Fundamentals of Nursing Exam Materials
Course Introduction
Fundamentals of Nursing introduces students to the core concepts, skills, and knowledge essential for nursing practice. This course covers the historical development of nursing, ethical and legal considerations, and the roles and responsibilities of the professional nurse. Students learn foundational skills such as patient assessment, infection control, documentation, communication, and basic patient care techniques. Emphasis is placed on the nursing process, critical thinking, cultural competency, and evidence-based practice, preparing students to deliver safe, effective, and compassionate care across diverse healthcare settings.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Berman
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42 Chapters
1234 Verified Questions
1234 Flashcards
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Page 2
Chapter 11: Assessing
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77919
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 nurse has worked in the trauma critical care area for several years.Which noise may become indiscriminate for this particular nurse?
A)A client with audible breathing
B)Moaning of a client in pain
C)Whirring of ventilators
D)Co-orkers discussing their clients' conditions
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Chapter 12: Diagnosing
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse has formulated a diagnosis of Activity intolerance related to decreased airway capacity for a client with chronic asthma.In looking at the client's coping skills,the nurse realizes that the client has a vast knowledge about the disease and what exacerbates symptoms in particular situations.Why should the nurse utilize this information?
A)Strengths can be an aid to mobilizing health and the healing process.
B)The client will be more active in the plan.
C)It will be easier for the nurse to educate the client about other interventions.
D)The nurse won't have to spend time going over the pathology of the client's disease.
Q2) The nurse is preparing to write nursing diagnoses for a client.What should the nurse recall about the NANDA label?
A)Must contain three components
B)Describes the health problem for which nursing therapy is given
C)Helps define medical diagnoses for nursing
D)Promotes a taxonomy of nursing
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Chapter 13: Planning
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The neonatal intensive care nurse implements several actions to prevent further complications in a newly admitted premature infant.Which type of document did the nurse use to find these actions?
A)Standardized care plan
B)Protocol
C)Standards of care
D)Policy and procedure manual
Q2) 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
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Chapter 14: Implementing and Evaluating
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A client recovering from total knee replacement surgery falls out of bed on the night shift and dies.Which quality improvement actions should the nurse manager expect to complete for this client occurrence?
Standard Text: Select all that apply.
A)A root cause analysis
B)Paperwork about a sentinel event
C)Analysis of the nurse assigned to the client
D)Number of times the client was observed on the night shift
E)Number of hours since the client last received pain medication
Q2) The nurse manager has been appointed to implement a quality assurance program at the hospital.Which components should the manager prepare to evaluate for this program?
A)Methods
B)Structure
C)Finances
D)Process
E)Outcome
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Chapter 15: Documenting and Reporting
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse wants to adhere to practice guidelines that meet legal and ethical standards when documenting client care.Which actions should the nurse take to prove adherence?
Standard Text: Select all that apply.
A)Charting the client's response to pain medication taken
B)Describing the client as "appearing to be comfortable"
C)Leaving sufficient charting space for the previous shift to chart client teaching
D)Documenting that the client reports,"I'm so afraid of tomorrow's surgery"
E)Making a late entry regarding a client's request for pain medication
Q2) Before providing care,the nurse reviews the client's pertinent history,daily treatments,diagnostic procedures,allergies,problems,and other information.Which form should the nurse review to learn all of this information?
A)The client's medical record
B)The MAR (medication administration record)
C)The written care plan
D)The Kardex
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Chapter 16: Health Promotion
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A client has had a severe brain injury and has been in a rehabilitation hospital for several months.Recently,the client developed pneumonia and is currently on intravenous antibiotic therapy.Which level of prevention should the nurse use to address the health problem of pneumonia?
A)Primary
B)Secondary
C)Tertiary
D)Acute
Q2) A client has joined a fitness club and is working with the nurse to design a program for weight reduction and increased muscle tone.The client has tried exercise in the past with success,but has not been participating in a program for some time.In order to assess the potential for success with this client,the nurse should evaluate which of the behavior-specific cognitions?
A)Interpersonal influences
B)Perceived benefits of action
C)Situational influences
D)Perceived self-efficacy
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Chapter 17: Health, Wellness, and Illness
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) An occupational health nurse is surveying employees.Which employee should the nurse identify as being predisposed to an illness?
A)An employee who is in a middle-management position and takes stress from administration as well as the employees
B)An employee who works in the janitorial department
C)An employee who works 12-hour days,3 days a week
D)An employee who works 4 days on and 3 days off
Q2) The nurse case manager is concerned about a particular client being discharged from the hospital.Which factors should alert the nurse to possible problems with this client's adherence to treatment?
A)The prescribed therapy is costly and of unknown duration.
B)The therapy will require no lifestyle changes of the client.
C)The client has not had difficulty understanding the regimen.
D)The client's culture is supportive of Western medicine.
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9
Chapter 18: Culture and Heritage
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is preparing a menu for a Jewish client who observes kosher customs.Which food items would be appropriate to serve this client,assuming all have been properly inspected and prepared?
A)Hamburger,fruit,and milk
B)Fish,vegetables,and hot tea
C)Ham,baked potato,and fresh fruit
D)Cream soup,sausage,and toast
Q2) A client who is from a different culture than the nurse has not been able to achieve this goal: Client will select low-fat foods from a list by the end of the month.What should the nurse do?
A)Consider whether the client's belief system has been an influencing factor.
B)Extend the time frame and give the client a longer period to achieve the goal.
C)Make sure that the client understands the importance of the goal.
D)Select a different goal.
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Chapter 19: Complementary and Alternative Healing
Modalities
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A client living in a long-term care center has been withdrawn and subdued,and does not eat in the dining room because of embarrassment about her physical decline.What might the nurse suggest that provides opportunities for unconditional love,achievement of trust,responsibility,and empathy toward others?
A)Chelation therapy
B)Animal-assisted therapy
C)Meditation
D)Pilates
Q2) The nurse is instructing a client on meditation and relaxation.Which information should the nurse include in this teaching?
Standard Text: Select all that apply.
A)"Perform these techniques at least 2 hours after eating so as to concentrate all your body's energies."
B)"Practice these techniques in a comfortable,upright position."
C)"Remember to relax your muscles after you have successfully tightened a muscle group."
D)"Find a quiet,peaceful place to meditate."
E)"Set aside 60 minutes daily for meditation and relaxation."
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Chapter 20: Concepts of Growth and Development
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is plotting the height and weight of children during a school assessment clinic.Which aspect of the children's health is the nurse assessing?
A)Development
B)Health
C)Growth
D)Bone size
Q2) A child is starting school and is being screened for certain developmental milestones.What is the nurse assessing when determining how the child interacts with other children?
A)Temperament
B)Physical characteristics
C)Environment
D)Culture
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Page 12
Chapter 21: Promoting Health From Conception Through
Adolescence
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The parents of a newborn ask what their baby can see.What should the nurse respond to these parents?
A)"Babies aren't able to see until they are around 4 months old."
B)"Babies won't track moving objects until about 5 months."
C)"Newborns blink in response to bright lights and sound and will follow large objects."
D)"Newborns aren't able to focus,so everything looks blurry to them."
Q2) New parents ask if their 8-month-old baby is performing activities that are expected at this age.What should the nurse suggest to screen this baby's developmental level?
A)The Denver Developmental Screening Test (DDST-II)
B)Growth and development charts from the Centers for Disease Control and Prevention (CDC)
C)Assessment tools utilized by the state education department
D)The Apgar scoring system
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Chapter 22: Promoting Health in Young and Middle-Aged Adults
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A nurse is presenting an educational session regarding psychosocial development to a group of middle-aged adults.According to Erikson's theory,what activity should the nurse select to best meet the needs of this stage?
A)Providing opportunities to mentor school-age children
B)Giving the group handouts regarding peer socialization
C)Helping the members of this group find appropriate civic responsibility
D)Assisting the group members to look at their life accomplishments
Q2) A group of middle-aged clients is inquiring about nutrition-related health problems inherent in their age group.In order to best address these concerns of this specific age group,the nurse should take which action?
A)Provide information,including a website,regarding-age specific diet plans.
B)Give all clients a handout on diets recommended by the ADA.
C)Tell the clients to check with their physician before dieting.
D)Have them write to the U.S.Department of Agriculture for more information.
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Chapter 23: Promoting Health in Elders
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26 Verified Questions
26 Flashcards
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Sample Questions
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 hospitalized older client is recovering from an acute illness.As the client nears the end of his hospitalization,he questions the nurse about medications and care after discharge.The gerontological nurse should
A)inform the physician that the client needs to go to a nursing home.
B)assess the client's independence and ability to function in his own home before discharge.
C)tell the client not to worry about going home.
D)invite the client's family to come to the hospital so the nurse can explain the client's care to them.
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Chapter 24: Promoting Family Health
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) During a family assessment,the nurse asks "How,as a family,do you deal with disappointments or stressful changes that occur and affect the members of your family?" What is the nurse attempting to identify?
A)Family coping mechanisms
B)Whether the family experiences stress
C)Which family members are most stressed
D)Family dynamics
Q2) The nurse is preparing to assess a family regarding the impact of one of its members being diagnosed with diabetes.What should the nurse include in this assessment?
Standard Text: Select all that apply.
A)The seriousness of the disorder
B)Whether the family has ever dealt with a chronic illness before
C)The age of the affected member
D)The financial impact the illness will have on the family
E)The number of members of the family
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Chapter 25: Caring
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77905
Sample Questions
Q1) The graduate nurse learns of failing the NCLEX-RN examination but realizes that passing the examination is a challenge worth achieving.To improve her outlook,the graduate nurse writes positive affirmations that are reviewed daily before studying for the examination.Which affirmations would be the most beneficial for the graduate nurse to use?
Standard Text: Select all that apply.
A)I will focus on a new career.
B)I should have studied harder .
C)I am doing what brings me joy.
D)This is an opportunity to grow.
E)I cannot remember everything.
Q2) The nurse manager determines that a staff nurse demonstrates compassion when providing client care.What did the manager observe to come to this conclusion?
A)A nurse who has expert technical skills and has the most experience with critical care
B)A nurse who routinely gives back rubs to clients before they go to sleep
C)A nurse who has written procedures and policies in language that is both professional and realistic
D)A nurse who takes time to understand the spiritual needs of clients
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Chapter 26: Communicating
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse is beginning a helping relationship with a newly admitted client.Which behaviors should the nurse demonstrate that support this type of relationship?
Standard Text: Select all that apply.
A)Becoming familiar with the client's social history by reading the admission interview
B)Orienting the client to the physical layout of the facility as well as to the facility's policies
C)Gaining the client's trust by consistently keeping promises to return and "visit"
D)Respecting the client's wish to be alone after hearing about the loss of a family friend
E)Asking to remain with the client when he is experiencing symptoms of the flu
Q2) 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
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18
Chapter 27: Teaching
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/77903
Sample Questions
Q1) The nurse is documenting the teaching plan for a client.What should be included in this documentation?
Standard Text: Select all that apply.
A)Actual information to be taught
B)Teaching strategies to use
C)Skills to be taught
D)Amount of time needed to teach each topic
E)Vital signs before and after each teaching session
Q2) A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment.The client has been sullen and uncommunicative since receiving the diagnosis.How can the nurse best increase the client's motivation to learn?
A)Demonstrating the finger stick on the nurse
B)Offering to do the procedure for the client each time it is scheduled
C)Teaching the client's support system how to perform the procedure
D)Encouraging the client's participation each time the procedure is performed
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Chapter 28: Delegating, Managing, and Leading
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is determining whether an activity can be delegated to a UAP.What will the nurse use to make this determination?
Standard Text: Select all that apply.
A)Determine whether it is the right task.
B)Determine whether it is under the right circumstances.
C)Determine whether it is to the right person.
D)Determine the type of communication.
E)Determine whether there is enough time.
Q2) An unlicensed assistive person (UAP)is working on a rehabilitation unit.Which task would be appropriate for this person to delegate?
A)Taking and recording vital signs
B)Assisting with bathing
C)Making a bed
D)An unlicensed assistive person may not delegate tasks.
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Chapter 29: Vital Signs
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse needs to measure the temperature of a client who has a history of heart disease and has eaten a bowl of vegetable soup 45 minutes ago.Which site should the nurse use?
A)Axilla
B)Oral
C)Popliteal
D)Rectal
Q2) 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
Q3) The nurse is preparing to assess a client's blood pressure.Which artery will the nurse use for this assessment?
A)Brachial
B)Femoral
C)Radial
D)Ulnar
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Page 21
Chapter 30: Health Assessment
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is performing a musculoskeletal assessment on a client admitted with a possible stroke.When testing for muscle grip strength,the nurse should ask the client to perform which action?
A)Grasp the nurse's index and middle fingers while the nurse tries to pull the fingers out.
B)Hold an arm up and resist while the nurse tries to push it down.
C)Flex each arm and then try to extend it against the nurse's attempt to keep the arm in flexion.
D)Shrug the shoulders against the resistance of the nurse's hands.
Q2) The nurse is utilizing the technique of inspection during a physical examination with a client.When using this technique,the nurse will take which actions?
Standard Text: Select all that apply.
A)Visually observe a body area.
B)Obtain information through the sense of smell.
C)Obtain information through the sense of hearing.
D)Examine the body through the use of touch.
E)Strike the body to elicit a sound from a body part.
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Chapter 31: Asepsis
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is caring for a client with hepatitis A.Which technique should the nurse use to promote proper hand-washing technique with this client?
A)Allow the water to splatter forcibly when it is turned on.
B)Clean the faucet after use.
C)Hold the hands upward under the faucet.
D)Use approximately a teaspoon of soap.
Q2) A client in isolation ambulates with assistance to the bathroom.After toileting,what should the unlicensed assistive personnel do?
A)Assist the client with hand washing.
B)Assist the client back to bed.
C)Change the client's bed.
D)Leave the client's room.
Q3) The nurse is preparing discharge teaching for a client recovering from surgery.What instruction is the most important for the nurse to give this client who has a surgical wound?
A)Adjust the diet so it contains more fruits and vegetables.
B)Apply lubricating lotion to the edges of the wound.
C)Notify the physician of any edema,heat,or tenderness at the wound site.
D)Thoroughly irrigate the wound with hydrogen peroxide.
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Page 23
Chapter 32: Safety
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is reviewing safety with a home-care client.What should the nurse include in this teaching?
A)Always pull a plug at the plug-in from the wall outlet.
B)Keep plants in the home.
C)Use overloaded outlets when necessary.
D)Remove labels from containers and refill for recycling.
Q2) The home care nurse wants to ensure the safety of an older client who lives at home alone.Which intervention should the nurse identify as a way to prevent this client from falling?
A)Check vision every 5 years.
B)Exercise regularly.
C)Place socks on feet.
D)Turn the light on after getting out of bed.
Q3) 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
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Page 24
Chapter 33: Hygiene
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) 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.
Q2) The nurse is reviewing assigned clients for morning care needs.Which situation could pose a threat to one client's personal hygiene?
A)A client has a newly formed ileostomy.
B)A client performs meticulous foot care.
C)A German client refuses to bathe everyday.
D)The room temperature is set at 72°F.
Q3) While providing a complete bed bath to a client,the nurse discovers abrasions along the client's back and upper buttock area.What should the nurse do to help this client?
A)Apply antiseptic spray to the abrasions.
B)Do not wash the client with soap.
C)Find assistance to help with the remainder of the bath.
D)Apply alcohol-free lotion to the abrasions.
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Chapter 34: Diagnostic Testing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A client is being treated for tuberculosis,and the doctor writes an order to collect a sputum specimen.What is the rationale behind this order?
A)To test for acid-fast bacillus
B)To assess the effectiveness of therapy
C)To identify origin,structure,function,and pathology of cells
D)To identify the specific organism
Q2) A client is having a timed urine collection done.The unlicensed assistive personnel does not save one specimen.What should the nurse do?
A)Continue with the test,and document that one specimen is missing.
B)End the test immediately,and send what is collected to the laboratory.
C)Document that the test cannot be completed.
D)Start the test over.
Q3) An older client is having difficulty handling the specimen cup for a clean catch urine specimen.What can the nurse do to help this client?
A)Provide a clean funnel to pour the urine into the specimen cup.
B)Document that the specimen could not be obtained.
C)Catheterize the client for the specimen.
D)Ask the physician to obtain the specimen.
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Chapter 35: Medications
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Sample Questions
Q1) The nurse identifies that the ordered dose for a medication is twice the amount generally administered.What action should the nurse take?
A)Administer the medication as it was ordered.
B)Check to see if previous shift nurses gave the medication.
C)Collaborate with the prescriber about the order.
D)Administer only the standard dose of the medication.
Q2) While preparing to administer a transdermal estrogen patch,the nurse finds the previously applied patch in the client's bed linens.How can the nurse avoid this situation with the patch now being applied?
A)Shave the area where the patch is being applied.
B)Place a heating pad over the area where the patch is applied for 10 minutes after application.
C)Run a finger around the adhesive edges of the new patch before placing it on the client's skin.
D)Press firmly over the patch with the palm of the hand for about 10 seconds after applying it to the skin.
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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) The nurse is collecting a specimen from an infected wound.From which portion of the wound should the specimen be collected?
A)Clean areas of granulation tissue
B)Exudate in the bottom of the wound
C)A pus-coated area on the side of the wound
D)Intact skin at the edge of the wound
Q2) A client is prescribed steroid medication.When preparing discharge instructions,the nurse should include information about infection control because steroids cause
A)decreased oxygen supply to tissues.
B)suppression of the inflammatory process necessary for healing.
C)a decrease in the amount of nutrients such as glucose in the blood.
D)blood vessel constriction,which impairs waste product removal.
Q3) The nurse documents that a client's postoperative wound is purosanguinous.What did the nurse assess in this client's wound?
A)Water and red blood cells
B)Pus and red blood cells
C)Watery drainage
D)Pus
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Chapter 37: Perioperative Nursing
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) A client is scheduled for a cholecystectomy.The nurse realizes that the purpose for this surgery is
A)diagnostic.
B)palliative.
C)ablative.
D)constructive.
Q2) The nurse is completing a preoperative assessment with a client.What should this assessment include?
Standard Text: Select all that apply.
A)Current health status
B)Allergies
C)Current medications
D)Mental status
E)Respiratory rate
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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26 Verified Questions
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Sample Questions
Q1) A client diagnosed with congestive heart failure has been treated for many years with intravenous furosemide (Lasix).What sensory impairment should the nurse assess in this client?
A)Loss of ability to taste
B)Hearing loss
C)Vision loss
D)Loss of ability to smell
Q2) A client has been treated for diabetes mellitus since childhood.Currently,the client's blood glucose reading is 180 mg/dl.For which sensory disturbance should the nurse assess in this client?
A)Loss of ability to taste
B)Hearing loss
C)Vision loss
D)Loss of ability to smell
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Chapter 39: Self-Concept
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Source URL: https://quizplus.com/quiz/77891
Sample Questions
Q1) The parents of an adolescent report that their child has recently gotten into trouble at school for cheating on an examination and has been barred from participating in a school trip as a consequence of that action.They ask for the nurse's professional opinion about the suitability of the punishment.Which answer best supports self-esteem development in this adolescent?
A)"I think the punishment may be excessive.Have you talked with the school officials about the incident?"
B)"Because my expertise is in health,I really can't respond to your question."
C)"Honesty and respect for authorities is important.I am surprised that the punishment is not more extensive."
D)"Living with the consequences of your actions is a way to help the adolescent develop good self-esteem."
Q2) During an assessment,the nurse notes that a client frequently refers to his Native American heritage.The nurse determines that this heritage is a strong part of the client's A)personal identity.
B)body image.
C)role performance.
D)self-esteem.
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Chapter 40: Sexuality
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Sample Questions
Q1) The mother of a 5-year-old tells the nurse that her daughter has always been closer to her than to her husband.The mother expresses concern that,over the last 2 months,the little girl wants to spend all of her time with her father instead of with the mother.The nurse recognizes that this behavior
A)may indicate sexual abuse by the father and should be further investigated.
B)is a normal expectation of a preschooler developing sexuality.
C)indicates that the girl is overidentifying with the male gender.
D)can be a sign of precocious puberty and should be monitored.
Q2) 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.
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32
Chapter 41: Spirituality
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Sample Questions
Q1) A client who is facing a final surgery to save his life asks the nurse to stay and pray with him until the surgery begins.In which ways should the nurse demonstrate presencing with this client?
Standard Text: Select all that apply.
A)Adjusting the intravenous infusion
B)Talking with the client about the surgery
C)Sitting next to the client in the holding area
D)Praying with the client for divine intervention
E)Focusing on the client and fulfilling his needs
Q2) The nurse has identified that many of the clients in the long-term care facility have spiritual concerns and distress.What is the nurse's first step in becoming a competent provider for these clients?
A)The nurse must possess a healthy spiritual self-awareness.
B)The nurse must learn about diverse spiritual beliefs and practices.
C)The nurse should start going to church more often.
D)The nurse should establish regular religious services in the facility.
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Chapter 42: Stress and Coping
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Sample Questions
Q1) 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.
Q2) The nursing student admits to being mildly anxious about an upcoming examination.What is the likely result of this level of anxiety?
A)The student's perception and learning is enhanced.
B)The student's attention is focused solely on studying for the examination.
C)The student's only topic of conversation is the examination.
D)The student cannot talk about the examination without crying.
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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) An older client has just relocated from home to an assisted living facility.The nurse is concerned because the client has been withdrawn and is crying periodically throughout the day.What type of loss is this client demonstrating?
A)External objects
B)Familiar environment
C)Loved ones
D)Psychological
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Chapter 44: Rest
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Sample Questions
Q1) 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
Q2) The nurse is teaching a client on the use of a cane.What should the nurse include in this teaching?
Standard Text: Select all that apply.
A)Hold the cane on the weaker side of the body.
B)Move the cane forward while the body weight is between both legs.
C)The length of the cane should permit the elbow to be fully extended.
D)Move the weaker leg forward while the weight is between the cane and the stronger leg.
E)Move the stronger leg forward while the weight is between the cane and the weaker leg.
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Chapter 45: Activity and Exercise
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Sample Questions
Q1) A client tells the nurse about having problems falling and staying asleep.What should the nurse ask the client to gain more information about this client problem?
Standard Text: Select all that apply.
A)"How often does this happen?"
B)"How much coffee do you drink each day?"
C)"How do you feel when you wake up in the morning?"
D)"When do you eat your evening meal?"
E)"What have you done to deal with this sleeping problem?"
Q2) The nurse is developing a plan of care for a client diagnosed with narcolepsy.Which intervention should the nurse include in this plan of care?
A)Encourage the client to take an over-the-counter medication to improve nighttime sleep.
B)Be certain the client has the prescription for modafinil (Provigil)filled.
C)Have the client purchase sodium oxybate (Xyrem)over the counter to prevent daytime drowsiness.
D)Be certain the client obtains antihistamines to control nasal stuffiness.
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Chapter 46: Pain Management
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Sample Questions
Q1) A client is prescribed a medication that is a blend of an opioid analgesic with an NSAID.The nurse realizes that this medication will have which effects on the client?
Standard Text: Select all that apply.
A)Encourage the development of tolerance.
B)Encourage the development of addiction.
C)Maximize pain control while minimizing toxicity.
D)Maximize pain control while minimizing side effects.
E)Reduce the onset of pseudoaddiction.
Q2) The nurse is preparing to instruct a client on nonpharmacologic interventions that target the body for pain control.What should the nurse include in these instructions?
Standard Text: Select all that apply.
A)Massage
B)Acupressure
C)Self-hypnosis
D)Exercise
E)Nutritional supplements
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Chapter 47: Nutrition
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Sample Questions
Q1) The nurse has delegated administration of tube feeding to a specially trained UAP.What action should be taken by the nurse in regard to this delegation?
A)Order the equipment to give the feeding.
B)Check the tube for placement.
C)Set up the equipment and mix the feeding.
D)Regulate the rate of the feeding.
Q2) The parent of a newborn infant reports that the baby wakes up every 2 hours and only takes about 2 ounces of formula before going back to sleep.What instruction should the nurse give this parent?
A)Make the baby wait at least 3 hours between feedings.
B)Continue to feed the baby with this on-demand schedule.
C)When the baby gets sleepy during feeding,use techniques such as moving around and tickling to encourage wakefulness.
D)Offer the baby less formula to prevent waste.
Q3) A client is prescribed a 1600-calorie diet.Of this diet,30% of the intake should be protein,20% fat,and 50% carbohydrates.How many grams of carbohydrates should the client ingest every day?
Standard Text: Calculate to the nearest whole number.
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Chapter 48: Urinary Elimination
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Q1) Which intervention would the nurse plan to help a client prevent a urinary tract infection?
A)Encourage the use of bubble baths.
B)Have the client increase sugar in the diet.
C)Instruct the client to empty the bladder completely.
D)Wipe from back to front.
Q2) A client is having issues with urinary elimination.What should the nurse instruct this client to promote urinary elimination?
A)Don't interrupt your day by going to the bathroom;wait until you're at a good stopping place.
B)Drink 8 to 10 glasses of water daily.
C)Urine color changes are not important.
D)Wash with soap and water every other day.
Q3) Which nursing diagnosis would be appropriate for a client who has a retention catheter if the drainage bag is found lying on the floor?
A)Risk for Impaired Skin Integrity related to catheter placement
B)Risk for Infection related to improper handling
C)Self-Care Deficit related to presence of a retention catheter
D)Risk for Incontinence related to an obstruction
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Page 40
Chapter 49: Fecal Elimination
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Sample Questions
Q1) The nurse is caring for the stoma of a client who has a colostomy.Which action is the most appropriate?
A)Apply pressure over the stoma.
B)Clean the stoma and pat dry.
C)Dilate the stoma.
D)Scrub the stoma.
Q2) The nurse is caring for a client who experiences frequent bouts of diarrhea.What should the nurse instruct the client to do?
A)Change the daily routine.
B)Decrease fluid consumption.
C)Increase fiber in the diet.
D)Note the precipitating event.
Q3) A client is prescribed to receive a cleansing enema.What should the nurse instruct the client prior to administering this enema?
A)Hold the solution for a short time.
B)Lie in the left lateral position.
C)Lie in the right lateral position.
D)Take fast breaths through the nose.
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Chapter 50: Oxygenation
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Sample Questions
Q1) Before administering the prescribed medication propranolol (Inderal)to a client,the nurse contacts the health care provider to the order.What health problems did the client have that caused the nurse to the medication order?
Standard Text: Select all that apply.
A)COPD
B)Asthma
C)Arthritis
D)Gastritis
E)Heart failure
Q2) 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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Sample Questions
Q1) The client is admitted with a possible deep vein thrombosis.Nursing interventions should be designed to prevent which complication?
A)Myocardial infarction
B)Renal failure
C)Pulmonary embolism
D)Pneumonia
Q2) The client has a history of recurrent transient ischemic attack (TIA).Based upon this history the nurse should be most concerned about the client's potential to develop A)renal failure.
B)gangrene.
C)myocardial infarction.
D)stroke.
Q3) The nurse is assessing a newly admitted client for the presence of impaired peripheral arterial circulation.Which finding would be significant to this condition?
A)Ruddy skin color over legs
B)Bounding pedal pulses
C)Hot spots on the feet and legs
D)Decreased hair on the legs
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Chapter 52: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) Ten minutes after the transfusion of a unit of packed red blood cells was initiated,the client complains of a headache.The nurse assesses that the client has slight shortness of breath and feels warm to the touch.What action by the nurse is priority?
A)Notify the client's physician.
B)Discontinue the transfusion.
C)Slow the rate of the transfusion.
D)Prepare to resuscitate the client.
Q2) A client has had a subclavian central venous catheter inserted.What should the nurse assess as a priority for this client's care?
A)Presence of bibasilar crackles
B)Tachycardia
C)Decreased pedal pulses
D)Headache
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