Clinical Nursing Skills Exam
Bank
Course Introduction
Clinical Nursing Skills provides students with foundational and advanced practical competencies essential for safe and effective patient care in clinical settings. The course covers a wide range of hands-on skills, including patient assessment, vital signs monitoring, wound care, medication administration, infection control, and basic life support. Emphasis is placed on communication with patients, upholding ethical standards, and ensuring patient safety. Through simulation exercises and supervised clinical practice, students develop the confidence and proficiency required to collaborate effectively within healthcare teams and respond to diverse patient needs across various healthcare environments.
Recommended Textbook
Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
Source URL: https://quizplus.com/study-set/175
Page 2
Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2380
Sample Questions
Q1) A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using?
A) Code of ethics
B) Standards of practice
C) Standards of professional performance
D) Quality and safety education for nurses
Answer: A
Q2) A nurse identifies gaps between local and best practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating?
A) Safety
B) Patient-centered care
C) Quality improvement
D) Teamwork and collaboration
Answer: C
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Page 3
Chapter 2: The Health Care Delivery System
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2381
Sample Questions
Q1) A nurse is using research findings to improve clinical practice. Which technique is the nurse using?
A) Performance improvement
B) Integrated delivery networks
C) Nursing-sensitive outcomes
D) Utilization review committees
Answer: A
Q2) Managed care organization
A)Insurance for low-income families
B)Federal insurance for people aged 65 and older
C)Health maintenance focus to specific group of voluntarily enrolled people
D)Services at a discount for companies under contract
Answer: C
Q3) A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?
A) Managed care insures full coverage of health care costs.
B) Managed care only assumes the financial risk involved.
C) Managed care allows providers to focus on illness care.
D) Managed care causes providers to focus on prevention.
Answer: D
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Chapter 3: Community-Based Nursing Practice
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2382
Sample Questions
Q1) The community health nurse is administering flu shots to children at a local playground. What is the rationale for this nurse's action?
A) To prevent individual illness
B) To prevent community outbreak of illness
C) To prevent outbreak of illness in the family
D) To prevent needs of the local population groups
Answer: B
Q2) A nurse is providing screening at a health fair. Which finding indicates the person may be a vulnerable patient who is \(\bold{most}\) likely to develop health problems?
A) One who is pregnant
B) One who has excessive risks
C) One who has unlimited access to health care
D) One who uses nontraditional healing practices
Answer: B
Q3) Structure
A)Education level
B)Housing
C)Government
Answer: B
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Page 5
Chapter 4: Theoretical Foundations of Nursing Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2383
Sample Questions
Q1) A nurse is using nursing theory and the nursing process simultaneously to plan nursing care. How will the nurse use nursing theory and the nursing process in practice?
A) Nursing theory can direct how a nurse uses the nursing process.
B) Nursing theory requires the nursing process to develop knowledge.
C) Nursing theory with the nursing process has a minor role in professional nursing.
D) Nursing theory combined with the nursing process is specific to certain ill patients.
Q2) A nurse wants to incorporate psychosocial theories into nursing practice. Which elements will the nurse include? (Select all that apply.)
A) Physiological needs of the patient
B) Psychological needs of the patient
C) Sociocultural needs of the patient
D) Cognitive needs of the patient
E) Spiritual needs of the patient
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Chapter 5: Evidence-Based Practice
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2384
Sample Questions
Q1) The nurse is reviewing nursing research literature related to a potential practice problem on the nursing unit. What is the rationale for the nurse's action? (Select all that apply.)
A) Nursing research ensures the nurse's promotion.
B) Nursing research identifies new knowledge.
C) Nursing research improves professional practice.
D) Nursing research enhances effective use of resources.
E) Nursing research leads to decreases in budget expenditures.
Q2) A nurse identifies a clinical problem with pressure ulcers. Which step should the nurse take next in the research process?
A) Analyze results.
B) Conduct the study.
C) Determine method.
D) Develop a hypothesis.
Q3) In caring for patients, what must the nurse remember about evidence-based practice (EBP)?
A) EBP is the only valid source of knowledge that should be used.
B) EBP is secondary to traditional or convenient care knowledge.
C) EBP is dependent on patient values and expectations.
D) EBP is not shown to provide better patient outcomes.
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Chapter 6: Health and Wellness
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2385
Sample Questions
Q1) A nurse is teaching about the goals of Healthy People 2020. Which information should the nurse include in the teaching session?
A) Eliminate health disparities in America.
B) Eliminate health behaviors in America.
C) Eliminate quality of life in America.
D) Eliminate healthy life in America.
Q2) A nurse meets the following goals: helps a patient maintain health and helps a patient with an illness. Which factors assist the nurse in achieving these goals? (Select all that apply.)
A) Understands the challenges of today's health care system
B) Identifies actual and potential risk factors
C) Has coined the term "illness behavior"
D) Minimizes the effects of illnesses
E) Experiences compassion fatigue
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8
Chapter 7: Caring in Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/2386
Sample Questions
Q1) A nurse follows the "ethics of care" when working with patients. Which action will the nurse take?
A) Becomes the patient's advocate based on the patient's wishes
B) Makes decisions for the patient solely using analytical principles
C) Uses only intellectual principles to determine what is best for the patient
D) Ignores unequal family relationships since that is a personal matter for the family
Q2) In making rounds, the nurse meets a patient for the first time. The nurse asks the patient when morning medications are taken, such as before breakfast, after breakfast, or during breakfast. What does knowing the patient allow the nurse to do?
A) Choose the most appropriate time to give the medication.
B) Know what information to put on the medication error report form.
C) Explain to the patient that the medication will not be given at the usual time.
D) Evaluate whether or not the patient is taking the medication correctly at home.
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Chapter 8: Caring for the Cancer Survivor
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/2387
Sample Questions
Q1) A breast cancer survivor has chemotherapy-related cognitive impairment. Which area should the nurse assess?
A) Pain
B) Grief
C) Nightmares
D) Short-term memory
Q2) The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer. The patient asks the nurse about the value of cancer screening when therapy is over. What is the nurse's best response?
A) "It should be done on an ongoing schedule."
B) "It is not something that should be discussed right now."
C) "It probably will not be needed since the cancer has been cured."
D) "It usually is not done but can be done if the patient wants peace of mind."
Q3) A nurse is assessing a cancer survivor for chemotherapy-induced peripheral neurotoxicity (CPIN). Which assessment finding is consistent with CPIN?
A) Hearing loss
B) Devastating depression
C) Extreme loss of motor functioning
D) Numbness and tingling in hands and feet
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Page 10
Chapter 9: Cultural Awareness
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2388
Sample Questions
Q1) A nurse is assessing the patient's meaning of illness. Which area of focus by the nurse is \(\bold{priority}\)?
A) On the way a patient reacts to disease
B) On the malfunctioning of biological processes
C) On the malfunctioning of psychological processes
D) On the way a patient reacts to family/social interactions
Q2) Cultural awareness
A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills
Q3) A nurse is teaching patients about health care information. Which patient will the nurse assess closely for health literacy?
A) A patient 35 years old
B) A patient 68 years old
C) A patient with a college degree
D) A patient with a high-school diploma
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11
Chapter 10: Caring for Families
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/2389
Sample Questions
Q1) The nurse is interviewing a patient who is being admitted to the hospital. The patient's family went home before the nurse's interview. The nurse asks the patient, "Who decides when to come to the hospital?" What is the rationale for the nurse's action?
A) To assess the family form
B) To assess the family function
C) To assess the family structure
D) To assess the family generalization
Q2) A nurse is using the family as context approach to provide care to a patient. What should the nurse do next?
A) Assess family patterns versus individual characteristics.
B) Assess how much the family provides the patient's basic needs.
C) Use "family as patient" and "family as context" approaches simultaneously.
D) Plan care to meet not only the patient's needs but those of the family as well.
Q3) How are house rules established?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
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Chapter 11: Developmental Theories
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2390
Sample Questions
Q1) A patient follows all the instructions a nurse provides because the patient wants to be perceived as a "good" patient. How should the nurse interpret this information according to moral development?
A) The patient is in postformal thought reasoning.
B) The patient is in postconventional reasoning.
C) The patient is in preconventional reasoning.
D) The patient is in conventional reasoning.
Q2) An 18-month-old patient is brought into the clinic for evaluation because the parent is concerned. The 18-month-old child hits siblings and says only "No" when communicating verbally. Which recommendation by the nurse will be best for this situation?
A) Assure the mother that the child is developmentally within specified norms.
B) Encourage the mother to seek psychological counseling for the child.
C) Consult the social worker because the child is hitting other children.
D) Remove all toys from the child's room until this behavior ceases.
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13
Chapter 12: Conception Through Adolescence
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2391
Sample Questions
Q1) A mother expresses concern because her 5-year-old child frequently talks about friends who don't exist. What is the nurse's best response to this mother's concern?
A) "Have you considered a child psychological evaluation?"
B) "You should stop your child from playing electronic games."
C) "Pretend play is a sign your child watches too much television."
D) "It's very normal for a child this age to have imaginary playmates."
Q2) 6 to 8 months
A)Can place objects into containers
B)Pulls a string to obtain an object
C)Can hold a baby bottle
D)Holds rattle for short periods
E)Uses pincer grasp well
Q3) 8 to 10 months
A)Can place objects into containers
B)Pulls a string to obtain an object
C)Can hold a baby bottle
D)Holds rattle for short periods
E)Uses pincer grasp well
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14
Chapter 13: Young and Middle Adults
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2392
Sample Questions
Q1) A nurse is choosing an appropriate topic for a young-adult health fair. Which topic should the nurse include?
A) Retirement
B) Menopause
C) Climacteric factors
D) Unplanned pregnancies
Q2) A nurse is caring for a young adult. Which goal is priority?
A) Maintain peer relationships.
B) Maintain family relationships.
C) Maintain parenteral relationships.
D) Maintain recreational relationships.
Q3) A young-adult patient is brought to the hospital by police after crashing the car in a high-speed chase when trying to avoid arrest for spousal abuse. Which action should the nurse take?
A) Question the patient about drug use.
B) Offer the patient a cup of coffee to calm nerves.
C) Discretely assess the patient for sexually transmitted infections.
D) Deal with the issue at hand, not asking about previous illnesses.
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15
Chapter 14: Older Adult
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2393
Sample Questions
Q1) Which assessment finding of an older adult, who has a urinary tract infection, requires an immediate nursing intervention?
A) Confusion
B) Presbycusis
C) Temperature of 97.9° F
D) Death of a spouse 2 months ago
Q2) Therapeutic communication
A)Respecting the older adult's uniqueness
B)Improving level of awareness
C)Listening to the patient's past recollections
D)Accepting describing of patient's perspective
E)Offering help with grooming and hygiene
Q3) Validation therapy
A)Respecting the older adult's uniqueness
B)Improving level of awareness
C)Listening to the patient's past recollections
D)Accepting describing of patient's perspective
E)Offering help with grooming and hygiene
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16
Chapter 15: Critical Thinking in Nursing Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2394
Sample Questions
Q1) A patient is having trouble reaching the water fountain while holding on to crutches. The nurse suggests that the patient place the crutches against the wall while stabilizing him or herself with two hands on the water fountain. Which critical thinking attitude did the nurse use in this situation?
A) Humility
B) Creativity
C) Risk taking
D) Confidence
Q2) A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates the charge nurse needs to intervene?
A) Making an ethical clinical decision
B) Making an informed clinical decision
C) Making a clinical decision in the patient's best interest
D) Making a clinical decision based on previous shift assessments
Q3) Which action should the nurse take to best develop critical thinking skills?
A) Study 3 hours more each night.
B) Attend all inservice opportunities.
C) Actively participate in clinical experiences.
D) Interview staff nurses about their nursing experiences.
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Page 17
Chapter 16: Nursing Assessment
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2395
Sample Questions
Q1) Radiate
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
Q2) Provokes
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
Q3) Quality
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
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18
Chapter 17: Nursing Diagnosis
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2396
Sample Questions
Q1) Which diagnosis will the nurse document in a patient's care plan that is NANDA-I approved?
A) Sore throat
B) Acute pain
C) Sleep apnea
D) Heart failure
Q2) Which question would be \(\bold{most}\) appropriate for a nurse to ask a patient to assist in establishing a nursing diagnosis of Diarrhea?
A) "What types of foods do you think caused your upset stomach?"
B) "How many bowel movements a day have you had?"
C) "Are you able to get to the bathroom in time?"
D) "What medications are you currently taking?"
Q3) A new nurse writes the following nursing diagnoses on a patient's care plan. Which nursing diagnosis will cause the nurse manager to intervene?
A) Wandering
B) Hemorrhage
C) Urinary retention
D) Impaired swallowing
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Chapter 18: Planning Nursing Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2397
Sample Questions
Q1) A nurse is completing a care plan. Which intervention is most appropriate for the nursing diagnostic statement Impaired skin integrity related to shearing forces?
A) Administer pain medication every 4 hours as needed.
B) Turn the patient every 2 hours, even hours.
C) Monitor vital signs, especially rhythm.
D) Keep the bed side rails up at all times.
Q2) A nursing assessment for a patient with a spinal cord injury leads to several pertinent nursing diagnoses. Which nursing diagnosis is the highest priority for this patient?
A) Risk for impaired skin integrity
B) Risk for infection
C) Spiritual distress
D) Reflex urinary incontinence
Q3) The nurse performs an intervention for a collaborative problem. Which type of intervention did the nurse perform?
A) Dependent
B) Independent
C) Interdependent
D) Physician-initiated
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Page 20
Chapter 19: Implementing Nursing Care
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2398
Sample Questions
Q1) The nurse inserts an intravenous (IV) catheter using the correct technique and following the recommended steps according to standards of care and hospital policy. Which type of implementation skill is the nurse using?
A) Cognitive
B) Interpersonal
C) Psychomotor
D) Judgmental
Q2) The standing orders for a patient include acetaminophen 650 mg every 4 hours prn for headache. After assessing the patient, the nurse identifies the need for headache relief and determines that the patient has not had acetaminophen in the past 4 hours. Which action will the nurse take next?
A) Administer the acetaminophen.
B) Notify the health care provider to obtain a verbal order.
C) Direct the nursing assistive personnel to give the acetaminophen.
D) Perform a pain assessment only after administering the acetaminophen.
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21
Chapter 20: Evaluation
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2399
Sample Questions
Q1) A nurse is providing education to a patient about self-administering subcutaneous injections. The patient demonstrates the self-injection. Which type of indicator did the nurse evaluate?
A) Health status
B) Health behavior
C) Psychological self-control
D) Health service utilization
Q2) A nurse is evaluating goals and expected outcomes for a confused patient. Which finding indicates positive progress toward resolving the confusion?
A) Patient wanders halls at night.
B) Patient's side rails are up with bed alarm activated.
C) Patient denies pain while ambulating with assistance.
D) Patient correctly states names of family members in the room.
Q3) A nurse completes a thorough database and carries out nursing interventions based on priority diagnoses. Which action will the nurse take next?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
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Page 22
Chapter 21: Managing Patient Care
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2400
Sample Questions
Q1) A nurse is working in a facility that has fewer directors with managers and staff able to make shared decisions. In which type of organizational structure is the nurse employed?
A) Delegation
B) Research-based
C) Decentralization
D) Philosophy of care
Q2) A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistive personnel. The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus. Which action should the nurse take next?
A) Ask the nursing assistive personnel to observe while the nurse performs catheter care.
B) Leave the room and ask the nursing assistive personnel to go back and perform proper catheter care.
C) Tell the nursing assistive personnel that catheter care is sloppy.
D) Remove the catheter.
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Chapter 22: Ethics and Values
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/2401
Sample Questions
Q1) The nurse questions a health care provider's decision to not tell the patient about a cancer diagnosis. Which ethical principle is the nurse trying to uphold for the patient?
A) Consequentialism
B) Autonomy
C) Fidelity
D) Justice
Q2) A nurse is discussing quality of life issues with another colleague. Which topic will the nurse acknowledge for increased attention paid to quality of life concerns?
A) Health care disparities
B) Aging of the population
C) Abilities of disabled persons
D) Health care financial reform
Q3) When professionals work together to solve ethical dilemmas, nurses must examine their own values. What is the best rationale for this step?
A) So fact is separated from opinion
B) So different perspectives are respected
C) So judgmental attitudes can be provoked
D) So the group identifies the one correct solution
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24
Chapter 23: Legal Implications in Nursing Practice
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2402
Sample Questions
Q1) A nurse is teaching the staff about professional negligence or malpractice. Which criteria to establish negligence will the nurse include in the teaching session? (Select all that apply.)
A) Injury did not occur.
B) That duty was breached.
C) Nurse carried out the duty.
D) Duty of care was owed to the patient.
E) Patient understands benefits and risks of a procedure.
Q2) A confused patient with a urinary catheter, nasogastric tube, and intravenous line keeps touching these needed items for care. The nurse has tried to explain to the patient that these lines should not be touched, but the patient continues. Which is the best action by the nurse at this time?
A) Apply restraints loosely on the patient's dominant wrist.
B) Notify the health care provider that restraints are needed immediately.
C) Try other approaches to prevent the patient from touching these care items.
D) Allow the patient to pull out lines to prove that the patient needs to be restrained.
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Chapter 24: Communication
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/2403
Sample Questions
Q1) Which types of nurses make the best communicators with patients?
A) Those who learn effective psychomotor skills
B) Those who develop critical thinking skills
C) Those who like different kinds of people
D) Those who maintain perceptual biases
Q2) A patient says, "You are the worst nurse I have ever had." Which response by the nurse is most assertive?
A) "I think you've had a hard day."
B) "I feel uncomfortable hearing that statement."
C) "I don't think you should say things like that. It is not right."
D) "I have been checking on you regularly. How can you say that?"
Q3) A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a personal story about the care that has been received. Which interaction is the nurse using?
A) Nonjudgmental
B) Socializing
C) Narrative
D) SBAR
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Chapter 25: Patient Education
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2404
Sample Questions
Q1) A nurse is teaching a patient about the Speak Up Initiatives. Which information should the nurse include in the teaching session?
A) If you still do not understand, ask again.
B) Ask a nurse to be your advocate or supporter.
C) The nurse is the center of the health care team.
D) Inappropriate medical tests are the most common mistakes.
Q2) A nurse is preparing to teach patients. Which patient finding will cause the nurse to postpone a teaching session? (Select all that apply.)
A) The patient is hurting.
B) The patient is fatigued.
C) The patient is mildly anxious.
D) The patient is asking questions.
E) The patient is febrile (high fever).
F) The patient is in the acceptance phase.
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Chapter 26: Documentation and Informatics
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) D
A)Applied oxygen, stayed with patient, and instructed to slow breathing.
B)Patient states, "feel better," respirations 16 with O<sub>2</sub> saturations 96%.
C)Patient states, "can't catch my breath and chest hurts." Confused.
Q2) A home health nurse is preparing for an initial home visit. Which information should be included in the patient's home care medical record?
A) Nursing process form
B) Step-by-step skills manual
C) A list of possible procedures
D) Reports to third-party payers
Q3) A nurse wants to find the daily weights of a patient. Which form will the nurse use?
A) Database
B) Progress notes
C) Patient care summary
D) Graphic record and flow sheet
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Chapter 27: Patient Safety and Quality
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2406
Sample Questions
Q1) The nurse is presenting an educational session on safety for parents of adolescents. Which information will the nurse include in the teaching session?
A) Increased aggressiveness and blood spots on clothing may indicate substance abuse.
B) Increased aggressiveness is an environmental clue that may indicate an adolescent is abusing.
C) Adolescents need information about the effects of uncoordination on accidents.
D) Adolescents need to be reminded to use seat belts primarily on long trips.
Q2) The nurse is caring for a hospitalized patient. Which behavior alerts the nurse to consider the need for a restraint?
A) The patient refuses to call for help to go to the bathroom.
B) The patient continues to remove the nasogastric tube.
C) The patient gets confused regarding the time at night.
D) The patient does not sleep and continues to ask for items.
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Chapter 28: Immobility
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54 Verified Questions
54 Flashcards
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Sample Questions
Q1) A nurse is preparing to assess a patient for orthostatic hypotension. Which piece of equipment will the nurse obtain to assess for this condition?
A) Thermometer
B) Elastic stockings
C) Blood pressure cuff
D) Sequential compression devices
Q2) The patient is unable to move self and needs to be pulled up in bed. What will the nurse do to make this procedure safe?
A) Place the pillow under the patient's head and shoulders.
B) Do by self if the bed is in the flat position.
C) Place the side rails in the up position.
D) Use a friction-reducing device.
Q3) A nurse is assessing body alignment. What is the nurse monitoring?
A) The relationship of one body part to another while in different positions
B) The coordinated efforts of the musculoskeletal and nervous systems
C) The force that occurs in a direction to oppose movement
D) The inability to move about freely
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Chapter 29: Infection Prevention and Control
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46 Flashcards
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Sample Questions
Q1) The circulating nurse in the operating room is observing the surgical technologist while applying a sterile gown and gloves to care for a patient having an appendectomy. Which behaviors indicate to the nurse that the procedure by the surgical technologist is correct? (Select all that apply.)
A) Ties the back of own gown
B) Touches only the inside of gown
C) Slips arms into arm holes simultaneously
D) Extended fingers fully into both of the gloves
E) Uses hands covered by sleeves to open gloves
F) Applies surgical cap and face mask in the operating suite
Q2) The nurse is caring for a patient who becomes nauseated and vomits without warning. The nurse has contaminated hands. Which action is best for the nurse to take next?
A) Wash hands with an antimicrobial soap and water.
B) Clean hands with wipes from the bedside table.
C) Use an alcohol-based waterless hand gel.
D) Wipe hands with a dry paper towel.
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Chapter 30: Vital Signs
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) The nursing assistive personnel (NAP) is taking vital signs and reports that a patient's blood pressure is abnormally low. What should the nurse do next?
A) Ask the NAP retake the blood pressure.
B) Instruct the NAP to assess the patient's other vital signs.
C) Disregard the report and have it rechecked at the next scheduled time.
D) Retake the blood pressure personally and assess the patient's condition.
Q2) Tachycardia
A)Patient's temperature is 113° F (45° C) with hot, dry skin.
B)Patient's blood pressure sitting is 130/60 and 110/40 standing.
C)Patient's pulse is 110 beats/min.
D)Patient's temperature is 93.2° F (34° C).
E)Patient's blood pressure went from 126/76 to 90/50.
Q3) The nurse is caring for an older-adult patient and notes that the temperature is 96.8° F (36° C). How will the nurse interpret this finding?
A) The patient has hyperthermia.
B) The patient has a normal temperature.
C) The patient is suffering from hypothermia.
D) The patient is demonstrating increased metabolism.
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Chapter 31: Health Assessment and Physical Examination
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/2410
Sample Questions
Q1) The patient presents to the clinic with dysuria and hematuria. How does the nurse proceed to assess for kidney inflammation?
A) Uses deep palpation posteriorly.
B) Lightly palpates each abdominal quadrant.
C) Percusses posteriorly the costovertebral angle at the scapular line.
D) Inspects abdomen for abnormal movement or shadows using indirect lighting.
Q2) Having misplaced a stethoscope, a nurse borrows a colleague's stethoscope. The nurse next enters the patient's room and identifies self, washes hands with soap, and states the purpose of the visit. The nurse performs proper identification of the patient before auscultating the patient's lungs. Which critical health assessment step should the nurse have performed?
A) Running warm water over stethoscope
B) Draping stethoscope around the neck
C) Rubbing stethoscope with betadine
D) Cleaning stethoscope with alcohol
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Chapter 32: Medication Administration
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50 Flashcards
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Sample Questions
Q1) A patient prefers not to take the daily allergy pill this morning because it causes drowsiness throughout the day. Which response by the nurse is best?
A) "The physician ordered it; therefore, you must take your medication every morning at the same time whether you're drowsy or not."
B) "Let's see if we can change the time you take your pill to 9 PM, so the drowsiness occurs when you would normally be sleeping."
C) "You can skip this medication on days when you need to be awake and alert."
D) "Try to get as much done as you can before you take your pill, so you can sleep in the afternoon."
Q2) A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse administer?
A) 1/2 tablet
B) 1 tablet
C) 1 1/2 tablets
D) 2 tablets
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Chapter 33: Complementary and Alternative Therapies
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Sample Questions
Q1) A nurse is teaching a patient about meridians. Which technique is the nurse preparing the patient to receive?
A) Acupuncture
B) Naturopathic
C) Latin American traditional healing
D) Native American traditional healing
Q2) A nurse is describing the therapeutic effects of imagery. Which information should the nurse include in the teaching session? (Select all that apply.)
A) Controls pain
B) Decreases nightmares
C) Improves social anxiety disorders
D) Helps with irritable bowel syndrome
E) Reduces relapses in alcohol treatment
Q3) A nurse is emphasizing the use of touch to decrease "skin hunger" in caring for patients. Which age group is the nurse primarily describing?
A) Infants
B) Children
C) Middle age
D) Older adults
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Page 35
Chapter 34: Self-Concept
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25 Flashcards
Source URL: https://quizplus.com/quiz/2413
Sample Questions
Q1) A male patient states, "I'm such a loser. I only had that job for a month." Which outcome criteria will the nurse add to the patient's care plan?
A) The patient will verbalize two life areas in which he functions well.
B) The patient will find new employment before the next clinic visit.
C) The patient will confront a former boss about previous work problems.
D) The patient will identify two reasons why he is considered a bad employee.
Q2) A nurse is developing a drinking prevention presentation for adolescents. Which areas should the nurse include in the teaching session?
A) Stressful life events and scholarships
B) Very high self-esteem and work failure
C) Health problems and avoidance of conflict
D) Stress management and improving self-esteem
Q3) A nurse is teaching a patient about self-concept. Which information from the patient indicates a correct understanding of the teaching?
A) Self-concept is how a person feels about others.
B) Self-concept is how a person thinks about others.
C) Self-concept is how a person feels about oneself.
D) Self-concept is how a person thinks about oneself.
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Page 36
Chapter 35: Sexuality
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23 Flashcards
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Sample Questions
Q1) A patient who had a colostomy placed 1 month ago is feeling depressed and does not want to participate in sexual activities anymore. The patient is afraid that the partner does not want sex. The patient is afraid the ostomy is physically unattractive. Which initial nursing intervention will be most effective in helping this patient resume sexual activity?
A) Inform the patient about a support group for people with colostomies.
B) Reassure the patient that lots of people resume sex the same week the colostomy is placed.
C) Teach the patient about intimate activities that can be done to incorporate the ostomy.
D) Discuss ways to adapt to new body image so the patient will be comfortable in resuming intimacy.
Q2) A patient who has had several sexual partners in the past month expresses a desire to use a contraceptive. Which contraceptive method should the nurse recommend?
A) Condom
B) Diaphragm
C) Spermicide
D) Oral contraceptive
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Chapter 36: Spiritual Health
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25 Flashcards
Source URL: https://quizplus.com/quiz/2415
Sample Questions
Q1) The nurse is caring for a patient with a chronic illness who is having conflicts with beliefs. Which health care team member will the nurse ask to see this patient?
A) The clergy
B) A psychiatrist
C) A social worker
D) An occupational therapist
Q2) A nurse is providing spiritual care to patients. Which action is essential for the nurse to take?
A) Know one's own personal beliefs.
B) Learn about other religions.
C) Visit churches, temples, mosques, or synagogues.
D) Travel to other areas that do not have the same beliefs.
Q3) A nurse hears the following comments from different patients. Which patient comment does the nurse identify as faith?
A) I go to church every Sunday.
B) I believe there is life after death.
C) I have something to look forward to each day.
D) I get a feeling of awe when looking at the sunset.
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Chapter 37: The Experience of Loss, Death, and Grief
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Sample Questions
Q1) A terminally ill patient is experiencing constipation secondary to pain medication. Which is the best method for the nurse to improve the patient's constipation problem?
A) Contact the health care provider to discontinue pain medication.
B) Administer enemas twice daily for 7 days.
C) Massage the patient's abdomen.
D) Use a laxative.
Q2) An Orthodox Jewish rabbi has been pronounced dead. The nursing assistive personnel respectfully ask family members to leave the room and go home as postmortem care is provided. Which statement from the supervising nurse is best?
A) "I should have called a male colleague to handle the body."
B) "Family members stay with the body until burial the next day."
C) "I wish they would go home because we have work to do here."
D) "Family will quietly leave after praying and touching the rabbi's head."
Q3) A nurse is providing postmortem care. Which action will the nurse take?
A) Leave dentures in the mouth.
B) Lower the head of the bed.
C) Cover the body with a sterile sheet.
D) Remove all tubes for an autopsy.
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Chapter 38: Stress and Coping
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Sample Questions
Q1) A senior college student visits the college health clinic about a freshman student living on the same dormitory floor. The senior student reports that the freshman is crying and is not adjusting to college life. The clinic nurse recognizes this as a combination of situational and maturational stress factors. Which is the best response by the nurse?
A) "Let's call 911 because this freshman student is suicidal."
B) "Give the freshman student this list of university and community resources."
C) "I recommend that you help the freshman student start packing bags to go home."
D) "You must make an appointment for the freshman student to obtain medications."
Q2) A nurse is teaching guided imagery to a prenatal class. Which technique did the nurse describe?
A) Singing
B) Massaging back
C) Listening to music
D) Using sensory peaceful words
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Chapter 39: Activity and Exercise
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Sample Questions
Q1) The patient weighs 450 lbs (204.5 kg) and reports shortness of breath with any exertion. The health care provider has recommended beginning an exercise program. The patient states that she can hardly get out of bed and just cannot do anything around the house. Which nursing diagnosis will the nurse add to the care plan?
A) Activity intolerance related to excessive weight
B) Impaired physical mobility related to bed rest
C) Imbalanced nutrition: less than body requirements
D) Impaired gas exchange related to shortness of breath
Q2) A nurse is working in a facility that follows a comprehensive safe patient-handling program. Which finding will alert the nurse to intervene?
A) Mechanical lifts are in a locked closet.
B) Algorithms for patient handling are available.
C) Ergonomic assessment protocols are being followed.
D) A no-lift policy is in place with adherence by all staff.
Q3) A 55-year-old patient is preparing to start an exercise program. The health care provider wants 60% of maximum target heart rate. Calculate the heart rate that the nurse will add to the care plan as the target heart rate. Record answer as a whole number.
_________ maximum heart rate
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Page 41
Chapter 40: Hygiene
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Sample Questions
Q1) The nurse is providing oral care to an unconscious patient and notes that the patient has extremely bad breath. Which term will the nurse use when reporting to the oncoming shift?
A) Cheilitis
B) Halitosis
C) Glossitis
D) Dental caries
Q2) A nurse is providing AM care to patients. Which action will the nurse take?
A) Soaks feet of patient with peripheral vascular disease
B) Applies CHG solution to wash perineum of patient with a stroke
C) Cleanses eye from outer canthus to inner canthus of patient with diabetes
D) Uses long, firm stroke to wash legs of patient with blood-clotting disorder
Q3) After performing foot care, the nurse checks the medical record and discovers that the patient has a foot disorder caused by a virus. Which condition did the nurse most likely observe?
A) Corns
B) A callus
C) Plantar warts
D) Athlete's foot
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Page 42
Chapter 41: Oxygenation
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Sample Questions
Q1) The nurse is caring for a patient with fluid volume overload. Which physiological effect does the nurse \(\bold{most}\) likely expect?
A) Increased preload
B) Increased heart rate
C) Decreased afterload
D) Decreased tissue perfusion
Q2) A nurse is preparing to suction a patient. The pulse is 65 and pulse oximetry is 94%. Which finding will cause the nurse to stop suctioning?
A) Pulse 75
B) Pulse 80
C) Oxygen saturation 91%
D) Oxygen saturation 88%
Q3) A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse prepare to administer?
A) Diuretics
B) Vasodilators
C) Chest physiotherapy
D) Intravenous (IV) fluids
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Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) A nurse begins infusing a 250-mL bag of IV fluid at 1845 on Monday and programs the pump to infuse at 50 mL/hr. At what time should the infusion be completed?
A) 2300 Monday
B) 2345 Monday
C) 0015 Tuesday
D) 0045 Tuesday
Q2) Which blood gas result will the nurse expect to observe in a patient with respiratory alkalosis?
A) pH 7.60, PaCO<sub>2</sub> 40 mm Hg, HCO<sub>3</sub><sup>-</sup> 30 mEq/L
B) pH 7.53, PaCO<sub>2</sub> 30 mm Hg, HCO<sub>3</sub><sup>-</sup> 24 mEq/L
C) pH 7.35, PaCO<sub>2</sub> 35 mm Hg, HCO<sub>3</sub><sup>-</sup> 26 mEq/L
D) pH 7.25, PaCO<sub>2</sub> 48 mm Hg, HCO<sub>3</sub><sup>-</sup> 23 mEq/L
Q3) Which assessment finding will the nurse expect for a patient with the following laboratory values: sodium 145 mEq/L, potassium 4.5 mEq/L, calcium 4.5 mg/dL?
A) Weak quadriceps muscles
B) Decreased deep tendon reflexes
C) Light-headedness when standing up
D) Tingling of extremities with possible tetany
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Page 44
Chapter 43: Sleep
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Sample Questions
Q1) The nurse is caring for a patient who has been in holding in the emergency department for 24 hours. The nurse is concerned about the patient's experiencing sleep deprivation. Which action will be best for the nurse to take?
A) Expedite the process of obtaining a medical-surgical room for the patient.
B) Pull the curtains shut, dim the lights, and decrease the number of visitors.
C) Obtain an order for a hypnotic medication to help the patient sleep.
D) Ask everyone in the unit to try to be quiet so the patient can sleep.
Q2) Sleepwalking
A)Use continuous positive airway pressure.
B)Offer a small meal several hours before bedtime.
C)Administer antidepressants.
D)Administer modafinil (Provigel).
E)Do not startle.
F)Administer benzodiazepine-like drugs.
Q3) A patient has obstructive sleep apnea. Which assessment is the \(\bold{priority}\)?
A) Gastrointestinal function
B) Neurological function
C) Respiratory status
D) Circulatory status
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Page 45
Chapter 44: Pain Management
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Sample Questions
Q1) Aggravating factors
A)Could you rate your pain on a scale of 0 to 10?
B)How often does it recur?
C)Could you point to the area of pain?
D)Do certain activities worsen the pain?
E)What does the pain feel like?
Q2) Location
A)Could you rate your pain on a scale of 0 to 10?
B)How often does it recur?
C)Could you point to the area of pain?
D)Do certain activities worsen the pain?
E)What does the pain feel like?
Q3) The nurse is preparing pain medications. To which patient does the nurse anticipate administering an opioid fentanyl patch?
A) A 15-year-old adolescent with a fractured femur
B) A 30-year-old adult with cellulitis
C) A 50-year-old patient with prostate cancer
D) An 80-year-old patient with a broken hip
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Chapter 45: Nutrition
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Sample Questions
Q1) A nurse is teaching a nutrition class about the different daily values. When teaching about the referenced daily intakes (RDIs), which information should the nurse include?
A) Have values for protein, vitamins, and minerals
B) Are based on percentages of fat, cholesterol, and fiber
C) Have replaced recommended daily allowances (RDAs)
D) Are used to develop diets for chronic illnesses requiring 1800 cal/day
Q2) The patient is having at least 75% of nutritional needs met by enteral feeding, so the health care provider has ordered the parenteral nutrition (PN) to be discontinued. However, the nurse notices that the PN infusion has fallen behind. What should the nurse do?
A) Increase the rate to get the volume caught up before discontinuing.
B) Stop the infusion as ordered.
C) Taper infusion gradually.
D) Hang 5% dextrose.
Q3) The patient has H. pylori. Which action should the nurse take?
A) Encourage avoidance of wheat and oats.
B) Encourage milkshakes as a nutritious snack.
C) Encourage completion of antibiotic therapy.
D) Encourage nonsteroidal antiinflammatory drugs.
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Page 47
Chapter 46: Urinary Elimination
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Sample Questions
Q1) A nurse is caring for a patient with a continent urinary reservoir. Which action will the nurse take?
A) Teach the patient how to self-cath the pouch.
B) Teach the patient how to perform Kegel exercises.
C) Teach the patient how to change the collection pouch.
D) Teach the patient how to void using the Valsalva technique.
Q2) A nurse is inserting an indwelling urinary catheter for a male patient. Which action will the nurse take?
A) Hold the shaft of the penis at a 60-degree angle.
B) Hold the shaft of the penis with the dominant hand.
C) Cleanse the meatus 3 times with the same cotton ball from clean to dirty.
D) Cleanse the meatus with circular strokes beginning at the meatus and working outward.
Q3) While receiving a shift report on a patient, the nurse is informed that the patient has urinary incontinence. Upon assessment, which finding will the nurse expect?
A) An indwelling Foley catheter
B) Reddened irritated skin on buttocks
C) Tiny blood clots in the patient's urine
D) Foul-smelling discharge indicative of infection
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Page 48
Chapter 47: Bowel Elimination
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Sample Questions
Q1) A nurse is preparing a patient for a magnetic resonance imaging (MRI) scan. Which nursing action is \(\bold{most}\) important?
A) Ensuring that the patient does not eat or drink 2 hours before the examination.
B) Administering a colon cleansing product 6 hours before the examination.
C) Obtaining an order for a pain medication before the test is performed.
D) Removing all of the patient's metallic jewelry.
Q2) The nurse is caring for patients with ostomies. In which ostomy location will the nurse expect very liquid stool to be present?
A) Sigmoid
B) Transverse
C) Ascending
D) Descending
Q3) The nurse will irrigate a patient's nasogastric (NG) tube. Which action should the nurse take?
A) Instill solution into pigtail slowly.
B) Check placement after instillation of solution.
C) Immediately aspirate after instilling fluid.
D) Prepare 60 mL of tap water into Asepto syringe.
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Chapter 48: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?
A) Turn on the television.
B) Explain the procedure.
C) Tell the patient "Close your eyes."
D) Ask the family to leave the room.
Q2) The nurse is caring for a group of patients. Which task can the nurse delegate to the nursing assistive personnel?
A) Assessing a surgical patient for risk of pressure ulcers
B) Applying an elastic bandage to a medical-surgical patient
C) Treating a pressure ulcer on the buttocks of a medical patient
D) Implementing negative-pressure wound therapy on a stable patient
Q3) The medical-surgical acute care patient has received a nursing diagnosis of Impaired skin integrity. Which health care team member will the nurse consult?
A) Respiratory therapist
B) Registered dietitian
C) Case manager
D) Chaplain
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Chapter 49: Sensory Alterations
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Sample Questions
Q1) A nurse is caring for an older-adult patient who was in a motor vehicle accident because the patient thought the stoplight was green. The patient asks the nurse "Should Istop driving?" Which response by the nurse is most therapeutic?
A) "Yes, you should stop driving. As you age, your cognitive function declines, and becoming confused puts everyone else on the road at risk."
B) "Yes, you should ask family members to drive you around from now on. Your reflex skills have declined so much you can't avoid an accident."
C) "No, as you age, you lose the ability to see colors. You need to think about stoplights in a new way. If the top is lit up, it means stop, and if the bottom is lit up, it means go."
D) "No, instead you should see your ophthalmologist and get some glasses to help you see better."
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Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status classification by the American Society of Anesthesiologists of ASA III. Which assessment will support this classification?
A) Normal, healthy patient
B) Denial of any major illnesses or conditions
C) Poorly controlled hypertension with implanted pacemaker
D) Moribund patient not expected to survive without the operation
Q2) The nurse is caring for a patient in the postanesthesia care unit. The patient asks for a bedpan and states to the nurse, "I feel like I need to go to the bathroom, but I can't." Which nursing intervention will be \(\bold{most}\) appropriate initially?
A) Assess the patient for bladder distention.
B) Encourage the patient to wait a minute and try again.
C) Inform the patient that everyone feels this way after surgery.
D) Call the health care provider to obtain an order for catheterization.
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