Fundamentals of Nursing Solved Exam Questions
Course Introduction
Fundamentals of Nursing introduces students to the essential principles and skills required for effective nursing practice. The course emphasizes the development of foundational knowledge in areas such as patient care, health assessment, infection control, safety, communication, documentation, and the nursing process. Students will learn the basic theoretical concepts that underpin nursing interventions, ethical and legal considerations in healthcare, and strategies for promoting patient well-being.
Through a combination of classroom instruction, laboratory simulations, and clinical experiences, students build competency and confidence in delivering compassionate, evidence-based care to diverse patient populations.
Recommended Textbook
Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
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Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) 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
Q2) The nurse manager from the oncology unit has had two callouts; the orthopedic unit has had multiple discharges and probably will have to cancel one or two of its nurses. The orthopedic unit has agreed to "float" two of its nurses to the oncology unit if oncology can "float" a nursing assistant to the orthopedic unit to help with obtaining vital signs. Which concepts does this situation entail? (Select all that apply.)
A) Autonomy
B) Informatics
C) Accountability
D) Political activism
E) Teamwork and collaboration
Answer: A, C, E
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3
Chapter 2: The Health Care Delivery System
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Sample Questions
Q1) A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse's primary objective?
A) Screening
B) Education
C) Dependence
D) Counseling
Answer: B
Q2) The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work?
A) Secondary acute
B) Continuing
C) Restorative
D) Tertiary
Answer: C
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Chapter 3: Community-Based Nursing Practice
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23 Flashcards
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Sample Questions
Q1) A nurse is working as a community health nurse. Which action is a \(\bold{priority}\) for this nurse?
A) Provide direct care to subpopulations.
B) Focus on the needs of the ill individual.
C) Provide first level of contact to health care systems.
D) Focus on providing care in various community settings.
Answer: A
Q2) The nurse is working with a 16-year-old pregnant female who tells the nurse that she needs an abortion. The nurse, acting as a counselor, provides the patient with information on alternatives to abortion, but after several sessions, the patient still insists on having the abortion. What should the nurse, in the counselor role, do next?
A) Encourage the patient to speak with a "Right-to-Life" advocate.
B) Refuse to provide a referral to an abortion service.
C) Provide referral to an abortion service.
D) Delay referral to an abortion service.
Answer: C
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) A patient is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA) and is placed in isolation until cultures can be obtained and declared noninfectious. During the isolation process, the nurse encourages family visits. Which level of Maslow's hierarchy of needs is the nurse promoting when the family is encouraged to visit?
A) First level
B) Second level
C) Third level
D) Fourth level
Q2) A nurse is using theoretical knowledge in nursing practice to provide patient care. Which nursing behavior is an example of theoretical knowledge?
A) Reads about different concepts
B) Reflects on clinical experiences
C) Combines the art and science of nursing
D) Creates a narrow understanding of nursing practice
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6
Chapter 5: Evidence-Based Practice
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Sample Questions
Q1) The nurse is trying to identify common general themes relative to the effectiveness of cardiac rehabilitation from patients who have had heart attacks and have gone through cardiac rehabilitation programs. The nurse conducts interviews and focus groups. Which type of research is the nurse conducting?
A) Nonexperimental research
B) Experimental research
C) Qualitative research
D) Evaluation research
Q2) In caring for patients, what must the nurse remember about evidence-based practice (EBP)?
A) EBP is the only valid source of knowledge that should be used.
B) EBP is secondary to traditional or convenient care knowledge.
C) EBP is dependent on patient values and expectations.
D) EBP is not shown to provide better patient outcomes.
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Chapter 6: Health and Wellness
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Sample Questions
Q1) The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the fourth time the patient is being admitted in the last 6 months for high blood sugars. During the admission process, the nurse asks the patient about employment status and displays a nonjudgmental attitude. What is the rationale for the nurse's actions?
A) External variables have little effect on compliance.
B) A person's compliance is affected by economic status.
C) Employment status is an internal variable that impacts compliance.
D) Noncompliant patients thrive on the disapproval of authority figures.
Q2) The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath. The patient is placed on oxygen, has labs and blood gases drawn, and is given an electrocardiogram and breathing treatments. Which level of preventive care is this patient receiving?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
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Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) A nurse provides care that is receptive to patients' and families' perceptions of caring. Which action will the nurse take?
A) Provides clear, accurate information
B) Just performs nursing tasks competently
C) Does as much for the patient as possible
D) Focuses solely on the patient's diagnosis
Q2) A nurse cares for patients. Which areas does caring influence? (Select all that apply.)
A) The way in which patients feel
B) The way in which patients learn
C) The way in which patients think
D) The way in which patients study
E) The way in which patients behave
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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9
Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) A nurse is working in a cancer facility that follows the Institute of Medicine's (IOM) recommendations for essential components of survivorship care. Which recommendations will be the nurse's focus? (Select all that apply.)
A) Cessation of noncancer follow-up and care
B) Prevention and detection of new and recurrent cancers
C) Intervention for consequences of cancer and its treatment
D) Coordination between specialists and primary care providers
E) Surveillance for cancer spread, recurrence, or second cancers
Q2) When planning for cancer survivor care needs, which information should the nurse consider?
A) Survivorship care plans are reviewed with the patient at home.
B) All health care agencies provide survivorship care plans.
C) Some survivors are discharged with no survivor plan.
D) The plan does not deal with future cancer screenings.
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) 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.
Q2) A nurse is using Campinha-Bacote's model of cultural competency. Which areas will the nurse focus on to become competent? (Select all that apply.)
A) Cultural skills
B) Cultural desire
C) Cultural transition
D) Cultural knowledge
E) Cultural encounters
Q3) Cultural desires
A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills
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Chapter 10: Caring for Families
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Sample Questions
Q1) The nurse is caring for a patient in hospice. The nurse notes that the patient is getting adequate care, but the spouse is not sleeping well. The nurse also assesses the need for better family nutrition and meals assistance. The nurse discusses these needs with the patient and family and develops a plan of care with them using community resources. Which approach is the nurse using?
A) Family as context
B) Family as patient
C) Family as system
D) Family as caregiver
Q2) Who at your workplace is close to the family?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
Q3) A nurse reviews the current trends affecting the family. Which trend will the nurse find?
A) Mothers are staying at home.
B) Adolescent mothers usually live on their own.
C) More grandparents are raising their grandchildren.
D) Teenage fathers usually have stronger support systems.
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Chapter 11: Developmental Theories
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Sample Questions
Q1) 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.
Q2) A nurse is developing a plan of care concerning growth and development for a hospitalized adolescent. What should the nurse do? (Select all that apply.)
A) Apply developmental theories when making observations of the adolescent's patterns of growth and development.
B) Compare the adolescent's assessment findings versus normal findings.
C) Recognize her own (the nurse's) moral developmental level.
D) Stick with one developmental theory for consistency.
E) Apply a unidimensional life span perspective.
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Chapter 12: Conception Through Adolescence
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Sample Questions
Q1) A mother has delivered a healthy newborn. Which action is priority?
A) Encourage close physical contact as soon as possible after birth.
B) Isolate the newborn in the nursery during the first hour after delivery.
C) Never leave the newborn alone with the mother during the first 8 hours after delivery.
D) Do not allow the newborn to remain with parents until the second hour after delivery.
Q2) The nurse is teaching a parent about developmental needs of a 9-month-old infant. Which statement from the parent indicates a correct understanding of the teaching?
A) "My child will begin to speak in sentences by 1 year of age."
B) "My child will probably enjoy playing peek-a-boo."
C) "My child will sleep about 7 to 8 hours a night."
D) "My child will be ready to try low-fat milk."
Q3) A nurse is assessing a newborn that was just born. Which newborn finding will cause the nurse to intervene immediately?
A) Molding
B) A lack of reflexes
C) Cyanotic hands and feet
D) A soft, protuberant abdomen
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Chapter 13: Young and Middle Adults
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25 Flashcards
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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) A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and hot flashes. Which information should the nurse share with the patient?
A) The patient's assessment points toward normal menopause.
B) Those symptoms are normal when a woman undergoes the climacteric.
C) An assessment is not really needed because these problems are normal for older women.
D) The patient should stop regular exercise because that is probably causing these symptoms.
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Page 15
Chapter 14: Older Adult
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31 Flashcards
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Sample Questions
Q1) A nurse is discussing sexuality with an older adult. Which action will the nurse take?
A) Ask closed-ended questions about specific symptoms the patient may experience.
B) Provide information about the prevention of sexually transmitted infections.
C) Discuss the issues of sexuality in a group in a private room.
D) Explain that sexuality is not necessary as one ages.
Q2) A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?
A) Sexuality
B) Retirement
C) Environment
D) Social isolation
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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Sample Questions
Q1) Which findings will alert the nurse that stress is present when making a clinical decision? (Select all that apply.)
A) Tense muscles
B) Reactive responses
C) Trouble concentrating
D) Very tired feelings
E) Managed emotions
Q2) A nurse is reviewing care plans. Which finding, if identified in a plan of care, should the registered nurse revise?
A) Patient's outcomes for learning
B) Nurse's assumptions about hospital discharge
C) Identification of several actual health problems
D) Documentation of patient's ability to meet the goal
Q3) Which action should the nurse take when using critical thinking to make clinical decisions?
A) Make decisions based on intuition.
B) Accept one established way to provide care.
C) Consider what is important in a given situation.
D) Read and follow the heath care provider's orders.
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Page 17
Chapter 16: Nursing Assessment
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Sample Questions
Q1) The nurse is attempting to prompt the patient to elaborate on the reports of daytime fatigue. Which question should the nurse ask?
A) "Is there anything that you are stressed about right now that I should know?"
B) "What reasons do you think are contributing to your fatigue?"
C) "What are your normal work hours?"
D) "Are you sleeping 8 hours a night?"
Q2) 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?
Q3) The nurse is using critical thinking skills during the first phase of the nursing process. Which action indicates the nurse is in the first phase?
A) Completes a comprehensive database
B) Identifies pertinent nursing diagnoses
C) Intervenes based on priorities of patient care
D) Determines whether outcomes have been achieved
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18
Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) A patient exhibits the following symptoms: tachycardia, increased thirst, headache, decreased urine output, and increased body temperature. The nurse analyzes the data. Which nursing diagnosis will the nurse assign to the patient?
A) Adult failure to thrive
B) Hypothermia
C) Deficient fluid volume
D) Nausea
Q2) A new nurse writes the following nursing diagnoses on a patient's care plan. Which nursing diagnosis will cause the nurse manager to intervene?
A) Wandering
B) Hemorrhage
C) Urinary retention
D) Impaired swallowing
Q3) A nurse adds a nursing diagnosis to a patient's care plan. Which information did the nurse document?
A) Decreased cardiac output related to altered myocardial contractility.
B) Patient needs a low-fat diet related to inadequate heart perfusion.
C) Offer a low-fat diet because of heart problems.
D) Acute heart pain related to discomfort.
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Page 19
Chapter 18: Planning Nursing Care
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Sample Questions
Q1) The new nurse is caring for six patients in this shift. After completing their assessments, the nurse asks where to begin in developing care plans for these patients. Which statement is an appropriate suggestion by another nurse?
A) "Choose all the interventions and perform them in order of time needed for each one."
B) "Make sure you identify the scientific rationale for each intervention first."
C) "Decide on goals and outcomes you have chosen for the patients."
D) "Begin with the highest priority diagnoses, then select appropriate interventions."
Q2) A nurse is developing a care plan. Which intervention is most appropriate for the nursing diagnostic statement Risk for loneliness related to impaired verbal communication?
A) Provide the patient with a writing board each shift.
B) Obtain an interpreter for the patient as soon as possible.
C) Assist the patient in performing swallowing exercises each shift.
D) Ask the family to provide a sitter to remain with the patient at all times.
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Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) A nurse is implementing interventions for a group of patients. Which actions are nursing interventions? (Select all that apply.)
A) Order chest x-ray for suspected arm fracture.
B) Prescribe antibiotics for a wound infection.
C) Reposition a patient who is on bed rest.
D) Teach a patient preoperative exercises.
E) Transfer a patient to another hospital unit.
Q2) A nurse is reviewing a patient's care plan. Which information will the nurse identify as a nursing intervention?
A) The patient will ambulate in the hallway twice this shift using crutches correctly.
B) Impaired physical mobility related to inability to bear weight on right leg.
C) Provide assistance while the patient walks in the hallway twice this shift with crutches.
D) The patient is unable to bear weight on right lower extremity.
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Chapter 20: Evaluation
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Sample Questions
Q1) A nurse has instituted a turn schedule for a patient to prevent skin breakdown. Upon evaluation, the nurse finds that the patient has a stage II pressure ulcer on the buttocks. Which action will the nurse take next?
A) Reassess the patient and situation.
B) Revise the turning schedule to increase the frequency.
C) Delegate turning to the nursing assistive personnel.
D) Apply medication to the area of skin that is broken down.
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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Chapter 21: Managing Patient Care
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Sample Questions
Q1) A nurse is prioritizing care for four patients. Which patient should the nurse see first?
A) A patient needing teaching about medications
B) A patient with a healed abdominal incision
C) A patient with a slight temperature
D) A patient with difficulty breathing
Q2) A nurse has a transactional leader as a manager. Which finding will the nurse anticipate from working with this leader?
A) Increased turnover rate
B) Increased patient mortality rate
C) Increased rate of medication errors
D) Increased level of patient satisfaction
Q3) A nursing assistive personnel (NAP) reports seeing a reddened area on the patient's hip while bathing the patient. Which action should the nurse take?
A) Request a wound nurse consult.
B) Go to the patient's room to assess the patient's skin.
C) Document the finding per the NAP's report.
D) Ask the NAP to apply a dressing over the reddened area.
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23
Chapter 22: Ethics and Values
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Sample Questions
Q1) A nurse must make an ethical decision concerning vulnerable patient populations. Which philosophy of health care ethics would be particularly useful for this nurse?
A) Teleology
B) Deontology
C) Utilitarianism
D) Feminist ethics
Q2) A nurse is a member of the ethics committee. Which purposes will the nurse fulfill in this committee? (Select all that apply.)
A) Education
B) Case consultation
C) Purchasing power
D) Direct patient care
E) Policy recommendation
Q3) The nurse is caring for a dying patient. Which intervention is considered futile?
A) Giving pain medication for pain
B) Providing oral care every 5 hours
C) Administering the influenza vaccine
D) Supporting lower extremities with pillows
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24
Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) The nurse calculates the medication dose for an infant on the pediatric unit and determines that the dose is twice what it should be based upon the drug book's information. The pediatrician is contacted and says to administer the medication as ordered. Which actions should the nurse take next? (Select all that apply.)
A) Notify the nursing supervisor.
B) Administer the medication as ordered.
C) Give the amount listed in the drug book.
D) Ask the mother to give the drug to her child.
E) Check the chain of command policy for such situations.
Q2) An obstetric nurse comes across an automobile accident. The driver seems to have a crushed upper airway, and while waiting for emergency medical services to arrive, the nurse makes a cut in the trachea and inserts a straw from a purse to provide an airway. The patient survives and has a permanent problem with vocal cords, making it difficult to talk. Which statement is true regarding the nurse's performance?
A) The nurse acted appropriately and saved the patient's life.
B) The nurse stayed within the guidelines of the Good Samaritan Law.
C) The nurse took actions beyond those that are standard and appropriate.
D) The nurse should have just stayed with the patient and waited for help.
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25
Chapter 24: Communication
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Sample Questions
Q1) A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a personal story about the care that has been received. Which interaction is the nurse using?
A) Nonjudgmental
B) Socializing
C) Narrative
D) SBAR
Q2) T
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."
Q3) An older-adult patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication?
A) Chew gum.
B) Turn off the television.
C) Speak clearly and loudly.
D) Use at least 14-point print.
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Page 26
Chapter 25: Patient Education
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Sample Questions
Q1) A nurse is determining if teaching is effective. Which finding best indicates learning has occurred?
A) A nurse presents information about diabetes.
B) A patient demonstrates how to inject insulin.
C) A family member listens to a lecture on diabetes.
D) A primary care provider hands a diabetes pamphlet to the patient.
Q2) A nurse is preparing to teach a kinesthetic learner about exercise. Which technique will the nurse use?
A) Let the patient touch and use the exercise equipment.
B) Provide the patient with pictures of the exercise equipment.
C) Let the patient listen to a video about the exercise equipment.
D) Provide the patient with a case study about the exercise equipment.
Q3) A patient learns that a normal adult heartbeat is 60 to 100 beats/min after a teaching session with a nurse. In which domain did learning take place?
A) Kinesthetic
B) Cognitive
C) Affective
D) Psychomotor
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) A nurse in a long-term care setting that is funded by Medicare and Medicaid is completing standardized protocols for assessment and care planning for reimbursement. Which task is the nurse completing?
A) A minimum data set
B) An admission assessment and acuity level
C) A focused assessment/specific body system
D) An intake assessment form and auditing phase
Q2) A nurse exchanges information with the oncoming nurse about a patient's care. Which action did the nurse complete?
A) A verbal report
B) An electronic record entry
C) A referral
D) An acuity rating
Q3) After providing care, a nurse charts in the patient's record. Which entry will the nurse document?
A) Appears restless when sitting in the chair
B) Drank adequate amounts of water
C) Apparently is asleep with eyes closed
D) Skin pale and cool
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Chapter 27: Patient Safety and Quality
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Sample Questions
Q1) A home health nurse is teaching a family to prevent electrical shock. Which information will the nurse include in the teaching session?
A) Run wires under the carpet.
B) Disconnect items before cleaning.
C) Grasp the cord when unplugging items.
D) Use masking tape to secure cords to the floor.
Q2) A patient requires restraints after alternatives are not successful. The nurse is reviewing the orders. Which findings indicate to the nurse the order is legal and appropriate for safe care? (Select all that apply.)
A) Health care provider orders restraints prn (as needed).
B) Health care provider writes the type and location of the restraint.
C) Health care provider renews orders for restraints every 24 hours.
D) Health care provider performs a face-to-face assessment prior to the order.
E) Health care provider specifies the duration and circumstances under which the restraint will be used.
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Chapter 28: Immobility
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Sample Questions
Q1) The nurse is caring for a patient who has had a stroke causing total paralysis of the right side. To help maintain joint function and minimize the disability from contractures, passive ROM will be initiated. When should the nurse begin this therapy?
A) After the acute phase of the disease has passed
B) As soon as the ability to move is lost
C) Once the patient enters the rehab unit
D) When the patient requests it
Q2) The nurse is assessing body alignment for a patient who is immobilized. Which patient position will the nurse use?
A) Supine position
B) Lateral position
C) Lateral position with positioning supports
D) Supine position with no pillow under the patient's head
Q3) The nurse is observing the way a patient walks. Which aspect is the nurse assessing?
A) Activity tolerance
B) Body alignment
C) Range of motion
D) Gait
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Chapter 29: Infection Prevention and Control
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46 Flashcards
Source URL: https://quizplus.com/quiz/2408
Sample Questions
Q1) A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area. A nurse is taking a health history. Which question is the priority?
A) "When was the last time you visited your primary health care provider?"
B) "Has this condition affected your eating habits in any way?"
C) "What medications are you currently taking?"
D) "Are you able to sleep at night?"
Q2) The nurse is caring for an adult patient in the clinic who has been evacuated and is a victim of flooding. The nurse teaches the patient about rest, exercise, and eating properly and how to utilize deep breathing and visualization. What is the primary rationale for the nurse's actions related to the teaching?
A) Topics taught are standard information taught during health care visits.
B) The patient requested this information to teach the extended family members.
C) Stress for long periods of time can lead to exhaustion and decreased resistance to infection.
D) These techniques will help the patient manage the pain and loss of personal belongings.
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Chapter 30: Vital Signs
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2409
Sample Questions
Q1) The patient is being encouraged to purchase a portable automatic blood pressure device to monitor blood pressure at home. Which information will the nurse present as benefits for this type of treatment? (Select all that apply.)
A) Patients can actively participate in their treatment.
B) Self-monitoring helps with compliance and treatment.
C) The risk of obtaining an inaccurate reading is decreased.
D) Blood pressures can be obtained if pulse rates become irregular.
E) Patients can provide information about patterns to health care providers.
Q2) A nurse is caring for a group of patients. Which patient will the nurse see first?
A) A crying infant with P-165 and R-54
B) A sleeping toddler with P-88 and R-23
C) A calm adolescent with P-95 and R-26
D) An exercising adult with P-108 and R-24
Q3) Orthostatic hypotension
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.
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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) Upon assessment, the patient is breathing normally and has normal vesicular lung sounds. Which expected inspiratory-to-expiratory breath sounds will the nurse hear?
A) The expiration phase is longer than the inspiration phase.
B) The inspiratory phase lasts exactly as long as the expiratory phase.
C) The expiration phase is 2 times longer than the inspiration phase.
D) The inspiratory phase is 3 times longer than the expiratory phase.
Q2) Having misplaced a stethoscope, a nurse borrows a colleague's stethoscope. The nurse next enters the patient's room and identifies self, washes hands with soap, and states the purpose of the visit. The nurse performs proper identification of the patient before auscultating the patient's lungs. Which critical health assessment step should the nurse have performed?
A) Running warm water over stethoscope
B) Draping stethoscope around the neck
C) Rubbing stethoscope with betadine
D) Cleaning stethoscope with alcohol
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Chapter 32: Medication Administration
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50 Flashcards
Source URL: https://quizplus.com/quiz/2411
Sample Questions
Q1) A patient refuses medication. Which is the nurse's first action?
A) Educate the patient about the importance of the medication.
B) Discreetly hide the medication in the patient's favorite gelatin.
C) Agree with the patient's decision and document it in the chart.
D) Explore with the patient reasons for not wanting to take the medication.
Q2) An order is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What should the nurse do?
A) Call the health care provider to clarify the order.
B) Give the patient hydromorphone, as it was meant to be written.
C) Administer the medication and monitor the patient frequently.
D) Refuse to give the medication and notify the nurse supervisor.
Q3) The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse's action?
A) Reduced glomerular filtration
B) Reduced esophageal stricture
C) Increased gastric motility
D) Increased liver mass
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Page 34
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 therapeutic touch practitioner scans the patient's body. What is the purpose of the practitioner's actions?
A) To identify blocked moxibustion
B) To identify universal life energy
C) To identify energy obstructions
D) To identify structural and functional imbalance
Q2) A patient asks about the new clinic in town that is staffed by allopathic and complementary practitioners. Which response from the nurse is best?
A) It is probably an ayurvedic clinic.
B) It is probably a homeopathic clinic.
C) It is probably an integrative medical clinic.
D) It is probably a naturopathic medical clinic.
Q3) A Native American patient is asking for a spiritual healer. Which person should the nurse try to contact for the patient?
A) Shaman
B) Vitalist
C) Ayurvedic
D) Curanderismo
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Chapter 34: Self-Concept
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2413
Sample Questions
Q1) A nurse is completing a history on a patient with role conflict. Which finding is consistent with role conflict?
A) A patient is unsure about job expectations in a fast-paced company.
B) A patient has to travel for work and misses children's birthdays.
C) A patient feels less of a man after a leg amputation.
D) A patient loses a job from the company's downsizing.
Q2) Identity confusion
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.
Q3) A nurse is teaching a patient about self-concept. Which information from the patient indicates the nurse needs to follow up about components of self-concept?
A) One component is identity.
B) One component is coping.
C) One component is body image.
D) One component is role performance.
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Chapter 35: Sexuality
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23 Flashcards
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Sample Questions
Q1) A parent asks about the human papillomavirus (HPV) vaccine. Which information will the nurse include in the teaching session?
A) It is recommended for girls 6 to 9 years old.
B) It is recommended for females ages 11 to 26.
C) It is recommended that booster injections be given.
D) It is recommended to receive four required injections.
Q2) A woman who has been in a monogamous relationship for the past 6 months presents to clinic with herpes on her labia. The patient is distraught because her partner must have cheated on her. Which response by the nurse is most effective in establishing an open rapport with a patient?
A) Share a story.
B) Inform the patient that all encounters are confidential.
C) Encourage the patient to break up with her partner for cheating.
D) Tell the patient that she must be honest about every sexual experience she has had.
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Chapter 36: Spiritual Health
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25 Flashcards
Source URL: https://quizplus.com/quiz/2415
Sample Questions
Q1) Appalachians
A)Nature controls life and health.
B)Organ transplantation or donation is not considered.
C)Observance of the Sabbath is important.
D)Past sins cause illness.
E)Nonhuman spirits invading the body cause illness.
Q2) A nurse is teaching a patient how to meditate. Which information from the patient indicates effective learning?
A) I will lie on the floor.
B) I will breathe quickly.
C) I will focus on an image.
D) I will do this for 10 minutes every day.
Q3) Islam
A)Nature controls life and health.
B)Organ transplantation or donation is not considered.
C)Observance of the Sabbath is important.
D)Past sins cause illness.
E)Nonhuman spirits invading the body cause illness.
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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 palliative team is caring for a dying patient in severe pain. Which action is the priority?
A) Provide postmortem care for the patient.
B) Support the patient's nurse in grieving.
C) Teach the patient the stages of grief.
D) Enhance the patient's quality of life.
Q2) A patient cancels a scheduled appointment because the patient will be attending a Shivah for a family member. Which response by the nurse is best?
A) "When families come together for end-of-life decisions, it provides connections."
B) "We will reschedule so the appointment does not fall on the Sabbath."
C) "Missionary outreach is so important for spiritual comfort."
D) "I'm so sorry for your loss."
Q3) A nurse is providing postmortem care. Which action will the nurse take?
A) Leave dentures in the mouth.
B) Lower the head of the bed.
C) Cover the body with a sterile sheet.
D) Remove all tubes for an autopsy.
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Chapter 38: Stress and Coping
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21 Flashcards
Source URL: https://quizplus.com/quiz/2417
Sample Questions
Q1) A nurse is teaching guided imagery to a prenatal class. Which technique did the nurse describe?
A) Singing
B) Massaging back
C) Listening to music
D) Using sensory peaceful words
Q2) Despite working in a highly stressful nursing unit and accepting additional shifts, a new nurse has a strategy to prevent burnout. Which strategy will be best for the nurse to use?
A) Delegate complex nursing tasks to nursing assistive personnel.
B) Strengthen friendships outside the workplace.
C) Write for 10 minutes in a journal every day.
D) Use progressive muscle relaxation.
Q3) A patient in a motor vehicle accident states, "I did not run the red light," despite very clear evidence on the street surveillance tape. Which defense mechanism is the patient using?
A) Denial
B) Conversion
C) Dissociation
D) Compensation
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Chapter 39: Activity and Exercise
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34 Flashcards
Source URL: https://quizplus.com/quiz/2418
Sample Questions
Q1) The nurse is caring for a group of patients. Which patient will the nurse see first?
A) A patient with chronic obstructive pulmonary disease doing stretching exercises
B) A patient with diabetes mellitus carrying hard candy while doing exercises
C) A patient with a heart attack doing isometric exercises
D) A patient with hypertension doing Tai Chi exercises
Q2) 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
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 Flashcards
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Sample Questions
Q1) A nurse is preparing to provide hygiene care. Which principle should the nurse consider when planning hygiene care?
A) Hygiene care is always routine and expected.
B) No two individuals perform hygiene in the same manner.
C) It is important to standardize a patient's hygienic practices.
D) During hygiene care do not take the time to learn about patient needs.
Q2) The patient has been brought to the emergency department following a motor vehicle accident. The patient is unresponsive. The driver's license states that glasses are needed to operate a motor vehicle, but no glasses were brought in with the patient. Which action should the nurse take next?
A) Stand to the side of the patient's eye and observe the cornea.
B) Conclude that the glasses were lost during the accident.
C) Notify the ambulance personnel for missing glasses.
D) Ask the patient where the glasses are.
Q3) A nurse is providing AM care to patients. Which action will the nurse take?
A) Soaks feet of patient with peripheral vascular disease
B) Applies CHG solution to wash perineum of patient with a stroke
C) Cleanses eye from outer canthus to inner canthus of patient with diabetes
D) Uses long, firm stroke to wash legs of patient with blood-clotting disorder
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Page 42
Chapter 41: Oxygenation
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51 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who needs oxygen via a nasal cannula. Which task can the nurse delegate to the nursing assistive personnel?
A) Applying the nasal cannula
B) Adjusting the oxygen flow
C) Assessing lung sounds
D) Setting up the oxygen
Q2) A patient has heart failure and cardiac output is decreased. Which formula can the nurse use to calculate cardiac output?
A) Myocardial contractility * Myocardial blood flow
B) Ventricular filling time/Diastolic filling time
C) Stroke volume * Heart rate
D) Preload/Afterload
Q3) A nurse auscultates heart sounds. When the nurse hears S?, which valves is the nurse hearing close?
A) Aortic and mitral
B) Mitral and tricuspid
C) Aortic and pulmonic
D) Mitral and pulmonic
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Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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51 Flashcards
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Sample Questions
Q1) The nurse observes that the patient's calcium is elevated. When checking the phosphate level, what does the nurse expect to see?
A) Increased
B) Decreased
C) Equal to calcium
D) No change in phosphate
Q2) The nurse receives the patient's most recent blood work results. Which laboratory value is of greatest concern?
A) Sodium of 145 mEq/L
B) Calcium of 15.5 mg/dL
C) Potassium of 3.5 mEq/L
D) Chloride of 100 mEq/L
Q3) The health care provider has ordered a hypotonic intravenous (IV) solution to be administered. Which IV bag will the nurse prepare?
A) 0.45% sodium chloride (1/2 NS)
B) 0.9% sodium chloride (NS)
C) Lactated Ringer's (LR)
D) Dextrose 5% in Lactated Ringer's (D<sub>5</sub>LR)
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44
Chapter 43: Sleep
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Sample Questions
Q1) The nurse is caring for an adolescent with an appendectomy who is reporting difficulty falling asleep. Which intervention will be most appropriate?
A) Close the door to decrease noise from unit activities.
B) Adjust temperature in the patient's room to 21° C (70° F).
C) Ensure that the night-light in the patient's room is working.
D) Encourage the discontinuation of a soda and chocolate nightly snack.
Q2) The nurse is caring for a patient who has not been able to sleep well while in the hospital, leading to a disrupted sleep-wake cycle. Which assessment findings will the nurse monitor for in this patient? (Select all that apply.)
A) Changes in physiological function such as temperature
B) Decreased appetite and weight loss
C) Anxiety, irritability, and restlessness
D) Shortness of breath and chest pain
E) Nausea, vomiting, and diarrhea
F) Impaired judgment
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Chapter 44: Pain Management
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40 Flashcards
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Sample Questions
Q1) A nurse receives an order from a health care provider to administer hydrocodone and acetaminophen (Vicodin ES 7.5/750), to a patient who is experiencing 8/10 postsurgical pain. The order is to give 2 tablets every 6 hours by mouth as needed for pain. What is the nurse's next best action?
A) Give the Vicodin ES to the patient immediately because the patient is experiencing severe pain.
B) Ask the health care provider for a nonsteroidal antiinflammatory drug (NSAID) order.
C) Ask the health care provider to verify the dosage and frequency of the medication.
D) Give the Vicodin ES in addition to playing soothing music for the patient.
Q2) The nurse is caring for two patients; both are having a hysterectomy. The first patient is having the hysterectomy after a complicated birth. The second patient has uterine cancer. What will most likely influence the experience of pain for these two patients?
A) Meaning of pain
B) Neurological factors
C) Competency of the surgeon
D) Postoperative support personnel
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Chapter 45: Nutrition
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45 Flashcards
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Sample Questions
Q1) The patient has just started on enteral feedings, and the patient is reporting abdominal cramping. Which action will the nurse take \(\bold{next}\)?
A) Slow the rate of tube feeding.
B) Instill cold formula to "numb" the stomach.
C) Change the tube feeding to a high-fat formula.
D) Consult with the health care provider about prokinetic medication.
Q2) When planning care for an adolescent who plays sports, which modification should the nurse include in the care plan?
A) Increasing carbohydrates to 55% to 60% of total intake
B) Providing vitamin and mineral supplements
C) Decreasing protein intake to 0.75 g/kg/day
D) Limiting water before and after exercise
Q3) The nurse is caring for a patient receiving total parenteral nutrition (TPN). Which action will the nurse take?
A) Run lipids for no longer than 24 hours.
B) Take down a running bag of TPN after 36 hours.
C) Clean injection port with alcohol 5 seconds before and after use.
D) Wear a sterile mask when changing the central venous catheter dressing.
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Chapter 46: Urinary Elimination
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44 Flashcards
Source URL: https://quizplus.com/quiz/2425
Sample Questions
Q1) Which nursing actions will the nurse implement when collecting a urine specimen from a patient? (Select all that apply.)
A) Growing urine cultures for up to 12 hours
B) Labeling all specimens with date, time, and initials
C) Allowing the patient adequate time and privacy to void
D) Wearing gown, gloves, and mask for all specimen handling
E) Transporting specimens to the laboratory in a timely manner
F) Collecting the specimen from the drainage bag of an indwelling catheter
Q2) A nurse is evaluating a nursing assistive personnel's (NAP) care for a patient with an indwelling catheter. Which action by the NAP will cause the nurse to intervene?
A) Emptying the drainage bag when half full
B) Kinking the catheter tubing to obtain a urine specimen
C) Placing the drainage bag on the side rail of the patient's bed
D) Securing the catheter tubing to the patient's thigh
Q3) The nurse will anticipate inserting a Coudé catheter for which patient?
A) An 8-year-old male undergoing anesthesia for a tonsillectomy
B) A 24-year-old female who is going into labor
C) A 56-year-old male admitted for bladder irrigation
D) An 86-year-old female admitted for a urinary tract infection
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Page 48
Chapter 47: Bowel Elimination
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42 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient who has had diarrhea for the past week. Which additional assessment finding will the nurse expect?
A) Distended abdomen
B) Decreased skin turgor
C) Increased energy levels
D) Elevated blood pressure
Q2) A nurse is preparing a bowel training program for a patient. Which actions will the nurse take? (Select all that apply.)
A) Record times when the patient is incontinent.
B) Help the patient to the toilet at the designated time.
C) Lean backward on the hips while sitting on the toilet.
D) Maintain normal exercise within the patient's physical ability.
E) Apply pressure with hands over the abdomen, and strain while pushing.
F)Choose a time based on the patient's pattern to initiate defecation-control measures.
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Chapter 48: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a patient who is experiencing a full-thickness repair. Which type of tissue will the nurse expect to observe when the wound is healing?
A) Eschar
B) Slough
C) Granulation
D) Purulent drainage
Q2) The nurse is caring for a patient with a Stage IV pressure ulcer. Which nursing diagnosis does the nurse add to the care plan?
A) Readiness for enhanced nutrition
B) Impaired physical mobility
C) Impaired skin integrity
D) Chronic pain
Q3) The nurse is caring for a patient with a pressure ulcer on the left hip. The ulcer is black. Which \(\bold{next}\) step will the nurse anticipate?
A) Monitor the wound.
B) Document the wound.
C) Debride the wound.
D) Manage drainage from wound.
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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) A nurse is establishing a relationship with the patient who is severely visually impaired and is teaching the patient how to contact the nurse for assistance. Which action will the nurse take?
A) Place a raised Braille sticker on the call button.
B) Explain to the patient that a staff person will stop by once an hour to see if the patient needs anything.
C) Instruct the patient to tell a family member to get the attention of the staff.
D) Color code the call light system.
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Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse is monitoring a patient in the postanesthesia care unit (PACU) for postoperative fluid and electrolyte imbalance. Which action will be most appropriate for the nurse to take?
A) Encourage copious amounts of water.
B) Start an additional intravenous (IV) line.
C) Measure and record all intake and output.
D) Weigh the patient and compare with preoperative weight.
Q2) The nurse is encouraging a reluctant postoperative patient to deep breathe and cough. Which explanation can the nurse provide that may encourage the patient to comply?
A) "If you don't deep breathe and cough, you will get pneumonia."
B) "You will need to cough only a few times during this shift."
C) "Let's try clearing the throat because that will work just as well."
D) "Deep breathing and coughing will clear out the anesthesia."
Q3) The circulating nurse is caring for a patient intraoperatively. Which primary role of the circulating nurse will be implemented?
A) Suturing the surgical incision in the OR suite
B) Managing patient care activities in the OR suite
C) Assisting with applying sterile drapes in the OR suite
D) Handing sterile instruments and supplies to the surgeon in the OR suite
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