an UTI.The patient has had three previously diagnosed UTIs in the past 4 months.She asks the nurse if this is a normal occurrence with postmenopausal women.What is the best response from the nurse?
A) "Yes, because as women go through menopause, the lining of the urethra becomes more susceptible to infections."
B) "No, but why don't you ask your health care provider for some antibiotics to keep on hand?"
C) "Yes, and this must be frustrating because as we become older our body starts to cause us more problems."
D) "Yes, and this is why I'm not looking forward to going through menopause."
Q2) A patient calls the office to tell you that his or her urine has changed to an orange color.The best response of the nurse is which of the following?
A) "Did you recently start a new prescription for Pyridium?"
B) "Did you recently drink a lot of cranberry juice?"
C) "Have you noticed any blood on the tissue when you wipe yourself?"
D) "Please make an appointment with the office right away."
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Chapter 35: Bowel Elimination
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Q1) Elevating the head of the bed to the maximum allowed amount of 30 degrees for a patient in balanced suspension traction helps to promote normal elimination by which of the following?
A) Decreasing peristaltic movement
B) Promoting contraction of the thigh muscles
C) Strengthening the resistance of the internal and external sphincters
D) Exerting increased pressure on the rectum
Q2) A student nurse is assisting with colon cancer screening at the local health care clinic.The student is completing fecal occult blood testing on the stool specimens.This test is also referred to as a(n)_____ test.
A) melena
B) guaiac
C) amylase
D) alkaline phosphatase
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Chapter 36: Immobility
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Q1) An elderly nursing home resident fell 2 weeks ago and has been on bed rest.The patient has become increasingly fatigued during activities of daily living (ADLs).The family is concerned about the patient's declining condition.The best explanation that the nurse can give the family is that the patient's fatigue is caused by which of the following?
A) Decreased muscle endurance caused by immobility
B) Advanced age
C) Increased metabolism
D) Urinary stasis
Q2) A nurse is caring for an immobile patient.What is the most appropriate nursing intervention to implement?
A) Turn the patient every 4 hours.
B) Apply an abdominal binder while the patient is lying in bed.
C) Encourage the regular use of incentive spirometry while awake.
D) Maintain the patient's maximum fluid intake of 1000 mL daily.
Q3) Which patient is most at risk for developing a urinary tract infection?
A) Teenage comatose patient on a ventilator lying supine
B) Middle-age adult after abdominal surgery sitting in a chair
C) Elderly adult with Alzheimer disease who is wandering at night
D) Middle-age adult postcardiac catheterization being discharged home
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Page 38
Chapter 37: Skin Integrity and Wound Care
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Q1) A postoperative patient visits the ambulatory care clinic complaining of just "not feeling well." The patient has an elevated temperature.Which assessment finding should indicate to the nurse that the wound has become infected?
A) Negative culture
B) No odor
C) Presence of fluid around the edges
D) Purulent drainage coming from the incision area
Q2) Assistive personnel ask the nurse the differences between wound healing by primary and secondary intention.The nurse's best response is that healing by primary intention occurs when the skin edges:
A) are approximated.
B) overlap each other.
C) appear slightly red and moist.
D) cannot come together.
Q3) Which patient is best suited for heat therapy?
A) A patient with low back pain
B) A patient with suspected appendicitis
C) A patient with first-degree burn
D) A patient with active bleeding
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Page 39
Chapter 38: Sensory Alterations
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Sample Questions
Q1) An elderly patient with diabetes is seeing the health care provider for complaints of visual changes.The patient explains to the nurse that visual changes include distortion that makes the edges of objects appear wavy.The nurse knows that this is an early sign of which of the following?
A) Cataracts
B) Glaucoma
C) Diabetic retinopathy
D) Age-related macular degeneration
Q2) The patient has a methicillin-resistant Staphylococcus aureus (MRSA)infection in an abdominal surgical wound.The patient is in a private room,is receiving vancomycin (Vancocin)for the MRSA,and pain is well controlled with a morphine sulfate patient-controlled analgesia (PCA)pump,and is receiving docusate sodium (Colace)to prevent constipation.During the nurse's rounds,the patient begins complaining of ringing in the ears.Which is the most likely cause for the patient's tinnitus?
A) Surgical anesthesia
B) Morphine sulfate
C) Vancomycin
D) Docusate sodium
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Chapter 39: Surgical Patient
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Q1) The nurse is conducting preoperative teaching with the patient and family.The nurse teaches the patient the proper use of the incentive spirometer.The nurse knows that the patient understands the need for this intervention when the patient states,"I use this device to:
A) help my cough reflex."
B) expand my lungs after surgery."
C) increase my lung circulation."
D) keep me from coughing."
Q2) A student nurse has been assigned to a 67-year-old patient who is undergoing thoracic surgery to remove a tumor.As part of the preoperative teaching,the student nurse discusses the importance of coughing.Which of the following statements is true regarding why postoperative coughing is important? (Select all that apply.)
A) "Coughing assists in removing retained mucus in the airways."
B) "It won't hurt to cough with adequate pain control."
C) "You can splint your incision when coughing to minimize pain."
D) "Deep breathing and coughing will remove anesthesia gases from your lungs."
E)"Deep breathing involves fast, shallow, breaths and then one big breath."
F) "Coughing is not encouraged because of the potential or dehiscence at the surgical site."
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