Clinical Nursing Skills
Exam Questions
Course Introduction
Clinical Nursing Skills is a comprehensive course designed to equip students with the fundamental practical abilities necessary for effective patient care in a clinical setting. The course emphasizes the development of hands-on skills such as patient assessment, vital signs monitoring, wound care, medication administration, infection control, and basic life support. Through a combination of theoretical instruction, laboratory practice, and supervised clinical experiences, students learn to apply best practices, prioritize patient safety, and adhere to ethical and legal standards. This course prepares nursing students to deliver competent, compassionate care and adapt to the dynamic demands of healthcare environments.
Recommended Textbook
Fundamentals of Nursing 8th Edition by Patricia
A. Potter
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50 Chapters
1445 Verified Questions
1445 Flashcards
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Chapter 1: Nursing Today
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The student nurse has a goal of becoming a certified registered nurse anesthetist (CRNA).It is important for the student to understand that the CRNA
A) Works under the guidance of an anesthesiologist.
B) Manages acute medical conditions.
C) Manages gynecological services such as PAP smears.
D) Must have a PhD degree in anesthesiology.
Answer: A
Q2) The nurse in the twenty-first century is facing an extremely complex profession with multiple external forces affecting the nursing profession.Factors influencing the nursing profession include which of the following?
A) Demography
B) Women's health care
C) Human rights
D) The threat of bioterrorism
E) The medically underserved
F) None of the above
Answer: A,B,C,D,E
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Chapter 2: The Health Care Delivery System
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The student nurse is reporting to her group in post-conference about her observational rotation in the intensive care unit.The student states that "it seems so much easier than floor nursing because everything is automated.There are machines that take vital signs and regulate IVs." The instructor's best response is to
A) Agree with the student's evaluation of ICU nursing.
B) Agree that IV pumps have made IV therapy totally safe.
C) Disagree, stressing the importance of taking vital signs themselves.
D) Disagree, stressing the importance of the nurse's judgment.
Answer: D
Q2) Health promotion programs focus on
A) Reducing the cost of health care.
B) Controlling risk factors for disease.
C) Immunizations.
D) Occupational health programs.
Answer: A
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4
Chapter 3: Community-Based Nursing Practice
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20 Flashcards
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Sample Questions
Q1) Of the following list of patients,which would be considered at high risk to be members of a vulnerable population?
A) An immigrant who speaks only Chinese
B) An Hispanic truck driver who speaks limited English
C) A 22-year-old pregnant woman
D) A 15-year-old rape victim
E) A 40-year-old schizophrenic
Answer: A,B,D,E
Q2) A specialist in public health nursing requires
A) The same level of education as the community health nurse.
B) Preparation at the basic entry level.
C) An advanced degree regardless of public health experience.
D) A graduate level education with a focus in public health science.
Answer: D
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) The patient is terminally ill and is under hospice care.The nurse cares for the patient by bathing,shaving,and repositioning him.The family believes that the end is very near and would like a Catholic priest called to provide the patient with the Sacrament of the Sick.The nurse places a call to the Catholic Church the patient attended and arranges for the priest's visit.Under which of the following theories does the nurse's care fall?
A) Roy's adaptation theory
B) Watson's philosophy of transpersonal caring
C) Henderson's theory
D) Orem's self-care deficit theory
Q2) As the initial model for nursing,Nightingale's "descriptive theory" encouraged nurses to
A) Know all about the disease processes affecting their patient.
B) Think about their patients and patients' environment.
C) Combine nursing knowledge with medicine.
D) Focus on medication administration and treatments.
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6
Chapter 5: Evidence-Based Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The first step in evidence-based practice is to ask a clinical question.In doing so,the nurse needs to realize that in researching interventions,the question
A) Is more important than its format.
B) Will lead you to hundreds of articles that must be read.
C) May be easier if in PICO format.
D) May be more useful the more general it is.
Q2) To provide patient care of the highest quality,nurses utilize an evidence-based practice approach because evidence-based practice is
A) A guide for nurses in making clinical decisions.
B) Based on the latest textbook information.
C) Easily attained at the bedside.
D) Always right for all situations.
Q3) In caring for patients,it is important for the nurse to realize that evidence-based practice is
A) The only valid source of knowledge that should be used.
B) Secondary to traditional or standard care knowledge.
C) Dependent on patient values and expectations.
D) Not shown to provide better patient outcomes.
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7
Chapter 6: Health and Wellness
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is working in a drug rehabilitation clinic and is in the process of admitting a patient who says that she wants to be "detoxified." It is important for the nurse to
A) Identify the patient's stage of change.
B) Realize that the patient is ready to change.
C) Instruct the patient that she will have to change her lifestyle.
D) Instruct the patient that relapses are not tolerated.
Q2) The nurse is preparing a smoking cessation class and is amazed at how many people still smoke even with the information on lung cancer so readily available.She believes that her class will convert many smokers to nonsmokers once they get all the latest information.The nurse is a believer in which of the following health care models?
A) Health Belief Model
B) Health Promotion Model
C) Basic Human Needs Model
D) Holistic Health Model
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8
Chapter 7: Caring in Nursing Practice
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) With respect to the concept of caring,most nursing theories
A) Embrace the disease orientation to health care as Watson does.
B) Recognize Leininger's theory and reject culture as a caring force.
C) Identify caring as highly relational involving patient and nurse.
D) Stress the universality of the expression of caring.
Q2) Providing "presence" involves "being there" and "being with." What does this involve?
A) Closeness and a sense of caring
B) Focusing on the task that needs to be done
C) Jumping in to provide patient comfort
D) Being there without an identified goal
Q3) The patient is about to undergo a certain procedure and has voiced concern about outcomes and prognosis.The nurse caring for the patient underwent a similar procedure a few years earlier and stops to listen to the patient's concerns.Which of the following responses by the nurse may be most beneficial?
A) "I had a similar procedure last year and I can tell you what I went through."
B) "I don't think you have anything to worry about. They do lots of these."
C) "If you're really concerned, I can call the doctor and cancel the procedure."
D) "Of course there are no guarantees, but I think you'll be all right."
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9
Chapter 8: Caring for the Cancer Survivor
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse is caring for a cancer survivor who has been hospitalized in the intensive care unit (ICU)for an unrelated and stable problem.The ICU has posted visiting hours,but some of the patient's family is from out of town and would like to see her even though it is not time.The patient has also voiced a desire to see her family.The nurse allows the family to visit even though it is not the "official" visiting time.Why would the nurse do this?
A) Disagrees with the established time for visiting
B) Realizes that the patient is dying because she is in the ICU
C) Believes that the visit will help relieve psychological stress
D) Feels there is no real reason to have limited visiting hours.
Q2) Ongoing concerns and problems facing cancer survivors and their families are important determinants of adjustment and quality of life.Families generally find themselves ill prepared to deal with cancer because
A) Educational programs are of no help in dealing with cancer issues.
B) Hiding cancer-related thoughts and concerns helps maintain relationships.
C) Holding back emotions is an effort to shield others from true feelings.
D) Caregiving is predetermined and does not require family decision-making skills.
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Chapter 9: Culture and Ethnicity
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) In comparing American culture with Asian cultures,which of the following statements is true?
A) American culture supports collectivism.
B) Asian communication can be ambiguous.
C) American communication patterns downplay autonomy.
D) Asian communication is direct to avoid conflict.
Q2) Providing culturally congruent care means providing care that
A) Fits the patient's valued life patterns and set of meanings.
B) Is based on meanings generated by predetermined criteria.
C) Is the same as the values of the professional health care system.
D) Holds one's own way of life as superior to those of others.
Q3) Despite significant improvements in the overall health status of the U.S.population over the past few decades,disparities among ethnic and racial minorities have
A) Decreased as education levels equal those of non-Hispanic whites.
B) Disappeared in relation to non-Hispanic white populations.
C) Remained a serious challenge locally and nationally.
D) Decreased faster than anticipated.
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Chapter 10: Caring for Families
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is caring for an elderly woman and notices that she is not using her cane properly.Which of the following statements by the nurse would most likely elicit a positive response from the patient?
A) "You're doing that all wrong. Let me show you how to do it."
B) "I don't know who showed how to use the cane like that, but you're not doing it right. Let me show you again."
C) "You use the cane the way I did before I was shown a way to keep from tripping over it; do you mind if I show you?"
D) "I used to use the cane the same way you are using it: the wrong way. I'll show you the right way to do it."
Q2) Balancing employment and family life creates a variety of challenges in terms of child care and household work for both parents.This has major implications in health care because
A) Maternal employment has been demonstrated to be harmful for children.
B) Maternal employment has shifted the majority of household tasks to the male.
C) Fathers now participate more fully in day-to-day parenting responsibilities.
D) The number of single-parent families has decreased since 1970.
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Chapter 11: Developmental Theories
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) According to Piaget's formal operations level,a 13-year-old adolescent will likely
A) Hit other students to deal with environmental change.
B) Use play to understand her surroundings.
C) Question her parents about an upcoming presidential election.
D) Question where the ice is hiding when ice has melted in her drink.
Q2) While assessing an 18-month-old toddler,the nurse distinguishes normal from abnormal findings by remembering that Gesell's theory of development states A) "The developmental stage of the toddler is affected solely by environmental influence."
B) "Developmental patterns are not affected by gene activity."
C) "Skill development should be identical to that of other toddlers in the playroom."
D) "Environmental influence does not affect the sequence of development."
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13
Chapter 12: Conception Through Adolescence
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25 Flashcards
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Sample Questions
Q1) The nurse knows that the mother of a newborn understands associated health risks to her baby when she states
A) "I need to moisten the umbilical cord every hour during the day until the cord falls off."
B) "I need to remind anyone who wants to hold the baby to wash their hands."
C) "I need to leave the blankets off the baby to prevent smothering."
D) "I can throw away the bulb syringe now because my baby is breathing on her own."
Q2) Encouraging children to play a game of kickball would be best suited for which age group?
A) Infant
B) Toddler
C) Preschool
D) School-aged
Q3) The priority assessment immediately after birth is to
A) Assess infant-parent interactions.
B) Promote parent-newborn physical contact.
C) Open the airway.
D) Assess gestational age.
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Chapter 13: Young and Middle Adults
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) What do changing norms and values about family life in the United States reveal?
A) Basic shifts in attitudes in our society
B) Greater resistance to cohabitation without marriage
C) Decreased numbers of infants born to unmarried women
D) Greater support and acceptance from the health care system
Q2) A 61-year-old obese patient is diagnosed with type 2 diabetes and high blood pressure.The patient states that he is upset about the diet restrictions imposed by the treatment regimen.What is the nurse's best approach?
A) Tell the patient that he must do what the doctor tells him.
B) Offer counseling on nutrition and exercise.
C) Tell the patient about what happened to other patients who did not change their lifestyle.
D) Explain that he needs to accept the care provider's advice without question if he wants to get better.
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15
Chapter 14: Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which symptom is an expected cognitive change in the older adult patient?
A) Disorientation
B) Slower reaction time
C) Poor judgment
D) Loss of language skills
Q2) A patient with gradual,progressive cognitive impairment (dementia)is admitted to the nursing unit after hip replacement surgery.Which of the following is a nursing care principle for care of cognitively impaired older adults?
A) Maintain physical health.
B) Evaluate the patient's manifestations of standard symptoms.
C) Assist patient with all ADLs.
D) Isolate patients to protect others.
Q3) An older adult patient in no acute distress reports being less able to taste and smell.What is the nurse's best response to this information?
A) Notify the physician immediately to rule out cranial nerve damage.
B) Perform testing on the vestibulocochlear nerve and a hearing test.
C) Schedule the patient for an appointment at a smell and taste disorders clinic.
D) Explain to the patient that diminished senses are normal findings.
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Chapter 15: Critical Thinking in Nursing Practice
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Sample Questions
Q1) The patient appears to be in no apparent distress,but vital signs taken by assistive personnel reveal an extremely low pulse.The nurse then auscultates an apical pulse and asks the patient whether he has any complaints or a history of heart problems.The nurse is utilizing which critical thinking skill?
A) Interpretation
B) Evaluation
C) Self-regulation
D) Explanation
Q2) Professional nurses are responsible for making clinical decisions to
A) Prove traditional methods of providing nursing care to patients.
B) Take immediate action when a patient's condition worsens.
C) Apply clear textbook solutions to patients' problems.
D) Formulate standardized care plans for groups of patients.
Q3) The nurse needs a reminder of professional responsibility when performing which of these actions?
A) Making an informed clinical decision
B) Making an ethical clinical decision
C) Making a clinical decision in the patient's best interest
D) Making a clinical decision based on previous shift assessments
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Page 17
Chapter 16: Nursing Assessment
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Sample Questions
Q1) A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while moving around in bed.What is the nurse's best action in response to her observation?
A) Proceed to the next patient's room while making rounds.
B) Offer a massage because the patient does not want any more pain medicine.
C) Administer the pain medication ordered for moderate to severe pain.
D) Ask the patient about the facial grimacing with movement.
Q2) After reviewing the database,the nurse discovers that the patient's vital signs have not been recorded by the nursing assistant.With this in mind,what clinical decision should the nurse make?
A) Administer scheduled medications assuming she would have been informed if the vital signs were abnormal.
B) Have the patient transported to the radiology department for a scheduled x-ray, and review vital signs upon return.
C) Ask the nursing assistant to record the patient's vital signs before administering medications.
D) Omit the vital signs because the patient is presently in no distress.
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Chapter 17: Nursing Diagnosis
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19 Flashcards
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Sample Questions
Q1) Which nursing diagnostic statement is accurately written for a patient with a medical diagnosis of pneumonia?
A) Risk for infection related to lower lobe infiltrate
B) Risk for deficient fluid volume related to dehydration
C) Impaired gas exchange related to alveolar-capillary membrane changes
D) Ineffective breathing pattern related to pneumonia
Q2) One purpose of using standard formal nursing diagnoses in practice is to
A) Form a language that can be encoded only by nurses.
B) Distinguish the nurse's role from the physician's role.
C) Allow for the communication of patient needs to assistive personnel.
D) Help nurses focus on the scope of medical practice.
Q3) Identify the defining characteristics in the nursing diagnosis statement: Constipation related to decreased gastrointestinal motility secondary to pain medication administration as evidenced by the patient reporting no bowel movement in seven days,abdominal distention,and complaints of abdominal pain.
A) Decreased gastrointestinal motility
B) Pain medication
C) Abdominal distention
D) Constipation
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Page 19
Chapter 18: Planning Nursing Care
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Sample Questions
Q1) Which of the following options correctly explains what the nurse should do with the plan of care for a patient after it is developed?
A) Place the original copy in the chart, so it cannot be tampered with or revised.
B) Communicate the plan of care to all health care professionals involved in the patient's care.
C) Send the plan of care to the administration office to be filed.
D) Send the plan of care to quality assurance for review.
Q2) Which of these outcomes would be most appropriate for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications?
A) Patient will have one soft, formed bowel movement by end of shift.
B) Patient will not take any pain medications this shift.
C) Patient will walk unassisted to bathroom by the end of shift.
D) Patient will not take laxatives or stool softeners this shift.
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Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) The standing orders for a patient include acetaminophen (Tylenol)650 mg every 4 hours prn for headache.After assessing the patient,identifying the need for headache relief,and determining that the patient has not had Tylenol in the past 4 hours,the nurse
A) Notifies the health care provider to obtain a verbal order.
B) Directs the nursing assistant to give the Tylenol.
C) Administers the Tylenol.
D) Performs a pain assessment only after administering the Tylenol.
Q2) Which of the following are nursing interventions?
A) Order chest x-ray for suspected humerus fracture.
B) Order antibiotics for a respiratory infection.
C) Reposition a patient who is on bed rest.
D) Remind a patient to cough and deep breathe after surgery.
E) Write transfer orders to move a patient to another hospital unit.
Q3) Which of the following are direct care interventions?
A) Turning a patient
B) Counseling a patient
C) Performing resuscitation
D) Documenting wound care
E) Teaching wound care
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Page 21
Chapter 20: Evaluation
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Sample Questions
Q1) A nurse is providing education to a patient about self-administering subcutaneous injections.Which of these patient statements indicates that the patient understands the instructions?
A) "I need to use a needle 1/2 inch longer than my thumb."
B) "I will give the medicine deep into my deltoid."
C) "My belly is a good place to give my injection."
D) "I need to throw the syringe and needle into the garbage when I am done giving myself my shot."
Q2) A goal for a patient with a diagnosis of Ineffective coping is to demonstrate effective coping skills.Which of these patient behaviors indicates that interventions performed to meet this outcome have been successful?
A) States he feels better after talking with his family and friends
B) Continues to consume several alcoholic beverages a day
C) Dislikes the support group meetings
D) Spends most of the day in bed
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) A nursing assistant reports seeing a reddened area on the patient's hip while bathing the patient.The nurse should
A) Go to the patient's room to assess the patient's skin.
B) Document the finding per the nursing assistant's report.
C) Request a wound nurse consult.
D) Ask the nursing assistant to apply a dressing over the reddened area.
Q2) In which nursing care model is the RN usually appointed the position of group leader?
A) Total patient care
B) Primary nursing
C) Team nursing
D) Case management
Q3) A staff member verbalizes his satisfaction in working on a particular nursing unit because he appreciates the freedom of choice and responsibility for the choices.This nurse highly values which element of decentralized decision making?
A) Responsibility
B) Autonomy
C) Accountability
D) Authority
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Page 23
Chapter 22: Ethics and Values
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Sample Questions
Q1) Which issue has increased the attention paid to quality of life concerns in recent history?
A) Health care disparities
B) National movement regarding disabled persons
C) Aging of the population
D) Health care financial reform
Q2) Which philosophy of health care ethics would be particularly useful when making ethical decisions about vulnerable populations?
A) Feminist ethics
B) Deontology
C) Bioethics
D) Utilitarianism
Q3) The nurse is caring for a severely ill patient with AIDS who now requires ventilator support.Which intervention is considered futile?
A) Administering the influenza vaccine
B) Providing oral care every 5 hours
C) Applying fentanyl patches prn for pain
D) Supporting the patient's lower extremities with pillows
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24
Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) A patient's condition is slowly deteriorating.What actions should the nurse take to provide the best care possible?
A) Allow the nursing student to receive verbal orders from the physician in the room while the nurse is in the medication area down the hall.
B) Document the patient's status changes in the medical record in a timely manner.
C) Document that the health care provider has been notified of the specific patient status, including date and time that messages were left.
D) Check the chart for frequent orders.
E) Omit charting what the health provider's response is to notification of the patient's status change.
Q2) A newly hired experienced nurse is preparing to change a patient's abdominal dressing and hasn't done it before at this hospital.Which action by the nurse is best?
A) Ask another nurse to do it so the correct method can be viewed.
B) Check the policy and procedure manual for the agency's method.
C) Change the dressing using the method taught in nursing school.
D) Ask the patient how the dressing change has been recently done.
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25
Chapter 24: Communication
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Sample Questions
Q1) Which types of patients can cause challenging communication situations?
A) A male patient who is cooperative with treatments
B) A female patient who is outgoing and flirty
C) An older adult patient who is demanding
D) An elderly patient who can clearly see small print
E) A teenager frightened by the prospect of impending surgery
F) A child who is developmentally delayed
Q2) A nurse is sitting at the patient's bedside taking a nursing history.Which zone of personal space is the nurse using?
A) Intimate
B) Personal
C) Social
D) Public
Q3) Which technique will be most successful in ensuring effective communication? The nurse uses
A) Interpersonal communication to change negative self-talk to positive self-talk.
B) Small group communication to present information to an audience.
C) Intrapersonal communication to build strong teams.
D) Transpersonal communication to enhance meditation.
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Page 26
Chapter 25: Patient Education
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A nurse is preparing to teach a kinesthetic learner about exercise.Which technique should the nurse use?
A) Let the patient touch and use the exercise equipment.
B) Provide the patient with pictures of the exercise equipment.
C) Let the patient listen to a podcast about the exercise equipment.
D) Provide the patient with a case study about the exercise equipment.
Q2) A patient had a stroke and must use a cane for support.A nurse is preparing to teach the patient about the cane.Which learning objective/outcome is most appropriate?
A) The patient will walk to the bathroom and back to bed using a cane.
B) The patient will understand the importance of using a cane.
C) The patient will learn how to use a cane.
D) The patient will know the correct use of a cane.
Q3) A nurse is teaching a culturally diverse patient about nutritional needs.What must the nurse do first before starting the teaching session?
A) Obtain pictures of food.
B) Get an interpreter.
C) Establish a rapport.
D) Refer to a dietitian.
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Page 27
Chapter 26: Documentation and Informatics
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Sample Questions
Q1) A patient is being discharged home.Which information should the nurse include?
A) Acuity level
B) Community resources
C) Standardized care plan
D) Kardex
Q2) Which situation will require the nurse to obtain a telephone order?
A) As the nurse and primary care provider leave a patient's room, the primary care provider gives the nurse an order.
B) At 0100, a patient's blood pressure drops from 120/80 to 90/50 and the incision dressing is saturated with blood.
C) At 0800, the nurse and primary care provider make rounds and the primary care provider tells the nurse a diet order.
D) A nurse reads an order correctly as written by the primary care provider in the patient's medical record.
Q3) A nurse is charting on a patient's record.Which action is most accurate legally?
A) Charts legibly
B) States the patient is belligerent
C) Uses correction fluid to correct error
D) Writes entry for another nurse
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Page 28
Chapter 27: Patient Safety
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Sample Questions
Q1) A patient has been admitted and placed on fall precautions.The nurse explains to the patient that interventions for the precautions include
A) Encouraging visitors in the early evening.
B) Placing all four side rails in the "up" position.
C) Checking on the patient once a shift.
D) Placing a high risk for falls armband on the patient.
Q2) The nurse is precepting a student nurse and is careful to check with the student all components of the medication process.The nurse explains to the student that most errors occur in
A) Ordering and transcribing.
B) Dispensing and administering.
C) Dispensing and transcribing.
D) Ordering and administering.
Q3) The nurse is presenting an educational session on safety for parents of adolescents.The nurse should include which of the following teaching points?
A) Adolescents need unsupervised time with friends two to three times a week.
B) Parents and friends should teach adolescents how to drive.
C) Adolescents need information about the effects of beer on the liver.
D) Adolescents need to be reminded to use seatbelts on long trips.
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Page 29
Chapter 28: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25777
Sample Questions
Q1) The nurse is caring for a patient who needs a protective environment.The nurse has provided the care needed and is now leaving the room.Select the correct order for removal of the personal protective equipment and associated tasks.(All answers are utilized.)
A) Remove eyewear/face shield and goggles.
B) Perform hand hygiene.
C) Remove gloves.
D) Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly.
E) Remove mask by strings; do not touch outside of mask.
F) Dispose of all contaminated supplies and equipment in designated receptacles.
G) Leave room and close the door.
Q2) The nurse is admitting a patient with an infectious disease process.What question would be appropriate for a nurse to ask this patient?
A) "Do you have a chronic disease, and how long have you had it?"
B) "Do you have any children living in the home?"
C) "What is your marital status-single, married, or divorced?"
D) "Do you have any cultural or religious beliefs that will influence your care?"
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Chapter 29: Vital Signs
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25778
Sample Questions
Q1) The patient was found unresponsive in her apartment and is being brought to the emergency department.She has arm,hand,and leg edema,her temperature is 95.6° F,and her hands are cold secondary to her history of peripheral vascular disease.It is reported that she has a latex allergy.To quickly measure the patient's oxygen saturation,what should the nurse do?
A) Attach a finger probe to the patient's index finger.
B) Place a nonadhesive sensor on the patient's ear lobe.
C) Attach a disposable adhesive sensor to the bridge of the patient's nose.
D) Place the sensor on the same arm that the electronic blood pressure cuff is on.
Q2) A nurse is caring for a patient who smokes and drinks caffeine.Which point is important for the nurse to understand before she assesses the patient's blood pressure?
A) Neither caffeine nor smoking affects blood pressure.
B) She needs to insist that the patient stop smoking for at least 3 hours.
C) The nurse should have the patient perform mild exercises.
D) Caffeine and smoking can cause false BP elevations.
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Chapter 30: Health Assessment and Physical Examination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25779
Sample Questions
Q1) A teen patient is tearful and reports locating lumps in her breasts.Other history obtained is that she is currently menstruating.Physical examination reveals soft and movable cysts in both breasts that are painful to palpation.The nurse also notes that the patient's nipples are erect,but the areolae are wrinkled.The next nursing step is which of the following?
A) Reassure patient that her symptoms are normal.
B) Consult a breast surgeon because of the abnormal nipples and areolae.
C) Discuss fibrocystic disease as the likely cause.
D) Tell the patient that the symptoms may get worse when her period ends.
Q2) The paramedics transport an adult involved in a motor vehicle accident to the emergency department.On physical examination,the patient's level of consciousness is reported as opening eyes to pain and responding with inappropriate words and flexion withdrawal to painful stimuli.The nurse correctly identifies the patient's Glasgow Coma Scale score as
A) 5.
B) 7.
C) 9.
D) 11.
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Chapter 31: Medication Administration
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50 Flashcards
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Sample Questions
Q1) The patient is in severe pain and is requesting a prn medication before the prn time interval has elapsed.The nurse's priority is to
A) Give the medication early for any pain score greater than 8.
B) Call the prescriber and request a stat order.
C) Explain to the patient why he will have to wait for the medication.
D) Document the patient's request and pain score.
Q2) The nurse realizes which patient is at greatest risk for an unintended synergistic effect?
A) 72-year-old who is seeing four different specialists
B) 4-year-old who has mistakenly taken the entire packet of his mother's birth control pills
C) 50-year-old who was prescribed a second blood pressure medication
D) 35-year-old drug addict who has ingested meth mixed with several household chemicals
Q3) A nurse knows that patient education has been effective when the patient states
A) "I must take my parenteral medication with food."
B) "If I am 30 minutes late taking my medication, I should skip that dose."
C) "I will rotate the location where I give myself injections."
D) "Once I start feeling better, I will stop taking my medication."
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Page 33
Chapter 32: Complementary and Alternative Therapies
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25781
Sample Questions
Q1) A basic foundational principle of chiropractic care is that
A) Structure and function coexist.
B) Chiropractic care is risk free.
C) Human beings need external hands-on care to be healthiest.
D) Subluxation will cause permanently restricted joint movement.
Q2) A holistic nurse would be a nurse who
A) Recommends a vegan diet for all patients.
B) Recognizes the mind-body-spirit connection.
C) Provides spiritual literature to patients.
D) Knows about resources for fresh herbs.
Q3) In a cardiac dysrhythmia clinic,a patient inquires about using acupuncture to help alleviate stress.The nurse's best answer is which of the following?
A) "It is acceptable, but do not use electro-acupuncture."
B) "It is very clearly contraindicated."
C) "Do not allow needles near the heart."
D) "You do not look like you have an infection, so it will be OK."
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Chapter 33: Self-Concept
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20 Flashcards
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Sample Questions
Q1) A nurse who grimaces when seeing a patient's colostomy opening while changing the colostomy bag is most likely to have what effect on the patient?
A) Assist recovery by using honest communication.
B) Motivate the patient to increase physical activity.
C) Promote development of a negative body image.
D) Develop a kind nickname for the colostomy opening.
Q2) Based on the following data,which person is likely to have the highest self-esteem?
A) Latino adolescent female who has strong ethnic pride
B) Caucasian boy who lives below federal poverty level
C) African American adolescent male who has severe acne
D) Adolescent who was suspended twice from high school
Q3) A 9-year-old is proudly telling everyone about mastering the yellow belt in her martial arts class.Identify the appropriate developmental task.
A) Initiative versus guilt
B) Industry versus inferiority
C) Identity versus role confusion
D) Autonomy versus shame and doubt
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Chapter 34: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/25783
Sample Questions
Q1) A mother brings her 4-year-old daughter to clinic.She states that she is upset because she has caught her child masturbating.Which response by the nurse is best for calming the mother?
A) "Don't worry. This is normal for a child her age. She will grow out of it."
B) "That is a natural part of development. Your child is exploring and becoming familiar with her body."
C) "Most children have grown out of that phase by now. She might be developmentally delayed."
D) "That is an abnormal behavior for a female child. I'm going to refer you to a specialist."
Q2) A mother brings her 12-year-old daughter into a clinic and inquires about getting her an HPV vaccine that day.The nurse informs the mother that the HPV vaccine
A) Is safe for children over the age of 5 and lasts 10 years.
B) Is recommended only after a female becomes sexually active.
C) Will prevent a female from ever getting cervical cancer.
D) Requires a three-injection series to be fully effective.
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Chapter 35: Spiritual Health
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25784
Sample Questions
Q1) The patient is admitted with chronic back pain.The nurse who is caring for this patient should
A) Focus on finding quick remedies for the back pain.
B) Look at how pain influences the patient's ability to function.
C) Realize that the patient's only goal is relief of the back pain.
D) Help the patient realize that there is little hope of relief from chronic pain.
Q2) The nurse creates a referral to pastoral care when he/she realizes that the patient is in need of
A) Psychiatric care.
B) Return to religious affiliation.
C) Spiritual care.
D) Transfer to the psychiatric unit.
Q3) When evaluating a patient's risk for spiritual crises,which of the following are part of the evaluation process?
A) Review the patient's self-perception regarding spiritual health.
B) Review the patient's view of his/her purpose in life.
C) Discuss with family and associates the patient's connectedness.
D) Ask whether the patient's expectations are being met.
E) Impress on the patient that spiritual health is permanent once obtained.
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Page 37
Chapter 36: The Experience of Loss, death, and Grief
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24 Flashcards
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Sample Questions
Q1) A woman is called into her supervisor's office regarding her deteriorating work performance since the loss of her husband 2 years ago.The woman begins sobbing and saying that she is "falling apart" at home as well.The woman is escorted to the nurse's office,where the nurse recognizes the woman's symptoms as which of the following?
A) Normal grief
B) Complicated grief
C) Disenfranchised grief
D) Perceived grief
Q2) A cancer patient asks the nurse what the criteria are for hospice care.What should the nurse answer?
A) Having a terminal illness, such as cancer
B) Needing assistance with pain management
C) Expected to live less than 6 to 12 more months
D) Completion of an advance directive
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Chapter 37: Stress and Coping
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20 Flashcards
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Sample Questions
Q1) The purpose of unconscious ego defense mechanisms is to do which of the following for the individual?
A) Protect against feelings of worthlessness and anxiety.
B) Facilitate the use of problem-focused coping.
C) Evaluate an event for its personal meaning.
D) Trigger the stress control functions of the medulla oblongata.
Q2) A nurse is teaching guided imagery to a prenatal class.Identify an example of guided imagery from the options below.
A) Singing
B) Back massage
C) Sensory peaceful words
D) Listening to music
Q3) The nursing student gave a wellness lecture on the importance of accurate assessment and intervention from a personal,family,and community perspective.The other nursing students enjoyed the lecture about which nursing theory?
A) Ego defense model
B) Situational model
C) Evidence-based practice model
D) Neuman systems model
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Page 39
Chapter 38: Activity and Exercise
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25787
Sample Questions
Q1) In planning a physical activity program for a patient,the nurse must understand that
A) Isotonic exercises cause contraction without changing muscle length.
B) The best program includes a combination of exercises.
C) Isometric contraction involves the movement of body parts.
D) Resistive isometric exercises can lead to bone wasting.
Q2) Unlike arthritis,joint degeneration
A) Occurs only from noninflammatory disease.
B) Occurs only from inflammatory disease.
C) Involves overgrowth of bone at the articular ends.
D) Affects mostly non-weight-bearing joints
Q3) In assisting the patient to exercise,the nurse should
A) Expect that pain will occur with exercise of unused muscle groups.
B) Set the pace for the exercise class.
C) Force muscles or joints to go just beyond resistance.
D) Stop the exercise if pain is experienced.
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Chapter 39: Hygiene
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50 Flashcards
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Sample Questions
Q1) Of the following disorders,which is caused by a virus?
A) Corns
B) Plantar warts
C) Athlete's foot
D) Callus
Q2) In providing oral care to an unconscious patient,it is important for the nurse to
A) Moisten the mouth using lemon-glycerin sponges.
B) Hold the patient's mouth open with his or her fingers.
C) Rinse the mouth and immediately suction the oral cavity.
D) Use foam swabs to help remove plaque.
Q3) The nurse is caring for a patient who is immobile.The nurse is aware that the patient is at risk for Impaired skin integrity because
A) Pressure reduces circulation to affected tissue.
B) Patients with limited caloric intake develop thicker skin.
C) Inadequate blood flow leads to decreased tissue ischemia.
D) Local nerve damage leads to pain sensation.
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Chapter 40: Oxygenation
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48 Flashcards
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Sample Questions
Q1) A patient with a pneumothorax had a chest tube inserted and was placed on low constant suction.Which finding requires immediate action by the nurse?
A) Fifty milliliters of blood gushes into the drainage device after the patient coughs.
B) The patient complains of pain at the chest tube insertion site that increases with movement.
C) No bubbling is present in the suction control chamber of the drainage device.
D) Yellow purulent discharge is seen leaking out from around the dressing site.
Q2) The nurse knows that the most effective method for suctioning a patient with a tracheostomy tube is to
A) Set suction regulator at 150 to 200 mm Hg.
B) Liberally lubricate the end of the suction catheter with a water-soluble solution.
C) Limit the length of suctioning to 10 to 15 seconds.
D) Apply suction while gently rotating and inserting the catheter.
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Chapter 41: Fluid, electrolyte, and Acid-Base Balance
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45 Verified Questions
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Sample Questions
Q1) The nurse would not expect full compensation to occur for which acid-base imbalance?
A) Respiratory acidosis
B) Respiratory alkalosis
C) Metabolic acidosis
D) Metabolic alkalosis
Q2) A patient was admitted for hypovolemia and has intravenous fluid running at 250 mL/hr.The patient complains of burning at the IV insertion site.Upon assessment,the nurse does not find redness,swelling,heat,or coolness.The nurse suspects that the
A) IV has infiltrated.
B) IV has caused phlebitis.
C) Fluid is infusing too quickly.
D) Patient is allergic to the fluid.
Q3) A nurse is caring for a patient whose ECG presents with changes characteristic of hypokalemia.Which assessment finding would the nurse expect?
A) Thready peripheral pulses
B) Abdominal distention
C) Dry mucous membranes
D) Flushed skin
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Page 43
Chapter 42: Sleep
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30 Flashcards
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Sample Questions
Q1) The nurse is evaluating outcomes for the patient with the nursing diagnosis of Insomnia.During this process,the nurse recognizes that
A) The patient is the best evaluator of sleep.
B) Interventions will need to be adjusted.
C) Medical conditions will not influence outcomes.
D) Observations of the patient provide needed data.
Q2) The nurse is caring for a postpartum patient.The patient's labor has lasted over 28 hours within the hospital; the patient has not slept and is disoriented to date and time.What is the most appropriate nursing diagnosis?
A) Impaired parenting
B) Insomnia
C) Ineffective coping
D) Sleep deprivation
Q3) Which of the following would be most important for the nurse to monitor in a patient who has obstructive sleep apnea?
A) Gastrointestinal function
B) Circulatory status
C) Respiratory status
D) Neurological function
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44
Chapter 43: Pain Management
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35 Flashcards
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Sample Questions
Q1) The nurse is evaluating the effectiveness of guided imagery for pain management as used for a patient who has second- and third-degree burns and needs extensive dressing changes.Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes?
A) The patient's need for analgesic medication decreases during the dressing changes.
B) The patient rates pain during the dressing change as a 6 on a scale of 0 to 10.
C) The patient's facial expressions are stoic during the procedure.
D) The patient can tolerate more pain, so dressing changes can be performed more frequently.
Q2) The nurse is administering ibuprofen (Advil)to an older patient.Which of the following assessment data causes the nurse to hold the medication?
A) Past medical history of gastric ulcer
B) Patient states last bowel movement was 4 days ago
C) Stated allergy to aspirin
D) Patient states has 2/10 intermittent joint pain
E) Patient experienced respiratory depression after administration of an opioid medication
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Chapter 44: Nutrition
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45 Flashcards
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Sample Questions
Q1) Before giving the patient an intermittent tube feeding,the nurse should
A) Make sure that the tube is secured to the gown with a safety pin.
B) Have the tube feeding at room temperature.
C) Inject air into the stomach via the tube and auscultate.
D) Place the patient in a supine position.
Q2) The patient has just started on enteral feedings but is complaining of abdominal cramping.The nurse should
A) Slow the rate of tube feeding.
B) Instill cold formula to "numb" the stomach.
C) Place the patient in a supine position.
D) Change the tube feeding to a high-fat formula.
Q3) To counter obesity in adolescents,increasing physical activity is often more important than curbing intake.Sports and regular,moderate to intense exercise necessitate dietary modifications to meet increased energy needs for adolescents.The nurse understands that these modifications include
A) Decreasing carbohydrates to 25% to 30% of total intake.
B) Decreasing protein intake to .75 g/kg/day.
C) Ingesting water before and after exercise.
D) Providing vitamin and mineral supplements.
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Page 46
Chapter 45: Urinary Elimination
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) The nurse knows that which indwelling catheter procedure places the patient at greatest risk for acquiring a urinary tract infection?
A) Emptying the drainage bag every 8 hours or when half full
B) Kinking the catheter tubing to obtain a urine specimen
C) Placing the drainage bag on the side rail of the patient's bed
D) Failing to secure the catheter tubing to the patient's thigh
Q2) To reduce patient discomfort during closed catheter irrigation,the nurse should
A) Use room temperature irrigation solution.
B) Administer the solution as quickly as possible.
C) Allow the solution to sit in the bladder for at least 1 hour.
D) Raise the bag of irrigation solution at least 12 inches above the bladder.
Q3) An 86-year-old patient tells the nurse that she is experiencing uncontrollable leakage of urine.Which nursing diagnosis should the nurse include in the patient's plan of care?
A) Urinary retention
B) Hesitancy
C) Urgency
D) Urinary incontinence
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Chapter 46: Bowel Elimination
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse is devising a plan of care for a patient with the nursing diagnosis of Constipation related to opioid use.Which of the following outcomes would the nurse evaluate as successful for the patient to establish normal defecation?
A) The patient reports eliminating a soft, formed stool.
B) The patient has quit taking opioid pain medication.
C) The patient's lower left quadrant is tender to the touch.
D) The nurse hears bowel sounds present in all four quadrants.
Q2) The nurse knows that most nutrients are absorbed in which portion of the digestive tract?
A) Stomach
B) Duodenum
C) Ileum
D) Cecum
Q3) A patient is diagnosed with a bowel obstruction.The nurse chooses which type of tube for gastric decompression?
A) Salem sump
B) Dobhoff
C) Sengstaken-Blakemore
D) Small bore
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Page 48
Chapter 47: Mobility and Immobility
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48 Flashcards
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Sample Questions
Q1) The patient is admitted to a skilled care unit for rehabilitation 10 days after the surgical procedure of fixation of a fractured left hip and has a nursing diagnosis of Impaired physical mobility related to musculoskeletal impairment from surgery and pain with movement.The patient is able to use a walker but needs assistance ambulating and transferring from the bed to the chair.Which of the following nursing interventions is most appropriate for this patient?
A) Obtain assistance and physically transfer the patient to the chair.
B) Assist the patient with ambulation and measure how far she walks.
C) Withhold pain medication so that she can ambulate with a clear mind.
D) Bring the patient to the cafeteria for group instruction on ambulation.
Q2) Of the following nursing goals,which is the most appropriate for a patient who has had a total hip replacement?
A) The patient will walk 1000 feet using her walker by the time of discharge.
B) The patient will ambulate by the time of discharge.
C) The patient will ambulate briskly on the treadmill by the time of discharge.
D) The nurse will assist the patient to ambulate in the hall.
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Chapter 48: Skin Integrity and Wound Care
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50 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with a stage II pressure ulcer and as the coordinator of care understands the need for a multidisciplinary approach.The nurse evaluates the need for several consults.Which of the following should always be included in the consults?
A) Registered dietitian
B) Enterostomal and wound care nurse
C) Physical therapist
D) Case management personnel
E) Chaplain
F) Pharmacist
Q2) The nurse is caring for a patient who has a stage IV pressure ulcer awaiting plastic surgery consultation.Which of the following specialty beds would be most appropriate?
A) Standard mattress
B) Nonpowered redistribution air mattress
C) Low-air-loss therapy unit
D) Lateral rotation
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Chapter 49: Sensory Alterations
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29 Flashcards
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Sample Questions
Q1) What is the involuntary motion of retracting the body from painful stimuli?
A) Sensation
B) Reception
C) Perception
D) Reaction
Q2) A nurse is caring for a patient who recently had a stroke and is going to be discharged at the end of the week.The nurse notices that the patient is having difficulty with attempting to eat his meal and is becoming tearful.The nurse includes which intervention in the patient's plan of care?
A) Teach the patient about special devices used to assist patients with eating meals.
B) Order the patient food that does not require utensils.
C) Place a consult for a home health nurse.
D) Obtain an order for antidepressant medications.
Q3) The nurse would utilize the Snellen chart for assessment of which patient?
A) A patient who is having difficulty remembering how to perform familiar tasks
B) A patient who turns the television up as loud as possible
C) A patient who holds his newspaper 2 inches from his face
D) A patient who frequently reports the incorrect time from the clock across the room
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Chapter 50: Care of Surgical Patients
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25799
Sample Questions
Q1) 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 of the following nursing interventions would be most appropriate?
A) Encourage the patient to wait a minute and try again.
B) Call the physician and obtain an order for catheterization.
C) Assess the patient's intake and the patient for bladder distention.
D) Inform the patient that everyone feels this way after surgery.
Q2) The nurse is caring for a postoperative patient with an incision.Which of the following nursing interventions have been found to decrease wound infections?
A) Perform hand hygiene before and after contact with the patient.
B) Maintain normoglycemia.
C) Use hair clippers to remove hair.
D) Administer antibiotics within 30 to 60 minutes of incision time.
E) Provide bath and linen change daily.
F) Perform first dressing change 1 week postoperatively.
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