Clinical Nursing Practice
Midterm Exam
Course Introduction
Clinical Nursing Practice is a course designed to equip students with essential nursing skills and hands-on experience in healthcare settings. Through supervised clinical rotations, students apply theoretical knowledge to real-world patient care, developing competencies in assessment, planning, intervention, and evaluation of nursing care. Emphasis is placed on patient safety, ethical practice, communication, and teamwork. The course prepares students to function effectively within interdisciplinary teams while fostering critical thinking, decision-making, and professional accountability in diverse clinical environments.
Recommended Textbook
Adult Health Nursing 7th Edition by Cooper
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17 Chapters
763 Verified Questions
763 Flashcards
Source URL: https://quizplus.com/study-set/785
Page 2
Chapter 1: Introduction to Anatomy and Physiology
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) What are the distinct surface proteins of the plasma membrane essential in determining?
A) Tissue typing
B) Blood count
C) Effectiveness of a drug
D) Sexual maturity
Answer: A
Q2) Using a poster,the nurse demonstrates the protection of the nucleus.Arrange the layers starting with the most superficial.(Separate letters by a comma and space as follows: A,B,C,D)
A) Endoplasmic reticulum
B) Nuclear membrane
C) Nucleus
D) Plasma membrane
E) Cytoplasm
Answer: D,E,A,B,C
The most superficial covering of the nucleus is the plasma membrane,under which is the cytoplasm containing the endoplasmic reticulum,nuclear membrane,and nucleus.
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Chapter 2: Care of the Surgical Patient
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The nurse instructing a postsurgical patient in the use of thrombolytic deterrent stockings would include which of the following instructions?
A) Disregard appearance of edema above the stocking
B) Massage legs to smooth wrinkles out of stockings
C) Wring stockings thoroughly before hanging to dry
D) Wash stockings in warm water and mild soap
Answer: D
Q2) On the patient's return to the medical-surgical unit,the nurse performing an abdominal assessment can affirm an absence of bowel sounds after listening in each quadrant for at least:
A) 30 seconds.
B) 1 minute.
C) 2 minutes.
D) 3 minutes.
Answer: D
Q3) The nurse is aware that there is a loss of _________ during catabolism after severe tissue injury.
Answer: potassium
The injured cells loose potassium as catabolism (tissue breakdown)occurs.
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Chapter 3: Care of the Patient with an Integumentary Disorder
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Melanocytes give rise to the pigment melanin,which is responsible for skin color.Where can the melanocytes be found?
A) Dermis
B) Superficial fascia
C) Epidermis
D) Loose connective tissue
Answer: C
Q2) A nurse arrives at an accident scene where the victim has just received an electrical burn.What is the nurse's primary concern?
A) The extent and depth of the burn
B) The sites of entry and exit
C) The likelihood of cardiac arrest
D) Control of bleeding
Answer: C
Q3) The most deadly skin cancer is ________________.
Answer: melanoma
Malignant melanoma is a cancerous neoplasm that invades the epidermis,dermis,and sometimes the subcutaneous tissue.
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Chapter 4: Care of the Patient with a Musculoskeletal Disorder
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) Which of the following are the main purposes of traction? (Select all that apply. )
A) Align and stabilize a fracture
B) Prevent deformities
C) Relieve muscle spasms
D) Promote bed rest
E) Increase circulation to the rest of the body
Q2) When the patient with rheumatoid arthritis complains about the daily exercise,the nurse encouragingly reminds the patient that exercises:
A) keeps the joints from "freezing."
B) will ensure better sleep.
C) should be vigorous for joint stimulation.
D) need not be done daily.
Q3) Which patient statement indicates the need for additional teaching for a patient with rheumatoid arthritis who is taking meloxicam (Mobic)?
A) "I am keeping a daily record of my blood pressure."
B) "I take aspirin before I go to bed."
C) "I know I can take meloxicam with or without regard to meals."
D) "I weigh every day so I will be aware of any weight gain."
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Chapter 5: Care of the Patient with a Gastrointestinal Disorder
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Which of the following should be included in the patient teaching of a patient with a peptic ulcer?
A) Introducing irritating foods in minute amounts to desensitize the stomach
B) Restricting fluid to 1000 mL per day
C) Eating 6 small meals a day
D) Drinking alcohol and caffeine in moderation
Q2) The home health nurse is caring for a patient who has frequent bouts of diverticulitis accompanied by increased flatulence,diarrhea,and nausea.Which of the following is the most appropriate suggestion to lessen these symptoms?
A) Eat a diet high in fiber content
B) Increase dietary fat intake
C) Exercise to increase intra-abdominal pressure
D) Take daily laxatives
Q3) Which recommendation is most appropriate for a patient who has had an esophageal dilation related to achalasia?
A) Consume only liquid
B) Avoid fruit juices
C) Drink 10 oz of fluid with each meal
D) Lie down for 30 minutes after each meal
Page 7
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Chapter 6: Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) What should the nurse do to prepare a patient for an oral cholecystography?
A) Ensure that the patient drinks 500 mL of water before testing
B) Give 4 Oragrafin (ipodate)5 minutes apart starting at 6 AM
C) Administer 6 Telepaque (iopanoic acid)tablets 5 minutes apart after the evening meal
D) Give a fatty meal 1/2 hour before the test is started
Q2) What is the most appropriate method used by high-risk health workers to prevent hepatitis B?
A) Hepatitis B vaccine
B) Diligent handwashing
C) Wearing protective gear
D) Hb immune globulin injections
Q3) Which of the following is a classic symptom of cholecystitis?
A) Substernal,radiating to the left shoulder and arm
B) Epigastric,radiating to the back
C) Right upper abdomen,radiating to the back or right scapula
D) Left upper abdomen,radiating to the jaw and neck
Q4) A ___________occurs when the body encapsulates the autodigestive debris in the pancreatic tissue,frequently becoming an abscess.
Page 8
Q5) The tumor marker that is elevated in patients with pancreatic cancer is______.
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Chapter 7: Care of the Patient with a Blood or Lymphatic Disorder
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) The nurse is aware that persons of the Jehovah's Witness faith accept which types of blood transfusions?
A) No type of blood transfusion
B) Blood that has been blessed by their religious leader
C) Transfusions only for persons who have not yet been baptized
D) Autologous blood transfusions
Q2) A 23-year-old male patient with hemophilia A says,"How can I keep my children from having hemophilia A?" Which of the following is the most informative response?
A) "You need to select a very dependable mode of birth control."
B) "You can only pass hemophilia B to your sons."
C) "Your daughter may be a carrier and her children may have hemophilia A.Your son is not at risk."
D) "Your sons should have coagulation studies."
Q3) Approximately how much blood is stored in the spleen that can be released in a hypovolemic emergency?
A) 100 mL
B) 300 mL
C) 500 mL
D) 1000 mL
Page 9
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Vascular Disorder
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) What is the major cause of cardiac valve disease?
A) Rheumatic fever
B) Long history of malnutrition
C) Drug abuse
D) Obesity
Q2) Which of the following are signs of digoxin (Lanoxin)toxicity? (Select all that apply. )
A) Ringing in the ears
B) Bradycardia
C) Headache
D) Visual disturbance
E) Hematuria
F) Gastrointestinal complaints
Q3) Which assessment would lead the nurse to examine the leg closely for evidence of a stasis ulcer?
A) Cool dry lower limb
B) Edematous,red scaly skin on medial surface of the leg
C) Lack of hair and shiny appearance of the lower leg
D) Lack of a pedal pulse
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Chapter 9: Care of the Patient with a Respiratory Disorder
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A patient is on postoperative day 2 after undergoing a total hip replacement.The patient suddenly complains of chest pain and is coughing up blood-tinged sputum.What should be the nurse's initial intervention?
A) Report signs to the charge nurse.
B) Elevate head of bed and administer oxygen.
C) Prevent patient from excessive coughing.
D) Increase IV flow rate.
Q2) How do leukotriene modifiers reduce the symptoms of asthma?
A) By drying up mucus
B) By causing bronchodilation and anti-inflammation effects
C) By suppressing cough
D) By liquefying mucus
Q3) What is the purpose of the cilia?
A) Warm and moisturize inhaled air
B) Sweep debris toward nasal cavity
C) Stimulate cough reflex
D) Produce mucus
Q4) The nurse explains that the diagnostic test that can scan the chest and the abdomen in less than 30 seconds is the _____________ _____.
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Chapter 10: Care of the Patient with a Urinary Disorder
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) Which foods should the home health nurse counsel hypokalemic patients to include in their diet?
A) Bananas,oranges,cantaloupe
B) Carrots,summer squash,green beans
C) Apples,pineapple,watermelon
D) Winter squash,cauliflower,lettuce
Q2) A home health patient with end-stage renal disease (ESRD)has a nursing diagnosis of powerlessness related to life-altering disease.Which nursing intervention would be most helpful?
A) Ensure restricted protein intake to prevent nitrogenous product accumulation.
B) Include the patient in making the plan of care.
C) Counsel patient about end-of-life provisions.
D) Write out a detailed schedule of physician's appointments.
Q3) The nurse assessing a patient who is taking furosemide (Lasix)finds an irregular pulse.This is likely a sign of:
A) hypomagnesemia.
B) hypernatremia.
C) hypokalemia.
D) hypercalcemia.
Q4) _____________ is a term for severe generalized edema.
Page 12
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Chapter 11: Care of the Patient with an Endocrine Disorder
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) Arrange the steps of the negative feedback system in the control of blood glucose in chronologic order.(Separate letters by a comma and space as follows: A,B,C,D):
A) Elevation of blood glucose
B) Decrease in blood glucose
C) Beta cells repressed
D) Beta cells of pancreas stimulated to excrete insulin
E) Intake of nutrients
Q2) The human insulin whose onset of action occurs within ____ minutes is lispro (Humalog).
A) 30
B) 60
C) 15
D) 45
Q3) What instructions should be included in the discharge instructions for a 47-year-old patient with hypothyroidism?
A) Taking medication whenever symptoms cause discomfort
B) Decreasing fluid and fiber intake
C) Consuming foods rich in iron
D) Seeing the physician regularly for follow-up care
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Page 13
Chapter 12: Care of the Patient with a Reproductive Disorder
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The nurse gives discharge instructions to a person who has had a modified radical mastectomy of the right side to perform the "elbow pull-in." Place the steps of the exercise in appropriate order.(Separate letters by a comma and space as follows: A,B,C,D)
A) Pull elbows forward until they touch
B) Lower and straighten the arms
C) Extend arms sideways to shoulder level
D) Bring elbows back and extend arms
E) Clasp hands behind neck
Q2) A patient,age 46,is recovering from an abdominal hysterectomy.Postoperative nursing assessment findings include a urinary output of 100 mL in 4 hours.What should the nurse do?
A) Force fluids
B) Report urinary retention to the charge nurse
C) "Milk" the urinary catheter
D) Turn the patient onto her right side
Q3) A ___________ is performed to evaluate living tissue to establish or confirm a diagnosis or to follow the course of a disease.
Q4) ________are produced in the seminiferous tubules and stored in the epididymis.
Page 14
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Chapter 13: Care of the Patient with a Sensory Disorder
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) Place the nursing intervention in appropriate order for the immediate care of a patient with a penetrating wound of the eye.(Separate letters by a comma and space as follows: A,B,C,D)
A) Assess eye,do not remove object
B) Cover both eyes with an eye shield or cup
C) Lay the patient down flat
D) Check for the irregularity of the pupil
E) Obtain medical attention immediately
Q2) The nurse clarifies that the difference between a photorefractive keratectomy (PRK)and a laser in-situ keratomileusis (LASIK)is that a LASIK:
A) reshapes the central cornea.
B) makes partial-thickness radial incisions in the cornea.
C) removes some internal layers of the cornea.
D) implants intracorneal rings.
Q3) What does diabetes retinopathy result from?
A) Capillaries in retina hemorrhage
B) Long-term overdosing of insulin
C) Retinal detachment
D) Aging
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Page 15
Chapter 14: Care of the Patient with a Neurologic Disorder
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) What is the cranial nerve that supplies most of the organs in the thoracic and abdominal cavities and also carries motor fibers to glands that produce digestive juices and other secretions?
A) Somatic motor nerve
B) Visceral sensory nerve
C) Abducens nerve
D) Vagus nerve
Q2) What Glasgow Coma Scale rating would a patient receive who opens the eyes spontaneously,but has incomprehensible speech and obeys commands for movement?
A) 8
B) 10
C) 11
D) 12
Q3) What are surgical navigational systems?
A) Computerized devices that guide the surgeon
B) A set of detailed anatomic maps pinpointing specific areas of the brain
C) A written set of progressive processes for the resection of small brain tumors
D) The use of radioactive materials to pinpoint small tumors of the brain
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16
Chapter 15: Care of the Patient with an Immune Disorder
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A transfusion using blood from one's own blood is a(n)___________ transfusion,which is the best defense against a transfusion reaction.
Q2) Which of the following provide the body with innate immunity? (Select all that apply. )
A) Skin and mucous membranes
B) Lungs
C) Heart
D) Tears and saliva
E) Natural intestinal and vaginal flora
F) Stomach acid
Q3) The nurse recommends to the busy mother of three that the antihistamine fexofenadine (Allegra)would be more beneficial than diphenhydramine (Benadryl)because Allegra:
A) is inexpensive.
B) contains a stimulant for an energy boost.
C) does not dry out the mucous membranes.
D) does not induce drowsiness.
Q4) The transfer of tissue between genetically identical individual (twins)is a(n)________.
Q5) A type IV latex allergy is characterized by________ _______.
Page 17
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Chapter 16: Care of the Patient with HIV/AIDS
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37 Flashcards
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Sample Questions
Q1) A male patient is concerned about telling others he has HIV infection.What should the nurse stress when discussing his concerns?
A) Care providers and sexual partners should be told about his diagnosis.
B) There is no reason to hide his disease.
C) Secrecy is a poor idea because it will lower his self-esteem.
D) His diagnosis will be obvious to most people with whom he will come into contact.
Q2) What should the nurse emphasize when counseling an anxious HIV-positive mother about the care of her HIV-positive infant?
A) The baby will develop AIDS and refer her to a local AIDS support group.The baby will remain HIV-positive for the rest of its life.
B) Although infants of HIV-infected mothers may test positive for HIV antibodies,not all infants are infected with the virus.
C) She has not yet developed AIDS,and that it is possible the baby will not develop AIDS for many years.
D) If the infant is started on zidovudine (AZT)within the first month after delivery,AIDS can be prevented.
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Chapter 17: Care of the Patient with Cancer
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43 Flashcards
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Sample Questions
Q1) What measures would the home health nurse,designing nursing interventions for a patient receiving external radiation treatments for a malignancy,recommend to protect the patient's skin?
A) Applying warm compresses to damaged skin
B) Encouraging patient to apply fragrant lotion to skin
C) Patting the skin dry after the bath
D) Exposing skin to sun for 10 minutes a day
Q2) Using the TNM staging classification system,what does a tumor staged as T4N3M2 mean?
A) No evidence of primary tumor,lymph node involvement,or distant metastasis
B) Carcinoma in situ,regional lymph node involvement,and metastasis to one site
C) Enlarging tumor,increasing lymph node involvement,and distant metastasis
D) Enlarging tumor,no lymph node involvement,or distant metastasis
Q3) What is the function of organizations like The Lost Chord Club,Reach for Recovery,and I Can Cope?
A) Arrange for transportation to a clinic
B) Provide a small amount of financial support to patients
C) Send volunteers to speak with a person facing a lifestyle change
D) Arrange for reduced drug costs
Q4) A ___________ test screens for occult blood in the stool.
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