

Essentials of Nursing Test Preparation
Course Introduction
Essentials of Nursing introduces students to the foundational principles and practices of professional nursing. This course covers the history and philosophy of nursing, the nursing process, and the roles and responsibilities of nurses in healthcare settings. Students will explore topics such as patient-centered care, communication, critical thinking, legal and ethical considerations, and evidence-based practice. Emphasis is placed on developing basic clinical skills, safety, infection control, and cultural competency necessary for effective patient care. This course prepares students for further study and lays the groundwork for professional practice in diverse healthcare environments.
Recommended Textbook
Fundamentals of Nursing 8th Edition by Taylor
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45 Chapters
1562 Verified Questions
1562 Flashcards
Source URL: https://quizplus.com/study-set/3964

Page 2

Chapter 1: Introduction to Nursing
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79493
Sample Questions
Q1) A student is choosing her educational path and desires a nursing degree with a track that contains community nursing and leadership, as well as liberal arts. The student would best be suited in which type of program?
A) Licensed practical nursing program
B) Certification in a nursing specialty
C) Diploma nursing program
D) Baccalaureate program
Answer: D
Q2) A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes this state of being?
A) Health is a state of optimal functioning.
B) Health is an absence of illness.
C) Health is always an objective state.
D) Health is not determined by the patient.
Answer: A
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Chapter 2: Theory, Research, and Evidence-Based Practice
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79482
Sample Questions
Q1) A nursing student has been asked to correlate her clinical experiences with two different theories of nursing. The student will recognize that which of the following concepts are common to all theories of nursing? Select all that apply.
A) The client
B) The environment
C) Illness
D) Needs
E) Nursing
Answer: A, B, E
Q2) What was significant about the promotion of the National Center for Nursing Research to the current National Institute of Nursing Research (NINR)?
A) Increased numbers of articles are published in research journals.
B) NINR gained equal status with all other National Institutes of Health.
C) NINR became the major research body of the International Council of Nurses.
D) It decreased emphasis on clinical research as an important area for nursing.
Answer: B
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4

Chapter 3: Health, Illness, and Disparities
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/79471
Sample Questions
Q1) Which of the following nursing interventions is an example of health promotion and preventive care on the primary level? Select all that apply.
A) A nurse counsels a teenager to stop smoking.
B) A nurse conducts a health fair for high blood pressure screening.
C) A nurse counsels the family of a client diagnosed with lung cancer.
D) A home health care nurse arranges for rehabilitation services for a patient.
E) A school nurse arranges for a career seminar for graduating seniors.
Answer: A
Q2) A cleint accepts the fact that he needs bypass surgery for a blocked artery and is admitted into the hospital. Which one of the following stages of illness is this client experiencing?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
Answer: C
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Chapter 4: Health of the Individual, Family, and Community
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79460
Sample Questions
Q1) A man 75 years of age is being discharged to his home following a fall in his kitchen that resulted in a fractured pelvis. The home health nurse makes a home assessment that will be used to design interventions to meet which priority need?
A) Sleep and rest
B) Support from family members
C) Protection from potential harm
D) Feeling a sense of accomplishment
Q2) Which of the following is an example of a community factor that may affect health?
A) Rural setting
B) Air and water quality
C) Number of residents
D) Educational level
Q3) What is the major effect of a health crisis on family structure?
A) Adaptation to stress
B) Change in roles of family members
C) Respect for family values
D) Loss of individual identities
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Chapter 5: Cultural Diversity
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79453
Sample Questions
Q1) A 40-year-old nurse is taking a health history from a Hispanic man aged 20 years. The nurse notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior?
A) The client is embarrassed by the questions.
B) This is culturally appropriate behavior.
C) The client dislikes the nurse.
D) The client does not understand what is being asked.
Q2) Most nurses have been taught to maintain direct eye contact when communicating with clients. Some cultural groups would not value direct eye contact with the nurse. Which cultural group would consider the direct eye contact impolite?
A) Americans
B) British
C) Canadians
D) Native Americans
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Chapter 6: Values, Ethics, and Advocacy
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/79452
Sample Questions
Q1) A home care nurse visits a client who is confined to bed and is cared for by her daughter. The daughter is known to suffer from chemical dependence. The home is cluttered and unclean. During the assessment the nurse notes that the client is wet with urine and has dried feces on her buttocks, and demonstrates signs of dehydration. After caring for the client, the nurse contacts the physician and reports the incident to Adult Protective Services. This is an example of which ethical framework?
A) Justice
B) Autonomy
C) Nonmaleficence
D) Fidelity
Q2) A nursing instructor is teaching a class about ethical principles to a group of nursing students. The instructor determines that the teaching was successful when the students give which of the following as an example of nonmaleficence?
A) Protecting clients from a chemically impaired practitioner
B) Performing dressing changes to promote wound healing
C) Providing emotional support to clients who are anxious
D) Administering pain medications to a client in pain
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Chapter 7: Legal Dimensions of Nursing Practice
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79451
Sample Questions
Q1) Which of the following is the nurse's best legal safeguard?
A) Collective bargaining
B) Written or implied contracts
C) Competent practice
D) Patient education
Q2) A nurse is providing client care in a hospital setting. Who has full legal responsibility and accountability for the nurse's actions?
A) The nurse
B) The head nurse
C) The physician
D) The hospital
Q3) An on-duty nurse discovers that her colleague is pilfering medicines. According to the Nurse Practice Acts, what should the nurse do?
A) Keep silent and overlook the incident
B) Inform the local police station
C) Discuss this incident with the colleague
D) Report the incident to the supervisor
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9

Chapter 8: The Health Care Delivery System
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79450
Sample Questions
Q1) After a stroke, a client is having difficulty swallowing. The nurse may make a referral to what member of the health care team?
A) Physical therapist
B) Speech therapist
C) Social worker
D) Respiratory therapist
Q2) Health care costs are increasing as technology and related services increase. Patients interact with many health care providers, such as RNs, LPNs, physicians, physical therapists, medical technologists, radiation technologists, specialists, and others employed in health care. As a result of the complexity of care and multiple providers, health care is becoming fragmented. What are the major results of fragmented care?
A) Less confusion for clients regarding treatment.
B) Increased medication errors.
C) Clients receive more specialized care.
D) Lack of continuity of care.
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Chapter 9: Care Coordination and Continuity
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79449
Sample Questions
Q1) What must a nurse do before altering the arrangement of furniture in the home to facilitate care?
A) Nothing; the nurse may move the furniture if needed.
B) Document the need to move the furniture.
C) Tell the client that the furniture has to be moved.
D) Ask the client's permission to move the furniture.
Q2) Which of the following health care professionals prescribes home care and certifies the plan of care for the client?
A) Social worker
B) Discharge nurse
C) Home healthcare nurse
D) Physician
Q3) A client asks a nurse, "How does ergotamine (Ergostat) relieve migraine headaches?" The nurse should respond that it:
A) dilates cerebral blood vessels.
B) constricts cerebral blood vessels.
C) decreases peripheral vascular resistance.
D) decreases the stimulation of baroreceptors.
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11

Chapter 10: Blended Competencies
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79492
Sample Questions
Q1) The nurse, after gathering data, analyzes the information to derive meaning. The nurse is involved in which phase of the nursing process?
A) Planning
B) Diagnosis
C) Implementation
D) Outcome identification
Q2) After completing an assessment of a client, the nurse uses critical thinking and clinical reasoning to prioritize the client's problems. Which of the following would the nurse determine is the highest priority?
A) Severe bleeding from a wound
B) History of asthma
C) Diabetes
D) Lack of family support
Q3) What name is given to standardized plans of care?
A) Critical pathways
B) Computer databases
C) Nursing problems
D) Care plan templates
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Chapter 11: Assessing
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79491
Sample Questions
Q1) The nurse is conducting a nursing history of a client with a respiratory rate of 30, audible wheezing, and nasal flaring. During the interview, the client denies problems with breathing. What action should the nurse take next?
A) Clarify discrepancies of assessment data with the client.
B) Validate client data with members of the health care team.
C) Document all data collected in the nursing history and physical examination.
D) Seek input from family members regarding the client's breathing at home.
Q2) The nurse has entered a client's room to find the client diaphoretic (sweat-covered) and shivering, inferring that the client has a fever. How should the nurse best follow up this cue and inference?
A) Measure the client's oral temperature.
B) Ask a colleague for assistance.
C) Give the client a clean gown and warm blankets.
D) Obtain an order for blood cultures.
Q3) When documenting subjective data, the nurse should do which of the following?
A) Use the client's own words placed in quotation marks.
B) Paraphrase the information stated by the client.
C) Validate the information with the client's family prior to documentation.
D) Record the information using nonspecific words.
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Page 13
Chapter 12: Diagnosing
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79490
Sample Questions
Q1) A nurse is formulating a diagnosis for a client who is reliving a brutal mugging that took place several months ago. The client is crying uncontrollably and states that he "can't live with this fear." Which of the following diagnoses for this client is correctly written?
A) Post-trauma syndrome related to being attacked
B) Psychological overreaction related to being attacked
C) Needs assistance coping with attack
D) Mental distress related to being attacked
Q2) Which of the following statements accurately describes the legal responsibility of the nurse making a diagnosis for a client?
A) The nurse may make a diagnosis, but the physician is responsible for making sure it is appropriate for the client.
B) The nurse practitioner is responsible for making all nursing diagnoses and determining if they are appropriate for the client.
C) The nurse must decide if he or she is qualified to make a nursing diagnosis and will accept responsibility for treating it.
D) The health care facility directs the nursing diagnosis in order to receive payment for services performed.
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Page 14

Chapter 13: Outcome Identification and Planning
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79489
Sample Questions
Q1) During outcome identification and planning, from what part of the nursing diagnoses are outcomes derived?
A) The defining characteristics
B) The related factors
C) The problem statement
D) The database
Q2) The nurse develops long-term and short-term outcomes for a client admitted with asthma. Which of the following is an example of a long-term goal?
A) Client returns home verbalizing an understanding of contributing factors, medications, and signs and symptoms of an asthma attack.
B) By day 3 of hospitalization, the client verbalizes knowledge of factors that exacerbate the symptoms of asthma.
C) Within one hour of a nebulizer treatment, adventitious breath sounds and cough are decreased.
D) Within 72 hours of admission, the client's respiratory rate returns to normal and retractions disappear.
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Chapter 14: Implementing
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79488
Sample Questions
Q1) Which of the following statements accurately describes a recommended guideline for implementation? Select all that apply.
A) When implementing nursing care, remember to act independently, regardless of the wishes of the client/family.
B) Before implementing any nursing action, reassess the client to determine whether the action is still needed.
C) Assume that the nursing intervention selected is the best of all possible alternatives.
D) Consult colleagues and the nursing and related literature to see if other approaches might be more successful.
E) Reduce your repertoire of skilled nursing interventions to ensure a greater likelihood of success.
Q2) What characteristic of a competent nurse practitioner enables nurses to be role models for clients?
A) Sense of humor
B) Writing ability
C) Organizational skills
D) Good personal health
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16
Chapter 15: Evaluating
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/79487
Sample Questions
Q1) Nursing care and client outcomes may be evaluated by use of a retrospective evaluation process. Which of the following is an example of a retrospective evaluation process?
A) Postdischarge questionnaire.
B) Direct observation of nursing care.
C) Client interview during hospitalization.
D) Review of client's chart during hospitalization.
Q2) A nurse working in a hospital setting discovers problems with the delivery of nursing care on the pediatric unit. Which of the following suggestions from the Institute of Medicine's Committee on Quality of Health Care in America (Kohn, Corrigan, & Donaldson, 2000) could help redesign and improve care? Select all that apply.
A) Base care on continuous healing relationships.
B) Customize care based on available resources.
C) Keep the nurse as the source of control.
D) Share knowledge and allow for free flow of information.
E) Practice evidence-based decision making.
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17
Chapter 16: Documenting, Reporting, Conferring, and Using Informatics
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/79486
Sample Questions
Q1) A client complains to the nurse-in-charge about another nurse on night shift. The client says that he kept calling the nurse but she never responded. Further, when he questioned the nurse, she said that she had other patients to take care of. The nurse-in-charge is aware that the client can be very demanding. What is an appropriate response for the nurse?
A) "I am sorry that you had to suffer this way. The nurse on night duty should be fired."
B) "It's hard to be in bed and ask for help. You ring for a nurse who never seems to help."
C) "You seem to be impatient. The nurses work very hard and they do whatever they can."
D) "I can see that you are angry. What the nurse did is wrong, and it won't happen again."
Q2) A nurse uses informatics to plan nursing care for a client. Which three terms best describes this science as it is applied to nursing?
A) Data, information, knowledge
B) Process, documentation, analysis
C) Research, controls, variables
D) Hypothesis, nursing, practice
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18

Chapter 17: Developmental Concepts
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/79485
Sample Questions
Q1) The nurse is educating a high school health and fitness class about substance abuse. One of the group members asks what happens if a pregnant woman is using drugs. The nurse's best replies include which of the following? Choose all that apply.
A) Low birth weight
B) Premature births
C) Regular prenatal care
D) Congenital anomalies
E) Risk of poor nutrition
Q2) A child who attends church with his parents imitates religious gesture but does not have an understanding of these religious behaviors. The child also asks his parents, "How do you know God exists? Have you ever seen him?" This child is described as having characteristics associated with which stage of faith development as defined by Fowler?
A) Intuitive-Projective Faith
B) Mystical-Literal Faith
C) Synthetic-Conventional Faith
D) Individuative-Reflective Faith
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Chapter 18: Conception Through Young Adult
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79484
Sample Questions
Q1) A preschooler is in Kohlberg's preconventional phase of moral reasoning. What is the focus of the phase?
A) To learn sex differences and modesty
B) A sexual desire for the opposite sex
C) Obeying rules to avoid punishment
D) Literal concept of God as a male human
Q2) A nurse is educating the parents of an infant about possible health problems during infancy. Which of the following health problems during infancy is most serious?
A) Colic
B) Seborrheic dermatitis
C) Failure to thrive
D) SIDS
Q3) A nurse is observing a group of toddlers at play. What behavior illustrates normal physiologic development in children of this age?
A) Attempting to feed self
B) Using fingers to pick up small objects
C) Throwing and catching a ball
D) Understanding the feelings of others
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Chapter 19: The Aging Adult
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79483
Sample Questions
Q1) The staff at a long-term care facility have made minimal effort to secure a shared room for a couple in their late 80s, who have been married for several decades. The manager states, "I'm sure that bedroom activity is the last thing on their mind these days." How should the nurse best respond to the manager's characterization of sexuality in older adults?
A) "They might not be as active as in years past, but sexuality is still important for older people."
B) "It's actually a myth that older adults have sex less often than younger adults."
C) "There's no reason that we should assume they're less interested than when they first got married."
D) "Their sexual activity has probably stopped by now, but they still need companionship."
Q2) According to the free radical theory of aging, what substance is affected by aging and causes damage?
A) Carbohydrates
B) Proteins
C) Water
D) Lipids
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Chapter 20: Communicator
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79481
Sample Questions
Q1) A group of nursing students is working together on a presentation for their clinical instructor. One student in the group participates by arguing and attempting to block each step of the process of this presentation. The student's behavior is causing frustration for the others and slowing their progress. Which of the following best describes the role this individual student is playing in relationship to the group dynamics?
A) Self-serving
B) Task-oriented
C) Maintenance
D) Group-building
Q2) A nurse has drafted an SBAR communication before contacting the primary care provider of a client whose condition has worsened suddenly. How should the nurse best conclude this communication?
A) Ask the care provider to come and assess the client.
B) Provide the client's most recent vital signs.
C) Ask the care provider if he or she is familiar with this client.
D) Provide the most likely diagnosis of the problem.
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22

Chapter 21: Teacher and Counselor
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79480
Sample Questions
Q1) When caring for a client, the nurse gives day-to-day examples to explain certain points of the health education. The nurse also notes the client's concentration level and educates when the client is active. Which category does the client fall into?
A) Motivation
B) Attention and concentration
C) Learning readiness
D) Learning needs
Q2) A nurse notices that a toddler is constantly snatching toys from the hands of other preschool children at the health care facility, placing the toddler and other children at risk for injury. Which of the following would be a most effective method for teaching the toddler not to snatch toys?
A) Ask the children to play another game.
B) Tell the toddler that God punishes children who snatch.
C) Give the toddler another toy with which to play.
D) Enlist the aid of the toddler's parents in education.
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Chapter 22: Nurse Leader, Manager, and Care Coordinator
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/79479
Sample Questions
Q1) The nurse is a manager on an orthopedic unit. The unit changed to a new computer documentation system three days ago. One of the night nurses has called in sick every shift since the new system started. The nursing manager is aware that this situation has to do with resistance to change. Which of the following are common reasons why people resist change? Choose all that apply.
A) Feel threatened
B) Fear increased responsibility
C) Lack of understanding
D) See no benefits to the change
E) Dislike hospital chief officer
Q2) Which of the following statements accurately describes recommended guidelines for overcoming resistance to change? Select all that apply.
A) Explain the proposed changes only to the managers of the people involved.
B) Whenever possible, use technical language to describe the changes.
C) List the advantages of the proposed change for members of the group.
D) Avoid relating the change to the group's existing beliefs and values.
E) If possible, introduce change gradually.
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Chapter 23: Asepsis and Infection Control
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79478
Sample Questions
Q1) A nurse is educating adolescents on how to prevent infections. What statement by one of the adolescents indicates that more education is needed?
A) "I will wash my hands before and after going to the bathroom."
B) "I don't wear a condom when I have sex, but I know my partners."
C) "I always eat fruits and vegetables, and I sleep eight hours a night."
D) "When I have an infection, I rest and take my medications."
Q2) The nurse is aware that an antiviral medication is most effective when given during which phase of the infectious process?
A) Prodromal stage
B) Incubation period
C) Full stage of illness
D) Convalescent period
Q3) What are the recommended cleansing agents for hand hygiene in any setting when the risk of infection is high?
A) Liquid or bar hand soap
B) Cold water
C) Hot water
D) Antimicrobial products
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Chapter 24: Vital Signs
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Sample Questions
Q1) A nurse is caring for a middle-aged client who looks worried and flares his nostrils when breathing. The client complains of difficulty in breathing, even when he walks to the bathroom. Which of the following breathing disorders is most appropriate to describe the client's condition?
A) Hyperventilation
B) Hypoventilation
C) Dyspnea
D) Apnea
Q2) A nurse has an order to take the core temperature of a client. At which of the following sites would a core body temperature be measured?
A) Rectal
B) Oral
C) Skin surface
D) Axillary
Q3) What population is at greatest risk for hypertension?
A) Hispanic
B) White
C) Asian
D) African American
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Page 26

Chapter 25: Health Assessment
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79476
Sample Questions
Q1) The nurse is preparing to assess a client's cranial nerves. Which of the following techniques should you use to assess cranial nerve III?
A) Shine a bright light in the client's eye and observe for bilateral pupillary response.
B) Ask the client to close the eyes, occlude a nostril, then identify the smell of different substances.
C) Determine visual acuity using a Snellen chart
D) Occlude the patient's right ear, whisper a word into the left ear, and ask the patient to repeat it.
Q2) How would a nurse assess a client for pupillary accommodation?
A) Using an ophthalmoscope, check the red reflex.
B) Ask the client to focus on a finger and move the client's eyes through the six cardinal positions of gaze.
C) Ask the client to focus on an object as it is brought closer to the nose.
D) Ask the client to read the smallest possible line of letters on the Snellen chart.
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Chapter 26: Safety, Security, and Emergency Preparedness
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Source URL: https://quizplus.com/quiz/79475
Sample Questions
Q1) Bioterrorism has become a commonly used term. What is the definition of bioterrorism?
A) A verbal threat by those wishing to harm specific individuals
B) A written threat calculated to produce terror in a family
C) The deliberate spread of pathogens into a community
D) A worldwide plan to produce illness and injury
Q2) Which of the following people has the greatest risk for accidental injury?
A) An infant just learning to crawl
B) An older adult who walks two miles a day
C) An athlete who exercises on a regular basis
D) A worker who operates industrial machines
Q3) A client is very anxious and states, "I am so stressed." Why do these factors affect the client's safety?
A) Stress increases retention of information
B) Stress affects interpersonal relationships
C) Stress increases concern about hazards
D) Stress tends to narrow the attention span
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Chapter 27: Complementary and Alternative Therapies
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79474
Sample Questions
Q1) Which essential oil can be used during aromatherapy to treat nausea?
A) Lavender
B) Garlic
C) Parsley
D) Peppermint
Q2) A Native American client informs the nurse that she practices shamanism. The nurse is aware that shamanism is best described as which of the following?
A) Use of general healing techniques that involve plants, herbs, animals, ritual, ceremony, and purification by a medicine man or woman
B) A system of postures, exercises, breathing techniques, and visualization that regulate balance
C) The placement of thin, short, sterile needles at centers of nerve and vascular tissue along a meridian
D) Adjustment of the spine to accomplish proper alignment and to release pressure on a nerve
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Chapter 28: Medications
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/79473
Sample Questions
Q1) A nurse at a health care facility has to instill ear drops in a client. The nurse knows that which of the following techniques varies for an adult and child client?
A) Manipulation of the client's ear to straighten the auditory canal
B) Dilution of the medication drops before instilling in the client's ear
C) Position in which the client remains until medication reaches the eardrum
D) Amount of time before instilling medication in the client's opposite ear
Q2) A physician writes an order for ampicillin 1 gram every 6 hours for a client. What is missing in this order?
A) Time
B) Amount
C) Route
D) Frequency
Q3) A clinic nurse is preparing for a tuberculosis screening. Knowing the injections will be administered intradermally, what size needles and syringes will the nurse prepare?
A) 10-mL syringe, 3-inch 18-gauge needle
B) 5-mL syringe, 2-inch 20-gauge needle
C) Insulin syringe, 1-inch 16-gauge needle
D) Tuberculin syringe, 1/2-inch 26-gauge needle
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Chapter 29: Perioperative Nursing
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/79472
Sample Questions
Q1) Upon assessment, a client reports that he drinks five to six bottles of beer every evening after work. Based upon this information, the nurse is aware that the client may require which of the following?
A) Larger doses of anesthetic agents and larger doses of postoperative analgesics
B) Larger doses of anesthetic agents and lower doses of postoperative analgesics
C) Lower doses of anesthetic agents and lower doses of postoperative analgesics
D) Lower doses of anesthetic agents and larger doses of postoperative analgesics
Q2) A nurse is educating a client about regional anesthesia. Which of the following statements is accurate about this type of anesthesia?
A) "You will be asleep and won't be aware of the procedure."
B) "You will be asleep but may feel some pain during the procedure."
C) "You will be awake but will not be aware of the procedure."
D) "You will be awake and will not have sensation of the procedure."
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Chapter 30: Hygiene
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Sample Questions
Q1) A client is admitted to the health care facility with a diagnosis of pediculosis capitis. Which of the following would the nurse expect to find in the client?
A) Diffuse scaling of the epidermis
B) Itching and flaking of whitish scales
C) Premature loss of hair
D) Inflammation related to bites along the hairline
Q2) A school nurse is assessing children in the third grade for pediculosis capitis. What assessments should be made?
A) The pubic area for growth of hair
B) The head for nits on hair shafts
C) The nails for evidence of cleanliness
D) The body for evidence of abuse
Q3) Before a long-term care resident goes to sleep at night, his dentures are placed in a denture cup with clean water. What rationale supports placing dentures in water?
A) None; they should be placed in saline
B) To increase comfort when replaced in the mouth
C) To prevent drying and warping of plastic
D) To ensure the dentures are not thrown away
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32

Chapter 31: Skin Integrity and Wound Care
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/79469
Sample Questions
Q1) During a dressing change, the nurse assesses protrusion of intestines through an opened wound. What would the nurse do after covering the wound with towels moistened with sterile 0.9% sodium chloride solution?
A) Document the assessments and intervention.
B) Reinforce the dressing with additional layers.
C) Administer pain medications intramuscularly.
D) Notify the physician and prepare for surgery.
Q2) A home health nurse has a caseload of several postoperative clients. Which one would be most likely to require a longer period of care?
A) An infant
B) A young adult
C) A middle adult
D) An older adult
Q3) A nurse assessing a client's wound documents the finding of purulent drainage. What is the composition of this type of drainage?
A) Clear, watery blood
B) Large numbers of red blood cells
C) Mixture of serum and red blood cells
D) White blood cells, debris, bacteria
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Page 33
Chapter 32: Activity
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Sample Questions
Q1) The nurse is preparing a client to be turned in bed. In what position would the nurse place the client to begin this procedure?
A) Sitting up
B) Lying prone
C) Lying flat
D) Lying flat with feet raised slightly
Q2) The nurse cares for a newly admitted client who will soon need to be taken to the radiology department for a CT scan. The client has a Body Mass Index (BMI) of 52. Which of the following strategies to transport the client is most appropriate?
A) Obtain a mechanical lateral transfer device to move the client onto a stretcher.
B) Enlist the aid of two other staff members and pull the client across the bed and onto a stretcher.
C) Position a friction-reducing sheet under the client before attempting the transfer.
D) Transport the client to the radiology department in the hospital bed.
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34

Chapter 33: Rest and Sleep
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Sample Questions
Q1) A nurse working the night shift assesses a client's vital signs at 4 a.m. (0340). What would be the expected findings, based on knowledge of NREM sleep?
A) Decreased TPR and BP
B) Increased TPR and BP
C) No change from daytime readings
D) Highly individualized, cannot predict
Q2) A client has sought care because of insomnia that has been increasing in severity and frequency in recent months. What questions should the nurse include in an assessment of this client's health problem? Select all that apply.
A) "Do you have a family history of sleep disturbances?"
B) "Do you smoke?"
C) "What medications are you currently taking?"
D) "Do you have a consistent routine around getting ready for bed and going to bed?"
E) "How would you characterize your mood lately?"
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Chapter 34: Comfort and Pain Management
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Sample Questions
Q1) How may a nurse demonstrate cultural competence when responding to clients in pain?
A) Treat every client exactly the same, regardless of culture.
B) Be knowledgeable and skilled in medication administration.
C) Know the action and side effects of all pain medications.
D) Avoid stereotyping responses to pain by clients.
Q2) Of the following individuals, who can best determine the experience of pain?
A) The person who has the pain
B) The person's immediate family
C) The nurse caring for the client
D) The physician diagnosing the cause
Q3) A nurse is assessing a client with arthritis. Which of the following should the nurse consider in the initial assessment of the client?
A) Blood group
B) Anxiety level
C) Pain level
D) Glucose level
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Chapter 35: Nutrition
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Sample Questions
Q1) A nurse performing a nutritional assessment determines that the BMI of a 5'11" (1.8 meters) male client who weighs 81 kilograms is which of the following?
A) 25.1
B) 18.5
C) 20.3
D) 28.6
Q2) A nurse is caring for a client with complaints of chest pain. Which of the following test results would indicate whether the client is at risk for cardiac disease?
A) Test results of levels of unsaturated fats
B) Test results for dyslipidemia
C) Test results of levels of balanced proteins
D) Test results of levels of calories in each food intake
Q3) What information do anthropometric measurements provide in adults?
A) Indirect measure of protein and fat stores
B) Direct measure of degree of obesity
C) Indication of degree of growth rate
D) Reflection of social interaction with others
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Chapter 36: Urinary Elimination
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Sample Questions
Q1) The home health nurse is caring for an older adult woman living alone at home who is incontinent of urine and changes her adult diaper daily. Which of the following nursing diagnoses is the most appropriate for this client?
A) Risk for activity intolerance
B) Risk for impaired skin integrity
C) Risk for infection
D) Risk for falls
Q2) A nurse is assessing the urine on a newborn's diaper. What would be a normal assessment finding?
A) Scanty to no urine
B) Highly concentrated urine
C) Light in color and odorless
D) Dark in color and odorous
Q3) Which of the following describes the term micturition?
A) Emptying the bladder
B) Catheterizing the bladder
C) Collecting a urine specimen
D) Experiencing total incontinence
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Chapter 37: Bowel Elimination
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Sample Questions
Q1) A nurse is assessing the stoma of a client with an ostomy. What would the nurse assess in a normal, healthy stoma?
A) Pallor
B) Purple-blue
C) Irritation and bleeding
D) Dark red and moist
Q2) A nurse is conducting an abdominal assessment. What is the rationale for palpating the abdomen last in the sequence when conducting an abdominal assessment?
A) It is the most painful assessment method
B) It is the most embarrassing assessment method
C) To allow time for the examiner's hands to warm
D) It disturbs normal peristalsis and bowel motility
Q3) A client who has been on a medication that caused diarrhea is now off the medication. What could the nurse suggest to promote the return of normal flora?
A) Stool-softening laxatives, such as Colace
B) Increasing fluid intake to 3,000 mL/day
C) Drinking fluids with a high sugar content
D) Eating fermented products, such as yogurt
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Chapter 38: Oxygenation and Perfusion
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Sample Questions
Q1) The nurse caring for a client with emphysema has determined that a priority nursing diagnosis for this client is "Imbalanced Nutrition: Less Than Body Requirements related to difficulty breathing while eating." Based upon this diagnosis, which of the following is an appropriate nursing intervention to include in the client's care plan?
A) Provide six small meals daily.
B) Provide three large meals daily.
C) Encourage the client to eat immediately before breathing treatments.
D) Encourage the client to alternate eating and using a nebulizer during meal time.
Q2) A nurse uses a nasal cannula to deliver oxygen to a client who is extremely hypoxic and has been diagnosed with chronic lung disease. What is the most important thing to remember when using a nasal cannula?
A) It can cause the nasal mucosa to dry in case of high flow.
B) It can cause anxiety in clients who are claustrophobic.
C) It can create a risk of suffocation.
D) It can result in an inconsistent amount of oxygen.
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Chapter 39: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) A nurse is administering a potassium supplement to a client. What will the nurse do to disguise the taste and decrease gastric irritation?
A) Dilute it
B) Give it after meals
C) Mix it with food
D) Freeze it
Q2) A client has an order to restrict fluids. What is one comfort measure nurses can implement for this client to alleviate a common problem?
A) Back rubs
B) Chewing gum
C) Hair care
D) Oral hygiene
Q3) A client asks a nurse if it is possible to contract a disease by donating blood. How would the nurse respond?
A) "There is only a very small chance; I know you will be safe."
B) "Although hepatitis is possible, AIDS is not."
C) "If I were you, I would request special handling of my blood."
D) "There is no way you can contract a disease by giving blood."
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Chapter 40: Self-Concept
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Sample Questions
Q1) Which statement is an example of the effect of aging, illness, or trauma on self-concept?
A) Society values the wisdom of aging
B) Society devalues aging and chronic illness
C) Few people take a healthy body for granted
D) Most people accept the inevitability of illness
Q2) The nurse is caring for a girl 13 years of age, who is admitted after taking some of her mother's sleeping pills. She is withdrawn and declines to eat or engage in conversation, except to say she doesn't like herself. The nurse is aware that potential causes of poor self-concept at this age can be related to which of the following? Choose all that apply.
A) Inability to accept bodily changes
B) Identify confusion
C) Failure to accept role responsibility
D) Failure to develop meaningful goals
E) Inability to resolve child versus adult roles
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Chapter 41: Stress and Adaptation
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Sample Questions
Q1) An individual steps into a tub of very hot water and immediately jumps out again. What mechanism caused this response?
A) Inflammatory response
B) Reflex pain response
C) General adaptation syndrome
D) Fight-or-flight response
Q2) What is the term for the change that takes place in response to a stressor?
A) Rehabilitation
B) Adaptation
C) Positive movement
D) Negative movement
Q3) A man has noticed bright red blood in his bowel movements for over a month. He says to himself, "Oh, it's just my hemorrhoids." What defense mechanism is the man using?
A) Rationalization
B) Repression
C) Denial
D) Compensation
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43

Chapter 42: Loss, Grief, and Dying
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Sample Questions
Q1) A nurse assesses a terminally ill patient with a DNR order, with findings of decreased blood pressure, urinary and bowel incontinence, loss of reflexes, and Cheyne-Stokes respirations. Based on these findings, the nurse recognizes which of the following?
A) These are signs of impending death.
B) These signs do not indicate any abnormality.
C) The client requires immediate resuscitation.
D) The client's family should be asked to leave.
Q2) Kübler-Ross defines five stages of psychosocial responses to dying and death. Which of the following statements is characteristic of the bargaining stage?
A) "The doctors must have made a mistake."
B) "Why did this happen to me? I always exercised."
C) "Just let me live to see my grandson born."
D) "I've had a good life and I can die in peace."
Q3) Which of the following is an example of a perceived loss?
A) A client mourns the loss of his amputated leg.
B) A client grieves for the loss of his wife to cancer.
C) An older client grieves for the loss of his independence.
D) A client grieves for the loss of his job.
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Chapter 43: Sensory Functioning
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Sample Questions
Q1) A nurse assessing older adults in a long-term care facility is aware that which of the following may result in sensory alterations for these clients?
A) Constipation
B) Anorexia
C) Dry skin
D) Presbyopia
Q2) Is it important for a nurse to consider a client's culture when providing physical care?
A) Yes, culture dictates the amount of sensory stimulation considered normal.
B) Yes, the nurse's culture and the client's culture are often different.
C) No, the nurse must provide needed physical care to all clients.
D) No, the nurse is not required to consider culture when providing care.
Q3) A nurse asks the mother of a hospitalized client age 2 years to bring in his favorite blanket or stuffed animal. What sense is the nurse trying to stimulate with this intervention?
A) Gustatory
B) Visual
C) Tactile
D) Auditory
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Chapter 44: Sexuality
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Sample Questions
Q1) A nurse is educating a student nurse on how STIs affect the health of their clients. Which of the following statements accurately describes an effect of an STI?
A) STIs are most common in young to middle adulthood populations.
B) The incidence of STIs is decreasing due to health promotion efforts.
C) Most of the time STIs cause no symptoms, especially in women.
D) Health problems caused by STIs are more severe and frequent in men.
Q2) Which of the following questions or statements would be most useful for the nurse to make when eliciting information about a client's sexual history?
A) "We need to talk about this."
B) Why did you have unprotected sex?
C) "How would you describe the problem?
D) I need to know sex partners' numbers."
Q3) What do most nursing interventions pertaining to sexuality involve?
A) Teaching to promote sexual health
B) Examinations to identify sexually transmitted infections
C) Advocacy for those with sexual dysfunctions
D) Maintaining confidentiality and privacy
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Chapter 45: Spirituality
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Sample Questions
Q1) A client informs the nurse that her physician has planned a procedure that may be in conflict with the client's personal spiritual belief. The client asks the nurse for assistance. The nurse is aware that her role should include assisting the client to do which of the following?
A) Confront the physician and refuse to undergo the procedure.
B) Explore and research alternative medicine therapies.
C) Poll other physicians about alternate treatment options.
D) Obtain accurate information in order to make a good decision.
Q2) Then nurse is caring for a female client today. As the nurse is giving the client her morning medications, she begins a conversation about her belief in a higher power. The nurse knows that this can be interpreted as which of the following? Choose all that apply.
A) Faith
B) Spirituality
C) Religion
D) God
E) Atheism
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