Foundations of Nursing Test Questions
Course Introduction
Foundations of Nursing introduces students to the core concepts, values, and skills essential to the nursing profession. This course covers the historical development of nursing, the nursing process, and the professional roles and responsibilities of nurses within the healthcare system. Emphasis is placed on critical thinking, ethics, communication, patient safety, and evidence-based practice. Through lectures, case studies, and simulated clinical experiences, students learn foundational knowledge in patient care, documentation, cultural competence, and basic clinical skills necessary for the provision of holistic and patient-centered nursing care.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Berman
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1234 Flashcards
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Chapter 11: Assessing
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Sample Questions
Q1) The nurse is reviewing the nursing process with a first-year nursing student.What should the nurse explain as being the purpose of the diagnosis phase?
Standard Text: Select all that apply.
A)Develop a list of problems.
B)Identify client strengths.
C)Develop a plan.
D)Specify goals and outcomes.
E)Identify problems that can be prevented.
Q2) A client is coming in to the clinic for the first time.In order for the nurse to allow the client the most comfort during the interview,what should the nurse do?
A)Sit next to the client,a few feet apart.
B)Sit behind a desk.
C)Stand at the side of the client's chair.
D)Stand at the counter to take notes during the interview.
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Chapter 12: Diagnosing
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Sample Questions
Q1) A client is diagnosed with pneumonia and has been hospitalized for several days.Which nursing diagnosis should the nurse identify as a priority for this client?
A)Altered oral mucous membranes,related to dry mouth
B)Activity intolerance,related to oxygen supply imbalance
C)Knowledge deficit,related to medication regimen
D)Ineffective airway clearance,related to increased secretions
Q2) The nurse has completed the initial assessment of a client and has analyzed and clustered the data.What should the nurse complete next in the diagnostic process?
A)Formulate a diagnosis.
B)Verify the data.
C)Research collaborative and nursing-related interventions.
D)Identify the client's problem,health risks,and strengths.
Q3) After an assessment,the nurse reviews the list of client problems.For which problems should the nurse create nursing diagnoses?
A)The ones that the nurse is licensed to treat
B)The ones that address other health professionals' interventions
C)The ones that focus on the client's primary illness
D)The ones that have standardized care available
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4
Chapter 13: Planning
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Sample Questions
Q1) One of the interventions for a client with a nursing diagnosis of Impaired swallowing is to position the client upright in a chair (60 to 90 degrees)during feeding times.What should the nurse identify as the modifier in this intervention?
A)60 to 90 degrees during feeding times
B)Position in chair
C)Upright in a chair
D)Impaired swallowing
Q2) According to the care plan,a client is to receive chest physiotherapy twice daily.The client lives alone in a rural area,does not drive,and is 40 miles away from a hospital.What
should the home care nurse do when setting priorities for this client?
A)Make sure that he or she is able to get to the client's home.
B)Assist the client in finding an alternative plan for the achieving the therapy's outcomes.
C)Tell the client that this therapy will be impossible to receive.
D)Make arrangements to have the client moved to a long-term care facility.
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Chapter 14: Implementing and Evaluating
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Sample Questions
Q1) A nursing unit's records of client care have been reviewed for accuracy in documentation.Which type of review is being completed on these records?
A)Nursing audit
B)Peer review
C)Individual audit
D)Concurrent audit
Q2) The nurse reviews clients' records and the care they received while in the hospital for an insurance company.Part of the job description requires the nurse to make sure that the client and insurance company were billed for services and treatment/therapies rendered and that there were no errors in billing.Which type of audit is the nurse completing?
A)Concurrent
B)Peer review
C)Nursing audit
D)Retrospective
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Chapter 15: Documenting and Reporting
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Sample Questions
Q1) A client has specific cultural needs that affect the plan of care.In which part of the client's problem-oriented medical record should the nurse document this information?
A)Database
B)Problem list
C)Plan of care
D)Progress notes
Q2) The nurse is teaching medication administration to a client being discharged.Which instruction should the nurse rewrite for this client?
A)Lasix,20 mg,po bid
B)Lasix,20 mg tablet,twice daily
C)Lasix,20 mg by mouth,two times a day a day
D)Lasix,20 mg by mouth 8 AM and 2 PM
Q3) The nurse is reviewing a client's chart in a facility that utilizes problem-oriented recording.In which section would the nurse find the most recent physician orders?
A)Database
B)Problem list
C)Plan of care
D)Progress notes
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Chapter 16: Health Promotion
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Sample Questions
Q1) A client is having difficulty with feelings of self-loathing and disgust after being attacked and raped.According to Maslow's human needs theory,at which level should the nurse recognize that the client is struggling?
A)Physiological
B)Safety and security
C)Love and belonging
D)Self-esteem
Q2) Several nursing students have been discussing the benefits of joining a study group.They realize the importance of applying nursing knowledge to the clinical area and determine that together they may be more effective in retaining this information than if they continued in their individual settings.Which stage of behavior change are they exemplifying?
A)Termination stage
B)Preparation stage
C)Contemplation stage
D)Action stage
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Chapter 17: Health, Wellness, and Illness
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Sample Questions
Q1) During a home visit with a new community member,the nurse suspects that a client has a chronic illness.What did the nurse assess to make this clinical decision?
Standard Text: Select all that apply.
A)Experienced symptoms for 8 months
B)Has periods where the symptoms disappear
C)Altered activities of daily living because of the illness
D)Problem disappeared with over-the-counter medication
E)Symptoms appeared abruptly and disappeared after treatment
Q2) A nurse has volunteered to go on a health mission to rural Haiti,where the majority of the people do not have access to health care and live in poverty.According to Dunn's high-level wellness grid,the nurse will be working with clients in which quadrant?
A)Emergent high-level wellness in an unfavorable environment
B)Protected poor health in a favorable environment
C)Poor health in an unfavorable environment
D)Protected poor health in an unfavorable environment
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Chapter 18: Culture and Heritage
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Sample Questions
Q1) The nurse is planning to explain the importance of culturally appropriate care to a new nursing assistant.What should the nurse include when explaining the term "culture" to this staff person?
Standard Text: Select all that apply.
A)"Culture involves groups who share biological markers."
B)"Cultures seldom have diversity within them."
C)"Male nurses are an example of a culture."
D)"A culture is primarily exhibited through shared thoughts,actions,and beliefs."
E)"A culture shapes its members' view of the world."
Q2) The nurse is working in a clinic setting and is meeting a new client for the first time.In order to convey cultural sensitivity,how should the nurse introduce herself?
A)"I'm Jane,and I'll be your nurse today."
B)"I'm Dr.Smith's nurse,Jane."
C)"I'm Jane Brown,and I'm a nurse here at the clinic."
D)"I'm glad to meet you.You can call me Jane."
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Chapter 19: Complementary and Alternative Healing Modalities
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Sample Questions
Q1) A home health nurse is working with a client who has had to quit his job after a serious injury and whose future employability is uncertain.The client states that his life has no meaning or purpose anymore and that he feels lonely and abandoned.What is an appropriate nursing diagnosis for this client?
A)Body Image Disturbance
B)Health-Seeking Behavior
C)Altered Family Processes
D)Spiritual Distress
Q2) A nurse is helping a hospice client who has had difficulty with making end-of-life decisions.The nurse has encouraged the client to focus on her self-worth,her accomplishments,and having positive self-esteem in order to process through some of these decisions.The nurse is helping the client to achieve balance in which component?
A)Environmental
B)Physical
C)Mental
D)Spiritual
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11
Chapter 20: Concepts of Growth and Development
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Sample Questions
Q1) A client who has a terminal diagnosis has been using her time to help family members deal with her impending death.Among her activities,she collected pictures for a scrapbook and wrote a journal of favorite memories for family members to read after the client dies.According to Peck,the nurse realizes that this client is working through which developmental task?
A)Body transcendence versus body preoccupation
B)Ego transcendence versus ego preoccupation
C)Ego differentiation versus work-role preoccupation
D)Integrity versus despair
Q2) A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor his asthma.The child has been frustrated at first,but now is able to give the reason to use the meter on a daily basis.Remembering the growth and development characteristics of the adolescent,how should the nurse respond to this client?
A)"You should feel very proud for understanding and using your meter."
B)"Think of using the meter as one of your daily chores."
C)"Maybe you could make a game out of the daily use of your meter."
D)"It's too bad if you don't want to use the meter,it's just something you'll have to do."
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Chapter 21: Promoting Health From Conception Through
Adolescence
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25 Verified Questions
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Sample Questions
Q1) A toilet-trained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and is having incontinent accidents during the day.How should the nurse address the parent's concern about this behavior?
A)"Maybe your child should be seen by a specialist,just to make sure there are no physical problems."
B)"It is normal for some children to go through a stage of regression after separation from their family or after an acute illness.Try not to be too discouraged."
C)"You'll have to be very strict with discipline,so your child knows this behavior is not acceptable."
D)"I'd be upset too.It must be hard to go back to using diapers."
Q2) The parents of a toddler are concerned that their child is so messy during eating,so they feed him instead of allowing him to feed himself.What should the nurse respond to the parents?
A)"That's probably best.I'm sure it makes your mealtime more pleasant."
B)"At least you're sharing meals as a family.That's the most important."
C)"Motor skills keep improving with age.Try not to get frustrated with the mess."
D)"Your child will never learn if you don't let him experience."
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Page 13
Chapter 22: Promoting Health in Young and Middle-Aged
Adults
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Sample Questions
Q1) A community health nurse is doing a screening for cervical cancer at a women's health fair.Which client should the nurse identify as having the highest risk factor for cervical cancer?
A)The client who had a difficult vaginal delivery 2 years ago
B)The client who has a history of genital herpes
C)The client who was married at age 27
D)The client who has a sister with breast cancer
Q2) A middle-aged client is struggling with life changes,including menopause.What is the best response by the nurse to this client?
A)"Don't worry-menopause can't last forever."
B)"There are some very good antidepressants you can take."
C)"What did your mother do to get through menopause?"
D)"There is a menopause support group that meets every 2 weeks."
Q3) A client comes to the clinic with a history of pain in his testicle.During the interview assessment,what information should be of concern to the nurse?
A)The client works as an auto-detailer.
B)He smokes half a pack of cigarettes per week.
C)He has not had a yearly exam for 5 years.
D)He does not perform testicular self-exams.
Page 14
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Chapter 23: Promoting Health in Elders
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Sample Questions
Q1) A nurse is preparing an education program on safety concerns for elderly adults living in their own homes.To address the sensory changes in this age group,what should the nurse recommend to this group?
A)Have carbon monoxide detectors that are checked on a scheduled basis.
B)Place a list of emergency numbers near the phone.
C)Install telephones that use a blinking light instead of a ringer.
D)Ask someone to do their cooking for them.
Q2) The nurse is caring for an older client living in the community.Which nurse actions demonstrate an understanding of the prevalent health concerns specific to the older adult client?
Standard Text: Select all that apply.
A)Discusses the need for proper lighting-especially at night-to minimize the risk of falls
B)Assesses amount and frequency of the client's alcohol consumption patterns
C)Assesses the client's orientation to time,place,and person,as well as short-term memory
D)Discusses the client's views on long-term residential care if the need arises
E)Asks the client to name and provide the reason for each medication he is currently taking
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Chapter 24: Promoting Family Health
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Sample Questions
Q1) A nurse is working with a particular cultural group in which it is not uncommon for grandparents to live with their married children and to assist with child-rearing and discipline issues.For which type of family should the nurse plan care for these clients?
A)Two-career family
B)Blended family
C)Intragenerational family
D)Traditional family
Q2) Two nursing students,both single parents,have decided to move into a larger house.Part of their rationale includes providing support for studying and sharing the responsibilities of parenting.Which type of living arrangement are these students implementing?
A)Cohabiting family
B)Blended family
C)Foster family
D)Intragenerational family
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Chapter 25: Caring
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Sample Questions
Q1) The nurse is reviewing Mayeroff's philosophy of caring prior to providing care to a client.What should the nurse include to demonstrate caring to the client?
A)Honesty
B)Trust
C)Humility
D)Professionalism
E)Courtesy
Q2) The nurse educator teaches students about caring nursing practice.Which situation demonstrates a nurse implementing the whole idea of caring?
A)The nurse who takes time for a favorite hobby,at least once a week
B)The nurse who volunteers at church and school events
C)The nurse who makes lists every morning so the day stays organized and planned
D)The nurse who takes care of his elderly parents as well as providing care to his immediate family
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Chapter 26: Communicating
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Sample Questions
Q1) The nurse is engaging a client in the introductory phase of the helping relationship.Which stages will be completed during this phase?
Standard Text: Select all that apply.
A)Opening the relationship
B)Clarifying the problem
C)Structuring and formulating the contract
D)Planning before the interview
E)Understanding thoughts and feelings
Q2) A client has just lost her second baby to preterm complications.Which statement demonstrates the best therapeutic response for the nurse to make?
A)"Don't be so sad.You can always try again."
B)"Didn't your doctor advise you about genetic counseling?"
C)"I know how you feel.I have children of my own."
D)"I am so sad for you.I'll stay with you for a while if you need to talk."
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18
Chapter 27: Teaching
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Sample Questions
Q1) The nurse is instructing a client on self-administration of a subcutaneous injection.The nurse is using which theoretical construct of learning?
A)Thorndike's behaviorism
B)Skinner's positive reinforcement
C)Pavlov's conditioning response
D)Bandura's imitation
Q2) The nurse has completed client teaching regarding medication administration.Which client statement best illustrates compliance?
A)"I'm glad to know about my medications.It makes taking them a lot easier."
B)"I already knew most of what you told me."
C)"I think you should have waited until I was ready to go home.Maybe I'd remember better."
D)"If I take my medications as prescribed,I'll feel better."
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Chapter 28: Delegating, Managing, and Leading
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Sample Questions
Q1) The nurse has been promoted to the role of manager for a client care area.What responsibilities of the nurse will this new role include?
Standard Text: Select all that apply.
A)Accomplish the goals of the organization.
B)Use the organization's resources efficiently.
C)Ensure effective client care.
D)Ensure compliance with regulatory standards.
E)Manage relationships.
Q2) A nurse manager has the reputation of being an autocratic leader.Which of the following statements by this manager would support that reputation?
A)"I'd like to hear from you (addressing the staff)what your ideas are for promoting better morale in this unit."
B)"I'm putting a suggestion box in the break room if anyone has ideas that would be helpful to the unit."
C)"The new work schedule is posted for the next 6 weeks."
D)"I put the new procedure manual out.Please add your comments to the blank sheet of paper attached to the front."
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Chapter 29: Vital Signs
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Sample Questions
Q1) While assessing the dorsalis pedis pulse of a client,the nurse determines that the pulse is absent.However,the extremity is warm and pink with nail beds blanching at 2 to 3 seconds of capillary refilling time.How would the nurse explain these findings?
A)A change in the client's health status has occurred.
B)The client has thrown a blood clot in that extremity.
C)The RN's watch has stopped working.
D)Too much pressure was applied over the pulse site.
Q2) The nurse determines that unlicensed assistive personnel (UAP)are not to be delegated client blood pressure measurements.What did the nurse observe to make this clinical decision?
Standard Text: Select all that apply.
A)The valve on the bulb was closed.
B)The client was sitting with the legs crossed.
C)The arm was below the level of the heart.
D)The UAP waited 2 minutes before re-measuring.
E)The cuff bladder was placed over the brachial artery.
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21
Chapter 30: Health Assessment
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Sample Questions
Q1) The nurse is assisting the physician who is preparing to test a sexually active female client for cervical cancer.What should the nurse expect the health care provider to perform?
A)Pap test
B)Breast exam
C)Rectal exam
D)Abdominal exam
Q2) While performing a health assessment,in which position should the nurse place the client for inspection of the jugular veins?
A)90-degree angle
B)30- to 45-degree angle
C)15-degree angle
D)60-degree angle
Q3) The nurse is performing a lung assessment on a client with suspected pneumonia.Which finding should the nurse report to the physician immediately?
A)Chest symmetrical
B)Breath sounds equal bilaterally
C)Asymmetrical chest expansion
D)Bilateral symmetric vocal fremitus
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Page 22
Chapter 31: Asepsis
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Sample Questions
Q1) The RN has just been stuck with a syringe while dropping it into a sharps container that was too full in a client's room.What action should the nurse take first for this puncture wound?
A)Complete an injury report.
B)Encourage bleeding.
C)Initiate first aid.
D)Wash the area with soap and water.
Q2) A patient is diagnosed with a systemic infection.What will the nurse most likely assess in this client?
A)Edema,rubor,heat,and pain
B)Fever,malaise,anorexia,nausea,and vomiting
C)Palpitations,irritability,and heat intolerance
D)Tingling,numbness,and cramping of the extremities
Q3) The nurse is using medical asepsis when providing client care.Which action did the nurse demonstrate?
A)Administering parenteral medications
B)Changing a dressing
C)Performing a urinary catheterization
D)Using personal protective equipment
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Page 23
Chapter 32: Safety
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Sample Questions
Q1) The nurse is preparing materials to instruct the parents of a newborn.What should the nurse identify as a safety hazard in an infant?
A)Exposure to alcohol consumption
B)Drowning
C)Pedestrian accidents
D)Suffocation in the crib
Q2) The nurse is attending a seminar on bioterrorism.What should the nurse identify as being the highest concern for homeland security?
A)Cancer
B)Seasonal flu
C)Tuberculosis
D)Smallpox
Q3) The nurse is identifying care goals for a client who is prone to getting hurt.Which care goal should the nurse select for this client?
A)Assess the client's mental status.
B)Keep the client dependent on the staff for all care.
C)Make all choices for the client.
D)Remain free from injury.
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24
Chapter 33: Hygiene
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Sample Questions
Q1) The nurse is shampooing a client's hair.Which assessment finding should the nurse consider as expected?
A)Dry,dark,thin
B)Smooth,taut,shiny
C)Smooth texture and not oily or dry
D)Tender,warm scalp
Q2) The client has a hearing aid with an earpiece that is connected by a cord to a receiver that the client keeps in a shirt pocket.The nurse would document this as which type of hearing aid?
A)Body hearing aid
B)In-the-canal aid
C)Completely-in-the-canal aid
D)Eyeglasses aid
Q3) The nurse has completed foot care for a client as part of routine morning care.What should the nurse document about the procedure?
A)The condition of the skin and nails
B)Nothing unless a problem is noted
C)The amount of time taken on foot care
D)The client's comments about the foot care
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Page 25
Chapter 34: Diagnostic Testing
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Sample Questions
Q1) A client has just completed a bone marrow biopsy.What should the nurse document about the client at this time?
Standard Text: Select all that apply.
A)Client's tolerance of the procedure
B)Bowel sounds
C)The site for bleeding
D)Status of deep tendon reflexes
E)Presence of pain and any pain medication received
Q2) The nurse is preparing to collect a throat culture from a client.What client response indicates to the nurse that teaching about this test has not been effective?
A)"I need to hyperextend my neck."
B)"I need to say 'ah.'"
C)"I will need to sit up."
D)"The nurse will use a light."
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Chapter 35: Medications
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Sample Questions
Q1) The nurse has just injected insulin subcutaneously into the client's abdomen.What action should the nurse take at this point?
A)Massage the site to encourage absorption.
B)Leave the needle embedded in the client's skin for 5 seconds after administration.
C)Remove the needle rapidly by pulling it quickly from the skin.
D)Cover the injection site with a pressure dressing for at least 15 minutes or until the bleb disappears.
Q2) The nurse is preparing to administer eardrops to a 6-year-old client.What nursing action is correct?
A)Pull the earlobe down and back to straighten the ear canal.
B)Insert the tip of the applicator into the ear canal.
C)Put the eardrops in the refrigerator for 10 minutes prior to administration.
D)Press gently on the tragus of the ear a few times after administration.
Q3) A client weighing 220 lbs.is prescribed to receive 25 mg/kg of a medication,divided over 4 equal doses.How many mg of the medication should the nurse provide for each dose?
Standard Text: Round to the nearest whole number.
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Chapter 36: Skin Integrity and Wound Care
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34 Verified Questions
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Sample Questions
Q1) A client is prescribed antiembolic stockings.How should the nurse assess the skin on the client's legs?
A)Defer the assessment because the stockings are in place.
B)Remove the stockings for this assessment.
C)Review the morning assessment,but don't repeat it unless a problem occurs.
D)Assess the skin when the client removes the stockings at bedtime.
Q2) A client sustained several wounds on the legs caused by a fall.On the day after the injuries,the wounds appear red and edematous.The nurse identifies the stage of healing of these wounds as being in which phase?
A)Inflammatory
B)Proliferative
C)Maturation
D)Remodeling
Q3) The nurse is assessing a client's pressure ulcer.To determine the depth of the ulcer,the nurse should take which action?
A)Measure the width.
B)Measure the length.
C)Insert a sterile swab into the deepest part of the wound.
D)Identify where on the face of a clock the ulcer is located.
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Page 28
Chapter 37: Perioperative Nursing
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Sample Questions
Q1) The nurse is caring for a client who is having surgery and is currently being transported to the operating room suite.The nurse should document that the client is in which operative phase?
A)Preoperative phase
B)Intraoperative phase
C)Postoperative phase
D)Perioperative phase
Q2) The nurse is preparing to apply antiembolic stockings to a postoperative client.What should be done first,before applying the stockings?
A)Measure the calf.
B)Assess for circulatory problems.
C)Assess the client's blood pressure.
D)Clean the stockings.
Q3) The nurse is caring for a client on the postoperative unit.Which nursing diagnosis is the priority for this client?
A)Self-Care Deficit
B)Disturbed Body Image
C)Ineffective Airway Clearance
D)Risk for Falls
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Chapter 38: Sensory Perception
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Sample Questions
Q1) The nurse is identifying outcome criteria for a client with a nursing diagnosis of Disturbed Sensory Perception,Auditory.What would indicate that interventions to address this diagnosis have been successful?
A)Client places hearing aid on beside table when not in use.
B)Client does not respond appropriately to questions.
C)Client demonstrates use and care of hearing aid.
D)Client demonstrates difficulty with problem solving.
Q2) The odor from a hospitalized client's draining wound permeates the room and is very overwhelming and distracting to the client and the staff.What intervention would be most helpful?
A)Spray the room routinely with a floral room spray.
B)Instill a vinegar solution into the wound.
C)Keep the wound dressing dry and clean.
D)Burn a candle in the room.
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Chapter 39: Self-Concept
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Q1) The nurse working in a long-term care facility notices that one of the residents has had a recent decline in self-esteem.What intervention would be appropriate for this resident?
A)Ask the resident for advice in setting up an activity in the dayroom.
B)Keep the resident too busy to dwell in the past.
C)Don't allow the resident to talk about minor concerns.
D)Meet with the social worker to plan all of the client's care.
Q2) The spouse tells the nurse that the client is not making progress in developing a more positive self-esteem.What should the nurse respond to the spouse?
A)"Most clients make quicker progress."
B)"Self-esteem work takes time and is not easily evaluated."
C)"What have you done to help the client with this work?"
D)"Do you think that the client is really trying?"
Q3) Which nursing intervention would be helpful when caring for a client who has negative self-esteem?
A)Find a way to praise the client during each encounter.
B)Design a series of "small successes" for the client.
C)Correct the client when negativity arises.
D)Tell the client how much easier life would be with positive self-esteem.
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Page 31
Chapter 40: Sexuality
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Sample Questions
Q1) When discussing the orgasmic phase of the sexual response cycle,what should the nurse include as physiological changes that affect both sexes?
Standard Text: Select all that apply.
A)The respiratory rate can increase up to 40 breaths per minute.
B)Involuntary muscle spasms occur throughout the body.
C)The heart rate decreases to 20 beats below normal.
D)Systolic blood pressure can increase 20-30 mm Hg above normal.
E)Diastolic blood pressure can decrease 20-50 mm Hg below normal.
Q2) The nurse uses the PLISSIT format in helping clients who have sexual dysfunction.Which action by the nurse best reflects the SS section of this format?
A)Use the nurse's knowledge about how disease affects sexuality to offer specific suggestions for the client.
B)Focus interventions on explaining the somatic sexual difficulties and their treatment.
C)Offer the client a list of expected sexual side effects of drugs or treatments.
D)Identify any concerns the client has regarding attraction to the same sex.
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32
Chapter 41: Spirituality
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Sample Questions
Q1) The nurse assesses that a client is experiencing spiritual distress.What should be the nurse's primary intervention?
A)Establish a trusting nurse-client relationship.
B)Have the client describe the basic problem.
C)Ask the client what religion is practiced in the home.
D)Identify the client's belief in a Supreme Being.
Q2) The 70-year-old client with terminal lung cancer tells the nurse,"I am dying because I sinned by smoking cigarettes." What is the nurse's best response to this dying client?
A)"You are correct,but it is too late to do anything about it now."
B)"When you started smoking cigarettes we didn't know about the problems they cause.It is not your fault."
C)"Why don't we call the hospital chaplain and you can pray about your sins."
D)"Smoking cigarettes isn't a sin.There are many worse habits you could have."
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Chapter 42: Stress and Coping
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Q1) The nurse elects to use a scale of stressful life events to assess the level of a newly admitted client's stress.How should the nurse explain the use of this scale to the client?
A)"We will consider only the negative life events that have happened to you recently."
B)"You should try to remember any stressful event that has occurred to you in the last 10 years to include in the scale."
C)"This scale will give us a definite stress level number that can be used to compare your stress to that of others your age."
D)"This scale will give us some idea about your stress related to both positive and negative recent events in your life."
Q2) The nurse identifies that a client is experiencing the resistance stage of the general adaption syndrome.What did the nurse assess to make this clinical decision?
A)The client is unable to focus on activities and events.
B)The client is exhausted,and spends time sleeping.
C)There is localized swelling and inflammation of the client's leg wound.
D)The client's capillary blood glucose level is 180 mg/dL.
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Page 34
Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) The nurse determines that a terminally ill client is nearing death.What did the nurse assess to make this clinical decision?
Standard Text: Select all that apply.
A)Diarrhea
B)Muscle spasms
C)Slow,weak pulse
D)Decreased blood pressure
E)Cyanosis of the extremities
Q2) The nurse is caring for a client whose family does not want to tell him that he is dying.What is the nurse's best action according to these wishes?
A)Arrange an encounter with the client and tell him the truth.
B)Change the subject when the client asks about his impending death.
C)Tell the family that the patient has the right to know that he is dying.
D)Talk to the family about the situation and their concerns.
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Chapter 44: Rest
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Q1) The nurse is working on a hospital committee focused on preventing back injury in nurses.Which recommendation by this committee is most likely to result in a decrease in back injuries if followed?
A)Nurses must wear back belts when lifting clients.
B)All nursing personnel must attend annual body mechanics education.
C)In order to prevent injury,nurses must strive to become physically fit.
D)No solo lifting of clients is permitted in the facility.
Q2) The nurse is caring for a client diagnosed with early osteoporosis.Which intervention is most applicable for this client?
A)Institute an exercise plan that includes weight-bearing activities.
B)Increase the amount of calcium in the client's diet.
C)Protect the client's bones with strict bed rest.
D)Provide the client with assisted range-of-motion exercising twice daily.
Q3) The nurse is assisting the client to dangle on the bedside.After raising the head of the bed,in which position should the nurse face?
A)Toward the nearest corner of the head of the bed
B)Toward the side of the bed
C)Toward the far corner of the foot of the bed
D)Directly toward the client
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Page 36
Chapter 45: Activity and Exercise
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Q1) The nurse is admitting a critically ill client to the intensive care unit.What should the nurse ask regarding this client's sleep history?
A)No questions should be asked.
B)"When do you usually go to sleep?"
C)"Do you have any problems with sleeping?"
D)"What are your bedtime rituals?"
Q2) The nurse is planning interventions for a client who has difficulty falling asleep.Which intervention regarding sleep times would be most helpful?
A)Maintain a regular bedtime and wake-up time for all days of the week.
B)If bedtime is delayed on one night,go to bed that much earlier the next night.
C)If daytime drowsiness occurs,go to bed earlier that night.
D)Sleep at least 1 hour later on mornings you don't have to go to work.
Q3) The client is being treated with a nasal continuous positive airway pressure device (CPAP)for sleep apnea.What finding indicates that this treatment has been helpful to the client?
A)The client has lost 7 pounds since treatment began.
B)The client sleeps so soundly that he snores.
C)The client's diabetes is now under control.
D)The client reports a decrease in morning headache.
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Page 37
Chapter 46: Pain Management
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Sample Questions
Q1) A client with pain has had previous episodes of uncontrolled pain in the past and is worried about the current pain pattern.Which diagnosis would be appropriate for the nurse to include for this client?
A)Anxiety
B)Ineffective Coping
C)Deficient Knowledge
D)Hopelessness
Q2) The nurse is preparing a client for a back massage.Which positions would be the best for the client to receive this massage?
Standard Text: Select all that apply.
A)Supine
B)Fowler's
C)Trendelenburg
D)Prone
E)Side-lying
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38
Chapter 47: Nutrition
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Sample Questions
Q1) A client reports that an adolescent family member has started a vegan diet.Which additions to meals should the nurse recommend to help ensure that the adolescent does not become deficient in calcium?
Standard Text: Select all that apply.
A)Tofu
B)Soybeans
C)Brewer's yeast
D)Raisins
E)Okra
Q2) The nurse has finished providing a tube feeding to a client.What should the nurse document about this procedure?
Standard Text: Select all that apply.
A)Name of physician prescribing the feedings
B)Solution provided
C)Amount of fluid
D)Duration of the feeding
E)Client tolerance of the feeding
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Chapter 48: Urinary Elimination
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Q1) The nurse has completed closed irrigation of a client's retention catheter.What specific information should the nurse document about this procedure?
A)Number of ml of solution used to inflate the balloon of the catheter
B)Abnormal drainage,such as blood clots,pus,or mucous shreds
C)Location of the draining bag
D)Technique used to conduct the irrigation
Q2) A client is diagnosed with an elevated aldosterone level.The nurse realizes that this finding will affect what aspect of urinary elimination?
A)Increased urine output
B)Urinary incontinence
C)Decreased urine output
D)Urinary retention
Q3) A client is rushed to the emergency department with what the physicians suspect to be necrosis of the urinary diversion stoma.What evidence presented by the client leads to this conclusion?
A)Black with sloughing
B)Moist stoma
C)Pink and shiny
D)Slight bleeding from stoma
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Page 40
Chapter 49: Fecal Elimination
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Sample Questions
Q1) A client experiencing hard,dry feces is scheduled for an enema.The nurse recognizes that what type of solution would be best for the client?
Standard Text: Select all that apply.
A)Hypertonic
B)Hypotonic
C)Soapsuds
D)Oil retention
E)Isotonic
Q2) An older client tells the nurse that in order to have a daily bowel movement,the client uses laxatives most days of the week.What should the nurse tell this client?
Standard Text: Select all that apply.
A)Normal patterns of elimination are different for everyone.
B)Increase fiber intake to 20-35 grams a day.
C)Engage in enjoyable exercise.
D)Ignore the urge to have a bowel movement.
E)Drink six to eight glasses of fluid daily.
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Chapter 50: Oxygenation
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Q1) A client is receiving oxygen by nonrebreather mask,but the bag is deflating on inspiration.What action should be taken by the nurse?
A)Turn the client to the left side.
B)Increase the percentage of oxygen being delivered.
C)Check for an airtight seal between the client's face and the mask.
D)Increase the liter flow of oxygen being delivered.
Q2) The nurse who is assessing a client's chest tube insertion site notices a fine crackling sound and feeling upon palpating the area.What action should the nurse take?
A)Discontinue the chest tube suction.
B)Collaborate with the client's physician.
C)Mark the area involved and remove the tube.
D)Reinforce the chest tube dressing.
Q3) The nurse is caring for a client with a tracheostomy.For what protective mechanism will the nurse monitor in the client?
A)The ability to cough
B)Filtration and humidification of inspired air
C)The sneeze reflex initiated by irritants in the nasal passages
D)Decrease in oxygen-carrying capacity of the trachea
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Chapter 51: Circulation
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Q1) After an assessment,the nurse determines that a client's sequential compression devices need to be removed.What should the nurse document about this client's status in the medical record?
A)Client ambulating without assistance.
B)Client complains of numbness,tingling,and leg pain with the sequential compression devices.
C)Client requested devices to be removed.
D)Client to wear sequential compression devices during sleep.
Q2) The client has complaints of being tired,listless,and unable to tolerate activity at usual levels.Which laboratory value should the nurse review first while assessing this complaint?
A)Blood urea nitrogen
B)Hemoglobin and hematocrit
C)Blood sugar
D)Serum potassium
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Chapter 52: Fluid, Electrolyte, and Acid-Base Balance
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Q1) A client has experienced a narcotic overdose.What acid-base imbalance should the nurse expect to observe in this client?
A)Respiratory acidosis
B)Respiratory alkalosis
C)Metabolic acidosis
D)Metabolic alkalosis
Q2) The nurse is preparing to start an IV in the hand of a client who has very small veins.Which actions would be useful in dilating the veins?
A)Position the hand at heart level.
B)Stroke the vein.
C)Have the client clench and unclench the fist.
D)Slap the back of the client's hand.
E)Massage the vein.
Q3) The nurse suspects that a client's body is attempting to correct an acid-base imbalance.How will this imbalance be corrected?
A)Slow but efficient respiratory regulation will occur.
B)Primary regulation is through GI system losses.
C)Kidney regulation is powerfully effective.
D)The cardiovascular system is the major buffer.
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