Foundations of Nursing Practice Solved Exam Questions
Course Introduction
Foundations of Nursing Practice introduces students to the essential principles and core skills required for professional nursing. The course emphasizes fundamental concepts such as patient safety, communication, ethical and legal considerations, basic patient assessment, and evidence-based care. Through a combination of theoretical instruction and hands-on laboratory experiences, students develop competence in primary nursing interventions, infection control, and documentation. The course also explores the roles and responsibilities of nurses within healthcare teams, laying the groundwork for further clinical practice and advanced study in the nursing profession.
Recommended Textbook
Fundamentals of Nursing 8th Edition by Patricia
A. Potter
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1445 Verified Questions
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Page 2
Chapter 1: Nursing Today
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Sample Questions
Q1) After licensure,the practicing nurse is required to update his or her knowledge about the latest research and practice developments.The most common way nurses do this is through _____ programs.
A) Continuing education
B) Master's degree
C) In-service education
D) DNP
Answer: A,C
Q2) During the American Civil War,which of the following women was active in the Underground Railroad movement and assisted in leading more than 300 slaves to freedom?
A) Harriet Tubman
B) Clara Barton
C) Dorothea Dix
D) Mary Ann Ball (Mother Bickerdyke)
Answer: A
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Chapter 2: The Health Care Delivery System
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Sample Questions
Q1) The nurse is applying for a position with a home care organization that specializes in spinal cord injury.In doing so,the nurse is applying for a position in _____care.
A) Secondary acute
B) Tertiary
C) Continuing
D) Restorative
Answer: D
Q2) Health promotion programs focus on
A) Reducing the cost of health care.
B) Controlling risk factors for disease.
C) Immunizations.
D) Occupational health programs.
Answer: A
Q3) Care designed to prevent further progression of a disease is termed
A) Primary prevention.
B) Secondary prevention.
C) Tertiary prevention.
D) Health promotion.
Answer: C
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Page 4
Chapter 3: Community-Based Nursing Practice
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Sample Questions
Q1) Vulnerable populations include those patients who are more likely to develop health problems as a result of
A) Pregnancy.
B) Nontraditional healing practices.
C) Excessive risk.
D) Unlimited access to health care.
Answer: C
Q2) The instructor is teaching student nurses about identifying members of vulnerable populations when the nursing student asks,"Why is it that not all poor people are considered members of vulnerable populations?" The instructor's best answer would be
A) "All poor people are members of a vulnerable population."
B) "Poor people are members of a vulnerable population only if they take drugs."
C) "Poor people are members of a vulnerable population only if they are homeless."
D) "Members of vulnerable groups frequently have a combination of risk factors."
Answer: D
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) The nursing process is
A) The generation of nursing knowledge for use in practice.
B) A systematic view of a phenomenon specific to inquiry.
C) A method used to inform a system about how it functions.
D) A systematic process for the delivery of nursing care.
Q2) As the initial model for nursing,Nightingale's "descriptive theory" encouraged nurses to
A) Know all about the disease processes affecting their patient.
B) Think about their patients and patients' environment.
C) Combine nursing knowledge with medicine.
D) Focus on medication administration and treatments.
Q3) The type of theory that is used to develop and test specific nursing interventions is known as _____ theory.
A) Grand
B) Prescriptive
C) Descriptive
D) Middle-range
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Chapter 5: Evidence-Based Practice
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Sample Questions
Q1) In conducting a research study,the researcher must guarantee that any information the subject provides will not be reported in any manner that identifies the subject and will not be accessible to people outside the research team.This concept is known as A) Anonymity.
B) Confidentiality.
C) Informed consent.
D) The research process.
Q2) The nurse is developing a PICO question related to whether her patient's blood pressure is more accurate while measuring with the patient's legs crossed versus with the patient's feet flat on the floor.With P being the population of interest,I the intervention of interest,C the comparison of interest,and O the outcome,the nurse determines that this is
A) A true PICO question, because the outcome always comes before the intervention.
B) A true PICO question regardless of placement of elements.
C) Not a true PICO question, because the comparison comes after the intervention.
D) Not a true PICO question, because the outcome comes after the population.
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Chapter 6: Health and Wellness
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Sample Questions
Q1) Just as health and health behavior are affected by internal and external variables,so are illness and illness behavior.Which external variables can affect illness and behavior?
A) Perception of the seriousness of the illness
B) Patient's coping skills
C) Cultural background
D) Social support
E) Socioeconomic status
Q2) The health care model that utilizes Maslow's hierarchy as its base is the _____ Model.
A) Health Belief
B) Health Promotion
C) Basic Human Needs
D) Holistic Health
Q3) An argument for passing "universal health care" legislation is that it would help fulfill the Healthy People 2020 goal of
A) Increasing quality of life in America.
B) Prolonging healthy life in America.
C) Eliminating health disparities in America.
D) Promoting healthy behaviors.
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Page 8
Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) The patient is about to undergo a certain procedure and has voiced concern about outcomes and prognosis.The nurse caring for the patient underwent a similar procedure a few years earlier and stops to listen to the patient's concerns.Which of the following responses by the nurse may be most beneficial?
A) "I had a similar procedure last year and I can tell you what I went through."
B) "I don't think you have anything to worry about. They do lots of these."
C) "If you're really concerned, I can call the doctor and cancel the procedure."
D) "Of course there are no guarantees, but I think you'll be all right."
Q2) The concept of "knowing" the patient comprises both the nurse's understanding of a specific patient and the nurse's subsequent selection of interventions.To know a patient means that the nurse
A) Avoids assumptions.
B) Focuses on the patient.
C) Engages in a caring relationship.
D) Forms the relationship quickly.
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9
Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer.The patient says that he can't wait until the therapy is done so that he can feel stronger,and asks the nurse about the value of cancer screening when his course of therapy is over.The nurse should inform the patient that cancer screening
A) Should be done on an ongoing schedule.
B) Probably will not be needed because the patient has been cured.
C) Usually is not done even if recommended by the health care provider.
D) Is not something that the health care provider should recommend.
Q2) The Institute of Medicine (IOM)has made recommendations for four essential components of survivorship care.Which of the following are actual recommendations?
A) Prevention and detection of new and recurrent cancers
B) Surveillance for cancer spread, recurrence, or second cancers
C) Cessation of noncancer follow-up and care
D) Intervention for consequences of cancer and its treatment
E) Coordination between specialists and primary care providers
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Chapter 9: Culture and Ethnicity
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Sample Questions
Q1) In performing a cultural assessment,knowledge of a patient's country of origin and its history and ecological contexts is known as
A) Ethnohistory.
B) Biocultural history.
C) Social organization.
D) Religious and spiritual beliefs.
Q2) Which statement is true relative to caring for a Hindu patient who is dying?
A) The family will turn his head eastward or to the right.
B) A close kin will stay with the patient to hear his last wishes.
C) Anointing of the sick is a common right of the dying.
D) The family will place a drop of water on the patient's lips.
Q3) The nurse is caring for a patient who has emigrated from another country.The patient is in need of 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 canceled.
D) Impress on the patient that her life is in jeopardy.
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Chapter 10: Caring for Families
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Sample Questions
Q1) The nurse is caring for a male patient newly diagnosed with type 1 diabetes mellitus.The patient is not adjusting well to the diagnosis and is refusing to learn how to self-inject insulin.The patient's wife is critical of the patient's refusal to learn; a small argument ensues,and the wife leaves,stating,"I'll be back later when I cool off." What should the nurse do?
A) Ask the patient if he would like his wife excluded at visiting time.
B) Tell the wife in the hall that her behavior is unacceptable and cannot be tolerated.
C) Realize that the wife will be an important part of therapy.
D) Tell the patient that he needs to listen to his wife more.
Q2) The nurse is providing discharge teaching for an older adult woman who will need dressing changes at home.Her husband,who is also elderly,is her only source of care.The husband states that he will not be able to perform the dressing changes.What does the nurse need to arrange for?
A) Home care service referrals
B) Extra dressing supplies
C) Cancellation of the discharge
D) An order for antibiotics
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Page 12
Chapter 11: Developmental Theories
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Sample Questions
Q1) An 18-month-old patient is brought into the clinic for evaluation because the mother is concerned.The 18-month-old child hits her siblings and says only "No" when communicating verbally.According to Piaget's theory,what recommendation should the nurse make a priority?
A) Consult the social worker because the child is hitting other children.
B) Reassure the mother that the child is developmentally within specified norms.
C) Encourage the mother to seek psychological counseling for the child.
D) Remove all toys from the child's room until this behavior ceases.
Q2) When utilizing Freud's psychoanalytical/psychosocial theory,the nurse recalls that
A) Adult personality is the result of resolved conflicts between sources of sexual pleasure and the mandates of reality.
B) Development occurs throughout the life span and focuses on psychosocial stages.
C) The genital stage precedes the phallic stage of development.
D) Problems evident in adult life are due to early successes and resolution of earlier developmental stages.
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13
Chapter 12: Conception Through Adolescence
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Sample Questions
Q1) When comparing physical growth patterns between school-aged children and adolescents,the nurse notes that
A) Physical growth usually slows during the adolescent period.
B) Boys usually exceed girls in height and weight by the end of the 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) The nursing instructor will need to provide further instruction to the student who uses which of these statements when describing the differences between cognitive and psychosocial development in children?
A) "The preschooler develops the ability to play in small groups."
B) "The toddler may participate in parallel play."
C) "The school-aged child still requires total assistance in all activities for safety."
D) "The toddler period is a time of potential frustration manifested by temper tantrums."
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Chapter 13: Young and Middle Adults
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Sample Questions
Q1) Nurses need to provide competent care to young and middle adult patients.Why must nurses be knowledgeable about developmental theories to care for this group?
A) These theories provide nurses with a basis for understanding the life events and developmental tasks of young and middle adults.
B) It is important to understand societal structures and roles because they have not changed in the past 20 or 30 years.
C) Patients present challenges to nurses, who themselves are often young or middle adults coping with the demands of their respective developmental period.
D) Nurses need to recognize the needs of their patients even if they are not experiencing the same challenges and events.
Q2) During middle adulthood,the 50-year-old patient is likely to adapt favorably to a changing body image if he or she
A) Decreases the amount of physical exercise.
B) Eats a diet composed of 40% fat.
C) Gets less than 5 hours of sleep per night.
D) Engages in good hygiene practices.
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Chapter 14: Older Adults
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Sample Questions
Q1) A 72-year-old woman was recently widowed.She worked as a teller at a bank for 40 years and has been retired for the past 5 years.She never learned how to drive.She lives in a rural area that does not have public transportation.Which of the following psychosocial changes does the nurse focus on as a priority?
A) Sexuality
B) Housing and environment
C) Retirement
D) Social isolation
Q2) As a patient ages,the nursing plan of care
A) Should be standardized because all geriatric patients have the same needs.
B) Needs to be individualized to the patient's unique needs.
C) Should be based on chronological age alone.
D) Focuses on the disabilities that all aging persons face.
Q3) Which of these findings,if identified in a patient on a gerontological unit,would be most surprising to a culturally sensitive nurse?
A) The older person not being functionally independent
B) Preferences in food, music, and religion
C) Use of conventions of the handshake, silence, and eye contact
D) Personal health practices and spiritual resources
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Page 16
Chapter 15: Critical Thinking in Nursing Practice
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Sample Questions
Q1) The nursing student can best develop critical thinking skills by doing which of the following?
A) Studying 3 hours more each night
B) Actively participating in all clinical experiences
C) Interviewing staff nurses about their nursing experiences
D) Attending all open skills lab opportunities
Q2) The nurse needs a reminder of professional responsibility when performing which of these actions?
A) Making an informed clinical decision
B) Making an ethical clinical decision
C) Making a clinical decision in the patient's best interest
D) Making a clinical decision based on previous shift assessments
Q3) The critical thinking skill of evaluation in nursing practice can be best described as
A) Examining the meaning of data.
B) Reviewing the effectiveness of nursing actions.
C) Supporting findings and conclusions.
D) Searching for links between data and the nurse's assumptions.
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Chapter 16: Nursing Assessment
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Sample Questions
Q1) Components of a nursing health history include
A) Current treatment orders.
B) Nurse's concerns.
C) Nurse's goals for the patient.
D) Patient expectations.
Q2) To gather information about a patient's home and work surroundings,the nurse will need to utilize which method of data collection?
A) Carefully review lab results.
B) Conduct the physical assessment before collecting subjective information.
C) Perform a thorough nursing health history.
D) Prolong the termination phase of the interview.
Q3) While interviewing an older female patient of Asian descent,the nurse notices that the patient looks at the ground when answering questions.This nurse should
A) Notify the physician to recommend a psychological evaluation.
B) Consider cultural differences during this assessment.
C) Ask the patient to make eye contact to determine her affect.
D) Continue with the interview and document that the patient is depressed.
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18
Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) A patient exhibits the following symptoms: tachycardia,increased thirst,headache,decreased urine output,and increased body temperature.After analyzing these data,the nurse assigns which of the following nursing diagnoses?
A) Adult failure to thrive
B) Hypothermia
C) Deficient fluid volume
D) Nausea
Q2) The process of using assessment data gathered about a patient combined with critical thinking to explain a nursing diagnosis is known as
A) Diagnostic reasoning.
B) Defining characteristics.
C) Assigning clinical criteria.
D) Diagnostic labeling.
Q3) One purpose of using standard formal nursing diagnoses in practice is to
A) Form a language that can be encoded only by nurses.
B) Distinguish the nurse's role from the physician's role.
C) Allow for the communication of patient needs to assistive personnel.
D) Help nurses focus on the scope of medical practice.
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Chapter 18: Planning Nursing Care
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Q1) Which of these outcomes would be most appropriate for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications?
A) Patient will have one soft, formed bowel movement by end of shift.
B) Patient will not take any pain medications this shift.
C) Patient will walk unassisted to bathroom by the end of shift.
D) Patient will not take laxatives or stool softeners this shift.
Q2) When evaluating a plan of care,the nurse reviews the goals for the patient.Which goal statement is realistic to assign to a patient with a pelvic fracture on bed rest? The patient will increase mobility by
A) Ambulating in the hallway two times this shift.
B) Turning side to back to side with assistance every 2 hours.
C) Using the walker correctly to ambulate to the bathroom as needed.
D) Using a sliding board correctly to transfer to the bedside commode as needed.
Q3) When planning patient care,a goal can be described as
A) A statement describing the patient's accomplishments without a time restriction.
B) A realistic statement predicting any negative responses to treatments.
C) A broad statement describing a desired change in patient behavior.
D) An identified long-term nursing diagnosis.
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Page 20
Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) What is the first intervention included on any patient's plan of care?
A) Determine patient outcomes and goals.
B) Prioritize the patient's nursing diagnoses.
C) Reassess the patient.
D) Assess for a patent airway.
Q2) Which is the appropriate initial intervention for the nursing diagnostic statement Impaired skin integrity related to poor wound healing?
A) Reinforce the wound dressing as needed with 4 x 4 gauze.
B) Perform the ordered dressing change twice daily.
C) Document wound characteristics.
D) Assess wound appearance each shift.
Q3) The nurse is intervening for an identified nursing diagnosis of Caregiver role strain.Which direct care nursing intervention is most appropriate?
A) Assisting with activities of daily living
B) Counseling about respite care options
C) Teaching range-of-motion exercises
D) Emphasizing the importance of exercise
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Chapter 20: Evaluation
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Q1) A patient was recently diagnosed with pneumonia.The nurse and the patient have established a goal that the patient will not experience shortness of breath with activity in 3 days with an expected outcome of having no secretions present in the lungs in 48 hours.Which of the following is an appropriate evaluative measure demonstrating progress toward this goal?
A) Nonproductive cough present in 4 days
B) Scattered rhonchi throughout all lung fields in 2 days
C) Respirations 30/minute in 1 day
D) Lungs clear to auscultation following use of inhaler
Q2) A nurse identifies a nursing diagnosis of Risk for falls when assessing a patient upon admission.The nurse and the patient agree that the goal is for the patient to remain free from falls.However,the patient fell just before shift change.What is the nurse's priority action when evaluating the patient's plan of care?
A) Counsel the nursing assistive personnel on duty when the patient fell.
B) Identify factors interfering with goal achievement.
C) Remove the fall risk sign from the patient's door because the patient has suffered a fall.
D) Request that the more experienced charge nurse complete the documentation about the fall.
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Page 22
Chapter 21: Managing Patient Care
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Sample Questions
Q1) Which of these approaches would be most appropriate for a nurse to take when faced with the challenge of performing many tasks in one shift?
A) Evaluate the effectiveness of all tasks when all tasks are completed.
B) Delegate tasks the nurse does not like doing.
C) Do as much as possible by oneself before seeking assistance from others.
D) Complete one task before starting another task.
Q2) A nurse manager conducts rounds on the unit and discovers that expired stock medicine is still in the cabinet despite the e-mail she sent stating that it had to be discarded.The staff nurse dress code is not being adhered to,and the staff lounge is not kept neat and tidy as she requested in the same e-mail.Several staff nurses deny having received the e-mail.After evaluating this situation,one way the nurse manager could resolve the issue is to
A) Include the findings on each staff member's annual evaluation.
B) Close the staff lounge.
C) Enforce a stricter dress code.
D) Place a hard copy of announcements and unit policies in each staff member's mailbox.
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Page 23
Chapter 22: Ethics and Values
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Sample Questions
Q1) When people work together to solve ethical dilemmas,individuals must examine their own values.This step is crucial to ensure that
A) The group identifies the one correct solution.
B) Fact is separated from opinion.
C) Judgmental attitudes are not provoked.
D) Different perspectives are respected.
Q2) The nurse values autonomy above all other principles.Which patient assignment will the nurse find most difficult to accept?
A) Teenager in labor who requests epidural anesthesia
B) Middle-aged father of three with an advance directive declining life support
C) Elderly patient who requires dialysis
D) Family elder who is making the decisions for a 30-year-old female member
Q3) The patient's son requests to view the documentation in his mother's medical record.What is the nurse's best response to this request?
A) "I'll be happy to get that for you."
B) "You will have to talk to the physician about that."
C) "You will need your mother's permission."
D) "You are not allowed to see it."
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24
Chapter 23: Legal Implications in Nursing Practice
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Q1) A nursing student has been written up several times for being late with providing patient care and for omitting aspects of patient care and not knowing basic procedures that were taught in the skills course one term earlier.The nursing student says,"I don't understand what the big deal is.As my instructor,you are there to protect me and make sure I don't make mistakes." What is the best response from the nursing instructor?
A) "You are expected to perform at the level of a professional nurse."
B) "You are expected to perform at the level of a nursing student."
C) "You are practicing under the license of the nurse assigned to the patient."
D) "You are expected to perform at the level of a skilled nursing assistant."
Q2) A pediatric oncology nurse floats to an orthopedic trauma unit.What actions should the nurse manager of the orthopedic unit take to enable safe care to be given by this nurse?
A) Provide a complete orientation to the functioning of the entire unit.
B) Determine patient acuity and care the nurse can safely provide.
C) Allow the nurse to choose which meal time she would like.
D) Assign nursing assistive personnel to assist her with care.
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Chapter 24: Communication
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Q1) Which situation will cause the nurse to intervene and follow up on the nurse aide's behavior?
A) The nurse aide is calling the older adult patient "honey."
B) The nurse aide is facing the older adult patient when talking.
C) The nurse aide cleans the older adult patient's glasses.
D) The nurse aide allows time for the older adult patient to respond.
Q2) A nurse is standing beside the patient's bed.
Nurse: How are you doing?
Patient: I don't feel good.
In this situation,which element is the feedback?
A) Nurse
B) Patient
C) How are you doing?
D) I don't feel good.
Q3) A nurse wants to present information about flu immunizations to the elderly in the community.Which type of communication should the nurse use?
A) Interpersonal
B) Public
C) Transpersonal
D) Small group
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Chapter 25: Patient Education
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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) A patient has been taught how to cough and deep breathe.Which evaluation method is most appropriate?
A) Return demonstration
B) Computer instruction
C) Verbalization of steps
D) Cloze test
Q3) Which factors should the nurse assess to determine a patient's ability to learn?
A) Developmental capabilities and physical capabilities
B) Sociocultural background and motivation
C) Psychosocial adaptation to illness and active participation
D) Stage of grieving and overall physical health
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) A home health nurse is preparing for an initial home visit.Which information should be included in the patient's home care medical record?
A) Nursing process form
B) Step-by-step skills manual
C) A list of possible procedures
D) Reports to third party payers
Q2) A nurse in a long-term care setting that is funded by Medicare and Medicaid is completing standardized protocols for assessment and care planning and for meeting quality improvement within and across facilities.Which task did the nurse just complete?
A) A focused assessment/specific body system
B) The Resident Assessment Instrument/Minimum Data Set
C) An admission assessment and acuity level
D) An intake assessment form and auditing phase
Q3) A patient is being discharged home.Which information should the nurse include?
A) Acuity level
B) Community resources
C) Standardized care plan
D) Kardex
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Chapter 27: Patient Safety
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Sample Questions
Q1) A nurse is caring for an adult patient who has had a minor motor vehicle accident.The health history reveals that the patient is currently in the process of obtaining a divorce.Which of the following actions should the nurse take?
A) Agree upon and make time for the patient to talk.
B) Use active listening skills and therapeutic touch as appropriate.
C) Teach stress reduction strategies.
D) Inform patient that stressed individuals are more likely to have accidents.
E) Agree to witness telephone conversations with separated husband.
F) Refer the patient to the nurse's church marriage counselor.
Q2) The nurse is caring for an elderly patient admitted with nausea,vomiting,and diarrhea.Upon completing the health history,which priority concern would require collaboration with social services to address the patient's health care needs?
A) The electricity was turned off 2 days ago.
B) The water comes from the county water supply.
C) A son and family recently moved into the home.
D) The home is not furnished with a microwave oven.
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Chapter 28: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25777
Sample Questions
Q1) The nurse is providing an educational session for a group of preschool workers.The nurse reminds the group that the most important thing to do to prevent the spread of infection is to
A) Encourage preschool children to eat a nutritious diet.
B) Encourage parents to provide a multivitamin to the children.
C) Clean the toys every afternoon before putting them away.
D) Wash their hands between each interaction with children.
Q2) The patient has contracted a urinary tract infection while in the hospital.Which of these actions would most likely increase the risk of a patient contracting a urinary tract infection (UTI)?
A) Emptying the urinary drainage bag once a shift
B) Reusing the patient's graduated receptacle to empty the drainage bag
C) Allowing the drainage bag port to touch the graduated receptacle
D) Providing perineal hygiene at least once a shift
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Chapter 29: Vital Signs
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25778
Sample Questions
Q1) The nurse is preparing to assess the blood pressure of a 3-year-old.How should the nurse proceed?
A) Choose the cuff that says "Child" instead of "Infant."
B) Obtain the reading before the child has a chance to "settle down."
C) Use the diaphragm portion of the stethoscope to detect Korotkoff sounds.
D) Explain to the child what the procedure will be.
Q2) The patient is found to be unresponsive and not breathing.To determine the presence of central blood circulation and circulation of blood to the brain,the nurse checks the patient's _____ pulse.
A) Radial
B) Brachial
C) Posterior tibial
D) Carotid
Q3) The nurse is caring for an infant and is obtaining the patient's vital signs.The best site for the nurse to obtain the infant's pulse would be the _____ artery.
A) Radial
B) Brachial
C) Femoral
D) Popliteal
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Page 31
Chapter 30: Health Assessment and Physical Examination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25779
Sample Questions
Q1) Which is the best examination position for a complete geriatric physical examination on a weak patient with bilateral basilar pneumonia?
A) Prone position
B) Sims' position
C) Supine position
D) Lateral recumbent
Q2) During an annual gynecological examination,a college student discusses her upcoming college break at a tropical location.After the student receives an oral contraceptive prescription,the nurse identifies the importance of skin cancer prevention education by discussing which evidence-based prevention health topic?
A) Applying water-based sunscreen only before swimming
B) Using tanning bed daily for 7 days before college break trip
C) Applying broad-spectrum sunscreen of SPF 5
D) Taking extra precautions in the sun secondary to the prescription
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Chapter 31: Medication Administration
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/25780
Sample Questions
Q1) A patient is in need of immediate pain relief for a severe headache.The nurse knows that which medication will be absorbed the quickest?
A) Tylenol 650 mg PO
B) Morphine 4 mg SQ
C) Ketorolac (Toradol) 8 mg IM
D) Hydromorphone (Dilaudid) 4 mg IV
Q2) 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
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."
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Chapter 32: Complementary and Alternative Therapies
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20 Flashcards
Source URL: https://quizplus.com/quiz/25781
Sample Questions
Q1) Physiological symptoms of a stress response include all of the following except
A) Constricted pupils.
B) Tachycardia.
C) Tachypnea.
D) Elevated blood pressure.
Q2) 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
Q3) Which medication could cause an abnormal drug interaction in a patient taking an antidepressant medication?
A) Digoxin
B) Aspirin
C) Chamomile
D) Ginger
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34
Chapter 33: Self-Concept
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25782
Sample Questions
Q1) The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment.An appropriate priority for a patient at this clinic would be
A) Identifying local self-help groups before being discharged from the program.
B) Staying away from all triggers that cause substance abuse.
C) Stating a plan to never be tempted by illicit substances after discharge.
D) Identifying personal areas of weakness to grow stronger.
Q2) Children learn to live an authentic lifestyle through culturally accepted behaviors,values,and role modeling.A child who does this is attempting to create his or her own
A) Body image.
B) Self-esteem.
C) Identity.
D) Role performance.
Q3) The nurse can best assess the patient's self-concept by evaluating the patient's
A) Drug abuse history.
B) Nonverbal behavior.
C) Personal journal.
D) Social networking site.
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Page 35
Chapter 34: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/25783
Sample Questions
Q1) A patient has been hospitalized from a motor vehicle accident for the past month.The nurse notices that the patient has been becoming withdrawn and asks the patient if something is upsetting him.The patient confides to the nurse that he wants to have sex with his spouse but is afraid to in a hospital.How should the nurse proceed?
A) Arrange a schedule with the patient to allow for intimacy at a time when the patient is well rested and able to participate in activity.
B) Educate the patient about the dangers of strenuous activity in his condition.
C) Ask the patient if it would be okay to have a monitor on in the room for his safety.
D) Stress the importance of using barrier contraceptives to prevent infection because he is already susceptible.
Q2) A male patient with diabetes who is taking medication for erectile dysfunction is experiencing pain and discomfort related to the side effect of priapism.The nurse knows that this patient is at greatest risk for
A) Sexual dysfunction related to low self-esteem.
B) Impaired circulation due to medication.
C) Anxiety related to erectile dysfunction.
D) Ineffective coping related to chronic illness.
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Page 36
Chapter 35: Spiritual Health
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25784
Sample Questions
Q1) When caring for a terminally ill patient,the nurse should focus on the fact that
A) Spiritual care is possibly the least important nursing intervention.
B) Spiritual needs often need to be sacrificed for physical care priorities.
C) The nurse's relationship with the patient allows for an understanding of patient priorities.
D) Members of the church or synagogue play no part in the patient's plan of care.
Q2) The patient is in the intensive care unit (ICU),which has strict posted visiting hours and limits the number of visitors to two per patient at any one time.The patient is asking to see his wife and two daughters.The nurse should
A) Tell the patient that they will be allowed to visit at the appropriate time.
B) Allow the wife and one daughter to enter the ICU, but not the other daughter.
C) Allow the two daughters to visit, and let the wife visit when they leave.
D) Allow the wife and daughters to visit at the patient's request.
Q3) In caring for the patient's spiritual needs,the nurse understands that
A) Establishing presence is part of the art of nursing.
B) Presence involves "doing for" the patient.
C) A caring presence involves listening to the patient's wishes only.
D) The nurse must use her expertise to make decisions for the patient.
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Chapter 36: The Experience of Loss, death, and Grief
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24 Flashcards
Source URL: https://quizplus.com/quiz/25785
Sample Questions
Q1) The nurse has had three patients die during the past 2 days.Which approach is most appropriate to manage the nurse's sadness?
A) Telling the next patients why the nurse is sad
B) Talking with a colleague or writing in a journal
C) Exercising vigorously rather than sleeping
D) Avoiding friends until the nurse feels better
Q2) The mother of a recently murdered child keeps the child's room intact.Family members are encouraging her to redecorate and move forward in life.The visiting nurse recognizes this behavior as _____ grief.
A) Normal
B) End-of-life
C) Abnormal
D) Complicated
Q3) A dying patient with liver and renal failure requires pain medication.The nurse anticipates that the medication dose will be
A) Given at appropriate milligrams per kilogram medication levels.
B) A decreased dose from milligrams per kilogram levels.
C) An increased dose from milligrams per kilogram levels.
D) Given at midrange for dosing at recommended levels.
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Page 38
Chapter 37: Stress and Coping
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25786
Sample Questions
Q1) During the evaluation stage of the critical thinking model applied to a patient coping with stress,the nurse will
A) Select nursing interventions to promote the patient's adaptation to stress.
B) Establish short- and long-term goals with the patient experiencing stress.
C) Identify stress management interventions for achieving expected outcomes.
D) Reassess patient's stress-related symptoms and compare with expected outcomes.
Q2) A senior college student contacts the college health clinic about a freshman student living on the same dormitory floor.The senior student reports that the freshman is crying and is not adjusting to college life.The clinic nurse recognizes this as a combination of situational and maturational stress factors.The best comment to the senior student would be
A) "I'd better call 911 because your friend is suicidal."
B) "Give her this list of university and community resources."
C) "You must make an appointment for the student to obtain medications."
D) "I'd recommend you help the student pack her bags to go home."
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Chapter 38: Activity and Exercise
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25787
Sample Questions
Q1) The nurse is developing an exercise plan for someone diagnosed with congestive heart failure and exercise intolerance.In doing so,the nurse should
A) Plan for 20 minutes of continuous aerobic activity and increase as tolerated.
B) Perform 6-minute walks at the patient's pace at least 2 times a day.
C) Instruct the patient that he should not take his beta blocker medication on exercise days.
D) Encourage a high-calorie diet to plan for extra calorie expenditure.
Q2) The nurse is developing an exercise program for elderly patients living in a nursing home.To develop a beneficial health promotion program,the nurse needs to understand that when dealing with the elderly
A) Exercise is of very little benefit because the patients are old.
B) It is important to disregard their current interests in favor of exercise.
C) No physical benefit can be gained without a formal exercise program.
D) Adjustments to exercise programs may have to be made to prevent problems.
Q3) In assisting the patient to exercise,the nurse should
A) Expect that pain will occur with exercise of unused muscle groups.
B) Set the pace for the exercise class.
C) Force muscles or joints to go just beyond resistance.
D) Stop the exercise if pain is experienced.
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Page 40
Chapter 39: Hygiene
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50 Flashcards
Source URL: https://quizplus.com/quiz/25788
Sample Questions
Q1) The patient has been forcefully blowing his nose and now has a nosebleed.The nurse is concerned about the patient's condition and assesses the patient for which possible negative issues?
A) Clearance of nasal passages
B) Injury to the tympanic membrane (eardrum)
C) Damage to nasal mucosa
D) Eye injury
E) Decreased nasal passage pressure
Q2) Of the following interventions,which would be the most important for preventing skin impairment in a mobile patient with local nerve damage?
A) Turn the patient every 2 hours.
B) Limit caloric and protein intake.
C) Insert an indwelling urinary catheter.
D) During a bath, assess for pain.
Q3) After the patient's bath,the nurse should
A) Not offer a backrub because it is not therapeutic.
B) Routinely give backrubs of 2 minutes or less.
C) Assume that all patients need backrubs after their bath.
D) Not offer a backrub for 48 hours after coronary artery bypass surgery.
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Page 41
Chapter 40: Oxygenation
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/25789
Sample Questions
Q1) A patient has inadequate stroke volume related to decreased preload.The nurse anticipates
A) Placing the patient on oxygen monitoring.
B) Administering vasodilators.
C) Verifying that the blood consent form has been signed.
D) Preparing the patient for dialysis.
Q2) A 5-year-old who has strep throat was given aspirin for fever.The nurse knows to expect which change in the child's respiratory pattern?
A) Hyperventilation to decrease serum levels of carbon dioxide
B) Hypoventilation to compensate for metabolic alkalosis
C) Flail chest to decrease the work of breathing
D) Shallow respirations to decrease serum pH
Q3) A patient's heart rate increased from 80 bpm to 160 bpm.The nurse knows that what will follow is a(n)
A) Increase in diastolic filling time.
B) Decrease in cardiac output.
C) Increase in stroke volume.
D) Increase in contractility.
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Chapter 41: Fluid, electrolyte, and Acid-Base Balance
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25790
Sample Questions
Q1) The nurse would select the dorsal venous plexus of the foot as an IV site for which patient?
A) A 2-year-old child
B) A 22-year-old adult
C) A 50-year-old patient
D) An 80-year-old patient
Q2) The nurse knows that an imbalance of which ion causes acid-base impairment?
A) Hydrogen
B) Calcium
C) Magnesium
D) Sodium
Q3) Which of the following assessments would indicate that a patient's IV has infiltrated?
A) Edema of the extremity near the insertion site
B) Skin discolored or bruised in appearance
C) Pain and warmth at the insertion site
D) Skin cool to the touch
E) Reddish streak proximal to the insertion site
F) Numbness or loss of sensation
G) Palpable venous cord
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43
Chapter 42: Sleep
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30 Flashcards
Source URL: https://quizplus.com/quiz/25791
Sample Questions
Q1) The nurse is completing an assessment on an older patient who is having difficulty falling asleep.Which factor has the potential to contribute to this difficulty?
A) Depression
B) Smoking
C) Alcohol
D) Fatigue
Q2) The older patient is visiting the clinic after a fall during the night.Which of the following data points obtained most likely would contribute to this fall?
A) The patient has been taking glucosamine.
B) The patient has been taking a fish oil.
C) The patient has been taking Benadryl (diphenhydramine).
D) The patient has been taking vitamin C.
Q3) Which nursing observation of the patient in intensive care indicates that the patient is sleeping comfortably?
A) Eyes closed, lying quietly, respirations 12, heart rate 60
B) Eyes closed, tossing in bed, respirations 18, heart rate 80
C) Eyes closed, mumbling to self, respirations 16, heart rate 68
D) Eyes closed, lying straight in bed, respirations 22, heart rate 66
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Chapter 43: Pain Management
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35 Flashcards
Source URL: https://quizplus.com/quiz/25792
Sample Questions
Q1) A nursing student is planning care for an elderly patient who is experiencing pain.Which of the following statements made by the nursing student indicates the need for the nursing professor to clarify the nursing student's knowledge?
A) "Older patients often have difficulty determining what is causing their pain."
B) "It is safe to administer opioids to older adults as long as you start with small doses and frequently assess the patient's response to the medication."
C) "As adults age, their ability to perceive pain decreases."
D) "Patients who have dementia probably experience pain, and their pain is not always well controlled."
Q2) A nurse is providing medication education to a patient who just started taking ibuprofen,a nonselective nonsteroidal antiinflammatory 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."
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45
Chapter 44: Nutrition
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25793
Sample Questions
Q1) Dysphagia refers to difficulty when swallowing.Of the following causes of dysphagia,which is considered neurogenic?
A) Myasthenia gravis
B) Stroke
C) Candidiasis
D) Muscular dystrophy
Q2) Knowing that protein is required for tissue growth,maintenance,and repair,the nurse must understand that for optimal tissue healing to occur,the patient must be in
A) Negative nitrogen balance.
B) Positive nitrogen balance.
C) Total dependence on protein for kcal production.
D) Neutral nitrogen balance.
Q3) The nurse is providing nutrition teaching to a Korean patient.In doing so,the nurse must understand that the focus of the teaching should be on
A) Changing the patient's diet to a more conventional American diet.
B) Discouraging the patient's ethnic food choices.
C) Food preferences of the patient, including racial and ethnic choices.
D) Comparing the patient's ethnic preferences with American dietary choices.
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Chapter 45: Urinary Elimination
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44 Flashcards
Source URL: https://quizplus.com/quiz/25794
Sample Questions
Q1) A patient asks about treatment for urge urinary incontinence.The nurse's best response is to advise the patient to
A) Perform pelvic floor exercises.
B) Drink cranberry juice.
C) Avoid voiding frequently.
D) Wear an adult diaper.
Q2) A nurse is caring for a patient who just underwent intravenous pyelography that revealed a renal calculus obstructing the left ureter.What is the nurse's first priority in caring for this patient?
A) Turn the patient on the right side to alleviate pressure on the left kidney.
B) Encourage the patient to increase fluid intake to flush the obstruction.
C) Administer narcotic medications to alleviate pain.
D) Monitor the patient for fever, rash, and difficulty breathing.
Q3) Which observation by the nurse best indicates that bladder irrigation for urinary retention has been effective?
A) Recording an output that is larger than the amount instilled
B) Presence of blood clots or sediment in the drainage bag
C) Reduction in discomfort from bladder distention
D) Visualizing clear urinary catheter tubing
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Page 47
Chapter 46: Bowel Elimination
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who had a colostomy placed yesterday.The nurse should report which assessment finding immediately?
A) Stoma is protruding from the abdomen.
B) Stoma is moist.
C) Stool is discharging from the stoma.
D) Stoma is purple.
Q2) A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination.Which menu option should the nurse recommend?
A) Grape and walnut chicken salad sandwich on whole wheat bread
B) Broccoli and cheese soup with potato bread
C) Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing
D) Turkey and mashed potatoes with brown gravy
Q3) A patient has constipation and hypernatremia.The nurse prepares to administer which type of enema?
A) Oil retention
B) Carminative
C) Saline
D) Tap water
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Chapter 47: Mobility and Immobility
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48 Flashcards
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Sample Questions
Q1) Although isometric contractions do not result in muscle shortening,the nurse understands that isometric contractions
A) Result in decreased energy expenditure.
B) Are always desirable regardless of patient condition.
C) Are necessary for the active movement of muscles.
D) Result in increased energy expenditure.
Q2) The nurse is caring for a patient with the diagnosis of Impaired physical mobility.The nurse needs to be alert for which of the following potential complications?
A) Pulmonary emboli
B) Pneumonia
C) Impaired skin integrity
D) Somnolence
E) Increased socialization
Q3) Joints are the connections between bones.The joint that is freely movable is known as the _____ joint.
A) Synostotic
B) Cartilaginous
C) Fibrous
D) Synovial
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Page 49
Chapter 48: Skin Integrity and Wound Care
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/25797
Sample Questions
Q1) The nurse is caring for a patient who has a wound drain with a collection device.The nurse notices that the collection device has a sudden decrease in drainage.What would be the nurse's next best step?
A) Remove the drain; a drain is no longer needed.
B) Call the physician; a blockage is present in the tubing.
C) Call the charge nurse to look at the drain.
D) As long as the evacuator is compressed, do nothing.
Q2) Which nursing observation would indicate that the patient was at risk for pressure ulcer formation?
A) The patient ate two thirds of breakfast.
B) The patient has fecal incontinence.
C) The patient has a raised red rash on the right shin.
D) The patient's capillary refill is less than 2 seconds.
Q3) Which of the following would be the most important piece of assessment data to gather with regard to wound healing?
A) Muscular strength assessment
B) Sleep assessment
C) Pulse oximetry assessment
D) Sensation assessment
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Page 50
Chapter 49: Sensory Alterations
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29 Flashcards
Source URL: https://quizplus.com/quiz/25798
Sample Questions
Q1) The nurse is creating a plan of care for a patient with glaucoma.Which nursing diagnosis addresses the complication of the sensory deficit that places the patient at greatest risk for injury?
A) Risk for falls
B) Body image disturbance
C) Social isolation
D) Fear
Q2) The nurse would utilize the Snellen chart for assessment of which patient?
A) A patient who is having difficulty remembering how to perform familiar tasks
B) A patient who turns the television up as loud as possible
C) A patient who holds his newspaper 2 inches from his face
D) A patient who frequently reports the incorrect time from the clock across the room
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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Chapter 50: Care of Surgical Patients
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45 Flashcards
Source URL: https://quizplus.com/quiz/25799
Sample Questions
Q1) The nurse is reviewing the surgical consent with the patient during preoperative education.The patient indicates that he does not understand what procedure will be completed.What is the nurse's best next step?
A) Notify the physician about the patient's question.
B) Explain the procedure that will be completed.
C) Ask the patient to sign the form.
D) Continue with preoperative education.
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?
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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