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Fundamentals of Nursing Chapter Exam Questions - 1464 Verified Questions

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Fundamentals of Nursing

Chapter Exam Questions

Course Introduction

Fundamentals of Nursing introduces students to the foundational concepts, skills, and attitudes essential for professional nursing practice. The course covers the basic principles of patient care, including health assessment, hygiene, safety, infection control, and documentation. Students learn critical thinking, communication techniques, and ethical considerations as they relate to nursing. Through lectures, demonstrations, and hands-on laboratory experiences, students develop competence in delivering holistic care and addressing the physical, emotional, and psychosocial needs of individuals across the lifespan, preparing them for clinical practice in diverse healthcare settings.

Recommended Textbook

Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman

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52 Chapters

1464 Verified Questions

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Chapter 1: Historical and Contemporary Nursing Practice

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Sample Questions

Q1) The student nurse is reviewing the code of ethics prior to beginning a clinical assignment.On what areas should the nurse focus when providing client care?

(Select all that apply)

A)Support lifelong learning.

B)Ensure the safety of all clients.

C)Maintain client confidentiality.

D)Provide care in a professional manner.

E)Collaborate with students and faculty.

Answer: B,C,D

Q2) The nurse is planning to apply to graduate school to earn a master's degree in nursing.On what should the nurse expect the program's curriculum to focus?

A)An advanced leadership role

B)Case manager

C)Wound care specialist

D)Intravenous therapy specialist

Answer: A

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Chapter 2: Evidence-Based Practice and Research in Nursing

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Sample Questions

Q1) A nurse practitioner feels it is important to participate in nursing research.Which activity is most appropriate for this nurse's level of education and position?

A)Helping to identify clinical problems in direct client care

B)Using research findings to develop policies and procedures

C)Critically analyzing and interpreting research for application to practice

D)Participating in data collection

Answer: C

Q2) A group of nurses is researching how care providers of Stage I/II Alzheimer's clients use prior coping skills in dealing with their current situation.Which qualitative research tradition are these nurses using?

A)Grounded theory

B)Ethnography

C)Phenomenology

D)Substantive dimension

Answer: C

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Chapter 3: Nursing Theories and Conceptual Frameworks

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Sample Questions

Q1) The nurse is implementing Watson's Assumptions of Caring philosophy.Which actions demonstrate that the nurse is using this philosophy?

(Select all that apply)

A)Asking the client to explain the impact that his culture and religion will have on required nursing care

B)Asking clients when they prefer to be given the opportunity to bathe

C)Feeling empathy toward the client's loss of mobility as a result of a fractured hip

D)Always assuring that the client has an unobstructed view out his room's window

E)Arranging to fulfill a client's request to stay with him during a painful diagnostic test

Answer: B,C,E

Q2) A nurse has implemented the use of noncontact therapeutic touch.Which theorist is the nurse using as a basis for this intervention?

A)Florence Nightingale

B)Martha Rogers

C)Virginia Henderson

D)Rosemarie Parse

Answer: B

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Chapter 4: Legal Aspects of Nursing

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Sample Questions

Q1) A nurse is caring for a client in the emergency department (ED)who was brought in by her adult child for vague,flu-like symptoms.While helping the client to change into a gown,the nurse notices numerous bruises on the client's back and arms.When ed,the client is distracted and ambiguous with her answers.Which action should the nurse take?

A)Report the situation to law enforcement.

B)Report the situation to social services.

C)Question the adult child who brought the client to the ED.

D)File a written report in the client's chart.

Q2) A nurse's co-worker makes a practice of telling offensive jokes or stories with a sexual undertone during the shift.Which action should the nurse take first?

A)Ignore the co-worker and walk away.

B)Report the incident to the nurse manager.

C)Tell the co-worker to stop the activity because the conduct is offensive.

D)Ask to be scheduled opposite this co-worker.

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6

Chapter 5: Values, Ethics, and Advocacy

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Sample Questions

Q1) The school of nursing professor is preparing a classroom activity to assist the students in acquiring professional values.Which actions should the professor select for this assignment?

(Select all that apply)

A)Discuss codes of ethics with the students.

B)Recommend that the students avoid ethical issues.

C)Encourage the students to discuss experiences.

D)Invite other professors to participate in a discussion.

E)Have the students interview each other about experiences.

Q2) A client with terminal cancer is refusing food and fluids,and pushes the caregiver's hands away when attempts are made to feed the client or offer any kind of fluid.The family is considering placing a gastrostomy tube because they feel the client is "starving to death." What should the nurse do?

A)Honor the family's wishes and have them sign a consent form.

B)Talk to the physician so he or she can move forward with the family's wishes.

C)Honor the client's refusal and help the family come to terms with the situation.

D)Take the case to the hospital's ethics committee.

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Chapter 6: Health Care Delivery Systems

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Sample Questions

Q1) The nurse is concerned that the hospital will not receive payment for care provided to a client.Which client health problems are causing the nurse this concern?

(Select all that apply)

A)Intravenous fluids were prescribed for 4 days.

B)X-rays of the left leg and left arm were prescribed.

C)A stage II pressure ulcer developed on the client's heels.

D)A urinary tract infection occurred because of an indwelling urinary catheter.

E)Physical therapy treatments were prescribed for 7 days for crutch walking.

Q2) A new graduate nurse is looking for employment and is hoping to find a facility that utilizes nursing personnel based on their educational preparation and skill set.In which type of facility should the new graduate apply for a position?

A)Patient-focused care

B)Shared governance

C)Differentiated practice

D)Managed care

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Chapter 7: Community Nursing and Care Continuity

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Sample Questions

Q1) Several nurses are working with other health care providers to provide care for a group of community members who have complications of diabetes mellitus and require extensive dressing changes and comprehensive education.In what capacity are the nurses and care providers working?

A)Collaboration

B)Case management

C)Health promotion

D)Health education

Q2) A multi-organization medical system is designing a community-based facility to support the health care needs of members who live in an urban area.What should the medical system keep in mind when designing the new facility?

(Select all that apply)

A)Affordable

B)Easy to travel to the facility

C)A focus on the needs of mothers and children

D)Many services available to meet community members' needs

E)Communication of care needs to the community members' other health care providers

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Chapter 8: Home Care

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Sample Questions

Q1) The nurse is attending a seminar that focuses on the changes within the home health care industry.Which statements that the nurse makes indicate an understanding of home care as a primary health service delivery system?

(Select all that apply)

A)"It's unfortunate that clients can be screened for illnesses in the privacy of their own home."

B)"With people living well into their 70s and 80s,the healthcare system is being stressed immensely."

C)"The cost of acute hospital-based health care has become an economic burden to most people."

D)"A client's chronic cardiac problems can be monitored well with in-home health services."

E)"It relieves so much stress when care can come to them instead of their going to the health provider."

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Chapter 9: Electronic Health Records and Information Technology

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Sample Questions

Q1) A small nursing program has limited access to clinical sites,especially those with specialty areas.What should the nurse educators consider as an option to allow students "hands-on" simulated clinical experience in these areas?

A)A field trip to a larger nursing institution

B)Videos

C)CAI

D)Workbook with written study guides

Q2) A client tells the nurse about researching on the Internet for information about a newly prescribed medication.What should the nurse respond to the client?

A)"I'm glad you're interested in your therapy."

B)"Information on the Internet cannot be trusted.You should check with your pharmacist."

C)"Your physician is the one you should be asking these kinds of questions."

D)"Let's look at some of the sites you've been visiting."

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11

Chapter 10: Critical Thinking and Clinical Reasoning

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Sample Questions

Q1) A client recovering from a stroke does not want to perform prescribed shoulder exercises.What should the nurse say to the client that demonstrates critical thinking with creativity?

A)"You'll only get worse if you don't do these exercises."

B)"As soon as you get these into your routine,you'll feel better."

C)"Your physician wouldn't have ordered these if they weren't important."

D)"Here's a marker.See how many circles you can make on this board in 10 minutes."

Q2) The nurse systematically tries a variety of products to help with healing of a client's wound.Which problem-solving method is the nurse using?

A)Intuition

B)Scientific method

C)Research process

D)Trial and error

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Chapter 11: Assessing

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Sample Questions

Q1) 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.

Q2) The nurse is admitting an infant to the care area.The parents and grandmother are present.What should the nurse use as the best source of data for this client?

A)Medical record from the child's birth

B)Grandmother

C)Parents

D)Admitting physician

Q3) The nurse suspects that a client with a history of injuries is a victim of abuse.What did the nurse use to come to this conclusion?

A)Observation of cues

B)Validation

C)Inference

D)Judgment

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Chapter 12: Diagnosing

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Sample Questions

Q1) A client has been having pain without any clear pathology for cause.Which nursing diagnosis should the nurse identify as being the most appropriate for this client?

A)Pain due to unknown factors

B)Pain related to unknown etiology

C)Pain caused by psychosomatic condition

D)Pain manifested by client's report

Q2) 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

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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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) The nurse is reviewing a client's plan of care.Which statements indicate that this care plan has been completed accurately and appropriately?

(Select all that apply)

A)Ineffective coping related to drug abuse as evidenced by drug overdose.

B)The client will identify two healthy coping mechanisms by time of discharge.

C)The client has identified two health coping mechanisms to replace inappropriate drug use.

D)The client will be provided with guidance in identifying healthy coping mechanisms.

E)The client has apologized to his family for drug abuse behaviors.

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Chapter 14: Implementing and Evaluating

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Sample Questions

Q1) On one of the first days working alone,the new nurse with limited patient teaching experience needs to instruct tracheostomy care to a client and spouse.What action should the nurse take?

A)Ask the nurse mentor to assist with the teaching after reviewing the procedure.

B)Read the policy and procedure manual before the teaching session.

C)Do the best the nurse can by remembering what was taught in nursing school.

D)Ask for a different assignment until the nurse feels comfortable with this one.

Q2) A teenage client has been having problems with peer support,school performance,and parental expectations,all of which contributed to an eating disorder.After gathering this assessment data,the nurse formulates the diagnosis Activity Intolerance related to weakness.What should the nurse realize after evaluating this diagnosis?

A)The data collected would support the diagnosis.

B)The diagnosis is directly related to the data presented.

C)The nursing diagnosis is not relevant to the data.

D)The data are not sufficient enough to support this diagnosis.

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Chapter 15: Documenting and Reporting

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Sample Questions

Q1) After completing the client care and documenting it in the progress notes,the nurse realizes that documentation was placed on the wrong medical record.What should the nurse do?

A)Use white-out over the mistake.

B)Take a wide permanent marker and blacken out all the documentation.

C)Put an "X" through the entire page,identify it as an "error," initial,and move on to the correct chart.

D)Draw a single line through the documentation,write "mistaken entry" next to the original entry,and initial it.

Q2) The nurse administered analgesic medications to an assigned client via central line.In which section of PIE charting should the nurse document this information?

A)Plan

B)Intervention

C)Evaluation

D)Progress notes

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Chapter 16: Health Promotion

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Sample Questions

Q1) A client is hospitalized with numerous acute health problems.According to Maslow's basic needs model,which nursing diagnosis should the nurse identify as being the highest priority for this client?

A)Risk for Injury related to unsteady gait

B)Altered Nutrition,Less Than Body Requirements related to inability to absorb nutrients

C)Self-Care Deficit related to weakness and debilitation

D)Powerlessness related to chronic disease state

Q2) Psychologic homeostasis is maintained by a variety of mechanisms.Which client should the nurse identify as being the most likely candidate to obtain psychologic homeostasis?

A)A child who is used to getting ready for school alone

B)A teenager whose circle of friends includes single parents of the same age

C)An elderly person who has just moved to a long-term care facility

D)A young adult who is in a long-term relationship

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18

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?

(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 is working in a rehabilitation center with a client who had a serious injury.Part of the client's care plan includes working on coping with her current limitations since the injury.This nurse is working within which model of health?

A)Role performance

B)Adaptive

C)Eudemonistic

D)Clinical

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Chapter 18: Culturally Responsive Nursing Care

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Sample Questions

Q1) The community health nurse is using the Heritage Assessment Interview tool with a group of community members.Which data indicate heritage consistent?

(Select all that apply)

A)A client frequently visits the "old country neighborhood" he grew up in.

B)A client is raised by a single parent.

C)The client's education occurred at a religious school.

D)The client participates in religious festivals and cultural events.

E)The client has been the first of his family to earn a college degree.

Q2) A client has requested that she have a special item present in her room and explains that it gives her a feeling of comfort and a sense of organization.On which psychosocial component is this client focusing?

A)Culture

B)Religion

C)Ethnicity

D)Socialization

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Chapter 19: Complementary and Alternative Healing

Modalities

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Sample Questions

Q1) A client comes to the clinic with a chief complaint of feeling "dirty inside" and asks the nurse how colonics would work to improve the client's overall well-being.What should the nurse respond to this client?

A)"Colonics is a dangerous and not useful technique that no one should try."

B)"There is much controversy about colonics.What do you know about it?"

C)"This is a good way to get rid of toxins in your system."

D)"You'd better ask your doctor about this."

Q2) The nurse is teaching a client regarding the use of herbal preparations.Which statements should the nurse include in this teaching?

(Select all that apply)

A)"Echinacea might reduce the effectiveness of the immunosuppressant medications you've been prescribed since your transplant."

B)"Gingko could affect the results of your aspirin therapy."

C)"Ginger could be contraindicated because you are taking anticoagulant medications."

D)"With your history of glaucoma,I don't believe you should be supplementing with ginseng."

E)"St.John's wort is a safe supplement when being medicated for depression."

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Page 21

Chapter 20: Concepts of Growth and Development

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Sample Questions

Q1) A parent is concerned that her child is unable to sit alone.The nurse explains that development is based on in-born timetables and the child will be most likely able to meet this milestone at a specific time.Upon which theory did the nurse base the response to the client?

A)Havighurst's theory

B)Task theory

C)Psychosocial theory

D)Maturational theory

Q2) A nurse educator is working with students and assisting them in addressing their clients' spiritual needs.The educator understands that most traditional,second-year college students are aware of their own spiritual development or working to develop their own system of spirituality.The educator realizes that the students are in which stage of Fowler's developmental theory?

A)Mythic-lyrical

B)Intuitive-projective

C)Universalizing

D)Individuating-reflexive

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22

Chapter 21: Promoting Health From Conception Through

Adolescence

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Sample Questions

Q1) The nurse is preparing to instruct a client about nutritional needs before and during pregnancy.What should the nurse encourage the patient to consume in order to meet the requirements for folic acid?

A)Meats,fish,and poultry

B)A mix of vegetables and fiber

C)Oranges and green leafy vegetables

D)Low-fat and high-protein foods

Q2) The nurse is completing a health history with a client who is 10 weeks pregnant.Which factor should the nurse identify as increasing this client's risk for a spontaneous abortion?

A)Having taken a medication that is a known teratogen

B)Smoking

C)Having low levels of folic acid

D)Genetic history

Q3) At birth a baby weighed 8 lb.What should the nurse expect this baby to weight at the age of 1?

A)32 lb

B)16 lb

C)20 lb

D)24 lb

23

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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 young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview.In order to best assess the client,what should the nurse ask the client?

A)"Can you tell me what's been going on in your life lately?"

B)"What kind of problems are you having?"

C)"Is someone hurting you?"

D)"Can you explain what your family life is like?"

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Chapter 23: Promoting Health in Older Adults

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Q1) The nurse is completing an assessment to determine an older patient's development of moral reasoning.Which observation indicates that the client has developed moral reasoning as anticipated?

A)Considers relationships as well as justice in moral decisions

B)Approaches moral decisions based upon the consequences to self

C)Follows society's rules of conduct in response to the expectations of others

D)Bases moral judgments on connectedness to others and the value of relationships

Q2) A nurse is working with clients in an assisted living facility.In the past month,there have been several deaths among the residents and their spouses.In helping the remaining residents deal with these deaths,the nurse understands that adjustment may be easier for which resident?

A)A resident who spent most of her days attending to her partner who is now deceased

B)A resident who had a wide circle of friends,besides her spouse

C)A resident who was not inclined to participate in any activities offered at the facility

D)A resident who started to become more dependent on the nursing staff at the facility

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Chapter 24: Promoting Family Health

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Q1) A client is asked during an admission interview to describe her family.She proceeds to list parents,siblings,grandparents,aunts,uncles,and cousins.Which type of family should the nurse document for this client?

A)Nuclear

B)Extended

C)Traditional

D)Blended

Q2) A family member is hospitalized with an illness.What should the nurse assess to determine the impact this illness will have on the family?

A)Nature of the illness

B)Duration of the illness

C)Cause of the illness

D)Financial impact of the illness

E)Effect of the illness on future family functioning

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Chapter 25: Caring

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Q1) The nurse suspects that an older client has no living family members and observes the client sitting quietly in the room,crying.What actions should the nurse take to intentionally know this client?

(Select all that apply)

A)Seek cues from the client.

B)Assess the client thoroughly.

C)Avoid assumptions about the client.

D)Center actions on the client's needs.

E)Assume the client wants to be alone.

Q2) The nurse has adopted a healthy lifestyle.What action demonstrates that the nurse is being successful in this endeavor?

A)Exercising every day,at least for an hour and a half

B)Buying only fat-free foods and allowing absolutely no deviation from this

C)Balancing good nutrition and exercise in moderation

D)Exercising more on days when feeling "guilty" about a snack

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Chapter 26: Communicating

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Q1) A nurse must perform a catheterization on a male client.Which zone of proximity should the nurse use for this intervention?

A)Personal distance

B)Intimate distance

C)Social distance

D)Public distance

Q2) The nurse is communicating with an older client.Which actions demonstrate that the nurse understands the best approaches to communicate with this client?

(Select all that apply)

A)Asking,"What can I do to make you feel safe?"

B)Observed intently listening to the client describe how being alone makes her feel

C)Offering to take the client "out for a walk"

D)Consistently arranging for the client to have her hair done

E)Managing to get a copy of the client's favorite magazine

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Chapter 27: Teaching

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Sample Questions

Q1) A nurse is presenting teaching sessions to a group of residents in a home for long-term physical rehabilitation.Which client exhibits the highest motivation?

A)An individual who has been struggling with following nursing directives regarding discharge goals

B)The client who has just moved in and is already waiting for discharge

C)A client who is excited to learn about his new prosthesis

D)A client who has been there the longest and is a great "coach" for newcomers

Q2) A home health client having difficulty keeping his medication schedule organized says "There are so many pills and the names are all confusing to me.I don't even understand what they're for." What should the nurse do?

A)Help the client remember color and size in relationship to dosing time.

B)Write out the generic and trade name of all the pills for the client.

C)Fill a pill bar and tell the client not to worry,and just take the pills according to that system.

D)Have the physician talk to the client about his medications.

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Chapter 28: Leading, Managing, and Delegating

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Q1) During a particularly heated staff meeting regarding staff assignments,the nurse manager makes this comment: "When you all can come to a decision,let me know and we'll move on from there." This leader is best identified as which of the following?

A)Democratic leader

B)Permissive leader

C)Bureaucratic leader

D)Situational leader

Q2) A nursing student would like to do an observation on one of the inpatient units at a hospital.In assisting the student to meet this desire,the educator would look for which type of nurse?

A)Mentor

B)Manager

C)Team leader

D)Preceptor

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Chapter 29: Vital Signs

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Q1) The nurse is assessing a client's blood pressure.What should the nurse hear during phase 2 of Korotkoff's sounds?

A)A muffled,whooshing,or swishing sound

B)Disappearance of sound

C)Faint,clear tapping sound

D)Increased intensity of sound

Q2) In the palpatory method of blood pressure determination,instead of listening for the blood flow sounds,light to moderate pressure is used over the artery as the pressure in the cuff is released.When will the nurse read the pressure from the sphygmomanometer?

A)When the cuff is applied

B)When the cuff is being deflated

C)When the first pulsation is felt

D)When the second pulsation is felt

Q3) When assessing a client's oxygen saturation reading,the nurse realizes that what will affect this reading?

A)Activity

B)Environmental conditions

C)Nutrition

D)Skin color

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Chapter 30: Health Assessment Preview As Pdf

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/79291

Sample Questions

Q1) 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

Q2) 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

Q3) The nurse is preparing to administer a cardiotonic drug to a client.Which assessment should the nurse perform before administering the medication?

A)Respiratory rate

B)Apical pulse

C)Popliteal pulse

D)Capillary blanch test

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Chapter 31: Asepsis

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/79290

Sample Questions

Q1) An older client with gallbladder disease has had a cholecystectomy.Which factor should the nurse realize would influence the development of an infection in this client?

A)Active bowel sounds

B)Dry intact skin

C)Intact mucous membranes

D)Susceptibility of the client

Q2) A client is diagnosed with a communicable disease,and must be placed in isolation.The nurse should identify which diagnosis as a priority for this client?

A)Social Isolation

B)Anxiety

C)Acute Pain

D)Imbalanced Nutrition: Less Than Body Requirements

Q3) The nurse is preparing to leave a client's isolation room.Which action should the nurse take first when removing a grossly soiled gown?

A)Grasp the sleeve of the dominant arm,and remove it with a gloved hand.

B)Release the neck ties of the gown and allow the gown to fall forward.

C)Untie the strings at the neck first.

D)Untie the strings at the waist first.

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Chapter 32: Safety

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/79289

Sample Questions

Q1) The nurse is reviewing safety hazards with a pregnant client.What should the nurse include when instructing this client about safety and the developing fetus?

A)Banging into objects

B)Bicycle rides

C)Recreational activities

D)X-rays

Q2) The nurse is appointed to be a member of committee whose focus is to identify and address workplace safety issues.Which issues should the nurse recommend for analysis by this committee?

(Select all that apply)

A)Lifting clients

B)Inadequate lighting

C)Bending and walking

D)Exposure to infectious agents

E)Exposure to hazardous medications

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34

Chapter 33: Hygiene

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/79288

Sample Questions

Q1) The nurse is preparing to shave a client.Which action step should the nurse consider when providing this care?

A)Assist the client to a prone position.

B)Pull the skin taut with the dominant hand.

C)Rinse the razor after each stroke.

D)Use long strokes.

Q2) 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

Q3) The nurse is preparing to bath a client on the first postoperative day.Which nursing intervention should take priority?

A)Apply lotion to the extremities.

B)Change the water when it becomes cold.

C)Raise side rails when gathering supplies.

D)Remove the soiled dressing during the bath.

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35

Chapter 34: Diagnostic Testing

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/79287

Sample Questions

Q1) 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."

Q2) Unlicensed assistive personnel (UAP)will be conducting a test on a client's urine.What should the nurse instruct the UAP about the test?

(Select all that apply)

A)Nothing,because the UAP can perform urine testing.

B)Remind the UAP to tell the client the results of the test.

C)Notify the physician with the results of the test.

D)Report the results of the test to the nurse.

E)Save the urine,in case the nurse wants to repeat the test.

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Chapter 35: Medications

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47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/79286

Sample Questions

Q1) The nurse is planning to administer a bitter-tasting oral medication to a 4-year-old client.What strategy should this nurse plan?

A)Give the medication in orange juice or milk to mask the taste.

B)Tell the child that the medication tastes good.

C)Ask the parents how they give medications at home.

D)Get another nurse to assist by holding the client down.

Q2) While preparing to administer an eye ointment,the nurse inadvertently squeezes the tube,discarding the first bead of medication.What action should the nurse take at this point?

A)Administer the eye ointment as ordered,as the first bead of ointment should be discarded anyway.

B)Notify the pharmacy and request a new,unopened tube of ointment.

C)Have a second licensed nurse witness the waste and sign the chart.

D)Continue to squeeze the tube until a clear line of ointment has been discarded from the tip.

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?

Round to the nearest whole number.

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Page 37

Chapter 36: Skin Integrity and Wound Care

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/79285

Sample Questions

Q1) A client has had Braden scores of 18 and 19 and Norton scores of 15 and 17 over the last 2 months.What does the nurse determine as the significance of the trending of these scores?

A)Trending can only be accurate if the same scale is used.

B)There is a definite trend of low risk for pressure ulcer development.

C)Trending would be more accurate if the same scale was used.

D)The scores indicate opposite risks for pressure ulcer development.

Q2) The UAP reports a small skin tear on the client's forearm that occurred during a routine turn.After assessing the wound the nurse should take which action?

A)Obtain a transparent dressing for the UAP to place on the wound.

B)Request a consult with the wound care nurse.

C)Cleanse the wound and apply a dressing.

D)Tell the UAP to reevaluate the wound in 20 minutes.

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 38

Chapter 37: Perioperative Nursing

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/79284

Sample Questions

Q1) The nurse is planning care for a client during the postoperative period.What should the nurse identify as the goal of care for this client?

A)Provide necessary preoperative teaching.

B)Assist the client to achieve the most optimal health status possible.

C)Ensure client safety.

D)Maintain an aseptic environment.

Q2) The nurse is preparing a 6-year-old child for a tonsillectomy.Which strategy should the nurse use for teaching this client?

A)Pamphlets

B)Play

C)Books

D)Videotapes

Q3) The nurse is preparing a 23-year-old female client for surgery.The nurse should anticipate which diagnostic test to be prescribed for this client?

A)Pregnancy test

B)EEG

C)EKG

D)Pulmonary function tests

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Chapter 38: Sensory Perception

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/79283

Sample Questions

Q1) The nurse is providing education for the parents of a 7-month-old child who has just been diagnosed with a hearing loss.What guidance should the nurse provide?

A)Expect that the child will be enrolled in a special hearing intervention program immediately.

B)Keep your child in a quiet environment until additional testing is done.

C)Interventions to support hearing are not useful until the child is at least 9 months old.

D)Hearing loss is not serious until 1 year of age.

Q2) The nurse is caring for a client who has difficulty hearing conversation.What intervention should the nurse implement?

A)Use short phrases.

B)Overarticulate words.

C)Vary the volume of the voice.

D)Face the client during conversation.

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Chapter 39: Self-Concept

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/79282

Sample Questions

Q1) The nurse and client had set the following expected outcome: "At the next clinic visit,the client will report participation in three activities to increase self-esteem." At today's visit,the client is unable to meet the stated outcome.What should be the nurse's next action?

A)Explore the possible reasons for not meeting the outcome.

B)Reevaluate the accuracy of the outcome statement.

C)Collaborate with the client to write a new expected outcome.

D)Identify new interventions to help the client achieve the outcome.

Q2) 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.

Q3) Which statement,made by the client,would indicate a "me-centered" self-concept?

A)"I couldn't stand to disappoint my parents."

B)"My sister is so much smarter than I am."

C)"My future is based on the decisions I make today."

D)"The world has always been against people like me."

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Chapter 40: Sexuality

Available Study Resources on Quizplus for this Chatper

37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/79281

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?

(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 15-year-old female tells the nurse that she makes her boyfriend stop intercourse before she has an orgasm so she will not get pregnant.What teaching is necessary for this client?

A)Even though she doesn't get pregnant,she might still get a sexually transmitted infection.

B)Intercourse until orgasm may actually reduce conception because the vaginal contractions help to expel sperm.

C)Conceiving is not related to whether or not the female partner experiences an orgasm.

D)As long as her boyfriend does not ejaculate in her vagina,conception is unlikely.

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Page 42

Chapter 41: Spirituality

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/79280

Sample Questions

Q1) The nurse is concerned that the spouse of a recently deceased client is experiencing spiritual distress.What did the nurse observe to come to this clinical decision?

(Select all that apply)

A)Expressing anger toward God

B)Crying softly in the client's room

C)Hugging family members

D)Talking with caregivers about the client's personal items

E)Refusing comfort from family

Q2) The newly hired nurse notices that coworkers routinely pray with clients and their families.The nurse has never been particularly religious or spiritual and is unaccustomed to praying,but holds no strong feeling against prayer.What is the best strategy for the nurse to plan for such situations?

A)Try to ensure assignment to clients who are unlikely to request prayer.

B)Arrange to have a coworker substitute for the nurse in these prayer situations.

C)Memorize two or three short,formal prayers to use when prayer is requested.

D)Just stand silently at the bedside and let others in the room do the praying.

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Chapter 42: Stress and Coping

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/79279

Sample Questions

Q1) After hearing the diagnosis of cancer,a client becomes withdrawn and refuses to talk with friends or family.The nurse realizes this client is demonstrating which type of reaction to stress?

A)Stimulus

B)Response

C)Combination

D)Transaction

Q2) A 2-year-old client,who has had multiple hospitalizations for treatment of a congenital disorder,is lying curled in bed holding a stuffed animal and will not interact with the parents.What should the nurse identify as causing this client's behavior?

A)The parents may have been abusing this child.

B)The child is probably developmentally delayed secondary to multiple hospitalizations.

C)The child is reacting as a normal 2-year-old.

D)The child could be suffering from a clinical depression.

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Chapter 43: Loss, Grieving, and Death

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/79278

Sample Questions

Q1) The nurse is caring for a child who is dying.What is the most important communication strategy for the nurse to use at this time?

A)Talk to the child at the appropriate level of understanding.

B)Be totally open and honest with the child.

C)Avoid discussing death with the child.

D)Encourage the family to talk with the child about the impending death.

Q2) A terminally ill client is demonstrating gurgling respirations.The nurse realizes that this client is

A)improving.

B)experiencing pain.

C)trying to talk.

D)nearing death.

Q3) 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: Activity and Exercise

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/79277

Sample Questions

Q1) The bed-bound client complains of pain and burning in the right calf area.What action should be taken by the nurse?

A)Deeply palpate the area for rebound tenderness.

B)Percuss over the area for change in tone.

C)Measure the calf and compare to the opposite calf.

D)Medicate the client for pain and reassess in 30 minutes.

Q2) The nurse is providing range-of-motion exercising to the client's elbow when the client complains of pain.What action should the nurse take?

A)Stop immediately and report the pain to the client's physician.

B)Discontinue the treatment and document the results in the medical record.

C)Reduce the movement of the joint just until the point of slight resistance.

D)Continue to exercise the joint as before to loosen the stiffness.

Q3) The nurse is preparing to assist a client to a lateral position to position a bedpan.What action should the nurse take first?

A)Perform hand hygiene.

B)Move the client to the side of the bed.

C)Place the client's arm over the chest.

D)Raise the opposite side rail.

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46

Chapter 45: Sleep

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/79276

Sample Questions

Q1) 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.

Q2) The client has complained of stiffness and muscle tension in his back.The nurse suggests a back rub,but the client declines the offer.What action should the nurse take?

A)Encourage the client to accept the back rub,saying how much it will relax the back muscles.

B)Document that the client is noncompliant with the nursing plan of care.

C)Accept the declination but tell the client to call if he changes his mind.

D)Instruct the UAP to rub the client's back while assisting him to change into a clean gown.

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Chapter 46: Pain Management

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/79275

Sample Questions

Q1) The nurse is caring for an adolescent client who is experiencing postoperative pain.What interventions should the nurse use to help this client?

(Select all that apply)

A)Talk with the client about pain.

B)Provide privacy.

C)Present choices for dealing with pain.

D)Encourage distraction with music or television.

E)Allay fears and anxiety.

Q2) The nurse is providing discharge instructions to a client prescribed an opioid medication.What should the nurse suggest to decrease the risk of constipation with this medication?

A)Take an antihistamine three times per day.

B)Drink 6 to 8 glasses of water per day.

C)Assess respiratory rate before taking medication.

D)Assess heart rate before taking medication.

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Chapter 47: Nutrition

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/79274

Sample Questions

Q1) The nurse has finished providing a tube feeding to a client.What should the nurse document about this procedure?

(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

Q2) The nurse is planning an educational program for community members on ways to improve nutritional intake.What information should the nurse include about carbohydrate digestion and metabolism?

(Select all that apply)

A)Enzymes are needed to digest carbohydrates.

B)The breakdown of carbohydrates results in simple sugars.

C)Carbohydrates are a major source of body energy.

D)The simple sugar glucose provides a readily available source of energy.

E)Pancreatic amylase enhances the use of glucose by the body cells.

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Chapter 48: Urinary Elimination

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/79273

Sample Questions

Q1) A client has been admitted with incontinence.What should the nurse expect to assess in this client?

A)Client is wearing cotton undergarments.

B)Leakage of urine occurs when client laughs.

C)Leakage of urine occurs when talking with the client.

D)The skin of the client is clear without discoloration.

Q2) Which goals should the nurse identify as appropriate for a client with the nursing diagnosis Urinary Pattern Alteration related to an enlarged prostate?

A)The client will avoid bladder distention.

B)The client will maintain fluid imbalance.

C)The client will remain free of skin breakdown.

D)The client will voice increased discomfort.

Q3) The nurse is performing urinary catheterization for a client.After using the nondominant hand to separate the client's labia for cleansing,the nurse will maintain this hand as being

A)sterile.

B)contaminated.

C)able to evaluate the effectiveness of the catheter balloon.

D)clean.

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Page 50

Chapter 49: Fecal Elimination

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/79272

Sample Questions

Q1) The nurse is identifying goals for a client experiencing diarrhea.What goal should the nurse select for this client?

A)Client will defecate regularly.

B)Client will increase the amount of sugar in the diet.

C)Client will limit fluid intake.

D)Client will regain normal stool consistency.

Q2) The nurse determines that an adult client's feces are normal.What did the nurse assess to come to this conclusion?

A)Black in color

B)Cylindrical in shape

C)Pungent in odor

D)Yellow in color

Q3) The nurse is preparing to assess a client's fecal elimination status.Which activity will the nurse complete during this assessment?

A)Obtain a nursing history.

B)Interpret results of diagnostic tests.

C)Perform a physical examination.

D)Set goals with the client.

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Chapter 50: Oxygenation

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/79271

Sample Questions

Q1) The client is experiencing severe shortness of breath,but is not cyanotic.What laboratory value should the nurse review in an attempt to understand this phenomenon?

A)Blood sugar

B)Hemoglobin and hematocrit

C)Cardiac enzymes

D)Serum electrolytes

Q2) The nurse is documenting the completion of tracheostomy suctioning and tracheostomy care in a client's medical record.What should this documentation include? (Select all that apply)

A)Lung sounds before and after suctioning

B)Characteristics of suctioned sputum

C)Integrity of the skin around the stoma

D)Side on which the tracheostomy tie knot is located

E)Flow rate of oxygen

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Chapter 51: Circulation

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/79270

Sample Questions

Q1) The nurse finds a client pulseless and breathless.The client's skin is pale and cool,but not cyanotic.Because of this finding,what should the nurse suspect?

A)Respiratory arrest occurred prior to cardiac arrest.

B)Cardiac arrest occurred prior to respiratory arrest.

C)The client cannot be resuscitated.

D)Arrest was caused by airway obstruction.

Q2) The nurse is planning morning care for a client who has sequential compression devices in place.How should the nurse instruct the UAP who will be giving the bath?

A)"Come get me when it is time to remove the devices,because that must be done by a nurse."

B)"You may remove the devices,but standards require that only a nurse put them back on the client."

C)"You may leave the devices off until the client's legs air dry."

D)"Put the devices on as quickly as possible after the bath."

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Chapter 52: Fluid, Electrolyte, and Acidbase Balance

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/79269

Sample Questions

Q1) The nurse is reviewing orders for parenteral potassium.Which order is safe for the nurse to implement?

A)Add 20 mEq of KCL to 1,000 mL of IV fluid

B)10 mEq KCL IV over 1-2 minutes

C)Dilute 20 mEq KCL in 3 mL of NS and give IV push

D)10 mEq KCL SQ

Q2) The nurse is caring for a client who is receiving IV therapy at a rate of 10 mL/hour.The 500-mL IV bottle was hung at 0900 Monday morning when the IV catheter was initiated.It is now 0900 on Tuesday morning.What nursing action should be taken?

A)Refigure the rate of the IV.

B)Infuse the remaining IV fluid before hanging a new bag.

C)Discard the remaining IV fluid and hang a new bag.

D)Discontinue the IV site and restart an IV in the opposite hand.

Q3) The client who has an IV with an intermittent infusion lock in place wishes to shower.What action should be taken by the nurse?

A)Have the UAP discontinue the lock.

B)Cover the lock with an occlusive dressing.

C)Place a piece of cloth tape under the lock,wrapping the top in a U shape.

D)Tell the client that a bed bath is necessary until the IV is discontinued.

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Page 54

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