Foundations of Nursing Practice Exam Bank
Course Introduction
This course provides a comprehensive introduction to the fundamental principles and skills required in nursing practice. Students will explore the historical, ethical, and legal foundations of nursing, as well as the roles and responsibilities of professional nurses within the healthcare system. Emphasis is placed on patient-centered care, effective communication, critical thinking, and evidence-based decision making. Through a combination of theory, simulation, and practical experiences, learners will develop foundational competencies in assessment, infection control, safety, and basic nursing interventions to promote optimal health outcomes across diverse populations.
Recommended Textbook
Canadian Fundamentals of Nursing 6th Edition by Patricia A. Potter
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48 Chapters
1307 Verified Questions
1307 Flashcards
Source URL: https://quizplus.com/study-set/1839
Page 2
Chapter 1: Health and Wellness
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36674
Sample Questions
Q1) The nurse is using the population health promotion model to develop actions for improving health.After asking,"On what should we take action?";"How should we take action?";and "Why should we take action?" the nurse will ask which of the following questions?
A)"With whom should we act?"
B)"When should we take action?"
C)"Which government should take action?"
D)"Where should we first act?"
Answer: A
Q2) One of the five health promotion strategies,as identified by the Ottawa Charter for Health Promotion,is which of the following?
A)Creating supportive environments.
B)Strengthening educational opportunities.
C)Developing a medical approach.
D)Minimizing stressful situations.
Answer: A
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3
Chapter 2: The Canadian Health Care Delivery System
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse initiated a support group for adolescent parents and is teaching them about chlorinated water and child immunizations,which are all examples of which of the following?
A)Health promotion.
B)Disease and injury prevention.
C)Supportive care.
D)Rehabilitation.
Answer: B
Q2) Canadian health care workers' rights include which of the following? (Select all that apply. )
A)Reasonable working conditions.
B)To refuse dangerous work.
C)To receive appropriate compensation.
D)Access to proactive measures.
E)Access to their own health care information.
Answer: A,B,D
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Chapter 3: The Development of Nursing in Canada
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) What is the primary motivator of nursing?
A)Money.
B)Altruism.
C)Self-efficacy.
D)A curative model of care.
Answer: B
Q2) Who was the most influential woman in the advancement of nursing in Canada?
A)Marie Rollet Hébert.
B)Florence Nightingale.
C)Mary Agnes Snively.
D)Jeanne Mance.
Answer: D
Q3) Where did the first hospital diploma school in Canada open?
A)Manitoba.
B)Ontario.
C)Quebec.
D)Newfoundland.
Answer: B
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Chapter 4: Community Health Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Community-based nursing requires a strong knowledge base in which of the following? (Select all that apply. )
A)Family theory
B)Communication
C)Group dynamics
D)Focus on the individual
E)Cultural diversity
Q2) A group of teenage girls is receiving counselling about birth control and disease prevention.Why does the community health nurse provide such counselling?
A)Focusing on subpopulations leads to community health.
B)Community health nursing focuses on individuals only.
C)Community health nursing excludes direct care to subpopulations.
D)The focus is on preventing illness and unwanted pregnancy.
Q3) When discussing social justice,how does the nurse describe it?
A)The focus of social justice is on disease prevention.
B)Social justice is used only with people in precarious situations.
C)Social justice is rooted in societal responsibility and fairness.
D)Social justice is a process to exercise the ability to enhance control.
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Chapter 5: Theoretical Foundations of Nursing Practice
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/36678
Sample Questions
Q1) What does the theorizing term proposition mean?
A)A purposeful set of assumptions.
B)A declarative assertion.
C)The process of formulating concepts.
D)The structure that links concepts together.
Q2) Although the different nursing theories have similarities,key elements distinguish one from another.What is the emphasis of Jean Watson's conceptual model?
A)Self-care maintains wholeness.
B)Subsystems exist in dynamic stability.
C)Stimuli disrupt an adaptive system.
D)Caring is central to the essence of nursing.
Q3) A community health nurse is working with a variety of patients and decides to use a systems theory approach to help them to meet their health care needs.When using systems theory,the nurse focuses on which of the following?
A)The patient's interaction with his or her environment.
B)The hierarchy of the patient's human needs.
C)The patient's attitudes toward health behaviours.
D)The response of the patient to the process of growth and development.
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7
Chapter 6: Evidence-Informed Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is reviewing literature related to a potential problem that has been identified on the nursing unit.The nurse realizes that nursing research is important in that it is designed to do which of the following? (Select all that apply. )
A)Enhance the nurse's chance at promotion.
B)Identify new knowledge.
C)Improve professional practice.
D)Enhance effective use of resources.
E)Lead to decreases in budget expenditures.
Q2) The nurse has used her PICOT question to develop an evidence-informed change in protocol for a certain nursing procedure.However,to make these changes throughout the entire institution would require more support staff than is available at this time.What is the nurse's best option?
A)Drop the idea of making the change at this time.
B)Insist that management hire the needed staff to facilitate the change.
C)Seek employment in another institution that may have the staff needed.
D)Conduct a pilot study to develop evidence to support the change.
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8
Chapter 7: Nursing Values and Ethics
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Four patients in labour all request epidural analgesia to manage their pain at the same time.Which ethical principle is compromised when only one nurse anaesthetist is on call?
A)Justice.
B)Nonmaleficence.
C)Beneficence.
D)Fidelity.
Q2) Ethical dilemmas are common occurrences in the care of patients.The nurse understands that dilemmas are a result of which of the following?
A)Presence of conflicting values.
B)Hierarchical systems.
C)Judgemental perceptions of patients.
D)Poor communication with the patient.
Q3) Which of the following is an example of ethical responsibility?
A)Delivery of competent care.
B)Formation of interpersonal relationships.
C)Application of the nursing process.
D)Evaluation of new computerized technologies.
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9
Chapter 8: Legal Implications in Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A recent immigrant who does not speak English is alert and requires hospitalization.What is the initial action that the nurse must take to obtain informed consent?
A)Ask a family member to translate what the nurse is saying.
B)Notify the health care provider that the patient does not speak English.
C)Request an official interpreter to explain the terms of consent.
D)Use hand gestures and medical equipment while explaining in English.
Q2) The administration of medications in accordance with a prescriber's prescription is a basic nursing responsibility.The nurse is responsible for knowing: (Select all that apply).
A)Purpose of the medication.
B)Effect of the medication.
C)Cost of the medication.
D)Potential adverse effects of the medication.
E)Contraindications of the medication.
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Chapter 9: Global Health
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who has emigrated from another country.The patient needs abdominal surgery but seems reluctant to sign the surgical permits.What is one tactic that the nurse should use?
A)Determine the family social hierarchy.
B)Encourage the patient to sign the permits.
C)Call the physician so that surgery can be cancelled.
D)Impress on the patient that her life is in jeopardy.
Q2) The nurse recognizes the terminology that applies to culture and ethnicity.Ethnicity is defined as what?
A)An appreciation for differences within another group and the promotion of respect for those differences.
B)A common identity with members sharing social and cultural heritage.
C)Many cultures coexisting and maintaining cultural differences.
D)The belief that one's own race or culture is more valuable than those of others.
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11
Chapter 10: Indigenous Health
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) In comparison with non-Indigenous children,Indigenous children are what in the Canadian child welfare system?
A)Overrepresented.
B)Underrepresented.
C)Equally represented.
D)Nonexistent.
Q2) The nurse is caring for an Indigenous woman who describes having been taken away from her family and placed in a non-Indigenous home when she was a child.What is the term for this phenomenon?
A)The Child Care Act.
B)Forced adoption.
C)The "Sixties Scoop."
D)The Protection Act.
Q3) In comparison with their non-Indigenous counterparts,Indigenous persons with a diagnosis of HIV infection are more likely to be what?
A)Older.
B)Male.
C)Infected through intravenous drug use.
D)Transgender.
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Page 12
Chapter 11: Nursing Leadership, management, and
Collaborative Practice
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36684
Sample Questions
Q1) A management structure in which traditional units are reorganized into business units is called what?
A)Matrix.
B)Centralized.
C)Decentralized.
D)Participatory.
Q2) Which term characterizes the duties and activities that an individual is employed to perform?
A)Autonomy.
B)Authority.
C)Responsibility.
D)Accountability.
Q3) A nurse has delegated a task to an unregulated care provider (UCP).Which of the following is the nurse responsible for? (Select all that apply. )
A)Performing the task safely.
B)Maintaining accountability of the task.
C)Ensuring the task is within the UCP's job description.
D)Supervising the UCP if required.
E)Providing clear instructions when delegating a task.
Page 13
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Chapter 12: Critical Thinking in Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36685
Sample Questions
Q1) Which of the following demonstrates appropriate clinical decision making for groups of patients? (Select all that apply. )
A)Identifying the nursing diagnosis of each patient.
B)Prioritizing care based on urgency and complexity of problems.
C)Delaying family-centred care until you have more time.
D)Combining activities to resolve more than one patient problem at a time.
E)Delegating basic cares to unregulated care providers.
Q2) The patient appears to be in no apparent distress,but vital signs measured by an unregulated care provider reveal that the pulse is extremely low.The nurse then auscultates an apical pulse and asks the patient whether he has any complaints or a history of heart problems.The nurse is utilizing which critical thinking skill?
A)Interpretation.
B)Evaluation.
C)Self-regulation.
D)Explanation.
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14
Chapter 13: Nursing Assessment, diagnosis, and Planning
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A nursing assessment for a patient with a spinal cord injury reveals several pertinent problems that a nurse can treat.While the plan of care is developed,which nursing diagnosis is the highest priority for this patient?
A)Risk for impaired skin integrity.
B)Risk for infection.
C)Spiritual distress.
D)Reflex urinary incontinence.
Q2) The nurse is attempting to prompt the patient to elaborate on her complaints of daytime fatigue.Which question should the nurse ask?
A)"Is there anything that you are stressed about right now?"
B)"What reasons do you think are contributing to your fatigue?"
C)"What are your normal work hours?"
D)"Are you sleeping 8 hours a night?"
Q3) What is the purpose and distinction of using a concept map when a plan of care is implemented?
A)Quality assurance in the health care facility.
B)Multidisciplinary communication.
C)Provision of a standardized format for patient problems.
D)Identification of the relation of patient problems and interventions.
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Page 15
Chapter 14: Implementing and Evaluating Nursing Care
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse is getting ready to discharge to home a patient who has a nursing diagnosis of Impaired physical mobility.Before discontinuing the patient's plan of care,what does the nurse need to do?
A)Determine whether the patient has transportation to get home.
B)Evaluate whether patient goals and outcomes have been met.
C)Establish whether the patient has a follow-up appointment scheduled.
D)Ensure that the patient's prescriptions have been filled.
Q2) Which of these options is a patient outcome indicating positive progress toward resolving the nursing diagnosis of Acute confusion?
A)Side rails are up with bed alarm activated.
B)Patient denies pain while ambulating with assistance.
C)Patient wanders halls at night.
D)Patient correctly states names of family members in the room.
Q3) A registered nurse administers pain medication to a patient suffering from fractured ribs.What type of nursing intervention is this nurse implementing?
A)Collaborative.
B)Independent.
C)Interdependent.
D)Dependent.
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Page 16
Chapter 15: Documenting and Reporting
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/36688
Sample Questions
Q1) A nurse has taught the patient how to use crutches.The patient went up and down the stairs using crutches with no difficulties.Which information will the nurse use for the "I" in PIE charting?
A)"Patient went up and down stairs."
B)"Deficient knowledge regarding crutches."
C)"Patient demonstrated use of crutches."
D)"Patient used crutches with no difficulties."
Q2) After providing care,a nurse charts in the patient's record.Which entry should the nurse document?
A)"Appears restless when sitting in the chair"
B)"Drank adequate amounts of water"
C)"Apparently is asleep with eyes closed"
D)"Skin pale and cool"
Q3) A nurse is using the source record and wants to find the patient's daily weights.Where should the nurse look?
A)Database.
B)Medical history and examination.
C)Progress notes.
D)Graphic sheet and flow sheet.
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Page 17
Chapter 16: Nursing Informatics and Canadian Nursing Practice
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36689
Sample Questions
Q1) Health Information: Nursing Components (HI:NC)include which of the following? (Select all that apply. )
A)Nursing interventions.
B)Patient status.
C)Nursing intensity.
D)Primary nurse identifier.
E)Nursing judgement.
F)Patient outcome.
Q2) Nurses can create discussion groups online with which current technology?
A)Skype.
B)Nurse ONE.
C)Nurse Connect.
D)COACH.
Q3) Which institute was developed as a result of the Wilk Report?
A)Hospital Medical Records Institute (HMRI).
B)Statistics Canada and Health and Welfare Institute.
C)Canadian Nursing Informatics Association.
D)Canadian Institute for Health Information (CIHI).
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Chapter 17: Communication and Relational Practice
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/36690
Sample Questions
Q1) A nurse is sitting at the patient's bedside documenting a nursing history.Which zone of personal space is the nurse using?
A)Intimate.
B)Personal.
C)Social.
D)Public.
Q2) The nurse asks a patient where the pain is,and the patient responds by pointing to the area of pain.Which form of communication did the patient use?
A)Verbal.
B)Nonverbal.
C)Intonation.
D)Vocabulary.
Q3) Which of the following patients will cause the greatest communication concerns for a nurse?
A)A patient who is alert,has strong self-esteem,and is hungry.
B)A patient who is oriented,pain free,and blind.
C)A patient who is cooperative,depressed,and hard of hearing.
D)A patient who is dyspneic,has a tracheostomy,and is anxious.
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19
Chapter 18: Patient-Centred Care: Interprofessional
Collaborative Practice
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36691
Sample Questions
Q1) What would be the best question to ask a patient in the noticing phase of the Clinical Judgement Model?
A)"Where is the pain the worst?"
B)"How are you feeling today?"
C)"How was your night?"
D)"What are your goals for today?"
Q2) A patient undergoing chemotherapy visits with his interprofessional team once a month.He observes the oncologist encouraging other team members,such as the nurse,the pharmacist,or the social worker,to take on the lead role during the meetings,on the basis of the patient's concerns and goals.Which leadership element is being demonstrated by the oncologist?
A)Inspiring a shared vision.
B)Enabling others to act.
C)Challenging the process.
D)Encouraging the heart.
Q3) Who is the expert in the patient's management of illness?
A)The nurse.
B)The physician.
C)The patient.
D)The interprofessional team.
Page 20
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Chapter 19: Family Nursing
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36692
Sample Questions
Q1) When initiating the care of families,what is one factor that helps organize the family approach to the nursing process?
A)The view of all patients as unique individuals.
B)The realization that families have little effect on individuals.
C)The realization that individuals have little effect on families.
D)The realization that individuals have an effect on families.
Q2) Balancing employment and family life creates a variety of challenges in terms of child care and household work for both parents.Why does this have major implications in health care?
A)Maternal employment has been demonstrated to be harmful for children.
B)Maternal employment has shifted the majority of household tasks to the male.
C)Fathers now participate more fully in day-to-day parenting responsibilities.
D)The number of single-parent families has decreased since 1970.
Q3) What is an example of circular communication patterns between father and child?
A)The father and child are engaged in a game of catch.
B)The father uses rewards to encourage the child to go to bed.
C)The father comforts the crying child.
D)The child disobeys his father.
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Chapter 20: Patient Education
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/36693
Sample Questions
Q1) A nurse is preparing to teach a kinesthetic learner about exercise.Which technique should the nurse use?
A)Let the patient touch and use the exercise equipment.
B)Provide the patient with pictures of the exercise equipment.
C)Let the patient listen to a podcast about the exercise equipment.
D)Provide the patient with a case study about the exercise equipment.
Q2) Which nursing action is most appropriate for assessing a patient's learning needs?
A)Assess the patient's total health care needs.
B)Assess the patient's health literacy.
C)Assess all sources of patient data.
D)Assess the goals of patient care.
Q3) A nurse is preparing to teach a patient about heart failure.Which environment is best for patient learning?
A)A darkened,quiet room.
B)A well-lit,ventilated room.
C)A private room at 30°C (85°F)temperature.
D)A group room for 10 to 12 patients with heart failure.
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Chapter 21: Developmental Theories
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36694
Sample Questions
Q1) Which of the following is a priority reason for being knowledgeable about biophysical developmental theories?
A)Understanding how the physical body grows.
B)Predicting definite patterns of cognitive development.
C)Anticipating how patients' social behaviours develop.
D)Describing the process of psychological development.
Q2) The nursing instructor needs to provide further instruction to the student who makes which statement?
A)"Intellectual development is affected by cognitive processes."
B)"Socioemotional processes can influence an individual's growth and development."
C)"Breast development is an example of a change resulting from biological processes."
D)"An individual's biological processes determine physical characteristics and do not affect growth and development."
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Chapter 22: Conception Through Adolescence
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) When comparing physical growth patterns between school-aged children and adolescents,what does the nurse note?
A)Physical growth usually slows during the adolescent period.
B)Boys usually exceed girls in height and weight by the end of the middle-school years.
C)Secondary sex characteristics usually develop during the adolescent years.
D)The distribution of muscle and fat remains constant during the adolescent years.
Q2) During infant/child development,play is best recognized as which of the following?
A)A means to interact with the environment and relate to others.
B)Independent of cognitive and social development.
C)Nonexploratory and simply play.
D)Too soon to achieve milestones.
Q3) Encouraging children to play a game of kickball would be best suited for which age group?
A)Infant.
B)Toddler.
C)Preschool.
D)School-aged.
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Chapter 23: Young to Middle Adulthood
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20 Flashcards
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Sample Questions
Q1) The nurse knows that the young adult patient understands the health risks that affect his or her age group when the patient makes which statement?
A)"It's probably safe for me to start smoking.At my age,there's not enough time for cancer to develop."
B)"I am sure that I am going to get emphysema.Both my mother and my aunt had it.It's genetic."
C)"Controlling the amount of stress in my life may decrease the risk of illness."
D)"I don't do drugs.I do drink coffee,but caffeine is not a drug.It is perfectly safe and has no side effects."
Q2) The nurse is performing a physical examination on a 40-year-old patient.The nurse will probably find that at this age,the patient is experiencing which of the following physiological changes related to normal aging?
A)Decreased heart rate.
B)Decreased sense of smell.
C)Decreased strength of abdominal muscles.
D)Decreased function of the cranial nerves.
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Chapter 24: Older Persons
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26 Flashcards
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Sample Questions
Q1) An older patient has developed acute confusion.The patient has been on tranquilizers for the past week.The patient's vital signs are normal.What should the nurse do?
A)Take into account age-related changes in body systems that affect pharmacokinetic activity.
B)Increase the dose of tranquilizer if the cause of the confusion is an infection.
C)Note when the confusion occurs and medicate before that time.
D)Restrict telephone usage to prevent further confusion.
Q2) During assessment of an older person's skin integrity,expected findings include which of the following?
A)Decreased elasticity.
B)Oily skin.
C)Increased facial hair in men.
D)Faster nail growth.
Q3) As the aging population in Canada increases,which of the following is true?
A)The baby boomer generation accounts for a very small percentage of this group.
B)The average lifespan has also increased.
C)The population segment of people older than 85 is decreasing.
D)Diversity of this age group will certainly decrease.
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Page 26
Chapter 25: The Experience of Loss, death, and Grief
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The father has recently begun to attend his children's school functions since the death of his wife.This would best be described as which task in the Worden's grief tasks model?
A)Task I.
B)Task II.
C)Task III.
D)Task IV.
Q2) "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 to better bond with her unborn child.This demonstrates which nursing technique?
A)Facilitating mourning.
B)Providing curative therapy.
C)Promoting spirituality.
D)Eradicating grief.
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Chapter 26: Self-Concept
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A nurse grimaces when seeing a patient's colostomy opening while changing the colostomy bag.This expression is most likely to have what effect on the patient?
A)Assisting recovery by using honest communication.
B)Motivating the patient to increase physical activity.
C)Promoting development of a negative body image.
D)Developing a kind nickname for the colostomy opening.
Q2) A verbally abusive partner has made many negative comments to his significant other,the patient,over the years.In the crisis centre,the nurse would anticipate that the patient may have which of the following self-concept deficits?
A)Negative body image.
B)Role confusion.
C)Rigidity.
D)Yearning.
Q3) The nurse can best assess the patient's self-concept by evaluating which of the following?
A)The patient's drug abuse history.
B)The patient's nonverbal behaviour.
C)The patient's personal journal.
D)The patient's social networking site.
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Page 28
Chapter 27: Sexuality
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36700
Sample Questions
Q1) Which patient is most in need of a nurse's referral to adoption services?
A)A patient considering abortion for an unwanted pregnancy.
B)An infertile couple religiously opposed to artificial insemination.
C)A woman who suffered miscarriage during her first pregnancy.
D)A couple who has been attempting conception for 3 months.
Q2) A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated attempts at fertility treatment.The patient tells the nurse,"I feel happier,but my sex drive is gone." Which nursing diagnosis has the highest priority?
A)Sexual dysfunction.
B)Ineffective coping.
C)Deficient knowledge about contraception.
D)Risk for self-directed violence.
Q3) While teaching adolescents about chlamydia,what does the school nurse tell the group?
A)Chlamydia is a viral infection that cannot be cured.
B)Chlamydia can be treated with a full course of antibiotics.
C)Chlamydia can be contracted via bloodborne exchange.
D)Chlamydia can be prevented with the use of a spermicide.
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Page 29
Chapter 28: Spirituality in Health and Health Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36701
Sample Questions
Q1) If a patient is identified as following the traditional health care beliefs of Judaism,while planning patient care,which of the following should be incorporated in nursing care?
A)Observance of the Sabbath.
B)Faith healing.
C)The removal of religious symbols,
D)Sacraments of Holy Communion.
Q2) In assessing the spiritual health of her patients,what should the nurse understand?
A)Spiritual beliefs change as patients grow and develop.
B)Spiritual health in older persons does not lead to peace and acceptance of others.
C)Older persons often express spirituality by focusing on themselves.
D)Beliefs among older people are focused on one or two factors.
Q3) Which of the following can nurses used to develop their own spiritual awareness while facilitating the spiritual practices of others?
A)Hosting a church group on the medical unit.
B)Engaging in mindfulness.
C)Taking part in other religions' practices.
D)Taking a university-level course on religion.
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Chapter 29: Stress and Adaptation
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20 Flashcards
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Sample Questions
Q1) A nurse is teaching guided imagery to a prenatal class.Which of the following is an example of guided imagery?
A)Singing.
B)Back massage.
C)Sensory peaceful words.
D)Listening to music.
Q2) An adult who was in a motor vehicle accident is brought into the emergency department by paramedics,who report the following in-transit vital signs:
Oral temperature: 37.2°C (99.0°F)
Pulse: 102 beats per minute
Respiratory rate: 26 breaths per minute
Blood pressure: 140/106
The nurse can identify that which hormones are the likely causes of the abnormal vital signs?
A)Antidiuretic hormone (ADH)and adrenocorticotropic hormone (ACTH).
B)ACTH and epinephrine.
C)ADH and norepinephrine.
D)Epinephrine and norepinephrine.
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Chapter 30: Vital Signs
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Sample Questions
Q1) The nurse is assessing the patient and his family for probable familial causes of the patient's hypertension.The nurse begins by analyzing the patient's personal history,as well as family history and current lifestyle situation.Which of the following issues would be considered risk factors? (Select all that apply. )
A)Obesity.
B)Cigarette smoking.
C)Recent weight loss.
D)Heavy alcohol consumption.
E)Low blood cholesterol levels.
Q2) Which artery is the most appropriate for assessing the pulse of a small child?
A)Radial.
B)Femoral.
C)Brachial.
D)Ulnar.
Q3) Of the following values,which value would be considered as a high normal reading?
A)98/50 in a 7-year-old child.
B)115/70 in an infant.
C)135/85 in an older person.
D)120/80 in a middle-aged adult.
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Page 32
Chapter 31: Pain Assessment and Management
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35 Flashcards
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Sample Questions
Q1) A nurse is providing medication education to a patient who just started taking ibuprofen,a nonselective nonsteroidal anti-inflammatory drug (NSAID).Which statement made by the nurse best indicates how ibuprofen works?
A)"Ibuprofen helps to remove factors that cause or stimulate pain."
B)"Ibuprofen reduces anxiety,which will help you better cope with your pain."
C)"Ibuprofen helps to decrease the production of prostaglandins."
D)"Ibuprofen binds with opiate receptors to reduce your pain."
Q2) A nurse is supervising a student who is caring for a patient with chronic pain.Which statement by the student indicates an understanding of pain management?
A)"This patient says her pain is a 5,but she is not acting like it.I am not going to give her any pain medication."
B)"The patient is sleeping,so I pushed her PCA button for her."
C)"I need to reassess the patient's pain 1 hour after administering oral pain medication."
D)"It wasn't time for the patient's medication,so when she requested it,I gave her a placebo."
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33
Chapter 32: Health Assessment and Physical Examination
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Sample Questions
Q1) On admission,a patient weighs 113.4 kg (250 pounds).The weight is recorded as 116.1 kg (256 pounds)on the second inpatient day.The nurse should evaluate the patient for A)Fluid retention.
B)Fluid loss.
C)Decreased nutritional reserves.
D)Anorexia.
Q2) A head and neck physical examination is completed on a 50-year-old woman.All physical findings are normal except that she has fine,brittle hair.On the basis of the physical findings,which of the following laboratory tests would the nurse expect to be ordered?
A)Liver function test.
B)Lead level.
C)Thyroid-stimulating hormone test.
D)Complete blood cell count (CBC).
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Chapter 33: Infection Control
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Sample Questions
Q1) Which of the following nursing actions would most increase a patient's risk for developing a health care-associated infection?
A)Use of surgical aseptic technique to suction an airway.
B)Placement of a urinary catheter drainage bag below the level of the bladder.
C)Clean technique for inserting a urinary catheter.
D)Use of a sterile bottled solution more than once within a 24-hour period.
Q2) The nurse has been caring for a patient in the perioperative area for several hours.The surgical mask the nurse is wearing has become moist.The nurse's best next step is what?
A)Change the mask when relieved.
B)Air-dry the mask while at lunch,and reapply.
C)Ask for relief,step out of the surgical area,and apply a new mask.
D)Not change the mask,if the nurse is comfortable.
Q3) A woman presents to the clinic with reports of a white discharge and itching in the vaginal area.During the health history,which of these questions should the nurse prioritize?
A)"When was the last time you visited the physician?"
B)"Has this condition affected your eating habits?"
C)"What medications are you currently taking?"
D)"Are you able to sleep at night?"
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Chapter 34: Medication Administration
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Sample Questions
Q1) A nurse is attempting to administer medication to a child,but the child refuses to take the medication.The nurse asks for the parent's cooperation by saying which of the following?
A)"Please hold your child's arms down at her sides,so I can get the full dose of medication into her mouth."
B)"I will prepare the medication for you and observe if you would like to try to administer the medication."
C)"Let's turn the lights off and give the child a moment to fall asleep before administering the medication."
D)"Since your child loves applesauce,let's add the medication to it,so your child doesn't resist."
Q2) A drug requires a low pH to be metabolized.Knowing this,the nurse anticipates that the medication will be administered by which route?
A)Oral.
B)Parenteral.
C)Buccal.
D)Inhalation.
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Chapter 35: Complementary and Alternative Approaches in
Health Care
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Sample Questions
Q1) A therapeutic touch practitioner scans the patient's body to identify what?
A)Blocked chakra.
B)Accumulated tension.
C)The flow of qi.
D)Structural and functional imbalance.
Q2) Which of the following is considered a healing practice that promotes harmony within a community and in the physical and spiritual worlds through sweating and purging,herbal remedies,and shamanic healing?
A)Latin American practices.
B)Traditional Chinese medicine.
C)Ayurveda.
D)Traditional Indigenous medicine.
Q3) The therapy that is more effective in treating physical ailments than in preventing disease or managing chronic illness is which medicine?
A)Allopathic.
B)Complementary.
C)Alternative.
D)Mind-body.
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Chapter 36: Activity and Exercise
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Sample Questions
Q1) An active lifestyle is important for maintaining and promoting health.In developing an exercise program,what should the nurse know?
A)Physical exercise is contraindicated for patients with chronic illnesses.
B)Regular physical activity is beneficial only for the body part that is exercised.
C)Physical exercise has no effect on psychological well-being.
D)Physical activity enhances functioning of all body systems.
Q2) The nurse is ambulating a patient in the hall when she notices that he is beginning to fall.What should the nurse do?
A)Grab the patient and hold him tight to prevent the fall.
B)Gently lower the patient to the floor.
C)Jump back and let the patient fall naturally.
D)Push the patient against the wall and guide him to the floor.
Q3) How is joint degeneration unlike arthritis?
A)Joint degeneration results only from noninflammatory disease.
B)Joint degeneration results only from inflammatory disease.
C)Joint degeneration involves overgrowth of bone at the articular ends.
D)Joint degeneration affects mostly non-weight-bearing joints.
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Page 38
Chapter 37: Quality and Patient Safety
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Source URL: https://quizplus.com/quiz/36710
Sample Questions
Q1) The nurse is caring for a hospitalized patient.Which of the following behaviours alerts the nurse to consider the need for 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.
Q2) When teaching a parent about interventions for accidental poisoning,what instruction should be included regarding flushing a child's eye,in relation to the water temperature?
A)Cold.
B)Lukewarm.
C)Room temperature.
D)Above room temperature.
Q3) The nurse knows that children in late infancy and toddlerhood are at risk for injury from which of the following?
A)Learning to walk.
B)Trying to pull up on furniture.
C)Being dropped by a caregiver.
D)Growing ability to explore and oral activity.
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Page 39
Chapter 38: Hygiene
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Sample Questions
Q1) In providing perineal care to a female patient,how should the nurse wash?
A)Upward from rectum to pubic area.
B)From back to front.
C)From pubic area to rectum.
D)In a circular motion.
Q2) The nurse is caring for an older patient with Alzheimer's disease who is ambulatory but requires total assistance with his activities of daily living (ADLs).The nurse notices that his skin is dry and wrinkled.What should the nurse do?
A)Make sure that the patient is receiving daily baths.
B)Reduce the number of baths per week if possible.
C)Be aware that sweat glands become more active with aging.
D)Be sure that the patient is using soap with his bath.
Q3) In finding pediculosis capitis (head lice)in a patient,what would the nurse expect to observe?
A)Greyish-white parasites with red legs.
B)Pustules or bites behind ears and at the hairline.
C)Balding patches in periphery of the hairline.
D)Brittle and broken hair.
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Chapter 39: Cardiopulmonary Functioning and Oxygenation
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43 Flashcards
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Sample Questions
Q1) When caring for a patient with atrial fibrillation,the nurse is most concerned with which vital sign?
A)Heart rate.
B)Pain.
C)Oxygen saturation.
D)Blood pressure.
Q2) What assessment finding is the earliest sign of hypoxia?
A)Restlessness.
B)Decreased blood pressure.
C)Cardiac dysrhythmias.
D)Cyanosis.
Q3) The nurse knows that the primary function of the alveoli is which of the following?
A)Carry out gas exchange.
B)Store oxygen.
C)Regulate tidal volume.
D)Produce hemoglobin.
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Chapter 40: Fluid, electrolyte, and Acid-base Balances
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Sample Questions
Q1) A patient presents to the emergency department with the complaint of vomiting and diarrhea for the past 48 hours.The nurse anticipates which fluid therapy initially?
A)0.9% sodium chloride.
B)Dextrose 10% in water.
C)Dextrose 5% in water.
D)0.45% sodium chloride.
Q2) A nurse is caring for a patient with diabetes who has a bowel obstruction and has orders to ensure that the volume of intake matches the output.In the past 4 hours,the patient received dextrose 5% with 0.9% sodium chloride through a 22-gauge catheter infusing at 150 mL/hr and has eaten 200 mL of ice chips.The patient also has a nasogastric suction tube set to low continuous suction,which yielded an output of 300 mL.The patient has voided 400 mL of urine.After reporting these values to the physician,what orders does the nurse anticipate?
A)Add a potassium supplement to replace loss from output.
B)Decrease the rate of IV fluids to 100 mL/hr.
C)Discontinue the nasogastric suctioning.
D)Administer a diuretic to prevent fluid volume excess.
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Chapter 41: Sleep
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Sample Questions
Q1) Which sleep stage begins the initial period of deep sleep?
A)Stage 1.
B)Stage 2.
C)Stage 3.
D)Stage 4.
Q2) Which of the following is an effective brief method for assessing sleep quality?
A)Sleep history.
B)Sleep monitor.
C)Visual analogue scale.
D)Sleep questionnaire diary.
Q3) The physiological processes of sleep are complex.Which of the following statements is the most appropriate one regarding this process?
A)Circadian rhythms occur in a cycle longer than 24 hours.
B)Non-rapid eye movement (NREM)refers to the cycle that most people experience when in a high-stimulus environment.
C)The reticular activating system is partly responsible for the level of consciousness of a person.
D)The bulbar synchronizing region causes the rapid eye movement (REM)sleep in most normal adults.
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Chapter 42: Nutrition
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Sample Questions
Q1) To provide successful nutritional therapies to patients,what must the nurse understand?
A)Patients will have to change diet preferences drastically to be successful.
B)The patient will tell the nurse when to change the plan of care.
C)Expectations of nurses frequently differ from those of the patient.
D)Nurses should never alter the plan of care regardless of outcome.
Q2) A patient is seen in the outpatient clinic for follow-up of a nutritional deficiency.In planning for the patient's dietary intake,the nurse includes a complete protein.Which one of the following is an example of a complete protein?
A)Cheese.
B)Oats.
C)Legumes.
D)Vegetables.
Q3) Before giving the patient an intermittent tube feeding,what should the nurse do?
A)Make sure that the tube is secured to the gown with a safety pin.
B)Have the tube feeding at room temperature.
C)Inject air into the stomach via the tube and auscultate.
D)Place the patient in a supine position.
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Chapter 43: Urinary Elimination
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Sample Questions
Q1) When reviewing laboratory results,the nurse should immediately notify the health care provider about which finding?
A)Glomerular filtration rate of 20 mL/min
B)Urine output of 80 mL/hr
C)pH of 6.4
D)Protein level of 2 mg/100 mL
Q2) The nurse understands that peritoneal dialysis and hemodialysis involve which processes to clean the patient's blood? (Select all that apply. )
A)Gravity.
B)Osmosis.
C)Diffusion.
D)Filtration.
Q3) Upon palpation,the nurse notices that the bladder is firm and distended;the patient expresses an urge to urinate.The nurse should follow up by asking which question?
A)"When was the last time you voided?"
B)"Do you lose urine when you cough or sneeze?"
C)"Have you noticed any change in your urination patterns?"
D)"Do you have a fever or chills?"
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45
Chapter 44: Bowel Elimination
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Sample Questions
Q1) A patient informs the nurse that she was using laxatives three times daily to lose weight.After stopping use of the laxative,the patient had difficulty with constipation and wonders if she needs to take laxatives again.With which statement does the nurse educate the patient?
A)"Long-term laxative use causes the bowel to become less responsive to stimuli,and constipation may occur."
B)"Laxatives can cause trauma to the intestinal lining and scarring may result,leading to decreased peristalsis."
C)"Natural laxatives such as mineral oil are safer than chemical laxatives for relieving constipation."
D)"Laxatives cause the body to become malnourished,so when the patient begins eating again,the body absorbs all of the food,and no waste products are produced."
Q2) Fecal impactions occur in which portion of the colon?
A)Ascending.
B)Descending.
C)Transverse.
D)Rectum.
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Chapter 45: Mobility and Immobility
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Sample Questions
Q1) Immobility is a major risk factor for pressure ulcers.In caring for the patient who is immobilized,the nurse needs to be aware of which of the following?
A)Breaks in skin integrity are easy to heal.
B)Preventing a pressure ulcer is more expensive than treating one.
C)A 30-degree lateral position is recommended
D)Pressure ulcers are caused by a sudden influx of oxygen to the tissue.
Q2) A 61-year-old patient recently had left-sided paralysis from a cerebrovascular accident (CVA;also known as stroke).In planning care for this patient,the nurse would do which of the following?
A)Encourage an even gait when walking in place.
B)Assess the extremities for unilateral swelling and muscle atrophy.
C)Encourage holding the breath frequently to hyperinflate the lungs.
D)Teach the use of a two-point crutch technique for ambulation.
Q3) In preparing to create a nursing diagnosis for a patient who is immobile,what is important for the nurse to understand?
A)Physiological issues should be the major focus.
B)Psychosocial issues should be the major focus.
C)Developmental issues should be the major focus.
D)All dimensions are important to health.
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Page 47
Chapter 46: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is using the Braden scale to complete a skin risk assessment.The patient has some sensory impairment and skin that is rarely moist,walks occasionally,and has slightly limited mobility,along with excellent intake of meals and no apparent problem with friction and shear.What would be the patient's total Braden scale score?
A)15.
B)17.
C)21.
D)23.
Q2) The nurse is caring for a patient with a pressure injury on the left hip.The pressure injury is black.The nurse recognizes that the next step in caring for this patient includes which of the following?
A)Monitoring of the wound.
B)Irrigation of the wound.
C)Débridement of the wound.
D)Management of drainage.
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Chapter 47: Sensory Alterations
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Sample Questions
Q1) The nurse is caring for a patient with expressive aphasia caused by a traumatic brain injury.Which desired outcome should be included in the plan of care?
A)Patient will recover full use of speech vocabulary in 1 week.
B)Patient will carry a pen and a pad of paper around for communication.
C)Patient will thicken drinks to prevent aspiration.
D)Patient will communicate nonverbally.
Q2) During a community screening,the nurse notes that a 50-year-old patient is currently taking steroid medications.How often does the nurse recommend that this patient have an eye examination?
A)Every 3 to 4 months.
B)Every 6 months.
C)Every 1 to 2 years.
D)Every 4 years.
Q3) Which nursing diagnosis addresses psychological concerns for a patient with both hearing and visual sensory impairment?
A)Self-care deficit.
B)Risk for falls.
C)Social isolation.
D)Impaired physical mobility.
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Page 49
Chapter 48: Care of Surgical Patients
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Sample Questions
Q1) The nurse is caring for a patient in the PACU.The patient asks for a bedpan and states to the nurse,"I feel like I need to go to the bathroom,but I can't." Which of the following nursing interventions would be most appropriate?
A)Encourage the patient to wait a minute and try again.
B)Call the physician and obtain an order for catheterization.
C)Assess the patient's intake and the patient for bladder distension.
D)Inform the patient that everyone feels this way after surgery.
Q2) The nurse is providing preoperative education and reviews with the patient what it will be like to be in the surgical environment.What points should the nurse include?
(Select all that apply. )
A)The surgical area is cold but warm blankets will be provided.
B)The surgical staff will be dressed in special clothing with hats and masks.
C)The operative suite will be very dark.
D)Families are not allowed in the operating suite.
E)The operating table or bed will be comfortable and soft.
F)The nurses will be there to assist you through this process.
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