Clinical Nursing Skills
Question Bank
Course Introduction
Clinical Nursing Skills is designed to equip students with essential hands-on competencies required for safe and effective patient care in diverse healthcare settings. The course covers a wide range of fundamental nursing procedures, including vital signs assessment, medication administration, wound care, infection control, therapeutic communication, and patient mobility assistance. Through a combination of classroom instruction, laboratory simulations, and supervised clinical practice, students learn to apply evidence-based techniques, prioritize patient safety, and collaborate with interdisciplinary healthcare teams. Emphasis is placed on developing critical thinking, ethical decision-making, and compassionate care, laying the groundwork for professional nursing practice.
Recommended Textbook
Essentials for Nursing Practice 8th Edition by Potter
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39 Chapters
1000 Verified Questions
1000 Flashcards
Source URL: https://quizplus.com/study-set/424
Page 2
Chapter 1: The Nursing Profession
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7466
Sample Questions
Q1) A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor.Which type of education did the nurse receive?
A) In-service education
B) Advanced education
C) Continuing education
D) Registered nurse education
Answer: A
Q2) A nurse is presenting at an interdisciplinary meeting about the multiple external forces that are influencing nursing today.Which examples should the nurse include? (Select all that apply.)
A) Health care reform
B) Threat of bioterrorism
C) Population demographics
D) Role of nurse manager
E) Nursing shortage
Answer: A,B,C,E
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Page 3
Chapter 2: Health and Wellness
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/7467
Sample Questions
Q1) When teaching a 15-year-old patient with diverticulitis about foods that should be avoided,a nurse takes the stage of growth and development into consideration.Which factor or variable did the nurse take into consideration?
A) Cultural factor
B) External variable
C) Socioeconomic factor
D) Internal variable
Answer: D
Q2) A nurse who works in an inner-city health clinic is scheduling a day for student nurses to assist with a flu immunization clinic.Which of the following best describes this type of activity?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health prevention
Answer: A
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Chapter 3: The Health Care Delivery System
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A registered nurse working as a school nurse for a small poor rural school district has noticed an increase in children arriving at school without having eaten breakfast.The nurse has discussed this issue with the school principal and is working on a proposal to ask the school district to explore a school breakfast program.Which level of care did the nurse use?
A) Primary care
B) Continuing care
C) Restorative care
D) Tertiary care
Answer: A
Q2) A patient states that he or she cannot afford health care insurance for the family because of a low income.What is the best form of insurance available for this patient?
A) Medicaid
B) Medicare
C) Private insurance
D) A managed care organization
Answer: A
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Page 5
Chapter 4: Community-Based Nursing Practice
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A nurse is practicing as a community health nurse.What is the primary focus of care for this nurse?
A) Providing care to subpopulations
B) Practicing care in existing services
C) Being a specialist in public health science
D) Having a case management certification
Q2) A community-based nurse is working with a family.The nurse needs to be knowledgeable in what key areas? (Select all that apply.)
A) Family theory
B) Group dynamics
C) Political affiliations
D) Cultural diversity
E) Communication principles
Q3) A community health nurse is using the goals of the Healthy People 2020 to focus care.Which goal is the priority?
A) To increase the life expectancy of people in the United States
B) To increase the health status of people throughout the world
C) To eradicate the human immunodeficiency virus (HIV)
D) To reduce health care costs
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Page 6
Chapter 5: Legal Principles in Nursing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which situation will enable a nurse to use restraints?
A) To punish a patient
B) To ensure the patient's safety
C) To retaliate against poor behavior
D) To ensure staff convenience
Q2) A patient is confused and is attempting to get out of the hospital bed.The nurse is tired after working for more than 10 hours and is concerned for the patient's safety.What is the best action that the nurse should take to prevent the patient from harm?
A) Restrain the patient with wrist restraints.
B) Place the patient with a belt restraint in a chair.
C) Sedate the patient with medication.
D) Ask a family member to sit with the patient.
Q3) What is the nurse's best proof against malpractice?
A) The nurse supervisor's memory of the event
B) Recorded documentation written carelessly
C) The nurse's memory of the event
D) Recorded documentation of nursing care
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Chapter 6: Ethics
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19 Flashcards
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Sample Questions
Q1) Although a registered nurse has been working for several years as a staff nurse on an adult oncology unit,the nurse recently transferred to a pediatric unit in the hospital.The nurse will be in orientation for several days to learn about the different systems and will need to demonstrate proficiency in various pediatric areas such as medication administration.Which behavior is the nurse demonstrating?
A) Competency
B) Judgment
C) Advocacy
D) Utilitarianism
Q2) Which behavior best indicates that the nurse is fulfilling ethical responsibilities?
A) Delivers competent care
B) Applies the scientific process
C) Forms interpersonal relationships
D) Evaluates new computerized technologies
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8
Chapter 7: Evidence-Based Practice
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A registered nurse wants to review the latest information regarding prevention of a health care acquired infection.Where is the best place for the nurse to obtain this information?
A) Online information
B) Peer-reviewed nursing journal
C) Latest edition of a nursing textbook
D) Most recent edition of a popular magazine
Q2) The nurse manager of a 30-bed medical surgical unit has noticed that the fall rate of postoperative patients has increased in the past 2 months.The nurse manager wants to address this situation using evidence-based practice.Which type of trigger did the nurse manager use?
A) Literature-focused trigger
B) Problem-focused trigger
C) Knowledge-focused trigger
D) Expectations-focused trigger
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Chapter 8: Critical Thinking
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse is describing risk taking,creativity,and integrity in nursing care.What is the nurse explaining?
A) Attitudes of critical thinking
B) Competencies of critical thinking
C) Standards for critical thinking
D) Nursing process for critical thinking
Q2) A nurse is caring for a patient who underwent an above-the-knee amputation that requires a dressing change,a skill the nurse has never done.The nurse asks another nurse to help with the dressing change for the amputated leg.The nurse is demonstrating which critical thinking attitude?
A) Humility
B) Confidence
C) Risk-taking
D) Fairness
Q3) Which information indicates the nurse has a correct understanding of critical thinking?
A) It is a continuous process characterized by open-mindedness.
B) It is the same thing as the nursing process.
C) It is a haphazard method of providing nursing care.
D) It is moving from writing a plan of care to thinking.
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Chapter 9: Nursing Process
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which question or comment should the nurse initially use that would best gather the most information during a health history assessment?
A) "Let us help you."
B) "Did you seek help when it first started?"
C) "Tell me about the problems you are having."
D) "Do you have a family history of this problem?"
Q2) A nurse is delegating care of patients to the nursing assistant personnel (NAP)and a licensed practical nurse (LPN).Which situation indicates the nurse needs more instruction on delegation?
A) LPN to change a sterile dressing
B) NAP to provide skin care
C) NAP to insert an indwelling catheter
D) LPN to administer an enema
Q3) The nurse is admitting a patient to the unit and asks the patient about the health history.The nurse is engaged in which component of the nursing process?
A) Evaluation
B) Diagnosis
C) Assessment
D) Planning
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Page 11
Chapter 10: Informatics and Documentation
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A nurse completes an incident/occurrence report on a patient who fell while walking in the hallway.The nurse completes this report for what purpose?
A) To exchange information among health care members
B) To provide information about patients on one unit to another
C) To prevent a legal lawsuit from the patient
D) To aid in the hospital's quality improvement program
Q2) A nurse is working in an agency with standards that require a nurse's documentation to be within the context of the nursing process.The nurse is working for which agency?
A) Centers for Disease Control and Prevention accredited hospital
B) World Health Organization hospital
C) The Joint Commission accredited hospital
D) Agency for Healthcare Research and Quality hospital
Q3) A nurse is using a computer to locate and review laboratory test results,and chart and order sterile supplies.What type of system is the nurse using?
A) Clinical information system
B) Computerized provider order entry system
C) Administrative information system
D) Clinical decision support system
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Chapter 11: Communication
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient asked a nurse when the primary health care provider would make rounds.The nurse was taking another patient for a stat test and replied very quickly,"I have no idea." The patient most likely interpreted the nurse as uncaring because of which factor?
A) Vocabulary
B) Pacing
C) Timing
D) Personal appearance
Q2) A nurse is caring for a patient who is having abdominal pain and is experiencing difficulty sleeping.The nurse sits at the bedside of the patient and takes the patient's hand.The patient quickly pulls back.How should the nurse interpret this patient's behavior?
A) The patient is uncomfortable with being touched.
B) The patient is unable to express feelings.
C) The patient has impaired social skills with others.
D) The patient has difficulty with nonverbal communication.
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Chapter 12: Patient Education
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient needs to take daily injections of a blood thinner for 7 days after hospital discharge.The nurse observes the patient's self-administration technique.What type of learning occurred?
A) Affective
B) Cognitive
C) Motivational
D) Psychomotor
Q2) A 75-year-old patient who is being discharged home after a stroke has no use of the right hand.Which teaching strategy is best for the nurse to use for this patient?
A) Provide all the teaching at once, immediately before going home so the patient will remember it.
B) Teach the patient with the aid of a computer to demonstrate that the discharge instructions are on the hospital webpage.
C) Teach the patient using generic patient discharge information about strokes.
D) Provide information based on the patient's needs in frequent sessions.
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Chapter 13: Managing Patient Care
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Competencies needed for effective interprofessional collaboration include:
1. Work with individuals of other professions to maintain a climate of mutual respect and shared values.
2. Use the knowledge of ones own role and those of other professions to appropriately assess and address the health care needs of patients and populations served.
3. Communicate with patients, families, communities and other health care professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and treatment of disease.
4. Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient- and population-centered care that is safe, timely, efficient, effective, and equitable. Using a top-down communication strategy does not apply as a team approach, but is needed for interprofessional collaboration.
Q2) Communicate with patients,families,communities and other health care professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and treatment of disease.
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Chapter 14: Infection Prevention and Control
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) An 89-year-old patient who lives in a nursing home has been admitted to the hospital for observation after falling,and is exhibiting confusion and malaise in the nursing home.He had a urinary catheter inserted 2 weeks ago when he complained of difficulty urinating.Lab work was ordered and the nurse notes that his neutrophil count is elevated.She knows that this,combined with the other clinical signs and symptoms,most likely indicates what condition?
A) Tuberculosis
B) Parasitic infection
C) Acute bacterial infection
D) Viral infection
Q2) The infection control nurse is presenting an in-service presentation on infection prevention and control.A participating nurse identifies what patient as most susceptible to acquiring an infection?
A) An 81-year-old patient with a fractured hip
B) A 10-month-old patient with a first-degree burned hand
C) A 40-year-old patient with a recent uncomplicated laparoscopic cholecystectomy
D) A 16-year-old athlete with a repair of the medial collateral ligament
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Chapter 15: Vital Signs
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A woman has been hospitalized with pneumonia.She has had oxygen on via nasal cannula at a rate of 2 L per minute.A nursing student is taking her vital signs.She notes that her respirations are labored and the rate is 32 respirations per minute.The nursing student recognizes this as which of the following?
A) Normal.
B) Tachypnea.
C) Bradypnea.
D) Apnea.
Q2) A senior nursing student is doing her community clinical rotation.When visiting a young family to whom she has been assigned,the mother of a 3-year-old child states that her daughter does not feel well.The nursing student feels her skin,which is warm.She asks the mother if she has taken her temperature to which the mother replies,"Yes,I used the same thermometer that was my great-grandmother's; it has been used by my family for years.Her oral temperature was 102.3° F." The most important action for the nursing student to perform is to do which of the following?
A) Teach that temporal artery thermometers are more accurate than others.
B) Tell the mother that hospitals still use mercury thermometers.
C) Ask to see the thermometer.
D) Recommend a chemical thermometer for greater accuracy.
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Page 17
Chapter 16: Health Assessment and Physical Examination
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The student nurse has been assigned to the pediatric unit for her clinical training this semester.She is assisting with the admission of a 5-month-old infant admitted with pneumonia.The student nurse is responsible for taking the child's vital signs and weighing and measuring the child.The infant's mother is very concerned when the student nurse tells her that the baby weighs 14 pounds.The mother states that the baby has lost a significant amount of weight because the previous week she weighed 16 pounds at home.What is the student nurse's best response to the mother's concern?
A) "To get an accurate weight, babies are weighed at different times of the day."
B) "Variations occur because we place our hand firmly on the child."
C) "Even if we use the same scale, the variation can be 1 to 2 pounds."
D) "Weight measurements can vary with different scales."
Q2) The nurse is assessing an elderly patient and notices a significant drooping of the eyelid.The nurse recognizes this as which of the following?
A) Ectropion of the eyelid
B) Entropion of the eyelid
C) Impairment of the fourth cranial nerve
D) Ptosis of the eyelid
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Chapter 17: Administering Medications
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) Unpredictable effects of some medications in which a patient overreacts or underreacts to a medication or has a reaction different from what is expected are known as:
A) medication allergies.
B) anaphylactic reactions.
C) medication interactions.
D) idiosyncratic reactions.
Q2) The nurse is preparing oral medications for a patient.In preparing these medications the nurse is aware of which of the following?
A) Acidic medications are absorbed slowly by the gastric mucosa.
B) Alkaline medications are absorbed rapidly by the gastric mucosa.
C) Solutions and suspensions are more difficult to absorb than capsules.
D) Alkaline medications are absorbed in the small intestine.
Q3) A(n)_______ occurs when one medication modifies the action of another medication.
A) medication allergy
B) anaphylactic reaction
C) medication interaction
D) idiosyncratic reaction
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Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A patient has been admitted to the postsurgical nursing unit after surgery.The health care provider has ordered the patient to have an IV of 0.9% sodium chloride.The nurse who is caring for the patient recognizes this as what type of solution?
A) Hypotonic
B) Isotonic
C) Hypertonic
D) Hypnotic
Q2) Two nursing students were having pizza one evening as they were studying.One student remarked that whenever she ate pizza,she was incredibly thirsty.The second student explained that this thirst was caused by:
A) colloid osmotic pressure.
B) osmoreceptors.
C) oncotic pressure.
D) hydrostatic pressure.
Q3) Yesterday morning the patient weighed 169.4 lb (77 kg).This morning the patient weighs 171.6 lb (78 kg).The nurse determines that the patient has gained _____ liter(s)of fluid.
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Chapter 19: Caring in Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A registered nurse who worked in an extended care facility could see that a patient was in the process of dying.The lab technician came to draw his blood.The nurse requested that the blood draw be postponed for a while so that the patient's wife,who was at his bedside,could spend some quiet time with her husband.This is an example of which caring behavior?
A) Providing presence
B) Encouraging manner
C) Healing environment
D) Affiliation needs
Q2) When individuals become ill,there may be a story about the meaning of the illness.When a nurse listens,the patient is:
A) able to break the distress of illness.
B) unable to express what he actually needed when he was ill.
C) usually not able to determine what is at stake because of his illness.
D) able keep the nurse from prying into his more personal life.
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Chapter 20: Cultural Awareness
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Health care regulatory agencies,national think tanks,and government agencies expect health care organizations to incorporate cultural competence into policies and practices to ensure effective communication,patient safety and quality,and patient-centered care.Some examples of such organizational policies and practices include which of the following? (Select all that apply.)
A) Instituting a requirement for all staff to be trained in cultural competence
B) Maintaining the traditional description of family in written policies
C) Enforcing strict visitation policies and practices
D) Ensuring that persons who are deaf or speak limited English have access to an interpreter
E) Embedding health literacy principles in written and verbal communication
Q2) The current focus on promoting a culturally competent health care environment is on which of the following?
A) The health care provider's efforts to become self-aware
B) The health care provider learning about other cultures
C) Avoiding the systematic provision of care
D) Ensuring that cultural competence is integrated into administrative processes
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Chapter 21: Spiritual Health
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) An elderly patient is dying,and begins talking to loved ones who have died before him.The nurse feels a sense of inner peace as his patient quietly dies.What is the best term for this feeling of peace?
A) Self-transcendence
B) Intrapersonal connectedness
C) Interpersonal connectedness
D) Transpersonal connectedness
Q2) The nurse is caring for a patient who states that he does not believe in the existence of God.The nurse realizes that this person:
A) is not a spiritual person.
B) is an agnostic.
C) believes that people bring meaning into the world.
D) finds meaning in life through work and relationships.
Q3) A patient refuses to remove a specific spiritual garment for daily bathing.The most appropriate action for the nurse would be to:
A) remove the article anyway because the garment hinders daily care delivery.
B) respect the patient's wishes and work around it.
C) explain to the patient that the garment has no real spiritual value.
D) identify the refusal as a sign of spiritual distress.
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Page 23
Chapter 22: Growth and Development
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A 90-year-old patient constantly tells the nurse stories about life many years ago.The nurse encourages this behavior because reminiscence or life review is:
A) a technique that prepares the individual for the end of life.
B) a review of dispelling past experiences as meaningless.
C) helpful although it is unnatural in the older adult.
D) a way for the elderly to realize that conflicts cannot be reconciled.
Q2) The patient has been diagnosed with progressive Alzheimer's disease.Characteristics of this disease include which of the following? (Select all that apply.)
A) Delirium
B) Agnosia
C) Apraxia
D) Aphasia
E) Amnesia
Q3) ______ is the measurable aspect of a person's increase in physical dimensions.
A) Growth
B) Development
C) Maturation
D) The latency stage of development
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Page 24
Chapter 23: Self-Concept and Sexuality
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/7488
Sample Questions
Q1) After a large weight loss a patient tells the nurse,"There still is a fat person inside of me." This type of statement illustrates a flaw in what self-concept component?
A) Role performance
B) Identity stressor
C) Self-esteem
D) Body image
Q2) A male patient shares that,although he has a satisfying relationship with his wife,he is also attracted to men.He is confused and does not know how to deal with this issue.The nurse should do which of the following?
A) Explain that the patient's problem is one of orientation and high risk.
B) Tell the patient that he has a sexual dysfunction and needs medication.
C) Inform the patient that having relationships with other men is normal and risk free.
D) Teach that STIs are fewer with men because most STIs are spread vaginally.
Q3) Reviewing sexuality changes associated with aging is important because:
A) very few older women experience any type of sexual problems.
B) in older men, the penis does not become firm as quickly.
C) ejaculation remains the same throughout life.
D) ejaculation is quicker with aging.
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Chapter 24: Family Context in Nursing
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24 Flashcards
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Sample Questions
Q1) A married couple takes four children to an immunization clinic.The nurse notes that the children's permission slips include three children with one last name and one child with a different last name.On questioning the parents the nurse discovers that this family group is an example of a(n)_____ family.
A) nuclear
B) blended
C) extended
D) single-parent
Q2) A nurse is caring for a patient.Visitors at the bedside include the patient's life partner,widowed mother,sister,and nephew.The nurse acknowledges that current trends in American families include which of the following?
A) Couples deciding to have many children
B) A declining divorce rate
C) Changing family patterns
D) Fewer people choosing to live alone
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26
Chapter 25: Stress and Coping
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20 Flashcards
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Sample Questions
Q1) A nurse works on an oncology unit and has a lot of stress in her life.Which of the following situational factors would be considered work stress?
A) Caring for a family member who has Alzheimer's disease
B) Being diagnosed with a chronic back injury
C) Finding out that a parent has lung cancer
D) Having a disagreement with her nurse manager
Q2) The nurse is administering flu vaccines.One of the children who is scheduled to receive the vaccine is afraid of needles and is tearful,and his younger brother is trying to calm him down.The nurse knows that the tearful child has evaluated this event as challenging and therefore is experiencing psychological stress caused by which of the following?
A) Primary appraisal
B) Coping
C) Secondary appraisal
D) Dissociation
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Chapter 26: Loss and Grief
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Sample Questions
Q1) The parent of a child who drowned in a neighbor's pool that was not secured,would most likely file a wrongful death lawsuit against the neighbor during which of Bowlby's phases of mourning?
A) Numbing
B) Yearning and searching
C) Disorganization and despair
D) Reorganization
Q2) The nurse is caring for a patient who has just passed away.What should she do?
A) Provide postmortem care in a manner consistent with religious or cultural beliefs.
B) Place the body in a supine position to prevent disfigurement.
C) Ask family to leave the room since they do not know how to provide care.
D) Remove all tubes before determining if an autopsy will be done.
Q3) A patient's daughter died in a ski accident.The patient stated,"I cannot believe my daughter has died." According to Worden's tasks of mourning,the patient is experiencing task:
A) I.
B) II.
C) III.
D) IV.
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Page 28
Chapter 27: Exercise and Activity
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30 Flashcards
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Sample Questions
Q1) A nurse is teaching a crutch walking technique that requires weight bearing on both legs.Each leg is moved alternately with each opposing crutch so that three points of support are on the floor at all times.What is the term for this gait?
A) Four-point gait
B) Three-point gait
C) Two-point gait
D) Three-point alternating gait
Q2) Which group of muscles is involved with joint stabilization?
A) Skeletal muscles
B) Antigravity muscles
C) Synergistic muscles
D) Antagonistic muscles
Q3) A patient presents to the emergency department with a fractured leg that requires a full leg cast.The nurse needs to teach the patient to ambulate with crutches using which of the following?
A) Two-point gait
B) Three-point gait
C) Four-point gait
D) Tripod alternating position
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Chapter 28: Safety
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Sample Questions
Q1) The patient has recently moved into a newly renovated home in the inner city.The patient is being seen in the clinic for complaints of ongoing headaches,nausea,dizziness and fatigue.The symptoms started shortly after moving into the new home.As the nurse gathers information,which of the following questions would be most appropriate to ask the patient?
A) "Have you changed the battery in your smoke alarm recently?"
B) "Have you changed your diet since moving?"
C) "What type of furnace do you have?"
D) "When was the last time your house was painted?"
Q2) The parent of a 13-year-old boy is concerned because the teenager wants to hang out with friends all the time and has stated that he wants to get his ear pierced because all his friends have piercings.What is the best response from the nurse?
A) "I think you need to seek counseling for your son."
B) "I think this is just a phase that will quickly pass."
C) "Your son needs to find new friends."
D) "Your son's behavior is normal; he is trying to assert his independence."
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Chapter 29: Hygiene
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Sample Questions
Q1) The health care provider orders meticulous foot care on a patient with diabetes.What is the best rationale for the nurse to assess the patient for complications?
A) Poor hygienic practices in patients with diabetes
B) Vascular changes, which reduces circulation
C) The aging process, which causes skin breakdown and ulceration
D) Limited joint range of motion, which makes caring for feet difficult
Q2) A bedridden patient with long hair may experience problems with matting.What is the most appropriate nursing action?
A) Cut the matted hair away.
B) Braid the hair to reduce the tangles.
C) Use a thick, commercial product to grease the hair.
D) Keep the hair dry by applying powder every morning.
Q3) Older adult patients produce less sebum and perspire less than younger patients.Therefore when providing personal hygiene the nurse should do which of the following?
A) Use hot water and regular soap.
B) Use plain water and a soft towel.
C) Provide a total bed bath every day.
D) Use warm water and a mild cleansing agent.
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Page 31
Chapter 30: Oxygenation
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Sample Questions
Q1) A patient with a tracheostomy is experiencing thick and tenacious secretions.To maintain this patient's airway,what is the most appropriate action for the nurse?
A) Tracheal suctioning
B) Oropharyngeal suctioning
C) Nasotracheal suctioning
D) Orotracheal suctioning
Q2) A 45-year-old patient was diagnosed with an anterior myocardial infarction.The patient asks the nurse why his chest hurt when he had his heart attack.What is the best response from the nurse?
A) "One of your heart valves wasn't working properly and caused an obstructed blood flow."
B) "One of your coronary arteries had a spasm, and your heart muscle wasn't able to get enough blood."
C) "Your heart muscle was deprived of oxygen, which caused chest pain."
D) "The heart muscle is sensitive to changes in electrical conduction."
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Chapter 31: Sleep
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Sample Questions
Q1) Which of the following bedtime snack(s)helps to promote sleep in a patient?
A) Cereal and milk
B) A full meal
C) Chips and cola
D) Coffee and toast
Q2) During a sleep study test,the patient states,"I never dreams anymore." The health care provider tells the patient that everyone dreams,but most people forget about them upon awakening.The health care provider tells the patient that the best way to remember dreams is to do which of the following?
A) Eat spicy food before going to sleep.
B) Avoid caffeine in the afternoon.
C) Consciously think about the dreams upon awakening.
D) Become more creative.
Q3) Which of the following data are most important to assess if a patient is receiving sufficient sleep?
A) Hours of sleep each night
B) Sleep-wake pattern
C) Whether the patient feels rested
D) Number of times the patient awakens during sleep
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Chapter 32: Pain Management
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Sample Questions
Q1) According to established standards,nurses must frequently assess patients experiencing pain.The most appropriate action for the nurse to take when assessing a patient's pain is which of the following?
A) Ask what precipitates pain.
B) Question the patient about the location of the pain.
C) Offer the patient a pain scale to objectify the patient's response.
D) Use closed-ended questions to find out about the patient's sensations.
Q2) A graduate nurse is working for a diabetes unit.The nurse manager has prepared a very thorough orientation,which includes check-offs for taking vital signs.The nurse manager has informed the graduate nurse that their hospital has adopted the Joint Commission's pain standard and that they will be assessing five vital signs.The graduate nurse knows that the fifth vital sign is which of the following?
A) Arterial blood gasses
B) Blood sugar
C) Blood pressure
D) Pain
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Chapter 33: Nutrition
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Sample Questions
Q1) A school nurse is presenting a class on nutritional needs to a group of 16-year-old adolescents.When discussing a balanced diet,the objectives for Healthy People 2020,and the goals of the ChooseMyPlate program,the nurse explains to this age group that nutritional goals should include which of the following? (Select all that apply.)
A) To balance energy expenditure and caloric intake to increase weight gain
B) To promote food choices for a healthy lifestyle
C) To decrease the intake of vitamins and minerals
D) To reduce chronic disease related to diet and weight
E) To limit fast foods because of increase in salt, fat, and calories
Q2) During a nutritional assessment the nurse finds that a patient's energy needs exceed nutritional intake.What other assessment finding will the nurse observe?
A) Weight gain
B) Weight loss
C) Anabolism
D) Excessive adipose tissue
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Chapter 34: Urinary Elimination
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Sample Questions
Q1) A patient with congestive heart failure reports experiencing increased urination when taking the prescribed medication.The nurse explains that which of the following is true?
A) The patient is probably taking a diuretic.
B) The patient is probably taking an anticholinergic.
C) The patient is probably taking an antispasmodic.
D) The patient probably has a UTI.
Q2) Patients with urinary incontinence are unable to completely empty their bladder.The nurse can assist a patient to void by using which of the following methods? (Select all that apply.)
A) Completing manual bladder compression
B) Having the patient assume the normal position for voiding
C) Telling the patient to void only when he or she has the urge
D) Pressing down on the right and left flanks of the patient
E) Running water in the sink
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Chapter 35: Bowel Elimination
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Sample Questions
Q1) The nurse is caring for a patient with abdominal pain.While obtaining a stool specimen for occult blood,the nurse notices that the specimen is black.The nurse recognizes that the color change may be the result of which of the following?
A) Absence of bile
B) Malabsorption of fat
C) Diarrhea
D) Iron supplements or GI bleeding
Q2) A patient is concerned about intermittent constipation and is confused about all the laxatives that are available.One of the laxatives that the patient has used in the past was mineral oil.The nurse explains that this type of laxative is an example of a(n)_____ laxative.
A) stimulant
B) osmotic agent
C) emollient
D) lubricant
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Chapter 36: Immobility
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Sample Questions
Q1) Patients on prolonged bed rest are at risk for a deep vein thrombosis.Which information indicates the nurse needs more teaching about the factors in Virchow's triad?
A) One of the factors is loss of integrity of the vessel wall.
B) One of the factors is abnormalities of blood flow.
C) One of the factors is alterations in blood constituents.
D) One of the factors is atrophy of the muscles.
Q2) The patient was involved in a motor vehicle accident.The patient has a fractured right hip and is on bed rest.Because of the prolonged immobility the nurse is concerned about complications such as which of the following? (Select all that apply.)
A) Decreased nutrients/fluids
B) Increased disuse osteoporosis
C) Increased gastrointestinal motility
D) Decreased lung expansion
E) Decreased pooling of lung secretions
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Chapter 37: Skin Integrity and Wound Care
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Sample Questions
Q1) A patient who has undergone a colectomy is demonstrating wound healing.The nurse correctly identifies the wound phase characterized by synthesis of collagen fibers as which of the following?
A) Proliferative phase
B) Inflammation phase
C) Hemostasis phase
D) Secondary intention phase
Q2) When a patient has full-thickness loss but the depth is unknown,how should the nurse classify this pressure ulcer?
A) Stage/Category III
B) Unstageable
C) Suspected deep tissue injury
D) Stage/Category IV
Q3) A patient is wearing an abdominal binder after abdominal surgery.What does the nurse need to assess and document about the patient?
A) Neurological response
B) Respiratory status
C) Lymphatic status
D) Genitourinary response
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Page 39
Chapter 38: Sensory Alterations
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Sample Questions
Q1) A home care nurse visits a new patient.The family asks how the home can be made safer.The nurse's best advice includes which of the following?
A) Using throw rugs to prevent tripping
B) Installing extra incandescent lighting
C) Painting the floor black and white to add perception
D) Installing handrails painted the same color as the walls
Q2) A home care nurse is conducting a home assessment.The nurse is looking for the presence of sensory alterations.Factors to assess include if any changes have occurred in which of the following? (Select all that apply.)
A) Activities of ADLs
B) Health promotion
C) Has person had visitors
D) Is person wearing hearing aids and glasses
E) Ability to follow a conversation
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Chapter 39: Surgical Patient
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Sample Questions
Q1) All patients undergoing surgery need to have preoperative preparation.When physically preparing the patient,the most appropriate action for the nurse to take is which of the following?
A) Leaving all of the patient's jewelry in place
B) Removing the patient's makeup and nail polish
C) Providing the patient with sips of water for a dry mouth
D) Removing the patient's hearing aid before transport to the operating room
Q2) Intraoperatively,the circulating nurse observes a member of the surgical team breach aseptic technique.As a result of this incident the postoperative patient can be at risk for which of the following?
A) Paralytic ileus
B) Malignant hyperthermia
C) Development of infection
D) Alteration in pulmonary hygiene
Q3) Which of the following patients is most at risk for hypovolemic shock after emergency surgery?
A) 14-year-old adolescent with gastroenteritis
B) 59-year-old patient with pneumonia
C) 12-year-old patient with H1N1 flu
D) 28-year-old patient with a fractured ankle
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