Health and Illness Concepts
Review Questions
Course Introduction
Health and Illness Concepts explores the fundamental principles underlying human health, wellness, and the experience of illness across the lifespan. The course examines the biological, psychological, social, and environmental factors that influence health, as well as common patterns and manifestations of illness. Students will develop an understanding of how individuals perceive health and illness, how health is promoted, and the impact of illness on individuals, families, and communities. Through the study of health concepts, risk factors, preventive strategies, and clinical manifestations of disease, learners will be better equipped to support patient-centered care and promote positive health outcomes.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume I 2nd Edition by Pearson Education
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21 Chapters
1184 Verified Questions
1184 Flashcards
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Chapter 1: Acidbase Balance
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/35006
Sample Questions
Q1) While reviewing laboratory results,the nurse notes that a client's potassium level is 2.8 mEq/L and chloride level is 100 mEq/L.Based on this data,which intervention does the nurse plan for this client?
A) Preparing to administer 0.9% sodium chloride infusion
B) Measuring for nasogastric tube insertion
C) Discussing potassium chloride replace therapy with the healthcare provider
D) Reviewing implications of transfusing with ammonia chloride
Answer: C
Q2) The nurse is analyzing the client's arterial blood gas report,which reveals a pH of 6.58.The client has just suffered a cardiac arrest.Which consequences of this pH value does the nurse consider for this client?
A) Decreased cardiac output
B) Increase magnesium levels
C) Decreased free calcium in the ECT
D) Increased myocardial contractility
Answer: A
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3
Chapter 2: Cellular Regulation
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114 Verified Questions
114 Flashcards
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Sample Questions
Q1) A client with prostate cancer is being discharged from the hospital.Which educational topic is inappropriate for this client?
A) Provide information on doses of complementary herbs.
B) Teach the client and his family noninvasive methods of pain control.
C) Stress the importance of keeping client appointments with healthcare providers.
D) Provide the client and the client's family information on support groups.
Answer: A
Q2) A client has just been told that a colectomy and ileostomy are needed to treat a new diagnosis of colon cancer.Which diagnosis should the nurse use to plan this client's preoperative nursing care?
A) Knowledge Deficit
B) Risk for Disuse Syndrome
C) Risk for Perioperative-Positioning Injury
D) Anticipatory Grieving
Answer: D
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Chapter 3: Comfort
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is caring for a dying child.Which nursing action supports the primary goal for a dying child?
A) Keep the child entertained so she does not think about dying.
B) Ensure that a good relationship is maintained with the family.
C) Administer pain medication as ordered.
D) Maintain a busy schedule for child and family members.
Answer: C
Q2) A resident in an assisted-living facility is restless most nights and sits in the lounge area reading.When questioned,the resident reports suffering from insomnia.What should the nurse expect as an outcome if the resident continues with this pattern of sleep?
A) Safety issues with an unsupervised resident in the lounge area
B) Onset of cardiac dysfunction
C) Onset of new underdiagnosed health problems
D) The ability to function during the day may be hindered by these episodes.
Answer: D
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5
Chapter 4: Digestion
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is providing care for several clients on a medical-surgical unit.The nurse anticipates that the client with which condition may require surgery?
A) Hepatitis
B) Pancreatitis
C) Pyloric stenosis
D) Fecal impaction
Q2) The nurse is providing care to a 1-month-old infant who is brought to the pediatric clinic for projectile vomiting.Which data collected during the assessment process would support the diagnosis of pyloric stenosis? Select all that apply.
A) Blood-tinged vomit
B) Low-grade fever
C) Persistent hunger
D) Peristaltic wave
E) Consistent weight gain
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6
Chapter 5: Elimination
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64 Verified Questions
64 Flashcards
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Sample Questions
Q1) The nurse is caring for a client with chronic constipation.Which findings in the client's health history could be the cause of the current constipation? Select all that apply.
A) Bed rest
B) High-fiber foods
C) Low-fiber foods
D) Chronic laxative use
E) Depression
Q2) The nurse is caring for an older adult client on a medical-surgical unit.The client tells the nurse,"I don't get any sleep at night because I have to get up and use the bathroom every couple of hours!" When providing an explanation for the nocturia,which statement by the nurse is the most appropriate?
A) "As you get older, there is a decrease in number of nephrons."
B) "As you get older, there is a decrease in the blood supply to your bladder."
C) "As you get older, you may have a decrease in bladder capacity."
D) "As you get older, there is a decrease in cardiac output, which can cause your symptoms."
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7
Chapter 6: Fluids and Electrolytes
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) The nurse is preparing to discharge a client with chronic kidney disease.The nurse is teaching the client and family about administering calcium acetate tablets by mouth with each meal at home.Which explanation about this medication is the most appropriate?
A) "The calcium acetate will lower your serum phosphate levels."
B) "The calcium acetate helps to neutralize your gastric acids."
C) "The calcium acetate will help to stimulate your appetite."
D) "The calcium acetate will decrease your serum creatinine levels."
Q2) The nurse instructs a client with chronic renal disease on the prescribed medication furosemide (Lasix).Which client statement indicates that teaching has been effective?
A) "I will take this medication to keep my calcium balance normal."
B) "This medication will make sure I have enough red blood cells in my body."
C) "I will take this pill to keep my protein level in my body stable."
D) "This pill will reduce the swelling in my body and get rid of the extra potassium."
Q3) A child weighing 33 lbs.who is diagnosed with dehydration is prescribed to receive 50 mL/kg of oral fluids for the next 4 hours.How many total mL of fluid should the nurse provide to the client? Calculate to the nearest whole number.
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8
Chapter 7: Health, wellness, illness, and Injury
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A school nurse is reviewing the physical activity for adolescent high school students.Which student has met the outcome for physical activity set by the Centers for Disease Control and Prevention (CDC)?
A) An 18-year-old who speed-walks 60 minutes once per week
B) A 16-year-old who lifts moderately heavy weights for 15 minutes 3 times per week
C) A 15-year-old who runs at a fast pace for 20 minutes 2 times per week
D) A 17-year-old who jogs for 30 minutes 5 times per week
Q2) The nurse is caring for a client in a long-term care facility.The client has some cognitive impairment that interferes with the ability to independently complete activities of daily living.The nurse has identified Self-Care Deficit as an appropriate nursing diagnosis for this client.Based on this data,which expected outcome is the most appropriate for the nurse to include in the plan of care?
A) The client will be able to name the staff that works on the day shift.
B) The client, with supervision, will brush teeth twice per day.
C) The client will eliminate safety hazards in the environment.
D) The nurse will stress the importance of adequate fluid intake.
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Chapter 8: Immunity
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) A nurse is caring for a client who is newly diagnosed with rheumatoid arthritis (RA).The client asks the nurse what the difference is between RA and osteoarthritis (OA).Which responses by the nurse are the most appropriate? Select all that apply.
A) "The onset of OA is gradual while the onset of RA may be rapid."
B) "With OA, multiple joints are symmetrically affected; RA affects one joint at a time."
C) "The affected joints in RA feel cold to the touch while the joints affected by OA are warm or hot to the touch."
D) "OA is slowly progressive while RA is characterized by exacerbations and remissions."
E) "The pain and stiffness with RA is with activity; OA pain and stiffness is predominant upon arising."
Q2) The nurse suspects that the client is experiencing a reaction to a specific antigen.Which laboratory result supports the conclusion made by the nurse?
A) Indirect Coombs' showing no agglutination
B) Patch test with a 1-inch area of erythema
C) 2% eosinophils in the WBC count
D) Rh antigen with negative results
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Chapter 9: Infection
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75 Verified Questions
75 Flashcards
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Sample Questions
Q1) An older adult client is admitted with pneumonia.Which manifestations would the nurse expect to find when assessing this client? Select all that apply.
A) Hemoptysis
B) Increased appetite
C) Change in level of consciousness
D) Respiration of 24
E) Lethargy
Q2) The nurse is teaching the parents of an infant who is diagnosed with acute otitis media.Which is the priority teaching point for these parents?
A) Administer a decongestant for nasal congestion.
B) Keep the baby in a flat position during sleep.
C) Administer acetaminophen to relieve pain and decrease fever.
D) Place the baby to sleep with a pacifier.
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Chapter 10: Inflammation
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54 Verified Questions
54 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who was admitted to the hospital 1 day prior with cholelithiasis.Which new assessment finding indicates the stone has probably obstructed the common bile duct?
A) Nausea and vomiting
B) Jaundice
C) Right upper quadrant (RUQ) pain
D) Elevated cholesterol level
Q2) The nurse in a rheumatology clinic is managing care for clients who receive nonsteroidal anti-inflammatory drugs (NSAIDs)for the treatment of their disease processes.Which are the primary laboratory tests the nurse will assess prior to initiation of this type of therapy? Select all that apply.
A) Serum amylase
B) Electrolytes
C) Creatine clearance
D) Complete blood count (CBC)
E) Liver function tests
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Chapter 11: Intracranial Regulation
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) An older adult client is experiencing a tonic-clonic (grand mal)seizure exceeding 10 minutes in length.Which medication should the nurse prepare to administer to this client?
A) Intramuscular injection of diazepam
B) 5% dextrose solution IV
C) Intravenous diazepam slowly over several minutes
D) Intravenous bolus of 10% dextrose
Q2) The nurse makes a visit to the home of an adolescent recently discharged from the hospital for a seizure disorder.Which observations indicate that outcomes for care have been achieved? Select all that apply.
A) The client is not driving.
B) The client has not had a seizure for 1 month.
C) The client is participating in the school basketball team.
D) The client has bruises on both arms from seizure activity.
E) The client has several episodes of constipation each week.
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Chapter 12: Metabolism
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) A client is experiencing health problems related to alterations in adrenal medulla function.On which areas should the nurse focus when assessing this client? Select all that apply.
A) Heart rate
B) Weight
C) Respiratory rate
D) Skin integrity
E) Blood pressure
Q2) The nurse is planning care for an older adult client with type 2 diabetes mellitus.Which nursing diagnosis would be most appropriate for this client?
A) Risk for Falls
B) Risk for Infection
C) Ineffective Tissue Perfusion: Cardiac
D) Impaired Tissue Integrity
Q3) A nurse is caring for a client who weighs 209 pounds and is 1.67 meters tall.The nurse calculates the body mass index (BMI)of this client as ________.Round the answer to the nearest whole number.
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Chapter 13: Mobility
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88 Verified Questions
88 Flashcards
Source URL: https://quizplus.com/quiz/35018
Sample Questions
Q1) A client with osteoarthritis of the knees tells the nurse that no one else in the family has this disorder.What assessment finding might have increased this client's risk for developing this disorder?
A) Body mass index 36.5
B) History of esophageal reflux disease
C) Client plays tennis 3 times each week
D) Blood pressure 136/78 mmHg
Q2) The nurse instructs a client with Parkinson disease (PD)about carbidopa-levodopa (Sinemet).Which client statement indicates that teaching has been effective?
A) "I will take the medication with my meals."
B) "I will sit up for several minutes to gain my balance before going from lying down to standing up."
C) "This medication will not affect my blood pressure medications."
D) "This medication will cure my Parkinson disease in time."
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15
Chapter 14: Nutrition
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) The public health nurse is conducting a nutrition seminar to educate individuals within the community.When discussing nutritional intake as a modifiable risk factor,which disease processes will the nurse include in the session? Select all that apply.
A) Atherosclerotic heart disease
B) Ulcerative colitis
C) Osteoporosis
D) Certain cancers
E) Hypertension
Q2) The nurse is planning care for a client whose waist circumference is 48 inches and height is 5 feet,2 inches.Based on this data,which topics are appropriate for the nurse to include in the client teaching? Select all that apply.
A) Chronic lung disease
B) Osteoarthritis
C) Type 2 diabetes mellitus
D) Heart disease
E) High blood pressure
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16
Chapter 15: Oxygenation
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76 Verified Questions
76 Flashcards
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Sample Questions
Q1) The nurse is providing care to a client experiencing the acid-base balance of respiratory acidosis.Which effects does the nurse anticipate based on this diagnosis? Select all that apply.
A) Increased CO<sub>2</sub>
B) Vasoconstriction
C) Decreased O<sub>2</sub>
D) Decreased intracranial pressure (ICP)
E) Increased pulse rate
Q2) The nurse is providing care to a newly diagnosed with asthma.When developing the client's plan of care,which intervention would be most appropriate to promote airway clearance?
A) Provide adequate rest periods.
B) Reduce excessive stimuli.
C) Assist with activities of daily living
D) Place in Fowler position.
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Chapter 16: Perfusion
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154 Verified Questions
154 Flashcards
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Sample Questions
Q1) A client,admitted with irregular chest pain and shortness of breath,complains of fatigue with activity.The client's body mass index (BMI)is 30.5.Which is the priority nursing diagnosis for this client?
A) Ineffective Coping
B) Fear
C) Imbalanced Nutrition: More than Body Requirements.
D) Fluid Volume Deficit
Q2) The nurse has instructed a client recovering from a pulmonary embolism on long-term anticoagulant therapy.Which client statement indicates that instruction has been effective?
A) "I will expect bloody sputum when I brush my teeth."
B) "I need to use a soft toothbrush and an electric razor, and avoid injuries."
C) "I need to eat a well-balanced diet with green salads."
D) "I can expect to be bruised, since this is normal."
Q3) A nurse caring for a client with a pulmonary embolism expects to find which diagnostic result?
A) Patchy infiltrates on chest x-ray
B) Metabolic alkalosis on arterial blood gas
C) Elevated CO<sub>2</sub> level found on end-tidal carbon dioxide monitor
D) Tachycardia and nonspecific T-wave changes on EKG
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Chapter 17: Perioperative Care
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) The postoperative nurse is planning care for a client recovering from major thoracic surgery.Which nursing diagnoses should the nurse select to plan for this client's immediate care needs? Select all that apply.
A) Risk for Impaired Gas Exchange
B) Risk for Decreased Cardiac Output
C) Risk for Ineffective Airway Clearance
D) Risk for Imbalanced Nutrition: Less than Body Requirements
E) Risk for Imbalanced Fluid Volume
Q2) The nurse is discussing the various people whom the client will see when in the operating room suite.Which individuals should the nurse emphasize when discussing this aspect of the surgical process with the client? Select all that apply.
A) Surgeon
B) Postoperative nurse
C) Circulating nurse
D) Anesthesiologist
E) Social worker
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Chapter 18: Sensory Perception
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) A client tells the nurse about plans to become pregnant.What should the nurse provide to ensure healthy sensory functioning of the newborn?
A) Testing for rubella
B) The need to limit vitamin A intake
C) Importance of ingesting zinc
D) Avoiding foods high in folic acid
Q2) A client has been diagnosed with cataracts of both eyes.Which prescription does the nurse anticipate for this client?
A) Corrective lenses for the cataracts
B) Two procedures, separated by a few weeks, to remove the cataracts
C) One procedure to remove both cataracts at the same time
D) Eye drops to treat the cataracts
Q3) The nurse suspects that a client has a hearing disorder; however,the client denies not being able to hear.Which initial action by the nurse to assess the client's hearing is appropriate?
A) Use an otoscope to visualize the inner ear.
B) Schedule a Weber and Rinne test.
C) Confront the client with the suspicion.
D) Observe the client's interaction with family.
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Page 20
Chapter 19: Sexuality
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A female client tells the nurse about having no interest in sex since it has become painful.Which intervention(s)would be appropriate to help the client with this problem? Select all that apply.
A) Ask when the last Pap smear was performed.
B) Discuss the need to be screened for sexually transmitted infections.
C) Instruct on the use of artificial lubrication.
D) Encourage the client to discuss with the healthcare provider because there are medications to help with this problem.
E) Suggest antibiotics to treat the pain.
Q2) A nurse is treating a client with diabetes mellitus who complains of erectile dysfunction (ED).Which hormonal cause contributes to ED?
A) Increased prolactin levels
B) Decreased aldosterone levels
C) Decreased circulating catecholamines
D) Decreased thyroid-stimulating hormone
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21
Chapter 20: Thermoregulation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse assists with the delivery of a newborn on the labor and delivery unit.By drying the newborn immediately after birth,the nurse is protecting heat loss by which method?
A) Convection
B) Conduction
C) Evaporation
D) Radiation
Q2) During an assessment,the nurse notes that a client who was a victim of an industrial accident has a mildly elevated body temperature.When discussing the client's increased temperature,which will the nurse attribute it to?
A) Infection
B) Diet
C) Exercise
D) Stress
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Chapter 21: Tissue Integrity
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) An older adult client is admitted to the medical-surgical unit for a hip fracture.During postoperative recovery,the nurse notices a stage I pressure ulcer forming on the client's sacrum.Which action by the nurse is appropriate to reduce the progression of this ulceration?
A) Maintain the head of the bed at 30° angle, with client positioned on the right or left side.
B) Apply a heat lamp to the area to increase circulation.
C) Apply a dry dressing to the pressure ulcer.
D) Maintain the head of the bed at 45° angle.
Q2) A client has a laceration that was closed with tissue adhesive.Which is the process by which this wound will heal?
A) Open approximation
B) Secondary healing
C) Delayed closure
D) Primary intention
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