Clinical Nursing Practice
Textbook Exam Questions
Course Introduction
Clinical Nursing Practice offers students a comprehensive introduction to the essential skills and competencies required for quality patient care in diverse healthcare settings.
Emphasizing evidence-based practice, this course integrates theoretical knowledge with practical experiences in areas such as patient assessment, medication administration, infection control, and communication with patients and interdisciplinary teams. Through simulated scenarios and supervised clinical placements, students develop critical thinking, ethical decision-making, and professional behaviors fundamental to safe and effective nursing practice. The course prepares students to confidently address the dynamic needs of patients while adhering to best practice standards and legal requirements in nursing.
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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Sample Questions
Q1) A registered nurse is required to participate in a simulation to learn how to triage patients who are arriving to the hospital after exposure to an unknown gas.This is an example of a response to what type of influence on nursing?
A) Workplace hazards
B) Nursing shortage
C) Professionalism
D) Emergency preparedness
Answer: D
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 Flashcards
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Sample Questions
Q1) A nurse is planning to care for a patient with a disease that is a major cause of death and disability in the United States.The nurse is caring for which patient?
A) One with an acute disease
B) One with a chronic disease
C) One with an infectious disease
D) One with an exotic disease
Answer: B
Q2) Which order should the nurse prioritize care for the patient using Maslow's theory from lower-level needs to higher-level needs?
A-Self-esteem
B-Physiological needs
C-Self-actualization
D-Love and belonging
E-Safety and security
A) b, e, d, a, c
B) d, b, c, a, e
C) b, e, d, c, a
D) d, b, a, c, e
Answer: A
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Chapter 3: The Health Care Delivery System
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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) Which patient is most in need of discharge planning by the nurse?
A) A 29-year-old mother with strong family support who has a healthy newborn
B) A 59-year-old patient with an active lifestyle who has had an appendectomy
C) A 64-year-old patient with heart failure who has a limited income
D) A 56-year-old patient with a supporting spouse who has had a hysterectomy
Answer: C
Q3) Which patient is in the most expensive place to deliver care per day?
A) A patient in a rehabilitation unit
B) A patient in a long-term care facility
C) A patient in an intensive care unit
D) A patient in a private hospital room
Answer: C
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Chapter 4: Community-Based Nursing Practice
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Sample Questions
Q1) A nurse in community-based practice needs a variety of skills and talents while rendering care to patients in the community.Which are competencies of the community health nurse? (Select all that apply.)
A) Case manager
B) Care giver
C) Educator
D) Advocate
E) Counselor
Q2) A nurse is performing a community assessment.Which areas should the nurse include? (Select all that apply.)
A) Structure
B) Population
C) Social systems
D) Environment
E) Vital signs
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Chapter 5: Legal Principles in Nursing
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Sample Questions
Q1) Only one nurse was scheduled to care for 12 postsurgical patients with a nursing assistant.The nurse is concerned for the safety of the patients and the nursing license.What is the most appropriate first step in this situation?
A) Contacting the nursing supervisor and documenting the action
B) Refusing to care for the patients without appropriate help and leaving
C) Contacting the State Board of Nursing and documenting the action
D) Contacting the hospital administrator on call to complain and documenting the action
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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Page 7
Chapter 6: Ethics
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Sample Questions
Q1) A nurse bases ethical decisions on the effect,or consequences,an act will have and uses the following guidelines: the greatest good for the greatest number of people.Which ethical system is the nurse using?
A) Legal
B) Deontology
C) Utilitarianism
D) Ethics of care
Q2) A registered nurse who works on an oncology unit discussed pain control options that the primary health care provider had ordered with a patient undergoing treatment for pancreatic cancer.The patient requested that the intravenous (IV)pain medication be given on a regular basis.The nurse agreed to provide the IV pain medication as requested and continued to reevaluate the pain levels.The nurse is following which ethical principle?
A) Autonomy
B) Justice
C) Fidelity
D) Nonmaleficence
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Chapter 7: Evidence-Based Practice
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Sample Questions
Q1) A 15-year-old patient was admitted to the hospital with a bowel obstruction.The patient underwent surgery and was experiencing postoperative pain.The nurse caring for the patient had recently read a research article in which a study had been done with neonatal (infant)patients and the use of therapeutic touch to assist with pain control.Which factor is most important for the nurse to consider in this case when applying research to clinical practice?
A) The patient's gender
B) The patient's preference
C) The patient's allergies
D) The patient's roommate
Q2) A registered nurse is concerned about the patients' perceptions and feelings about the quality of life that they experience after a diagnosis of liver cancer.Which is the most appropriate type of research study the nurse should use to gather information about this situation?
A) Quantitative study
B) Randomized trial
C) Qualitative study
D) Case controlled study
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9
Chapter 8: Critical Thinking
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Sample Questions
Q1) A new registered nurse working for a busy unit of an acute care teaching hospital begins the shift with four patients.Which patient should the nurse attend to first?
A) Patient who needs assistance in ambulating the hall
B) Patient whose blood pressure suddenly drops and who passes out (faints)
C) Recovering stable surgical patient whose family has just arrived
D) Recovering patient who is resting quietly watching television
Q2) A nurse is alert to potentially problematic situations in a patient and is using evidence-based knowledge.Which concept for a critical thinker is the nurse using?
A) Maturity
B) Analyticity
C) Systematicity
D) Inquisitiveness
Q3) A nurse is teaching a group of nursing students about the nursing process.In which order should the nurse list the steps?
A) Assessment, diagnosis, planning, implementation, and evaluation
B) Diagnosis, assessment, planning, implementation, and evaluation
C) Planning, evaluation, diagnosis, implementation, and assessment
D) Evaluation, diagnosis, planning, implementation, and assessment
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Chapter 9: Nursing Process
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Sample Questions
Q1) A nurse is collecting data on a patient who is being admitted into hospice care.The nurse collects data from both the patient and the family so that a clear picture of the patient status is obtained.The nurse is currently involved in which step of the nursing process?
A) Assessment
B) Implementation
C) Evaluation
D) Diagnosing
Q2) A patient states,"I'm burning up,and I have a fever." The nurse takes the patient's temperature,observes the skin for flushing,and feels the skin temperature.This is an example of __________ subjective data.
A) validating
B) clustering
C) reviewing
D) documenting
Q3) 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
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Chapter 10: Informatics and Documentation
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Sample Questions
Q1) A new registered nurse is working on a pediatric unit in a large teaching hospital that uses focus charting with the acronym DAR.What will the nurse be charting?
A) Data, assessment, reaction
B) Data, assessment, recommendation
C) Data, actions, response
D) Data, actions, recovery
Q2) A nurse is preparing a discharge summary.Which item should the nurse include?
A) Provision for follow-up care
B) Patient status at admission
C) Standardized nursing care plan
D) Detailed description of nursing procedures
Q3) A nursing student is working on a clinical assignment.Which information is acceptable for the student to write on the clinical care plan that will be given to the instructor?
A) Patient room number
B) Patient date of birth
C) Patient medical record number
D) Patient nursing diagnosis
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12
Chapter 11: Communication
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Sample Questions
Q1) A nurse who works for an oncology unit is preparing to bathe a patient who recently underwent surgery to remove an abdominal tumor.Before beginning the bath,the nurse explains the procedure.Which of the following best describes the nurse's communication role?
A) Channel
B) Receiver
C) Message
D) Sender
Q2) A nurse enters a patient's room and sees the patient grimacing with each movement.When the nurse asks in a normal tone of voice how the patient is feeling,the patient states that he or she "feels fine." Which finding will the nurse classify as nonverbal communication?
A) The nurse's tone of voice is normal.
B) The patient states that he or she "feels fine."
C) The nurse asks how the patient is feeling.
D) The patient grimaces with each movement.
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13
Chapter 12: Patient Education
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Sample Questions
Q1) A nurse tells a patient with a recent back injury that damage to the nerves is comparable to a water hose that has been pinched off and that time is needed to allow normal nerve transmission.Which technique did the nurse use?
A) Analogy
B) Discovery
C) Role-playing
D) Demonstration
Q2) A 75-year-old patient who is being discharged home after a stroke has no use of the right hand.Which teaching strategy is best for the nurse to use for this patient?
A) Provide all the teaching at once, immediately before going home so the patient will remember it.
B) Teach the patient with the aid of a computer to demonstrate that the discharge instructions are on the hospital webpage.
C) Teach the patient using generic patient discharge information about strokes.
D) Provide information based on the patient's needs in frequent sessions.
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14
Chapter 13: Managing Patient Care
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Sample Questions
Q1) A registered nurse delegates vital signs on a patient to the unlicensed assistive personnel (UAP).The nurse reviews the documented vital signs from the UAP to determine if they are within normal parameters for the patient.The nurse in this example is demonstrating which attribute when following up on the vital signs?
A) Interprofessional collaboration
B) Staff education
C) Accountability
D) Delegation
Q2) A nurse is using SBAR.Which information will the nurse report for the "B"?
A) The patient had a broken right leg with a cast applied 2 days ago.
B) The toes are cool and pale.
C) The patient is reporting severe pain-10 out of 10-even after pain medication was given.
D) The nurse requests that the primary health care provider examine the patient.
Q3) Communicate with patients,families,communities and other health care professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and treatment of disease.
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15
Chapter 14: Infection Prevention and Control
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Sample Questions
Q1) There was an outbreak of Salmonella poisoning at a nursing home.Several residents were hospitalized as a result of their infections.What is the best term to describe this infection?
A) Exogenous infection
B) Endogenous infection
C) Community-acquired infection
D) Asepsis
Q2) The nurse is working for a postsurgical unit.He is caring for four postsurgical patients,all of whom have been in the hospital for 3 days or more.Which of the following patients should he be most concerned about regarding a health care-associated infection?
A) An asymptomatic elderly patient with bacteria in his urine
B) A middle-aged woman with a white blood cell count of 10,000/mm3
C) A young adult woman who is 1 day postoperative with redness at incision site
D) A middle-aged man with temperature of 101.3° F and complaints of malaise
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16
Chapter 15: Vital Signs
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Sample Questions
Q1) When patients with normal blood pressure experience a drop in blood pressure upon rising to an upright position and have symptoms of light-headedness or dizziness,the condition is known as:
A) hypertension.
B) hypotension.
C) orthostatic hypotension.
D) the pulse pressure.
Q2) The mechanical movement of gases into and out of the lungs is known as:
A) respiration.
B) ventilation.
C) perfusion.
D) eupnea.
Q3) The movement of oxygen and carbon dioxide between the alveoli and the red blood cells is known as:
A) diffusion.
B) perfusion.
C) respiration.
D) eupnea.
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Chapter 16: Health Assessment and Physical Examination
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Sample Questions
Q1) A 47-year-old patient is being treated for hyperthyroidism.When she goes to the health care provider for a check-up,the nurse in the clinic expects to see which of the following physical symptoms?
A) Exophthalmos
B) Strabismus
C) Photophobia
D) Diplopia
Q2) 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.
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18
Chapter 17: Administering Medications
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Sample Questions
Q1) The patient is admitted to the cardiac unit.Everyone admitted to the cardiac unit will have an EKG done unless otherwise ordered.This is an example of which type of order?
A) PRN
B) Standing
C) One-time
D) STAT
Q2) A patient is unable to swallow pain medication following oral surgery.What would be the appropriate form of the medication to use to administer the drug using the rectal route?
A) Tablet
B) Elixir
C) Capsule
D) Suppository
Q3) A patient states that aspirin upsets her stomach.This is known as a(n):
A) allergic response.
B) toxic effect.
C) idiosyncratic reaction.
D) side effect.
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Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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Sample Questions
Q1) When a nurse is selecting a vein for IV placement,what is the most appropriate action?
A) Select a vein that appears to be well dilated.
B) Elevate the extremity to visualize the vein.
C) Tap and rub the vein vigorously with friction.
D) Stroke from proximal to distal above the site.
Q2) A nurse is mentoring a new nurse who is learning to start IVs.The nurse tells the new nurse that in case the patient needs subsequent venipuncture sites,the best place to initially start an IV is the:
A) antecubital vein of the patient's nondominant arm.
B) most appropriate distal vein on the nondominant arm.
C) most appropriate proximal vein available on either arm.
D) antecubital vein of the patient's dominant arm.
Q3) Which measurement can the nurse delegate to nursing assistive personnel?
A) Oral fluid intake
B) Intravenous fluid intake
C) Tube drainage output
D) Nasogastric tube intake
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Chapter 19: Caring in Nursing Practice
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Sample Questions
Q1) When individuals become ill,there may be a story about the meaning of the illness.When a nurse listens,the patient is:
A) able to break the distress of illness.
B) unable to express what he actually needed when he was ill.
C) usually not able to determine what is at stake because of his illness.
D) able keep the nurse from prying into his more personal life.
Q2) A registered nurse who works for an orthopedic unit of an acute care hospital makes hourly rounds on his patients.He also closes the door and pulls the curtains around the beds of patients in semiprivate rooms before exposing them for treatments.This is an example of which of the following behaviors?
A) Human respect
B) Encouraging manner
C) Healing environment
D) Affiliation needs
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21
Chapter 20: Cultural Awareness
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Sample Questions
Q1) 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
Q2) Health disparities are unequal burdens of disease morbidity and mortality rates experienced by racial and ethnic groups that are often exacerbated by which of the following? (Select all that apply.)
A) Social status
B) Economics
C) Environment
D) Improved access to health care
Q3) The nurse is performing a cultural assessment on a patient.What does the nurse know about cultural assessments?
A) They are intrusive and time consuming.
B) They are not dependent on a trusting relationship.
C) They are rarely plagued by miscommunication.
D) They are based in similarities of behavior.
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Page 22
Chapter 21: Spiritual Health
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Sample Questions
Q1) When caring for patients,a nurse must understand the difference between religion and spirituality.Religious care helps patients maintain their faithfulness to:
A) their belief systems and worship practices.
B) a relationship to a higher being or life force.
C) a sense of connectedness.
D) the awareness of one's inner self.
Q2) A patient has been diagnosed with a terminal disease.Hope may be used effectively with this type of patient.Nurses can support a patient's use of hope because hope provides a:
A) system of organized beliefs and worship.
B) belief in a higher power, spirit guide, God, or Allah.
C) cultural connectedness, structure, and guidance in difficult times.
D) motivation to achieve and the resources to use toward that achievement.
Q3) A patient refuses to remove a specific spiritual garment for daily bathing.The most appropriate action for the nurse would be to:
A) remove the article anyway because the garment hinders daily care delivery.
B) respect the patient's wishes and work around it.
C) explain to the patient that the garment has no real spiritual value.
D) identify the refusal as a sign of spiritual distress.
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Page 23
Chapter 22: Growth and Development
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Sample Questions
Q1) Postmenopausal women are at risk for skeletal changes.When developing a plan of care for postmenopausal women,a nurse should remember which of the following?
A) Exercise provides little benefit for the middle-age adult.
B) Middle-age women should avoid dietary calcium to prevent osteoporosis.
C) Exercise and fitness clubs have limited activities.
D) Physical activities help improve balance and coordination.
Q2) A patient is experiencing incisional pain after an operation.When using Maslow's hierarchy of needs,the nurse realizes that for the patient to return to a prehospitalized status,the patient needs to progress beyond which of the following?
A) Belonging
B) Self-esteem
C) Self-actualization
D) Safety and security
Q3) ______ is the measurable aspect of a person's increase in physical dimensions.
A) Growth
B) Development
C) Maturation
D) The latency stage of development
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Chapter 23: Self-Concept and Sexuality
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Sample Questions
Q1) The nurse is caring for an elderly patient who has a urinary catheter in place and is showing signs of altered self-concept.In dealing with this age group it is probably safe to assume which of the following?
A) Sexuality concerns are not an issue.
B) Sexual activity is probably harmful.
C) Sexually active seniors are always heterosexual.
D) Sexually active elderly adults have better overall health.
Q2) After a large weight loss a patient tells the nurse,"There still is a fat person inside of me." This type of statement illustrates a flaw in what self-concept component?
A) Role performance
B) Identity stressor
C) Self-esteem
D) Body image
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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Chapter 24: Family Context in Nursing
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Sample Questions
Q1) A woman is making plans for her holiday dinner and shares with her butcher that she will be inviting her family.When the butcher asks who will be coming,she replies,"My two children and their spouses,my ex-son-in-law is bringing my grandson,and my ex-mother-in-law is coming." This is an example of which of the following?
A) Family durability
B) Family resiliency
C) Family diversity
D) Nuclear family
Q2) The parents of an 18-year-old who joined the military and is being deployed overseas,discuss with him how they plan to stay in touch and purchase a laptop computer for him to take with him so they can e-mail and use the webcam to see each other.What approach to stress does this family exhibit?
A) Resiliency
B) Hardiness
C) Heredity
D) Genetics
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Chapter 25: Stress and Coping
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Sample Questions
Q1) The patient has severe injuries.The nurse knows that the general adaptation syndrome (GAS)was viewed as a reaction to stress consisting of: (Select all that apply.)
A) a pattern of alarm.
B) deleterious consequences.
C) a stage of resistance.
D) developmental impairment.
E) a state of exhaustion.
Q2) A nurse has been working overtime because of high hospital census and a decreased work force.The nurse is concerned about the danger of work-related burnout or compassion fatigue.To combat this risk,the nurse should:
A) increase nursing responsibilities at work.
B) take control over new areas at work to reduce stress.
C) strengthen relationships outside of the hospital.
D) hang out with co-workers when not at work.
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Chapter 26: Loss and Grief
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Sample Questions
Q1) Which of the following would not be appropriate for a patient undergoing palliative care?
A) Insertion of a peripherally inserted central line
B) Chemotherapy
C) Radiation treatment
D) Knee replacement surgery
Q2) A 45-year-old widow,who is being seen in a mental health clinic for clinical depression and alcohol dependency,lost her husband and her son in a boating accident 10 months earlier,and has become increasingly despondent and withdrawn.She verbalizes that she feels overwhelmed by her loss.Her daughter urged her mother to seek help.Which type of complicated grief best explains Eleanor's behavior?
A) Chronic
B) Delayed
C) Exaggerated
D) Masked
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28
Chapter 27: Exercise and Activity
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Sample Questions
Q1) The nurse working on an orthopedic unit has to assist many of the patients because of limited mobility.The nurse's goal is to maintain a position that most favors function,requires the least muscular work to maintain,and places the least strain on muscles,ligaments,and bones.What is the term that best describes this goal?
A) Body alignment
B) Posture
C) Center of gravity
D) Balance
Q2) The nurse manager is concerned with the safety of the staff as they transfer patients.Facility policy reinforces the principles of appropriate body mechanics,which include which of the following? (Select all that apply.)
A) A wide base of support increases stability
B) A higher center of gravity increases stability
C) Facing the direction of movement prevents abnormal twisting of the spine
D) Pivoting requires less work than lifting
E) Manually lift the patient in sections
F) Dividing balanced activity between arms and the legs
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Chapter 28: Safety
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Sample Questions
Q1) A 5-year-old child was admitted to the pediatric unit of the hospital with the diagnosis of fever of unknown origin.Currently the patient's temperature is 105° F.Which of the following is the best way to prevent a patient-inherent accident from occurring?
A) Keep all electric receptacles covered in the patient's room.
B) Clean up patient spills as they occur.
C) Pad all bed side rails.
D) Do not allow the child in the playroom.
Q2) A nurse is giving anticipatory guidance to the mother of a 10-month-old child.The nurse is focusing on providing a safe environment for the child.Which of the following is the best statement regarding childhood safety?
A) "The car seat should be placed in a forward-facing position."
B) "The majority of deaths in children between the ages of 1 and 3 years old are caused by contagious diseases."
C) "Injuries are a major cause of death during infancy, especially for children 6 to 12 months old."
D) "Measles causes more deaths in children younger than 5 years old than all other diseases combined."
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Page 30
Chapter 29: Hygiene
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Sample Questions
Q1) Which of the following interventions will decrease the chance of dry skin?
A) Daily baths in a soaker tub for 30 minutes
B) Inadequate fluid and nutrition
C) Leave moisturizing soap on the body
D) Use of superfatted soap
Q2) A student nurse is bathing a patient with right lower lobe pneumonia.The student nurse is concerned with maintaining the patient's dignity,warmth,and safety.Which of the actions will prevent the spread of microorganisms?
A) Use superfatted soap.
B) Wash from the cleanest to the contaminated body part.
C) Use gloves when washing the patient's face.
D) Moving the call light out of reach of the patient to prevent it from becoming wet.
Q3) An unconscious patient requires mouth care every 2 hours.Before attempting mouth care,the nurse should first do which of the following?
A) Assess the patient for a gag reflex.
B) Position the patient in a prone position.
C) Have an operational suction machine nearby.
D) Retract the upper and lower teeth with a padded tongue blade.
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Chapter 30: Oxygenation
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Source URL: https://quizplus.com/quiz/7495
Sample Questions
Q1) The nursing student is formulating a nursing care plan for a patient with pneumonia.The care plan is directed toward meeting the potential oxygenation needs of the patient.Which of the following examples would be the best way for the nursing student to write an expected outcome for the care plan?
A) "The patient will have less pain."
B) "The patient will be able to breathe better."
C) "The patient's pulse oximetry reading will remain greater than 92%."
D) "The patient's interactions will be normal."
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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32
Chapter 31: Sleep
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Sample Questions
Q1) A new mother has brought in her week-old infant to the health care provider for a 1-week well-baby checkup.She is breastfeeding and has only been sleeping a couple of hours at a time during the night between feedings.She asks the nurse,"When can I expect the baby to sleep through the night?" What is the nurse's best response?
A) "Are you feeling tired, maybe you are experiencing depression."
B) "Most children begin to sleep through the night around 3 months."
C) "Most children begin to sleep through the night around 6 months."
D) "Are you feeling tired? Maybe you are anemic?"
Q2) A primary health care provider prescribes eszopiclone (Lunesta)for a patient.Which classification of drug will the nurse be administering to the patient?
A) Benzodiazepine
B) Melatonin agonist
C) L-tryptophan antagonist
D) Nonbenzodiazepine, benzodiazepine receptor agonist
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33
Chapter 32: Pain Management
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Sample Questions
Q1) A registered nurse working for the emergency department sees a lot of patients who seek services because of pain.The nurse is aware that pain is which of the following?
A) Caused by a single physiological sensation
B) Caused by a specific stimulus
C) Subjective
D) Universally the same for everyone
Q2) An older adult nurse has been seeing a rheumatologist for the management of Rheumatoid Arthritis (RA).The patient also uses herbal remedies and seeks acupuncture for pain relief and reads the latest research regarding RA.This coping style is best described as a(n)______ loci of control.
A) external
B) interior
C) internal
D) exterior
Q3) Aspirin and ibuprofen are classified as:
A) narcotics.
B) nonopioids.
C) opioids.
D) nonsteroidal antiinflammatory analgesics.
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Page 34
Chapter 33: Nutrition
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Sample Questions
Q1) A new mother is breastfeeding her infant.The nurse asks the mother if she is getting the correct amounts of dietary reference intakes.Which statement from the mother indicates a correct understanding of dietary guidelines?
A) "I am not concerned about dietary guidelines or a strict diet."
B) "I am taking the vitamin doses according to the television advertisements."
C) "I am only taking one multiple vitamin a day and eating whatever I want."
D) "I am eating the correct amount of food according to the recommended dietary allowances and adequate intakes."
Q2) A 34-year-old mother delivered her third child 1 year ago.She tells the nurse that her New Year's resolution is to lose the 15 pounds that she gained with this pregnancy over the next month.Which of the following is the best statement that the nurse can make to help the patient achieve her weight loss goal?
A) "I don't think you need to lose the weight; you look fine as you are."
B) "The weight will come off by itself because you are breastfeeding."
C) "Let's talk about giving yourself a realistic timeframe to lose it."
D) "That is a realistic, healthy goal for you to have."
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35
Chapter 34: Urinary Elimination
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Sample Questions
Q1) A patient with congestive heart failure reports experiencing increased urination when taking the prescribed medication.The nurse explains that which of the following is true?
A) The patient is probably taking a diuretic.
B) The patient is probably taking an anticholinergic.
C) The patient is probably taking an antispasmodic.
D) The patient probably has a UTI.
Q2) The nurse is caring for a 45-year-old patient with a suspicious tumor in the bladder.The health care provider has ordered a procedure to identify the tumor tissue.Which test is done to collect tissue specimens?
A) Abdominal radiograph
B) Intravenous pyelogram
C) Endoscopy/cystoscopy
D) Ultrasound renal bladder
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Chapter 35: Bowel Elimination
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Sample Questions
Q1) The nurse observes a continual oozing of stool from the rectum of a patient who has been immobilized following surgery.The nurse recognizes that this condition most likely a result of which of the following?
A) Diarrhea
B) Flatulence
C) Fecal impaction
D) The Valsalva maneuver
Q2) A nurse has delegated the administration of a tap water enema to a nursing assistive personnel (NAP).The assistive personnel demonstrates understanding of the procedure when she states which of the following? (Select all that apply.)
A) "I will lower the enema when the patient complains of cramping."
B) "I will speed up the enema administration when the patient complains of cramping."
C) "I will withdraw the tube when the patient complains of cramping."
D) "I will clamp the tubing when the patient complains of cramping."
E) "I will fill the bag with hot water because it will cool while I am administering the enema."
F) "I will have the patient sit on the toilet while I am administering the enema."
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Page 37
Chapter 36: Immobility
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Sample Questions
Q1) Patients on prolonged bed rest are at risk for a deep vein thrombosis.Which information indicates the nurse needs more teaching about the factors in Virchow's triad?
A) One of the factors is loss of integrity of the vessel wall.
B) One of the factors is abnormalities of blood flow.
C) One of the factors is alterations in blood constituents.
D) One of the factors is atrophy of the muscles.
Q2) A young adult was involved in a motor vehicle accident and suffers from brain trauma.The patient has decrease mobility in all joints.The nurse should assess for which common,debilitating contracture?
A) Lordosis
B) Bowlegs
C) Footdrop
D) Kyphosis
Q3) 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.
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Chapter 37: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a patient with a necrotic hip wound.Which dressing would be the best choice for the nurse to use on this type of wound to help with debridement?
A) Dry gauze
B) Transparent film
C) Hydrogel
D) Hydrocolloid
Q2) A patient who has undergone a colectomy is demonstrating wound healing.The nurse correctly identifies the wound phase characterized by synthesis of collagen fibers as which of the following?
A) Proliferative phase
B) Inflammation phase
C) Hemostasis phase
D) Secondary intention phase
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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Chapter 38: Sensory Alterations
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Sample Questions
Q1) A nursing student is assisting with ambulation of a blind patient.The patient has hemiplegia of the right side.The best position for the student nurse to assume when ambulating is by standing on the patient's _____ side and walking a half step _____ the patient.
A) left; ahead
B) right; ahead
C) left; behind
D) right; behind
Q2) The student nurse is assisting an elderly patient to get ready for bed.The patient states,"Please make sure you clean my hearing aids." The student nurse knows it is important to keep in mind which of the following when cleaning a hearing aid?
A) Keep the battery in the machine when turned off.
B) Store the hearing aid on the overnight table for easy access at night.
C) Clean the hearing aid with hot water.
D) Use a soft dry cloth to wipe the hearing aid.
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Chapter 39: Surgical Patient
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Sample Questions
Q1) 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."
Q2) The nurse instructs the postoperative patient to perform leg exercises every hour in order to do which of the following?
A) Maintain muscle tone.
B) Increase venous return.
C) Exercise fatigued muscles.
D) Assess range of joint motion.
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