Concept-Based Nursing Practice Exam Preparation Guide
Course Introduction
Concept-Based Nursing Practice explores foundational concepts that underpin the practice of professional nursing, emphasizing the integration of knowledge, clinical reasoning, and patient-centered care. The course is designed to help students recognize recurring patterns and processes across diverse patient populations and healthcare settings, fostering critical thinking and adaptability. By organizing nursing content into key concepts such as safety, communication, health promotion, and clinical judgment, students develop a holistic understanding of nursing roles and responsibilities. Practical application through case studies, simulations, and skills labs enables learners to connect theory with practice, preparing them to deliver competent, compassionate care in a rapidly evolving healthcare environment.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume I 2nd Edition by Pearson Education
Available Study Resources on Quizplus
21 Chapters
1184 Verified Questions
1184 Flashcards
Source URL: https://quizplus.com/study-set/1758
Page 2
Chapter 1: Acidbase Balance
Available Study Resources on Quizplus for this Chatper
64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/35006
Sample Questions
Q1) The nurse is planning care for the client with Cushing's syndrome who has been admitted for complications related to the disease process.Which intervention should the nurse plan for this client to improve the impaired gas exchange?
A) Monitor serum electrolytes.
B) Schedule nursing activities to allow for periods of rest.
C) Assess input and output accurately.
D) Administer IV fluids per practitioner order.
Answer: B
Q2) Which risk factors exhibited by the client presenting in the emergency department (ED)would place the client at risk for metabolic acidosis? Select all that apply.
A) Abdominal fistulas
B) Chronic obstructive pulmonary disease
C) Pneumonia
D) Acute renal failure
E) Hypovolemic shock
Answer: A,D,E
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Cellular Regulation
Available Study Resources on Quizplus for this Chatper
114 Verified Questions
114 Flashcards
Source URL: https://quizplus.com/quiz/35007
Sample Questions
Q1) The nurse is talking to a group of young adults about decreasing the risk for skin cancer.A young woman asks the nurse about the safety of ultraviolet light tanning salons.Which response by the nurse is most appropriate?
A) "Using tanning beds without clothing contaminates skin and leads to infections."
B) "Tanning from ultraviolet light is safer than sunshine."
C) "Using sunscreen will prevent skin cancers, even in tanning beds."
D) "Skin damage from ultraviolet light is more likely than from indirect sunlight."
Answer: D
Q2) The nurse is assisting the healthcare provider with a bone marrow aspiration and biopsy on a client who has leukemia.The client also has thrombocytopenia.Upon completing of the test,which intervention is a priority for the nurse?
A) Dispose of the equipment used, and clean the area properly.
B) Label and refrigerate the specimen obtained by the physician.
C) Hold pressure on the wound for approximately 5 minutes.
D) Make certain the client understands the purpose of the test.
Answer: C
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Comfort
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/35008
Sample Questions
Q1) The nurse is caring for a dying child.Which nursing action supports the primary goal for a dying child?
A) Keep the child entertained so she does not think about dying.
B) Ensure that a good relationship is maintained with the family.
C) Administer pain medication as ordered.
D) Maintain a busy schedule for child and family members.
Answer: C
Q2) A participant in a seminar given by the nurse asks for information about lifestyle situations that might contribute to chronic fatigue.Which should the nurse identify in response to this request? Select all that apply.
A) Synthroid use
B) Chronic back pain
C) Marijuana use
D) Vigorous exercise three times a week
E) Swimming after a meal
Answer: A, B, C
To view all questions and flashcards with answers, click on the resource link above.
Chapter 4: Digestion
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/35009
Sample Questions
Q1) The nurse is providing care to an older adult client with a history of alcohol abuse who is admitted to the hospital with acute pancreatitis.Which treatment options should the nurse plan for when caring for this client? Select all that apply.
A) Opioid analgesics
B) High-fat diet
C) Total parenteral nutrition
D) Nasogastric tube to suction
E) Pancrealipase administration
Q2) The nurse is providing care for several clients on a medical-surgical unit.The nurse anticipates that the client with which condition may require surgery?
A) Hepatitis
B) Pancreatitis
C) Pyloric stenosis
D) Fecal impaction
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Elimination
Available Study Resources on Quizplus for this Chatper
64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/35010
Sample Questions
Q1) A client is complaining of dull flank pain.List the order of the steps the nurse should take in conducting the physical assessment for this client.
1) Instruct the client.
2) Assess the general appearance.
3) Position the client.
4) Inspect the abdomen for color,contour,symmetry,and distention.
Q2) A client is diagnosed with benign prostatic hyperplasia (BPH).Which topics are appropriate for the nurse to include in the teaching session related to the client's condition? Select all that apply.
A) Prostate function and location
B) BPH diet
C) Surgical approaches to treatment
D) Pharmacologic approaches to treatment
E) Permanent urinary catheterization
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: Fluids and Electrolytes
Available Study Resources on Quizplus for this Chatper
59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/35011
Sample Questions
Q1) A client's serum sodium level is 150 mg/dL.Based on this data,which interventions should the nurse plan for this client? Select all that apply.
A) Monitor heart rate and rhythm.
B) Elevate the head of the bed.
C) Instruct on a low-sodium diet.
D) Administer diuretics as prescribed.
E) Administer potassium supplement as prescribed.
Q2) The nurse is concerned that an older adult client is at risk for developing acute renal failure.Which information in the client's history support the nurse's concern? Select all that apply.
A) Diagnosed with hypotension
B) Recent aortic valve replacement surgery
C) Prescribed high doses of intravenous antibiotics
D) Total hip replacement surgery 5 years ago
E) Taking medication for type 2 diabetes mellitus
Q3) A child weighing 33 lbs.who is diagnosed with dehydration is prescribed to receive 50 mL/kg of oral fluids for the next 4 hours.How many total mL of fluid should the nurse provide to the client? Calculate to the nearest whole number.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 7: Health, wellness, illness, and Injury
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/35012
Sample Questions
Q1) A parent of an adolescent client expressed concern to the nurse regarding the adolescent's sleeping habits.The parent states that the client wants to sleep all the time.The nurse believes that the adolescent is experiencing sleep deprivation.During the assessment,which clinical manifestations support this diagnosis? Select all that apply.
A) Consumption of caffeinated soda
B) Difficulty waking in the morning for school
C) Irritability and anxiety, especially on days with less sleep
D) Trouble initiating or persisting in projects, such as school assignments
E) Refusal to participate in sport activities
Q2) Which nursing intervention exemplifies the nurse working in a health promotion role? Select all that apply.
A) Administering an ordered antibiotic
B) Reinforcing desirable changes to the client's lifestyle
C) Administering vaccines to a well child
D) Administering an inhaler to an asthmatic client
E) Obtaining a blood glucose sample on a hypoglycemic client
Q3) A nurse is caring for a 50-year-old client performing aerobic exercise in the cardiac rehabilitation office.The nurse calculates the client's target heart rate as _______-_________.
To view all questions and flashcards with answers, click on the resource link above.
Page 9
Chapter 8: Immunity
Available Study Resources on Quizplus for this Chatper
53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/35013
Sample Questions
Q1) The nurse is reviewing the laboratory values of a client who is newly diagnosed with acquired immunodeficiency syndrome (AIDS).Which values should be reported to the client's healthcare provider? Select all that apply.
A) CD4 cell count 1,100/mm³
B) T4 cell count 150
C) CD4 lymphocytes 12%
D) Viral load 11,500 copies/mL
E) WBC 6,500
Q2) The nurse is providing care to an adolescent client who presents at the clinic for a routine health assessment.Which immunizations does the nurse anticipate administering to the adolescent during this visit? Select all that apply.
A) MMR booster
B) Papillomavirus vaccine
C) TDaP booster
D) Meningococcal vaccine
E) Hepatitis B vaccine
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Infection
Available Study Resources on Quizplus for this Chatper
75 Verified Questions
75 Flashcards
Source URL: https://quizplus.com/quiz/35014
Sample Questions
Q1) A client has completed the full course of antibiotics prescribed to treat otitis media.Which primary manifestation of the disorder will be relieved as evidence that treatment has been effective?
A) Impaired hearing
B) Dizziness
C) Pain
D) Nausea and vomiting
Q2) The nurse is teaching a mother how to administer optical antibiotics to her child who has conjunctivitis.Which statement made by the mother indicates teaching has been effective?
A) "I will drop the medication onto the eyeball."
B) "I will wait 10 seconds between drops."
C) "I will wash my hands before instilling the medication."
D) "I will rub the eye with a cotton ball after I administer the medication."
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Inflammation
Available Study Resources on Quizplus for this Chatper
54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/35015
Sample Questions
Q1) A client being treated for nephritic syndrome is a vegetarian and has a poor oral intake.Which action should the nurse take to meet this client's nutritional needs?
A) Request that the healthcare provider prescribe an appetite stimulant.
B) Request a dietician to discuss the client's dietary preferences.
C) Encourage the client to eat the food provided on the meal trays.
D) Explain that the client will be returning home soon and can resume a preferred diet.
Q2) A client is admitted with airway edema,bronchoconstriction,and increased mucus production after being exposed to an allergen.Which nursing interventions are appropriate to address this inflammation to the respiratory system? Select all that apply.
A) Turn and reposition every 2 hours.
B) Monitor oxygen saturation.
C) Administer oxygen as prescribed.
D) Restrict fluids.
E) Monitor lung sounds.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 11: Intracranial Regulation
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/35016
Sample Questions
Q1) The nurse is caring for a school-age client who will be discharged from the hospital after receiving a ventriculoperitoneal (VP)shunt as treatment for increased intracranial pressure (IICP).The nurse has taught the parents to monitor the child for shunt malfunction.Which statement by the parents regarding when to notify the healthcare provider indicates that learning goals have been met?
A) "If our child has a bulging soft spot, we will call the doctor."
B) "If our child develops an altered level of consciousness, we will notify the doctor."
C) "If we notice our child's head is expanding, we will notify the doctor."
D) "If our child develops sunset eyes, it will be important to call the doctor."
Q2) While caring for a client with increased intracranial pressure (IICP),a family member asks to assist.Which interventions are appropriate for the nurse to teach the family member regarding this client's care? Select all that apply.
A) The head of the bed should be elevated to 30 degrees.
B) The client should remain in a supine position.
C) The family should use slow, gentle movements when repositioning the client.
D) The client should be repositioned as needed.
E) Patients with ICP should remain in a stationary position.
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Metabolism
Available Study Resources on Quizplus for this Chatper
61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/35017
Sample Questions
Q1) The nurse is assessing the vital signs of a client experiencing hypoparathyroidism.While monitoring the blood pressure,the nurse notes the client's hand begins to spasm.Which term is appropriate for the nurse to use when documenting this assessment finding?
A) Trousseau sign
B) Chvostek sign
C) Turner's sign
D) Cullen's sign
Q2) The nurse is concerned that a client with potential hepatic failure is at risk for developing ascites.Which assessment finding supports the nurse's concern?
A) Increased abdominal girth
B) Gallbladder pain
C) Yellow-tinged skin
D) Bleeding and bruising easily
Q3) A nurse is caring for a client who weighs 209 pounds and is 1.67 meters tall.The nurse calculates the body mass index (BMI)of this client as ________.Round the answer to the nearest whole number.
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Mobility
Available Study Resources on Quizplus for this Chatper
88 Verified Questions
88 Flashcards
Source URL: https://quizplus.com/quiz/35018
Sample Questions
Q1) A client with a history of relapsing-remitting multiple sclerosis (MS)is expecting her first child.What would be indicated for this client?
A) Suggest reproductive counseling.
B) Instruct to expect a period of remission after delivery of the baby.
C) Instruct to expect an exacerbation of symptoms while pregnant.
D) Discuss pain control during labor, as contractions will be severe.
Q2) The nurse is planning care for a client admitted with a high thoracic spinal cord injury.Which interventions would be appropriate for the nursing diagnosis of Alteration in Perfusion? Select all that apply.
A) Discuss future care needs when discharged.
B) Increase fluids to 3,000 mL per day.
C) Turn and reposition every 2 hours.
D) Assess for a full bladder.
E) Assess blood pressure every 2-3 minutes.
To view all questions and flashcards with answers, click on the resource link above.
15
Chapter 14: Nutrition
Available Study Resources on Quizplus for this Chatper
7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/35019
Sample Questions
Q1) The nurse is providing care to a client who is diagnosed with malnutrition.When planning care for this client,which laboratory tests does the nurse anticipate will require monitoring? Select all that apply.
A) Culture and sensitivity
B) Total protein
C) Prealbumin
D) Arterial blood gases
E) Cholesterol
Q2) During a home visit,the nurse is concerned that an older client is at risk for nutritional health problems.Which data collected during the home visit caused the nurse to come to this conclusion? Select all that apply.
A) Client's spouse recently died.
B) Client prepared a stew on the weekend and has been eating it for 4 days.
C) Client's adult children arrive to eat dinner together several times a week.
D) Client is prescribed 15 medications.
E) Client's Social Security payments have gone down over the last year.
To view all questions and flashcards with answers, click on the resource link above.
16
Chapter 15: Oxygenation
Available Study Resources on Quizplus for this Chatper
76 Verified Questions
76 Flashcards
Source URL: https://quizplus.com/quiz/35020
Sample Questions
Q1) The nurse caring for a client admitted with septic shock is aware of the need to assess for the development of acute respiratory distress syndrome (ARDS).Which early clinical manifestation would indicate the development of ARDS?
A) Intercostal retractions
B) Cyanosis
C) Tachypnea
D) Tachycardia
Q2) The nurse is providing care to an infant in the emergency department (ED).Initial assessment indicates that the infant is experiencing an asthma attack.The infant is unresponsive to medication and a chest x-ray reveals a foreign body partially obstructing the airway.While placing an oxygen mask on the infant,the nurse notes a total obstruction of the airway.Which nursing action is appropriate?
A) Attempt to clear the obstruction by delivering back blows and chest thrusts.
B) Attempt to clear the obstruction by delivering back blows.
C) Attempt to clear the obstruction by delivering back blows and abdominal thrusts.
D) Attempt to clear the obstruction by delivering abdominal thrusts.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Perfusion
Available Study Resources on Quizplus for this Chatper
154 Verified Questions
154 Flashcards
Source URL: https://quizplus.com/quiz/35021
Sample Questions
Q1) A client with preeclampsia begins to seize.Which intervention by the nurse is most likely to protect the client and fetus from injury?
A) Elevate the client's legs.
B) Place the client on the left side and protect the airway.
C) Place the client in the supine position.
D) Elevate the head of the bed.
Q2) A nurse caring for a client with disseminated intravascular coagulation (DIC)is reviewing the client's diagnostic tests.Which test result is common in DIC?
A) Decreased prothrombin time
B) Increased platelet count
C) Decreased fibrinogen level
D) Decreased partial thromboplastin time
Q3) The nurse is evaluating care provided to a client with disseminated intravascular coagulation (DIC).Which observation indicates care has been successful for this client?
A) Heart rate 110 beats per minute
B) Oxygen saturation level 86%
C) Urine output 20 mL per hour
D) No evidence of bleeding
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 17: Perioperative Care
Available Study Resources on Quizplus for this Chatper
8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/35022
Sample Questions
Q1) The postoperative nurse is planning care for a client recovering from major thoracic surgery.Which nursing diagnoses should the nurse select to plan for this client's immediate care needs? Select all that apply.
A) Risk for Impaired Gas Exchange
B) Risk for Decreased Cardiac Output
C) Risk for Ineffective Airway Clearance
D) Risk for Imbalanced Nutrition: Less than Body Requirements
E) Risk for Imbalanced Fluid Volume
Q2) The postoperative care nurse reviews the documentation from the intraoperative phase and determines that several areas are missing.Which areas did the nurse identify as being missing from the intraoperative documentation? Select all that apply.
A) Pain assessment
B) Start and stop times of anesthesia
C) Medication review
D) Antibiotic infusion times
E) Start and stop times of the procedure
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 18: Sensory Perception
Available Study Resources on Quizplus for this Chatper
63 Verified Questions
63 Flashcards
Source URL: https://quizplus.com/quiz/35023
Sample Questions
Q1) A client with glaucoma is experiencing sensory overload.What can the nurse suggest to reduce this client's visual overstimulation?
A) Do not go outside during the daytime.
B) Wear sunglasses that block UVA and UVB rays.
C) Insert artificial tears several times a day.
D) Use an over-the-counter eye drop for irritation.
Q2) An older adult client tells the nurse that reading is easier when the material is held to the left or right.What should the nurse suspect this client is experiencing?
A) Cataract
B) Floaters
C) Vision changes from a stroke
D) Macular degeneration
Q3) The nurse is preparing discharge instructions for a client with macular degeneration and type 1 diabetes mellitus.What should the nurse include in this client's teaching plan?
A) Information on assisted-living facilities
B) Information on the need to have routine eye examinations every 5 years
C) Referral to home care to ensure safety with administering insulin at home
D) Information on Medic-Alert bracelets
To view all questions and flashcards with answers, click on the resource link above. Page 20
Chapter 19: Sexuality
Available Study Resources on Quizplus for this Chatper
59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/35024
Sample Questions
Q1) A client with syphilis is allergic to penicillin.Based on this data,which medications does the nurse anticipate as appropriate for this client? Select all that apply.
A) Doxycycline
B) Amoxicillin
C) Tetracycline
D) Gentamicin
E) Erythromycin
Q2) The nurse teaches families about recognizing signs of dating violence in their teenage children.Which participant statement indicates that teaching about safe sexual practices has been effective?
A) "Our son has a new girlfriend."
B) "Our daughter has come home with the odor of alcohol on her breath."
C) "We taught our children about dating violence when they were 6 years old."
D) "We noticed our daughter seems very happy lately."
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Thermoregulation
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/35025
Sample Questions
Q1) A client is started on antibiotic therapy for a respiratory infection.Which goal is appropriate for this client?
A) The client will have no evidence of sweating.
B) The client's mucus membranes will be dry.
C) The client's temperature will be within normal limits within 48 to 72 hours of the administration of the antibiotic.
D) The client's temperature will approach normal within 60 minutes of the administration of the antibiotic.
Q2) The nurse is providing care to a client who is experiencing an elevated body temperature.Which classification of medication does the nurse anticipate will be prescribed for this client?
A) Muscle relaxant
B) Antihypertensive
C) Sedative
D) Antipyretic
To view all questions and flashcards with answers, click on the resource link above.
22
Chapter 21: Tissue Integrity
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/35026
Sample Questions
Q1) While assessing the feet and ankles of an older adult client,the nurse presses a finger into the client's skin in order to create an indentation.For what is the nurse assessing?
A) Periorbital edema
B) Ascites
C) Pitting edema
D) Sacral edema
Q2) The nurse is providing care to a client who is experiencing skin inflammation and pruritus.Which medication prescriptions does the nurse anticipate for this client? Select all that apply.
A) Erythromycin
B) Bacitracin
C) Gentamycin
D) Desoximetasone
E) Desonide
To view all questions and flashcards with answers, click on the resource link above. Page 23