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Foundations of Nursing Practice Final Test Solutions - 763 Verified Questions

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Foundations of Nursing Practice

Final Test Solutions

Course Introduction

Foundations of Nursing Practice introduces students to the core principles, theories, and processes essential to the nursing profession. The course covers the history and evolution of nursing, the nursing process, ethical and legal considerations, and the development of critical thinking and communication skills. Emphasis is placed on fundamental nursing interventions, patient safety, basic clinical skills, and the role of nurses in health promotion and disease prevention. Through lectures, simulated experiences, and practical labs, students gain the foundational knowledge and skills necessary for providing holistic, patient-centered care in a variety of healthcare settings.

Recommended Textbook

Adult Health Nursing 7th Edition by Cooper

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17 Chapters

763 Verified Questions

763 Flashcards

Source URL: https://quizplus.com/study-set/785

Page 2

Chapter 1: Introduction to Anatomy and Physiology

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40 Verified Questions

40 Flashcards

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Sample Questions

Q1) What is the term for movement of water from an area of lower solute concentration to an area of higher solute concentration?

A) Absorption

B) Filtration

C) Diffusion

D) Osmosis

Answer: D

Q2) The four phases of cell division all occur in:

A) diffusion.

B) mitosis.

C) osmosis.

D) filtration.

Answer: B

Q3) What is the type of tissue associated with the storage of fat?

A) Areolar tissue

B) Adipose tissue

C) Osseous tissue

D) Muscle tissue

Answer: B

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Page 3

Chapter 2: Care of the Surgical Patient

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45 Verified Questions

45 Flashcards

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Sample Questions

Q1) What instruction should a nurse give when teaching the patient to cough effectively after surgery?

A) Breathe through the nose,hold breath,and exhale slowly.

B) Take three deep breaths and cough from the chest.

C) Inhale while contracting the abdominal muscles and exhale while contracting the diaphragm.

D) Take short,frequent panting breaths and cough from the throat to clear accumulated mucus.

Answer: B

Q2) When the postoperative patient complains of sudden chest pain combined with dyspnea,cyanosis,and tachycardia,the nurse recognizes the signs of:

A) hypovolemic shock.

B) dehiscence.

C) atelectasis.

D) pulmonary embolus.

Answer: D

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4

Chapter 3: Care of the Patient with an Integumentary Disorder

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42 Verified Questions

42 Flashcards

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Sample Questions

Q1) Which may indicate a malignant melanoma in a nevus on a patient's arm?

A) Even coloring of the mole

B) Decrease in size of the mole

C) Irregular border of the mole

D) Symmetry of the mole

Answer: C

Q2) The nurse making the initial assessment of a burned patient in the emergency room observes that the entire right arm (anterior and posterior),right anterior leg,chest,and abdomen are covered with reddened skin and blisters.Using the Rule of Nines,the nurse estimates the percentage of burn to be______%.

Answer: 36%

Anterior and posterior are 9%,anterior leg = 9%,chest= 9%,abdomen = 9%.Total 36%

Q3) What would the nurse stress to the 17-year-old girl who has been prescribed Accutane for her acne?

A) Avoid alcoholic beverages

B) Drink at least 1000 mL of fluid daily

C) Use dependable birth control to avoid pregnancy

D) Avoid exposure to the sun

Answer: C

Page 5

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Chapter 4: Care of the Patient with a Musculoskeletal Disorder

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48 Verified Questions

48 Flashcards

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Sample Questions

Q1) In order for a patient to flex the lower leg,which muscle must be contracted?

A) Quadriceps

B) Gastrocnemius

C) Biceps femoris

D) Rectus femoris

Q2) Which of the following are the main purposes of traction? (Select all that apply. )

A) Align and stabilize a fracture

B) Prevent deformities

C) Relieve muscle spasms

D) Promote bed rest

E) Increase circulation to the rest of the body

Q3) Which foods should the home health nurse suggest for the patient with osteoporosis to help slow the disease?

A) Leafy green vegetables

B) Foods high in sodium

C) Tea and coffee

D) Vitamin A

Q4) The nurse explains that the use of the _________brace allows a person with a cervical fracture to be mobile.

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Chapter 5: Care of the Patient with a Gastrointestinal Disorder

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42 Verified Questions

42 Flashcards

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Sample Questions

Q1) What is the most lethal complication of a peptic ulcer?

A) Bleeding

B) Perforation

C) Severe pain

D) Gastric outlet obstruction

Q2) Celiac sprue in the adult can lead to systemic problems.Arrange the pathophysical events of this in order of their appearance.(Separate letters by a comma and space as follows: A,B,C,D)

A) Malabsorption

B) Weight loss/vitamin deficiency

C) Systemic involvement

D) Diarrhea

E) Ingestion of gluten

F) Destruction of villi in the small intestine

Q3) The nurse explains to the patient with Crohn disease that the tube feedings allow for:

A) Rapid absorption in the upper GI tract

B) Decompression of the stomach

C) Reduction of diarrheic episodes

D) A permanent nutritional support

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Chapter 6: Care

of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

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50 Verified Questions

50 Flashcards

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Sample Questions

Q1) A patient with a T-tube for an open cholecystectomy has resumed oral intake.The T-tube is clamped 2 hours before meals and unclamped 2 hours after meals to aid in the digestion of fat.During the time the tube is clamped the patient complains of abdominal pain and nausea.Which intervention is most appropriate?

A) Notify the physician

B) Unclamp the tube immediately

C) Increase the IV fluids

D) Change the T-tube dressing

Q2) The 100 lb patient who has been exposed to hepatitis A is to receive an injection of immune serum globulin.What should the dose (.02 mL/kg)be?

A) 0.9 mL

B) 1.4 mL

C) 1.6 mL

D) 1.8 mL

Q3) Hepatitis D is usually seen as a co-infection with __________.

Q4) The disease that is on the increase because of the growing obesity population and is associated with coronary artery disease and use of corticosteroids is_______________.

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Q5) The tumor marker that is elevated in patients with pancreatic cancer is______.

Chapter 7: Care of the Patient with a Blood or Lymphatic Disorder

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47 Verified Questions

47 Flashcards

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Sample Questions

Q1) Because older adults suffer from conditions such as colonic diverticula,hiatal hernia,and ulcerations that can cause occult bleeding,the nurse should assess for symptoms of:

A) leukemia.

B) iron deficiency anemia.

C) sickle cell anemia.

D) polycythemia.

Q2) The spleen is a highly vascularized organ located in the left upper quadrant of the abdominal cavity.What are the main functions of the spleen? (Select all that apply. )

A) Serve as reservoir for blood

B) Destroy worn-out RBCs

C) Promote phagocytosis

D) Responsible for development of T lymphocytes

E) Continuously produce RBCs during lifetime

Q3) The peripheral smear is a diagnostic test that:

A) assesses the level of hemoglobin.

B) measures antibody production.

C) examines the shape and structure of RBCs.

D) identifies infection.

Page 9

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Chapter 8: Care of the Patient with a Cardiovascular or a Peripheral

Vascular Disorder

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58 Verified Questions

58 Flashcards

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Sample Questions

Q1) The nurse would design teaching for a patient with Raynaud disease to include which of the following? (Select all that apply. )

A) Warming hands and feet with a heating pad

B) Using mittens in cold weather

C) Practicing stress-reducing techniques

D) Complete smoking cessation

E) Using caution when cleaning the refrigerator or freezer

Q2) The patient,age 26,is hospitalized with cardiomyopathy.While obtaining a nursing history from her,the nurse recognizes that the increased incidence of cardiomyopathy in young

Adults who have minimal risk factors for cardiovascular disease is related to which factor(s)?

A) Cocaine use

B) Viral infections

C) Vitamin B1 deficiencies

D) Pregnancy

Q3) The cardiac marker ___________ rises 3 hours after a myocardial infarct and measures myocardial contractile protein.

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Chapter 9: Care of the Patient with a Respiratory Disorder

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41 Verified Questions

41 Flashcards

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Sample Questions

Q1) What are age-related changes in the older adult that make them at risk for respiratory diseases? (Select all that apply. )

A) Moist mucous membranes

B) Kyphosis

C) Decrease in pulmonary blood flow

D) Stasis pooling of secretions

E) Reduced number of cilia

Q2) The patient has advanced emphysema and complains of dyspnea and fatigue.What would the most appropriate nursing intervention be for the nursing diagnosis of Activity intolerance related to an imbalance between the oxygen supply and demand?

A) Direct patient in vigorous independent ROM.

B) Allow to exercise until respirations are over 20 breaths/min over baseline.

C) Plan care to provide optimum rest.

D) Provide frequent cool showers.

Q3) How will the kidneys behave in respiratory acidosis?

A) Retain bicarbonate to increase the pH

B) Excrete more urine to reduce potassium

C) Concentrate the urine to conserve circulating fluid in the blood stream

D) Lower the pH by excretion of bicarbonate

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Chapter 10: Care of the Patient with a Urinary Disorder

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45 Verified Questions

45 Flashcards

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Sample Questions

Q1) What should the nurse counsel the young man with chronic prostatitis to avoid?

A) Cessation of intercourse

B) Warm baths

C) Stool softeners

D) Continuing antibiotics when symptoms abate

Q2) Which of the following are signs of fluid overload in the patient with nephrosis?

(Select all that apply. )

A) Increase in pulse rate

B) Increase in daily weight

C) Clear lung sounds

D) Edema

E) Labored respirations

Q3) The nurse is aware that as a person ages there is a loss of the __________mechanism of the kidney due to a decrease in blood supply to the kidneys and loss of nephrons.

A) filtering

B) reabsorption

C) sterile water.

D) concentrating

Q4) _________ is a prostatic pain without evidence of infection or inflammation.

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Chapter 11: Care of the Patient with an Endocrine Disorder

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49 Verified Questions

49 Flashcards

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Sample Questions

Q1) To which diet should a patient with Cushing syndrome adhere?

A) Less sodium

B) More calories

C) Less potassium

D) More carbohydrates

Q2) Arrange the steps of drawing up a short-acting and a long-acting insulin in the same syringe.(Separate letters by a comma and space as follows: A,B,C,D)

A) Draw up amount of shorter-acting insulin

B) Check insulin dose with a second licensed nurse

C) Inject the desired amount of air into the long-acting insulin

D) Clean rubber stopper of both vials with alcohol

E) Draw up desired amount of longer-acting insulin

F) Inject the desired amount of air into the short-acting insulin

Q3) The patient being treated for hypothyroidism should be instructed to eat well-balanced meals including intake of iodine.Which of the following foods contains iodine?

A) Eggs

B) Pork

C) White bread

D) Skinless chicken

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Chapter 12: Care of the Patient with a Reproductive Disorder

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46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/15499

Sample Questions

Q1) Select the interventions that should be performed with caution,in the affected arm,on patients who have undergone a modified radical mastectomy.(Select all that apply. )

A) Vaccinations

B) Taking of blood pressure or samples

C) Insertion of IV line

D) Physical therapy on uninvolved arm

E) Wear watch and jewelry on involved arm

F) Carry purse on involved arm or shoulder

Q2) A female patient,age 48,is undergoing a routine physical examination for the first time in 5 years.Which procedure would be included in this examination?

A) Culdoscopy

B) Colposcopy

C) Cervical biopsy

D) Papanicolaou smear

Q3) An alternative remedy,____________ ,is used by men for the treatment of impotence.

Q4) ________are produced in the seminiferous tubules and stored in the epididymis.

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Chapter 13: Care of the Patient with a Sensory Disorder

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/15500

Sample Questions

Q1) What is a common mistake that hinders communication when communicating with the hearing impaired?

A) Overaccentuating words

B) Facing the patient when speaking

C) Speaking in conversational tones

D) Speaking into the ear with the hearing aid

Q2) What should the nurse include in the plan of care following a tympanoplasty?

A) Elevating head of bed with operative side facing upward

B) Enforcing bed rest for 72 hours

C) Frequent turning,coughing,and deep breathing

D) Continuous irrigation of the ear canal with antibiotic solutions

Q3) When the newly blind male home health patient asks the nurse how he might get assistance,who might the nurse suggest he contact?

A) American Red Cross

B) American Foundation for the Blind for a list of agencies

C) Local hospital social worker

D) The public health department

Q4) Progressive deafness caused by the ankylosis of the stapes is the condition of__________.

Q5) The total removal of an eye is a(n)___________.

Page 15

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Chapter 14: Care of the Patient with a Neurologic Disorder

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45 Verified Questions

45 Flashcards

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Sample Questions

Q1) The nurse is aware that the characteristic gait of the person with Parkinson disease is a propulsive gait,which causes the patient to:

A) stagger and need support of a walker.

B) shuffle with arms flexed.

C) fall over to one wide when walking.

D) take small steps balanced on the toes.

Q2) What are the two divisions of the nervous system?

A) Somatic and the autonomic

B) Cerebellum and the brainstem

C) Medulla oblongata and the diencephalon

D) Central and the peripheral

Q3) What is the nurse aware of when assessing a person with a craniocerebral injury?

A) Most injuries of this type are irreversible

B) Open injuries are always more serious than closed injuries

C) Signs and symptoms may not occur until several days after the trauma

D) Trauma to the frontal lobe is more significant than to any other area

Q4) The waxy substance that covers the neuron fibers and increases the rate of transmission of impulses is the ________.

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Page 16

Chapter 15: Care of the Patient with an Immune Disorder

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41 Verified Questions

41 Flashcards

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Sample Questions

Q1) The transfer of tissue between genetically identical individual (twins)is a(n)________.

Q2) What is the purpose of plasmapheresis in the treatment of rheumatoid arthritis?

A) To add corticosteroids to relieve pain

B) To remove pathologic substances present in the plasma

C) To remove waste products such as urea and albumin

D) To add antinuclear antibodies

Q3) What is humoral immunity based on? (Select all that apply. )

A) Production of antibodies by B cells

B) T cells are activated by an antigen

C) The body's response to an antigen

D) Sensitized T cells destroy the antigen

E) Helper T cells activate phagocytosis

Q4) What is the major negative effect of cell-mediated immunity?

A) Depression of bone marrow

B) Rejection of transplanted tissue

C) Activation of the T cells

D) Stimulation of the B cells

Q5) A type IV latex allergy is characterized by________ _______.

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Chapter 16: Care of the Patient with HIV/AIDS

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37 Verified Questions

37 Flashcards

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Sample Questions

Q1) A young gay patient being treated for his third sexually transmitted disease does not see why he should use condoms,because "they don't work." Which is the most appropriate response?

A) "Condoms may not provide 100% protection,but when used correctly and consistently with every act of sexual intercourse they reduce your risk of getting infected with HIV or other sexually transmitted diseases."

B) "You are correct.Condoms don't always work,so your best protection is to limit your number of partners."

C) "Condoms do not provide 100% protection,so you should always discuss with your sexual partners their HIV status or ask if they have any STD."

D) "Condoms do not provide 100% protection,but when used with a spermicide you can be assured of complete protection against HIV and other STDs."

Q2) The nurse explains that an enzyme ____________ ____________ allows the RNA of the retrovirus to be changed to DNA and incorporated into the host's genetic material.

Q3) The term that describes an immunosuppressed patient's inability to react to a skin test is __________________.

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Page 18

Chapter 17: Care of the Patient with Cancer

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43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/15504

Sample Questions

Q1) The nurse remarks that the American Cancer Society (ACS)reports that cancer is the ______ leading cause of death in the United States.

Q2) A female patient,age 59,has lost 10 lb in the first 3 weeks of her chemotherapy and does not eat because nothing tastes good.What would be the appropriate nursing diagnosis for the plan of care?

A) Ineffective health maintenance,related to lack of knowledge of nutritional requirements during radiation therapy

B) Risk for infection,related to poor nutrition

C) Imbalanced nutrition: less than body requirements,related to anorexia

D) Ineffective therapeutic regimen management,related to refusal to eat

Q3) How many minutes of daily exercise does the American Cancer Society recommend as a prevention of cancer?

A) 10 minutes

B) 15 minutes

C) 20 minutes

D) 30 minutes

Q4) The American Cancer Society recommends a clinical breast examination by a health care professional for women between the age of 20 and 39 years every ________ years.

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