Fundamentals of Nursing Exam Questions
Course Introduction
Fundamentals of Nursing introduces students to the essential principles, skills, and values underlying professional nursing practice. Through a combination of theoretical concepts and hands-on laboratory experiences, the course emphasizes patient-centered care, clinical reasoning, and evidence-based practices. Topics include the nursing process, health assessment, safety, infection control, communication, ethics, and basic patient care techniques. By the end of the course, students will possess a foundational understanding of the nurse's role in promoting health, preventing illness, and providing holistic care across the lifespan in various healthcare settings.
Recommended Textbook
Fundamentals of Nursing Two Volume Set 3rd Edition by Judith M. Wilkinson
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46 Chapters
1461 Verified Questions
1461 Flashcards
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Chapter 1: Evolution of Nursing Thought Action
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Each U.S.state has its own state board of nursing responsible for protecting the health,safety,and welfare of the general public.The state board of nursing meets these responsibilities by performing which of the following functions? Select all that apply.
A) Advocating for nursing student issues
B) Determining the nurse's scope of practice
C) Enforcing the rules that govern nursing
D) Writing the laws that regulate nursing
Answer: B,C
Q2) Which type of managed care allows patients the greatest choice of providers,medications,and medical devices?
A) Health maintenance organization
B) Integrated delivery network
C) Preferred provider organization
D) Employment-based private insurance
Answer: C
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Chapter 2: Critical Thinking: Nursing Process
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is caring for a client with heart failure.She begins to obtain the client's history and vital signs and then listens to breath sounds.The nurse is practicing which aspect of the Nursing Process?
A) Assessment
B) Planning interventions
C) Planning outcomes
D) Evaluation
Answer: A
Q2) It is important for nurses to be critical thinkers because:
A) All clients are unique and have individual needs and differences
B) All nursing actions are based on theoretical knowledge
C) Nurses choose their actions primarily by following professional guidelines
D) Nurses provide care based on individual client preferences
Answer: A
Q3) What do critical thinking and the Nursing Process have in common?
A) They are both linear processes used to guide one's thinking.
B) They are both thinking methods used to solve a problem.
C) They both use specific steps to solve a problem.
D) They both use similar steps to solve a problem.
Answer: B
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Chapter 3: Nursing Process: Assessment
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The patient comes to the emergency department complaining of chest pain.What question by the nurse will encourage the patient to provide the most details about the pain?
A) "When did your chest pain begin?"
B) "On a scale of 0 to 10, what is your pain level?"
C) "Would you please tell me more about the pain you are having?"
D) "Have you taken any medication for your pain?"
Answer: C
Q2) Which of the following is an example of data that should be validated?
A) The client's weight measures 185 lb at the clinic.
B) The client's liver function test results are elevated.
C) The client's blood pressure reading is 160/94 mm Hg; he states that is typical for him.
D) The client states she eats a low-sodium diet; she reports eating processed food.
Answer: D
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5
Chapter 4: Nursing Process: Diagnosis
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Based only on Maslow's Hierarchy of Needs,which nursing diagnosis should have the highest priority?
A) Self-Care Deficit
B) Risk for Aspiration
C) Impaired Physical Mobility
D) Functional Urinary Incontinence
Q2) Which of the following reflects the most accurate use of an etiology?
A) Knowledge deficit related to abdominal ultrasound
B) Knowledge deficit related to incorrect use of walker
C) Knowledge deficit related to diabetes
D) Knowledge deficit related to age
Q3) After identifying problems and etiologies and prior to writing a nursing diagnosis statement,the nurse would:
A) Verify the nursing diagnosis with the patient
B) Verify information with the primary care provider
C) Check the medical diagnosis for consistency in treatments
D) Review the data and the diagnosis with another nurse
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6
Chapter 5: Nursing Process: Planning Outcomes
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) How are critical pathways and standardized nursing care plans similar? Both:
A) Specify daily, or even hourly, outcomes and interventions
B) Prescribe minimal care needed to meet recommended lengths of stay
C) Describe care common to all patients with a certain condition or situation
D) Emphasize medical problems and interventions
Q2) How are NANDA-I problem labels and NOC outcome labels alike? Both describe:
A) Health status in terms of human responses
B) Patient response before interventions are done
C) Patient response in positive terms
D) A pattern of related cues
Q3) How are standardized (model)care plans similar to unit standards of care? Standardized (model)care plans :
A) Describe the care needed by patients in defined situations
B) Include specific goals and nursing orders
C) Become a part of the patient's comprehensive care plan
D) Usually describe ideal nursing care
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Chapter 6: Nursing Process: Planning Interventions
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following nursing interventions is an indirect-care intervention?
A) Emotional support
B) Teaching
C) Consulting
D) Physical care
Q2) Which of the following best describes evidence-based practice?
A) Tool developed by a healthcare organization for its own use to guide best nursing practice
B) An approach that uses the best scientific data to guide nursing practice
C) Nurses who uses clinical judgment and expertise to guide nursing practice
D) A method of practice that uses tradition and folklore interventions to guide practice
Q3) Which definition best describes a critical pathway?
A) Standardized plan of care for frequently occurring conditions
B) Systematically developed statement to assist practitioners and patients in decision making
C) Systematic review of clinical evidence for an intervention
D) Set of interrelated concepts that describes or explains something
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8
Chapter 7: Nursing Process: Implementation Evaluation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse and nursing assistive personnel (NAP)are caring for a group of patients on the medical-surgical floor.For which of the following patients can the nurse delegate to the NAP the task of bathing? Select all that apply.
A) 75-year-old patient newly admitted with dehydration
B) 65-year-old patient hospitalized for a stroke, whose blood pressure reading is 189/90 mm Hg
C) 92-year-old patient with stable vital signs who was admitted with a urinary tract infection
D) 56-year-old patient with chronic renal failure who has vital signs within his normal range
Q2) The nurse reviews the patient chart and sees a physician prescription for a new medication.The nurse is able to clearly read the medication name but the dose is not legible.What is the best action by the nurse?
A) Contact the physician for clarification.
B) Ask another nurse to read the order.
C) Ask the unit secretary to read the order.
D) Contact the pharmacist to read the order.
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Page 9
Chapter 8: Evidence-Based Practice: Theory Research
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A patient who emigrated from India is admitted to the medical step-down unit with a bowel obstruction.A nasogastric (NG)tube is inserted to decompress her stomach.She asks the nurse whether her daughter can bring in garlic to administer through her NG tube.The nurse tells the patient that she will ask the physician when she makes rounds.This nurse is using the theory developed by which nurse theorist?
A) Betty Neuman
B) Dorothea Orem
C) Callista Roy
D) Madeline Leininger
Q2) A patient complains of pain after undergoing surgery.The nurse forms a mental image of pain based on her own experiences with pain.This mental image is known as a(n):
A) Phenomenon
B) Concept
C) Assumption
D) Definition
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10
Chapter 9: Life Span: Infancy Through Middle Adulthood
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A mother has brought her 8-month-old daughter to the healthcare clinic for a well-child appointment and any needed immunizations.To assess the child's physical development with age-appropriate norms,which of the following questions should the nurse ask? Is your child able to:
A) Walk while holding onto furniture?
B) Crawl on her hands and knees?
C) Pick up food with her fingers?
D) Sit up without support?
Q2) The nurse is giving a health promotion class for middle-aged males.As part of her teaching plan,the nurse will provide information on which common health problems associated with this age group? Select all that apply.
A) Cardiovascular disease
B) Cancer
C) Alcoholism
D) Obesity
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Chapter 10: Life Span: Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which older adult is experiencing normal aging changes of the urinary system?
Select all that apply
A) A man who has difficulty voiding, especially when starting his stream
B) A woman who wakes up to void once during the night
C) A man who has difficulty getting a hard erection
D) A man who says he has burning when he urinates
Q2) A client lives alone.He is very weak,stays in bed most of the time,and becomes fatigued after taking only two or three steps with a walker.His personal hygiene is poor.He moves very slowly when doing even small tasks such as eating a meal.Which of the following are appropriate interventions for this patient? Select all that apply.
A) Arrange for a home aide to assist with activities of daily living.
B) Refer the client to a senior center for an adapted physical activity program.
C) Assess the patient for symptoms of depression and memory loss.
D) Arrange for nutritious meals to be delivered to the patient's home.
Q3) To which age group do most hospitalized patients belong?
A) Infants
B) Young adults
C) Middle adults
D) Older adults
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Page 12
Chapter 11: Experiencing Health Illness
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which of the following is particularly valuable in helping a patient with a terminal illness maintain a sense of self?
A) Family relationships
B) Spirituality
C) Nutrition
D) Sleep and rest
Q2) The nurse is caring for a patient in his home.After several visits and review of the plan of care,the nurse notices the patient will not follow the diet and exercise regimen.What is the most appropriate action by the nurse?
A) Discharge the patient from home care because he is not following the medical regimen
B) Continue to teach and reinforce the importance of the diet and exercise regimen
C) Notify the primary care provider of the patient's refusal to follow the diet and exercise regimen
D) Identify why the patient is not following the plan and revise the plan in collaboration with the patient
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13
Chapter 12: Stress Adaptation
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30 Flashcards
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Sample Questions
Q1) After sustaining injuries in a motor vehicle accident,a patient experiences a decrease in blood pressure and an increase in heart rate and respiratory rate despite surgical intervention and fluid resuscitation.Which stage of the general adaptation syndrome is the patient most likely experiencing?
A) Alarm
B) Resistance
C) Exhaustion
D) Recovery
Q2) The nurse is presenting a workshop on stress and adaptation to a group of teenagers at the local high school.A teenager approaches the nurse and says,"Sometimes I feel stressed when I have to take a test.I feel my heart is going a little faster but I do focus better.What do you think?" What is the most appropriate response by the nurse?
A) "No amount of stress is healthy, especially if your heart is going faster."
B) "As long as you are getting through the test, I think you will be just fine."
C) "A little stress is not necessarily a bad thing. It can help you to focus."
D) "You may need to develop some additional stress-reducing activities."
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Page 14
Chapter 13: Psychosocial Health Illness
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A 45-year-old man with a history of anxiety comes into the emergency department and is diagnosed with a myocardial infarction (MI).He says to the nurse,"This is the most ridiculous thing I've ever heard of.I eat well,exercise,and am too young to have a heart attack." The nurse recognizes that this man is most likely experiencing:
A) Fear related to the diagnosis
B) Anxiety related to the diagnosis
C) Ineffective denial
D) Overreaction
Q2) The nurse is assessing a patient for depression.Which of the following sets of behavioral symptoms may indicate depression?
A) Preoccupation with loss, self-blame, and ambivalence
B) Anger, helplessness, guilt, and sadness
C) Anorexia, insomnia, headache, and constipation
D) Tearfulness, withdrawal, and present substance abuse
Q3) Which nursing intervention specifically helps reduce a patient's anxiety?
A) Teaching the importance of adequate nutrition and hydration
B) Giving clear facts pertaining to the patient's circumstances
C) Promoting small-group activities to improve self-esteem
D) Monitoring the patient for the risk of suicide
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Page 15
Chapter 14: The Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A 24-year-old couple with two young children tell the nurse in the pediatric department that they have been struggling with raising them.They state,"We just don't know what we are doing sometimes and feel we are not always making good decisions for our children.It is time we sit down and figure this out." The nurse arrives at a nursing diagnosis of Family Processes: Readiness for Enhanced Parenting.Which nursing intervention(s)are most appropriate for this family? Select all that apply.
A) Collaborate with family in problem solving and decision making
B) Assign specific roles for each family member.
C) Encourage family members to verbalize concerns, fears, and perceptions.
D) Obtain a comprehensive family health assessment.
Q2) The nurse is developing a teaching plan on coping strategies for an extended family of a severely disabled 11-year-old child.What step should the nurse take first in developing this plan?
A) Assess the current coping patterns.
B) Establish each member's role.
C) Assign specific tasks and deadlines for each member.
D) Assess which family member has the most ineffective coping patterns.
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Page 16
Chapter 15: Culture Ethnicity
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which statement(s)is/are most true about the concept of acculturation? Select all that apply.
A) A person who accepts both his own culture and a new culture and adopts elements of each has been acculturated.
B) It is theorized that it can take years and even generations for an immigrant group to acculturate.
C) A person who gradually learns and takes on the essential values, beliefs, and behaviors of the dominant culture has been acculturated.
D) Acculturation is the outgrowth of a minority group's need to survive and flourish in a new culture.
Q2) What are common beliefs and practices associated with the North American (Western)professional healthcare system? Select all that apply.
A) Values emphasize individualism and self-reliance.
B) Health is defined as living in harmony with nature.
C) Health is defined as absence or minimization of disease.
D) Reliance is on the biomedical system.
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17
Chapter 16: Spirituality
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Sample Questions
Q1) A patient tells the nurse,"I feel that God has abandoned me.I am so angry that I can't even pray." The patient refuses to see his minister when he calls.Which is the most appropriate nursing diagnosis for this patient?
A) Spiritual Distress
B) Risk for Spiritual Distress
C) Impaired Religiosity
D) Moral Distress
Q2) The nurse is asking the patient reflective,clarifying questions to help the patient make a list of what is important and unimportant in life and the time commitment for each.Which standardized (NIC)nursing intervention does this action implement?
A) Spiritual support
B) Self-Esteem Enhancement
C) Values Clarification
D) Hope Inspiration
Q3) Which type of medicine do those of the Hindu faith typically practice?
A) Ayurvedic medicine
B) Western medicine
C) Chiropractic medicine
D) Tribal medicine
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Chapter 17: Loss,Grief, Dying
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26 Verified Questions
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Sample Questions
Q1) Which intervention takes priority for the patient receiving hospice care?
A) Turning and repositioning the patient every 2 hours
B) Assisting the patient out of bed into a chair twice a day
C) Administering pain medication to keep the patient comfortable
D) Providing the patient with small frequent, nutritious meals
Q2) When providing postmortem care,the nurse places dentures in the mouth and closes the eyes and mouth of the patient within 2 to 4 hours after death.Why is the timing of the action so important?
A) To prevent blood from settling in the head, neck, and shoulders
B) To perform these actions more easily before rigor mortis develops
C) To set the mouth in a natural position for viewing by the family
D) To prevent discoloration caused by blood settling in the facial area
Q3) The mother of a preschool child dies suddenly of a ruptured cerebral aneurysm.What recommendation should the nurse make to the family regarding how to most therapeutically care for the child?
A) Take the child to the funeral even if he is frightened.
B) Notify the physician immediately if the child shows signs of regression.
C) Spend as much time as possible with the child.
D) Provide distraction whenever the child begins to express feelings of sadness.
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Page 19
Chapter 18: Documenting Reporting
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Sample Questions
Q1) Which action by the nurse breaches patient confidentiality? Select all that apply.
A) Leaving patient data displayed on a computer screen where others may view it
B) Remaining logged on to the computer system after documenting patient care
C) Faxing a patient report to the nurses' station where the patient is being transferred
D) Informing the nurse manager of a change in the patient's condition
Q2) The electronic health record (EHR)is used to document client care management.Which statement(s)below is/are applicable to EHR? Select all that apply.
A) Increases the potential for breaches in confidentiality
B) Decreases the time spent to complete documentation
C) Minimizes medical errors through use of alert systems
D) Communicates the client's plan of care to the healthcare team
Q3) Which of the following is the most beneficial aspect of electronic documentation systems?
A) Assist collaboration
B) Provide cautionary reminders
C) Improve legibility
D) Serve as a resource
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Chapter 19: Teaching Learning
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22 Flashcards
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Sample Questions
Q1) Assume all of the following written instructions about digoxin provide correct information for patient care.Which one is best worded for patient understanding?
A) Obtain your radial pulse every morning before taking your digoxin dose.
B) Return to your healthcare provider for monthly laboratory studies of your digoxin levels.
C) Call your provider if you notice that objects look yellow or green.
D) Always take the same brand of medication because certain brands may not be interchangeable.
Q2) Which teaching strategy is typically most effective for presenting information to large groups?
A) Distributing printed materials
B) Lecturing using audiovisual format
C) Online sources of information
D) Role modeling
Q3) Which statement by the patient demonstrates health literacy?
A) "I speak and understand little English but will do what I am told."
B) "I will take my medications after I ask the nurse a few questions."
C) "I have not taken my prescribed antibiotics because I can't read the labels."
D) "I stopped my medications when I started feeling better."
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Page 21
Chapter 20: Measuring Vital Signs
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44 Verified Questions
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Sample Questions
Q1) A postsurgical patient has just returned from the recovery room to the surgical unit.After the first hour on the unit,what is the likely schedule for measuring the patient's vital signs?
A) Every 4 hours for 24 hours
B) Every 8 hours for 24 hours
C) Once per shift
D) Every 2 hours for 24 hours
Q2) At last measurement,the client's vital signs were as follows: oral temperature 98°F (36.7°C),heart rate 76 beats/min,respiratory rate 16 breaths/min,and blood pressure (BP)118/60 mm Hg.Four hours later,the vital signs are as follows: oral temperature 103.2°F (38.5°C),heart rate 76 beats/min,respiratory rate 14 breaths/min,and blood pressure 120/66 mm Hg.Which should the nurse's first intervention be at this time?
A) Ask the client whether he has had a warm drink in the last 30 minutes.
B) Notify the primary care provider of the client's temperature.
C) Ask the client whether he is feeling chilled.
D) Take the temperature by a different route.
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22
Chapter 21: Communication Therapeutic Relationships
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Sample Questions
Q1) A nurse has sound,scientific evidence to support changing a procedure that would reduce catheter-related infections on the unit.The unit manager states,nevertheless,that she is unwilling to make the change because it would too costly.Which response by the nurse represents assertive communication?
A) "This is a widely used practice. If you read more research, you'd probably wonder why we aren't already doing it."
B) "There is extensive evidence to support the new method, but I understand this change would be too difficult."
C) "Is the budget more important to the hospital than reducing infections and patient suffering?"
D) "I'd like to help gather information regarding cost of new materials versus the savings in treating infections."
Q2) Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?
A) Small group
B) Interpersonal
C) Group
D) Intrapersonal
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Chapter 22: Health Assessment
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Sample Questions
Q1) The nurse is planning a breast examination class for a group of women at a community health fair.In planning the class,what is most important for the nurse to consider in preparation for her class?
A) Patients who perform breast self-examinations should be trained in proper technique to avoid false-negative findings.
B) Breast examinations should be performed yearly for all women over the age of 25 years.
C) Research indicates that breast examination and mammography are not needed after the age of 70 years.
D) A breast examination that includes assessment of the breast and axillae is indicated only if the patient is at high risk for breast cancer.
Q2) When performing a skin assessment,the nurse notices a mole on the patient's upper back.What are the appropriate actions by the nurse in further investigation of the mole? Select all that apply.
A) Ask the patient about any new moles or changes in moles.
B) Do not alarm the patient by asking questions about the mole.
C) Measure the mole's diameter and elevation.
D) Assess for any exudate on or around the mole.
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Page 24
Chapter 23: Promoting Asepsis Preventing Infection
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Sample Questions
Q1) Alcohol-based solutions for hand hygiene can be used to combat which types of organisms? Select all that apply.
A) Viruses
B) Bacterial spores
C) Yeasts
D) Molds
Q2) While donning sterile gloves,the nurse notices the edges of the glove package are slightly yellow.The yellow area is more than 1 inch away from the gloves and only appears to be on the outside of the glove package.What is the best action for the nurse to take at this point?
A) Continue using the gloves inside the package because the package is intact.
B) Remove gloves from the sterile field and use a new pair of sterile gloves.
C) Throw all supplies away that were to be used and begin again.
D) Use the gloves and make sure the yellow edges of the package do not touch the client.
Q3) A patient who has a temperature of 101°F (38.3°C)most likely requires:
A) Acetaminophen (Tylenol)
B) Increased fluids
C) Bedrest
D) A tepid bath
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Chapter 24: Promoting Safety
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Sample Questions
Q1) The nurse is invited to a childcare center for a safety class.An employee comes running into the class and says to the nurse,"I think one of the children swallowed a poisonous chemical from our storage area." What is the first action by the nurse?
A) Identify the poison then call 911 or the local emergency number.
B) Assess for signs and symptoms then call 911 or the local emergency number.
C) Call 911 immediately, even if the child has no symptoms.
D) Induce vomiting on the child then call 911.
Q2) A patient is brought to the emergency department after inhaling mercury.The nurse should be alert for which acute adverse effects associated with mercury inhalation?
A) Chest pain, pneumonitis, and inflammation of the mouth
B) Intestinal obstruction and numbness of the hands
C) Hypotension, oliguria, and tingling of the feet
D) Tachycardia, hematuria, and diaphoresis
Q3) Which is the most commonly reported incident in hospitals?
A) Equipment malfunction
B) Patient falls
C) Laboratory specimen errors
D) Treatment delays
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26
Chapter 25: Facilitating Hygiene
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Sample Questions
Q1) During morning care,the patient asks the nurse to shave him with a disposable razor.Before shaving him,the nurse should:
A) Have him sign a permission form
B) Check to see whether the patient is taking anticoagulants
C) Tell him that only a family member may shave a patient
D) Position him flat in bed
Q2) Bath water should be prepared at which temperature to prevent chilling and excess drying of the skin?
A) 99°F (37.2°C)
B) 102°F (38.9°C)
C) 103°F (39.4°C)
D) 105°F (40.6°C)
Q3) When making an occupied bed,which of the following is most important for the nurse to do?
A) Keep the bed in the low position.
B) Keep the siderail raised on both sides of the bed.
C) Move back and forth between the sides of the bed when adjusting linens.
D) Use a bath blanket or sheet to maintain patient warmth and privacy.
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27
Chapter 26: Administering Medications
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Sample Questions
Q1) Which action should the nurse take immediately after administering a medication through a nasogastric tube?
A) Verify correct nasogastric tube placement in the stomach.
B) Auscultate the abdomen for presence of bowel sounds.
C) Immediately administer the next prescribed medication.
D) Flush the tube with water using a needleless syringe.
Q2) The nurse receives a laboratory report that states her patient's digoxin level is 1.2 mg/mL; therapeutic range for this drug is 0.5 to 2.0 mg/mL.Which action should the nurse take?
A) Notify the prescriber to reduce the dose.
B) Withhold the next dose of digoxin.
C) Administer the next dose as prescribed.
D) Notify the prescribing healthcare provider to increase the dose.
Q3) While receiving an intravenous dose of an antibiotic,levofloxacin,a patient develops severe shortness of breath,wheezing,and severe hypotension.Which action should the nurse take first?
A) Administer epinephrine IM.
B) Give bolus dose of intravenous fluids.
C) Stop the infusion of medication.
D) Prepare for endotracheal intubation.
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Chapter 27: Nutrition
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/47148
Sample Questions
Q1) A patient who underwent surgery 24 hours ago is prescribed a clear liquid diet.The patient asks for something to drink.Which item may the nurse provide for the patient?
A) Tea with milk
B) Orange juice
C) Gelatin
D) Skim milk
Q2) Which polysaccharide is stored in the liver?
A) Insulin
B) Ketones
C) Glycogen
D) Glucose
Q3) The nurse completes the nutrition assessment for a 14-year-old female with a BMI of 15.What physical assessment finding might suggest bulimia nervosa?
A) Loss of enamel on teeth
B) Low level of interest in exercise
C) Slightly elevated temperature
D) Skin excoriation in skinfolds
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29
Chapter 28: Urinary Elimination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/47149
Sample Questions
Q1) Which daily urine output is within normal limits for a newborn weighing 8 pounds?
A) 288 mL
B) 180 mL
C) 36 mL
D) 18 mL
Q2) A patient is prescribed furosemide (Lasix),a loop diuretic,for treatment of congestive heart failure.The patient is at risk for which electrolyte imbalance associated with use of this drug?
A) Hypocalcemia
B) Hypokalemia
C) Hypomagnesemia
D) Hypophosphatemia
Q3) What position should the patient assume before the nurse inserts an indwelling urinary catheter?
A) Modified Trendelenburg
B) Prone
C) Dorsal recumbent
D) Semi-Fowler's
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Chapter 29: Bowel Elimination
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/47150
Sample Questions
Q1) A patient is diagnosed with an intestinal infection after traveling abroad.The nurse should encourage the intake of which food to promote healing?
A) Yogurt
B) Pasta
C) Oatmeal
D) Broccoli
Q2) The nurse must administer an enema to an adult patient with constipation.Which of the following would be a safe and effective distance for the nurse to insert the tubing into the patient's rectum? Select all that apply.
A) 2 in. (5.1 cm)
B) 3 in. (7.6 cm)
C) 4 in. (10.2 cm)
D) 5 in. (12.7 cm)
Q3) Which action should the nurse take to assess a 2-year-old child for pinworms?
A) Press clear cellophane tape against the anal opening at night to obtain a specimen.
B) Collect a freshly passed stool from a diaper using a wooden specimen blade.
C) Place a smear of stool on a slide and add two drops of reagent.
D) Prepare the patient for a flat plate (x-ray) of the abdomen.
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Chapter 30: Sensation,Perception, Cognition
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/47151
Sample Questions
Q1) After sustaining a stroke,the patient lacks attention to the right side of his body.Which nursing diagnosis best describes the patient's problem?
A) Disturbed Sensory Perception
B) Unilateral Neglect
C) Risk for Peripheral Vascular Dysfunction
D) Acute Confusion
Q2) The pediatric nurse educator is preparing a teaching plan for seizure prevention for parents of children with seizures.Which of the following can trigger seizures? Select all that apply.
A) Fever
B) Video games
C) Sleep deprivation
D) Food allergens
E) Mood-altering substances
F) None of the above
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Chapter 31: Pain
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/47152
Sample Questions
Q1) The nurse conducting a pain assessment for a patient would recognize deep somatic pain as which of the following?
A) Achy
B) Superficial
C) Radiating
D) Crampy
Q2) Which of the following actions would the nurse prioritize for the patient who is experiencing chronic back pain that interferes with activities of daily living (ADLs)?
A) Maintain a pain journal to document quality of his pain experience.
B) Meet with the healthcare team to discuss a pain management plan.
C) Attempt to take only analgesic medication when absolutely needed.
D) Suggest use of a deep-pressure back massage with effleurage technique.
Q3) Which pain management task can be safely delegated to nursing assistive personnel?
A) Assessing the quality and intensity of the patient's pain
B) Evaluating the effectiveness of pain medication
C) Providing a therapeutic back massage
D) Administering oral dose of acetaminophen
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33
Chapter 32: Physical Activity Mobility
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37 Flashcards
Source URL: https://quizplus.com/quiz/47153
Sample Questions
Q1) Which of the following is true of synarthroses? Joints are:
A) Freely movable
B) Capable of only limited movement
C) Immovable
D) Painful with movement
Q2) The nurse is helping the patient to perform leg exercises after surgery to prevent thrombophlebitis.Which type of muscle is the patient using for these exercises?
A) Skeletal
B) Smooth
C) Cardiac
D) Slow-twitch fibers
Q3) A patient is on strict bedrest for 5 days.During this time,she has not had a bowel movement,although she normally passes stool daily.She describes feeling bloated and uncomfortable.A nursing diagnosis that would best address a patient who is on bed rest is Constipation related to:
A) Change in previous pattern
B) Immobility
C) Dietary intake
D) Change in environment
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Page 34
Chapter 33: Sexual Health
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47154
Sample Questions
Q1) To discuss a client's sexual health needs in a comfortable and competent manner,it is most important for a nurse to be able to:
A) Recognize and set aside personal biases or experiences related to sexuality
B) Perform an accurate and comprehensive physical assessment
C) Collect an accurate and comprehensive sexual history
D) Acquire theoretical knowledge of sexual health concerns
Q2) The nurse is assessing the patient's sexual functioning.With cultural patterns in mind,which patient will the nurse expect most likely to be uncomfortable discussing this topic?
A) 34-year-old African American male patient
B) 54-year-old Hispanic male patient
C) 71-year-old African American female patient
D) 48-year-old Asian American female patient
Q3) Which of the following are considered sexual response cycle disorders? Select all that apply.
A) Arousal disorder
B) Date rape
C) Orgasmic disorder
D) Low libido
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Chapter 34: Sleep and Rest
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/47155
Sample Questions
Q1) A 6-year-old boy is admitted to the hospital for a surgical procedure associated with a hospital stay.When the nurse asks his mother about the boy's sleep patterns,she says,"Sometimes he will get out of bed,walk into the kitchen,and get the cereal out of the cabinet.Then he just turns around and goes back to bed." The nurse explains that he is sleepwalking.The best nursing diagnosis for Tad would be:
A) Risk for Insomnia related to sleepwalking.
B) Risk for Fatigue related to sleepwalking.
C) Disturbed Sleep Pattern related to dyssomnia.
D) Risk for Injury related to sleepwalking.
Q2) When making rounds on the night shift,the nurse observes her patient to be in deep sleep.His muscles are very relaxed.When he arouses as the nurse changes the IV tubing,he is confused.What stage of sleep was the patient most likely experiencing?
A) NREM I
B) NREM II
C) NREM III
D) REM
Q3) ____________________ disorders are those that occur when signs and symptoms of a disease appear or become worse during sleep.
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Chapter 35: Skin Integrity-Wound Healing
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48 Flashcards
Source URL: https://quizplus.com/quiz/47156
Sample Questions
Q1) Why might skin integrity and wound healing be compromised in the client who takes blood pressure medications? Antihypertensives:
A) Can cause cellular toxicity
B) Increase the risk of ischemia
C) Delay wound healing
D) Predispose to hematoma formation
Q2) While applying a wet-to-dry dressing,how would the nurse explain to the patient how this procedure works for promoting healing? A wet-to-dry dressing is a:
A) Method of submerging the wound in water, allowing it to soak before drying the wound bed
B) Procedure that uses proteolytic agents to break down necrotic tissue in the wound bed
C) Means of debriding the wound but also removing granulation tissue from the wound
D) Form of debridement that uses an occlusive, moisture-retaining dressing to break down necrotic tissue
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Chapter 36: Oxygenation
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36 Flashcards
Source URL: https://quizplus.com/quiz/47157
Sample Questions
Q1) Which of the following blood levels normally provides the primary stimulus for breathing?
A) pH
B) Oxygen
C) Bicarbonate
D) Carbon dioxide
Q2) The nurse administers an antitussive/expectorant cough preparation to a patient with bronchitis.Which of the following responses indicates to the nurse that the medication is effective?
A) The amount of sputum the patient expectorates decreases with each dose administered.
B) Cough is completely suppressed, and she is able to sleep through the night.
C) Dry, unproductive cough is reduced, but her voluntary coughing is more productive.
D) Involuntary coughing produces large amounts of thick yellow sputum.
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Chapter 37: Circulation
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26 Flashcards
Source URL: https://quizplus.com/quiz/47158
Sample Questions
Q1) You are preparing the nursing care plan for a middle-aged patient admitted to the intensive care unit for an acute myocardial infarction (heart attack).His symptoms include tachycardia,palpitations,anxiety,jugular vein distention,and fatigue.Which of the following nursing diagnoses is most appropriate?
A) Decreased Cardiac Output
B) Impaired Tissue Perfusion
C) Impaired Cardiac Contractility
D) Impaired Activity Tolerance
Q2) The nurse is preparing patient teaching for a patient diagnosed with peripheral edema secondary to right-sided heart failure.What intervention will promote circulation and reduce edema in the lower extremities?
A) Encourage frequent ambulation.
B) Administer antihypertensive medications.
C) Encourage vigorous exercise for 30 minutes a day.
D) Administer oxygen when short of breath.
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Chapter 38: Fluids,Electrolytes, Acidbase Balance
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49 Flashcards
Source URL: https://quizplus.com/quiz/47159
Sample Questions
Q1) A 60-year-old woman complains of muscle weakness,constipation,nausea,and frequent urination,and is displaying bizarre behavior.The woman takes prescribed thiazide diuretics.What statement made by the patient might be an additional cause of her symptoms?
A) "I have been working hard to drink plenty of water to prevent dehydration."
B) "I should probably tell you I take steroids regularly because of my asthma."
C) "I take calcium supplements to prevent osteoporosis and eat lots of dairy foods."
D) "I recently quit drinking alcohol. I quit cold turkey and did it all by myself."
Q2) Which of the following is the principal site for regulation of fluid and electrolyte balance?
A) Cardiac system
B) Vascular system
C) Pulmonary system
D) Renal system
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Chapter 39: Perioperative Care
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/47160
Sample Questions
Q1) The nurse is caring for a patient who is wearing antiembolism compression stockings.The patient repeatedly complains of discomfort caused by the stockings.What actions will the nurse take to improve comfort? Select all that apply.
A) Assess to determine whether the stockings are the correct size.
B) Remove the stockings for the remainder of the shift.
C) Ensure there are no wrinkles or rolled areas in the stockings.
D) Check that the stockings are on straight and the heel is in the right place.
E) Make sure the closed toe is molded to the toes.
Q2) Identify the type of surgery a terminally ill patient will undergo if the purpose is removal of tissue to relieve pain.
A) Procurement
B) Ablative
C) Palliative
D) Diagnostic
Q3) The focus of nursing activities in the preoperative phase is to:
A) Admit the patient to the surgical suite
B) Prepare the patient mentally and physically for surgery
C) Set up the sterile field in the operating room
D) Perform the primary surgical scrub to the surgical site
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Page 41
Chapter 40: Leading Managing
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47161
Sample Questions
Q1) The nurse manager holds a staff meeting to inform everyone about the unit reorganization.Which staff nurse demonstrates passive resistance to the changes? The nurse who:
A) Threatens to quit if this reorganization is put into action
B) Stands up during the meeting and says, "This is stupid and won't work!"
C) Listens quietly and makes suggestions for implementation
D) Is quiet at the meeting but calls in sick frequently during implementation
Q2) Which of the following types of followers may best enhance a leader's performance?
A) Followers demonstrating high critical thinking and who passively contribute
B) Followers who are dependent and passive when they disagree
C) Followers who are active contributors but who may not contribute to idea development
D) Followers who are active contributors and who participate in developing and analyzing ideas
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Chapter 41: Nursing Informatics
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/47162
Sample Questions
Q1) The nurse is using an EHR system.Which feature does not improve the safety of patient care delivered by the nurse?
A) Physician order entry
B) Decision support tools
C) Elimination of poor handwriting
D) Improved accessibility
E) None of the above
Q2) You are a preceptor for a new nursing employee at the local hospital.She needs to access a patient's electronic health record (EHR)to retrieve laboratory results; however,the newly hired nurse has not yet received a computer password.What action should you take?
A) Give her your password to use until she obtains her own password.
B) Log on and remain with her while she views the record.
C) Notify your supervisor that the new employee needs a password.
D) Inform her that she will not receive a password until her orientation is complete.
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Chapter 42: Promoting Health
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/47163
Sample Questions
Q1) A client informs the nurse that he has quit smoking because his father died of lung cancer 3 months ago.Based on his motivation,smoking cessation should be recognized as an example of which of the following?
A) Healthy living
B) Health promotion
C) Wellness behaviors
D) Health protection
Q2) The nurse,working in a substance abuse rehabilitation facility,is talking with a resident who says,"I'm just here to avoid going to jail.I'm not addicted to alcohol.I just enjoy it,but I'm going to quit to avoid getting arrested again." Which of Pender's Health Promotion Model assumptions is this resident demonstrating? Select all that apply.
A) Health professionals are part of the person's interpersonal environment.
B) The capacity for self-awareness includes assessing one's own competencies.
C) The person values positive growth and attempts to balance change and stability.
D) The person seeks to actively regulate his own behavior
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Chapter 43: Community-Home Health Nursing
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47164
Sample Questions
Q1) The nurse is visiting a patient who lives alone in a two-room house.The patient requires wound care and medication management,but his health is not expected to improve much,even with care.There is no running water in the house,and the bathroom is in disrepair and filthy.At the first home visit,which of the following should the nurse assess? Select all that apply.
A) Wound status
B) Patient concerns
C) Ability to perform care independently
D) End-of-life planning
Q2) The nurse is visiting a client who resides in a single-room occupancy hotel.Groups of people are leaning against the building and smoking on the steps.There is obvious substance abuse occurring in the lobby and halls of the building.There is no running water in the room,and the bathroom down the hall is in disrepair and filthy.A primary concern that the nurse must consider when making this visit is safety.Which of the following actions are appropriate safety measures? Select all that apply.
A) Notify the police that the nurse plans to visit this site.
B) Carry something that can be used as a weapon if necessary.
C) Inform the home health agency of the nurse's route and time of visit.
D) Do not visit if the nurse senses danger when he arrives at the site.
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Chapter 44: Ethics Values
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/47165
Sample Questions
Q1) The nurse is facing a moral dilemma and applies the MORAL model to decision making.After writing down all the possible options to solve the problem,what will the nurse do next?
A) Consider all the options and choose the best one.
B) Implement the chosen option.
C) Evaluate the effectiveness of the action.
D) Consider the dilemma and whom it involves.
Q2) A patient who is being discharged asks the nurse,"Can I take you out for dinner to show my appreciation for all that you have done for me? I really like you." The nurse's best response is which of the following?
A) "Yes, that would be nice. It is really great to be appreciated."
B) "No, and please do not ask again. You should have been told that already."
C) "Thank you; however, I have to refuse, even though the thought is appreciated."
D) "We will have to wait 3 days after you have been discharged to have a relationship."
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Chapter 45: Legal Accountability
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47166
Sample Questions
Q1) A 4-year-old child is brought to the emergency department by his mother.He has a large bruise on his left chest and multiple contusions on his face.His mother tells you her boyfriend intentionally pushed the child down the stairs in anger.The child appears to be in a great deal of pain.Which of the following four correct items should the nurse do first?
A) Notify the nursing supervisor of the suspected physical abuse.
B) Complete a physical assessment of the child.
C) Obtain an order for pain medication.
D) Notify Child Protective Services of the suspected abuse.
Q2) What do negligence and malpractice have in common? Select all that apply.
A) Negligence and malpractice are unintentional torts.
B) Negligence and malpractice are felonies.
C) Malpractice is the professional form of negligence.
D) Negligence and malpractice involve the intent to do harm to a patient.
Q3) Nursing codes of ethics support which of the following?
A) Patients can receive emergency treatment regardless of their ability to pay.
B) Nurses will educate patients about advance directives.
C) Nurses with HIV must disclose their condition to their employer.
D) Patients have the right to dignity, privacy, and safety.
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Chapter 46: Holistic Healing
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23 Flashcards
Source URL: https://quizplus.com/quiz/47167
Sample Questions
Q1) A client wishes to avoid taking blood pressure medications.He is watching his diet and exercising.In addition,a CAM therapist has recommended an alternative therapy that will allow him to learn voluntary control over his blood pressure.What type of therapy is the therapist probably recommending?
A) Homeopathy
B) Naturopathy
C) Biofeedback
D) Hypnosis
Q2) A patient is receiving healthcare focused on his illness and counteracting his symptoms.What type of healthcare is he receiving?
A) Holistic
B) Integrative
C) Complementary
D) Allopathic
Q3) The concept of holism focuses on which of the following?
A) Relationship between nurse and patient
B) Practice of spiritualism
C) Relationships among all living things
D) Totality of the body
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Page 48