Fundamentals of Nursing Practice Questions
Course Introduction
Fundamentals of Nursing introduces students to the essential concepts, skills, and values required for professional nursing practice. This course covers the foundational principles of nursing care, including patient assessment, basic clinical procedures, communication, safety, and ethical considerations. Emphasis is placed on the nursing process, critical thinking, and evidence-based practice to deliver holistic, patient-centered care. Through a combination of theoretical instruction and hands-on laboratory experiences, students develop the competence and confidence needed to succeed in diverse healthcare settings.
Recommended Textbook
Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
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Page 2
Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse implementing?
A) Educator
B) Manager
C) Advocate
D) Caregiver
Answer: B
Q2) A nurse wants to become an advanced practice registered nurse. Which options should the nurse consider? (Select all that apply.)
A) Patient advocate
B) Nurse administrator
C) Certified nurse-midwife
D) Clinical nurse specialist
E) Certified nurse practitioner
Answer: C, D, E
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Page 3
Chapter 2: The Health Care Delivery System
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24 Flashcards
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Sample Questions
Q1) The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data, which information will the nurse utilize?
A) Pew Health Professions Commission
B) Healthcare Effectiveness Data and Information Set (HEDIS)
C) American Nurses Credentialing Center (ANCC) Magnet Recognition Program
D) Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
Answer: B
Q2) A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?
A) A family can choose whether to have health insurance with no consequences.
B) Primary care physician payments from Medicaid services can equal Medicare.
C) Adult children up to age 26 are allowed coverage on the parent's plan.
D) Private insurance companies can deny coverage for any reason.
Answer: C
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Chapter 3: Community-Based Nursing Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse is focusing on acute and chronic care of individuals and families within a community while enhancing patient autonomy. Which type of nursing care is the nurse providing?
A) Public health
B) Community health
C) Community-based
D) Community assessment
Answer: C
Q2) A nurse is working in community-based nursing. Which competency is \(\bold{priority}\) for this nurse?
A) Caregiver
B) Collaborator
C) Change agent
D) Case manager
Answer: A
Q3) Social system
A)Education level
B)Housing
C)Government
Answer: C
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) A nurse is testing meditation for migraine headaches and the expected outcome of care when performing this intervention. Which type of theory is the nurse using?
A) Grand
B) Prescriptive
C) Descriptive
D) Middle-range
Q2) A nurse is using a nursing metaparadigm to define nursing. Which concepts will the nurse include? (Select all that apply.)
A) Person
B) Disease
C) Health
D) Nursing
E) Environment
Q3) Which behavior from a nurse indicates the nurse is using Nightingale's theory to plan nursing care?
A) Knows all about the disease processes affecting patients
B) Focuses on medication administration and treatments
C) Thinks about the patients and patients' environments
D) Considers nursing knowledge and medicine the same
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Page 6
Chapter 5: Evidence-Based Practice
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23 Flashcards
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Sample Questions
Q1) The nurse is reviewing nursing research literature related to a potential practice problem on the nursing unit. What is the rationale for the nurse's action? (Select all that apply.)
A) Nursing research ensures the nurse's promotion.
B) Nursing research identifies new knowledge.
C) Nursing research improves professional practice.
D) Nursing research enhances effective use of resources.
E) Nursing research leads to decreases in budget expenditures.
Q2) A nurse is implementing an evidence-based practice project regarding infection rates. After reviewing research literature, which other evidence should the nurse review?
A) Quality improvement data
B) Inductive reasoning data
C) Informed consent data
D) Biased data
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Chapter 6: Health and Wellness
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22 Flashcards
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Sample Questions
Q1) A nurse is assessing internal variables that are affecting the patient's health status. Which area should the nurse assess?
A) Perception of functioning
B) Socioeconomic factors
C) Cultural background
D) Family practices
Q2) A nurse is teaching about the transtheoretical model of change. In which order will the nurse place the progression of the stages from beginning to end?
1) Action
2) Preparation
3) Maintenance
4) Contemplation
5) Precontemplation
A) 5, 4, 2, 1, 3
B) 2, 5, 4, 3, 1
C) 4, 5, 3, 1, 2
D) 1, 5, 2, 3, 4
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Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) The patient is afraid to have a thoracentesis at the bedside. The nurse sits with the patient and asks about the fears. During the procedure, the nurse stays with the patient, explaining each step and providing encouragement. What is the nurse displaying?
A) Providing touch
B) Providing a presence
C) Providing family care
D) Providing a listening ear
Q2) Which actions by the nurse should be done in order to get to know the patient?
(Select all that apply.)
A) Avoid assumptions
B) Focus on the patient
C) Engage in a caring relationship
D) Form the relationship very quickly
E) Not address spiritual or higher needs
Q3) Which action indicates a nurse is using caring touch with a patient?
A) Inserts a catheter
B) Rubs a patient's back
C) Prevents a patient from falling
D) Administers an injection
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Chapter 8: Caring for the Cancer Survivor
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18 Verified Questions
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Sample Questions
Q1) The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer. The patient asks the nurse about the value of cancer screening when therapy is over. What is the nurse's best response?
A) "It should be done on an ongoing schedule."
B) "It is not something that should be discussed right now."
C) "It probably will not be needed since the cancer has been cured."
D) "It usually is not done but can be done if the patient wants peace of mind."
Q2) The nurse is caring for a young woman with breast cancer. The stress between the woman and spouse is obvious, as is anxiety among the children. What is the nurse's best action in this situation?
A) Help find or develop an educational program for the patient and spouse.
B) Encourage the patient to agree with the spouse.
C) Support the spouse, and explain that the spouse knows what is best.
D) Take the children away and recommend foster care.
Q3) The family caregiving pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
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Chapter 9: Cultural Awareness
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Sample Questions
Q1) A nurse works at a hospital that uses equity-focused quality improvement. Which strategy is the hospital using?
A) Document staff satisfaction.
B) Focus on the family.
C) Implement change on a grand scale.
D) Reduce disparities.
Q2) The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse is working with an interpreter. Which action should the nurse take?
A) Use long sentences when talking.
B) Look at the patient when talking.
C) Use breaks in sentences when talking.
D) Look at only nonverbal behaviors when talking.
Q3) A nurse is providing care to a patient from a different culture. Which action by the nurse indicates cultural competence?
A) Communicates effectively in a multicultural context
B) Functions effectively in a multicultural context
C) Visits a foreign country
D) Speaks a different language
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Chapter 10: Caring for Families
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Sample Questions
Q1) Who is the "peacekeeper" of the family?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
Q2) The nurse is caring for an older adult patient at home who requires teaching for dressing changes. The spouse and adult child are also involved in changing the dressing. Which statement by the nurse will most likely elicit a positive response from the patient and family?
A) "You're doing that all wrong. Let me show you how to do it."
B) "I don't know who showed you how to change a dressing, but you're not doing it right. Let me show you again."
C) "You're hesitant about changing the dressing like I was before I was shown an easier way; would you like to see?"
D) "I used to change the dressing the same way you are doing it: the wrong way. I'll show you the right way to do it."
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Chapter 11: Developmental Theories
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Sample Questions
Q1) Which question will be \(\bold{most}\) appropriate for a nurse to ask when assessing an adult patient for growth and developmental delays?
A) "How many times per week do you exercise?"
B) "Are you able to stand on one foot for 5 seconds?"
C) "Would you please describe your usual activities during the day?"
D) "How many hours a day do you spend watching television or sitting in front of a computer?"
Q2) Which action should the nurse take when teaching a 5-year-old patient about a scheduled surgery?
A) Do not discuss the procedure with the child to decrease anxiety.
B) Let the child know the surgery will be at 9:00 AM in the morning.
C) Insist that the parents wait outside the room to ensure privacy of the child.
D) Allow the child to touch and hold medical equipment such as thermometers.
Q3) A nurse takes the history of a middle-aged patient in a health clinic. Which information indicates the patient has achieved generativity?
A) Married for 30 years
B) Teaches preschoolers
C) Has no regrets with life choices
D) Cares for aging parents after work
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Page 13
Chapter 12: Conception Through Adolescence
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30 Verified Questions
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Sample Questions
Q1) A nurse is teaching a class about the effects of nutrition on fetal growth and development. A pregnant patient asks the nurse how much weight should normally be gained over the pregnancy. Which information should the nurse share with the patient?
A) About 10 to 20 pounds
B) About 15 to 25 pounds
C) About 20 to 30 pounds
D) About 25 to 35 pounds
Q2) A nurse is caring for a preschooler. Which fear should the nurse \(\bold{most}\) plan to minimize?
A) Fear of bodily harm
B) Fear of weight gain
C) Fear of separation
D) Fear of strangers
Q3) A nurse performs an assessment on a healthy newborn. Which assessment finding will the nurse document as normal?
A) Cyanosis of the feet and hands for the first 48 hours
B) Triangle-shaped anterior fontanel
C) Sporadic motor movements
D) Weight of 4800 grams
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14
Chapter 13: Young and Middle Adults
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25 Verified Questions
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Sample Questions
Q1) A nurse is teaching young adults about health risks. Which statement from a young adult indicates a correct understanding of the teaching?
A) "It's probably safe for me to start smoking. At my age, there's not enough time for cancer to develop."
B) "My mother had appendicitis so this increases my chance for developing appendicitis."
C) "Controlling the amount of stress in my life may decrease the risk of illness."
D) "I don't do drugs. I do drink coffee, but caffeine is not a drug."
Q2) Upon assessment of a middle-aged adult, the nurse observes uneven weight bearing and decreased range of joint motion. Which area is priority?
A) Abuse potential
B) Fall precautions
C) Stroke prevention
D) Self-esteem issues
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Chapter 14: Older Adult
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A nurse is helping an older-adult patient with instrumental activities of daily living. The nurse will be assisting the patient with which activity?
A) Taking a bath
B) Getting dressed
C) Making a phone call
D) Going to the bathroom
Q2) Which patient statement is the most reliable indicator that an older adult has the correct understanding of health promotion activities?
A) "I need to increase my fat intake and limit protein."
B) "I still keep my dentist appointments even though I have partials now."
C) "I should discontinue my fitness club membership for safety reasons."
D) "I'm up-to-date on my immunizations, but at my age, I don't need the influenza vaccine."
Q3) A nurse is caring for an older adult. Which goal is \(\bold{priority}\)?
A) Adjusting to career
B) Adjusting to divorce
C) Adjusting to retirement
D) Adjusting to grandchildren
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Chapter 15: Critical Thinking in Nursing Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse who is caring for a patient with a pressure ulcer applies the recommended dressing according to hospital policy. Which standard is the nurse following?
A) Fairness
B) Intellectual standards
C) Independent reasoning
D) Institutional practice guidelines
Q2) The patient appears to be in no apparent distress, but vital signs taken by assistive personnel reveal an extremely low pulse. The nurse then auscultates an apical pulse and asks the patient whether there is any history of heart problems. The nurse is utilizing which critical thinking skill?
A) Evaluation
B) Explanation
C) Interpretation
D) Self-regulation
Q3) Which action should the nurse take to best develop critical thinking skills?
A) Study 3 hours more each night.
B) Attend all inservice opportunities.
C) Actively participate in clinical experiences.
D) Interview staff nurses about their nursing experiences.
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Page 17
Chapter 16: Nursing Assessment
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Sample Questions
Q1) Severity
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
Q2) A nurse has already set the agenda during a patient-centered interview. What will the nurse do next?
A) Begin with introductions.
B) Ask about the chief concerns or problems.
C) Explain that the interview will be over in a few minutes.
D) Tell the patient "I will be back to administer medications in 1 hour."
Q3) The nurse is interviewing a patient with a hearing deficit. Which area should the nurse use to conduct this interview?
A) The patient's room with the door closed
B) The waiting area with the television turned off
C) The patient's room before administration of pain medication
D) The waiting room while the occupational therapist is working on leg exercises
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18
Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) A nurse adds the following diagnosis to a patient's care plan: Constipation related to decreased gastrointestinal motility secondary to pain medication administration as evidenced by the patient reporting no bowel movement in seven days, abdominal distention, and abdominal pain. Which element did the nurse write as the defining characteristic?
A) Decreased gastrointestinal motility
B) Pain medication
C) Abdominal distention
D) Constipation
Q2) A nurse is developing nursing diagnoses for a group of patients. Which nursing diagnoses will the nurse use? (Select all that apply.)
A) Anxiety related to barium enema
B) Impaired gas exchange related to asthma
C) Impaired physical mobility related to incisional pain
D) Nausea related to adverse effect of cancer medication
E) Risk for falls related to nursing assistive personnel leaving bedrail down
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19
Chapter 18: Planning Nursing Care
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Sample Questions
Q1) Which information indicates a nurse has a good understanding of a goal?
A) It is a statement describing the patient's accomplishments without a time restriction.
B) It is a realistic statement predicting any negative responses to treatments.
C) It is a broad statement describing a desired change in a patient's behavior.
D) It is a measurable change in a patient's physical state.
Q2) The nurse performs an intervention for a collaborative problem. Which type of intervention did the nurse perform?
A) Dependent
B) Independent
C) Interdependent
D) Physician-initiated
Q3) A hospital's wound nurse consultant made a recommendation for nurses on the unit about how to care for the patient's dressing changes. Which action should the nurses take next?
A) Include dressing change instructions and frequency in the care plan.
B) Assume that the wound nurse will perform all dressing changes.
C) Request that the health care provider look at the wound.
D) Encourage the patient to perform the dressing changes.
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Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) A staff development nurse is providing an inservice for other nurses to educate them about the Nursing Interventions Classification (NIC) system. During the inservice, which statement made by one of the nurses in the room requires the staff development nurse to clarify the information provided?
A) "This system can help medical students determine the cost of the care they provide to patients."
B) "If the nursing department uses this system, communication among nurses who work throughout the hospital may be enhanced."
C) "We could use this system to help organize orientation for new nursing employees because we can better explain the nursing interventions we use most frequently on our unit."
D) "The NIC system provides one way to improve safe and effective documentation in the hospital's electronic health record."
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Chapter 20: Evaluation
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Sample Questions
Q1) A nurse is providing education to a patient about self-administering subcutaneous injections. The patient demonstrates the self-injection. Which type of indicator did the nurse evaluate?
A) Health status
B) Health behavior
C) Psychological self-control
D) Health service utilization
Q2) A nurse is evaluating the goal of acceptance of body image in a young teenage girl. Which statement made by the patient is the best indicator of progress toward the goal?
A) "I'm worried about what those other girls will think of me."
B) "I can't wear that color. It makes my hips stick out."
C) "I'll wear the blue dress. It matches my eyes."
D) "I will go to the pool next summer."
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22
Chapter 21: Managing Patient Care
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Sample Questions
Q1) A nurse is working in a facility that has fewer directors with managers and staff able to make shared decisions. In which type of organizational structure is the nurse employed?
A) Delegation
B) Research-based
C) Decentralization
D) Philosophy of care
Q2) A new nurse expresses frustration at not being to complete all interventions for a group of patients in a timely manner. The nurse leaves the rounds report sheets at the nurse's station when caring for patients and reports having to go back and forth between rooms for equipment and supplies. Which type of skill does the nurse need?
A) Interpersonal communication
B) Clinical decision making
C) Organizational
D) Evaluation
Q3) High priority
A)Patient that needs to be turned to prevent pneumonia
B)Patient with acute asthma attack
C)Patient who will be discharged in 2 days who needs teaching
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Page 23
Chapter 22: Ethics and Values
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Sample Questions
Q1) During a severe respiratory epidemic, the local health care organizations decide to give health care workers priority access to ventilators over other members of the community who also need that resource. Which philosophy would give the strongest support for this decision?
A) Deontology
B) Utilitarianism
C) Ethics of care
D) Feminist ethics
Q2) The nurse finds it difficult to care for a patient whose advance directive states that no extraordinary resuscitation measures should be taken. Which step may help the nurse to find resolution in this assignment?
A) Scrutinize personal values.
B) Call for an ethical committee consult.
C) Decline the assignment on religious grounds.
D) Convince the family to challenge the directive.
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24
Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) A nurse works full time on the oncology unit at the hospital and works part time on weekends giving immunizations at the local pharmacy. While giving an injection on a weekend, the nurse caused injury to the patient's arm and is now being sued. How will the hospital's malpractice insurance provide coverage for this nurse?
A) It will provide coverage as long as the nurse followed all procedures, protocols, and policies correctly.
B) The hospital's malpractice insurance covers this nurse only during the time the nurse is working at the hospital.
C) As long as the nurse has never been sued before this incident, the hospital's malpractice insurance will cover the nurse.
D) The hospital's malpractice insurance will provide approximately 50% of the coverage the nurse will need.
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Chapter 24: Communication
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Sample Questions
Q1) D
A)Nurse describes procedures and tests.
B)Nurse lets the patient know how long the procedure will last.
C)Nurse recognizes the person with a positive attitude.
D)Nurse thanks the patient.
E)Nurse tells the patient "I am an RN and will be managing your care."
Q2) The staff is having a hard time getting an older-adult patient to communicate. Which technique should the nurse suggest the staff use?
A) Try changing topics often.
B) Allow the patient to reminisce.
C) Ask the patient for explanations.
D) Involve only the patient in conversations.
Q3) Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients?
A) Shows sympathy appropriately
B) Uses automatic responses fluently
C) Demonstrates passive remarks accurately
D) Self-examines personal communication skills
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Chapter 25: Patient Education
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Sample Questions
Q1) A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess to determine a patient's ability to learn?
A) Sociocultural background and motivation
B) Stage of grieving and overall physical health
C) Developmental capabilities and physical capabilities
D) Psychosocial adaptation to illness and active participation
Q2) A nurse is teaching a group of healthy adults about the benefits of flu immunizations. Which type of patient education is the nurse providing?
A) Health analogies
B) Restoration of health
C) Coping with impaired functions
D) Promotion of health and illness prevention
Q3) A nurse is teaching a culturally diverse patient with a learning disability about nutritional needs. What must the nurse do first before starting the teaching session?
A) Obtain pictures of food.
B) Get an interpreter.
C) Establish a rapport.
D) Refer to a dietitian.
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) A hospital is using a computer system that allows all health care providers to use a protocol system to document the care they provide. Which type of system/design will the nurse be using?
A) Clinical decision support system
B) Nursing process design
C) Critical pathway design
D) Computerized provider order entry system
Q2) D
A)Applied oxygen, stayed with patient, and instructed to slow breathing.
B)Patient states, "feel better," respirations 16 with O<sub>2</sub> saturations 96%.
C)Patient states, "can't catch my breath and chest hurts." Confused.
Q3) A nurse is teaching the staff about informatics. Which information from the staff indicates the nurse needs to follow up?
A) To be proficient in informatics, a nurse should be able to discover, retrieve, and use information in practice.
B) A nurse needs to know how to find, evaluate, and use information effectively.
C) If a nurse has computer competency, the nurse is competent in informatics.
D) Nursing informatics is a recognized specialty area of nursing practice.
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Chapter 27: Patient Safety and Quality
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Sample Questions
Q1) The nurse is presenting an educational session on safety for parents of adolescents. Which information will the nurse include in the teaching session?
A) Increased aggressiveness and blood spots on clothing may indicate substance abuse.
B) Increased aggressiveness is an environmental clue that may indicate an adolescent is abusing.
C) Adolescents need information about the effects of uncoordination on accidents.
D) Adolescents need to be reminded to use seat belts primarily on long trips.
Q2) An older-adult patient is using a wheelchair to attend a physical therapy session.
Which action by the nurse indicates safe transport of the patient?
A) Positions patient's buttocks close to the front of wheelchair seat
B) Backs wheelchair into elevator, leading with large rear wheels first
C) Places locked wheelchair on same side of bed as patient's weaker side
D) Unlocks wheelchair for easy maneuverability when patient is transferring
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Chapter 28: Immobility
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Sample Questions
Q1) A nurse is providing care to a group of patients. Which patient will the nurse see \(\bold{first}\)?
A) A patient with a hip replacement on prolonged bed rest reporting chest pain and dyspnea
B) A bedridden patient who has a reddened area on the buttocks who needs to be turned
C) A patient on bed rest who has renal calculi and needs to go to the bathroom
D) A patient after knee surgery who needs range of motion exercises
Q2) The nurse is assessing the patient for respiratory complications of immobility. Which action will the nurse take when assessing the respiratory system?
A) Inspect chest wall movements primarily during the expiratory cycle.
B) Auscultate the entire lung region to assess lung sounds.
C) Focus auscultation on the upper lung fields.
D) Assess the patient at least every 4 hours.
Q3) A nurse is assessing the skin of an immobilized patient. What will the nurse do?
A) Assess the skin every 4 hours.
B) Limit the amount of fluid intake.
C) Use a standardized tool such as the Braden Scale.
D) Have special times for inspection so as to not interrupt routine care.
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Page 30
Chapter 29: Infection Prevention and Control
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Sample Questions
Q1) The infection control nurse is reviewing data for the medical-surgical unit. The nurse notices an increase in postoperative infections from Aspergillus. Which type of health care-associated infection will the nurse report?
A) Vector
B) Exogenous
C) Endogenous
D) Suprainfection
Q2) The nurse has received a report from the emergency department that a patient with tuberculosis will be coming to the unit. Which items will the nurse need to care for this patient? (Select all that apply.)
A) Private room
B) Negative-pressure airflow in room
C) Surgical mask, gown, gloves, eyewear
D) N95 respirator, gown, gloves, eyewear
E) Communication signs for droplet precautions
F) Communication signs for airborne precautions
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Chapter 30: Vital Signs
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) The patient has a temperature of 105.2° F. The nurse is attempting to lower temperature by providing tepid sponge baths and placing cool compresses in strategic body locations. Which technique is the nurse using to lower the patient's temperature?
A) Radiation
B) Conduction
C) Convection
D) Evaporation
Q2) Tachycardia
A)Patient's temperature is 113° F (45° C) with hot, dry skin.
B)Patient's blood pressure sitting is 130/60 and 110/40 standing.
C)Patient's pulse is 110 beats/min.
D)Patient's temperature is 93.2° F (34° C).
E)Patient's blood pressure went from 126/76 to 90/50.
Q3) The patient with heart failure is restless with a temperature of 102.2° F (39° C). Which action will the nurse take?
A) Place the patient on oxygen.
B) Encourage the patient to cough.
C) Restrict the patient's fluid intake.
D) Increase the patient's metabolic rate.
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Page 32
Chapter 31: Health Assessment and Physical Examination
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/2410
Sample Questions
Q1) The nurse is assessing an adult patient's patellar reflex. Which finding will the nurse record as normal?
A) 1+
B) 2+
C) 3+
D) 4+
Q2) During a genitourinary examination of a 30-year-old male patient, the nurse identifies a small amount of a white, thick substance on the patient's uncircumcised glans penis. What is the nurse's next step?
A) Record this as a normal finding.
B) Avoid embarrassing questions about sexual activity.
C) Notify the provider about a suspected sexually transmitted infection.
D) Tell the patient to avoid doing self-examinations until symptoms clear.
Q3) On admission, a patient weighs 250 pounds. The weight is recorded as 256 pounds on the second inpatient day. Which condition will the nurse assess for in this patient?
A) Anorexia
B) Weight loss
C) Fluid retention
D) Increased nutritional intake
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Page 33
Chapter 32: Medication Administration
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/2411
Sample Questions
Q1) An older-adult patient needs an IM injection of antibiotic. Which site is best for the nurse to use?
A) Deltoid
B) Dorsal gluteal
C) Ventrogluteal
D) Vastus lateralis
Q2) A nurse is attempting to administer an oral medication to a child, but the child refuses to take the medication. A parent is in the room. Which statement by the nurse to the parent is best?
A) "Please hold your child's arms down, so I can give the full dose."
B) "I will prepare the medication for you and observe if you would like to try to administer the medication."
C) "Let's turn the lights off and give your child a moment to fall asleep before administering the medication."
D) "Since your child loves applesauce, let's add the medication to it, so your child doesn't resist."
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Chapter 33: Complementary and Alternative Therapies
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2412
Sample Questions
Q1) A nurse is using the holistic approach to care. Which goal is the priority?
A) Integrate spiritual treatments.
B) Join physical care with a vegan diet.
C) Incorporate the mind-body-spirit connection.
D) Use complementary and alternative therapies.
Q2) A nurse is teaching a patient relaxation techniques to decreases stress. Which finding will support the nurse's evaluation that the therapy is effective?
A) Dilated pupils
B) Increased blood sugar
C) Decreased heart rate
D) Elevated blood pressure
Q3) A patient describes practicing a complementary and alternative therapy involving breathwork and yoga. The nurse also recommends using energy field therapies. Which techniques did the nurse suggest?
A) Prayer and tai chi
B) The "zone" and acupressure
C) Massage therapy and ayurveda
D) Reiki therapy and therapeutic touch
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Chapter 34: Self-Concept
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25 Flashcards
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Sample Questions
Q1) A nurse is caring for a postoperative mastectomy patient. Which action is a priority for increasing self-awareness?
A) Solving problems for the patient before developing insight
B) Using communication skills to clarify family and patient expectations
C) Telling the patient that it will be fine because many others have survived
D) Rotating nursing personnel in the patient's care, so the patient can talk to many people
Q2) While gathering an adolescent's health history, the nurse recognizes that the patient began to act out behaviorally and engaged in risky behavior when the patient's parents divorced. Which information will the nurse gather to determine situational low self-esteem?
A) How long the parents were married
B) How the patient views behaviors
C) Why the parents are divorcing
D) Why the patient is acting out of control
Q3) Disturbed body image
A)I am ugly with all these burn scars.
B)I am one with the universe.
C)I am good for nothing.
D)I am a good mother.
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Chapter 35: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2414
Sample Questions
Q1) A nurse is caring for a patient who expresses a desire to have an elective abortion. The nurse's religious and ethical values are strongly opposed. How should the nurse best handle the situation?
A) Attempt to educate the patient about the consequences of abortion.
B) Refer the patient to a family planning center or another health professional.
C) Continue to care for the patient, and limit conversation as much as possible.
D) Inform the patient that, because of immoral issues, another nurse will have to care for her.
Q2) A nurse is reviewing a patient's history. Which priority finding will alert the nurse to assess the patient for possible sexual dysfunction?
A) Takes vacations out of the country
B) Takes antianxiety medication
C) Takes exercise classes
D) Takes afternoon naps
Q3) Which patient is most in need of a nurse's referral to adoption services?
A) A woman considering abortion for an unwanted pregnancy
B) An infertile couple religiously opposed to artificial insemination
C) A woman who suffered miscarriage during her first pregnancy
D) An infertile couple who has been attempting conception for 3 months
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Page 37
Chapter 36: Spiritual Health
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2415
Sample Questions
Q1) A nurse is caring for a Hindu patient. Which action will the nurse take?
A) Allow time to practice the Five Pillars.
B) Allow time to practice Blessingway.
C) Allow time for Holy Communion.
D) Allow time for purity rituals.
Q2) A nurse makes a connection with the patient when providing spiritual care. Which type of connectedness did the nurse experience?
A) Intrapersonal
B) Interpersonal
C) Transpersonal
D) Multipersonal
Q3) A nurse is providing spiritual care to patients. Which action is essential for the nurse to take?
A) Know one's own personal beliefs.
B) Learn about other religions.
C) Visit churches, temples, mosques, or synagogues.
D) Travel to other areas that do not have the same beliefs.
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Chapter 37: The Experience of Loss, Death, and Grief
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24 Flashcards
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Sample Questions
Q1) A nurse is documenting end-of-life care. Which information will the nurse include in the patient's electronic medical record? (Select all that apply.)
A) Reason for the death
B) Time and date of death
C) How ethically the family grieved
D) Location of body identification tags
E) Time of body transfer and destination
Q2) A patient's father died a week ago. Both the patient and the patient's spouse talk about the death. The patient's spouse is experiencing headaches and fatigue. The patient is having trouble sleeping, has no appetite, and gets choked up most of the time. How should the nurse interpret these findings as the basis for a follow-up assessment?
A) The patient is dying and the spouse is angry.
B) The patient is ill and the spouse is malingering.
C) Both the patient and the spouse are likely in denial.
D) Both the patient and the spouse are likely grieving.
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Chapter 38: Stress and Coping
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A female teen with celiac disease continues to eat food she knows will make her ill several hours after ingestion. While planning care, the nurse considers maturational and tertiary-level interventions. Which intervention will the nurse add to the care plan?
A) Teach the teen about the food pyramid.
B) Administer antidiarrheal medications with meals.
C) Gently admonish the teen and her parents regarding the consistently poor diet choices.
D) Assist the teen in meeting dietary restrictions while eating foods similar to those eaten by her friends.
Q2) A nurse is helping parents who have a child with attention-deficit/hyperactivity disorder. Which strategy will the nurse share with the parents to reduce stress regarding homework assignments?
A) Time-management skills
B) Speech articulation skills
C) Routine preventative health visits
D) Assertiveness training for the family
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Chapter 39: Activity and Exercise
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/2418
Sample Questions
Q1) The patient reports being tired and weak and lacks energy. Upon assessment, the nurse finds that patient has gained weight, and blood pressure and pulse are elevated after climbing stairs. Which nursing diagnosis will the nurse add to the care plan?
A) Fatigue
B) Ineffective coping
C) Activity intolerance
D) Decreased cardiac output
Q2) A nurse is working in a facility that follows a comprehensive safe patient-handling program. Which finding will alert the nurse to intervene?
A) Mechanical lifts are in a locked closet.
B) Algorithms for patient handling are available.
C) Ergonomic assessment protocols are being followed.
D) A no-lift policy is in place with adherence by all staff.
Q3) A 55-year-old patient is preparing to start an exercise program. The health care provider wants 60% of maximum target heart rate. Calculate the heart rate that the nurse will add to the care plan as the target heart rate. Record answer as a whole number.
_________ maximum heart rate
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Chapter 40: Hygiene
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/2419
Sample Questions
Q1) A patient has scaling of the scalp. Which term will the nurse use to report this finding to the oncoming staff?
A) Dandruff
B) Alopecia
C) Pediculosis
D) Xerostomia
Q2) The nurse is providing education about the importance of proper foot care to a patient who has diabetes mellitus. Which primary goal is the nurse trying to achieve?
A) Prevention of plantar warts
B) Prevention of foot fungus
C) Prevention of neuropathy
D) Prevention of amputation
Q3) The nurse is teaching the patient about flossing and oral hygiene. Which instruction will the nurse include in the teaching session?
A) Using waxed floss prevents bleeding.
B) Flossing removes plaque and tartar from the teeth.
C) Performing flossing at least 3 times a day is beneficial.
D) Applying toothpaste to the teeth before flossing is harmful.
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Chapter 41: Oxygenation
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) A nurse is teaching a community health promotion class and discusses the flu vaccine. Which information will the nurse include in the teaching session? (Select all that apply.)
A) It is given yearly.
B) It is given in a series of four doses.
C) It is safe for children allergic to eggs.
D) It is safe for adults with acute febrile illnesses.
E) The nasal spray is given to people over 50.
F) The inactivated flu vaccine is given to people over 50.
Q2) Which coughing technique will the nurse use to help a patient clear central airways?
A) Huff
B) Quad
C) Cascade
D) Incentive spirometry
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Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2421
Sample Questions
Q1) A nurse is discontinuing a patient's peripheral IV access. Which actions should the nurse take? (Select all that apply.)
A) Wear sterile gloves and a mask.
B) Stop the infusion before removing the IV catheter.
C) Use scissors to remove the IV site dressing and tape.
D) Apply firm pressure with sterile gauze during removal.
E) Keep the catheter parallel to the skin while removing it.
F) Apply pressure to the site for 2 to 3 minutes after removal.
Q2) The nurse is assessing a patient and finds crackles in the lung bases and neck vein distention. Which action will the nurse take first?
A) Offer calcium-rich foods.
B) Administer diuretic.
C) Raise head of bed.
D) Increase fluids.
Q3) A patient has 250 mL of a jejunostomy feeding with 30 mL of water before and after feeding and 200 mL of urine. Thirty minutes later the patient has 100 mL of diarrhea. At 1300 the patient receives 150 mL of blood and voids another 200 mL. Calculate the patient's intake. Record your answer as a whole number. _____ mL
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44
Chapter 43: Sleep
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36 Flashcards
Source URL: https://quizplus.com/quiz/2422
Sample Questions
Q1) Insomnia
A)Use continuous positive airway pressure.
B)Offer a small meal several hours before bedtime.
C)Administer antidepressants.
D)Administer modafinil (Provigel).
E)Do not startle.
F)Administer benzodiazepine-like drugs.
Q2) The patient and the nurse discuss the need for sleep. After the discussion, the patient is able to state factors that hinder sleep. Which statements indicate the patient has a good understanding of the teaching? (Select all that apply.)
A) "Drinking coffee at 7 PM could interrupt my sleep."
B) "Staying up late for a party can interrupt sleep patterns."
C) "Exercising 2 hours before bedtime can decrease relaxation."
D) "Changing the time of day that I eat dinner can disrupt sleep."
E) "Worrying about work can disrupt my sleep."
F) "Taking an antacid can decrease sleep."
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Chapter 44: Pain Management
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Sample Questions
Q1) A nurse is caring for a patient with rheumatoid arthritis who is now going to be taking 2 acetaminophen (Tylenol) tablets every 6 hours to control pain. Which part of the patient's social history is the nurse \(\bold{most}\) concerned about?
A) Patient drinks 1 to 2 glasses of wine every night.
B) Patient smokes 2 packs of cigarettes a day.
C) Patient occasionally uses marijuana.
D) Patient takes antianxiety medications.
Q2) A nurse is caring for a patient who is experiencing pain following abdominal surgery. Which information is important for the nurse to share with the patient when providing patient education about effective pain management?
A) "To prevent overdose, you need to wait to ask for pain medication until you begin to experience pain."
B) "You should take your medication after you walk to make sure you do not fall while you are walking."
C) "We should work together to create a schedule to provide regular dosing of medication."
D) "When you experience severe pain, you will need to take oral pain medications."
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Chapter 45: Nutrition
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45 Flashcards
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Sample Questions
Q1) To honor cultural values of patients from different ethnic/religious groups, which actions demonstrate culturally sensitive care by the nurse? (Select all that apply.)
A) Allows fasting on Yom Kippur for a Jewish patient
B) Allows caffeine drinks for a Mormon patient
C) Serves no ham products to a Muslim patient
D) Serves kosher foods to a Christian patient
E) Serves no meat or fish to a Hindu patient
Q2) A nurse is teaching a health class about the nutritional requirements throughout the life span. Which information should the nurse include in the teaching session? (Select all that apply.)
A) Infants triple weight at 1 year.
B) Toddlers become picky eaters.
C) School-age children need to avoid hot dogs and grapes.
D) Breastfeeding women need an additional 750 kcal/day.
E) Older adults have altered food flavor from a decrease in taste cells.
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Chapter 46: Urinary Elimination
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44 Flashcards
Source URL: https://quizplus.com/quiz/2425
Sample Questions
Q1) To obtain a clean-voided urine specimen from a female patient, what should the nurse teach the patient to do?
A) Cleanse the urethral meatus from the area of most contamination to least.
B) Initiate the first part of the urine stream directly into the collection cup.
C) Drink fluids 5 minutes before collecting the urine specimen.
D) Hold the labia apart while voiding into the specimen cup.
Q2) A nurse is caring for an 8-year-old patient who is embarrassed about urinating in bed at night. Which intervention should the nurse suggest to reduce the frequency of this occurrence?
A) "Set your alarm clock to wake you every 2 hours, so you can get up to void."
B) "Line your bedding with plastic sheets to protect your mattress."
C) "Drink your nightly glass of milk earlier in the evening."
D) "Empty your bladder completely before going to bed."
Q3) Which observation by the nurse \(\bold{best}\) indicates that a continuous bladder irrigation for a patient following genitourinary surgery is effective?
A) Output that is smaller than the amount instilled
B) Blood clots or sediment in the drainage bag
C) Bright red urine turns pink in the tubing
D) Bladder distention with tenderness
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Page 48
Chapter 47: Bowel Elimination
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42 Flashcards
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Sample Questions
Q1) A guaiac test is ordered for a patient. Which type of blood is the nurse checking for in this patient's stool?
A) Bright red blood
B) Dark black blood
C) Microscopic
D) Mucoid
Q2) A nurse is teaching a health class about colorectal cancer. Which information should the nurse include in the teaching session? (Select all that apply.)
A) A risk factor is smoking.
B) A risk factor is high intake of animal fats or red meat.
C) A warning sign is rectal bleeding.
D) A warning sign is a sense of incomplete evacuation.
E) Screening with a colonoscopy is every 5 years, starting at age 50.
F) Screening with flexible sigmoidoscopy is every 10 years, starting at age 50.
Q3) Which patient will the nurse assess \(\bold{most}\) closely for an ileus?
A) A patient with a fecal impaction
B) A patient with chronic cathartic abuse
C) A patient with surgery for bowel disease and anesthesia
D) A patient with suppression of hydrochloric acid from medication
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Page 49
Chapter 48: Skin Integrity and Wound Care
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/2427
Sample Questions
Q1) The nurse is caring for a patient with a surgical incision that eviscerates. Which actions will the nurse take? (Select all that apply.)
A) Place moist sterile gauze over the site.
B) Gently place the organs back.
C) Contact the surgical team.
D) Offer a glass of water.
E) Monitor for shock.
Q2) Gauze
A)Absorbs drainage through the use of exudate absorbers in the dressing
B)Very soothing to the patient and do not adhere to the wound bed
C)Barrier to external fluids/bacteria but allows wound to "breathe"
D)Manufactured from seaweed and comes in sheet and rope form
E)Oldest and most common absorbent dressing
Q3) The nurse is caring for a patient with a Stage IV pressure ulcer. Which type of healing will the nurse consider when planning care for this patient?
A) Partial-thickness wound repair
B) Full-thickness wound repair
C) Primary intention
D) Tertiary intention
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Page 50
Chapter 49: Sensory Alterations
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30 Flashcards
Source URL: https://quizplus.com/quiz/2428
Sample Questions
Q1) A home health nurse is assembling a puzzle with an older-adult patient and notices that the patient is having difficulty connecting two puzzle pieces. Which aspect of sensory deprivation will the nurse document as being most affected?
A) Perceptual
B) Cognitive
C) Affective
D) Social
Q2) The nurse is caring for a patient in acute respiratory distress. The patient has multiple monitoring systems on that constantly beep and make noise. The patient is becoming agitated and frustrated over the inability to sleep. Which action by the nurse is most appropriate for this patient?
A) Administer an opioid medication to help the patient sleep.
B) Keep the door open during the night.
C) Open the shades at night.
D) Provide the patient with earplugs.
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Chapter 50: Care of Surgical Patients
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Source URL: https://quizplus.com/quiz/2429
Sample Questions
Q1) The operating room nurse is providing a hand-off report to the postanesthesia care unit (PACU) nurse. Which components will the operating room nurse include? (Select all that apply.)
A) IV fluids
B) Vital signs
C) Insurance data
D) Family location
E) Anesthesia provided
F) Estimated blood loss
Q2) The nurse is making a preoperative education appointment with a patient. The patient asks if a family member should come to the appointment. Which is the best response by the nurse?
A) "There is no need for an additional person at the appointment."
B) "Your family can come and wait with you in the waiting room."
C) "We recommend including family members at this appointment."
D) "It is required that you have a family member at this appointment."
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