Fundamentals of Nursing Exam Materials
Course Introduction
Fundamentals of Nursing introduces students to the essential principles, skills, and concepts necessary for professional nursing practice. The course emphasizes foundational knowledge in areas such as patient care, infection control, safety, communication, and ethical-legal considerations. Through a combination of theoretical instruction and practical laboratory experiences, students learn to perform basic nursing procedures, assess patient needs, and implement care plans. This course sets the groundwork for further study in specialized nursing areas and fosters critical thinking, clinical reasoning, and a compassionate approach to patient-centered care.
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 greeting a newly admitted client.What statement should the nurse make to establish rapport with this client?
A)"Hello,I'm your nurse and I'll be taking care of you today."
B)"You're lucky-there are no students on the unit today."
C)"Good morning,is there anything you need right now?"
D)"Hi.If you need anything,put on your call light."
Q2) While conducting a dressing change,the nurse notes a new area of skin breakdown that was caused from the tape used to secure the dressing.In which phase of the nursing process is the nurse working?
A)Assessment
B)Diagnosis
C)Implementation
D)Evaluation
Q3) 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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Page 3
Chapter 12: Diagnosing
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) After communicating with the client and family,the nurse compares a client's problem list with identified nursing diagnoses.What action is the nurse performing to minimize diagnostic errors?
A)Understanding what is normal vs.what is not normal
B)Verifying
C)Consulting resources
D)Basing diagnoses on patterns
Q2) After formulating several diagnoses,the nurse does not understand the reason for some of the discrepancies in the client's lab values and diagnostic tests,when comparing to norms and standards.Which action should the nurse take?
A)Verify the information with the client.
B)Compare all findings to the national norms and standards.
C)Consult other professionals and colleagues.
D)Improve critical thinking skills so answers come more easily.
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4
Chapter 13: Planning
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse identifies for a client the nursing diagnosis "Fluid volume deficit,related to active fluid loss,secondary to diarrhea." What would be and appropriate goal statement for this diagnosis?
A)Client will drink more fluids by tomorrow.
B)Client will have good skin turgor.
C)Client will have moist mucous membranes.
D)Client will have intake of at least 1000 mL within 24 hours.
Q2) The nurse is reviewing the Nursing Outcomes Classification (NOC)taxonomy system.To what can the nurse compare this taxonomy?
A)Nursing diagnosis statement
B)Planning portion of the care plan
C)Goal statement of the traditional care plan
D)Implementation phase of the care plan
Q3) A discharge goal for a client is to have improved mobility.Which outcome statement did the nurse write appropriately?
A)Client will ambulate without a walker by 6 weeks.
B)Client will ambulate freely in house.
C)Client will not fall.
D)Client will have freer movement in daily activities.
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Page 5
Chapter 14: Implementing and Evaluating
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A client has neurologic deficits that are causing tremors,unsteadiness,and weakness.An appropriate diagnosis of Risk for Falls related to unsteady gait,secondary to neurologic dysfunction has been formulated.A goal for this client is not to sustain any injuries for the next month;however,the client has fallen several times.In this situation,what should the nurse do?
A)Review the data and make sure that the diagnosis is relevant.
B)Investigate whether the best nursing interventions were selected.
C)Modify the whole nursing plan.
D)Discard the nursing plan and start over from the assessment phase.
Q2) A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." What statement demonstrates that the nurse appropriately evaluated this goal?
A)Goal not met,client able to state one positive aspect by the end of the week.
B)Goal met,client able to state one positive aspect by the end of the week.
C)Goal met,client able to state two positive aspects of therapy by week's end.
D)Goal incomplete,client not able to positively state anything about rehab.
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6
Chapter 15: Documenting and Reporting
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is reviewing a client's chart in a facility that utilizes problem-oriented recording.In which section would the nurse find the most recent physician orders?
A)Database
B)Problem list
C)Plan of care
D)Progress notes
Q2) When responding to a call light,the nurse finds a client lying on the floor,with the bed linens around the legs.Which chart entry should the nurse document for this finding?
A)Client fell out of bed,but did push the call button for assistance.
B)Client became tangled in the bed linens,then called for assistance after falling out of bed.
C)Recorder responded to client's call light,upon entering the room,found client on floor.
D)Client found on floor,appeared to have fallen out of bed as a result of getting tangled in bed linens.
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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 with diabetes wants to have better control over her blood sugar levels.She has set a goal that she will have laboratory values that reflect this,and she has been monitoring her blood sugar twice a day for the past month.Along with regular checks,she has kept all appointments with her nutritionist.This client is modeling which stage of health behavior change?
A)Termination stage
B)Maintenance stage
C)Contemplation stage
D)Action stage
Q2) Several nursing students have been discussing the benefits of joining a study group.They realize the importance of applying nursing knowledge to the clinical area and determine that together they may be more effective in retaining this information than if they continued in their individual settings.Which stage of behavior change are they exemplifying?
A)Termination stage
B)Preparation stage
C)Contemplation stage
D)Action stage
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8
Chapter 17: Health, Wellness, and Illness
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse educator is reviewing internal variables that affect people's health status.On which variables is this nurse focusing?
Standard Text: Select all that aply.
A)Genetic makeup
B)Age
C)Developmental level
D)Environment
E)Spiritual and religious beliefs
Q2) A nurse is conducting a community assessment to determine which diseases are prevalent and most likely to occur.The nurse is basing the assessment on which model of health?
A)Role performance
B)Eudemonistic
C)Ecological
D)Adaptive
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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) Before a client goes to surgery,he requests to have his spiritual leader present and pray over him.According to the HEALTH traditions model,which traditional method is the client invoking?
A)Maintaining HEALTH
B)Protecting HEALTH
C)Restoring HEALTH
D)Changing HEALTH
Q2) The nurse is teaching a client from a culture that is "present oriented" about a dressing change that should be performed twice a day.How should the nurse address the cultural issue?
A)Allow the client to select the times the dressing will be changed.
B)Instruct the client to change the dressing after breakfast and before going to bed.
C)Explain that the client should complete the dressing change at 10 AM and 4 PM.
D)Suggest that the dressing change can be performed whenever the client chooses,as long as it gets done twice daily.
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Chapter 19: Complementary and Alternative Healing
Modalities
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77911
Sample Questions
Q1) The nurse is working with a client who,during her interview,expresses feelings of groundedness.The nurse interprets this to mean that the client
A)is full of energy.
B)feels connected to her reality.
C)is focused on her center of energy.
D)feels "down in the dumps."
Q2) The nurse is preparing to assess a group of assigned clients with chronic illnesses who use essential oils.For which health problem should the nurse particularly assess the clients?
A)Hypertension
B)Cardiac problems
C)Asthma
D)Cancer
Q3) The client asks whether herbal medicines are a "good idea." What should the nurse respond?
A)"Things found in nature are always healthy."
B)"If your doctor didn't prescribe it,don't take it."
C)"Are there specific ones you're wondering about?"
D)"Everything is good in moderation."
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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) 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 parent brings her baby in for a well-child checkup.Which action of the child should the nurse identify as an indicator of positive resolution of the central task of this age?
A)The child does not cry when the parent allows the nurse to hold the child.
B)The child shows mistrust when strangers approach.
C)The child becomes willful when disciplined.
D)The child does not play with other children.
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Chapter 21: Promoting Health From Conception Through Adolescence
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) 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
Q2) The parents of a newborn male ask the nurse about pain during circumcision.What should the nurse respond to these parents?
A)"Newborns can't feel pain,so don't worry about it."
B)"We'll make sure to bring your baby to you right after the procedure,so you can comfort him."
C)"I'll have the pediatrician speak to you about it."
D)"Newborns' pain experience is real.We'll use some medication to help your baby feel more comfortable."
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Page 13
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) The nurse is providing assistance at a community health fair for middle-aged clients.Which information should the nurse use when working with this group of clients?
A)The middle-aged person has decreased intellectual and cognitive abilities as a result of the normal aging process.
B)Adults make the transition into this stage easily and without problems.
C)Physical capabilities and functions decrease with age,but mental and social capacities tend to increase in the latter part of life.
D)Cognitive and intellectual abilities are somewhat decreased due to slower reaction time,loss of memory,and changes in perception and problem solving.
Q2) A middle-aged client is struggling with life changes,including menopause.What is the best response by the nurse to this client?
A)"Don't worry-menopause can't last forever."
B)"There are some very good antidepressants you can take."
C)"What did your mother do to get through menopause?"
D)"There is a menopause support group that meets every 2 weeks."
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Page 14
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 nurse who works in a long-term care facility has noticed that one of the residents has been showing signs of impaired cognitive and self-care abilities over the last 2 weeks.The nurse should
A)remember that memory loss is a normal,age-related change.
B)investigate for possible physiologic problems.
C)instruct the staff to be extra attentive,as this person needs more assistance.
D)inform the resident's family that the resident probably has some form of dementia.
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15
Chapter 24: Promoting Family Health
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/77906
Sample Questions
Q1) The nurse is planning to use the structural-functional theory when assessing a family new to a community.What should the nurse include when conducting this assessment?
Standard Text: Select all that apply.
A)Individuals in the family
B)The family's sense of purpose
C)Relationships among family members
D)Strategies to restrict outside influences on the family
E)The approach the family uses to socialize new family members
Q2) The nurse has been working with a family at the community health office and is concerned about signs of family violence.Which finding should the nurse identify as most concerning?
A)The baby always seems to have a cold.
B)One of the children never speaks and seems "on guard" when in the presence of a parent.
C)The family's clothes are relatively clean,but the children usually have some kind of dirt stain on their shirts or pants.
D)The family does not have a regular physician.
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Page 16
Chapter 25: Caring
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse manager has been dealing with staffing problems and high patient acuity on the unit.The director of nursing unit has been sensitive to other issues in the past,so the nurse manager decides to approach her with these new concerns.Which aspect of caring is the nurse manager demonstrating?
A)Knowing
B)Trust
C)Humility
D)Courage
Q2) The nurse is working in a busy intensive care unit.A client is admitted with extensive medical problems and requires a ventilator.Because the nurse already has two other clients assigned to his care,he requests that the nurse manager change assignments so that appropriate attention can be given to this new admission.According to Roach's six C's of caring,which one is the nurse emulating?
A)Compassion
B)Confidence
C)Commitment
D)Conscience
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Chapter 26: Communicating
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/77904
Sample Questions
Q1) The graduate nurse is thinking about leaving a new job because of actions demonstrated by the nurse manager.Which actions should the graduate nurse identify as bullying?
Standard Text: Select all that apply.
A)Pairing the graduate with a seasoned nurse to assist with learning new skills
B)Asking the graduate to participate in client rounds with the new interns on the care area
C)Confronting the graduate by stating that refusing an assignment is grounds for dismissal
D)Stating that requests for vacation time will be denied because the nurse asks too many questions
E)Assigning the graduate nurse a complicated client with needs that the graduate is not comfortable performing
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
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Sample Questions
Q1) The nurse is preparing to teach a client on skin care and application of a stoma device.What should the nurse keep in mind when teaching the client this information?
Standard Text: Select all that apply.
A)Address the client's concerns first.
B)Assess what the client knows already.
C)Address anxiety-producing issues last.
D)Teach the basics before complicated tasks.
E)Leave time for review and answering questions.
Q2) 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
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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 nursing staff is informed that the current system of record keeping is going to be changed to make it more efficient.In which stage of change is the nursing staff?
A)Refreezing
B)Unfreezing
C)Moving
D)Drift
Q2) A staff nurse has been identified by others as being an effective leader.With this designation,the nurse implements which principles?
Standard Text: Select all that apply.
A)Vision
B)Influence
C)Serve as a role model
D)Planning
E)Organizing
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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 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
Q2) While waiting for the physician to respond regarding a client's elevated temperature,what can the nurse do to assist the client?
A)Bathe the client with ice water.
B)Give the client an antipyretic.
C)Increase fluid intake.
D)Lower the room temperature.
Q3) Which determinant of blood pressure would explain a client's blood pressure reading of 120/100?
A)Blood viscosity
B)Blood volume
C)Pumping action of the heart
D)Peripheral vascular resistance
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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 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 caring for a client following a cerebrovascular accident (stroke).The client is able to comprehend what is being said to him;however,he is unable to respond by speech or writing.What type of aphasia should the nurse realize this patient is demonstrating?
A)Auditory aphasia
B)Acoustic aphasia
C)Sensory aphasia
D)Expressive aphasia
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22
Chapter 31: Asepsis
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse determines that a client has active immunity to a microorganism.What did the nurse assess that caused the client to develop this type of immunity?
A)Becoming ill with tetanus and receiving tetanus toxoid
B)Having chickenpox
C)Receiving a rabies shot after being bitten by a rabid dog
D)Receiving an injection of gamma globulin
Q2) The nurse is setting up a sterile field.Which action by the nurse best exhibits surgical asepsis?
A)Disinfecting an item before adding it to a sterile field
B)Allowing sterile gloved hands to fall below the waist
C)Suctioning the oral cavity of an unconscious client
D)Touching only the inside surface of the first glove while pulling it onto the hand
Q3) The nurse is planning care for a client.Which intervention would be appropriate to reduce the risk of infection?
A)Assess vital signs only once daily.
B)Raise the temperature in the client's room.
C)Wash hands.
D)Wear a mask for all client care.
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Chapter 32: Safety
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who is confused and wanders.Which alternative to a restraint can the nurse use for this client?
A)Assign this client to the farthest room from the nurses' station.
B)Place a rocking chair in the client's room.
C)Pull up all of the side rails on the bed.
D)Wedge pillows against the side rails on the bed.
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?
Standard Text: 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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Chapter 33: Hygiene
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77897
Sample Questions
Q1) A client recovering from acute illness has just received a tub bath.When documenting the bath,what should the nurse include?
Standard Text: Select all that apply.
A)Client's ability to maintain a conversation during the procedure
B)Client's tolerance of the procedure
C)Condition and integrity of the skin
D)Client strength
E)Percentage of bath done without assistance
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) A client's hearing aid needs to be removed.What action should the nurse perform?
A)Assist the client with removal when necessary.
B)Instruct the client to remove the aid in the sunroom.
C)Leave the aid in place when bathing.
D)Send the aid home with the family.
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Page 25
Chapter 34: Diagnostic Testing
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30 Flashcards
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Sample Questions
Q1) Unlicensed assistive personnel (UAP)will be conducting a test on a client's urine.What should the nurse instruct the UAP about the test?
Standard Text: 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.
Q2) A client has just completed a bone marrow biopsy.What should the nurse document about the client at this time?
Standard Text: Select all that apply.
A)Client's tolerance of the procedure
B)Bowel sounds
C)The site for bleeding
D)Status of deep tendon reflexes
E)Presence of pain and any pain medication received
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Chapter 35: Medications
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Sample Questions
Q1) The nurse is reviewing a new medication order for a client,and determines that the order is incomplete when which element is missing?
Standard Text: Select all that apply.
A)Client's address
B)Dispensing instructions for the pharmacist
C)Name of the medication
D)Dosage
E)Route of administration
Q2) A client is prescribed a new medication.The pharmacy notifies the nurse that the dosage is outside of route prescribing limits.The nurse is unable to reach the prescribing physician about the order.What should the nurse do?
A)Give the medication to the client as prescribed.
B)Withhold the medication.
C)Give one-half of the medication dose prescribed.
D)Administer the medication through the oral route.
Q3) A client weighing 220 lbs.is prescribed to receive 25 mg/kg of a medication,divided over 4 equal doses.How many mg of the medication should the nurse provide for each dose?
Standard Text: Round to the nearest whole number.
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Page 27
Chapter 36: Skin Integrity and Wound Care
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77894
Sample Questions
Q1) While changing a client's dressing,the nurse notes thick yellow-green drainage on the gauze.How should the nurse document this wound's drainage?
A)Purulent
B)Serous
C)Sanguineous
D)Serosanguinous
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 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
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28
Chapter 37: Perioperative Nursing
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The nurse is obtaining preoperative assessment data.What should be included in this assessment?
Standard Text: Select all that apply.
A)Current health status
B)Allergies
C)Current medications
D)Mental status
E)Mother's maiden name
Q2) 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/77892
Sample Questions
Q1) The family of a client in the hospital is concerned about the constant noise in the care area.Which health care professionals have the greatest control over the level of sensory input in the hospital?
A)Physicians
B)Administrators
C)Nurses
D)Planners
Q2) A client is experiencing acute confusion.What nursing actions would be appropriate for this client?
Standard Text: Select all that apply.
A)Eliminate unnecessary noise.
B)Keep eyeglasses within reach.
C)Place a calendar in the room,and identify each day.
D)Keep the room well lit during waking hours.
E)Provide dark glasses.
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Chapter 39: Self-Concept
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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) Which characteristic of self-esteem will make it difficult for the nurse to plan interventions for a client?
A)Low motivation to improve
B)A focus on problems
C)Expressed disinterest in working on improvement
D)Not satisfied with personal situation
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Chapter 40: Sexuality
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Sample Questions
Q1) A recently married couple is trying to conceive a child.The husband is a collegiate athlete and his coach forbids sexual activity for 2 days prior to a game.The wife asks the nurse if abstinence before the game is necessary.What is the best response?
A)As long as intercourse is not involved,there is no reason to avoid sexual activity.
B)Some residual physical weakness is common for up to 18 hours after sex.
C)This is a common myth among athletes,but there is no basis in fact.
D)In fact,sexual activity before intense physical exercise increases stamina and endurance.
Q2) In discussion with teenagers,the nurse chooses to use the term sexually transmitted infection rather than sexually transmitted disease.What is the rationale for this choice?
A)Infection is a much more precise term for the transmission that occurs.
B)The word disease may elicit guilt,shame,and fear in the client.
C)Sexually transmitted disease does not receive as much third-party reimbursement as does sexually transmitted infection.
D)These terms can be used interchangeably and there is no good rationale for using one over the other.
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Chapter 41: Spirituality
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Sample Questions
Q1) During the morning bath,the client asks if the nurse is religious and believes in God.What would be most helpful for the nurse to consider in formulating a response to this question?
A)The nurse's personal life is none of the client's business.
B)Religion and politics are two subjects not discussed in polite interactions.
C)Will sharing this information positively contribute to the relationship?
D)What is the culture of the facility regarding self-disclosure?
Q2) The client states,"I don't know what all this fuss is about religion.God died years ago." The nurse does believe in God and has a strong inclination to share reasons for that belief with the client.What is the best for the nurse to consider before responding to the client's remark?
A)"Will I get into trouble if I say anything?"
B)"How much longer will I be caring for this client?"
C)"Am I meeting my needs or the client's?"
D)"How can I best make this client understand?"
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Chapter 42: Stress and Coping
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Sample Questions
Q1) The nurse asks a client what strategies he uses to cope with stress.The client does not respond.What should the nurse do?
Standard Text: Select all that apply.
A)Document that the client has no stress.
B)Move on with the assessment.
C)Ask the client whether crying occurs.
D)Suggest that the client use humor or exercise.
E)Question the use of anger.
Q2) The client who has been experiencing slight anxiety is now communicating in a manner that makes it difficult for the nurse to understand the client's needs.The nurse suspects the client has progressed to which anxiety level?
A)Mild
B)Moderate
C)Severe
D)Panic
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Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) A client with end-stage renal disease knows that he is dying but refuses to talk about it with his spouse.At times the spouse talks with the nursing staff about the client's condition but adamantly refuses to discuss death with the client.What will be the outcomes of this situation?
Standard Text: Select all that apply.
A)Client has dignity
B)Client has privacy
C)Client can finalize affairs
D)Client can plan own funeral
E)Client burdened with no one to confide in
Q2) When observing an older client's response upon learning of the death of a close family friend,the nurse realizes that the significance of the loss to the client is dependent upon which factors
Standard Text: Select all that apply.
A)Importance of the person to the client
B)Amount of changes that will occur because of the loss
C)The client's beliefs
D)The client's values
E)The client's socioeconomic status
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Chapter 44: Rest
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Sample Questions
Q1) The client who is unconscious is developing foot drop.What nursing action is indicated?
A)Place high-topped shoes on the client while in bed.
B)Keep the linens on the end of the bed turned back to expose the feet.
C)Use only the prone and Sims positions for client positioning.
D)Use a device to elevate the linens off the feet.
Q2) During a prenatal visit,the nurse is instructing a newly pregnant client in regard to exercise.What advice is best for the nurse to give this client?
A)Pregnant clients can exercise if exercise was a part of their life prior to pregnancy.
B)Due to the stress of a growing fetus,exercise should be limited to no more than 10 minutes per day.
C)Healthy pregnant women should exercise at least 30 minutes on most if not all days.
D)The pregnant woman's exercise should actually increase above normal recommended levels to prevent water weight gain.
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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) A client complains of not being able to stay awake during the day even after sleeping throughout the night.What should the nurse suggestion to this client?
A)Go to your physician for a physical examination.
B)Go to a mental health professional for evaluation of possible depression.
C)Purchase an over-the-counter sleep aid to deepen nighttime sleep.
D)Drink more caffeinated beverages in the daytime to stay awake.
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Chapter 46: Pain Management
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Sample Questions
Q1) A client is experiencing pain after spraining an ankle.The nurse realizes that the client is most likely experiencing which type of pain?
A)Mild pain
B)Severe pain
C)Somatic pain
D)Visceral pain
Q2) The client scheduled to undergo minor surgery states,"The physician will not give me pain medication after surgery because my surgery is only minor." What is the best response by the nurse?
A)"You can experience pain after minor surgery,so you can have pain medication."
B)"You are correct.The physician will not order any pain medication."
C)"You are correct.I will need to teach you nonpharmacologic pain relief measures."
D)" You can only have about half the dose because your surgery is minor."
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Chapter 47: Nutrition
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Sample Questions
Q1) A client diagnosed with negative nitrogen balance tells the nurse about participating in ritualistic fasts as a part of his culture.The client abstains from all food for several days at a time.What should the nurse discuss with the client regarding this practice?
A)The amount of weight the client will lose during the fasts
B)The need to ingest some carbohydrates for body functions
C)The amount of calories the client will need to ingest after fasting for several days
D)The importance of the practice to the client
Q2) The nurse is instructing a client on foods that are considered complete proteins.What will the nurse include in these instructions?
Standard Text: Select all that apply.
A)Meat
B)Gelatin
C)Eggs
D)Chicken
E)Fish
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Chapter 48: Urinary Elimination
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Sample Questions
Q1) The nurse is assessing a client's urinary elimination.Which factor should the nurse keep in mind as influencing this elimination?
A)Age
B)Body image
C)Knowledge
D)Socioeconomic status
Q2) The nurse should incorporate which instructions into the teaching plan for a client with a urinary diversion?
A)Change the appliance several times a day.
B)Increase fluid intake.
C)Notify the physician if the stoma is deep pink and shiny.
D)Strands of blood may appear in the urine.
Q3) The nurse has completed closed irrigation of a client's retention catheter.What specific information should the nurse document about this procedure?
A)Number of ml of solution used to inflate the balloon of the catheter
B)Abnormal drainage,such as blood clots,pus,or mucous shreds
C)Location of the draining bag
D)Technique used to conduct the irrigation
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Chapter 49: Fecal Elimination
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Sample Questions
Q1) The nurse has completed care with a client who has a new ostomy.What should the nurse document about the care provided?
Standard Text: Select all that apply.
A)Any change in stoma size
B)Condition of the skin around the stoma
C)Amount and type of drainage
D)Client's response to the procedure
E)Degree of bowel sounds after care provided
Q2) A client has a bowel movement of hard,dry,but formed stool.The nurse associates these characteristics with A)bowel incontinence.
B)constipation.
C)diarrhea.
D)fecal impaction.
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Chapter 50: Oxygenation
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Sample Questions
Q1) The nurse has just initiated oxygen by nasal cannula for a client with the medical diagnosis of chronic obstructive pulmonary disease.What is the nurse's next action?
A)Fill the humidifier with normal saline.
B)Pad the tubing where it contacts the client's ears.
C)Set the oxygen delivery to 5 liters.
D)Secure the cannula with ties around the client's head.
Q2) The nurse is determining a client's ability to transport oxygen from the lungs to body tissues.What factors will influence this ability?
Standard Text: Select all that apply.
A)Cardiac output
B)Exercise
C)Diet
D)Erythrocyte count
E)Hematocrit
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Chapter 51: Circulation
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Sample Questions
Q1) The post-myocardial infarction client asks the nurse about return to exercise.What information should the nurse give this client?
A)It is better to exercise when it is cold.
B)Environmental temperatures have little impact on cardiac function.
C)Avoid exercise when the weather is hot or cold.
D)Hot temperatures increase peripheral blood vessel contraction.
Q2) A client is diagnosed with anemia.What will the nurse most likely assess in this client as evidence of an alteration in cardiovascular functioning?
Standard Text: Select all that apply.
A)Chronic fatigue
B)Lower-extremity edema
C)Pallor
D)Shortness of breath
E)Hypotension
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Chapter 52: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) After obtaining a unit of packed red blood cells for a client,the nurse learns the client needed to leave the care area for an emergency x-ray.What action should the nurse take?
A)Set up the blood with the IV fluid and y-tubing and place it on the IV stand in the client's room to initiate immediately after the client returns.
B)Place the blood in the unit refrigerator until the client returns.
C)Return the blood to the laboratory blood bank until the client returns.
D)Set up the blood with the IV fluid and y-tubing and place it in the unit medication room to initiate immediately after the client returns.
Q2) The mother of a 1-month-old infant is concerned because the infant has had vomiting and diarrhea for 2 days.What instruction should the nurse give this infant's mother?
A)Have the infant be seen by a physician
B)Give the infant at least 2 ounces of juice every 2 hours.
C)Measure the infant's urine output for 24 hours.
D)Provide the infant with 50 mL of glucose water.
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