Clinical Nursing Skills
Question Bank
Course Introduction
Clinical Nursing Skills provides students with the foundational knowledge and hands-on practice needed to perform essential nursing procedures safely and effectively. The course covers vital topics such as infection control, patient assessment, medication administration, wound care, vital sign measurement, and basic life support techniques. Through a combination of classroom instruction, simulation labs, and supervised clinical practice, students develop competence and confidence in delivering evidence-based care to patients across various healthcare settings. Emphasis is placed on critical thinking, communication, and teamwork to ensure high-quality, patient-centered nursing care.
Recommended Textbook
Fundamentals of Nursing Two Volume Set 3rd Edition by Judith M. Wilkinson
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46 Chapters
1461 Verified Questions
1461 Flashcards
Source URL: https://quizplus.com/study-set/2375 Page 2
Chapter 1: Evolution of Nursing Thought Action
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/47122
Sample Questions
Q1) Which of the following best explains the importance of standards of practice?
A) Nurses and other healthcare providers have the same standards of practice.
B) Standard of practice only apply to nurses who work in hospital settings.
C) Standards of practice identify the knowledge, skills, and attitudes nurses need to provide safe care.
D) Standards of practice differ among registered nurses because the roles are different based on the population they serve.
Answer: C
Q2) ____________________ is a health program,administered by the state and funded by federal and state governments,to provide care for low-income people. Answer: Medicaid
Medicaid is a health program run by the state and funded by the federal and state governments.It is intended to provide preventive and acute healthcare for individuals who are unable to pay for services,in particular pregnant women and children.
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3
Chapter 2: Critical Thinking: Nursing Process
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse admits a patient to the unit after completing a comprehensive interview and physical examination.To develop a nursing diagnosis,the nurse must now:
A) Analyze the assessment data
B) Consult standards of care
C) Decide which interventions are appropriate
D) Ask for the client's perceptions of her health problem
Answer: A
Q2) The nurse documents in the client plan of care that the wound treatment to the client's left foot has resulted in wound healing.She removed the Skin Integrity diagnosis from the plan of care.The nurse is using which aspect of the Nursing Process?
A) Assessment
B) Evaluation
C) Planning outcomes
D) Planning interventions
Answer: B
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Chapter 3: Nursing Process: Assessment
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Nondirective interviewing is a useful technique because it:
A) Allows the nurse to have control of the interview
B) Is an efficient way to interview a patient
C) Facilitates open communication
D) Helps focus patients who are anxious
Answer: C
Q2) Which situation is the most conducive to conducting a successful interview of an elderly woman whose husband and two children are in the hospital room visiting and watching television? The woman is alert and oriented.
A) Provide enough chairs so the family and you are able to sit facing the client.
B) Introduce yourself and ask, "Dear, what name do you prefer to go by?" before asking any further questions.
C) After the family leaves, ask the client whether she is comfortable and willing to answer a few questions.
D) Ask the client whether you can talk with her while her family is watching the television.
Answer: C
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5
Chapter 4: Nursing Process: Diagnosis
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Which statement related to prioritizing patient problems is most accurate?
A) Nurses must resolve one problem before addressing another problem.
B) Nurses prioritize problems in order of urgency.
C) Actual problem always take priority over risk problems.
D) Nurses give the highest priority to problems that the patient thinks are most important.
Q2) Which of the following describes the most important use of making a nursing diagnosis? Assume all are true.
A) Differentiates the nurse's role from that of the physician
B) Identifies a body of knowledge unique to nursing
C) Helps nursing develop a more professional image
D) Describes the client's needs for nursing care
Q3) The benefits for nursing practice in using a standardized nursing language include which of the following? Select all that apply.
A) Define and communicate nursing knowledge
B) Assist the nurse in understanding medical diagnoses
C) Facilitate nursing research
D) Help nurses provide consistent interventions for all patients
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6
Chapter 5: Nursing Process: Planning Outcomes
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) How is NOC different from the Omaha System?
A) NOC can be used to write health restoration outcomes.
B) NOC can be used in all specialty and practice areas.
C) NOC can be used for individuals, families, or groups.
D) NOC formulates goals based on nursing diagnoses.
Q2) Which of the following is true for goals/outcomes for collaborative problems?
A) They are monitored only by other disciplines.
B) They are usually sensitive to nursing interventions.
C) They state that a complication will not occur.
D) They state only broad performance criteria.
Q3) The nurse is planning care for a patient.She is using a standardized care plan for Impaired Walking related to left-side weakness.Which of the following activities will the nurse perform when individualizing the plan for the patient?
A) Validating conflicting data with the patient
B) Transcribing medical orders
C) Stating the frequency for ambulation
D) Performing a comprehensive assessment
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Chapter 6: Nursing Process: Planning Interventions
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which definition best describes a critical pathway?
A) Standardized plan of care for frequently occurring conditions
B) Systematically developed statement to assist practitioners and patients in decision making
C) Systematic review of clinical evidence for an intervention
D) Set of interrelated concepts that describes or explains something
Q2) The nurse has completed the plan of care for her patient with a medical diagnosis of Gall Bladder Disease.In selecting nursing interventions that will best serve to help the patient achieve the desired goals,the nurse will consider which of the following? Select all that apply.
A) Age of the patient
B) Patient abilities and preferences
C) Education levels of the nursing staff
D) Medical orders
E) None of the above
Q3) Which of the following is the best example of a well-written nursing order?
A) Provide emotional support to patient and family as needed.
B) Bathe patient every day.
C) Follow fluid restriction of 1,500 mL per day.
D) Insert Foley catheter if patient has not voided within 8 hours.
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Chapter 7: Nursing Process: Implementation Evaluation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A physician orders an indwelling urinary catheter for a client who is mildly confused and has been combative.How should the nurse proceed?
A) Ask a colleague for help, because the nurse cannot safely perform the procedure alone.
B) Gather the equipment and prepare it before informing the client about the procedure.
C) Obtain an order to restrain the client before inserting the urinary catheter.
D) Inform the primary provider that the nurse cannot perform the procedure because the client is confused.
Q2) Which type of client-centered evaluation is performed at specific,scheduled times?
A) Intermittent
B) Ongoing
C) Terminal
D) Process
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9
Chapter 8: Evidence-Based Practice: Theory Research
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which commonly accepted practice came out of the Framingham study? Use of:
A) Mammography in breast cancer screening
B) Colonoscopy in colon cancer screening
C) Pap testing in cervical cancer screening
D) Digital rectal examination in prostate cancer screening
Q2) The American Nurses Association (ANA)has set standards for registered nurses in utilizing evidence-based interventions and treatments in practice.According to the ANA,which of the following statement(s)best describes these standards? Select all that apply.The registered nurse:
A) Uses current evidence-based nursing knowledge to guide practice decisions
B) Critically analyzes evidence-based practice and research findings for application to practice
C) Shares research activities and findings with peers and others
D) Uses specific competencies in conducting and integrating research
Q3) A 56-year-old patient diagnosed with an acute myocardial infarction (heart attack)makes inappropriate sexual comments to the licensed practical nurse (LPN).The LPN is visibly upset.The registered nurse (RN)assigned to the patient informs the patient his behavior is unacceptable and will not be tolerated.Is the RN demonstrating holistic or mechanistic nursing?
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Chapter 9: Life Span: Infancy Through Middle Adulthood
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A 16-year-old male tells the nurse that he is not in the mood to do anything with his friends.He states,"For weeks now I am just not interested in doing anything and I've stopped all my sports activities.I just feel sad all the time and I just don't want to go on."
The nurse completes her assessment and begins her plan of care.What is the most appropriate nursing intervention at this time?
A) Inform the patient you will be contacting his parents
B) Inform the patient you are completing a mental health referral
C) Teach the male coping strategies
D) Contact the patient's teachers for further information
Q2) The nurse is giving a health promotion class for middle-aged males.As part of her teaching plan,the nurse will provide information on which common health problems associated with this age group? Select all that apply.
A) Cardiovascular disease
B) Cancer
C) Alcoholism
D) Obesity
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Chapter 10: Life Span: Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) An older adult patient with dementia is seen at the clinic for a physical examination.The son tells the nurse,"I don't know how much more of this I can do.There is so much work involved in just getting my dad out of bed in the morning,and I can't communicate with him.I'm just so tired." The nurse recognizes that the son is most likely experiencing:
A) Symptoms of depression
B) Caregiver role strain
C) Serious frustration
D) Resentment over being the only care provider
Q2) A 78-year-old couple is moving out of state to be closer to family members.Which of the following residences is most appropriate for this couple?
A) Second story apartment with safety bars in the bathrooms
B) Small two-bedroom home close to shopping center and church
C) One-level living area condominium with good lighting inside and outside
D) Two-level living area condominium close to family members
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Chapter 11: Experiencing Health Illness
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nursing student is working with a primary nurse on the oncology unit.She says to the nurse,"How can I best help my patients' and to make their hospital stay a better experience?" What is the most appropriate response for the nurse to make? Select all that apply.
A) "This takes time. Once you have your nursing license, it will become clear to you."
B) "Find your best approach to patient care and then use this approach with every patient.
C) "One of the very best ways is to listen to your patient and be attentive."
D) "It is good to think about your own strengths and weaknesses and how you cope with illness."
Q2) When transferring a patient from a hospital to a long-term care facility,which of the following is most helpful in facilitating the patient's planning and emotional adjustment?
A) Notify the patient and family as much in advance of the transfer as possible
B) Send a complete copy of the patient's medical records to the new facility
C) Carefully coordinate the transfer with the long-term facility to keep it smooth
D) Help arrange for transportation and accompany the patient to the transport vehicle
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Chapter 12: Stress Adaptation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/47133
Sample Questions
Q1) During the alarm stage of the general adaptation syndrome,which metabolic change(s)occur(s)? Select all that apply.
A) Rate of metabolism decreases.
B) Liver converts more glycogen to glucose.
C) Use of amino acids decreases.
D) Amino acids and fats are more available for energy.
Q2) The nursing student asks his instructor,"Why do some of my patients get a headache when they have stress and others cry?" The most appropriate response by the instructor is which of the following?
A) "All patients react to stress differently."
B) "Stress responses can be physical, mental, behavioral, and spiritual."
C) "Some patients are more emotional than others."
D) "Some patients overreact to the stress they are experiencing."
Q3) A patient complains of a vague,uneasy feeling of dread,and his heart rate is elevated.Which of the following nursing diagnoses is most appropriate for this patient?
A) Anger
B) Fear
C) Anxiety
D) Hopelessness
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Page 14
Chapter 13: Psychosocial Health Illness
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The nurse is updating the care plan of a patient who must undergo a right mastectomy for breast cancer.Which nursing diagnosis should the nurse anticipate in expectation of the body changes associated with the upcoming surgery?
A) Deficient Knowledge
B) Impaired Adjustment
C) Hopelessness
D) Grieving
Q2) There are many theories and treatments for depression.Based on current research,which of the following is considered to be the most effective treatment for serious depression?
A) Psychotherapy
B) Antidepressant medications
C) Education
D) Social support networks
Q3) Which of the following is considered a strength of the nursing profession?
A) Biomedical focus
B) Psychosocial focus
C) Biopsychosocial focus
D) Physical focus
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Page 15
Chapter 14: The Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) To prevent a reduction in herd immunity,what should the nurse teach a class of pregnant women?
A) "You should increase your intake of milk to meet your growing calcium needs."
B) "It is important to take your prenatal vitamins daily to provide the essential vitamins and minerals your body needs."
C) "You should ensure your child gets his or her immunizations at the recommended scheduled times."
D) "You should limit the time your child is in crowded environments for the first 6 months of his or her life."
Q2) The study of genomics and the use of a genogram are playing a larger role in personalizing a patient's plan of care.How are genomics and the use of a genogram helpful in personalizing a patient plan of care? Select all that apply.
A) Assists in identifying at-risk individuals for certain conditions enabling better preventative care
B) Helps to more accurately detect illness, even before symptoms appear
C) Provides understanding of how people may respond differently to certain drugs and treatments
D) Increases the trust a patient and family have in the healthcare professionals
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Chapter 15: Culture Ethnicity
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient of Japanese heritage avoids asking for narcotics for pain relief.The nurse writes a nursing diagnosis of Pain related to reluctance to take medication secondary to cultural beliefs.If the cultural archetype is true for this particular patient,this probably means that the patient views pain as:
A) A punishment for immoral behavior
B) An expected, normal part of life
C) Best treated with herbal teas and prayer
D) A virtue and a matter of family honor
Q2) A Spanish-speaking patient in the hospital is getting ready surgery and needs to sign the surgical consent form.Existing regulations determine the healthcare organization's responsibility for obtaining informed consent from this patient.The healthcare organization is required to do which of the following?
A) Provide a licensed interpreter
B) Provide a translator approved by the organization
C) Ensure adequate resources to comply with informed consent requirements
D) Choose an interpreter, a translator, or a family member to interpret
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Chapter 16: Spirituality
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A female patient tells the charge nurse that she does not want a male nurse caring for her.Which intervention by the charge nurse is best?
A) Explain that hospital policy does not allow nursing assignments based on the gender of the nurse.
B) Explore with the patient her beliefs and determine which might have caused her to make this statement.
C) Assure the patient that each nurse is capable of providing professional nursing care, regardless of gender.
D) Comply with the patient's request and assign a female nurse to care for the patient.
Q2) What are some activities nurses can do to gain a broader view of spirituality? Select all that apply.
A) Develop critical and reflective thinking abilities
B) Participate in religious and spiritual practices regularly
C) Increase knowledge base of religion and spirituality
D) Recognize that all spirituality is deeply ingrained in religion
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18
Chapter 17: Loss,Grief, Dying
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A patient's wife tells the nurse that she wants to be with her husband when he dies.The patient's respirations are irregular,and he is congested.The wife tells the nurse that she would like to go home to shower but that she is afraid her husband might die before she returns.Which response by the nurse is best?
A) "Certainly, go ahead; your husband will most likely hold on until you return."
B) "Your husband could live for days or a few hours; you should do whatever you are comfortable with."
C) "You need to take care of yourself; go home and shower, and I'll stay at his bedside while you are gone."
D) "Don't worry. Your husband is in good hands; I'll look out for him."
Q2) The mother of a preschool child dies suddenly of a ruptured cerebral aneurysm.What recommendation should the nurse make to the family regarding how to most therapeutically care for the child?
A) Take the child to the funeral even if he is frightened.
B) Notify the physician immediately if the child shows signs of regression.
C) Spend as much time as possible with the child.
D) Provide distraction whenever the child begins to express feelings of sadness.
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Chapter 18: Documenting Reporting
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient refuses a dose of medication.How should the nurse document the event?
A) Patient is uncooperative and refuses the prescribed dose of digoxin.
B) Patient refuses the 0900 dose of digoxin.
C) Patient is belligerent, argumentative, and refuses the 0900 dose of digoxin.
D) 0900 dose of digoxin not given.
Q2) The implementation of electronic health records (EHRs)allows the nurse to do which of the following? Select all that apply.
A) Use trend data to facilitate evidence-based nursing practice
B) Promote efficient use of time spent charting
C) Reduce the opportunity for interdisciplinary collaboration
D) Activate the system's safeguards to promote client safety
Q3) A client is admitted to a long-term care facility.The nurse knows that federal law requires the use of:
A) The Minimum Data Set (MDS) for assessment
B) Situation-Background-Assessment-Recommendation (SBAR) for reporting
C) Health Care Financing Administration guidelines prior to surgery
D) The Joint Commission guidelines for discharge planning
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Page 20
Chapter 19: Teaching Learning
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) When the nurse is giving instructions for discharge,he notices that the television is on and he is eating a meal.The best thing for the nurse to do to ensure that the patient's discharge teaching is understood is to:
A) Review all important discharge teaching while in the room
B) Ask whether the patient has any questions about the discharge
C) Inform the patient that the instructions are on the discharge sheet
D) Arrange another time with the patient to review the discharge teaching
Q2) The nurse knows that iron deficiency anemia is caused by low levels of iron in the body that can be improved by a diet high in iron.Based on this information,the best nursing diagnosis is:
A) Imbalanced nutrition: less than body requirements for iron r/t possible Deficient Recall of dietary needs
B) Deficient Recall r/t imbalanced nutrition due to less than body requirements of iron
C) Imbalanced nutrition: less than body requirements r/t inability to access information
D) Inability to access information r/t Deficient Recall about dietary needs for iron
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21
Chapter 20: Measuring Vital Signs
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) At last measurement,the client's vital signs were as follows: oral temperature 98°F (36.7°C),heart rate 76 beats/min,respiratory rate 16 breaths/min,and blood pressure (BP)118/60 mm Hg.Four hours later,the vital signs are as follows: oral temperature 103.2°F (38.5°C),heart rate 76 beats/min,respiratory rate 14 breaths/min,and blood pressure 120/66 mm Hg.Which should the nurse's first intervention be at this time?
A) Ask the client whether he has had a warm drink in the last 30 minutes.
B) Notify the primary care provider of the client's temperature.
C) Ask the client whether he is feeling chilled.
D) Take the temperature by a different route.
Q2) The nurse volunteers to work at the annual summer 20-mile marathon in her community.In planning for the event,the nurse knows that which of the following nursing diagnoses is most important to include in the plan?
A) Risk for Fatigue
B) Risk for Elevated Heart Rate
C) Risk for Alterations in Blood Pressure
D) Risk for Imbalanced Body Temperature
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22
Chapter 21: Communication Therapeutic Relationships
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) What actions by the nurse are best for communicating with an unconscious patient? Select all that apply.
A) Speak loudly and clearly.
B) Explain all procedures.
C) Use touch appropriately.
D) Speak calmly and slowly.
E) Introduce yourself.
Q2) Which intervention by the nurse helps to establish a trusting nurse-patient relationship?
A) Avoiding topics that may provoke emotional responses from the patient
B) Listening to the patient while performing care activities
C) Performing care interventions quietly without explanation
D) Greeting the patient by name whenever entering the patient's room
Q3) A patient comes to the emergency department complaining of severe substernal chest pain.He is restless and anxious.Which statement by the nurse appropriately offers reassurance?
A) "I'll give you some medication to help relieve the pain."
B) "If you lie still and relax, you'll be fine in a little while."
C) "Please try not to think about the pain as best as you can.
D) "Don't worry; we're going to take good care of you."
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Chapter 22: Health Assessment
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) Which disorder(s)might limit a patient's visual field? Select all that apply.
A) Diabetes
B) Advanced glaucoma
C) Peripheral vascular disease
D) Cataracts
Q2) Assuming that all are accurate,which documentation about a patient's level of consciousness is best?
A) Patient is lethargic and slept when undisturbed.
B) Patient responds to tactile stimulation; falls back to sleep immediately after tactile and verbal stimulation are stopped.
C) Patient slept throughout the day, missing his meals and bath.
D) Patient appears to be tired as he slept throughout the day except when bathed.
Q3) A female patient has excessive facial hair.The nurse should document this finding as:
A) Alopecia
B) Albinism
C) Hirsutism
D) Lanugo
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24
Chapter 23: Promoting Asepsis Preventing Infection
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is removing personal protective equipment (PPE).Which item should be removed first?
A) Gown
B) Gloves
C) Face shield
D) Hair covering
Q2) As a general rule,how much liquid soap should the nurse use for effective handwashing? At least:
A) 2 mL
B) 3 mL
C) 6 mL
D) 7 mL
Q3) The nurse caring for several patients on the intermediate care unit considers which of the following patients to be most at risk for developing an infection? A patient with a/an:
A) Centrally venous catheter
B) Indwelling urinary catheter
C) Colostomy
D) Nasoenteric feeding tube
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Page 25
Chapter 24: Promoting Safety
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26 Flashcards
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Sample Questions
Q1) A patient is brought to the emergency department after inhaling mercury.The nurse should be alert for which acute adverse effects associated with mercury inhalation?
A) Chest pain, pneumonitis, and inflammation of the mouth
B) Intestinal obstruction and numbness of the hands
C) Hypotension, oliguria, and tingling of the feet
D) Tachycardia, hematuria, and diaphoresis
Q2) While working with a certified nursing assistant (CNA)in a local nursing home,the nurse knows that which of the following fall risk and prevention measures may be delegated to the CNA? Select all that apply.
A) Remove clutter and spills in patient rooms.
B) Place nonskid slippers on all patients.
C) Answer call lights in a timely manner.
D) Assess each patient for fall risk.
Q3) Which aspect of restraint use can the nurse delegate to the nursing assistive personnel?
A) Assessing the patient's status
B) Determining the need for restraint
C) Evaluating the patient's response to restraints
D) Applying and removing the restraints
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Page 26
Chapter 25: Facilitating Hygiene
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The school nurse is teaching a group of middle school students how to prevent tinea pedis.Which remark by a student provides evidence of learning?
A) "I can contract the infection by walking barefoot in the gymnasium's showers."
B) "The best way to avoid contracting the infection is to use good handwashing."
C) "Wearing unventilated shoes prevents the fungus from gaining contact with my feet."
D) "There is really no way to prevent its spread; it's highly contagious."
Q2) Which of the following is a correct step in removing and cleaning a hearing aid?
A) Clean only the external surfaces, not the canal portion.
B) Clean the top part of the canal portion of the device.
C) Insert a wax loop or toothpick into the hearing aid itself.
D) Remove the battery before taking the hearing aid from the ear.
Q3) Which area(s)should the nurse inspect when assessing for cyanosis in a dark-skinned patient? Select all that apply.
A) Buccal mucosa
B) Around the lips
C) Palms
D) Tongue
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Page 27
Chapter 26: Administering Medications
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46 Flashcards
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Sample Questions
Q1) A nurse is being investigated for stealing narcotics from several patients.Which federal agency can become involved in the investigation of this incident?
A) State Board of Nursing
B) U.S. Food and Drug Administration
C) U.S. Drug Compliance Department
D) U.S. Drug Enforcement Agency
Q2) Which expected outcome is best for a patient with a nursing diagnosis of Deficient Knowledge related to new drug treatment regimen?
A) After an explanation and written materials, describes the expected actions and adverse reactions of his medication
B) In 1 week after instructional session, describes the expected actions and adverse reactions of his medications
C) Follows the treatment plan as prescribed
D) Experiences no adverse effect from his prescribed treatment plan
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28
Chapter 27: Nutrition
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44 Flashcards
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Sample Questions
Q1) Which patient is most likely experiencing positive nitrogen balance? A patient admitted:
A) With third-degree burns of his legs
B) In the sixth month of a healthy pregnancy
C) From a nursing home who has been refusing to eat
D) With acute pancreatitis
Q2) The nurse notices that a patient has spoon-shaped,brittle nails.This suggests that the patient is experiencing Imbalanced Nutrition: Less Than Body Requirements related to deficiency of which of the following nutrients?
A) Iron
B) Vitamin A
C) Protein
D) Vitamin C
Q3) Which class of nutrients is the body's primary source of energy?
A) Proteins
B) Carbohydrates
C) Lipids
D) Vitamins
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29
Chapter 28: Urinary Elimination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/47149
Sample Questions
Q1) While performing a physical assessment,the student nurse tells her instructor that she cannot palpate her patient's bladder.Which statement by the instructor is best?
A) "Try to palpate it again; it takes practice but you will locate it."
B) "Palpate the patient's bladder only when it is distended by urine."
C) "Document this abnormal finding on the patient's chart."
D) "Immediately notify the nurse assigned to the care of your patient."
Q2) Which of the following are considered normal processes and changes in the urinary system that occur with aging in older adults? Select all that apply.
A) The number of functional nephrons decreases with age.
B) The volume of urine that the bladder can hold lessens with age.
C) Increased pelvic floor muscle tone contributes to incontinence.
D) Loss of bladder elasticity leads to urinary retention.
E) Prostate enlargement causes urinary incontinence.
Q3) Which task can the nurse safely delegate to the nursing assistive personnel?
A) Palpating the bladder of a patient who is unable to void
B) Administering a continuous bladder irrigation
C) Providing indwelling urinary catheter care
D) Obtaining the patient's history and physical assessment
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Chapter 29: Bowel Elimination
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/47150
Sample Questions
Q1) The pediatric nurse educator is teaching a group of parents about distinguishing between food allergies and food intolerance.The nurse should teach parents that which of the following is/are considered to be true food allergens? Select all that apply.
A) Egg whites
B) Shellfish
C) Peanuts
D) Corn
Q2) The nurse must administer an enema to an adult patient with constipation.Which of the following would be a safe and effective distance for the nurse to insert the tubing into the patient's rectum? Select all that apply.
A) 2 in. (5.1 cm)
B) 3 in. (7.6 cm)
C) 4 in. (10.2 cm)
D) 5 in. (12.7 cm)
Q3) Which factors place the patient at risk for constipation? Select all that apply.
A) Sedentary lifestyle
B) High-dose calcium therapy
C) Lactose intolerance
D) Spicy food consumption
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Page 31
Chapter 30: Sensation,Perception, Cognition
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/47151
Sample Questions
Q1) The pediatric nurse educator is preparing a teaching plan for seizure prevention for parents of children with seizures.Which of the following can trigger seizures? Select all that apply.
A) Fever
B) Video games
C) Sleep deprivation
D) Food allergens
E) Mood-altering substances
F) None of the above
Q2) The nurse caring in the intensive care unit suspects that one of her patients is experiencing sensory overload.Which findings would increase her suspicion? Select all that apply.
A) Disorientation
B) Restlessness
C) Hallucinations
D) Depression
E) Preoccupation with somatic complaints
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Chapter 31: Pain
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/47152
Sample Questions
Q1) The nurse uses his hands to direct energy fields surrounding the patient's body.After this intervention,the patient states that his pain has lessened.How should the nurse document the intervention?
A) Tactile distraction was performed and appeared effective in reducing pain.
B) Guided imagery was effective to relax the patient and reduce the pain.
C) Therapeutic touch was performed; patient verbalized lessening of pain after treatment.
D) Sequential muscle relaxation was performed; patient states pain is less.
Q2) A patient with Raynaud's disease receives no symptomatic relief with diltiazem (Cardizem).Which surgical intervention might be a treatment option for this patient to help provide symptomatic relief?
A) Cordotomy
B) Rhizotomy
C) Neurectomy
D) Sympathectomy
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33
Chapter 32: Physical Activity Mobility
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/47153
Sample Questions
Q1) A 32-year-old with a high spinal cord injury has been admitted to the hospital for antibiotic therapy to treat pneumonia.He lives independently and has developed strong upper-body strength to maximize his independence.Which transfer device should be used when transferring him from the bed to his wheelchair?
A) Mechanical lift
B) Transfer belt
C) Draw sheet
D) Transfer board
Q2) A nurse has been asked to design an exercise program with the goal of increasing a client's muscular strength and endurance.Which exercise program would specifically focus on meeting that goal?
A) Flexibility training
B) Resistance training
C) Aerobic conditioning
D) Anaerobic conditioning
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Chapter 33: Sexual Health
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47154
Sample Questions
Q1) The nurse teaching 8th grade girls addresses common myths about sexuality and body functions.Which statement by a student is an indication that teaching was effective?
A) "After the first time I have sex, I need to begin some form of birth control to avoid pregnancy."
B) "Condoms are the most effective birth control and it is the only way I can be sure I won't get pregnant."
C) "I only have to worry about being infected with a sexually transmitted infection if I see a sore or have pain."
D) "Enjoyable sexual relationships or reaching orgasm simultaneously does not indicate the quality of the relationship."
Q2) You are caring for a 32-year-old woman who has been sexually assaulted.What nursing interventions are initially most important for this client? Select all that apply.
A) Help her to communicate effectively with police about the attack.
B) Obtain permission from your client to test for pregnancy and STIs.
C) Refer your client to a sexual assault support group.
D) Promote and model empathy and support for her family members.
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Page 35
Chapter 34: Sleep and Rest
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/47155
Sample Questions
Q1) Which of the following factors has the greatest positive effect on sleep quality?
A) Sleeping hours in synchrony with the person's circadian rhythm
B) Sleeping in a quiet environment
C) Spending additional time in stage III of the sleep cycle
D) Napping frequently during the day hours
Q2) During which of the following developmental stages does a person tend to need the most hours of sleep?
A) Toddler
B) Adolescence
C) Middle adulthood
D) Older adulthood
Q3) Which is a major factor regulating sleep?
A) Electrical impulses transmitted to the cerebellum
B) Level of sympathetic nervous system stimulation
C) Amount of sleep a person has become accustomed to
D) Amount of light received through the eyes
Q4) ____________________ disorders are those that occur when signs and symptoms of a disease appear or become worse during sleep.
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Chapter 35: Skin Integrity-Wound Healing
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/47156
Sample Questions
Q1) A patient hospitalized in a long-term rehabilitation facility is immobile and requires mechanical ventilation with a tracheostomy.She has a pressure area on her coccyx measuring 5 cm by 3 cm.The area is covered with 100% eschar.What would the nurse identify this as?
A) Stage II pressure ulcer
B) Stage III pressure ulcer
C) Stage IV pressure ulcer
D) Unstageable pressure ulcer
Q2) Why is the information obtained from a swab culture of a wound limited?
A) A positive culture does not necessarily indicate infection because chronic wounds are often colonized with bacteria.
B) A negative culture may not indicate infection because chronic wounds are often colonized with bacteria.
C) Most wound infections are viral, so the swab culture would not be indicative of a wound infection.
D) A swab culture result does not include bacterial sensitivity information necessary to provide treatment.
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Chapter 36: Oxygenation
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Which procedure can the nurse safely delegate to the certified nursing assistant who is knowledgeable and experienced in the procedure?
A) Suctioning the newly placed tracheostomy tube
B) Suctioning the endotracheal tube
C) Suctioning the laryngopharynx
D) Suctioning the oropharynx
Q2) Which of the following blood levels normally provides the primary stimulus for breathing?
A) pH
B) Oxygen
C) Bicarbonate
D) Carbon dioxide
Q3) The nurse is caring for a patient admitted with a diagnosis of muscular dystrophy resulting in inadequate muscle strength to draw enough air into the lungs.What nursing diagnosis would be most appropriate for this patient?
A) Ineffective Breathing Pattern
B) Ineffective Airway Clearance
C) Impaired Gas Exchange
D) Impaired Spontaneous Ventilation
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Page 38
Chapter 37: Circulation
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47158
Sample Questions
Q1) A nurse is performing cardiopulmonary resuscitation on an infant.When performing chest compressions,the nurse understands that the compression rate is at least:
A) 60 times a minute
B) 80 times a minute
C) 100 times a minute
D) 120 times a minute
Q2) The nurse is providing teaching for a weight loss group on the cardiac dangers of obesity.Which statement,if made by the nurse,would be incorrect?
A) "Obesity increases the risk of atherosclerosis."
B) "Obesity increases the risk of hypertension."
C) "Obesity can reduce pumping action of the heart."
D) "Tissue perfusion is diminished by obesity."
Q3) Which of the following medications would you expect to be included in the treatment of a patient with congestive heart failure? Select all that apply.
A) Nitrates
B) Beta-adrenergic agents
C) Diuretics
D) Anticoagulants
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Chapter 38: Fluids,Electrolytes, Acidbase Balance
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/47159
Sample Questions
Q1) The nurse examines the electrocardiogram (ECG)tracing of a client and notes tall T waves.What electrolyte imbalance should the nurse suspect?
A) Hypokalemia
B) Hypophosphotemia
C) Hyperkalemia
D) Hypercalcemia
Q2) The nurse has started to infuse the first of two units of packed red blood cells (prbc)on her patient.What is the nurse's next best action?
A) Delegate to the NAP to take vital signs every 15 minutes for 1 hour.
B) Infuse the blood at a rate of 100 mL/hr so it will infuse in 4 hours.
C) Infuse an IV solution of lactated Ringer's with the blood.
D) Remain with the patient for the first 15 minutes of the infusion.
Q3) Which of the following is the principal site for regulation of fluid and electrolyte balance?
A) Cardiac system
B) Vascular system
C) Pulmonary system
D) Renal system
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Chapter 39: Perioperative Care
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/47160
Sample Questions
Q1) The nurse is caring for a patient with a Salem sump double lumen nasogastric (NG)tube to suction.The patient complains of nausea and has mild abdominal distention.What is the nurse's priority action?
A) Administer an antiemetic.
B) Replace the nasogastric tube.
C) Check placement of the NG tube.
D) Irrigate the NG tube.
Q2) A 2-year-old child is scheduled for a tonsillectomy.When determining the plan of care,the nurse should:
A) Include the parents or caregivers in the plan of care
B) Explain to the child that she will have a sore throat after surgery
C) Tell the child that she can have her favorite foods for the first 24 hours after surgery
D) Prepare the child for discharge from the hospital as soon as she is alert
Q3) The focus of nursing activities in the preoperative phase is to:
A) Admit the patient to the surgical suite
B) Prepare the patient mentally and physically for surgery
C) Set up the sterile field in the operating room
D) Perform the primary surgical scrub to the surgical site
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Chapter 40: Leading Managing
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47161
Sample Questions
Q1) What source of power can an experienced staff nurse effectively use to convince other nurses to follow her?
A) Authority
B) Reward
C) Expert
D) Coercion
Q2) A nurse observes a nursing assistant (NAP)fail to wash her hands before and after placing a patient on a bedpan.When giving negative feedback to the NAP,the nurse should:
A) Be certain to offer constructive criticism about the task and do so in private
B) Ask the unit manager to be present to document responses of both parties
C) Call a meeting of all NAPs and stress handwashing to the entire group
D) Keep a record of the NAP's actions and save them for her annual formal review
Q3) Which of the following are characteristics of an effective nurse manager? Select all that apply.
A) Clinical expertise
B) Business sense
C) Master's degree
D) Leadership skills
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Page 42
Chapter 41: Nursing Informatics
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/47162
Sample Questions
Q1) The nurse reviews the patient's laboratory results.What component of informatics is the nurse viewing?
A) Data
B) Information
C) Knowledge
D) Wisdom
Q2) The nurse is preparing to pass the 0900 medications prescribed for her patients.She removes the medications from the automated dispensing unit.When scanning the medication,an alert notifies the nurse that the patient is allergic to this medication.What action should the nurse take? Select all that apply.
A) Override the alert and administer the medication.
B) Confirm the patient's allergies and type of reaction.
C) Notify the prescriber of the patient medication allergy.
D) Be sure an antidote is available at the patient's bedside.
Q3) Computers are important for evidence-based practice because:
A) Computer access is available to all healthcare staff
B) Additional training is not required for information retrieval
C) Information can be accessed and managed more efficiently
D) All of the best evidence is available on the Internet
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Page 43
Chapter 42: Promoting Health
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/47163
Sample Questions
Q1) Which would be an appropriate topic for the elementary school nurse to include in health promotion activities for students?
A) Housing conditions
B) Poor sanitation
C) Stranger danger
D) Preventing STIs
Q2) The nurse is working with a client who is obese and reports having a sedentary lifestyle.What is the nurse's first action to promote this client's health?
A) Teach the client how to follow a low-calorie diet.
B) Assist the client in a plan to increase his activity level.
C) Explain the risks associated with the client's weight and lifestyle.
D) Help the client identify goals for promoting health.
Q3) Hardiness is a quality in which an individual experiences high levels of stress yet does not fall ill.What are the general characteristics of a hardy person? Select all that apply.
A) Contemplation
B) Control
C) Commitment
D) Challenge
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Page 44
Chapter 43: Community-Home Health Nursing
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47164
Sample Questions
Q1) At a home visit,the nurse asks the patient,"Have you taken your blood pressure medicine today?" The patient replies,"I don't remember.Maybe." On the table are several bottles of medication,some open,some not.They have all been prescribed for the patient.The patient cannot say how often to take each one,when asked.A compartmentalized medication organizer is on the table,with a few capsules in it,and some compartments left open.What should the nurse do?
A) Show the patient how to put the medications in the organizer for the next 2 days; observe while he fills the rest of the organizer.
B) Arrange for a home health aide to come each day to show the patient which pills to take.
C) Administer today's medications and arrange for the pharmacy to put medications in easy-to-open containers in the future.
D) Fill the organizer for each day of the week; explain how to use it; and return in a day or two to evaluate.
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Chapter 44: Ethics Values
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/47165
Sample Questions
Q1) The nurse believes that abortion is murder of the unborn child.While at work,the nurse is assigned a woman with septicemia following an abortion.Which concept most specifically requires the nurse to provide high-quality care for this patient?
A) Ethics
B) Morals
C) Bioethics
D) Nursing ethics
Q2) On a patient's admission to the hospital,a nurse asks the patient whether he has a living will or durable power of attorney for healthcare.He states he does and provides a copy for the chart.The basis for the nurse's inquiry is which of the following?
A) Code of Ethics for Nurses
B) Patient Care Partnership
C) Patient Self-Determination Act (PSDA)
D) Health Insurance Portability and Accountability Act (HIPAA)
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Chapter 45: Legal Accountability
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47166
Sample Questions
Q1) The unit manager stops you in the hallway to discuss your inability to give safe patient care.The conversation is overheard by other nurses.The manager's comments are based on false information reported to her by a patient.This is an example of:
A) Collaboration
B) Assault and battery
C) Slander
D) Libel
Q2) What do negligence and malpractice have in common? Select all that apply.
A) Negligence and malpractice are unintentional torts.
B) Negligence and malpractice are felonies.
C) Malpractice is the professional form of negligence.
D) Negligence and malpractice involve the intent to do harm to a patient.
Q3) Effective delegation is a vital part of the nurse's responsibilities.What factor should guide the nurse to correctly delegate a nursing task?
A) The education and experience of the delegatee
B) The job description of the delegatee
C) The patient request for the delegatee
D) The staffing levels on a unit
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Chapter 46: Holistic Healing
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23 Flashcards
Source URL: https://quizplus.com/quiz/47167
Sample Questions
Q1) The health and well-being of a holistic nurse in relation to helping patients constitute an important part of the healing process.A method that would be helpful to nurses in fostering their own health and the health of their patients is:
A) Role modeling healthy behaviors
B) Avoiding discussions on personal behaviors
C) Working and acting in isolation
D) Setting goals for the patient
Q2) A client has a diagnosis of chronic pain.The physician has prescribed tramadol hydrochloride (Ultram)for the pain.The patient also receives therapeutic touch (TT)from a practitioner three times a week.In this situation,TT is considered to be which of the following?
A) A complementary modality
B) An alternative modality
C) A placebo response
D) Holistic healthcare
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