Fundamentals of Nursing Test Bank
Course Introduction
Fundamentals of Nursing introduces students to the basic principles, concepts, and skills essential for providing safe, effective, and compassionate nursing care. The course emphasizes holistic care, patient safety, health promotion, and evidence-based practice. Topics include the nursing process, health assessment, communication, infection control, basic patient care techniques, and ethical/legal responsibilities in nursing. Students will develop critical thinking abilities and foundational clinical skills through lectures, simulations, and supervised clinical experiences, preparing them for more advanced nursing coursework and practice.
Recommended Textbook
Essentials for Nursing Practice 9th Edition by Potter FAAN
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40 Chapters
977 Verified Questions
977 Flashcards
Source URL: https://quizplus.com/study-set/2491
Page 2
Chapter 1: Professional Nursing
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/49521
Sample Questions
Q1) Which program is appropriate for a nurse who wishes to become an expert in ostomy and wound care?
A) Specialty certification
B) Master of Science program
C) Doctoral degree program
D) Continuing education program
Answer: A
Q2) Which actions of the nurse demonstrate the nursing role of educator?
A) The nurse teaches the patient's family how to perform sterile dressing changes.
B) The nurse includes the patient in clinical decision making whenever possible.
C) The nurse provides written teaching materials in the patient's preferred language.
D) The nurse speaks about diabetes management at a professional conference.
E) The nurse assesses for adequate protein intake for a patient on a vegetarian diet.
Answer: A,C,D
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Chapter 2: Health and Wellness
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which is an example of a Healthy People 2020 goal?
A) Women and men will receive equally aggressive care for suspected heart attack.
B) The patient will participate in a physical therapy program after suffering a stroke.
C) The nurse will identify and address stressors unique to multicultural families.
D) The nurse will organize mobile mammograms for female patients in the local area.
Answer: A
Q2) Which statement by the nurse will help the patient progress to the preparation stage for smoking cessation?
A) "You will die of emphysema or lung cancer if you do not stop smoking."
B) "Research has shown that smoking causes emphysema and lung cancer."
C) "The physician will give you nicotine patches to help you start to quit smoking."
D) "You need to avoid people who smoke so you will not be tempted to start again."
Answer: C
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Chapter 3: The Health Care Delivery System
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Which agency would be most appropriate for a patient who requires rehabilitation services for right-sided hemiplegia after a stroke?
A) Respite center
B) Primary care center
C) Restorative care center
D) Assisted-living center
Answer: C
Q2) Which patient is the highest priority for the discharge planner?
A) A patient who will require home IV antibiotics for the next 6 weeks
B) A patient who will be taking antihypertensive medications after discharge
C) A patient who will be discharged after routine tonsillectomy surgery
D) A patient who will be returning to a local skilled nursing facility
Answer: A
Q3) Which type of patient is an appropriate candidate for restorative care services?
A) A patient who uses supplemental oxygen for emphysema
B) A patient who is actively dying of metastatic cancer
C) A patient with right-sided hemiplegia after a recent stroke
D) A patient with depression who tried to commit suicide
Answer: C
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Page 5
Chapter 4: Community-Based Nursing Practice
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which are socioeconomic factors that contribute to the health of a community?
A) The community covers a total area of 14 square miles.
B) Almost 25% of the residents are of Native American descent.
C) Nearly 35% of the residents are eligible for free school lunches.
D) Approximately half of the residents work in the local automobile factory.
E) The community recently built a new hospital and medical office building.
Q2) Which problem is the highest priority for a family who has just moved to the United States and does not speak any English?
A) Risk for acute confusion
B) Disturbed energy field balance
C) Impaired verbal communication
D) Readiness for enhanced decision making
Q3) Which communication methods will the community nurse use when interacting with recent immigrants who do not speak English?
A) The nurse will obtain the assistance of a speech pathologist.
B) The nurse will speak in a louder tone of voice than usual.
C) The nurse will be sensitive to nonverbal communication cues.
D) The nurse will identify the preferred language for each family member.
E) The nurse will utilize an interpreter when explaining health care procedures.
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Page 6
Chapter 5: Legal Principles in Nursing
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) In which case might the patient be ordered by the court to receive treatment?
A) The patient has infectious TB and refuses to take the prescribed antibiotics.
B) The patient's mother refuses a vaccine for her child because he is allergic to it.
C) A Jehovah's Witness refuses a blood transfusion based on religious convictions.
D) A patient refuses treatment to slow the advancement of an inoperable brain tumor.
Q2) When is the nurse covered by the health care agency's malpractice insurance?
A) While caring for scouts at summer camp
B) When providing first aid at a car accident
C) While assisting a fellow passenger on a flight
D) While providing care to patients in the agency
Q3) The nurse is frustrated with an agitated patient and tells him "Now stay in that bed or I will make you stay there!" Which tort has the nurse just committed?
A) Assault
B) Battery
C) Incursion
D) Onslaught
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Chapter 6: Ethics
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The patient's family members disagree about which treatment is most appropriate for the terminally ill comatose patient.Which nursing intervention is most appropriate for this situation?
A) The nurse will provide statistical information about the patient's odds of survival.
B) The nurse will promote effective communication between the family members.
C) The nurse will ask the family members to leave medical decisions to the physician.
D) The nurse will wait until the patient is able to make the decisions about treatment.
Q2) Which ethical principle is upheld when the surgeon refuses to operate on the patient because potential benefit is minimal compared to the pain that the patient will endure?
A) Autonomy
B) Justice
C) Fidelity
D) Nonmaleficence
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8
Chapter 7: Evidence-Based Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which statements are examples of hypotheses?
A) Hospitals staffed with primarily bachelor-prepared nurses will have lower mortality rates than hospitals staffed with primarily associates-prepared nurses.
B) More than 80% of the patients with catheter-associated urinary tract infections did not have any signs or symptoms of infection.
C) Patients who receive ondansetron preoperatively will experience lower rates of nausea and vomiting than patients who do are not premedicated.
D) The greatest risk factor for developing ventilator-associated pneumonia was the length of time that the patient was intubated.
E) Ultraviolet light disinfection of equipment is a nontoxic,effective method for prevention of Clostridium difficile infection.
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9
Chapter 8: Critical Thinking
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The new nurse keeps a diary to record experiences,patient encounters,and feelings when beginning work in the nursing profession.Which critical thinking action is used by the nurse?
A) Professional standards
B) Nursing process
C) Concept mapping
D) Purposeful reflection
Q2) Which action of the nurse demonstrates clinical decision making?
A) The nurse performs a detailed health history and physical assessment when the patient is admitted to the unit.
B) The nurse determines that the patient is at risk for constipation due to use of postoperative narcotic pain medication.
C) The nurse applies a hydrocolloid dressing to the patient's decubitus ulcer as ordered by the physician.
D) The nurse assesses the patient's oral mucus membranes each morning to check for candida infection or ulceration.
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Chapter 9: Nursing Process
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The nurse has just completed an assessment for a patient.Which data will the nurse categorize as objective?
A) The patient felt less short of breath after receiving a nebulizer treatment.
B) The patient's lung sounds are diminished bilaterally with expiratory wheezes.
C) The patient worries that the insurance company will not pay the hospital bill.
D) The patient wonders if supplemental oxygen at home would be beneficial.
Q2) The nurse completes the assessment for a patient who has just been admitted to the hospital.The nurse carefully documents the patient's current drug list and asks about the use of any herbal supplements or over-the-counter medications.Which phase of the interview does this occur in?
A) Orientation
B) Working
C) Reasoning
D) Termination
Q3) Which nursing diagnosis is the highest priority for a patient with pneumonia?
A) Activity intolerance related to fatigue and shortness of breath
B) Knowledge deficit related to pneumonia risk factors
C) Pruritus related to side effects of prescribed medications
D) Impaired gas exchange related to alveolar inflammation and infection
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Page 11
Chapter 10: Informatics and Documentation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The patient developed a large hematoma where the laboratory technician drew blood earlier in the shift.Which statement is appropriate to enter in the patient's chart?
A) The laboratory technician did not know what he was doing and traumatized the patient's arm.
B) The patient has a painful raised 2-inch × 2-inch hematoma on the outer left arm after venipuncture.
C) The laboratory technician must have had a hard time getting the blood sample drawn as the patient's arm is now bruised.
D) The patient must have moved during the blood draw because there is a huge bruise on his left arm.
Q2) What is the priority action of the nurse immediately after receiving a medication telephone order from a physician?
A) Withhold the medication until the physician signs the order.
B) Authorize the physician's order with the pharmacy.
C) Read back the order to the physician for confirmation.
D) Double-check the order with another registered nurse.
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Chapter 11: Communication
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which action communicates to the patient that the nurse wants to leave the patient's room to care for other patients?
A) Sitting in a chair next to the patient's bed
B) Making sure the door is completely shut for privacy
C) Repeatedly checking the clock to see what time it is
D) Holding the patient's hand when the patient starts to cry
Q2) A nurse is caring for a patient who cannot speak clearly.Which technique should the nurse use to enhance conversation with this patient?
A) Ask questions that require "yes" or "no" answers.
B) Avoid communication aids to prevent embarrassment.
C) Speak loudly and slowly to facilitate patient understanding.
D) Finish the patient's sentences when the patient is unable to.
Q3) Which action by the nurse demonstrates appropriate timing for effective communication?
A) The nurse sits in a chair next to the patient's bed to maintain eye contact.
B) The nurse waits to begin teaching until the patient's nausea has subsided.
C) The nurse speaks slowly and loudly for a patient who is hard of hearing.
D) The nurse maintains privacy during all conversations with the patient.
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Page 13
Chapter 12: Patient Education
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which is the first action of the nurse when teaching the patient how to perform colostomy care?
A) Determine the patient's educational background and learning abilities.
B) Identify a responsible family member to reinforce colostomy care teaching.
C) Have the patient watch a video that demonstrates how to perform colostomy care.
D) Assess the patient's level of comfort with looking at and caring for the colostomy.
Q2) A nurse prepares to teach the patient about strategies to minimize feelings of powerlessness.Which techniques will the nurse implement that are the best for this type of learning?
A) Lecture
B) Practice
C) Discussion
D) Role play
E) Return demonstration
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Chapter 13: Managing Patient Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/49533
Sample Questions
Q1) Which patient's needs must be addressed first by the registered nurse?
A) The patient who is waiting for discharge teaching in order to go home
B) The patient with chest pain after two doses of sublingual nitroglycerin
C) The constipated patient who needs to use the toilet after receiving a laxative
D) The patient who is nauseated and vomiting after receiving narcotic pain medication
Q2) Which is the highest priority nursing intervention for a patient with the nursing diagnosis risk for suicide related to recent suicide attempt and desire to die?
A) Assist the patient to identify sources of support in the community.
B) Assess the patient's readiness to sign a pledge to do no self-harm.
C) Question the patient's family members about previous suicide attempts.
D) Remove dangerous items such as scissors from the patient's environment.
Q3) A nurse must give feedback to a nursing assistant that did not take vital signs.How will the nurse give feedback?
A) "Did you miss the class about how to take vital signs?"
B) "I refuse to work with you again if you cannot do your job."
C) "The patient's vital signs were not taken.What happened?"
D) "I cannot trust you to complete tasks that you are assigned."
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Chapter 14: Infection Prevention and Control
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which actions of the nurse cause a break in the sterile procedure?
A) Dropping a sterile instrument onto the sterile field
B) Spilling sterile saline solution onto the sterile field
C) Reaching over the sterile field to pick up an instrument
D) Keeping the top of the table above waist level
E) Placing instruments in the center of the sterile field
Q2) Which action demonstrates disinfection?
A) Washing the hands with warm water and antimicrobial liquid soap
B) Cleaning the patient's mouth with a swab soaked in chlorhexidine solution
C) Cleaning the stethoscope with isopropyl alcohol after each use with patients
D) Using an alcohol-based hand sanitizer after performing physical assessments
Q3) Which is an example of suprainfection?
A) The patient develops Clostridium difficile diarrhea after taking broad-spectrum antibiotics.
B) The immunocompromised patient develops an upper respiratory despite protective isolation precautions.
C) The bacteria in the patient's wound are resistant to cephalosporin and penicillin antibiotics.
D) The patient's upper respiratory infection progresses to pneumonia with right-sided pleural effusion.
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Chapter 15: Vital Signs
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/49535
Sample Questions
Q1) The nurse is caring for a patient with a highly contagious infection.Which is the appropriate type of blood pressure cuff to use when caring for this patient?
A) A disposable vinyl blood pressure cuff
B) An electronic vital signs monitor
C) A soft cloth blood pressure cuff
D) A Doppler ultrasound device
Q2) The nurse is unable to hear the blood pressure for a patient who is in septic shock.What is the best option of the nurse?
A) Determine the diastolic blood pressure by palpation and notify the health care provider immediately.
B) Elevate the head of the patient's bed and obtain the patient's blood pressure with an electronic vital sign machine.
C) Assess the patient's blood pressure using a lower extremity and a thigh-sized blood pressure cuff.
D) Raise the patient's arm above the level of the heart and apply the stethoscope more firmly against the antecubital fossa.
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Chapter 16: Health Assessment and Physical Examination
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Which assessment finding is expected for a patient who may have a lower extremity deep vein thrombosis (DVT)?
A) Deep burning pain in the extremity that worsens with walking and exercise
B) Weak pedal pulses and an absence of hair on the affected extremity
C) Calf pain when the knee is flexed slightly and the foot is pointed downward
D) Numbness and tingling of the extremity with hyperreactive reflexes
Q2) The patient has been smoking 2 packs of cigarettes for the last 15 years.How will the nurse chart the patient's tobacco use history in pack-years?
A) 7.5 pack-years
B) 17 pack-years
C) 30 pack-years
D) 35 pack-years
Q3) The nurse is caring for a patient who was pulled unconscious from the pool after a near drowning.Which lung sounds will the nurse expect to hear upon auscultation?
A) Moist crackles
B) Expiratory wheezes
C) Friction rub
D) Coarse rhonchi
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Chapter 17: Administering Medications
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The nurse is to administer 250 mg of amoxicillin PO every 6 hours. Amoxicillin for oral suspension USP
125 mg per 5 mL
How many mL of medication will be given to the patient for each dose?
A) 5 mL
B) 10 mL
C) 15 mL
D) 20 mL
Q2) The nurse is to administer a clotrimazole troche to the patient.Which instruction will the nurse give to the patient?
A) "Your eyesight may be blurry for a short time after I give you the medication."
B) "Do not touch or remove the patch after I have applied it to your skin."
C) "Keep the tablet in your mouth until it dissolves completely.Do not chew it."
D) "Lay on your back so the medication will melt slowly in your vagina."
Q3) Which pain medication may be administered to the patient as needed?
A) Ketorolac 10 mg IV Q 4 hours prn
B) Fentanyl transdermal patch 25 mcg Q 3 days
C) Acetaminophen with oxycodone 10 mg/325 mg PO Q 6 hours
D) Morphine-extended release 60 mg PO Q 12 hours
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Page 19
Chapter 18: Fluid, Electrolyte, and Acid-Base Balances
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/49538
Sample Questions
Q1) The nurse is caring for a dyspneic patient with a long history of smoking.The blood gas report shows a pH of 7.33,PaCO of 47,PaO of 78,and HCO of 26.What is the patient's acid-base status?
A) Respiratory alkalosis
B) Respiratory acidosis
C) Metabolic alkalosis
D) Metabolic acidosis
Q2) Which intake and output measurement can the nurse delegate to the nursing assistant?
A) Oral fluid intake
B) Nasogastric tube intake
C) Wound drainage output
D) Intravenous fluid intake
Q3) The patient reports muscle weakness after taking prescribed furosemide daily.Which laboratory finding will the nurse expect to see in the patient's chart?
A) Chloride 84 mEq/L
B) Sodium 124 mEq/L
C) Calcium 12.6 mg/dL
D) Potassium 2.8 mEq/L
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Page 20
Chapter 19: Complementary and Alternative Therapies
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The patient reports taking valerian root capsules regularly.What is the patient's rationale for taking the supplement?
A) Relief of constipation
B) Relief of nausea and vomiting
C) Relief of arthritis pain
D) Inability to fall asleep at night
Q2) The nurse is caring for a patient who is taking garlic for high cholesterol.Which assessment finding puts the patient at high risk for an adverse reaction?
A) The patient is training for a marathon.
B) The patient is severely allergic to beestings.
C) The patient takes enoxaparin daily.
D) The patient has a history of hypothyroid disease.
Q3) Which supplement will help minimize the discomfort of seasickness for a patient going on a sailing cruise?
A) Garlic
B) Ginger
C) Ginseng
D) Gingko biloba
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Chapter 20: Caring in Nursing Practice
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15 Flashcards
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Sample Questions
Q1) The nurse gently repositions the patient every 2 hours and applies a rich moisturizer to dry skin areas.Which caring behavior is demonstrated by the nurse?
A) Meeting affiliation needs
B) Mutual problem solving
C) Meeting basic human needs
D) Using an encouraging manner
Q2) The nurse helps the patient set small,achievable goals and celebrates with the patient when the goals are met.Which caring behavior is demonstrated by the nurse?
A) Human respect
B) Encouraging manner
C) Healing environment
D) Affiliation needs
Q3) Which activity best demonstrates the caring role of a nurse?
A) Assessing the patient's entire health history
B) Administering antibiotic medications on time
C) Inserting a urinary catheter using aseptic technique
D) Maintaining privacy when conversing with the patient
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22
Chapter 21: Cultural Awareness
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) The emergency room staff insists that a female Muslim patient disrobe completely and put on a hospital gown before being treated by the physician.Which nursing diagnosis is most applicable in this situation?
A) Risk for compromised human dignity related to cultural attire requirements
B) Ineffective role performance related to inadequate direction and preparation
C) Noncompliance related to expected behavior of patients in the emergency room
D) Impaired environmental interpretation syndrome related to busy emergency room
Q2) Which intervention is most appropriate for the patient with the nursing diagnosis Noncompliance related to the patient's preference for cultural therapies rather than prescription medications?
A) Create a clearly written medication schedule and instruction list with dosages and side effects.
B) Describe the negative health outcomes that will be experienced if the cultural therapies are continued.
C) Attempt to coordinate the patient's cultural therapies with the prescribed treatments.
D) Inform the patient that the hospital will not be able to continue providing care if the noncompliant behavior continues.
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Chapter 22: Spiritual Health
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient who survived cardiopulmonary resuscitation after almost drowning.How can the nurse best help the patient to deal with the aftereffects of the experience?
A) Recommend that the patient avoid discussing the experience with family.
B) Assume that the near-death experience was a positive experience for the patient.
C) Be nonjudgmental and help the patient to work through the near-death experience.
D) Explain that people who have not had a near-death experience will not understand.
Q2) Which assessment finding leads the nurse to include hopelessness as a nursing diagnosis in the patient's plan of care?
A) The patient does not wish to attend any type of religious services.
B) The patient does not believe in a higher power,spirit guide,or God.
C) The patient has a source of structure and guidance for difficult times.
D) The patient has no motivation or resources to achieve any life goals.
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24
Chapter 23: Growth and Development
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Sample Questions
Q1) Which are expected physical assessments finding for a middle-aged adult?
A) Difficulty hearing female voices
B) Diminished breath sounds bilaterally
C) Gradual loss of senses of taste and smell
D) Need for reading glasses to see small print
E) Decreased ability to solve practical problems
Q2) A young adult is balancing the need to live and work independently with the desire to have a girlfriend for companionship and love.Which developmental stage is the young adult experiencing?
A) Intimacy versus isolation
B) Obedience and orientation
C) Self-control and independence
D) Generosity versus self-absorption
Q3) The nurse is caring for an elderly patient who has become withdrawn and refuses to eat after being admitted to a long-term nursing facility.Which is the highest priority goal for the patient?
A) The patient will participate in social activities with other residents.
B) The patient will ask questions about the prescribed care and treatment.
C) The patient will develop meaningful relationships with the nursing staff.
D) The patient will maintain usual weight and show no signs of dehydration.
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Chapter 24: Self-Concept and Sexuality
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who has lost all sexual desire due to severe chronic illness.Which term will the nurse use to chart this assessment finding?
A) Fluid
B) Queer
C) Binary
D) Aromantic
Q2) Which is the priority nursing diagnosis for an adolescent who is being bullied by peers?
A) Powerlessness related to inability to stop bullying from peers
B) Social isolation related to dysfunctional relationships with peers
C) Risk for self-directed violence related to feelings of worthlessness
D) Risk for loneliness related to inability to make supportive friendships
Q3) The nurse is caring for an adult patient who must quit working due to complications from hypertension.Which self-concept is likely to be put at risk for this patient?
A) Identity
B) Self-esteem
C) Body image
D) Role performance
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Chapter 25: Family Dynamics
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which example demonstrates hardiness of the family unit?
A) Three of the children in the family were born with fetal alcohol syndrome due to alcohol abuse during pregnancy.
B) The mother and two of her four children were born with congenital cardiac defects that required open-heart surgery.
C) The children clean the house and make dinner every night so that the mother can care for the terminally ill father.
D) The mother has primary custody so that the children see their father every other weekend and during the summer.
Q2) Which assessment finding leads the nurse to include caregiver role strain related to overwhelming responsibilities in the patient's care plan?
A) The patient refuses to take any of his prescribed blood pressure medications.
B) The patient's spouse switched to a part-time job to spend more time at home.
C) The patient's spouse cannot sleep and has lost 10 pounds in the last 2 months.
D) The patient can feed himself using adaptive utensils and cups with large handles.
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Chapter 26: Stress and Coping
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Sample Questions
Q1) The patient develops an inability to swallow after many years of emotional abuse.The physicians can find no medical reason for the patient's dysphagia.Which ego-defense mechanism is used by the patient?
A) Displacement
B) Dissociation
C) Compensation
D) Conversion
Q2) Which hormone is the most important factor for the physiological response to stress?
A) Cortisol
B) Glucagon
C) Histamine
D) Vasopressin
Q3) The patient is severely injured in an accident but does not feel the pain until several hours afterward.Which type of hormone reduced the patient's sense of pain as part of the stress response?
A) Endorphins
B) Mineralocorticoids
C) Prostaglandins
D) Bradykinins
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Chapter 27: Loss and Grief
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which behavior supports inclusion of the nursing diagnosis complicated grieving related to sudden death of a sibling in the patient's care plan?
A) The patient donates the sibling's clothes to a local charity.
B) The patient withdraws from relationships with friends and family.
C) The patient adopts the sibling's dog and arranges for veterinary care.
D) The patient arranges for the gravestone to be placed at the sibling's burial site.
Q2) The patient grieves the security of a solid supportive marriage after the spouse has an affair.Which type of loss was experienced by the patient?
A) Actual
B) Perceived
C) Situational
D) Maturational
Q3) Which attitude of the nurse will facilitate effective care for hospice patients?
A) The patient needs the nurse's presence and personal connection.
B) Remaining silent signifies a noncaring attitude toward the patient.
C) Reminiscing with the patient only makes a difficult situation worse.
D) The patient does not recognize the impact of the loss if no tears are shed.
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Chapter 28: Exercise and Activity
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25 Flashcards
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Sample Questions
Q1) Which exercises are appropriate for a quadriplegic patient?
A) Active range-of-motion exercises
B) Weight-bearing exercises
C) Aerobic exercises
D) Passive range-of-motion exercises
Q2) The nurse is caring for a patient with arthritis who wants to exercise but finds it difficult due to joint pain and stiffness.Which nursing diagnosis is appropriate for this patient?
A) Activity intolerance related to exertional discomfort
B) Noncompliance related to lack of motivation to exercise
C) Unilateral neglect related to health beliefs about chronic illness
D) Powerlessness related to expressions of uncertainty about benefits of exercise
Q3) Which assessment finding is expected for a patient who suffered a left-sided thrombotic stroke?
A) Bilateral footdrop
B) Fine tremors of the hands
C) Curvature of the lumbar spine
D) Weakness of the right arm and leg
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Chapter 29: Immobility
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Sample Questions
Q1) The nurse is caring for a patient who suffered a fractured arm.Which assessment finding is expected after the patient's cast is removed after 6 weeks?
A) The skin is thin with no hair growth.
B) The radial pulse is weak and thready.
C) The arm muscles are atrophied and weak.
D) The fingernail beds are thick and clubbed.
Q2) The nurse is caring for a patient who is recovering from a cerebrovascular accident.Which assessment finding indicates that the patient's cerebellum was damaged by the stroke?
A) The patient has continuous double vision.
B) The patient has slurred speech and dysphagia.
C) The patient is incontinent of bowel and bladder.
D) The patient has poor balance and has an unsteady gait.
Q3) The nurse is to transfer an obese,hemiplegic patient from the bed to the chair.Which is the safest way for the nurse to do this?
A) Use of a mechanical patient lift device
B) Use of a gait belt around the patient's waist
C) Use of three staff members to assist the patient
D) Use of a roller board to slide from the bed to the chair
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Page 31
Chapter 30: Safety
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Sample Questions
Q1) A small amount of mercury was spilled on the floor after an old sphygmomanometer was broken.What is the priority action of the nurse?
A) Disinfect the area with a solution of chlorine bleach.
B) Contact the housekeeping staff to mop up the liquid.
C) Wipe up the liquid using paper towels and nitrile gloves.
D) Consult the agency's materials safety data sheets (MSDS).
Q2) The patient is aggressively attempting to pull out IV lines and hurt staff members.Which is the first action of the nurse?
A) Conduct a thorough mental status assessment.
B) Contact the health care provider to obtain an order for restraints.
C) Place the patient in soft restraints to prevent injury.
D) Document the patient's actions in the medical record.
Q3) The nurse is caring for a patient who took 60 acetaminophen tablets.Which resource will the nurse contact for treatment guidelines when the patient arrives in the emergency room?
A) American Association of Poison Control Centers
B) Centers for Disease Control and Prevention
C) Agency for Healthcare Research and Quality
D) Institute for Safe Medication Practices
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Page 32
Chapter 31: Hygiene
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Sample Questions
Q1) The nurse is caring for a diabetic patient who has rough skin on the feet and thick,overgrown toenails.Which is the best intervention of the nurse?
A) Liberally apply lotion to the patient's feet,especially between the toes.
B) Use a pumice stone to smooth roughened areas of skin on the patient's feet.
C) Gently trim the patient's toenails after soaking the feet in warm soapy water.
D) Obtain a consultation for a podiatrist to assess the feet and provide nail care.
Q2) The nurse notes red,moist patches on the skin under the female patient's breasts.What is the appropriate action of the nurse when caring for this area?
A) Gently clean and dry the area and obtain an order for antifungal powder.
B) Apply a rich moisturizer cream to the area after washing with soap and water.
C) Apply a topical antibiotic cream to the area after rinsing with peroxide and water.
D) Wash the area with moisturizing soap and apply a lanolin-based cream to the area.
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33
Chapter 32: Oxygenation
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Sample Questions
Q1) When will the nurse clamp the patient's chest tube?
A) When the patient ambulates in the hallway
B) When changing the drainage collection unit
C) Before assisting the patient to take a shower
D) When disconnecting the chest tube from suction
Q2) Which assessment finding is expected for a patient with impaired lung compliance?
A) The patient's respirations are very deep and rapid.
B) The patient reports sharp left-sided rib and chest pain.
C) The patient struggles to take a deep breath and exhale.
D) The patient's breathing pattern is irregular with periods of apnea.
Q3) Which term is used to describe a machine that helps to move air in and out of the patient's lungs?
A) Aerator
B) Diffuser
C) Respirator
D) Ventilator
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Chapter 33: Sleep
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Sample Questions
Q1) Which bedtime action by the nurse may make it more difficult for the patient to fall asleep?
A) Giving the patient a gentle backrub
B) Providing a warm cup of hot chocolate
C) Encouraging the patient to use the bathroom
D) Giving the patient an extra blanket when cold
Q2) Which is the priority nursing diagnosis for an adolescent who gets up at 5:00 a.m.every morning for school and studies until midnight every night?
A) Fatigue related to insufficient rest and stress of academic demands
B) Risk for injury related to inattention and excessive daytime sleepiness
C) Deficient diversional activity related to lack of time for recreation and leisure
D) Impaired social interaction related to time required to study and maintain grades
Q3) What is the best intervention to help a school-age child fall asleep at night?
A) Encourage exercise in the evening to promote fatigue.
B) Provide the child with a high-protein snack before bed.
C) Have the parent read a quiet bedtime story to the child.
D) Have the child complete homework before going to bed.
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Page 35
Chapter 34: Pain Management
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Sample Questions
Q1) Which is an example of an adjuvant medication for pain management?
A) Naloxone
B) Gabapentin
C) Morphine sulfate liquid
D) Fentanyl transdermal patch
Q2) The nurse is caring for a patient who just underwent knee-replacement surgery.The patient complains of pain at the operative site but it is too soon for the nurse to administer the next dose of pain medication.What is the appropriate action of the nurse?
A) Give the next dose of prescribed pain medication early.
B) Contact the surgeon immediately to assess the patient's knee.
C) Caution the patient about the risk of addiction to pain medications.
D) Apply an ice pack to the knee and elevate the patient's knee on pillows.
Q3) Why is acute pain particularly dangerous for a patient having a heart attack?
A) Release of endorphins causes dangerous elevation of blood pressure.
B) Release of substance P narrows the airways and leads to hypoxemia.
C) Release of prostaglandins lowers the patient's heart rate and blood pressure.
D) Stimulation of the sympathetic nervous system will increase cardiac workload.
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Page 36
Chapter 35: Nutrition
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Q1) Which condiment is the healthiest option for the patient to reduce the chances of having a heart attack?
A) Olive oil
B) Margarine
C) Shortening
D) Cream cheese
Q2) Which nursing diagnoses are priorities for a patient receiving parenteral nutrition?
A) Impaired oral mucus membranes related to irritation from nasogastric tube
B) Risk for infection related to invasive peripherally inserted central catheter line
C) Situational low self-esteem related to presence of gastrostomy tube in abdomen
D) Risk for impaired blood glucose levels related to concentrated IV dextrose solution
E) Health-seeking behaviors related to desire to manage parenteral nutrition at home
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Chapter 36: Urinary Elimination
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Q1) Which assessment finding needs to be communicated promptly to the patient's health care provider?
A) Postvoid residual of 15 mL of urine.
B) Leakage of small amounts of urine when coughing.
C) Urine output of 160 mL over the last 8 hours.
D) Patient's report of an urge to void during palpation of the bladder.
Q2) Which assessment finding supports the nursing diagnosis overflow urinary incontinence related to urethral obstruction?
A) Advanced dementia prevents the patient from indicating need to urinate
B) Postvoid residual of 900 mL after incontinence of small amounts of urine
C) Leakage of urine around the urostomy appliance leading to skin irritation
D) Incontinence of large amounts of urine every time the patient coughs or sneezes
Q3) The family requests insertion of a Foley catheter to address the elderly patient's frequent episodes of incontinence.Which is the best action of the nurse?
A) Obtain an order for an indwelling urinary catheter.
B) Teach family to perform intermittent straight catheterization.
C) Utilize disposable absorbent undergarments for the patient.
D) Implement a bladder training program to promote continence.
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Chapter 37: Bowel Elimination
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Sample Questions
Q1) Which possible reasons does the nurse identify that contribute to the patient's black stools?
A) Takes ferrous sulfate 325 mg PO BID.
B) Hemorrhoids are irritated and bleeding.
C) Bleeding from a perforated gastric ulcer.
D) Incomplete small bowel obstruction.
E) Development of a Clostridium difficile infection.
Q2) Which patient does the nurse identify that would benefit from administration of an oil-retention enema?
A) A constipated patient with a fecal impaction
B) A patient with Clostridium difficile diarrhea
C) A patient with a positive fecal occult blood test
D) A patient with a serum potassium level of 7.1 mEq/L
Q3) The nurse is caring for a patient with painful hemorrhoids.Which is the appropriate recommendation of the nurse to prevent their recurrence?
A) Stool softener daily at bedtime
B) Low-carbohydrate ketogenic diet
C) Periodic bowel cleansing programs
D) High-fiber diet with plenty of liquids
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Page 39
Chapter 38: Skin Integrity and Wound Care
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Sample Questions
Q1) Which factor contributes to pressure injury formation when patient's body slides downward to the foot of the bed?
A) Momentum
B) Acceleration
C) Applied force
D) Shearing force
Q2) Which assessment charting indicates that the wound is healing by primary intention?
A) The 4-inch incision edges are well approximated with intact sutures.
B) Ulcerated 3-inch × 1-inch area has thick yellow slough present in the center.
C) Incision is 5 inch long × 1 inch deep × 1 inch wide with granulation tissue present.
D) Superficial 3-inch × 3-inch abrasion has no active bleeding,drainage or debris.
Q3) Which assessment finding indicates to the nurse that the patient is at high risk for developing a pressure injury?
A) Serum total protein level of 4.6 g/dL
B) Braden Scale score of 22
C) Cetirizine 5 mg PO daily
D) Fasting serum glucose level 84 mg/dL
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Chapter 39: Sensory Alterations
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Sample Questions
Q1) The nurse is caring for a patient who has a severe right-sided stroke with left-sided hemiplegia.The patient uses the right extremities well but does not realize that the left arm and leg even exist.Which is the most appropriate nursing diagnosis for this patient?
A) Deficient knowledge related to presence of paralyzed left arm and leg
B) Unilateral neglect related to brain tissue damage after right-sided stroke
C) Ineffective denial related to inability to accept paralysis of left arm and leg
D) Noncompliance related to inability to follow directions to use left arm and leg
Q2) The parent is concerned because the child has been referred to an optometrist after a routine eye screening at school.What is the nurse's most appropriate response to the parent?
A) "Most children have a mild form of color blindness as their eyes mature."
B) "You should wash the child's eyelids every morning with a damp washcloth."
C) "It is normal for children to squint to see but it should be checked out anyway."
D) "Most likely your child will need glasses to see the teacher and board at school."
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Chapter 40: Surgical Patient
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Sample Questions
Q1) Which is the priority nursing diagnosis for a patient with shallow respirations following abdominal surgery?
A) Ineffective breathing pattern related to incisional pain and anesthesia
B) Deficient diversional activity related to boredom from hospitalization
C) Readiness for enhanced comfort related to desire for rest after surgery
D) Risk for suffocation related to emotional and cognitive stress after surgery
Q2) The nurse is teaching the patient about postoperative exercises including incentive spirometry.How can the nurse best determine that the teaching was effective?
A) The patient states that the preoperative anxiety has decreased significantly.
B) The patient correctly demonstrates the exercises and how to use the spirometer.
C) The patient senses a caring presence of the nurse in the therapeutic relationship.
D) The patient explains to the nurse why the exercises and spirometer are important.
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