Foundations of Nursing Final Exam Questions
Course Introduction
Foundations of Nursing introduces students to the core principles, concepts, and skills essential to the practice of professional nursing. The course covers the history and evolution of nursing, the roles and responsibilities of nurses within healthcare systems, basic human needs, therapeutic communication, patient safety, and ethical and legal considerations in nursing practice. Emphasis is placed on developing critical thinking, evidence-based decision-making, and culturally sensitive care as students learn foundational clinical skills in simulated lab environments. This course serves as a basis for more advanced nursing studies and prepares students to provide holistic, patient-centered care in diverse healthcare settings.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume I.II and III 1st Edition by Pearson Services
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Chapter 1: Acid-Base Balance
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Q1) A compensatory mechanism that may indicate to a nurse that a client is experiencing metabolic acidosis includes:
A)headache.
B)Kussmaul respirations.
C)vomiting.
D)decreased level of consciousness.
Answer: B
Q2) The nurse is caring for a client who has been admitted to the unit with respiratory failure and respiratory acidosis. Which data from the nursing history would the nurse suspect contributed to the client's current state of health?
A)Use of ibuprofen for the control of pain
B)A recent trip to South America
C)Aspiration pneumonia
D)Recent recovery from a cold virus
Answer: C
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Chapter 2: Cellular Regulation
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Sample Questions
Q1) A nurse is planning care for a client with leukemia. The nurse chooses "Risk for Bleeding" as the nursing diagnosis. Which interventions support this nursing diagnosis? Select all that apply.
A)Educate client to not strain during bowel movements.
B)Use nonelectric razor when providing grooming for client.
C)Limit parenteral injections.
D)Apply pressure to arterial puncture sites for 5 minutes.
E)Encourage client to deep breathe and huff cough frequently.
Answer: A, C
Q2) The nurse is preparing to perform a health assessment on an adult client who has a family history of cancer. Which questions should the nurse ask the client to assess for the early warning signs of cancer? Select all that apply.
A)"Do you have a cough that is associated with seasonal allergies?"
B)"Have you noticed a change in your appetite?"
C)"Have you noticed any cuts that have not healed?"
D)"Have you had any changes in bowel or bladder habits?"
E)"Have you experienced any problems swallowing?"
Answer: C, D, E
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Chapter 3: Comfort
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Sample Questions
Q1) Which of the following statements best characterizes risk for injury as it relates to pain?
A)Risk for injury is an external risk factor for pain.
B)It is difficult to predict what might pose a risk for injury.
C)Risk for injury can be decreased by living a healthy lifestyle.
D)Precautions against risk for injury are rarely successful in preventing injury.
Answer: A
Q2) The nurse identifies the nursing diagnosis of Chronic Pain as being appropriate for a client with fibromyalgia. Which manifestation did the client most likely report that caused the nurse to select this diagnosis?
A)Pain from eyestrain
B)Pain from a severe skin rash
C)Acute chest pain
D)Tender points in the knees
Answer: D
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Chapter 4: Digestion
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Sample Questions
Q1) An adult client with a BMI of 39 who smokes 1 pack of cigarettes per day is admitted to the hospital with chest pressure. After myocardial infarction is ruled out, the client is diagnosed with erosive esophagitis through upper GI endoscopy. The client now refuses all medications and states, "I'm not getting hooked on any pills." What would the nurse recommend for the multidisciplinary collaborative plan? Select all that apply.
A)Assess the client's readiness for change in smoking cessation and weight loss.
B)Interview the client and spouse for a 24-hour recall of usual food content, intake, and meal times.
C)Enlist the client's son to elevate the foot of the client's bed at home 6 inches.
D)Offer the client a surgical consult to reduce the necessity of medication.
E)Omit the pharmacist notification of the Multidisciplinary Team meeting about the client.
Q2) For a 9-month-old infant, which finding is inconsistent with GERD?
A)Weight gain
B)Vomiting
C)Irritability
D)Wheezing
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Page 6
Chapter 5: Elimination
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Q1) The nurse is providing care to a client who is diagnosed with stress incontinence. Which data would nurse expect to collect during the client's health history and physical assessment? Select all that apply.
A)Urine leakage while talking
B)Urine leakage while coughing
C)Urine leakage while laughing
D)Skin breakdown on the buttock
E)A urinary catheter
Q2) The nurse is providing care for a client with renal calculi. Which expected outcomes will the nurse include in this client's plan of care? Select all that apply.
A)The client rates pain at a 2 on a scale of 0-10 and states that a 2 is acceptable.
B)The client is able to comfortably perform activities of daily living (ADLs).
C)The client demonstrates a fluid intake of 800-1000mL/day.
D)The client remains free of signs and symptoms of infection.
E)The client chooses the appropriate diet to prevent the reoccurrence of renal calculi.
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Chapter 6: Fluids and Electrolytes
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Q1) The nurse is caring for a client admitted with a diagnosis of acute kidney injury (AKI). The client asks the nurse, "Are my kidneys failing? Will I need a kidney transplant?" Which response by the nurse is the most appropriate?
A)"No, don't think that. You're going to be fine."
B)"In most cases, your condition can be reversed with prompt treatment and usually will not destroy the kidneys."
C)"Kidney transplantation is highly likely, so it would be a good idea to start talking to your family members about organ donation."
D)"When the doctor comes to see you, we can talk about whether you will need a transplant."
Q2) The nurse receives a shift report on a pediatric medical-surgical unit. The nurse has been assigned four clients for the shift. Which client should the nurse plan to assess first based on an increased risk for dehydration?
A)A 4-year-old child with a broken leg
B)A 15-month-old child with tachypnea
C)A 16-year-old child with migraine headaches
D)A 10-year-old child with cellulitis of the left leg
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Chapter 7: Health Wellness and Illness
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Q1) A nurse identifies the seven components of wellness as a useful tool in assessing health. Which are some of the components of wellness? Select all that apply.
A)Physical
B)Environmental
C)Emotional
D)Financial
E)Spiritual
Q2) Physical activity and exercise improve the functioning of many body systems. Exercise improves what normal body function of the gastrointestinal system?
A)Use of fatty acids
B)Insulin responsiveness
C)Peristalsis
D)Metabolic rate
Q3) A nurse is caring for a 50-year-old client performing aerobic exercise in the cardiac rehabilitation office. The nurse calculates the client's target heart rate as ________-________.
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Chapter 8: Immunity
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Q1) Why is kidney damage often observed in clients with systemic lupus erythematosus (SLE)?
A)SLE involves unusually high levels of circulating antigens. Because the kidneys play a critical role in filtering these antigens from the blood, they are under excess stress in clients with SLE.
B)SLE is commonly treated with nonsteroidal anti-inflammatory drugs (NSAIDs). Because these medications carry a high risk of nephrotoxicity, their use often leads to kidney damage in clients with SLE.
C)SLE involves deposition of immune complexes in the body's connective tissues. Because connective tissue makes up a significant portion of the kidneys, these organs are a frequent site of damage in SLE.
D)SLE involves unusually high levels of circulating antibodies. Because the kidneys play a critical role in filtering these antibodies from the blood, they are under excess stress in clients with SLE.
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Chapter 9: Infection
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Q1) A client who uses extended-wear contact lenses should be taught measures for reducing the risk of which of the following conditions?
A)Conjunctivitis
B)Cataracts
C)Glaucoma
D)Macular degeneration
Q2) The nurse is teaching a child care class for mothers of young children. What should the nurse teach as being the most common mode of transmission of infectious disease?
A)Children who are playing board games
B)Children who are sitting together eating meals
C)Children who are playing with the same toy
D)Children who don't wash their hands after using the bathroom
Q3) Which type of pneumonia rarely occurs in individuals with normal immune function?
A)Pneumonia caused by the influenza virus
B)Pneumonia caused by Pneumocystis jiroveci
C)Pneumonia caused by Mycoplasma pneumoniae
D)Pneumonia caused by Streptococcus pneumoniae
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Chapter 10: Inflammation
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Q1) The nurse is planning a teaching session regarding peptic ulcers for the residents of an assisted-living complex. Which concepts about peptic ulcer disease should the nurse include in the presentation to the residents? Select all that apply.
A)A colonoscopy is the most common test used to diagnose the presence of a gastric ulcer.
B)Gastric ulcers are more common than duodenal ulcers.
C)Many peptic ulcers are infected with Helicobacter pylori (H. pylori)and are treated with antibiotics.
D)The first sign of a peptic ulcer may be serious gastrointestinal bleeding.
E)An individual with a peptic ulcer will most likely experience pain when the stomach is empty.
Q2) The nurse is assessing an older adult client with suspected acute interstitial nephritis. When gathering this client's health history, the nurse should be sure to ask the client which of the following questions?
A)"When is the last time you had a urinalysis?"
B)"Are you taking any medications for the treatment of indigestion?"
C)"Do you take any ACE inhibitors?"
D)"How much protein do you eat on an average day?"
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Page 12
Chapter 11: Intracranial Regulation
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Q1) The nurse makes a visit to the home of an adolescent recently discharged from the hospital following treatment for a tonic-clonic seizure disorder. Which observations indicate that outcomes for care have been achieved? Select all that apply.
A)The client is not driving.
B)The client has not had a seizure for 1 month.
C)The client is participating in the school basketball team.
D)The client has bruises on both arms.
E)The client is complaining of constipation.
Q2) The nurse is caring for a school-age client who will be discharged from the hospital after receiving a ventriculoperitoneal (VP)shunt as treatment for increased intracranial pressure (IICP). The nurse has taught the parents to monitor the child for shunt malfunction. Which statement by the parents regarding when to notify the healthcare provider indicates that learning goals have been met?
A)"If our child has a bulging soft spot, we will call the doctor."
B)"If our child develops an altered level of consciousness, we will notify the doctor."
C)"If we notice our child's head is expanding, we will notify the doctor."
D)"If our child vomits, we will call the doctor."
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Chapter 12: Metabolism
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Q1) The nurse, teaching a class to a group of community members about the importance of weight loss in decreasing the risk of type 2 diabetes mellitus, is asked why weight loss reduces the risk associated with the development of this health problem. Which response by the nurse is most appropriate?
A)"Excess body weight impairs the body's release of insulin."
B)"The amount of food taken in by those who are overweight requires more insulin to adequately metabolize, resulting in diabetes."
C)"The physical inactivity associated with obesity causes a reduced ability by the body to produce insulin."
D)"Thin people are less likely to become diabetic."
Q2) Which test is commonly used to screen for type 2 diabetes in the general population?
A)Fasting plasma glucose
B)Oral glucose tolerance test
C)Urine ketone levels
D)Serum cholesterol levels
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Chapter 13: Mobility
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Q1) The nurse is providing discharge instructions to an older adult client who is recovering from a fractured hip. The client is planning to stay with an adult child, who is included in the discharge teaching. Which statements on the part of the client indicate appropriate understanding of the information presented by the nurse? Select all that apply.
A)"I have signed a contract with Lifeline."
B)"We are removing the area rugs in the hallway."
C)"I've borrowed a toilet seat riser from the equipment closet."
D)"I will be sure to take oxycodone before I go downstairs in the morning."
E)"I can help with housework while I'm staying at my child's house."
Q2) A client in the initial stages of Parkinson disease (PD)would most likely exhibit which of the following symptoms?
A)Bilateral rigidity
B)Unilateral tremors
C)Bilateral tremors
D)Unilateral rigidity
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Chapter 14: Nutrition
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Q1) During a health assessment, a client states, "I only eat carbohydrates and low-fat foods. I don't understand why I am still gaining weight!" Which principles of nutrition should guide the nurse's response? Select all that apply.
A)Carbohydrates should only be eaten at breakfast.
B)Eating too many carbohydrates leads to excess glucose, which is converted to fat.
C)Excess carbohydrates can lead to obesity.
D)A carbohydrate-limited diet is the only way to not gain weight.
E)Carbohydrates should be high in fiber and low in sugar.
Q2) A nurse working in a community health center is counseling an adolescent regarding a suspected eating disorder. The adolescent is of normal weight but admits to periods of overeating, especially when his parents fight. This client's eating habits best demonstrate which risk factor for obesity?
A)Cultural and environmental factors
B)Heredity
C)Low socioeconomic status
D)Physical inactivity
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Chapter 15: Oxygenation
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Sample Questions
Q1) The nurse educator prepares to speak to a group of nursing students about direct and indirect insults to the lungs that may lead to the development of acute respiratory distress syndrome (ARDS). Which conditions will the nurse include in the teaching session? Select all that apply.
A)Sepsis
B)Viral pneumonia
C)Drug overdose
D)Near drowning in saltwater
E)Fractured humerus
Q2) Which population should the nurse assigned to care for pediatric clients recognize as having the highest risk of hospitalization due to RSV?
A)Alaskan Native infants
B)African American infants
C)Native American infants
D)Asian American infants
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Chapter 16: Perfusion
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Sample Questions
Q1) A client diagnosed with a stroke is going to receive treatment with fibrinolytic therapy using the recombinant tissue plasminogen activator alteplase (rt-PA). Which information should the nurse include when performing medication teaching for the client's family?
A)Used to treat thrombotic and hemorrhagic strokes
B)Not associated with serious complications
C)Indicated if the stroke symptoms have occurred within the last 6 hours
D)Administered to break up existing clots and increase cerebral blood flow
Q2) The nurse instructs a client about the medication nifedipine (Procardia)for hypertension. Which client statement indicates that additional teaching is needed?
A)"This medication will cause my ankles to swell, which is normal."
B)"I need to drink 6 to 8 glasses of water each day."
C)"I will call my doctor if I gain weight or become short of breath."
D)"I need to eat foods high in fiber when taking this medication."
Q3) Which risk factor for hypertension is modifiable?
A)Age
B)Ethnicity
C)Family history
D)Tobacco use
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Page 18
Chapter 17: Perioperative Care
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Q1) What is characteristic of assessment in perioperative care?
A)It is primarily a component of preoperative care.
B)It is used most often during the intraoperative process.
C)It primarily is involved in evaluating clients during postoperative care.
D)It is involved in every part of the perioperative process.
Q2) A prothrombin time (PT)test measures which of the following?
A)Time required for the client's blood to clot
B)Time required for the client's plasma to clot
C)Time required for platelets to effectively stop bleeding
D)Time required for a surgical procedure
Q3) The nurse is preparing an older adult client for surgery. On which topics should the nurse focus when preparing this client's preoperative teaching? Select all that apply.
A)Level of hearing
B)Amount of anesthesia needed during surgery
C)Teaching on deep breathing and coughing
D)Plans for discharge care
E)Actions to prevent pressure ulcers
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Chapter 18: Sensory Perception
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Q1) Which client should the nurse identify as having the greatest risk for hearing loss?
A)Construction worker who typically works in urban centers
B)Adolescent who occasionally listens to loud music on headphones
C)Teacher who works at a large high school
D)Lawyer who enjoys snowmobiling once a year
Q2) A nurse is evaluating the care received by a client who has a hearing deficit. Which statement indicates that the client is effectively addressing variables that may lead to social isolation?
A)"I ask others to face me when they talk because I can hear them better."
B)"I keep the television volume raised to a high level."
C)"I don't use my hearing aid unless someone seems to need to talk to me."
D)"I might use the hearing aid when I go shopping."
Q3) Which strategy for communication enhancement incorporates the use of shapes?
A)Sign language
B)Oral approach
C)Total communication
D)Cued speech
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Page 20
Chapter 19: Sexuality
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Sample Questions
Q1) A 30-year-old client is concerned that he will become impotent after experiencing difficulty sustaining an erection during a recent sexual encounter. What is the nurse's best response to this client's concerns?
A)"An occasional incident like this is normal and common."
B)"Sexually transmitted infections may result in sexual problems in adults."
C)"Erectile dysfunction is the correct term for inability to achieve or sustain an erection."
D)"A medical diagnosis of erectile dysfunction is not made until a man has experienced erectile difficulties for a period of at least 3 months."
Q2) Why would a healthcare provider most likely recommend that a 37-year-old pregnant woman seek prenatal genetic testing?
A)Because women over age 35 are at increased risk for gestational diabetes and other pregnancy complications
B)Because babies born to women over age 35 are at increased risk for chromosomal abnormalities
C)Because women over age 35 have a higher likelihood of giving birth to twins
D)Because women over age 35 are more likely to give birth to male children
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Chapter 20: Thermoregulation
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Q1) A nurse working in a gerontologist's office is reviewing the files of patients who have appointments today. Of these patients, which one should the nurse identify as having the lowest risk for developing hypothermia?
A)An 80-year-old client with hypothyroidism and a lengthy medication regimen
B)A 69-year-old client with type 2 diabetes mellitus and peripheral neuropathy
C)A 75-year-old client with decreased subcutaneous fat and several dietary restrictions
D)A 78-year-old client who regularly walks and does strength training with small hand weights
Q2) A client is admitted with a core body temperature of 93°F. Which action by the nurse is appropriate for this client?
A)Apply warm soaks to the extremities.
B)Use a hypothermia blanket.
C)Provide warm fluids.
D)Use warm blankets.
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Chapter 21: Tissue Integrity
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Q1) The nurse is caring for a client who failed to meet the outcome of healing of a stage 2 pressure injury over the coccyx. Which should the nurse identify as a likely contributing factor?
A)The rubber doughnut pressure relief device was not delivered by central supply.
B)The client's serum albumin increased over the last month.
C)A right side-back-left side-back turning schedule was used.
D)Nurses did not document disinfection of the wound with alcohol at each dressing change.
Q2) A client requests a small inflated doughnut-style device to sit on to relieve pressure. Which response by the nurse is most appropriate?
A)"I will need to get an order from the physician."
B)"Using the doughnut can cause skin breakdown."
C)"You will need to wait until discharge, then use the doughnut at home."
D)"I will obtain the device for you."
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Chapter 22: Addiction
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Q1) Which of the following terms refers to a physiologic need for a substance that the client cannot control and that results in withdrawal symptoms if the substance is withheld?
A)Tolerance
B)Dependence
C)Addiction
D)Codependence
Q2) A college student is incoherent; her roommates tell the nurse that she recently "took downers with beer." For which health problem should the nurse observe in this client?
A)Hallucinations
B)Respiratory depression
C)Seizure activity
D)Signs of withdrawal
Q3) A college student attends a seminar on alcohol abuse. Which statement would alert the nurse that the student needs more education?
A)"The children of alcoholics have a lower risk of becoming alcoholic."
B)"Native Americans are at higher risk of becoming alcoholic."
C)"Married college graduates are less likely to become alcoholics."
D)"Childless people are more likely than parents to become alcoholics."
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Page 24
Chapter 23: Cognition
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Q1) An older adult client comes into the clinic for a pneumonia vaccine. During the client interview, the client reports occasionally having difficulty remembering some words, but denies any other concerns. The client is alert and oriented to time, person, and place, and most responses are appropriate. How should the nurse describe this client's cognitive changes?
A)Memory impairment that may be related to cerebral ischemia
B)Normal signs of aging
C)Indicators of depression in the elderly
D)Early symptoms of dementia
Q2) A home health nurse visits a client with stage 2 Alzheimer disease who lives at home with a spouse. Which action by the nurse enhances the spouse's ability to meet the needs of the client?
A)Encouraging the caregiver to obtain rest and eat a healthy diet
B)Providing the client a list of daily activities to complete
C)Making arrangements for the client to visit the local senior citizen center in the afternoon
D)Finding placement in a long-term care facility
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Chapter 24: Culture and Diversity
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Q1) A female client, from a male-dominated culture, is being discharged after a lengthy hospitalization. Which action by the nurse prior to providing discharge instructions is appropriate?
A)Assess who the decision maker is in the family.
B)Ensure that the healthcare provider gives the instructions.
C)Make sure instructions are understood by the client.
D)Ask the client when the best time for teaching would be.
Q2) The clinic nurse is caring for an infant during a routine wellness exam. The parents and infant immigrated to the United States 6 months ago. The mother explains that she believes that an herbal remedy is the best way to treat the infant's colic. Which action by the nurse is appropriate?
A)Ask the mother what the ingredients are in the remedy.
B)Give the mother an alternate remedy for colic.
C)Explain how herbal ingredients may be harmful to the infant.
D)Tell the mother not to use the remedy because there is no way to know what the ingredients' scientific effect may be.
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Chapter 25: Development
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Q1) A community health nurse is teaching a group of women about the dangers of smoking. Which of the following child health problems should the nurse mention as associated with smoking during pregnancy?
A)Benzodiazepine withdrawal
B)Attention-deficit/hyperactivity disorder (ADHD)
C)Vision impairment
D)Personality disorders
Q2) A nurse is caring for a pregnant client who has a history of depression. When including information to decrease the client's risk for having an infant diagnosed with failure to thrive (FTT), which of the following rationales is appropriate?
A)Women with mental illness have a decreased breast-milk supply, increasing the risk of FTT.
B)Women with mental illness may be socially isolated, increasing the risk of FTT.
C)Women with mental illness take medications that pass through the breast milk, increasing the risk of FTT.
D)Women with mental illness lack the knowledge required to provide adequate nutrition, increasing the risk of FTT.
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Chapter 26: Family
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Q1) The nurse is meeting with the family of a 16-year-old patient who was recently diagnosed with depression. His younger sister states that she finds the patient's behavior distressing, as well as the way in which her parents respond to the behavior. She also states that she is tired from doing many of her brother's chores for him because he can't or won't do them himself. What type of family burden is the patient's sister experiencing?
A)A low level of subjective burden
B)A high level of subjective burden
C)A low level of objective burden
D)A high level of objective burden
Q2) The nurse is caring for a client who is hospitalized with pneumonia. Which of the following will the nurse assess when determining the impact of the illness on the family? Select all that apply.
A)The duration of the illness
B)The effect of the illness on future family functioning
C)The cause of the illness
D)The meaning of the illness to the family
E)The financial impact of the illness
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Chapter 27: Grief and Loss
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Q1) The nurse is caring for a client who is diagnosed with complicated grieving after the loss of a child. Which treatment approaches does the nurse anticipate being included in the collaborative plan of care for this client? Select all that apply.
A)Antidepressants
B)Electroconvulsive therapy
C)Talk therapies
D)Cognitive therapy
E)Anger management
Q2) A client tells the nurse that her boyfriend died 3 weeks ago. The client states that she has been unable to grieve openly because her boyfriend was married and no one knew of their relationship. The nurse recognizes that the client is experiencing which type of grief?
A)External grief
B)Chronic grief
C)Abbreviated grieving
D)Disenfranchised grieving
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Chapter 28: Mood and Effect
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Q1) The nurse is assessing a client who is 4 weeks postpartum. The client reports having no appetite and wanting to sleep all day. What does this information suggest to the nurse?
A)The client is feeling blue, which is normal.
B)The client's sleep-wake cycle is disrupted.
C)The client may be experiencing postpartum depression.
D)The client is developing postpartum psychosis.
Q2) The nurse observes a client being treated for depression sitting with the head down and avoiding conversation with peers. Which nursing intervention is most appropriate for this client?
A)Ask open-ended questions about the client's feelings.
B)Ask the client closed-ended questions.
C)Encourage a peer to sit with the client and the nurse.
D)Tell the client that lack of involvement leads to more depression.
Q3) Which neurotransmitter change is frequently associated with suicide?
A)Increase in serotonin
B)Decrease in serotonin
C)Increase in dopamine
D)Decrease in dopamine
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Page 30
Chapter 29: Self
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/45860
Sample Questions
Q1) During an assessment, a client tells the nurse that she "can't stand her mother." The client also says she does "whatever Mom wants me to do" because the client "can't do anything right anyway." The nurse should use this information when determining which of the following items during the client assessment?
A)Personal identity
B)Role performance
C)Self-esteem
D)Body image
Q2) A client tells the nurse, "My mother spent many years in a mental institution, and my father would abuse me when my mother was not around." Based on this information, the client is at greatest risk for developing which of the following conditions?
A)A personality disorder
B)Poor relationships with individuals of the opposite sex
C)An eating disorder
D)Substance abuse
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Chapter 30: Spirituality
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/45861
Sample Questions
Q1) While hospitalized, a client learns that a close friend has died suddenly. The client is crying and asking, "Why, God?" The nurse should correctly identify that the client is demonstrating which type of spiritual distress?
A)Physiologic
B)Psychologic
C)Treatment-related
D)Situational
Q2) When receiving nursing care, the client states, "I drink a small glass of warm water mixed with the juice of one lemon every morning because it helps to heal my body."
Which action by the nurse is appropriate when providing care to this client?
A)Tell the client that cold water is better metabolized by the body.
B)Instruct the client that lemon juice is really a dose of vitamin C that helps with healing.
C)Provide the warm water and juice of a lemon.
D)Suggest the client delay the water and lemon until after morning medications.
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Chapter 31: Stress and Coping
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/45862
Sample Questions
Q1) The nurse is evaluating medication teaching for a client who recently started taking fluoxetine (Prozac)for anxiety. Which statement by the client indicates appropriate understanding of the information presented?
A)"My medication will take 1 week to become effective."
B)"My medication will take 4 weeks to become effective."
C)"My medication will become effective immediately after I start taking it."
D)"My medication will not begin to work for 12 weeks."
Q2) Which nursing diagnosis would be a priority for a client who is experiencing a situational crisis?
A)Ineffective Coping
B)Ineffective Activity Planning
C)Readiness for Enhanced Communication
D)Chronic Low Self-Esteem
Q3) What important fact should the nurse relay to the young adult who was just diagnosed with obsessive-compulsive disorder?
A)Not acting on compulsions is the best cure.
B)Treatment is essential to remission.
C)Recognizing the obsessions as false will lessen their impact.
D)The disorder will gradually get better over time.
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Page 33
Chapter 32: Trauma
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/45863
Sample Questions
Q1) Which individual has the highest risk of developing PTSD?
A)Victim of assault
B)Natural disaster survivor
C)Motor vehicle crash survivor
D)Military veteran
Q2) Which theory states that individuals learn violent tendencies through association with others and a reinforcement of abusive behaviors?
A)Social learning theory
B)Psychopathology theory
C)Neurobiology theory
D)Environmental theory
Q3) A client with a long history of experiencing domestic violence tells the nurse, "There is no way out for me; this situation will never change." What nursing diagnosis would be most appropriate?
A)Powerlessness
B)Risk for Other-Directed Violence
C)Ineffective Health Maintenance
D)Chronic Low Self-Esteem
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34
Chapter 33: The Concept of Reproduction
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72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/45864
Sample Questions
Q1) If a woman had a prepregnancy daily requirement of 1800 calories and she decides to breastfeed her newborn, how many calories should the nurse recommend the woman take in each day?
A)2300 calories
B)2500 calories
C)2000 calories
D)1800 calories
Q2) A client who says she is "about 6 weeks pregnant" hears the baby's heartbeat for the first time through a Doppler. Based on this data, which conclusion by the nurse is the most appropriate?
A)The mother is at 8 to 12 weeks' gestation.
B)The mother is over 16 weeks' gestation.
C)The mother is at 4 to 8 weeks' gestation.
D)The mother is at least 20 weeks' gestation.
Q3) During which phase of the ovulatory cycle does the ovum get fertilized?
A)Follicular phase
B)Luteal phase
C)Proliferative phase
D)Secretory phase
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Page 35
Chapter 34: Assessment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/45865
Sample Questions
Q1) The nurse is preparing to examine a toddler's ear canals with an otoscope. Which actions by the nurse are appropriate? Select all that apply.
A)Having the child sit on the examination table
B)Having the child play with the equipment
C)Having the child sit on the parent's lap
D)Telling the child the examination will not hurt
E)Asking the child to tilt the head
Q2) The nurse is preparing to conduct a physical examination of a client's head and neck area. The client is paralyzed from the neck down. Which action by the nurse is appropriate when conducting the physical assessment of this area?
A)Supporting the client during the examination
B)Placing the client in an armless regular chair
C)Placing the client in Sims position
D)Placing the client in supine position
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Chapter 35: Caring Interventions
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/45866
Sample Questions
Q1) A nurse in a rural community is employed in a facility that has had a shortage of nurses for several years. As a result, several nurses have left the institution citing burnout. To avoid risking burnout, the nurse regularly works out, practices yoga, socializes with friends once or twice a week, and participates in at least one annual national or state nursing conference. This approach to work-life balance reflects which concept within the framework of Caring Interventions?
A)Self-compassion
B)Self-care
C)Self-control
D)Self-actualizing
Q2) During a performance appraisal, a unit manager praises a staff nurse on the ability to use presencing when caring for terminally ill clients. What did the nurse demonstrate that would exemplify this caring behavior? Select all that apply.
A)Face-to-face discussions with clients
B)Instructing clients on how they should perform certain functions
C)Sitting quietly with clients
D)Validating the client's experience through active listening
E)Guaranteeing quality and safety in care
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Chapter 36: Clinical Decision Making
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/45867
Sample Questions
Q1) The nurse is prioritizing care for a client based on nursing diagnoses. If following Maslow's hierarchy of needs, list the order in which the nurse should provide care to the client.
A) Fatigue
B) Anxiety
C) Alteration in Perfusion
D) Self-Care Deficit
E) Deficient Knowledge
F)Diarrhea
Q2) A nurse enters a client's room to evaluate the response to IV pain medication administered by request 20 minutes earlier. The nurse finds the client in the same position as when the medication was administered. The client states, "I do not want to move." The nurse asks the client to rate the current level of pain. Which aspects of the nursing process do these action represent? Select all that apply.
A)Assessment
B)Diagnosis
C)Planning
D)Implementation
E)Evaluation
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Chapter 37: Collaboration
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26 Verified Questions
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Sample Questions
Q1) A case manager assembles a team of healthcare professionals, including a client's primary healthcare provider, physical therapist, and social worker, for the purpose of collaborative discharge planning and decision making. Which type of team did the case manager assemble?
A)Intradisciplinary team
B)Interdisciplinary team
C)Interorganizational team
D)Management team
Q2) A nurse who is caring for an adult client in the intensive care unit (ICU)is given a verbal prescription by a first-year medical resident. The nurse determines that the best course of action is to check with the attending healthcare provider before implementing the prescription. What is the most likely reason why the nurse is experiencing conflict regarding this situation?
A)The resident seems unsure of the prescription.
B)The nurse only takes prescription orders from attending healthcare providers.
C)The nurse does not like first-year residents.
D)The nurse may not trust the resident to make the best care decisions.
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Chapter 38: Communication
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54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/45869
Sample Questions
Q1) Four groups of nurses are attempting to determine which methods are most effective for teaching patients about proper self-care. Which of these groups is least likely to arrive at a successful decision in a timely manner?
A)The group that launches a pilot project to determine which teaching methods are most effective
B)The group that uses scenario planning to evaluate the potential results of various teaching methods
C)The group that uses trial and error to gauge the effectiveness of various teaching methods
D)The group that uses a decision tree to visualize the potential results of various teaching methods
Q2) What are the four steps of the SBAR communication technique?
A)Scenario, Basics, Analysis, and Reaction
B)Situation, Background, Assessment, and Recommendation
C)Scenario, Background, Analysis, and Recommendation
D)Situation, Basics, Assessment, and Reaction
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Chapter 39: Managing Care
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/45870
Sample Questions
Q1) The emergency department staff is overwhelmed when multiple victims arrive from an explosion at a downtown factory. What leadership style would be most beneficial for the charge nurse to adopt in this situation to most efficiently provide nursing care to the incoming victims?
A)Autocratic
B)Democratic
C)Laissez-faire
D)Bureaucratic
Q2) A staff nurse at a hospital calls a long-term care facility that has just received transfer of care for a client. The hospital nurse reports the physician's medication orders to a nurse at the receiving facility. The hospital nurse does not have prescribing privileges. What is the responsibility of the nurse at the receiving facility in order to reduce the fear of liability?
A)Withhold medications until the facility's physician can assess the new client
B)Administer medications to the client immediately
C)Verify the order with the prescribing physician
D)Submit the medication order to the on-site pharmacy as soon as possible
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Chapter 40: Professional Behaviors
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Source URL: https://quizplus.com/quiz/45871
Sample Questions
Q1) A student nurse says, "I'm nervous about taking the NCLEX, and I'm a little worried about all the responsibility that comes with being a registered nurse. At the same time, I'm eager to pass the test so I can start working. I think the rewards of nursing are well worth the hard work and sacrifice." This statement suggests that the student nurse is in which stage of commitment?
A)The integrated stage
B)The testing stage
C)The passionate stage
D)The exploratory stage
Q2) A nurse has just received the shift report for a 12-hour shift. As the nurse is preparing to enter a client's room, the nurse overhears a coworker telling an offensive joke with a sexual undertone to the client. Which action by the nurse is appropriate?
A)Tell the coworker, in private, that such conduct is offensive and not professional.
B)Ignore the coworker and walk away.
C)Report the incident to the unit manager.
D)Ask to be scheduled on a different shift than this coworker.
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Chapter 41: Teaching and Learning
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/45872
Sample Questions
Q1) A nurse is caring for a child who is hospitalized for an exacerbation of asthma. The nurse is preparing discharge teaching, as the client will be going home on nebulizer treatments and an inhaler. The client and her family members, who are recent immigrants to the United States, speak little English. In addition to enlisting an interpreter to help with the language barrier, what should be a priority for the nurse in developing a teaching plan?
A)Provide written instructions before discharge.
B)Make sure the parents can set up the treatments for their child.
C)Make sure the child comes back for the follow-up appointment.
D)Address any healing beliefs the family has.
Q2) A nurse conducted a safety class for a group of older adult clients in the community on fall prevention. During a follow-up visit in the home of one of these clients, the nurse sees a number of fall hazards she identified during her class. What should the nurse document regarding the learning outcome for this client?
A)The client might not have heard necessary information during the class.
B)The client did not understand the teaching given in the class.
C)The client understood the teaching given in the class but chose to ignore it.
D)The client did not comply with the teaching given in the class.
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Chapter 42: Accountability
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/45873
Sample Questions
Q1) A school nurse in a large urban high school regularly delivers presentations on nutrition, smoking cessation, and prevention of sexually transmitted infections (STIs). What area(s)of nursing competence is this nurse demonstrating? Select all that apply.
A)Health restoration
B)Health and wellness promotion
C)Caring for the dying
D)Illness prevention
E)Care cost savings
Q2) The charge nurse observes that a fellow charge nurse on the unit seems impaired and unable to perform client care. Which action by the charge nurse is most appropriate in this situation?
A)Notifying security
B)Calling the unit's nurse manager
C)Discussing the situation with the nursing supervisor
D)Confronting the other nurse directly
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44
Chapter 43: Advocacy
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18 Flashcards
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Sample Questions
Q1) The nurse is working in a community health setting. Which of the following should the nurse identify as a threat to environmental quality?
A)Many residences appear to be vulnerable to intrusion, with open garage doors or ground-floor windows.
B)Children in many neighborhoods are playing in the street with no adult supervision.
C)Many people walking their pets do not clean up their pets' waste.
D)On many residential streets, cars are parked in a way that blocks traffic and creates potential driving hazards.
Q2) Which action by the nurse working in the emergency department best demonstrates advocacy for better environmental quality?
A)Improving prioritization skills for nurses in the ED
B)Adapting practices in the ED to cultural needs of clients
C)Revising policies for telephone triage to ensure better distribution of resources
D)Ensuring that bandages and dressings are properly disposed according to protocol
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Chapter 44: Ethics
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35 Flashcards
Source URL: https://quizplus.com/quiz/45875
Sample Questions
Q1) An adolescent client diagnosed with leukemia decides to stop chemotherapy treatments. The parents of the client, however, want the healthcare team to continue all treatments as necessary. Which action by the nurse is appropriate when providing care to this client and family?
A)Helping the family by providing information and allowing them to voice concerns
B)Confronting the parents and telling them not to be "selfish" in their child's time of need
C)Calling the authorities immediately
D)Obtaining a court order to determine the client legally able to make his or her own decisions
Q2) Which statement accurately describes the purpose of the American Nurse's Association's Code of Ethics for Nurses?
A)It serves as a statement of nurses' personal values and standards.
B)It serves as the profession's nonnegotiable ethical standard.
C)It serves as an announcement of nurses' commitment to the profession.
D)It serves as a standard protocol for performing nursing procedures.
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Chapter 45: Evidence-Based Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/45876
Sample Questions
Q1) The nurse manager for a medical-surgical nursing unit is talking to a group of nursing students. The nurse manager is explaining the types of nursing research studies that are conducted on the unit. Which statement by the students indicates understanding of the nature of nursing research?
A)"Nursing research does not include nursing education or nursing leadership."
B)"Nursing research does not include the study of nurses themselves."
C)"Nursing research impacts nursing by adding knowledge and changing nursing practice."
D)"Nursing research is used to enhance medical treatment."
Q2) The nurse working in a community hospital is caring for a client who does not seem to be responding well to the current plan of care that has been implemented by the nursing team. Given this information, which actions by the nurse are appropriate? Select all that apply.
A)Accessing research journals for evidence that would support a change in the plan of care
B)Proposing a nursing research project to the unit manager
C)Networking online with other nurses who are giving similar care
D)Asking the doctor for a new nursing approach to care
E)Trying a different approach to care even though it breaches hospital policy
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Page 47
Chapter 46: Healthcare Systems
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/45877
Sample Questions
Q1) The charge nurse assesses clients during a mass casualty incident (MCI)and transfers some to other units but discharges others to home. In planning for the admission of critically ill clients from the emergency department, to which nurses will the charge nurse assign the new clients when admitted to the unit?
A)Nurses with risk-reduction knowledge
B)Nurses with advanced assessment skills
C)Nurses with impeccable ethics
D)Nurses with exceptional self-care methods
Q2) As a working professional concerned with proper resource allocation, the nurse knows that one reason to join the American Nurses Association (ANA)is for which opportunity?
A)To participate in national discussions about resources
B)To draw attention to the nurse's credentials
C)To determine how to fight for resources locally
D)To advocate for resources through different business sources
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Chapter 47: Health Policy
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/45878
Sample Questions
Q1) Which regulatory agency ensures the health and safety of Americans in the workplace?
A)Department of Health and Human Services (DHHS)
B)National Institutes of Health (NIH)
C)Occupational Safety and Health Administration (OSHA)
D)Centers for Medicare and Medicaid Services (CMS)
Q2) Which types of programs can receive accreditation from the National League of Nursing (NLN)? Select all that apply.
A)Bachelor of Science in Nursing (BSN)programs
B)Licensed Vocational Nursing (LVN)programs
C)Medical Assisting programs
D)Licensed Practical Nursing (LPN)programs
E)Dental Assisting programs
Q3) What action can a nursing student take to comply with nurse practice acts and remain accountable for knowing the legal nursing scope of practice in their state?
A)Become engaged in organizational quality improvement projects.
B)Obtain current licensure.
C)Join the American Nurses Association (ANA).
D)Become accredited.
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Page 49
Chapter 48: Informatics
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Source URL: https://quizplus.com/quiz/45879
Sample Questions
Q1) The nurse is providing discharge instructions about medications and exercise to a client who was hospitalized with a serious medical condition. Which action by the nurse ensures that the client is fully informed?
A)Make sure a relative attends the discharge teaching session.
B)Repeat the discharge teaching sessions twice.
C)Ask the physician to reinforce teaching prior to discharging the client.
D)Print the discharge instructions and hand them to the client prior to discharge.
Q2) Which organization specifically focuses on improving healthcare quality, safety, and outcomes through improving the use of information technology (IT)and systems?
A)Healthcare Information and Management Systems Society (HIMSS)
B)American Medical Informatics Association (AMIA)
C)Alliance for Nursing Informatics (ANI)
D)Technology Informatics Guiding Educational Reform (TIGER)
Q3) Which factor increases nurses' use of clinical decision support systems (CDSS)?
A)Out-of-the-way workstations
B)Nursing experience
C)Caring for a new client
D)Reminder pop-ups
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Chapter 49: Legal Issues
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36 Flashcards
Source URL: https://quizplus.com/quiz/45880
Sample Questions
Q1) A nurse educator is planning a class for a group of nursing students regarding risk management. Which information should the educator include in this presentation? Select all that apply.
A)Risk management seeks to prevent harm.
B)Risk management empowers clients.
C)Risk management controls the cost of supplies.
D)Risk management examines past mistakes and identifies potential hazards.
E)Risk management ensures that nurses are truthful.
Q2) A client who sustained a traumatic brain injury several weeks ago is in a chronic vegetative state and is no longer competent to make healthcare decisions. Who should the nurse expect to make care decisions for this client?
A)The physician
B)The client's spouse
C)Social services
D)The agent named in the durable power of attorney
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Chapter 50: Quality Improvement
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16 Flashcards
Source URL: https://quizplus.com/quiz/45881
Sample Questions
Q1) The nurse is working in a healthcare setting that has implemented Lean Six Sigma. Which of the following should the nurse anticipate with regard to this model?
A)Shorter breaks
B)Ordering extra supplies
C)Replacing licensed with unlicensed personnel
D)Decreasing staff when the census is low
Q2) Which federal initiative contains the three broad aims of better care, healthy people/healthy communities, and affordable care?
A)National Database of Nursing Quality Indicators
B)Patient Safety and Quality: An Evidence-Based Handbook for Nurses
C)National Patient Safety Goals
D)National Quality Strategy
Q3) The nurse is participating in a quality improvement process related to improving care for clients at risk for skin breakdown. Which best describes the purpose of this process?
A)To improve client outcomes
B)To advance the nurse's career
C)To fulfill legal requirements
D)To maintain accreditation
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Chapter 51: Safety
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Source URL: https://quizplus.com/quiz/45882
Sample
Questions
Q1) The nurse is caring for a 3-year-old child who is in the hospital for the first time. The child appears frightened and is clinging to her parents. What action can the nurse take to help the child feel more secure if the child needs to stay at the hospital without her parents?
A)Stay with the child when the parents go home
B)Have the parents bring comfort items from home to leave with the child
C)Keep dangerous medications and equipment out of the child's reach
D)Make sure the child wears proper identification at all times
Q2) When a nurse performs or observes nursing practices that are not safe, the nurse has a responsibility to report those actions. This principle ties the concept of safety to what other nursing concept?
A)Accountability
B)Advocacy
C)Assessment
D)Clinical Decision Making
Q3) A complaint about unsafe working conditions should be reported to which agency?
A)Occupational Safety and Health Administration
B)National Institute for Occupational Safety and Health
C)State board of nursing
D)American Nurses Association
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Chapter 52: Assessment
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Sample Questions
Q1) Before completing a blood pressure on an adult, which should the nurse do next after introducing self?
A)Provide privacy.
B)Perform handwashing.
C)Identify the client with two identifiers.
D)Explain what he or she will be doing with the client.
Q2) The nurse is changing a 2-month-old client's diaper and notes the client feels warm to touch. Which is the best method for checking this baby's temperature?
A)Oral
B)Rectal
C)Axillary
D)Tympanic membrane
Q3) Which is the most important question the nurse should ask a client before performing a routine musculoskeletal assessment?
A)"Do you exercise every day?"
B)"Do you have a history of any sports injuries?"
C)"Do you take a hot bath to relax your muscles?"
D)"Do you want pain medication before I begin?"
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54
Chapter 53: Caring Interventions
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Sample Questions
Q1) When teaching the client about foot care, which statement will the nurse include in the teaching?
A)"Use creams or lotions on the feet and in between the toes after showering."
B)"While sitting, cross your legs at the knees instead of the ankles."
C)"Avoid using pumice stones on the feet to decrease callouses."
D)"When your feet are cold, place them on a hot water bottle to warm them."
Q2) The nurse determines some client care tasks can be delegated to the UAP. Which task should not be delegated?
A)Performing foot care for a client with diabetes.
B)Changing an occupied bed for a client with multiple intravenous medications infusing.
C)Performing a bath for a newborn with an unhealed umbilical cord.
D)Oral care for an unconscious client.
Q3) While giving the client a bath, the nurse notes the client has facial acne. What statement by the nurse will not be included when teaching the client about this condition?
A)"Use cool water when cleansing your face to close the pores."
B)"Wash your face frequently to remove oil and dirt."
C)"Avoid using oil-based creams on your face."
D)"Do not squeeze the lesions on your face."
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Page 55
Chapter 54: Comfort
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Sample Questions
Q1) The nurse cares for a client who requires a PCA for pain control. The health care provider has ordered a loading dose for the client. Place the steps in order for the nurse to provide the loading dose by PCA pump.
A)Set the safety parameters.
B)Press the loading dose control button.
C)Set the volume to be delivered.
D)Set the pump for a lockout time of zero minutes.
Q2) The nurse is preparing to use a disposable hot pack on the client for pain relief. Which action will the nurse prioritize as an appropriate task for the UAP?
A)Observing the site of application and reporting abnormal findings.
B)Assessing the client's level of pain.
C)Determining if the client requires additional therapy.
D)Documenting the client's response to therapy.
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Chapter 55: Elimination
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Source URL: https://quizplus.com/quiz/45823
Sample Questions
Q1) When auscultating a client's AV fistula, the nurse notes a whooshing sound. What term is used to describe this finding?
A)Bruit
B)Murmur
C)Gallop
D)Click
Q2) The nurse plans to assist in the transfer of the client to a bedside commode. Place the procedure steps in the correct order.
A)Place slippers on the client.
B)Place commode at the foot of the bed.
C)Raise the client's head of the bed and move client to the edge of the bed.
D)Safely transfer the client to the commode.
E)Cover client with bath blanket as needed for warmth.
Q3) When assessing the client's AV fistula, the nurse notes vibration at the fistula site. How should the nurse respond to this finding?
A)Contact the health care provider.
B)Ask the client how long this has occurred.
C)Determine when the fistula was placed.
D)Document the finding.
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Page 57
Chapter 56: Fluids and Electrolytes
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Sample Questions
Q1) The nurse is teaching a client on the importance of monitoring intake and output at home. Which statement will the nurse include in the client teaching?
A)"Weigh at two different times during the day in order to see a change."
B)"If your weight goes up more than one pound in a day, contact your health care provider."
C)"If you notice sticky mucus membranes, contact your health care provider."
D)"Weigh with two different scales in order to compare results."
Q2) A nurse attempts to flush the lumen of a triple lumen central catheter and notes severe resistance to flushing. Which diagnostic procedure does the nurse anticipate when assessing the correct placement of the central line?
A)Chest CT
B)Fluoroscopy
C)Chest X-ray
D)Endoscopy
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Chapter 57: Infection
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Q1) A home care nurse is providing teaching to a client regarding infection control precautions at home. Which statement will the nurse including in the teaching?
A)"Discard used dressings in a biohazard bag."
B)"Clothing soiled with blood can be laundered with the rest of your clothing."
C)"Disinfect reusable equipment and supplies with a bleach solution."
D)"If supplies need refrigeration, keep in the door of the fridge away from the light."
Q2) The nurse cares for an older adult and recognizes the client is at increased risk for developing infection. Which condition poses the greatest risk of infection in the client?
A)Diabetes mellitus
B)Eczema
C)Glaucoma
D)Emphysema
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Chapter 58: Intracranial Regulation
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Q1) The nurse is caring for a client with a diagnosed head injury who has an ICP transducer system to monitor the client's intracranial pressure. Which sign on the ICP monitor indicates that the client's condition is worsening?
A)Narrow amplitude waveform
B)Appearance of plateau waveforms
C)Increased ICP for 2 minutes
D)ICP pressure of 4-20
Q2) The nurse is caring for an older adult client who has been diagnosed with a closed head injury. The healthcare provider decides to monitor the client's intracranial pressure (ICP)using an ICP transducer system. The nurse will place the client in which position to prevent compromise of the client's condition?
A)Left lateral, bed flat
B)Supine, head midline, head of bed elevated 30 degrees
C)Right lateral, head of bed elevated 60 degrees
D)Supine, head midline, bed in Trendelenburg
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Chapter 59: Metabolism
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Sample Questions
Q1) The client diagnosed with diabetes mellitus calls the nurse to complain about dizziness that occurs upon standing. The nurse informs the client that this may be caused by which initial complication related to diabetes mellitus?
A)Hypertension
B)Impaired peripheral circulation
C)Diabetic autonomic neuropathy
D)Diabetic nephropathy
Q2) The nurse is caring for a client with a large abdomen. Which assessment technique would assist the nurse in determining whether the client is experiencing ascites or the large abdomen is related to obesity?
A)Weigh the client weekly.
B)Check the client's feet for pedal edema.
C)Measure the client's abdomen daily.
D)Measure the amount of food the client eats with each meal.
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Chapter 60: Mobility
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Q1) The nurse is preparing to assist a client with ambulation and knows a gait belt may not be appropriate to use for a client with which condition?
A)A client wearing a knee brace.
B)A client who uses a walker for ambulation.
C)A client who has a large abdominal incision.
D)A client who has vertigo.
Q2) The UAP is caring for a 79-year-old client who is immobilized and is preparing to complete range-of-motion (ROM)exercises. The nurse cautions the UAP to avoid which motion in an elderly client?
A)Flexion
B)Extension
C)Hyperextension
D)Abduction
Q3) The nurse is aware that clients who use the swing-to-gait for ambulation on a regular basis are at risk for development of which problem?
A)Atrophy of the arm muscles
B)Fractures of the feet
C)Atrophy of the leg muscles
D)Sciatic nerve injury
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Chapter 61: Nutrition
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Sample Questions
Q1) The nurse is teaching about nutritional requirements of the newborn to his new parents. The nurse should recognize that the parents need further instruction when which statement is made?
A)"I will only feed my baby as much formula as he wants to eat at each feeding."
B)"I will mix rice cereal in my baby's bottle before he goes to bed so he will sleep better."
C)"I will hold my baby while I feed him and for about 15 minutes after he eats."
D)"I will wash my hands before I mix my baby's formula."
Q2) The nurse is working with a group of parents of toddlers and should know that further instruction is needed when which statement is heard?
A)"I carefully cut up all of my child's food so he can easily eat it."
B)"I put food on my toddler's plate but I don't get upset if he doesn't eat it all."
C)"I promise my toddler that he can have a cookie if he does what I ask him to do."
D)"I allow my child to help me cook even though it gets pretty messy."
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Chapter 62: Oxygenation
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Q1) The nurse is preparing to insert an oropharyngeal airway in an unresponsive client and should do which to ensure the airway is inserted correctly?
A)Using a tongue depressor, push the tongue to the side of the mouth when inserting the airway.
B)Begin the procedure by inserting the airway upside down and then rotating it to the correct position.
C)Position the airway in a downward position and then rotate it upward as it passes by the back of the throat.
D)Refrain from taping the bottom of the airway to prevent esophageal injury when the client swallows.
Q2) The nurse has been asked to obtain a sputum specimen from a client who is in the first postoperative day after a surgical gastric resection for stomach cancer. The nurse will ensure that which item is provided to the client to ensure an effective sputum collection?
A)Supplemental oxygen
B)Folded bath blanket
C)Peak expiratory flow meter
D)Sterile applicator stick
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Chapter 63: Perfusion
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Q1) How will the nurse know that the electrodes have been placed properly?
A)Lights on the box come on when electrodes are placed properly.
B)Follow the picture on the box for proper placement of electrodes.
C)Call the base station to run an ECG strip to check the signal of transmission.
D)Electrodes are placed correctly unless notified by the monitoring station.
Q2) The nurse observes an irregular chaotic rhythm. Which arrhythmia should the nurse document?
A)Ventricular tachycardia
B)Ventricular fibrillation
C)Atrial flutter
D)Atrial fibrillation
Q3) A client asked the nurse "Why do I need to have this transcutaneous pacemaker?" Which is the most appropriate response by the nurse?
A)"It provides close monitoring by your healthcare provider."
B)"It delivers impulses and transmissions to the myocardium."
C)"It is for an emergency when you have an irregular rhythm."
D)"It is for symptomatic bradycardia that is unresponsive to atropine."
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Chapter 64: Perioperative Care
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Q1) The nurse is performing a surgical hand scrub prior to entering the operating room. The circulating nurse will stop the nurse and reinstruct on proper hand scrubbing if the nurse does which action?
A)After wetting the hands and forearms, the nurse holds the hands above the level of the elbows.
B)The nurse spends 25 to 30 seconds rubbing soap on the tops and palms of hands using an up-and-down motion.
C)The nurse keeps the arms elevated and backs into the operating room.
D)The nurse uses a sterile towel to dry one hand from fingers to the elbow and then picks up a second sterile towel for the other hand.
Q2) The nurse is preparing to change the dressing of a surgical client and will be alert for which signs or symptoms of a wound infection? Select all that apply.
A)Cool to the touch
B)Redness
C)Serosanguinous drainage
D)Client temperature of 101 degrees F
E)Pain rating of 2 out of 10
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Chapter 65: Reproduction
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Q1) The nurse is caring for a client who is 6 cm dilated with a fetus who has been diagnosed with a serious congenital heart defect. The client has rejected the use of continuous fetal monitoring so the nurse will use the Doppler and monitor the fetal heart rate (FHR)at what frequency?
A)Every 45 minutes
B)Every 30 minutes
C)Every 15 minutes
D)Every 5 minutes
Q2) The nurse is assessing a pregnant client who is at 29 weeks gestation. The nurse notes that the client's blood pressure is 160/90 and documents that the clonus was noted after assessing the patellar reflex. Which assessment findings led the nurse to document this finding?
A)There was no response when the area directly above the knee was struck with the percussion hammer.
B)The nurse noted an extension of the leg when the percussion hammer touched the area above the knee.
C)The client complained of pain when the foot was dorsiflexed.
D)The client's foot tapped against the nurse's hand when it was dorsiflexed.
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Chapter 66: Safety
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Q1) The nurse is completing an assessment of an older adult client whose primary caretaker is the grandson. Which would alert the nurse that this client is a possible victim of emotional abuse?
A)The client refuses to look at the grandson.
B)The client reprimands the grandson for being late to the appointment.
C)The client asks the grandson to leave the room during the pelvic examination.
D)The client tells the nurse that the grandson isn't a very good cook.
Q2) The nurse is caring for four clients and knows that which client is at the highest risk for falls?
A)An older adult client who is 2 days postoperative from a hip replacement, uses a walker to ambulate, and requires pain medication every 6 hours
B)An older adult client who had a coronary artery stent placed three days ago
C)An older adult client who is preparing for discharge and requires continued antibiotics
D)An older adult client who was admitted yesterday for dehydration and is confused and sometimes combative
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Chapter 67: Tissue Integrity
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Q1) The nurse is caring for a client who sustained second-degree burns to both feet. The healthcare provider has ordered debridement of necrotic tissue by mechanical means. The nurse will use which debridement technique that would be the BEST method to complete this task?
A)Wet-to dry dressing changes
B)Hydrotherapy
C)Application of enzymes
D)Application of an occlusive dressing
Q2) The nurse is preparing to change the dressing of a client who had abdominal surgery 3 days ago. The nurse notes that the incision has purulent drainage and appears very puffy. The client states that the pain level has increased from a 3 to a 7 in the last 24 hours. Which is the nurse's next action in regard to this client's wound?
A)Clean the wound, place a new dressing, and plan to recheck the incision in 4 hours.
B)Contact the client's surgeon after obtaining the client's vital signs.
C)Recognize that this is an expected outcome for a client on the third day after surgery.
D)Culture the wound drainage and redress the wound.
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