Foundations of Clinical Nursing Exam Review
Course Introduction
Foundations of Clinical Nursing introduces students to the essential principles, concepts, and skills necessary for professional practice in nursing. The course covers the nursing process, critical thinking, patient-centered care, communication techniques, safety practices, and ethical and legal considerations in the clinical setting. Emphasis is placed on developing fundamental assessment skills, basic therapeutic interventions, and interdisciplinary collaboration. Through classroom instruction, laboratory experiences, and simulated clinical scenarios, students gain a foundation in providing holistic and evidence-based care for patients across diverse healthcare environments.
Recommended Textbook
Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
Source URL: https://quizplus.com/study-set/175
Page 2
Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2380
Sample Questions
Q1) A nurse teaches a group of nursing students about nurse practice acts. Which information is \(\bold{most}\) important to include in the teaching session about nurse practice acts?
A) Protects the nurse
B) Protects the public
C) Protects the provider
D) Protects the hospital
Answer: B
Q2) A bill has been submitted to the State House of Representatives that is designed to reduce the cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1. What should the nurse realize?
A) Legislation is politics beyond the nurse's control.
B) National programs have no bearing on state politics.
C) The individual nurse can influence legislative decisions.
D) Focusing on nursing care provides the best patient benefit.
Answer: C
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3
Chapter 2: The Health Care Delivery System
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work?
A) Secondary acute
B) Continuing
C) Restorative
D) Tertiary
Answer: C
Q2) Medicare
A)Insurance for low-income families
B)Federal insurance for people aged 65 and older
C)Health maintenance focus to specific group of voluntarily enrolled people
D)Services at a discount for companies under contract
Answer: B
Q3) Preferred provider organization
A)Insurance for low-income families
B)Federal insurance for people aged 65 and older
C)Health maintenance focus to specific group of voluntarily enrolled people
D)Services at a discount for companies under contract
Answer: D
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Page 4
Chapter 3: Community-Based Nursing Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse attended a seminar on community-based health care. Which information indicates the nurse has a good understanding of community-based health care?
A) It occurs in hospitals.
B) Its focus is on ill individuals.
C) Its priority is health promotion.
D) It provides services primarily to the poor.
Answer: C
Q2) A nurse is providing screening at a health fair. Which finding indicates the person may be a vulnerable patient who is \(\bold{most}\) likely to develop health problems?
A) One who is pregnant
B) One who has excessive risks
C) One who has unlimited access to health care
D) One who uses nontraditional healing practices
Answer: B
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Chapter 4: Theoretical Foundations of Nursing Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Upon assessment, the nurse notices that the patient's respirations have increased, and the tip of the nose and earlobes are becoming cyanotic. The nurse finds that the patient's pulse rate is over 100 beats per minute. According to Maslow's hierarchy of needs, which patient need should the nurse address \(\bold{first}\)?
A) Self-esteem
B) Physiological
C) Self-actualization
D) Love and belonging
Q2) A nurse is using Maslow's hierarchy of needs to prioritize care. Place the levels in order of basic priority to highest priority that the nurse will follow.
1) Physiological
2) Self-esteem
3) Self-actualization
4) Safety and security
A) 4, 1, 2, 3, 5
B) 1, 4, 5, 3, 2
C) 4, 5, 3, 2, 1
D) 1, 4, 5, 2, 3
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Chapter 5: Evidence-Based Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse uses evidence-based practice (EBP) to provide nursing care. What is the best rationale for the nurse's behavior?
A) EBP is a guide for nurses in making clinical decisions.
B) EBP is based on the latest textbook information.
C) EBP is easily attained at the bedside.
D) EBP is always right for all situations.
Q2) A nurse writes the following PICOT question: How do patients with breast cancer rate their quality of life? How should the nurse evaluate this question?
A) A true PICOT question regardless of the number of elements
B) A true PICOT question because the intervention comes before the control
C) Not a true PICOT question because the comparison comes after the intervention
D) Not a true PICOT question because the time is not designated
Q3) A nurse is reviewing research studies for evidence-based practice. Which article should the nurse use for qualitative nursing research?
A) An article about the number of falls after use of no side rails
B) An article about infection rates after use of a new wound dressing
C) An article about the percentage of new admissions on a new floor
D) An article about emotional needs of dying patients and their families
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Chapter 6: Health and Wellness
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in the drinking water of the community. Which concept is the nurse fostering?
A) Illness prevention
B) Wellness education
C) Active health promotion
D) Passive health promotion
Q2) The nurse is working in a clinic that is designed to provide health education and immunizations. Which type of preventive care is the nurse providing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Risk factor prevention
Q3) A nurse is using the World Health Organization definition of health to provide care. Which area will the nurse focus on while providing care?
A) Making sure the patients are disease free
B) Making sure to involve the whole person
C) Making sure care is strictly personal in nature
D) Making sure to focus only on the pathological state
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8
Chapter 7: Caring in Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse cares for patients. Which areas does caring influence? (Select all that apply.)
A) The way in which patients feel
B) The way in which patients learn
C) The way in which patients think
D) The way in which patients study
E) The way in which patients behave
Q2) A nurse provides care that is receptive to patients' and families' perceptions of caring. Which action will the nurse take?
A) Provides clear, accurate information
B) Just performs nursing tasks competently
C) Does as much for the patient as possible
D) Focuses solely on the patient's diagnosis
Q3) Intrapersonally
A)Connection with others
B)Connection with higher power
C)Connection with oneself
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Chapter 8: Caring for the Cancer Survivor
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A cancer survivor patient has anxiety and depression. Which therapies should the nurse include in the plan of care? (Select all that apply.)
A) Keep information to a minimum with health care providers.
B) Teach the use of problem-oriented coping processes.
C) Encourage the use of social support systems.
D) Use cognitive behavioral interventions.
E) Schedule exercise when convenient.
Q2) The collaborative care pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
Q3) The nurse is caring for a young woman with breast cancer. The stress between the woman and spouse is obvious, as is anxiety among the children. What is the nurse's best action in this situation?
A) Help find or develop an educational program for the patient and spouse.
B) Encourage the patient to agree with the spouse.
C) Support the spouse, and explain that the spouse knows what is best.
D) Take the children away and recommend foster care.
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Chapter 9: Cultural Awareness
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring?
A) Accessibility of health care services
B) Outcomes of health conditions
C) Prevalence of complications
D) Incidence of diseases
Q2) A nurse is providing care to a patient from a different culture. Which action by the nurse indicates cultural competence?
A) Communicates effectively in a multicultural context
B) Functions effectively in a multicultural context
C) Visits a foreign country
D) Speaks a different language
Q3) Cultural knowledge
A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills
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Chapter 10: Caring for Families
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Who at your workplace is close to the family?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
Q2) The nurse is interviewing a patient who is being admitted to the hospital. The patient's family went home before the nurse's interview. The nurse asks the patient, "Who decides when to come to the hospital?" What is the rationale for the nurse's action?
A) To assess the family form
B) To assess the family function
C) To assess the family structure
D) To assess the family generalization
Q3) A nurse is using the family as context approach to provide care to a patient. What should the nurse do next?
A) Assess family patterns versus individual characteristics.
B) Assess how much the family provides the patient's basic needs.
C) Use "family as patient" and "family as context" approaches simultaneously.
D) Plan care to meet not only the patient's needs but those of the family as well.
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Chapter 11: Developmental Theories
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse is using Jean Piaget's developmental theory to focus on cognitive development. Which area will the nurse assess in this patient?
A) Latency
B) Formal operations
C) Intimacy versus isolation
D) The postconventional level
Q2) A nurse is assessing an 18-month-old toddler. The nurse distinguishes normal from abnormal findings by remembering Gesell's theory of development. Which information will the nurse consider?
A) Growth in humans is determined solely by heredity.
B) Environmental influence does not influence development.
C) The cephalocaudal pattern describes the sequence in which growth is fastest at the top.
D) Gene activity influences development but does not affect the sequence of development.
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13
Chapter 12: Conception Through Adolescence
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse is caring for a preschooler. Which fear should the nurse \(\bold{most}\) plan to minimize?
A) Fear of bodily harm
B) Fear of weight gain
C) Fear of separation
D) Fear of strangers
Q2) A nurse is assessing the cognitive changes in a preschooler. Which standard will the nurse use to determine normal?
A) The ability to think abstractly and deal effectively with hypothetical problems
B) The ability to think in a logical manner about the here and now
C) The ability to assume the view of another person
D) The ability to classify objects by size or color
Q3) A mother has delivered a healthy newborn. Which action is priority?
A) Encourage close physical contact as soon as possible after birth.
B) Isolate the newborn in the nursery during the first hour after delivery.
C) Never leave the newborn alone with the mother during the first 8 hours after delivery.
D) Do not allow the newborn to remain with parents until the second hour after delivery.
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Chapter 13: Young and Middle Adults
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse determines that a middle-aged patient is a typical example of the "sandwich generation." What did the nurse discover the patient is caught between?
A) Job responsibilities or family responsibilities
B) Stopping old habits and starting new ones
C) Caring for children and aging parents
D) Advancing in career or retiring
Q2) A nurse is choosing an appropriate topic for a young-adult health fair. Which topic should the nurse include?
A) Retirement
B) Menopause
C) Climacteric factors
D) Unplanned pregnancies
Q3) Office computer workers
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
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Chapter 14: Older Adult
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A nurse's goal for an older adult is to reduce the risk of adverse medication effects. Which action will the nurse take?
A) Review the patient's list of medications at each visit.
B) Teach that polypharmacy is to be avoided at all cost.
C) Avoid information about adverse effects.
D) Focus only on prescribed medications.
Q2) A nurse is assessing an older adult for cognitive changes. Which symptom will the nurse report as normal?
A) Disorientation
B) Poor judgment
C) Slower reaction time
D) Loss of language skills
Q3) A nurse is obtaining a history on an older adult. Which finding will the nurse most typically find?
A) Lives in a nursing home
B) Lives with a spouse
C) Lives divorced
D) Lives alone
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Chapter 15: Critical Thinking in Nursing Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) While caring for a hospitalized older-adult female post hip surgery, the nurse is faced with the task of inserting an indwelling urinary catheter, which involves rotating the hip into a contraindicated position. Which action should the nurse take?
A) Postpone catheter insertion until the next shift.
B) Adapt the positioning technique to the situation.
C) Notify the health care provider for a urologist consult.
D) Follow textbook procedure with contraindicated position.
Q2) The nurse enters a room to find the patient sitting up in bed crying. How will the nurse display a critical thinking attitude in this situation?
A) Provide privacy and check on the patient 30 minutes later.
B) Set a box of tissues at the patient's bedside before leaving the room.
C) Limit visitors while the patient is upset.
D) Ask the patient about the crying.
Q3) Which action should the nurse take to best develop critical thinking skills?
A) Study 3 hours more each night.
B) Attend all inservice opportunities.
C) Actively participate in clinical experiences.
D) Interview staff nurses about their nursing experiences.
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Chapter 16: Nursing Assessment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse is conducting a nursing health history. Which component will the nurse address?
A) Nurse's concerns
B) Patient expectations
C) Current treatment orders
D) Nurse's goals for the patient
Q2) Severity
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
Q3) A new nurse is completing an assessment on an 80-year-old patient who is alert and oriented. The patient's daughter is present in the room. Which action by the nurse will require follow-up by the charge nurse?
A) The nurse makes eye contact with the patient.
B) The nurse speaks only to the patient's daughter.
C) The nurse leans forward while talking with the patient.
D) The nurse nods periodically while the patient is speaking.
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Chapter 17: Nursing Diagnosis
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The nursing assistive personnel (NAP) then reports to the nurse that the patient's blood pressure was low when it was taken at 0830. The NAP states that was busy and had not had a chance to tell the nurse yet. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is rechecked and it has dropped even lower. In which phase of the nursing process did the nurse first make an error?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Q2) A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did the nurse write?
A) Ineffective breathing pattern related to pneumonia
B) Risk for infection related to chest x-ray procedure
C) Risk for deficient fluid volume related to dehydration
D) Impaired gas exchange related to alveolar-capillary membrane changes
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Page 19
Chapter 18: Planning Nursing Care
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21 Flashcards
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Sample Questions
Q1) A patient has reduced muscle strength following a left-sided stroke and is at risk for falling. Which intervention is most appropriate for the nursing diagnostic statement Risk for falls?
A) Keep all side rails down at all times.
B) Encourage patient to remain in bed most of the shift.
C) Place patient in room away from the nurses' station if possible.
D) Assist patient into and out of bed every 4 hours or as tolerated.
Q2) A registered nurse administers pain medication to a patient suffering from fractured ribs. Which type of nursing intervention is this nurse implementing?
A) Collaborative
B) Independent
C) Interdependent
D) Dependent
Q3) Which information indicates a nurse has a good understanding of a goal?
A) It is a statement describing the patient's accomplishments without a time restriction.
B) It is a realistic statement predicting any negative responses to treatments.
C) It is a broad statement describing a desired change in a patient's behavior.
D) It is a measurable change in a patient's physical state.
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Chapter 19: Implementing Nursing Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Vital signs for a patient reveal a high blood pressure of 187/100. Orders state to notify the health care provider for diastolic blood pressure greater than 90. What is the nurse's first action?
A) Follow the clinical protocol for a stroke.
B) Review the most recent lab results for the patient's potassium level.
C) Assess the patient for other symptoms or problems, and then notify the health care provider.
D) Administer an antihypertensive medication from the stock supply, and then notify the health care provider.
Q2) Which action should the nurse take first during the initial phase of implementation?
A) Determine patient outcomes and goals.
B) Prioritize patient's nursing diagnoses.
C) Evaluate interventions.
D) Reassess the patient.
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21
Chapter 20: Evaluation
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse is modifying a patient's care plan after evaluation of patient care. In which order, starting with the first step, will the nurse perform the tasks?
1) Revise nursing diagnosis.
2) Reassess blood pressure reading.
3) Retake blood pressure after medication.
4) Administer new blood pressure medication.
5) Change goal to blood pressure less than 140/90.
A) 1, 5, 2, 4, 3
B) 2, 1, 5, 4, 3
C) 4, 3, 1, 5, 2
D) 5, 4, 5, 1, 2
Q2) A nurse is providing education to a patient about self-administering subcutaneous injections. The patient demonstrates the self-injection. Which type of indicator did the nurse evaluate?
A) Health status
B) Health behavior
C) Psychological self-control
D) Health service utilization
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22
Chapter 21: Managing Patient Care
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23 Flashcards
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Sample Questions
Q1) A nursing assistive personnel (NAP) reports seeing a reddened area on the patient's hip while bathing the patient. Which action should the nurse take?
A) Request a wound nurse consult.
B) Go to the patient's room to assess the patient's skin.
C) Document the finding per the NAP's report.
D) Ask the NAP to apply a dressing over the reddened area.
Q2) A nurse uses the five rights of delegation when providing care. Which "rights" did the nurse use? (Select all that apply.)
A) Right task
B) Right person
C) Right direction
D) Right supervision
E) Right circumstances
F) Right cost-effectiveness
Q3) Low priority
A)Patient that needs to be turned to prevent pneumonia
B)Patient with acute asthma attack
C)Patient who will be discharged in 2 days who needs teaching
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23
Chapter 22: Ethics and Values
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Sample Questions
Q1) A nurse is teaching a patient and family about quality of life. Which information should the nurse include in the teaching session about quality of life?
A) It is deeply social.
B) It is hard to define.
C) It is an observed measurement for most people.
D) It is consistent and stable over the course of one's lifetime.
Q2) The nurse finds it difficult to care for a patient whose advance directive states that no extraordinary resuscitation measures should be taken. Which step may help the nurse to find resolution in this assignment?
A) Scrutinize personal values.
B) Call for an ethical committee consult.
C) Decline the assignment on religious grounds.
D) Convince the family to challenge the directive.
Q3) Which action by the nurse indicates a safe and efficient use of social networks?
A) Promotes support for a local health charity
B) Posts a picture of a patient's infected foot
C) Vents about a patient problem at work
D) Friends a patient
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24
Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) Conjoined twins are in the neonatal department of the community hospital until transfer to the closest medical center. A photographer from the local newspaper gets off the elevator on the neonatal floor and wants to take pictures of the infants. Which initial action should the nurse take?
A) Escort the cameraman to the neonatal unit while a few pictures are taken quietly.
B) Tell the cameraman where the hospital's public relations department is located.
C) Have the cameraman wait for permission from the health care provider.
D) Ask the cameraman how the pictures are to be used in the newspaper.
Q2) Invasion of privacy
A)Nurse posts about patient's loud and unruly family members.
B)Nurse immediately applies restraints to make patient stay in bed.
C)Nurse leaves bed in high position, causing patient to fall and break hip.
D)Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet.
E)Nurse applies abdominal bandage after refusal.
F)Nurse gets angry at patient and nurse leaves the hospital.
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Chapter 24: Communication
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Sample Questions
Q1) A nurse believes that the nurse-patient relationship is a partnership and that both are equal participants. Which term should the nurse use to describe this belief?
A) Critical thinking
B) Authentic
C) Mutuality
D) Attend
Q2) A smiling patient angrily states, "I will not cough and deep breathe." How will the nurse interpret this finding?
A) The patient's denotative meaning is wrong.
B) The patient's personal space was violated.
C) The patient's affect is inappropriate.
D) The patient's vocabulary is poor.
Q3) Which types of nurses make the best communicators with patients?
A) Those who learn effective psychomotor skills
B) Those who develop critical thinking skills
C) Those who like different kinds of people
D) Those who maintain perceptual biases
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Chapter 25: Patient Education
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Sample Questions
Q1) A nurse's goal is to provide teaching for restoration of health. Which situation indicates the nurse is meeting this goal?
A) Teaching a family member to provide passive range of motion for a stroke patient
B) Teaching a woman who recently had a hysterectomy about possible adoption
C) Teaching expectant parents about changes in childbearing women
D) Teaching a teenager with a broken leg how to use crutches
Q2) Which assessment finding will cause the nurse to begin teaching a patient because the patient is ready to learn?
A) A patient has the ability to grasp and apply the elastic bandage.
B) A patient has sufficient upper body strength to move from a bed to a wheelchair.
C) A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.
D) A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe.
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Chapter 26: Documentation and Informatics
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) A nurse is charting on a patient's record. Which action will the nurse take that is accurate legally?
A) Charts legibly
B) States the patient is belligerent
C) Writes entry for another nurse
D) Uses correction fluid to correct error
Q2) A nurse needs to begin discharge planning for a patient admitted with pneumonia and a congested cough. When is the best time the nurse should start discharge planning for this patient?
A) Upon admission
B) Right before discharge
C) After the congestion is treated
D) When the primary care provider writes the order
Q3) A nurse is preparing to document a patient who has chest pain. Which information is critical for the nurse to include?
A) The family is a "pain."
B) Pupils equal and reactive to light
C) Had poor results from the pain medication
D) Sharp pain of 8 on a scale of 1 to 10
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28
Chapter 27: Patient Safety and Quality
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Sample Questions
Q1) The nurse has placed a yellow armband on a 70-year-old patient. Which observation by the nurse will indicate the patient has an understanding of this action?
A) The patient removes the armband to bathe.
B) The patient wears the red nonslip footwear.
C) The patient insists on taking a "water" pill in the evening.
D) The patient who is allergic to penicillin asks the name of a new medicine.
Q2) The nurse is caring for a hospitalized patient. Which behavior alerts the nurse to consider the need for a restraint?
A) The patient refuses to call for help to go to the bathroom.
B) The patient continues to remove the nasogastric tube.
C) The patient gets confused regarding the time at night.
D) The patient does not sleep and continues to ask for items.
Q3) A patient may need restraints. Which task can the nurse delegate to a nursing assistive personnel?
A) Determining the need for restraints
B) Assessing the patient's orientation
C) Obtaining an order for a restraint
D) Applying the restraint
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Chapter 28: Immobility
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54 Flashcards
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Sample Questions
Q1) The patient is being admitted to the neurological unit with a diagnosis of stroke. When will the nurse begin discharge planning?
A) At the time of admission
B) The day before the patient is to be discharged
C) When outpatient therapy will no longer be needed
D) As soon as the patient's discharge destination is known
Q2) The nurse is observing the way a patient walks. Which aspect is the nurse assessing?
A) Activity tolerance
B) Body alignment
C) Range of motion
D) Gait
Q3) Upon assessment a nurse discovers that a patient has erythema. Which actions will the nurse take? (Select all that apply.)
A) Consult a dietitian.
B) Increase fiber in the diet.
C) Place on chest physiotherapy.
D) Increase frequency of turning.
E) Place on pressure-relieving mattress.
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Chapter 29: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/2408
Sample Questions
Q1) A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area. A nurse is taking a health history. Which question is the priority?
A) "When was the last time you visited your primary health care provider?"
B) "Has this condition affected your eating habits in any way?"
C) "What medications are you currently taking?"
D) "Are you able to sleep at night?"
Q2) The home health nurse is teaching a patient and family about hand hygiene in the home. Which situation will cause the nurse to emphasize washing hands before and after?
A) Shaking hands
B) Performing treatments
C) Opening the refrigerator
D) Working on a computer
Q3) Which interventions utilized by the nurse will indicate the ability to recognize a localized inflammatory response?
A) Vigorous range-of-motion exercises
B) Turn, cough, and deep breathe
C) Orient to date, time, and place
D) Rest, ice, and elevation
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Chapter 30: Vital Signs
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2409
Sample Questions
Q1) The nurse is caring for a small child and needs to obtain vital signs. Which site choice from the nursing assistive personnel (NAP) will cause the nurse to praise the NAP?
A) Ulnar site
B) Radial site
C) Brachial site
D) Femoral site
Q2) Hypothermia
A)Patient's temperature is 113° F (45° C) with hot, dry skin.
B)Patient's blood pressure sitting is 130/60 and 110/40 standing.
C)Patient's pulse is 110 beats/min.
D)Patient's temperature is 93.2° F (34° C).
E)Patient's blood pressure went from 126/76 to 90/50.
Q3) A nurse is focusing on temperature regulation of newborns and infants. Which action will the nurse take?
A) Apply just a diaper.
B) Double the clothing.
C) Place a cap on their heads.
D) Increase room temperature to 90 degrees.
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Chapter 31: Health Assessment and Physical Examination
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/2410
Sample Questions
Q1) A nurse is assessing a patient's cranial nerve IX. Which items does the nurse gather before conducting the assessment? (Select all that apply.)
A) Vial of sugar
B) Snellen chart
C) Tongue blade
D) Ophthalmoscope
E) Lemon applicator
F) A 160-degree angle between nail plate and nail
Q2) An advanced practice nurse is preparing to assess the external genitalia of a 25-year-old American woman of Chinese descent. Which action will the nurse do first?
A) Place the patient in the lithotomy position.
B) Drape the patient to enhance patient comfort.
C) Assess the patient's feelings about the examination.
D) Ask the patient if she would like her mother to be present in the room.
Q3) The nurse is assessing skin turgor. Which technique will the nurse use?
A) Press lightly on the forearm.
B) Press lightly on the fingertips.
C) Grasp a fold of skin on the sternal area.
D) Grasp a fold of skin on the back of the hand.
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Page 33
Chapter 32: Medication Administration
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/2411
Sample Questions
Q1) When the nurse administers an IM corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating?
A) Prevent the patient from choking.
B) Increase the force of the injection.
C) Ensure proper placement of the needle.
D) Reduce the discomfort of the injection.
Q2) A patient is receiving vancomycin. Which function is the \(\bold{priority}\) for the nurses to assess?
A) Vision
B) Hearing
C) Heart tones
D) Bowel sounds
Q3) The nurse prepares a pain injection for a patient but had to check on another patient and asks a new nurse to give the medication. Which action by the new nurse is \(\bold{best}\)?
A) Do not give the medication.
B) Administer the medication just this once.
C) Give the medication for any pain score greater than 8.
D) Avoid the issue and pretend to not hear the request.
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Page 34
Chapter 33: Complementary and Alternative Therapies
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2412
Sample Questions
Q1) A therapeutic touch practitioner scans the patient's body. What is the purpose of the practitioner's actions?
A) To identify blocked moxibustion
B) To identify universal life energy
C) To identify energy obstructions
D) To identify structural and functional imbalance
Q2) A patient is proficient at meditation from long-time use of the technique. Which finding in the medication history will cause the nurse to follow up?
A) Takes thyroid-regulating medication
B) Takes corticosteroid medication
C) Takes loop diuretic medication
D) Takes anticoagulant medication
Q3) A nurse is teaching a patient about meridians. Which technique is the nurse preparing the patient to receive?
A) Acupuncture
B) Naturopathic
C) Latin American traditional healing
D) Native American traditional healing
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35
Chapter 34: Self-Concept
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2413
Sample Questions
Q1) A nurse is caring for a patient who is dealing with the developmental task known as initiative versus guilt. The nurse is providing care to which patient?
A) A 3-week-old neonate
B) A 5-year-old kindergarten student
C) An 11-year-old student
D) A 15-year-old high school student
Q2) Identity confusion
A)I am ugly with all these burn scars.
B)I am one with the universe.
C)I am good for nothing.
D)I am a good mother.
Q3) A nurse is assessing a patient for possible altered self-concept. Which assessment finding is consistent with altered self-concept?
A) Appropriately dressed with clean clothes
B) Hesitant to express opinions
C) Independent attitude
D) Holds eye contact
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Chapter 35: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2414
Sample Questions
Q1) A nurse is using the PLISSIT model when caring for a patient with dyspareunia from diminished vaginal secretions. The nurse suggests using water-soluble lubricants. Which component of PLISSIT is the nurse using?
A) P
B) LI
C) SS
D) IT
Q2) A patient who has had several sexual partners in the past month expresses a desire to use a contraceptive. Which contraceptive method should the nurse recommend?
A) Condom
B) Diaphragm
C) Spermicide
D) Oral contraceptive
Q3) A nurse is assessing a child for sexual abuse. Which assessment findings will the nurse expect?
A) Physical aggression and sleep disturbances
B) Many peers and no drug usage
C) Panic attacks and anorexia
D) Anxiety and depression
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Page 37
Chapter 36: Spiritual Health
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2415
Sample Questions
Q1) The nurse is caring for a group of patients. Which patient will the nurse see first?
A) A patient saying that God has left and there is no reason for living.
B) A patient refusing treatment on the Sabbath.
C) A patient having a folk healer in the room.
D) A patient praying to Allah.
Q2) A nurse is providing spiritual care to patients. Which action is essential for the nurse to take?
A) Know one's own personal beliefs.
B) Learn about other religions.
C) Visit churches, temples, mosques, or synagogues.
D) Travel to other areas that do not have the same beliefs.
Q3) The nurse is caring for a patient with a terminal disease. The nurse sits down and lightly touches the patient's hand. Which technique is the nurse using?
A) "Doing for"
B) Establishing presence
C) Offering transcendence
D) Providing health promotion
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Chapter 37: The Experience of Loss, Death, and Grief
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2416
Sample Questions
Q1) "I know it seems strange, but I feel guilty being pregnant after the death of my son last year," said a woman during her routine obstetrical examination. The nurse spends extra time with this woman, helping her realize bonding with this unborn child will not mean she is replacing the one who died. Which nursing technique does this demonstrate?
A) Providing curative therapy
B) Promoting spirituality
C) Facilitating mourning
D) Eradicating grief
Q2) A patient cancels a scheduled appointment because the patient will be attending a Shivah for a family member. Which response by the nurse is best?
A) "When families come together for end-of-life decisions, it provides connections."
B) "We will reschedule so the appointment does not fall on the Sabbath."
C) "Missionary outreach is so important for spiritual comfort."
D) "I'm so sorry for your loss."
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Chapter 38: Stress and Coping
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2417
Sample Questions
Q1) A patient in a motor vehicle accident states, "I did not run the red light," despite very clear evidence on the street surveillance tape. Which defense mechanism is the patient using?
A) Denial
B) Conversion
C) Dissociation
D) Compensation
Q2) A senior college student visits the college health clinic about a freshman student living on the same dormitory floor. The senior student reports that the freshman is crying and is not adjusting to college life. The clinic nurse recognizes this as a combination of situational and maturational stress factors. Which is the best response by the nurse?
A) "Let's call 911 because this freshman student is suicidal."
B) "Give the freshman student this list of university and community resources."
C) "I recommend that you help the freshman student start packing bags to go home."
D) "You must make an appointment for the freshman student to obtain medications."
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Chapter 39: Activity and Exercise
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/2418
Sample Questions
Q1) A nurse is following the no-lift policy when working to prevent personal injury. Which type of personal back injury is the nurse most likely trying to prevent?
A) Thoracic
B) Cervical
C) Lumbar
D) Sacral
Q2) The nurse is caring for a group of patients. Which patient will the nurse see first?
A) A patient with chronic obstructive pulmonary disease doing stretching exercises
B) A patient with diabetes mellitus carrying hard candy while doing exercises
C) A patient with a heart attack doing isometric exercises
D) A patient with hypertension doing Tai Chi exercises
Q3) A nurse is assessing a patient with activity intolerance for possible orthostatic hypotension. Which finding will help confirm orthostatic hypotension?
A) Blood pressure sitting 120/64; blood pressure 140/70 standing
B) Blood pressure sitting 126/64; blood pressure 120/58 standing
C) Blood pressure sitting 130/60; blood pressure 110/60 standing
D) Blood pressure sitting 140/60; blood pressure 130/54 standing
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Chapter 40: Hygiene
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/2419
Sample Questions
Q1) A nurse is preparing to provide hygiene care. Which principle should the nurse consider when planning hygiene care?
A) Hygiene care is always routine and expected.
B) No two individuals perform hygiene in the same manner.
C) It is important to standardize a patient's hygienic practices.
D) During hygiene care do not take the time to learn about patient needs.
Q2) The nurse is caring for a patient who has multiple ticks on lower legs and body. What should the nurse do to rid the patient of ticks?
A) Use blunt tweezers and pull upward with steady pressure.
B) Burn the ticks with a match or small lighter.
C) Allow the ticks to drop off by themselves.
D) Apply miconazole and cover with plastic.
Q3) A nurse is providing perineal care to a female patient. Which washing technique will the nurse use?
A) Back to front
B) In a circular motion
C) From pubic area to rectum
D) Upward from rectum to pubic area
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Chapter 41: Oxygenation
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2420
Sample Questions
Q1) A nurse is caring for a patient who is taking warfarin (Coumadin) and discovers that the patient is taking garlic to help with hypertension. Which condition will the nurse assess for in this patient?
A) Increased cholesterol level
B) Distended jugular vein
C) Bleeding
D) Angina
Q2) A nurse is caring for a patient with left-sided hemiparesis who has developed bronchitis and has a heart rate of 105 beats/min, blood pressure of 156/90 mm Hg, and respiration rate of 30 breaths/min. Which nursing diagnosis is a priority?
A) Risk for skin breakdown
B) Impaired gas exchange
C) Activity intolerance
D) Risk for infection
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43
Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2421
Sample Questions
Q1) A nurse is caring for a patient who is receiving peripheral intravenous (IV) therapy. When the nurse is flushing the patient's peripheral IV, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm to the touch. What is the nurse's initial action?
A) Record a phlebitis grade of 4.
B) Assign an infiltration grade.
C) Apply moist compress.
D) Discontinue the IV.
Q2) The nurse observes edema in a patient who has venous congestion from right heart failure. Which type of pressure facilitated the formation of the patient's edema?
A) Osmotic
B) Oncotic
C) Hydrostatic
D) Concentration
Q3) A patient has 250 mL of a jejunostomy feeding with 30 mL of water before and after feeding and 200 mL of urine. Thirty minutes later the patient has 100 mL of diarrhea. At 1300 the patient receives 150 mL of blood and voids another 200 mL. Calculate the patient's intake. Record your answer as a whole number. _____ mL
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Chapter 43: Sleep
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/2422
Sample Questions
Q1) The nurse is caring for a patient who has been in holding in the emergency department for 24 hours. The nurse is concerned about the patient's experiencing sleep deprivation. Which action will be best for the nurse to take?
A) Expedite the process of obtaining a medical-surgical room for the patient.
B) Pull the curtains shut, dim the lights, and decrease the number of visitors.
C) Obtain an order for a hypnotic medication to help the patient sleep.
D) Ask everyone in the unit to try to be quiet so the patient can sleep.
Q2) The patient has just been diagnosed with narcolepsy. The nurse teaches the patient about management of the condition. Which information from the patient will cause the nurse to intervene?
A) Takes antidepressant medications
B) Naps shorter than 20 minutes
C) Sits in hot, stuffy rooms
D) Chews gum
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Chapter 44: Pain Management
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/2423
Sample Questions
Q1) The nurse is teaching a student nurse about pain assessment scales. Which statement by the student indicates effective teaching?
A) "You cannot use a pain scale to compare the pain of my patient with the pain of your patient."
B) "When patients say they don't need pain medication, they aren't in pain."
C) "A patient's behavior is more reliable than the patient's report of pain."
D) "Pain assessment scales determine the quality of a patient's pain."
Q2) The nurse is caring for a 4-year-old child who has pain. Which technique will the nurse use to best assess pain in this child?
A) Use the FACES scale.
B) Check to see what previous nurses have charted.
C) Ask the parents if they think their child is in pain.
D) Have the child rate the level of pain on a 0 to 10 pain scale.
Q3) The nurse is caring for a group of patients. Which task may the nurse delegate to the nursing assistive personnel (NAP)?
A) Administer a back massage to a patient with pain.
B) Assessment of pain for a patient reporting abdominal pain.
C) Administer patient-controlled analgesia for a postoperative patient.
D) Assessment of vital signs in a patient receiving epidural analgesia.
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Page 46
Chapter 45: Nutrition
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/2424
Sample Questions
Q1) The patient with cardiovascular disease is receiving dietary instructions from the nurse. Which information from the patient indicates teaching is successful?
A) Maintain a prescribed carbohydrate intake.
B) Eat fish at least 5 times per week.
C) Limit trans fat to less than 1%.
D) Avoid high-fiber foods.
Q2) The patient is having at least 75% of nutritional needs met by enteral feeding, so the health care provider has ordered the parenteral nutrition (PN) to be discontinued. However, the nurse notices that the PN infusion has fallen behind. What should the nurse do?
A) Increase the rate to get the volume caught up before discontinuing.
B) Stop the infusion as ordered.
C) Taper infusion gradually.
D) Hang 5% dextrose.
Q3) The patient has H. pylori. Which action should the nurse take?
A) Encourage avoidance of wheat and oats.
B) Encourage milkshakes as a nutritious snack.
C) Encourage completion of antibiotic therapy.
D) Encourage nonsteroidal antiinflammatory drugs.
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Page 47
Chapter 46: Urinary Elimination
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2425
Sample Questions
Q1) Which findings should the nurse follow up on after removal of a catheter from a patient? (Select all that apply.)
A) Increasing fluid intake
B) Dribbling of urine
C) Voiding in small amounts
D) Voiding within 6 hours of catheter removal
E) Burning with the first couple of times voiding
Q2) Which assessment question should the nurse ask if stress incontinence is suspected?
A) "Do you think your bladder feels distended?"
B) "Do you empty your bladder completely when you void?"
C) "Do you experience urine leakage when you cough or sneeze?"
D) "Do your symptoms increase with consumption of alcohol or caffeine?"
Q3) While receiving a shift report on a patient, the nurse is informed that the patient has urinary incontinence. Upon assessment, which finding will the nurse expect?
A) An indwelling Foley catheter
B) Reddened irritated skin on buttocks
C) Tiny blood clots in the patient's urine
D) Foul-smelling discharge indicative of infection
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Page 48
Chapter 47: Bowel Elimination
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/2426
Sample Questions
Q1) A patient is diagnosed with a bowel obstruction. Which type of tube is the best for the nurse to obtain for gastric decompression?
A) Salem sump
B) Small bore
C) Levin
D) 8 Fr
Q2) The nurse is teaching a health class about the gastrointestinal tract. The nurse will explain that which portion of the digestive tract absorbs most of the nutrients?
A) Ileum
B) Cecum
C) Stomach
D) Duodenum
Q3) Before administering a cleansing enema to an 80-year-old patient, the patient says "I don't think I will be able to hold the enema." Which is the next priority nursing action?
A) Rolling the patient into right-lying Sims' position
B) Positioning the patient in the dorsal recumbent position on a bedpan
C) Inserting a rectal plug to contain the enema solution after administering
D) Assisting the patient to the bedside commode and administering the enema
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Chapter 48: Skin Integrity and Wound Care
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/2427
Sample Questions
Q1) Hydrogel
A)Absorbs drainage through the use of exudate absorbers in the dressing
B)Very soothing to the patient and do not adhere to the wound bed
C)Barrier to external fluids/bacteria but allows wound to "breathe"
D)Manufactured from seaweed and comes in sheet and rope form
E)Oldest and most common absorbent dressing
Q2) The nurse is caring for a patient with a pressure ulcer on the left hip. The ulcer is black. Which \(\bold{next}\) step will the nurse anticipate?
A) Monitor the wound.
B) Document the wound.
C) Debride the wound.
D) Manage drainage from wound.
Q3) A patient presents to the emergency department with a laceration of the right forearm caused by a fall. After determining that the patient is stable, what is the next best step for the nurse to take?
A) Inspect the wound for foreign bodies.
B) Inspect the wound for bleeding.
C) Determine the size of the wound.
D) Determine the need for a tetanus antitoxin injection.
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Page 50
Chapter 49: Sensory Alterations
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2428
Sample Questions
Q1) A nurse is teaching a patient about vision. In which order will the nurse describe the pathway for vision, beginning with the first structure?
1) Lens
2) Pupil
3) Retina
4) Cornea
5) Optic nerve
A) 2, 1, 4, 5, 3
B) 1, 2, 4, 3, 5
C) 4, 2, 1, 3, 5
D) 5, 2, 4, 1, 3
Q2) A nurse is administering a vaccine to a child who is visually impaired. After the needle enters the arm, the child says, "Ow, that was sharp!" How will the nurse interpret the finding when the child said that it was sharp?
A) The child's sensation is intact.
B) The child's reception is intact.
C) The child's perception is intact.
D) The child's reaction is intact.
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Chapter 50: Care of Surgical Patients
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/2429
Sample Questions
Q1) The nurse is caring for a patient in the preoperative holding area of an ambulatory surgery center. Which nursing action will be \(\bold{most}\) appropriate for this area?
A) Count the sterile surgical instruments.
B) Empty the urinary drainage bag.
C) Check the surgical dressing.
D) Apply a warm blanket.
Q2) The nurse is making a preoperative education appointment with a patient. The patient asks if a family member should come to the appointment. Which is the best response by the nurse?
A) "There is no need for an additional person at the appointment."
B) "Your family can come and wait with you in the waiting room."
C) "We recommend including family members at this appointment."
D) "It is required that you have a family member at this appointment."
Q3) The nurse is preparing a patient for surgery. Which goal is a \(\bold{priority}\) for assessing the patient before surgery?
A) Plan for care after the procedure.
B) Establish a patient's baseline of normal function.
C) Educate the patient and family about the procedure.
D) Gather appropriate equipment for the patient's needs.
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Page 52