Concepts of Nursing Practice
Exam Materials
Course Introduction
Concepts of Nursing Practice introduces students to the foundational principles, theories, and frameworks that guide the nursing profession. The course emphasizes critical concepts such as patient-centered care, health promotion, evidence-based practice, professionalism, ethical decision-making, and the nursing process. Students explore the roles and responsibilities of nurses within diverse healthcare settings, develop communication and critical thinking skills, and learn to integrate cultural competence into practice. Through the combination of theory, simulation, and practical application, this course prepares students to provide safe, compassionate, and holistic care to clients across the lifespan.
Recommended Textbook
Concepts for Nursing Practice 2nd Edition by Giddens
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58 Chapters
459 Verified Questions
459 Flashcards
Source URL: https://quizplus.com/study-set/174
Page 2
Chapter 1: Development
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2322
Sample Questions
Q1) The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs related to A) anticipatory guidance.
B) low-risk adolescents.
C) physical development.
D) sexual development.
Answer: A
Q2) A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to her toys and makes up stories. The mother wants her child to have a psychological evaluation. The nurse's best initial response is to A) refer the child to a psychologist immediately.
B) explain that playing make believe is normal at this age.
C) complete a developmental screening using a validated tool.
D) separate the child from the mother to get more information.
Answer: B
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3
Chapter 2: Functional Ability
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Balances the checkbook
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: A
Q2) Cleans the house
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: A
Q3) The home care nurse is trying to determine the necessary services for a 65-year-old patient who was admitted to the home care service after left knee replacement. Which tool is the best for the nurse to utilize?
A) Minimum Data Set (MDS)
B) Functional Status Scale (FSS)
C) 24-Hour Functional Ability Questionnaire (24hFAQ)
D) The Edmonton Functional Assessment Tool
Answer: C
Q4) Dresses self
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: B
Page 4
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Chapter 3: Family Dynamics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) Two women have an established long-term relationship and are attending parenting classes in anticipation of finalizing adoption of a baby. The nurse identifies them as which type of family?
A) Cohabiting
B) Nuclear
C) Same-sex
D) Single parent
Answer: C
Q2) The most appropriate initial nursing intervention when the nurse notes dysfunctional interactions and lack of family support for a patient would be to
A) enforce hospital visiting policies.
B) monitor the dysfunctional interactions.
C) notify the primary care provider.
D) role model appropriate support.
Answer: D
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Chapter 4: Culture
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2325
Sample Questions
Q1) The nurse is caring for an older Chinese adult male who is grimacing and appears restless after abdominal surgery. What is the nurse's best action?
A) Ask the patient if he is anxious about his hospital stay.
B) Ask a translator to conduct a FACES pain scale assessment.
C) Ask the patient about pain and assess vital signs.
D) Ask the patient about any history of depression or anxiety.
Q2) When teaching an Asian patient with newly diagnosed diabetes, the nurse notes the patient nodding yes to everything that is being said. With a better understanding of cultural interdependence in self-Chapter, a nurse should immediately
A) write everything down for the patient to refer to later.
B) prompt further to elicit additional questions or concerns.
C) call the recognized elder for this patient.
D) call the oldest male relative for help with decision making.
Q3) The emphasis on understanding cultural influence on health care is important because of
A) disability entitlements.
B) HIPAA requirements.
C) increasing global diversity.
D) litigious society.
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Page 6
Chapter 5: Spirituality
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) Which are true statements about the definition of spirituality in nursing? (Select all that apply.)
A) Patient's quality of life, health, and sense of wholeness are affected by spirituality
B) An exact definition was developed and adopted in the late 1980s
C) Encompasses principle, an experience, attitudes, and belief regarding God
D) Head knowledge affects spirituality more than heart knowledge
E) Mind, body, spirit, love, and caring are interconnected
Q2) When developing a plan of care, the nurse should consider which attribute of the Chapter of spirituality?
A) Spirituality is not a well-known universal concept
B) Chronic versus acute illnesses affect spirituality
C) Convincing patients to pray is a priority intervention
D) Referrals may be needed to spiritual counselors
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Chapter 6: Adherence
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) The nurse is preparing a discharge teaching plan for a patient who has peripheral vascular disease and has poor circulation to the feet. Which learning goal should the nurse include in the teaching plan?
A) The nurse will demonstrate the proper technique for trimming toenails.
B) The patient will understand the rationale for proper foot care after instruction.
C) The nurse will instruct the patient on appropriate foot care before discharge.
D) The patient will post reminder stickers on the calendar to check feet every day and record scheduled appointments with podiatrist.
Q2) The nurse is developing a care plan for a patient who has low motivation and nonadherence with blood glucose monitoring. Which statement by the patient would indicate to the nurse that the patient is not motivated and will most likely not comply?
A) "I do not like to test my sugar, but I do it because my wife nags me."
B) "I forget to check my sugar once in a while."
C) "I don't see or feel any different when I do keep my blood sugars under control."
D) "I have no idea what the signs of low blood sugar are."
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Chapter 7: Self-Management
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) When developing a plan of care to promote self-management, which patient is least likely to be affected by depression?
A) 55-year-old employed female
B) 35-year-old Hispanic male
C) 40 year old with 5th grade education
D) 42 year old with private insurance
Q2) The nurse is assessing a patient's readiness to be discharged and ability to manage care at home. What is the most appropriate question for the nurse to ask to determine the patient's learning needs before planning teaching activities?
A) "What are your hobbies and occupation?"
B) "What do you need to know before you go home from the hospital?"
C) "Do you have any cultural or religious beliefs that you would like incorporated into your plan of care?"
D) "What were your grades and learning style when you were in school?"
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9
Chapter 8: Fluid and Electrolyte Balance
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) The nurse assessed four patients at the beginning of the shift. Which finding should the nurse report immediately to the physician?
A) Swollen ankles in patient with compensated heart failure
B) Positive Chvostek's sign in patient with acute pancreatitis
C) Dry mucous membranes in patient taking a new diuretic
D) Constipation in patient who has advanced breast cancer
Q2) The patient has recent bilateral, above-the-knee amputations and has developed C. difficile diarrhea. What assessments should the nurse use to detect ECV deficit in this patient? (Select all that apply.)
A) Test for skin tenting.
B) Measure rate and character of pulse.
C) Measure postural blood pressure and heart rate.
D) Check Trousseau's sign.
E) Observe for flatness of neck veins when upright.
F) Observe for flatness of neck veins when supine.
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Chapter 9: Acid-Base Balance
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2330
Sample Questions
Q1) The patient has severe hyperthyroidism and will have surgery tomorrow. What assessment is most important for the nurse to assess in order to detect development of the acid-base imbalance for which the patient has highest risk?
A) Urine output and color
B) Level of consciousness
C) Heart rate and blood pressure
D) Lung sounds in lung bases
Q2) The nurse is making a home visit to a child who has a chronic disease. Which finding has the greatest implication for acid-base aspects of this patient's care?
A) Urine output is very small today.
B) Whites of the eyes appear more yellow.
C) Skin around the mouth is very chapped.
D) Skin is sweaty under three blankets.
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11
Chapter 10: Thermoregulation
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) The nurse planning care for a patient with hypothermia should consider what similar exemplar?
A) Heat exhaustion
B) Heat stroke
C) Infection
D) Prematurity
Q2) Which strategies should the nurse include in a community program for senior citizens related to dealing with cold winter temperatures?
A) Avoiding hot beverages
B) Shopping at an indoor mall
C) Using a fan at low speed
D) Walking slowly in the park
Q3) The nurse admitting a patient to the emergency department on a very hot summer day would suspect hyperthermia when the patient demonstrates which assessment finding?
A) Decreased respirations
B) Low pulse rate
C) Red, sweaty skin
D) Slow capillary refill
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Page 12
Chapter 11: Sleep
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2332
Sample Questions
Q1) The nurse is making rounds on the hospital unit and observes a patient sleeping. The patient's pulse and respiratory rates are slower than baseline. The nurse realizes the patient has most likely just entered which stage of non-rapid eye movement sleep?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
Q2) The nurse enters a patient's room and the patient startles easily and appears to jerk his arms and legs before awakening. Which stage of non-rapid eye movement sleep did the patient most likely awaken from?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
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13
Chapter 12: Cellular Regulation
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) What is the priority nursing diagnosis for a patient experiencing chemotherapy-induced anemia?
A) Risk for injury related to poor blood clotting
B) Fatigue related to decreased cellular oxygenation
C) Disturbed body image related to skin color changes
D) Imbalanced nutrition, less than body requirements related to anorexia
Q2) A patient with prostate cancer is taking estrogen daily to control tumor growth. He reports that his left calf is swollen and painful. Which of the following would be the nurse's best action?
A) Instruct the client to keep the leg elevated.
B) Measure the calf circumference and compare the measurement with the right calf circumference measurement.
C) Apply ice to the calf after a 10-minute massage of the area.
D) Document assessment findings as an expected response with estrogen therapy.
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14
Chapter 13: Intracranial Regulation
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) When caring for a patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes along with what other findings?
A) Hypertension and bradycardia
B) Hypertension and tachycardia
C) Hypotension and bradycardia
D) Hypotension and tachycardia
Q2) After shunt procedure, the nurse would monitor the patient's neurologic status by using which test?
A) Electroencephalogram
B) Glasgow Coma Scale
C) National Institutes of Health Stroke Scale
D) Monro-Kellie doctrine
Q3) The nurse preparing to care for a patient after a suspected stroke would question which order?
A) Antihypertensive
B) Antipyretic
C) Osmotic diuretic
D) Sedative
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Page 15
Chapter 14: Hormonal Regulation
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) Which statement made by a student nurse indicates the need for further teaching about pituitary insufficiency?
A) "Synthetic human growth hormone may be prescribed for children who are small for gestational age."
B) "Testosterone supplements may be prescribed for women with gonadotropin deficiency."
C) "Estrogen is known to regulate the action of growth hormone in men and women."
D) "Chronic kidney disease treatment may include synthetic growth hormone replacement."
Q2) A patient presents to the emergency room complaining of vomiting with severe back and leg pain. The patient's home medications include daily oral corticosteroids. Vital signs reveal a low blood pressure and there are peaked T waves on the electrocardiogram. What is the nurse's priority intervention?
A) Start an intravenous line
B) Collect urine specimen
C) Administer antiemetic
D) Administer narcotic analgesia
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16
Chapter 15: Glucose Regulation
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) When a diabetic patient asks about maintaining adequate blood glucose levels, which of the following statements by the nurse relates most directly to the necessity of maintaining blood glucose levels no lower than about 74 mg/dL?
A) "Glucose is the only type of fuel used by body cells to produce the energy needed for physiologic activity."
B) "The central nervous system cannot store glucose and needs a continuous supply of glucose for fuel."
C) "Without a minimum level of glucose circulating in the blood, erythrocytes cannot produce ATP."
D) "The presence of glucose in the blood counteracts the formation of lactic acid and prevents acidosis."
Q2) The nurse associates which assessment finding in the diabetic patient with decreasing renal function?
A) Ketone bodies in the urine during acidosis
B) Glucose in the urine during hyperglycemia
C) Protein in the urine during a random urinalysis
D) White blood cells in the urine during a random urinalysis
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Chapter 16: Nutrition
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) An African American is at an increased risk for which of the following? (Select all that apply.)
A) Vitamin D deficiency
B) Type 1 diabetes
C) Celiac disease
D) Type 2 diabetes
E) Hypertension
F) Metabolic syndrome
Q2) The nurse is completing a nutritional assessment on a patient with hypertension. What foods would be recommended for this patient?
A) Regular diet
B) Low sodium diet
C) Pureed diet
D) Low sugar diet
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Page 18
Chapter 17: Elimination
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7 Flashcards
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Sample Questions
Q1) During an assessment, the patient states that his bowel movements cause discomfort because the stool is hard and difficult to pass. As the nurse, you make which of the following suggestions to assist the patient with improving the quality of his bowel movement? (Select all that apply.)
A) Increase fiber intake.
B) Increase water consumption.
C) Decrease physical exercise.
D) Refrain from alcohol.
E) Refrain from smoking.
Q2) The process of digestion is important for every living organism for the purpose of nourishment. Where does most digestion take place in the body?
A) Large intestine
B) Stomach
C) Small intestine
D) Pancreas
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Chapter 18: Perfusion
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7 Flashcards
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Sample Questions
Q1) The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked two packs of cigarettes per day for 27 years. The nurse may find which data upon assessment?
A) Elevated blood pressure
B) Bounding pedal pulses
C) Night blindness
D) Reflux disease
Q2) A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. What should the nurse monitor for in this patient?
A) Tissue ischemia
B) Brain malformations
C) Intestinal blockage
D) Cardiac dysrhythmia
Q3) The patient asks the nurse to explain the function of the sinoatrial node in the heart. What is the nurse's best response?
A) "The sinoatrial node stimulates the heart to beat in a normal rhythm."
B) "The sinoatrial node protects the heart from atherosclerotic changes."
C) "The sinoatrial node provides the heart with oxygenated blood."
D) "The sinoatrial node protects the heart from infection."
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Page 20
Chapter 19: Gas Exchange
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Sample Questions
Q1) Which clinical management prevention Chapter would the nurse identify as representative of secondary prevention?
A) Decreasing venous stasis and risk for pulmonary emboli
B) Implementation of strict hand washing routines
C) Maintaining current vaccination schedules
D) Prevention of pneumonia in patients with chronic lung disease
Q2) The nurse is reviewing the patient's arterial blood gas results. The PaO<sub>2</sub> is 96 mm Hg, pH is 7.20, PaCO<sub>2</sub> is 55 mm Hg, and HCO<sub>3</sub> is 25 mEq/L. What might the nurse expect to observe on assessment of this patient?
A) Disorientation and tremors
B) Tachycardia and decreased blood pressure
C) Increased anxiety and irritability
D) Hyperventilation and lethargy
Q3) Which patient finding would the nurse identify as being a risk factor for altered transport of oxygen?
A) Hemoglobin level of 8.0
B) Bronchoconstriction and mucus
C) Peripheral arterial disease
D) Decreased thoracic expansion
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Page 21
Chapter 20: Clotting
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Sample Questions
Q1) Which statement by a patient indicates additional teaching is required about the medication warfarin?
A) "I will continue my diabetic diet and restrict sugar."
B) "I will increase the intake of green, leafy vegetables for a more healthful diet."
C) "I will restrict the intake of foods high in vitamin C."
D) "I will increase the amount of protein in my diet to protect my kidneys."
Q2) The nurse would anticipate that which of the following patient conditions will be treated with the collaborative treatment of regular phlebotomies?
A) Hemophilia
B) Thrombocytopenia
C) Eosinophilia
D) Polycythemia
Q3) The nurse would expect to administer an anticoagulant to a patient following which surgery?
A) Hip replacement
B) Hysterectomy
C) Abdominal aorta aneurism (AAA) repair
D) Appendectomy
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Chapter 21: Reproduction
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Sample Questions
Q1) The nurse at the family planning clinic conducts a male history for infertility evaluation. Which finding has the greatest implication for this patient's care?
A) Practice of nightly masturbation
B) Primary anovulation
C) High testosterone levels
D) Impotence due to alcohol ingestion
Q2) A female patient comes to the clinic after missing one menstrual period. She lives in a house beneath electrical power lines which is located near an oil field. She drinks two caffeinated beverages a day, is a daily beer drinker, and has not stopped eating sweets. She takes a multivitamin and exercises daily. She denies drug use. Which finding in the history has the greatest implication for this patient's plan of care?
A) Electrical power lines are a potential hazard to the woman and her fetus.
B) Living near an oil field may mean the water supply is polluted.
C) Alcohol exposure should be avoided during pregnancy due to teratogenicity.
D) Eating sweets may cause gestational diabetes or miscarriage.
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Chapter 22: Sexuality
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Sample Questions
Q1) A 55-year-old male patient post-myocardial infarction (MI) asks the nurse whether he will be healthy enough for sexual activity after discharge from the hospital. The patient has been prescribed anti-hypertensives and beta-blockers. During health teaching, the nurse understands that the three phases of the four-stage model of the human sexual response cycle that are of concern for this patient include which phases?
A) Excitement, plateau, and orgasmic
B) Plateau, orgasmic, and resolution
C) Excitement, orgasmic, and resolution
D) Arousal, excitement, and plateau
Q2) The nurse is caring for a 44-year-old married woman who is complaining of painful intercourse and incontinence due to prolapse of reproductive organs. Clinical evaluation reveals that the patient has a cystocele. Which treatment option is most appropriate for this patient?
A) Pelvic floor training
B) Vaginal pessaries
C) Surgical correction
D) Lifestyle changes
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Chapter 23: Immunity
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Sample Questions
Q1) The parents of a newborn question the nurse about the need for vaccinations: "Why does our baby need all those shots? He's so small, and they have to cause him pain." The nurse can explain to the parents that which of the following are true about vaccinations?
(Select all that apply.)
A) Are only required for infants
B) Are part of primary prevention for system disorders
C) Prevent the child from getting childhood diseases
D) Help protect individuals and communities
E) Are risk free
F) Are recommended by the Centers for Disease Control and Prevention (CDC)
Q2) The nurse is caring for a postoperative patient who had an open appendectomy. The nurse understands that this patient should have some erythema and edema at the incision site 12 to 24 hours post operation dependent on which condition?
A) His immune system is functioning properly.
B) He is properly vaccinated.
C) He has an infection.
D) The suppressor T-cells in his body are activated.
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Chapter 24: Inflammation
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Sample Questions
Q1) A patient is diagnosed with a sprain to her right ankle after a fall. The patient asks the nurse about using ice on her injured ankle. What is the nurse's best response?
A) "Use ice only when the ankle hurts."
B) "Ice should be applied for 15 to 20 minutes every 2 to 3 hours over the next 1 to 2 days."
C) "Wrap an ice pack around the injured ankle for the next 24 to 48 hours."
D) "Ice is not recommended for use on the sprain because it would inhibit the inflammatory response."
Q2) A patient is being treated with an antibiotic for an infected orthopedic injury. What explanation should the nurse give to the patient about this medication?
A) "Antibiotics will decrease the pain at the site."
B) "An antibiotic helps to kill the infection causing the inflammation."
C) "An antibiotic inhibits cyclooxygenase, an enzyme in the body."
D) "Antibiotics will reduce the patient's fever."
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Chapter 25: Infection
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Sample Questions
Q1) A nurse is teaching a group of business people about disease transmission. He knows that he needs to reeducate when one of the participants states which of the following?
A) "When traveling outside of the country, I need to be sure that I receive appropriate vaccinations."
B) "Food and water supplies in foreign countries can contain microorganisms to which my body is not accustomed and has no resistance."
C) "If I don't feel sick, then I don't have to worry about transmitted diseases."
D) "I need to be sure to have good hygiene practices when traveling in crowded planes and trains."
Q2) In order to provide the best intervention for a patient, the nurse is often responsible for obtaining a sample of exudate for culture. What information will this provide?
A) Whether a patient has an infection.
B) Where an infection is located.
C) What cells are being utilized by the body to attack an infection.
D) What specific type of pathogen is causing an infection.
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Chapter 26: Mobility
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Sample Questions
Q1) The lack of weight bearing leads to what effects on the skeletal system?
A) Demineralization, calcium loss
B) Thickened bones
C) Increased range of motion
D) Increased calcium deposition in the bones
Q2) A patient who has been in the hospital for several weeks is about to be discharged. The patient is weak from the hospitalization and asks the nurse to explain why this is happening. What is the nurse's best response?
A) "Your iron level is low. This is known as anemia."
B) "Your immobility in the hospital is known as deconditioning."
C) "Your poor appetite is known as malnutrition."
D) "Your medications have caused drug induced weakness."
Q3) An older patient is talking with the nurse about hip fractures. The patient would like to know the best approach to strengthen the bones. What is the nurse's best response?
A) "Walk at least 5 miles every day for exercise."
B) "Wear proper fitting shoes to prevent tripping."
C) "Talk with your physician about a calcium supplement."
D) "Stand up slowly so you don't feel faint."
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28
Chapter 27: Tissue Integrity
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Sample Questions
Q1) A patient in the outpatient setting was diagnosed with atopic dermatitis. What interventions will the plan of care focus primarily on?
A) Decreasing pain
B) Decreasing pruritus
C) Preventing infection
D) Promoting drying of lesions
Q2) A patient asks the nurse what the purpose of the Wood's light is. Which response by the nurse is accurate?
A) "We will put an anesthetic on your skin to prevent pain."
B) "The lamp can help detect skin cancers."
C) "Some patients feel a pressure-like sensation."
D) "It is used to identify the presence of infectious organisms and proteins associated with specific skin conditions."
Q3) A patient is to receive phototherapy for the treatment of psoriasis. What is the nursing priority for this patient?
A) Obtaining a complete blood count (CBC)
B) Protection from excessive heat
C) Protection from excessive ultraviolet (UV) exposure
D) Instructing the patient to take their multivitamin prior to treatment
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Page 29
Chapter 28: Sensory Perception
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Sample Questions
Q1) The nurse requests that a mother give permission for a hearing test in a newborn infant. The mother questions the importance of such a test. The nurse correctly responds with which of the following statements?
A) "This will help us to identify your baby's risk for ear infections the first year of life."
B) "Hearing is important so your baby hears and responds to your voice, which makes you feel like a mother."
C) "Socialization skills include the need to hear in order to interpret the emotional aspect of the words that are spoken to your child."
D) "Imitation of sounds is the first step in language development, and it is important to identify alterations early."
Q2) The nurse is examining the eyes of a newborn infant. If the nurse notes the absence of the red reflex, what is the next best action?
A) Notify the physician.
B) Document the finding in the records.
C) Recheck the reflex after several hours.
D) Monitor the eye movements and pupil reactions closely.
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Chapter 29: Pain
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Sample Questions
Q1) A 62-year-old male has fallen while trimming tree branches sustaining tissue injury. He describes his condition as an aching, throbbing back. This is characteristic of what type of pain?
A) Neuropathic pain
B) Nociceptive pain
C) Chronic pain
D) Mixed pain syndrome
Q2) An 80-year-old male patient is in the intensive care unit has suffered a fractured femur. You are making rounds and notice he is somnolent, with no response to verbal or physical stimulation. He has been on round the clock opioid doses q 4 hours. What is the nurse's first action?
A) Call the rapid response team to care for the patient immediately.
B) Discontinue the opioids on the medication administration record.
C) Assess the patient's blood pressure and pain level.
D) Start a second intravenous line with a large bore catheter.
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Chapter 30: Fatigue
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Sample Questions
Q1) A patient presents to the clinic complaining of nausea, vomiting, and fatigue. Lab results reveal elevated BUN and creatinine levels. Which acute condition is this patient at most risk for developing?
A) Influenza
B) Mononucleosis
C) Acute renal failure
D) Pneumonia
Q2) The occupational health nurse is making rounds in a factory. Which employees need further education about energy conservation strategies?
A) Workers reaching up to high shelf often to obtain cleaning supplies
B) Workers bending over to lift boxes onto conveyer belt
C) Workers who have delegated out parts of their activities
D) Workers standing for long periods
E) Workers standing at desks at waist level
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Chapter 31: Stress
Source URL: https://quizplus.com/quiz/2352
Sample Questions
Q1) Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient? (Select all that apply.)
A) Assess for bradycardia.
B) Ask about epigastric pain.
C) Observe for increased appetite.
D) Check for elevated blood glucose levels.
E) Monitor for a decrease in respiratory rate.
Q2) A patient has not been sleeping well because he is worried about losing his job and not being able to support his family. The nurse takes the patient's vital signs and notes a pulse rate of 112 beats/min, respirations are 26 breaths/min, and his blood pressure is 166/88 instead his usual 110-120/76-84 range. Which nursing intervention or recommendation should be used first?
A) Go to sleep 30 to 60 minutes earlier each night to increase rest.
B) Relax by spending more time playing with his pet dog.
C) Slow and deepen breathing via use of a positive, repeated word.
D) Consider that a new job might be better than his present one.
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33
Chapter 32: Coping
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Sample Questions
Q1) After a management decision to admit terminal care patients to a medical unit, the nursing manager notes that nursing staff on the unit appear tired and anxious. Staff absences from work are increasing. The nurse manager is concerned that staff may be experiencing stress and burnout at work. What action would be best for the manager to take that will help the staff?
A) Ask administration to require staff to meditate daily for at least 30 minutes.
B) Have a staff psychologist available on the unit once a week for required counseling.
C) Have training sessions to help the staff understand their new responsibilities.
D) Ask support staff from other disciplines to complete some nursing tasks to provide help.
Q2) The nurse is developing a care plan for a patient with ineffective coping skills. Which intervention would be an example of a problem-focused coping strategy?
A) Scheduling a regular exercise program
B) Attending a seminar on treatment options
C) Identifying a confidant to share feelings
D) Attending a support group for families
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Chapter 33: Mood and Affect
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Sample Questions
Q1) A patient has been resistant to treatment with antidepressant therapy. The care provider prescribes a monoamine oxidase inhibitor (MAOI) medication. What teaching is critical for the nurse to give the patient?
A) Serum blood levels must be regularly monitored to assess for toxicity.
B) To prevent side effects, the medication should be administered as an intramuscular injection.
C) Eating foods such as blue cheese or red wine will cause side effects.
D) This medication class may only be used safely for a few days at a time.
Q2) As a nurse in the emergency department, you are caring for a patient who is exhibiting signs of depression. What is a priority nursing intervention you should perform for this patient?
A) Assess for depression and ask directly about suicide thoughts.
B) Ask the care provider to prescribe blood lab work to assess for depression.
C) Focus on the presenting problems and refer the patient for a mental health evaluation.
D) Interview the patient's family to identify their concerns about the patient's behaviors.
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Chapter 34: Anxiety
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Sample Questions
Q1) The nurse wishes to use guided imagery to help an anxious patient relax. Which comment would be appropriate to include in the guided imagery script? (Select all that apply.)
A) "Imagine others treating you the way they should, the way you want to be treated "
B) "With each breath, you are feeling calmer, more relaxed, almost as if you are floating "
C) "You are alone on a beach; the sun is warm; and you hear only the sound of the surf "
D) "You have taken control; nothing can hurt you now; everything is going your way "
E) "You have grown calm; your mind is still; there is nothing to disturb your well-being "
F) "You will feel better as work calms down, as your boss becomes more understanding "
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36
Chapter 35: Cognition
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Sample Questions
Q1) An older adult who is cognitively impaired is admitted to the hospital with pneumonia. Which sign or symptom would the nurse expect to be exhibited by the patient?
A) Severe headache
B) Flank pain
C) Increased confusion
D) Decreased blood glucose
Q2) An 82-year-old patient who is in the hospital awakens from sleep and is disoriented to where she is at the present time. The nurse reorients the patient to her surroundings and helps the patient return to sleep. What data does the nurse consider as a probable cause of the patient's confusion?
A) Pain medication received earlier in the night
B) The death of the patient's spouse 2 years ago
C) The patient's history of diabetes
D) The age of the patient
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Chapter 36: Psychosis
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Sample Questions
Q1) In discussing disease prevention with a 15-year-old boy and his mother, the nurse identifies which of the following as risk factors for psychosis? (Select all that apply.)
A) Father diagnosed with paranoid schizophrenia
B) Rural residence
C) Recent immigration from Ecuador
D) Occasional cannabis use
E) January birth date
F) Physical abuse by the father
Q2) A client with schizophrenia has relapsed and has been identified as being in stage four of relapse. The nurse expects to observe which behavior that most consistent with this stage of relapse?
A) Expressing feelings of anxiety
B) Expressing feelings of being overwhelmed
C) Bizarre behaviors and speech
D) Presence of hallucinations
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Chapter 37: Addiction
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Q1) The nurse assesses the outcomes of a motivational interview on a patient with a dual diagnosis of alcoholism with delirium tremens (DTs) and determines that the communication was nontherapeutic. What is the nurse's next priority?
A) Encourage the patient to think of ways to change environmental triggers to abuse substances.
B) Ask the patient what methods they think would work and encourage participating in self-help groups.
C) Notify provider to obtain order for oxazepam and vitamin B infusion.
D) Notify provider to obtain order for CT scan and psychologic consult.
Q2) A patient who was admitted 24 hours ago has become increasingly irritable and now says there are bugs on his bed. Which condition should the nurse suspect?
A) Alcohol-induced psychosis
B) Delirium tremens (DTs)
C) Neurologic injury related to a fall
D) Posttraumatic stress reaction
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Chapter 38: Interpersonal Violence
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Sample Questions
Q1) The nurse is admitting a child with a history of abuse. The nurse understands that the child may exhibit what behaviors that are consequences of being in an abusive environment? (Select all that apply.)
A) Reliving abuse incidents
B) Sleep disturbance
C) Overeating
D) Acting out behaviors
E) Intermittent fever
Q2) The nurse is reviewing case files for children at risk for injury resulting in brain injury. Which child is at most risk for experiencing this type of violence?
A) A Caucasian, 6-month-old infant living with a single mother
B) An African-American, 24-month-old child living with her grandmother
C) A Mexican, 3-year-old child living in an inner city apartment
D) A Japanese, 8-year-old child living in a home with three generations of family
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Chapter 39: Professional Identity
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Q1) The scope of professional nursing practice is determined by the rules promulgated by which organization?
A) American Nurses' Association (ANA)
B) Institute of Medicine (IOM)
C) State Board of Nursing
D) State Nursing Association
Q2) The qualities of leadership, clinical expertise and judgment, mentorship, and lifelong learning would best describe which type of nurse?
A) Administrator
B) Certified nurse specialist
C) Practitioner
D) Professional
Q3) The American Nurses' Association (ANA) outlines expectations of the nursing profession in which type of documentation?
A) Gallup poll
B) Goldman report
C) Social Policy Statement
D) Social identity theory
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Chapter 40: Clinical Judgment
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Sample Questions
Q1) The nurse is implementing a plan of care for a patient newly diagnosed with type 2 diabetes mellitus. The plan includes educating the patient about diet choices. The patient states that they enjoy exercising and understand the need to diet; however, they can't see living without chocolate on a daily basis. Using the principles of responding in the Model of Clinical Judgment, how would the nurse proceed with the teaching?
A) The nurse explains to the patient that chocolate has a high glycemic index. The nurse then focuses on foods that have low glycemic indexes and provides a list for the patient to choose from.
B) The nurse explains that the patient may eat whatever they would like as long as the patient's glucose reading and A1c remain stable.
C) The nurse derives a new nursing diagnosis of Knowledge Deficit and readjusts the plan of care to include additional sessions with the registered dietician.
D) The nurse examines the patient's daily glucose log and incorporates the snack into the time of day that has the lowest readings. The nurse then follows up and evaluates the response in 1 week.
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Chapter 41: Leadership
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Sample Questions
Q1) What are the main features of complex adaptive systems that are relevant to nursing leadership? (Select all that apply.)
A) Focused on creating organizational change and looking at the whole versus individual parts.
B) Defined by efforts of leadership to mandate organizational change.
C) Autocratic in nature with a top-down structure for change.
D) Dependent on employees knowing what change is necessary and acting independently.
E) Non-linear and dynamic in nature, versus a static process.
Q2) According to situational and contingency theory, which statement is true?
A) The theory challenges the concept that one leadership style is always best.
B) The theory supports employee feelings, morale, and feedback during the change process.
C) Motivation through inspiration and recognition is the focus for transforming employee behavior.
D) A leader is someone who possesses great intelligence and decision-making authority.
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43
Chapter 42: Ethics
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Sample Questions
Q1) An unconscious patient is treated in the emergency department for head trauma. The patient is unconscious and on life support for 2 weeks prior to making a full recovery. The initial actions of the medical team are based on which ethical principle?
A) Utilitarianism
B) Deontology
C) Autonomy
D) Veracity
Q2) A patient suffered a brain injury from a motor vehicle accident and has no brain activity. The patient has a living will which states no heroic measures. The family requests that no additional heroic measures be instituted for their son. The nurse respects this decision in keeping with which principle?
A) Accountability
B) Autonomy
C) Nonmaleficence
D) Veracity
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44
Chapter 43: Patient Education
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Sample Questions
Q1) Barriers to patient education the nurse considers in implementing a teaching plan include which factor?
A) Family resources
B) High school education
C) Hunger and pain
D) Need perceived by patient
Q2) What is the most appropriate resource to include when planning to provide patient education related to a goal in the psychomotor domain?
A) Diagnosis-related support groups
B) Internet resources
C) Manikin practice sessions
D) Self-directed learning modules
Q3) When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that involves which quality?
A) Addresses group needs
B) Follows formalized plans
C) Has standardized content
D) Often occurs one-to-one
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45
Chapter 44: Health Promotion
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Sample Questions
Q1) At the well-child clinic, how does the nurse correctly teach a mother about health promotion activities and describe immunizations?
A) Unique for children
B) Primary prevention
C) Secondary prevention
D) Tertiary prevention
Q2) Which tertiary prevention measure should be included in the health promotion plan of care for a patient newly diagnosed with diabetes?
A) Avoiding carcinogens
B) Foot screening techniques
C) Glaucoma screening
D) Seat belt use
Q3) When teaching a patient with a family history of hypertension about health promotion, the nurse describes blood pressure screening as which type of prevention?
A) Illness
B) Primary
C) Secondary
D) Tertiary
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Chapter 45: Communication
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Sample Questions
Q1) A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric facility. Which remark by the nurse would be an appropriate way to begin an interview session?
A) "How shall we start today?"
B) "Shall we talk about losing your privileges yesterday?"
C) "Let's get started discussing your marital relationship."
D) "What happened when your family visited yesterday?"
Q2) The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification?
A) "What are the common elements here?"
B) "Tell me again about your experiences."
C) "Am I correct in understanding that "
D) "Tell me everything from the beginning."
Q3) The nurse and the patient are conversing face to face. What communication technique is being demonstrated?
A) Linguistic
B) Paralinguistic
C) Explicit
D) Metacommunication
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Chapter 46: Collaboration
Source URL: https://quizplus.com/quiz/2367
Sample Questions
Q1) The management of a community hospital is trying to encourage a more collaborative environment among staff members. Which Chapter is most important for management to develop first?
A) Post educational posters about how well collaboration is being performed
B) Highlight that no single profession can meet the needs of all patients
C) Provide meetings for each department on how their role affects patients
D) Begin implementing evaluations of collaborative skills on annual performance reviews
Q2) Which patient scenario describes the best example of professional collaboration?
A) The nurse, physician, and physical therapist have all visited separately with the patient.
B) The nurse, physical therapist, and physician have all developed separate care plans for the patient.
C) The nurse mentions to the physical therapist that the patient may benefit from a muscle strengthening evaluation.
D) The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy.
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Chapter 47: Safety
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Q1) To promote a safety culture, the nurse manager preparing the staff schedule considers the anticipated census in planning the number and experience of staff on any given shift. Which is the human factor primarily addressed with this consideration?
A) Available supplies
B) Interdisciplinary communication
C) Interruptions in work
D) Workload fluctuations
Q2) Which is an essential element of a standard order set to verify a medication order?
A) Volume only
B) Number of tablets
C) Metric dose/strength
D) Hour of administration
Q3) Aspects of safety culture that contribute to a culture of safety in a health care organization include which component?
A) Communication
B) Fear of punishment
C) Malpractice implications
D) Team nursing
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Chapter 48: Technology and Informatics
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Sample Questions
Q1) Which are exemplars of the health informatics Chapter?
A) Clinical research informatics
B) Hardware and software
C) Privacy and security
D) Standard terminology
Q2) To design and implement a decubitus ulcer risk management protocol in the electronic health record, the informatics nurse would first perform which action?
A) Build the screens in the electronic health record.
B) Determine evidence supporting decubitus ulcer risk management.
C) Develop the training program for staff.
D) Select the appropriate standardized language.
Q3) When discussing the purposes of health care informatics with a nurse during orientation, the nurse educator would be concerned if the nurse orientee stated that which is one purpose of informatics?
A) Develop a cognitive science.
B) Improve disease tracking.
C) Improve the health provider's work flow.
D) Increase administrative efficiencies.
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Chapter 49: Evidence
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Q1) How does the Iowa model transcend mere nursing care? (Select all that apply.)
A) It includes formalized internal feedback loops.
B) Its triggers can have their origins practically anywhere.
C) It generates change in practice solely through research.
D) It implies a layer of policy development.
E) It addresses multiple disciplines' impacts on quality.
Q2) The nurse in the psychiatric unit is involved in a research study for a depression medication. In the study, patients are randomly assigned to one depression medication and the other group is receiving no medication to treat the depression. What method of research are the patients involved with?
A) Descriptive
B) Correlational
C) Quasi-experimental
D) Experimental
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Chapter 50: Health Care Quality
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Sample Questions
Q1) The focus of quality health care should be on which of the following items? (Select all that apply.)
A) Excellent services
B) Comprehensive communication
C) Private hospital rooms
D) Health team collaboration
E) Culturally competent care
Q2) Two nurses are discussing health care quality. They agree which event contributes to increased health care quality?
A) Magnet status hospitals
B) Fewer adverse events
C) Collaboration of multiple health care agencies
D) Increased patient education
Q3) Which statement is true regarding the patient's perception of his or her care?
A) Patent perception is just as important as the outcome of care.
B) Patient perception is insignificant compared to the outcome of care.
C) Patient satisfaction has no relation to quality of care.
D) Patient satisfaction is insignificant compared to the outcome of care.
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Chapter 51: Care Coordination
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Q1) Student nurses are being questioned by the nursing instructor about the health care coordination system. The instructor knows the students understand health care delivery when making which statement?
A) "Health care is available for everyone at every time."
B) "Health care needs are best met with a collaborative effort."
C) "Health care is adequately meeting the needs of the homeless populations."
D) "Health care needs are mostly in third world countries."
Q2) Nurses work to serve the population, and they know that which priority population needs to be served by care coordination?
A) Most vulnerable and the frail
B) Uninsured and the very young
C) Underinsured and the elderly population
D) Whole population of the community
Q3) For children and teens, which model includes school-based services?
A) Social
B) Integrated
C) Medically-Oriented
D) Nurse-Oriented
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Chapter 52: Caregiving
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Q1) Many middle-aged adults are called the "sandwich" generation because they are caring for their children and their aging parents. What is the priority reason for aging parents needing care?
A) Mental clarity
B) Immobility
C) Blindness
D) Multiple chronic illnesses
Q2) Many grandparents today are caring for grandchildren in place of a parent. Identify the reasons why this phenomenon is happening. (Select all that apply.)
A) Children prefer living with their grandparents.
B) Parents are incarcerated.
C) Parents are deceased.
D) Grandparents are better caregivers.
E) Parents are mentally ill.
F) Parents are substance abusers.
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Chapter 53: Palliation
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Sample Questions
Q1) What is the most prominent goal of palliative care?
A) Integrate into chronic disease management sooner rather than later.
B) Enroll the patient into the Medicare Hospice Benefit.
C) Ensure that the patient has a 6-month prognosis.
D) Reserve this type of care until the patient is actively dying.
Q2) The student demonstrates a lack of understanding of palliative care when making which statement?
A) "Palliative care is designed to promote comfort."
B) "Palliative care is designed to reduce disease exacerbations."
C) "Palliative care is designed to decrease acute care hospital admissions."
D) "Palliative care is designed to promote a cure for chronic disease."
Q3) When considering the trajectory of a specific disease, what is the most important Chapter?
A) Hospital admissions
B) Physical functioning
C) Quality of life
D) Symptom management
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Chapter 54: Health Disparities
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Q1) A healthcare provider whose native country is India is explaining the treatment plan to a patient. The patient tells the nurse she is having trouble understanding the provider but is embarrassed about asking to repeat the information over and over. The nurse should assess for which results due to this disparity in provider-patient communication? (Select all that apply.)
A) Patient dissatisfaction
B) Optimal health outcome
C) Poor adherence
D) Increased patient confidence
E) Improved communication
Q2) The nurse is caring for diverse population groups at a health clinic. Which of the following patients demonstrates a potential health disparity group?
A) A 26-year-old woman who is receiving follow-up after a car accident.
B) A 30-year-old immigrant who does not speak English.
C) A 28-year-old man who needs a tetanus booster.
D) A 12-month-old with an appointment for immunizations.
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Chapter 55: Health Care Organizations
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Q1) A hospital is experiencing a drop in patient admissions, resulting in the implementation of a hiring freeze. What is a potential critical consequence of this internal organizational decision?
A) A decrease in the availability of future nurses to hire
B) A savings of salaries and benefits
C) Increased scholarships to nursing students from the local high school
D) Increased cross-training of current staff
Q2) A hospital organization is applying for Magnet status to show excellence in nursing practice. What components would indicate that the hospital is meeting Magnet principles? (Select all that apply.)
A) The education budget for nursing has been cut to provide for new laboratory equipment.
B) On average, 40% of new nurses are leaving within 1 year of hire.
C) Nurses are active participants on all major hospital committees.
D) Quality improvement projects are planned and evaluated by nurses.
E) Patient care outcome data are reported in the annual executive board meeting.
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Chapter 56: Health Care Economics
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Sample Questions
Q1) Two nurses are discussing health care in the past and the present. The two nurses know which to be true about health care in the present?
A) Health care in the present is mostly provided by nurses.
B) Health care in the present is controlled by third party payers.
C) Health care in the present is controlled by physicians.
D) Health care in the present is dictated by the patient.
Q2) Which of the following statements is true about health care in the US?
A) The US spends more money on health care than any other nation.
B) The US provides health care to every citizen.
C) The US relies on government funding to treat most citizens.
D) The US spends less money on pediatric care than other nations.
Q3) A student asks the instructor about health care economics. The instructor knows the student understands when the student makes which statement?
A) "The elderly population uses most of the health care services."
B) "Everyone should have health insurance to obtain services."
C) "Health care dollars should be partitioned by the government."
D) "Resources will be needed to serve health care issues."
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Chapter 57: Health Policy
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Sample Questions
Q1) Which branch of government is responsible for the execution of laws passed by legislatures?
A) Legislative
B) Judicial
C) Executive
D) Local
Q2) A nursing student is preparing a care plan for an assigned patient. When accessing the electronic medical record, what is acceptable information to view? (Select all that apply.)
A) Laboratory data of the assigned patient
B) Admission diagnosis for a patient who is a former neighbor
C) The patient's age, date of birth, and gender
D) The history and physical of the assigned patient
E) A classmate's brother's chest x-ray report
Q3) A definition of health policy includes which of the following elements?
A) Funding for public education
B) Appropriation of funds for roadwork
C) Selection of congressional members of committees
D) Public policy made to support health-related goals
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Page 59
Chapter 58: Health Care Law
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Sample Questions
Q1) In which of the following answers is the hospital in compliance with the Consolidated Omnibus Budget Reconciliation Act and Emergency Medical Treatment and Active Labor Act of 1986 (EMTALA)?
A) The emergency department staff asks a patient to stay in the waiting room until the patients with insurance are treated.
B) The emergency registration personnel explain to a patient that they must have proper identification to receive treatment.
C) A patient with chest pain is triaged directly to a room for evaluation and registration information is obtained after the patient is stabilized.
D) The emergency department physician discharges and instructs a patient who is actively suicidal to go the neighbor facility that has psychiatric services.
Q2) The new nurse correctly defines a law when stating which information?
A) "Law is a fundamental concept for health care professionals."
B) "Law's rule is developed by the employee's organization."
C) "Law's rule is enacted by a government agency that defines what must be done in a given circumstance."
D) "Law is a mandate from the Joint Commission or other accrediting agency."
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Page 60