Collaborative Healthcare Practice
Mock Exam
Course Introduction
Collaborative Healthcare Practice explores the principles and strategies of effective teamwork in the healthcare environment, emphasizing the importance of interprofessional communication, cooperation, and shared decision-making. The course examines roles and responsibilities across various healthcare professions, the dynamics of team-based patient care, and approaches for resolving conflicts and ensuring patient-centered outcomes. Through case studies, simulations, and practical exercises, students develop skills necessary for building strong collaborative relationships that enhance quality of care, patient safety, and overall healthcare outcomes.
Recommended Textbook
Fundamentals of Nursing Active Learning for Collaborative Practice 1st Edition by Yoost
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42 Chapters
1050 Verified Questions
1050 Flashcards
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Page 2
Chapter 1: Nursing, Theory, and Professional Practice
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2176
Sample Questions
Q1) A nursing student is preparing study notes from a recent lecture in nursing history. The student would credit Florence Nightingale for which definition of nursing?
A) The imbalance between the patient and the environment decreases the capacity for health.
B) The nurse needs to focus on interpersonal processes between nurse and patient.
C) The nurse assists the patient with essential functions toward independence.
D) Human beings are interacting in continuous motion as energy fields.
Answer: A
Q2) The nurse is caring for a patient who refuses two units of packed red blood cells. The nurse notifies the health care provider of the patient's decision. The nurse is acting in the role of the:
A) Manager.
B) Change agent.
C) Advocate.
D) Educator.
Answer: C
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Chapter 2: Values, Beliefs, and Caring
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Sample Questions
Q1) Enduring ideas about what a person considers is desirable or has worth in life is known as a:
A) value.
B) first-order belief
C) higher order belief
D) stereotype
Answer: A
Q2) A vital aspect of providing effective and appropriate nursing care is being able to actively listen to a patient. This requires the nurse to:
A) pay attention as if in a social conversation with the patient.
B) practice and develop this skill over many years.
C) focus on what the patient is saying.
D) passively listen with the ears.
Answer: B
Q3) When developing a nursing practice, it is important for the nurse to:
A) be exposed to negative as well as positive role models.
B) avoid negative role models as much as possible.
C) understand that caring and compassion are taught in class.
D) consider another profession if he/she is not naturally compassionate.
Answer: A
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Chapter 3: Communication
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Sample Questions
Q1) The nursing student is writing a report on the use of nonverbal techniques to encourage therapeutic communication. Which examples should be included in the report? (Select all that apply.)
A) Providing a backrub
B) Remaining silent
C) Avoiding distracting body movements
D) Facing the patient
E) Nodding
Answer: A, B, C, D
Q2) The nurse is assisting a co-worker who is preparing to change a deep wound dressing on a patient's abdomen. Several of the patient's out-of-town friends are at the bedside watching a football game. Which action is most appropriate for the nurse to consider prior to the dressing change?
A) Ask the friends to leave the room.
B) Pull the curtain around the bed.
C) Allow visitors to stay in the room during the procedure.
D) Ask the patient to turn up the volume on the television.
Answer: A
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Chapter 4: Critical Thinking in Nursing
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Sample Questions
Q1) The nurse is preparing to restart a patient's intravenous line and discovers that the patient has no usable veins in either arm. To solve this problem, the nurse should:
A) discuss the problem with the nurse in charge.
B) not start the intravenous line.
C) conduct an internet search for infusion journal articles.
D) contact the physician and report the concern.
Q2) The nurse is caring for a patient scheduled for a heart catheterization. During shift report, the nurse describes an overheard telephone conversation regarding the patient's HIV-positive son-in-law. This information should be evaluated for:
A) accuracy.
B) depth.
C) breadth.
D) relevance.
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6
Chapter 5: Introduction to the Nursing Process
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Sample Questions
Q1) A patient with a congenital heart defect is admitted for further testing. The nurse observes the patient has increased shortness of breath and is restless. The nurse is demonstrating which phase of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Q2) In which step of the nursing process does the nurse prioritize the nursing diagnoses and identify interventions to address the patient goals?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Q3) The nursing process is the foundation of professional nursing practice. As such, the nursing process can be defined as:
A) The framework that nurses used to provide care.
B) A complex process during which nurses think about their thinking.
C) The process that allows nurses to collect essential data.
D) Thinking like a nurse in developing plans of care.
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Page 7
Chapter 6: Assessment
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Sample Questions
Q1) A nurse is conducting a health interview on a newly admitted patient. To establish a trusting relationship with the patient, the nurse:
A) avoids eye contact to appear less threatening.
B) demonstrates professionalism by not smiling.
C) sits close and leans in slightly toward the patient.
D) speaks in a slow rate of speech and low tone.
Q2) The nurse is attempting to get the patient to sign the operative consent. When asked if the health care provider explained the procedure to the patient, the patient replies "Not much." The nurse should:
A) develop a comprehensive teaching plan related to the surgical procedure.
B) ask the patient what information the doctor has explained about the surgery.
C) contact the surgeon and ask for further clarification of information given to patient.
D) focus on postoperative exercises and home-care following surgery.
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8
Chapter 7: Nursing Diagnosis
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Sample Questions
Q1) The nurse in an outpatient clinic obtains a blood pressure of 190/88 mm Hg on a patient diagnosed with high blood pressure. The patient tells the nurse, "My blood pressure medicine is really expensive. Do you think I really need it?" The nurse assumes the patient is not taking the medication based on the blood pressure result and the patient's statement and chooses noncompliance as a diagnostic label. The action by the nurse is an example of:
A) clustering unrelated data in the diagnostic statement.
B) selecting erroneous data for use in the diagnostic statement.
C) using medical diagnoses in the diagnostic statement.
D) identifying multiple problems within one diagnostic statement.
Q2) When creating a nursing diagnosis, the related factor:
A) should be based on the medical diagnosis.
B) in unrelated to the pathophysiology with which the patient is dealing.
C) is the underlying etiology of the patient's situation.
D) does not reflect the nurse's understanding of pathophysiology.
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Chapter 8: Planning
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Sample Questions
Q1) Which of the following is a correctly written example of a short-term goal?
A) By attending the gym, the patient will lose 50 lb in 1 year.
B) In 6 months, patient will be able to ambulate 1 mile without shortness of breath.
C) Patient will be able to change his colostomy bag within 6 weeks of surgery.
D) With diet and exercise, the patient will lose 1 lb this week.
Q2) Patients should be included in the planning process. Involving patients in planning their care helps them to: (Select all that apply.)
A) be aware of identified needs.
B) accept that not all goals are measurable.
C) embrace mutually agreed-on goals.
D) feel a sense of empowerment.
E) overcome unrealistic goals.
Q3) Dependent nursing interventions include:
A) ordering heel protectors.
B) preadmission teaching.
C) medication reconciliation.
D) administer antipyretic medications as appropriate.
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Chapter 9: Implementation and Evaluation
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Sample Questions
Q1) The nurse is preparing to administer medications to a patient. The patient is complaining of shortness of breath. The nurse should:
A) provide the patient with oxygen since it does not require a provider order.
B) complete at least two checks to ensure that the proper medication is given.
C) check the provider orders for all forms of prescription medications.
D) remember that medication administration is an independent nursing action.
Q2) The patient has an order for morphine sulfate 2 mg intravenously prn (as needed) every 2 hours. When the nurse administers this medication, she is providing:
A) an independent nursing intervention.
B) a dependent nursing intervention.
C) a referral
D) an indirect care procedure.
Q3) The nursing process is an attempt to meet patient needs. As such, it:
A) is linear in nature.
B) is dynamic and cyclic.
C) requires care plans to be re-evaluated occasionally.
D) does not allow care plans to be modified.
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Chapter 10: Documentation, Electronic Health Records, and Reporting
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Sample Questions
Q1) The nurse is caring for patients on unit that uses electronic health records (EHRs). In order to protect personal health information, the nurse should:
A) allow only nurses that she knows and trusts to use her verification code.
B) not worry about mistakes since the information cannot be tracked.
C) never share her password with anyone.
D) be aware that the EHR is sophisticated and immune to failure.
Q2) The medical record:
A) serves as a major communication tool but is not a legal document.
B) cannot be used to assess quality of care issues.
C) is not used to determine reimbursement claims.
D) can be used as a tool for biomedical research and provide education.
Q3) Accurate documentation by the nurse is necessary since proper documentation:
A) is needed for proper reimbursement.
B) must be electronically generated.
C) does not involve e-mails or faxes.
D) is only legal if written by hand.
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Page 12
Chapter 11: Ethical and Legal Considerations
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Sample Questions
Q1) Nurses are consistently considered to be honest and ethical professionals by most respondents in an annual Gallup poll. This is because professional nurses understand that ethics are:
A) internal values developed outside the influence of societal norms.
B) influenced by family, friends, and socioeconomics, among other variables.
C) societal in nature and do not involve personal influences.
D) totally independent from a person's character.
Q2) The nurse realizes that a medication error has been made. The nurse then reports the error and takes responsibility to ensure patient safety despite personal consequences. This nurse has exhibited:
A) autonomy.
B) accountability.
C) justice.
D) advocacy.
Q3) "First, do no harm" defines what ethical principle?
A) Beneficence
B) Justice
C) Fidelity
D) Nonmaleficence
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Page 13
Chapter 12: Leadership and Management
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Sample Questions
Q1) A nurse does not have to be a manager to be a leader. Even at the bedside, nurses use leadership skills, although possibly in different ways than a nurse manager. The nurse who plans, organizes, delivers, and evaluates nursing care for patients is functioning as a:
A) patient care provider.
B) patient advocate.
C) case manager.
D) clinical nurse leader.
Q2) The terms leadership and management are often used interchangeably. Although these concepts are related, they are different in definition and in practice. Leadership behaviors and management skills complement each other. However,
A) managers focus on relationships.
B) a manager may not possess leadership traits.
C) leadership focuses on coordinating and directing others.
D) a manager is a visionary who sets the direction for a group.
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14
Chapter 13: Evidence-Based Practice and Nursing Research
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Sample Questions
Q1) Florence Nightingale is noted to have provided the initial basis for evidence-based practice (EBP). She did this by: (Select all that apply.)
A) basing her work in trial and error as well as observation.
B) using statistical data as a basis for improvements.
C) applying statistical methods such as "pie charting" to display results.
D) focusing on bedside care and ignoring nursing education.
E) publishing the first EBP journal.
Q2) While conducting a controlled research study, the nurse wants greater assurance that the result is due to treatment itself and not another factor. For this purpose, the researcher should include:
A) a treatment group.
B) an independent variable.
C) a dependent variable.
D) a control group.
Q3) An institutional review board (IRB) is a review committee established to:
A) approve research involving animal subjects.
B) approve research that is not government funded.
C) function differently than scholarly journals do.
D) protect the rights of human research subjects.
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Page 15
Chapter 14: Health Literacy and Patient Education
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Sample Questions
Q1) The nurse is preparing a teaching plan and is applying evidence-based practice. To promote involvement, the nurse must:
A) provide the latest professional literature to the patient.
B) ensure that the patient understands relevant information.
C) use only one teaching method to reduce confusion.
D) not review previously learned information.
Q2) The nurse is implementing a patient teaching plan regarding diabetes mellitus. One of the short-term goals of the plan is that the patient will be able to verbalize three symptoms of hypoglycemia. This is an example of:
A) psychomotor teaching.
B) cognitive teaching.
C) affective teaching.
D) VARK teaching.
Q3) As the health care community explores the concept of health literacy, many organizations recognize that:
A) consumers need to understand has no governmental support.
B) improvements are dependent on developing operational definitions.
C) low literacy and low health literacy are interchangeable terms.
D) interest in effective patient education is unique to the United States.
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Page 16
Chapter 15: Nursing Informatics
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The Computer Ethics Institute has developed guidelines for ethics in the development and use of computer technologies. These guidelines are called:
A) the Ten Commandments of Computer Ethics.
B) the eHealth Code of Ethics.
C) HIPAA guidelines.
D) the Internet Healthcare Coalition.
Q2) The focus of nursing informatics is:
A) direct patient care.
B) increasing documentation time.
C) the introduction of different EHRs.
D) how patient care can be improved.
Q3) The patient asks the nurse about how to evaluate websites and standards used to evaluate Internet health sites. The nurse appropriately refers the patient to:
A) World Health Organization.
B) the U.S. Food and Drug Administration.
C) the Internet Healthcare Coalition.
D) the U.S. Federal Trade Commission.
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Chapter 16: Health and Wellness
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Sample Questions
Q1) Exercise is essential for the prevention of illness and promotion of wellness. Regular physical exercise: (Select all that apply.)
A) enhances the immune system.
B) decreases bone density.
C) limits joint mobility.
D) improves mental health.
E) helps to prevent diabetes.
Q2) The nursing goal for all individuals and their families seeking preventive care is to have individuals and families:
A) take responsibility for their health and wellness.
B) abandon the use of electronic educational media.
C) make lifestyle changes after diseases occur.
D) use temporary changes until the danger has passed.
Q3) The nurse is discussing immunizations for infants and children with new parents. The nurse should focus on:
A) providing scientific evidence to parents.
B) stressing that non-immunization is a crime.
C) acknowledging that immunizations are not needed.
D) informing the parents that they have no choice.
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Page 18
Chapter 17: Human Development: Conception through Adolescence
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Sample Questions
Q1) A father expresses frustration that his school-aged child is suddenly "sick all the time." What action by the nurse is best?
A) Encourage the father to give the child a multivitamin each day.
B) Explain that illness is frequent in this age group because of exposure to others.
C) Encourage the father to discuss testing the child's immunity with the provider.
D) Make sure the parents are washing their hands frequently in the home.
Q2) The nurse is caring for a patient that is actively trying to conceive a child but continues to drink alcohol. The patient states that she'll stop drinking once she is pregnant. What is the most appropriate response by the nurse?
A) "Abstaining is best since most fetal development occurs before you realize you are pregnant."
B) "Small amounts of alcohol are safe at any time during pregnancy."
C) "Things will be okay if you quit drinking alcohol once you know you are pregnant."
D) "Alcohol use should be avoided early in pregnancy but is acceptable past week 20."
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19
Chapter 18: Human Development Young Adult to Older Adult
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Sample Questions
Q1) The nurse working in a family practice clinic has very limited time to assess patients for health concerns. When working with middle-aged patients, which problems does the nurse assess for as the priorities? (Select all that apply.)
A) Heart disease
B) Cancer
C) Sexually transmitted diseases
D) Stroke
E) Functional abilities
Q2) A young nursing student is assessing an older patient. The nurse questions whether or not to take a sexual history. What response by the faculty is best?
A) Since procreation is not an issue, you do not need to discuss this.
B) Only discuss this topic if you are comfortable in doing so.
C) Ask the patient if he or she wants to talk about sexuality.
D) Sexuality is a basic human need and needs to be assessed.
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Chapter 19: Vital Signs
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Sample Questions
Q1) A patient's blood pressure is 142/76 mm Hg. What does the nurse chart as the pulse pressure?
A) 28
B) 42
C) 58
D) 66
Q2) The student nurse is assessing a patient's pulses. What action by the student requires the nurse to intervene?
A) Assessing apical pulse between the fifth and sixth intercostal spaces
B) Assessing the doralis pedis pulse by palpating behind the patient's knee
C) Assessing the radial pulse on the patient's wrist
D) Assessing the brachial pulse on the patient's inner elbow
Q3) A nurse assesses a patient's radial pulse rate to be 110 beats/min and regular. What action by the nurse is best?
A) Assess the patient for causes of tachycardia.
B) Take an apical heart rate and compare the two.
C) Document the findings in the patient's chart.
D) Notify the patient's health care provider.
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Chapter 20: Health History and Physical Assessment
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Sample Questions
Q1) A nurse conducting the general survey of a patient includes which items? (Select all that apply.)
A) Hygiene and grooming
B) Affect and mood
C) Sex and gender orientation
D) Sexual preferences and practices
E) Age
Q2) The nurse is assessing a patient's alcohol intake. What question is most appropriate?
A) "Do you drink alcohol at all?"
B) "You don't drink much do you?"
C) "When was your last drink?"
D) "How much alcohol do you drink daily?"
Q3) A nurse is assisting a patient who is having an examination of the female genitalia. What action by the nurse is best?
A) Get the provider; assist patient into lithotomy position.
B) Assist the patient into lithotomy position; get the provider.
C) Get the provider; assist patient into Sims position.
D) Assist the patient into Sims position; get the provider.
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Chapter 21: Ethnicity and Cultural Assessment
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Sample Questions
Q1) A nurse is caring for a refugee patient who wants the community shaman to perform a healing ritual at the bedside. What action by the nurse is best?
A) Work with the patient to allow the shaman to perform the ritual.
B) Investigate whether the ritual will harm the patient.
C) Check to see if the ritual breaks laws or policies.
D) Offer to call the hospital chaplain instead.
Q2) A nurse has been told he has many obvious stereotypes about a specific cultural group. What action by the nurse is best?
A) Ask to not care for members of this cultural group.
B) Ask to take care of as many members of this group as possible.
C) Begin to educate himself on aspects of this cultural group.
D) Vow to not allow his stereotypes to show when providing care.
Q3) A home health care nurse is visiting the home of a patient whose culture is totally unfamiliar to the nurse. What action by the nurse is best?
A) Perform nursing care with a high degree of professionalism.
B) Watch family interaction patterns closely and try to copy them.
C) Tell the family you need to learn about their culture.
D) Apologize after performing tasks that make the patient uncomfortable.
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Chapter 22: Spiritual Health
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Sample Questions
Q1) A patient in the hospital is an adherent Muslim. Which of the five pillars of Islam can the nurse assist the patient in meeting?
A) Praying five times a day
B) Having privacy
C) Personal cleanliness
D) Giving alms
E) Maintaining modesty
Q2) A nurse is concerned about not consistently meeting the spiritual needs of patients. What action by the nurse is best?
A) Care for own spiritual needs
B) Begin a meditation practice
C) Consult the chaplain
D) Read books on the subject
Q3) When does the nurse assess patients' spirituality? (Select all that apply.)
A) Upon admission
B) New diagnosis
C) Life-changing diagnosis
D) When the chaplain makes rounds
E) When facing treatment decisions
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Page 24
Chapter 23: Public Health, Community Base, and Home
Health Care
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Sample Questions
Q1) The public health nurse volunteers for a missionary group caring for Ebola patients in Africa. The nurse is reviewing the data using analytic epidemiology methods. What information does the nurse collect as the priority?
A) Cultural norms in burial practices
B) Genetic variables in disease acquisition
C) Statistics related to incidence and prevalence
D) Autopsy data on direct cause of death
Q2) A nurse is discharging a patient and is planning on what material to give the patient to take home. What action by the nurse is best?
A) Assess the patient's ability to read and understand.
B) Determine if the patient wants to take written material home.
C) Give the patient the same material as other patients get.
D) Ask the patient if he/she has a need for written material.
Q3) A nurse is interested in epidemiology. What work activity would best fit this role?
A) Studying census data to determine common causes of death
B) Researching population variables that contribute to disease
C) Developing sanitary measures to prevent foodborne illness
D) Designing research to determine the connection between pollution and cancer
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Chapter 24: Human Sexuality
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Sample Questions
Q1) The student learns that which are cycles in the female sexual response cycle? (Select all that apply.)
A) Excitement
B) Orgasm
C) Resolution
D) Detumescence
E) Plateau
Q2) The nurse is assessing factors that affect sexual function in patients with chronic diseases. What topics does the nurse include in the assessment? (Select all that apply.)
A) Fatigue
B) Medications
C) Pain
D) Occupation
E) Physical impairment
Q3) The nurse learns that spermatozoa are produced in which sexual organ?
A) Scrotum
B) Testes
C) Glans
D) Prostate
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Page 26
Chapter 25: Safety
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Sample Questions
Q1) The nurse is providing education to a cardiac patient who has multiple life stressors that are impacting the patient's health. Which of the following statements by the patient indicate he has a good understanding of actions he can take to reduce his stressors? (Select all that apply.)
A) "I should change my job."
B) "I should plan some downtime."
C) "I should meet with a financial counselor."
D) "I should talk with my family about my situation."
E) "I should make my family go to counseling with me."
Q2) Which statement by the nurse correctly identifies the UAP role in patient restraint use?
A) "The UAP can perform initial assessment."
B) "The UAP can apply a restraint."
C) "The UAP can assist with applying and monitoring of a physical restraint."
D) "The UAP can contact the physician and request an order for restraints."
Q3) The nurse knows that which of the following is not used to assess fall risk?
A) Glasgow Falls Scale
B) Johns Hopkins Hospital Fall Assessment Tool
C) Morse Fall Scale
D) Hendrich II Fall Risk Model
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Chapter 26: Asepsis and Infection Control
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Sample Questions
Q1) The patient has hepatitis A. Which isolation precaution is correctly implemented?
A) Airborne
B) Contact
C) Droplet
D) Protective
Q2) The nurse is explaining to the patient why she is receiving antibiotics. Her answer would be correct if she stated antibiotics are effective against which microorganism?
A) Viruses
B) Fungi
C) Parasites
D) Bacteria
Q3) The nurse anticipates correctly that what type of medication would be ordered to treat athlete's foot?
A) Antiviral
B) Antibiotic
C) Antihelminth
D) Antifungal
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Chapter 27: Hygiene and Personal Care
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Sample Questions
Q1) The nurse is asked to shave a patient that is taking Coumadin. What is the most appropriate action?
A) Refuse to shave the patient because he is on an anticoagulant.
B) Shave as usual with a safety razor.
C) Offer to wax rather than shave the patient.
D) Use an electric razor.
Q2) The nurse knows that routine hygienic care does not include:
A) massage with lotion.
B) oral care with a toothbrush.
C) shaving with a disposable razor.
D) ear hygiene with cotton-tipped applicators.
Q3) Excessively dry skin can lead to cracks and openings in the integumentary system. Based on this, what is the most applicable nursing diagnosis for a patient with excessively dry skin?
A) Imbalanced Nutrition: Less than body requirements
B) Deficient fluid volume
C) Risk for infection
D) Acute pain
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29
Chapter 28: Activity, Immobility, and Safe Movement
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Sample Questions
Q1) The nurse knows rheumatoid arthritis affects the musculoskeletal system by causing:
A) muscle weakness.
B) muscle wasting.
C) muscle inflammation.
D) muscle mobility.
Q2) The nurse knows the knee-high SCD sleeves are correctly placed on the patient when the following conditions are met: (Select all that apply.)
A) Both sleeves are connected to the SCD device.
B) Two fingers fit inside when the SCDs are inflated.
C) There are no kinks in the tubing.
D) The ankle pressure is 55 to 65 mm Hg.
E) The cooling control is on.
Q3) The nurse knows that manual lifting should only be done in the following situations:
A) Patients who are less than 150 lb
B) Life-threatening situations
C) Postsurgical patients
D) Patients who are less than 200 lb
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Chapter 29: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is repositioning her patient in the side-lying position. To avoid putting the patient at risk for pressure ulcers, the HOB should be placed at:
A) flat.
B) 90 degrees.
C) 30 degrees.
D) 45 degrees.
Q2) The nurse is performing a wet/damp to dry dressing change when the patient begins to complain of severe pain. What should the nurse do first?
A) Notify the physician.
B) Notify the wound care nurse.
C) Stop the procedure.
D) Give the patient pain medication.
Q3) The nurse is caring for a patient with a Penrose drain. She knows the patient will require the following care:
A) The drain must be compressed after emptying to work properly.
B) The drain must be connected to suction if ordered.
C) The drain is not sutured in place so care is taken to not dislodge it.
D) The suction pulls drainage away from the wound as it re-expands.
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Chapter 30: Nutrition
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Sample Questions
Q1) The nurse is explaining to the UAP that the patient is on a full-liquid diet. Which statement by the UAP indicates a need for reorientation?
A) "I can give the patient orange juice."
B) "I can give the patient yogurt."
C) "I can give the patient oatmeal."
D) "I can give the patient milk."
Q2) The nurse knows that initial verification of a nasogastric placement is important. Which method is considered the only reliable method to determine enteral tube placement?
A) Auscultation of air bolus
B) Measurement of pH of the aspirate
C) Radiographic image
D) Aspirate contents to visually inspect appearance
Q3) The nurse is providing education to an older adult around diet to support the challenges related to aging. Which statement indicates a need for further education?
A) "I should choose foods that are nutrient dense."
B) "High-fiber foods minimize the risk of constipation."
C) "I should eat more calories to avoid malnutrition."
D) "I can add spices to enhance the taste of food."
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Page 32
Chapter 31: Cognitive and Sensory Alterations
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Sample Questions
Q1) The nurse is delegating care to an unlicensed assistive personnel (UAP) to a patient who has sensory overload. Which statement by the UAP indicates a need for further orientation?
A) "I should keep the noise levels low."
B) "I should schedule all the care together."
C) "I should keep the room well lit."
D) "I should allow the family to visit."
Q2) The nurse is caring for a patient with expressive aphasia. Which interventions will assist the nurse in communicating with the patient? (Select all that apply.)
A) Use simple phrases.
B) Speak loudly.
C) Use yes/no questions.
D) Use a picture board.
E) Be patient and unrushed.
Q3) An appropriate goal for a patient with a diagnosis of social isolation is:
A) the patient will participate in cognitive exercises.
B) the patient will interact with other residents during activities.
C) the patient will communicate basic needs through use of photos.
D) the patient will remain within the unit while in long-term care.
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Page 33
Chapter 32: Stress and Coping
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Sample Questions
Q1) The nurse is caring for a patient with a new diagnosis of diabetes type 2. Which of the following statements indicates a negative coping response?
A) "I will look up information on the Internet about diabetes."
B) "I will join a support group."
C) "I will only focus on learning to manage my medication first."
D) "I will make changes slowly so I can adapt to each change."
Q2) The nurse manager of the unit is implementing a program to assist the nursing staff in managing compassion fatigue. Which intervention will be the most successful? (Select all that apply.)
A) Support group that nurses can participate in that meets on the unit
B) Exercise completion to encourage nurse to exercise and log their time
C) Organized break times so nurses can get off the unit for breaks and lunches
D) Quiet area on the unit where the nurses can go during break
E) Promotion of work-life balance
F) None of the above
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Chapter 33: Sleep
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Sample Questions
Q1) The nurse knows that polysomnograpy is:
A) the recording of brain waves and other variables.
B) the relay of motor impulse to the hypothalamus.
C) the patterns of biological functioning.
D) the recording of seizure activity in the brain.
Q2) The nurse is admitting a patient to the general medical-surgical unit. What should the nurse assess as part of a routine sleep assessment? (Select all that apply.)
A) Usual sleeping and waking times
B) Bedtime routines
C) Sleeping environment preferences
D) Medications used for sleep
E) Any current life events
F) None of the above
Q3) The nurse knows an appropriate goal for the nursing diagnosis Sleep deprivation is:
A) the patient will remain asleep for 6 to 7 hours consistently for 1 week.
B) the patient will fall asleep within 15 minutes of going to bed.
C) the patient will report an ability to concentrate on tasks.
D) the patient will repeat medication instructions on discharge.
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Chapter 34: Diagnostic Testing
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Sample Questions
Q1) The nurse is caring for a patient who has just undergone paracentesis. For which complication will the nurse carefully monitor?
A) Collapse of the lung with shortness of breath
B) Fecal impaction from retained barium in the colon
C) Cerebrospinal fluid leak resulting in severe headache
D) Perforation of the bowel resulting in abdominal infection
Q2) The nurse is caring for a patient whose immune system is destroying red blood cells at a very rapid rate. Which test result will the nurse expect to see in the patient's chart as a result?
A) Bilirubin level 4 mg/dL
B) Platelet count 450,000/mm\(^{3}\)
C) Serum uric acid level 1.7 mg/dL
D) Partial thromboplastin time 45 seconds
Q3) The nurse is caring for a patient who recently had a liver biopsy. To whom must the nurse give the results?
A) The patient
B) The patient's physician
C) The patient's insurance provider
D) The patient's spouse
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Page 36
Chapter 35: Medication Administration
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Sample Questions
Q1) The nurse is caring for a patient who is NPO with a new PEG (percutaneous endoscopic gastrostomy) tube. Which of the patient's medications can the nurse administer through the tube? (Select all that apply.)
A) Edluar (zolpidem tartrate) sublingual tablet 5 mg nightly at bedtime
B) Ondansetron (Zofran) oral disintegrating tablet 8 mg q 8 hours PRN nausea
C) Ceclor (cefaclor for oral suspension) 250 mg q 6 hours
D) Oxymorphone hydrochloride extended release (Opana ER) 40 mg q 12 hours
E) Phenytoin (Dilantin) chewable tablet 100 mg q 12 hours
F) Potassium chloride oral solution 20 mEq daily
Q2) The nurse is caring for a patient who was just made NPO. The nurse is to administer carvedilol (Coreg) 25 mg PO to the patient for control of high blood pressure. What is the best action of the nurse?
A) Crush the medication and administer it to the patient mixed with applesauce.
B) Administer the medication to the patient with a small sip of water.
C) Contact the patient's physician to clarify the order.
D) Administer the equivalent medication dose through the patient's IV.
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Chapter 36: Pain Management
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Sample Questions
Q1) The nurse is caring for a cancer patient with ongoing pain from widespread metastasis to her bones. The nurse notes that the patient's morphine dosage had to be increased to sufficiently manage her discomfort. What is the nurse's interpretation of this assessment finding?
A) The patient became tolerant to the previous morphine dosage.
B) The patient is becoming addicted to her pain medication.
C) The patient has been abusing her prescribed pain medications.
D) The patient is seeking to end her life with an overdose of morphine.
Q2) The nurse administered 100 mcg sublingual fentanyl spray (Subsys) at 10:00 A.M. to a patient experiencing severe breakthrough pain. At what time will the nurse ask the patient if pain relief was obtained?
A) 10:30 A.M.
B) 11:00 A.M.
C) 11:30 A.M.
D) 12:00 noon
Q3) Which patient is best suited for PCA analgesia?
A) A patient who is confused after a head injury
B) A patient recovering from total hysterectomy surgery
C) A patient who has severe psychogenic pain
D) A patient with arthritis who is unable to push the nurse call button
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Chapter 37: Perioperative Nursing Care
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Sample Questions
Q1) The nurse is caring for a postoperative patient who has a history of COPD. What is the priority nursing diagnosis for this patient?
A) Ineffective airway clearance
B) Readiness for enhanced knowledge
C) Risk for delayed surgical recovery
D) Activity intolerance
Q2) The nurse is caring for a male patient who will soon have open heart surgery. The patient's chest is covered with thick hair so the surgical technician comes in to shave the patient's skin near the operative site. Which action by the technician requires intervention by the nurse to correct the technique?
A) A straight safety razor and antibiotic foam is used
B) Disposable electric trimmers are used to trim the hair
C) Antibacterial soap is used prior to hair removal
D) Only the hair directly around the surgical site is removed
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Chapter 38: Oxygenation and Tissue Perfusion
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Sample Questions
Q1) The nurse is caring for a patient who has presented to the ER with chest pain. Which diagnostic test will best indicate if there is significant blockage of certain important blood vessels that provide oxygen to the heart muscle?
A) Cardiac catheterization
B) Chest x-ray
C) Echocardiogram
D) Electrocardiogram
Q2) The nurse is performing a respiratory assessment on a patient. Which assessment findings indicate to the nurse that the patient has a history of long-standing chronic respiratory disease? (Select all that apply.)
A) All of the patient's fingernails are noticeably clubbed.
B) The patient needs to sleep on at least four to five pillows at night.
C) The patient's chest has equal antero-posterior and transverse diameters.
D) The patient's lower legs have large areas of brownish spotted discoloration.
E) The patient reports puffiness of both feet when standing for long periods.
F) The patient's forced vital capacity test result is 3.8 L of air.
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Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
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Sample Questions
Q1) The nurse is caring for a patient who has a history of congestive heart failure and takes once-daily furosemide (Lasix) in order to prevent fluid overload and pulmonary edema. The patient tells the nurse that she has stopped taking the medication because she has to urinate frequently during the night. What is the nurse's best response?
A) "You should ask your doctor to decrease the dose."
B) "Take the diuretic early in the morning before breakfast."
C) "Eat foods high in potassium and limit your salt intake."
D) "Restrict your fluid intake after dinner and in the evening."
Q2) The nurse is caring for a patient who has a serum magnesium level of 0.8 mEq/L. Which is the highest priority goal to include in the patient's plan of care?
A) The patient will maintain urine output of at least 30 mL/hr.
B) The patient will verbalize the importance of sufficient dietary intake of magnesium.
C) The patient's oral mucous membranes will remain free of ulceration and pain.
D) The patient will remain alert and oriented x3 with no confusion or seizure activity.
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Chapter 40: Bowel Elimination
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Sample Questions
Q1) The nurse is caring for a postoperative patient who underwent bowel resection surgery that morning. The nurse assesses the patient's abdomen and notes that there are hypoactive bowel sounds. The patient is resting quietly without nausea or vomiting. What is the appropriate action of the nurse?
A) Keep the patient NPO and document the findings in the chart.
B) Administer a laxative suppository to stimulate peristalsis.
C) Insert a Salem sump nasogastric tube to low continuous suction.
D) Notify the surgeon and prepare the patient to return to surgery.
Q2) The nurse is caring for a patient who has just completed 2 weeks of IV antibiotics for a severe infection. The patient now has frequent loose watery stools and a low-grade temperature. What is the most likely cause of the patient's new symptoms?
A) C. difficile infection
B) Paralytic ileus
C) Fecal impaction
D) Salmonella food poisoning
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Chapter 41: Urinary Elimination
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Sample Questions
Q1) The nurse is caring for a patient who reports an urgent need to urinate but is unable to pass more than a few drops of urine on the toilet. Which is the priority assessment to be performed by the nurse?
A) Bladder scan to determine the amount of urine in the bladder
B) Auscultation to assess circulation through the right and left renal arteries
C) Bimanual palpation to assess for possible enlargement of the kidneys
D) Calculate the patient's intake and output to check for fluid volume deficit
Q2) The nurse is caring for a patient who has urinary frequency. Which nursing diagnosis is the highest priority for this patient?
A) Risk for compromised human dignity r/t occasional incontinence
B) Risk-prone health behavior r/t living alone at home with nocturia
C) Risk for contamination r/t urine contact with perineal area skin
D) Risk for falls r/t hurried trips to the bathroom during the day and night
Q3) The nurse is caring for a patient who recently underwent ileal conduit surgery. Which nursing diagnosis is the highest priority for this patient?
A) Ineffective sexuality pattern related to changed body structure
B) Social isolation related to potential for accidental leakage of urine
C) Knowledge deficit related to care and maintenance of ostomy appliance
D) Disturbed body image related to presence of stoma and appliance
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Page 43
Chapter 42: Death and Loss
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Sample Questions
Q1) The nurse is caring for a female patient who died a few minutes previously. The patient's family comes in to the room and immediately starts to wash the body in preparation for burial. What is the most appropriate action of the nurse at this time?
A) Inform the patient's family that the body must be transported to the morgue.
B) Instruct the patient's family that hospital staff will provide post-mortem care.
C) Obtain needed signatures for organ donation and autopsy.
D) Offer to provide any needed supplies and provide privacy for the family.
Q2) The nurse is caring for a young patient whose mother has only a few weeks to live. The patient has been misbehaving at school recently and is suspended after picking fights with other students and defying teachers. Which stage of grieving is the patient experiencing?
A) Denial
B) Anger
C) Bargaining
D) Depression
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