Health Assessment and Fundamentals
Review Questions
Course Introduction
Health Assessment and Fundamentals introduces students to the foundational concepts and skills necessary for effective nursing practice. The course emphasizes the systematic process of assessing the physical, psychological, social, and cultural aspects of health across the lifespan. Students learn to collect comprehensive health histories, perform physical examinations, interpret assessment findings, and document data accurately. By integrating theory with hands-on practice, this course prepares students to identify normal and abnormal health patterns, prioritize patient needs, and communicate effectively within interdisciplinary healthcare teams, thus establishing the groundwork for safe and competent nursing care.
Recommended Textbook
Fundamentals of Nursing 8th Edition by
Patricia A. Potter
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50 Chapters
1445 Verified Questions
1445 Flashcards
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Chapter 1: Nursing Today
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Sample Questions
Q1) The patient requires routine gynecological services after giving birth to her son,and while seeing the nurse midwife,she asks for a referral to a pediatrician for the newborn.The nurse midwife should
A) Provide the referral as requested.
B) Offer to provide the newborn care.
C) Refer the patient to the supervising physician.
D) Tell the patient that she cannot make referrals.
Answer: B
Q2) The nurse has been working in the clinical setting for several years as an advanced practice nurse and has earned her master's degree as a family nurse practitioner.However,she seems unfulfilled and has a strong desire to do research.To fulfill her desire,the nurse most likely would apply to attend a program that would lead to a
A) Doctor of Nursing Science degree (DNSc).
B) Doctor of Philosophy degree (PhD).
C) Doctor of Nursing Practice degree (DNP).
D) Doctor in the Science of Nursing degree (DSN).
Answer: B
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Chapter 2: The Health Care Delivery System
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Sample Questions
Q1) The nurse is caring for a patient who has a diagnosis that she is not familiar with.The nurse uses reference materials and does a literature search to better understand the diagnosis.The nurse then utilizes this knowledge,along with the nurse's experience and patient preferences,to develop a plan of care.This is an example of the nurse using _____ to provide care for her patient.
A) Evidence-based practice
B) Research-based practice
C) Applied quality improvement
D) Nursing informatics
Answer: A
Q2) In today's society,the nurse is facing more and different challenges.Central to some of these challenges is the concept of globalization,because it has led to
A) A more homogeneous mix of nursing staff.
B) Decreased poverty and increased diseases of affluence.
C) Decreased urbanization as populations shift to the suburbs.
D) Increased spread of communicable diseases.
Answer: D
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Chapter 3: Community-Based Nursing Practice
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Sample Questions
Q1) Vulnerable populations include those patients who are more likely to develop health problems as a result of
A) Pregnancy.
B) Nontraditional healing practices.
C) Excessive risk.
D) Unlimited access to health care.
Answer: C
Q2) A specialist in public health nursing requires
A) The same level of education as the community health nurse.
B) Preparation at the basic entry level.
C) An advanced degree regardless of public health experience.
D) A graduate level education with a focus in public health science.
Answer: D
Q3) The community health nurse is administering flu shots to children at a local playground.In doing so,the nurse's focus is on
A) Preventing individual illness.
B) Preventing community outbreak of illness.
C) Preventing outbreak of illness in the family.
D) The needs of the individual or family.
Answer: B
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) The nurse is making rounds and finds her older adult patient sobbing and obviously upset.She states that her doctor told her that she has cancer,and she does not want to die."What's the sense?" she says."I might as well die.I'm going to anyway.I guess that shows how useless I really am.Nobody wants an old lady around." The nurse notices that the patient's respirations have increased,and the tip of her nose and ear lobes are becoming cyanotic.The nurse assesses the patient and finds that the patient's pulse rate is over 150 beats per minute.According to Maslow's hierarchy of needs,the nurse should first
A) Call the physician to request a psychiatric consult.
B) Reassure the patient that she has value as a human being.
C) Place the patient on oxygen and try to calm her.
D) Call the patient's family to help her realize that she is wanted.
Q2) Many aspects of nursing theory are based on developmental theories because human growth and development is believed to be
A) Erratic and difficult to predict.
B) An orderly predictive process.
C) An orderly process until adulthood.
D) Unpredictable during childhood.
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Chapter 5: Evidence-Based Practice
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22 Flashcards
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Sample Questions
Q1) The hospital's quality improvement committee has identified a problem on one of the units.In using the PDSA method to help determine ways to deal with the issue,the committee decides to do a literature review.This is an example of quality improvement
A) Combined with evidence-based practice.
B) With inability to make the right decision.
C) With delay in the action needed.
D) With no designated method for dealing with issues.
Q2) The nurse is doing a literature review related to a potential problem that has been identified on the nursing unit.The nurse realizes that nursing research is important in that it is designed to
A) Enhance the nurse's chance at promotion.
B) Identify new knowledge.
C) Improve professional practice.
D) Enhance effective use of resources.
E) Lead to decreases in budget expenditures.
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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 her employment status and displays a nonjudgmental attitude.Why does the nurse do this?
A) Noncompliant patients thrive on the disapproval of authority figures.
B) External variables have little effect on compliance.
C) A person's compliance is affected by economic status.
D) Employment status is an internal variable that impacts compliance.
Q2) A 62-year-old male patient has had chronic obstructive pulmonary disease (COPD)for many years but has been unable to quit smoking.When approached by the nurse,he states that he would be "better off dead." He states that he has always supported his family,and now the doctor says he can no longer work because of his condition and oxygen dependency.His wife will now have to go to work,and he is sure that she will not make enough money to pay the bills.In preparing the patient for discharge,the nurse should
A) Develop a plan of care for the family.
B) Contact psychiatric services.
C) Assure the patient that things will work out.
D) Focus the plan of care on maximizing patient function.
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Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) With respect to the concept of caring,most nursing theories
A) Embrace the disease orientation to health care as Watson does.
B) Recognize Leininger's theory and reject culture as a caring force.
C) Identify caring as highly relational involving patient and nurse.
D) Stress the universality of the expression of caring.
Q2) Caring is a universal phenomenon that involves
A) Being disconnected.
B) Excluding outside phenomena in favor of family relationships.
C) Focusing only on human relationships with one another.
D) What matters to a person.
Q3) The patient has had a colostomy placed but has not yet been able to look at it.The nurse is given the task of teaching the patient how to care for it.The nurse sits with the patient,and together they form a plan on how to approach dealing with colostomy care.Which caring process is the nurse performing?
A) Knowing
B) Doing for
C) Enabling
D) Maintaining belief
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9
Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) The nurse is caring for a patient diagnosed with cancer.The family of the patient asks the nurse for information.What should the nurse do?
A) Refer family members to the physician because it is his/her role to prescribe.
B) Inform them that few options are available.
C) Tell them to take their family member to an NCI cancer center.
D) Offer information about the different resources available.
Q2) When working with cancer survivors,the nurse must understand that cancer survivors
A) Face depression that is devastating and destroys one's sense of life.
B) Seek a balance between independence and interdependence.
C) Experience similar long-term impact regardless of cultural beliefs.
D) Are at much lower risk for developing a new cancer.
Q3) The National Coalition for Cancer Survivorship has defined a cancer survivor as a person who has
A) Been cancer free for 5 years after diagnosis.
B) Been cancer free for 3 years after diagnosis.
C) Had cancer until he or she dies.
D) Had cancer but is declared cancer free.
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Chapter 9: Culture and Ethnicity
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20 Flashcards
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Sample Questions
Q1) When asked to describe the differences between ethnicity and race,what should the student nurse explain?
A) Ethnicity refers to a shared identity, whereas race is limited to biological attributes.
B) Ethnicity and race are actually the same and are based in cultural norms.
C) Ethnicity can be understood only through an ethic worldview.
D) Race refers to a shared identity, whereas ethnicity is limited to biological attributes.
Q2) Which statement is true relative to caring for a Hindu patient who is dying?
A) The family will turn his head eastward or to the right.
B) A close kin will stay with the patient to hear his last wishes.
C) Anointing of the sick is a common right of the dying.
D) The family will place a drop of water on the patient's lips.
Q3) In performing a cultural assessment,knowledge of a patient's country of origin and its history and ecological contexts is known as
A) Ethnohistory.
B) Biocultural history.
C) Social organization.
D) Religious and spiritual beliefs.
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Chapter 10: Caring for Families
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Sample Questions
Q1) The nurse is providing discharge teaching for an older adult woman who will need dressing changes at home.Her husband,who is also elderly,is her only source of care.The husband states that he will not be able to perform the dressing changes.What does the nurse need to arrange for?
A) Home care service referrals
B) Extra dressing supplies
C) Cancellation of the discharge
D) An order for antibiotics
Q2) Although the family as a whole differs from individual members,the measure of family health is more than a summary of the health of all members.Of the following,what areas are unique to family assessment?
A) Family form
B) Family structure
C) Family function
D) Family health
E) Individual health
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12
Chapter 11: Developmental Theories
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Sample Questions
Q1) According to Piaget's theory of cognitive development,the nurse should allow a hospitalized 4-year-old patient to safely play with
A) The pump administering intravenous fluids.
B) The blood pressure cuff.
C) A baseball bat.
D) A book to read alone in a quiet place.
Q2) The parents of a 14-year-old boy express concern over their child's rebellious behavior.The nurse should plan to respond to the parents' concern by informing them that their
A) Child should be referred to a juvenile correctional facility.
B) Child's behavior is normal because the adolescent is trying to adjust to his emerging identity.
C) Child's behavior is a matter of concern because he is likely conflicted about establishing companionship with a partner.
D) Child's behavior is expected because he is expressing his need to support future generations.
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Chapter 12: Conception Through Adolescence
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Sample Questions
Q1) A mother expresses concern because her 5-year-old child frequently talks about friends who don't exist.What is the nurse's best response to this mother's concern?
A) "Have you considered a child psychological evaluation?"
B) "It's very normal for a 5-year-old child to have imaginary playmates."
C) "You should stop your child from playing electronic games."
D) "Pretend play is a sign your child watches too much television."
Q2) When comparing physical growth patterns between school-aged children and adolescents,the nurse notes that
A) Physical growth usually slows during the adolescent period.
B) Boys usually exceed girls in height and weight by the end of the school years.
C) Secondary sex characteristics usually develop during the adolescent years.
D) The distribution of muscle and fat remains constant during the adolescent years.
Q3) Immediate intervention is needed when the newborn exhibits
A) A soft, protuberant abdomen.
B) Molding.
C) Lack of reflexes.
D) Cyanotic hands and feet.
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Chapter 13: Young and Middle Adults
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Sample Questions
Q1) A 25-year-old patient is brought to the hospital by police after crashing his car in a high-speed chase when trying to avoid arrest for spousal abuse.What should the nurse do?
A) Question the patient about drug use.
B) Offer the patient a cup of coffee to calm his nerves.
C) Be aware that substance abuse is usually obvious.
D) Deal with the issue at hand, and put off asking about previous illnesses.
Q2) The nurse is teaching a class to pregnant women about common physiological changes during pregnancy.Which statement by the nurse accurately describes these changes?
A) "Pregnancy enhances your ability to cope with stress."
B) "Being nauseated and feeling tired will not affect your physical body image."
C) "You and your partner may experience feelings of uncertainty about assuming the roles of parents."
D) "Returning home after delivery will rejuvenate you and foster independence."
Q3) What do changing norms and values about family life in the United States reveal?
A) Basic shifts in attitudes in our society
B) Greater resistance to cohabitation without marriage
C) Decreased numbers of infants born to unmarried women
D) Greater support and acceptance from the health care system
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Chapter 14: Older Adults
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Sample Questions
Q1) The nurse correctly describes psychosocial theories on aging as theories that
A) Describe role changes in behaviors in older adults.
B) Emphasize that all adults age in similar ways.
C) Stress the need for the aging to discontinue activities as they age.
D) Describe behavior patterns for all aging adults as unpredictable.
Q2) What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?
A) Suggest choosing a nursing center that is as sanitary as possible. The closer the center is to hospital standards, the better.
B) Have family members evaluate nursing home staff according to their ability to get tasks done efficiently.
C) Make sure that nursing home staff members get patients out of bed every day for the entire day.
D) Explain that it is probably best for the family to visit the center and inspect it personally.
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16
Chapter 15: Critical Thinking in Nursing Practice
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Sample Questions
Q1) The nursing process involves which of the following steps in the clinical decision-making process?
A) Identifying patient needs
B) Diagnosing the disease process
C) Determining priorities of care
D) Setting goals
E) Performing nursing interventions
F) Evaluating effectiveness of medical treatments
Q2) Professional standards influence a nurse's clinical decisions by
A) Bypassing the patient's feelings to promote ethical standards.
B) Establishing minimal passing standards for testing.
C) Requiring the nurse to use critical thinking for the highest level of quality nursing care.
D) Utilizing evidence-based practice based on nurses' needs.
Q3) The nurse needs a reminder of professional responsibility when performing which of these actions?
A) Making an informed clinical decision
B) Making an ethical clinical decision
C) Making a clinical decision in the patient's best interest
D) Making a clinical decision based on previous shift assessments
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Chapter 16: Nursing Assessment
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Sample Questions
Q1) A patient expresses fear of going home and being alone.Her vital signs are stable and her incision is nearly completely healed.The nurse can infer from the subjective data that
A) The patient can now perform the dressing changes herself.
B) The patient can begin retaking all her previous medications.
C) The patient is apprehensive about discharge.
D) Surgery was not successful.
Q2) Subjective data include
A) A patient's feelings, perceptions, and reported symptoms.
B) A description of the patient's behavior.
C) Observations of a patient's health status.
D) Measurements of a patient's health status.
Q3) A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while moving around in bed.What is the nurse's best action in response to her observation?
A) Proceed to the next patient's room while making rounds.
B) Offer a massage because the patient does not want any more pain medicine.
C) Administer the pain medication ordered for moderate to severe pain.
D) Ask the patient about the facial grimacing with movement.
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Page 18
Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) Which of these questions would be most appropriate for a nurse to ask a patient to assist in establishing a nursing diagnosis of Diarrhea?
A) "What types of foods do you think caused your upset stomach?"
B) "How many bowel movements a day have you had?"
C) "Are you able to get to the bathroom in time?"
D) "What medications are you currently taking?"
Q2) The charge nurse is reviewing a patient's plan of care,which includes the nursing diagnostic statement,Impaired physical mobility related to tibial fracture as evidenced by patient's inability to ambulate to bathroom.The nurse needs to revise which part of the diagnostic statement?
A) Nursing diagnosis
B) Etiology
C) Patient chief complaint
D) Defining characteristic
Q3) One purpose of using standard formal nursing diagnoses in practice is to
A) Form a language that can be encoded only by nurses.
B) Distinguish the nurse's role from the physician's role.
C) Allow for the communication of patient needs to assistive personnel.
D) Help nurses focus on the scope of medical practice.
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Page 19
Chapter 18: Planning Nursing Care
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Sample Questions
Q1) A patient's plan of care includes the goal of increasing mobility this shift.As the patient is ambulating to the bathroom at the beginning of the shift,the patient suffers a fall.The nurse should revise the plan of care first by
A) Asking physical therapy to assist the patient because of the new injuries.
B) Disregarding all previous diagnoses and establishing a new plan of care.
C) Reassessing the patient.
D) Setting new priorities for the patient.
Q2) A hospital's wound nurse consultant made a recommendation for nurses on the unit to continue the patient's dressing changes as previously ordered.The nurses on the unit should incorporate this recommendation into the patient's plan of care by
A) Assuming that the wound nurse will perform all dressing changes.
B) Requesting that the physician look at the wound herself.
C) Including dressing change instructions and frequency in the plan of care.
D) Encouraging the patient to perform the dressing changes.
Q3) The nurse describes evidence-based practice as
A) Practice based on the evidence presented in court.
B) Implementing interventions based on scientific rationale.
C) Using standardized care plans.
D) Planning care based on tradition.
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Page 20
Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) Which of the following are nursing interventions?
A) Order chest x-ray for suspected humerus fracture.
B) Order antibiotics for a respiratory infection.
C) Reposition a patient who is on bed rest.
D) Remind a patient to cough and deep breathe after surgery.
E) Write transfer orders to move a patient to another hospital unit.
Q2) A newly admitted patient who is morbidly obese asks the nurse to assist her to the bathroom for the first time.What should the nurse do first?
A) Ask for at least two other assistive personnel to come to the room.
B) Medicate the patient to alleviate discomfort while ambulating.
C) Offer the patient a walker.
D) Review the patient's activity orders.
Q3) A patient visiting with family members in the waiting area tells the nurse that his stomach is not feeling good.Before intervening,what should the nurse do?
A) Ask the patient to return to his room so the nurse can inspect his abdomen.
B) Request that the family leave, so the patient can rest.
C) Ask the patient when his last bowel movement was and to lie down on the sofa.
D) Tell the patient that his dinner tray will be ready in 15 minutes.
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Chapter 20: Evaluation
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Sample Questions
Q1) Which of the following are examples of evaluative measures that a nurse should utilize when determining the patient's response to nursing care?
A) Observations of wound healing
B) Assessment of respiratory rate and depth
C) Blood pressure measurement
D) Implementation of nursing interventions
E) Patient's subjective report of feelings about a new diagnosis of cancer
Q2) In which step of the nursing process does the nurse determine if the patient's condition has improved and whether the patient has met expected outcomes?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) With the current shortage of nursing faculty and nursing programs,which nursing care delivery model is least feasible in many agencies?
A) Total patient care
B) Primary nursing
C) Team nursing
D) Case management
Q2) A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistant.The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus.The best next action of this nurse is to
A) Ask the nursing assistant to observe while the nurse performs catheter care.
B) Leave the room and ask the nursing assistant to go back and perform proper catheter care.
C) Discontinue the catheter.
D) Document the incident in the patient's chart.
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Chapter 22: Ethics and Values
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Sample Questions
Q1) Four patients in labor all request epidural analgesia to manage their pain at the same time.Which ethical principle is compromised when only one nurse anesthetist is on call?
A) Justice
B) Nonmaleficence
C) Beneficence
D) Fidelity
Q2) The nurse has become aware of missing narcotics in the patient care area.Which ethical principle obligates the nurse to report the missing medications?
A) Advocacy
B) Responsibility
C) Confidentiality
D) Accountability
Q3) The nurse questions a physician's order to administer a placebo to the patient.The nurse's action is based on which ethical principle?
A) Autonomy
B) Beneficence
C) Justice
D) Fidelity
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Page 24
Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) An obstetrical nurse comes across an automobile accident.The patient 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 her purse to provide an airway.The patient survives and has a permanent problem with his 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 acted 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.
Q2) Conjoined twins are in the neonatal department of the community hospital until transfer to the closest medical center.A photographer from the local newspaper gets off the elevator on the neonatal floor and wants to take pictures of the infants.What initial action should the nurse take?
A) Escort the cameraman to the neonatal unit while a few pictures are taken quietly.
B) Tell the cameraman where the hospital's public relations department is located.
C) Ask the cameraman to wait while permission is obtained from the physician.
D) Ask the cameraman how the pictures are to be used in the local newspaper.
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25
Chapter 24: Communication
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Sample Questions
Q1) The patient that will cause the greatest communication concerns for a nurse is the patient who is
A) Alert, has strong self-esteem, and is hungry.
B) Oriented, pain free, and blind.
C) Cooperative, depressed, and hard of hearing.
D) Dyspneic, has a tracheostomy, and is anxious.
Q2) A patient says,"You are the worst nurse I have ever had." Which response by the nurse is the most assertive?
A) "If I were you, I'd feel grateful for a nurse like me."
B) "I feel uncomfortable hearing that statement."
C) "How can you say that when I have been checking on you regularly?"
D) "You shouldn't say things like that, it is not right."
Q3) Which types of patients can cause challenging communication situations?
A) A male patient who is cooperative with treatments
B) A female patient who is outgoing and flirty
C) An older adult patient who is demanding
D) An elderly patient who can clearly see small print
E) A teenager frightened by the prospect of impending surgery
F) A child who is developmentally delayed
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Page 26
Chapter 25: Patient Education
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Sample Questions
Q1) A nurse is assessing the ability to learn of a patient who has recently experienced a stroke.Which question/statement will best assess the patient's ability to learn?
A) "What do you want to know about strokes?"
B) "On a scale from 1 to 10, tell me where you rank your desire to learn."
C) "Do you feel strong enough to perform the tasks I will teach you?"
D) "Please read this handout and tell me what it means."
Q2) A student nurse learns that a normal adult heartbeat is 60 to 100 beats/minute.In which domain did learning take place?
A) Kinesthetic
B) Cognitive
C) Affective
D) Psychomotor
Q3) A nurse is teaching a group of healthy adults about the benefits of flu immunizations.Which purpose of patient education is the nurse fulfilling?
A) Restoration of health
B) Coping with impaired functions
C) Promotion of health and illness prevention
D) Health analogies
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) Identify the purposes of a health care record.
A) Communication
B) Legal documentation
C) Reimbursement
D) Education
E) Research
F) Nursing process
Q2) A nurse wants to integrate all pertinent patient information into one record,regardless of the number of times a patient enters the health care system.Which term should the nurse use to describe this system?
A) Electronic medical record
B) Electronic health record
C) Electronic charting record
D) Electronic problem record
Q3) A nurse wants to reduce data entry errors on the computer system.Which behavior should the nurse implement?
A) Use the same password all the time.
B) Share password with only one other staff member.
C) Print out and review computer nursing notes at home.
D) Chart on the computer immediately after care is provided.
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Chapter 27: Patient Safety
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/25776
Sample Questions
Q1) The nurse is instructing the student nurse regarding discharge teaching and medications.Which response by the student would indicate that learning has occurred?
A) "I need to be precise when teaching a patient about Zyprexa (olanzapine) and Zyrtec (cetirizine)."
B) "The medications can be picked up at the pharmacy on the way out of the hospital."
C) "I need to be sure to give the patient leftover medications from the medication drawer."
D) "I need to remember to teach the patient to take all medications at the same time of the day."
Q2) The nurse is providing information regarding safety and accidental poisoning to a grandmother who will be taking custody of a 1-year-old grandchild.Which of the following comments would indicate that the grandmother needs further instruction?
A) "The number for poison control is 800-222-1222."
B) "Never induce vomiting if my grandchild drinks bleach."
C) "I should call 911 if my grandchild loses consciousness."
D) "If my grandchild eats a plant, I should provide syrup of ipecac."
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Chapter 28: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25777
Sample Questions
Q1) The nurse is caring for a patient with an incision.Which of the following actions would best indicate an understanding of medical and surgical asepsis?
A) Donning sterile gown and gloves to remove the wound dressing
B) Utilizing clean gloves to remove the dressing and sterile supplies for the new dressing
C) Donning clean goggles, gown, and gloves to dress the wound
D) Utilizing clean gloves to remove the dressing and clean supplies for the new dressing
Q2) The nurse is observing a family member changing a dressing for a patient in the home health environment.Which of these observations would indicate that the family member has a correct understanding of how to manage contaminated dressings?
A) The family member removes gloves and gathers items for disposal.
B) The family member places the used dressings in a plastic bag.
C) The family member saves part of the dressing because it is clean.
D) The family member wraps the used dressing in toilet tissue before placing in the trash.
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Chapter 29: Vital Signs
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) Which statement is true of the ovulation phase?
A) Progesterone levels are below normal.
B) Body temperature is below baseline levels.
C) Body temperature is at previous baseline levels or higher.
D) Intense body heat and sweating occur.
Q2) Of the following sites,which are used for obtaining a core temperature?
A) Oral
B) Rectal
C) Tympanic
D) Axillary
E) Pulmonary artery
Q3) The nurse needs to obtain a radial pulse from a patient.To obtain the correct measure,what must the nurse do?
A) Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.
B) Place the thumb over the groove along the thumb side of the patient's wrist.
C) Apply a very light touch so that the pulse is not obliterated.
D) Apply very strong pressure to detect the pulse.
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Chapter 30: Health Assessment and Physical Examination
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Sample Questions
Q1) A parent calls the school nurse with questions regarding the recent school vision screening.Snellen chart examination revealed 20/60 for both eyes.Considering the visual acuity results,the nurse informs the parent that the child
A) Should have an optometric examination.
B) Is suffering from strabismus.
C) May have presbyopia.
D) Has vision issues most likely due to cataracts.
Q2) While assessing the skin of an 82-year-old male patient,a nurse discovers nonpainful ruby red papules on the patient's trunk.What is the nurse's next action?
A) Explain that the patient has basal cell carcinoma and should watch for spread.
B) Document cherry angiomas as a normal geriatric skin finding.
C) Tell the patient that he has a benign squamous cell carcinoma.
D) Document the presence of edema.
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Chapter 31: Medication Administration
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Sample Questions
Q1) The nurse knows that the purpose of aspiration on IM injections is to
A) Ensure proper placement of the needle.
B) Increase the force of the injection.
C) Reduce the discomfort of the injection.
D) Prolong the absorption time of the medication.
Q2) A patient is to receive medication through a nasogastric tube.What is the most important nursing action to ensure effective absorption?
A) Thoroughly shake the medication before administering.
B) After all medications are administered, flush tube with 15 to 30 mL of water.
C) Position patient in the supine position for 30 minutes.
D) Clamp suction for 30 to 60 minutes after medication administration.
Q3) A patient is at risk for aspiration.What nursing action is most appropriate?
A) Hold the patient's cup for him so he can concentrate on taking pills.
B) Thin out liquids so they are easier to swallow.
C) Give the patient a straw to control the flow of liquids.
D) Have the patient self-administer the medication.
Q4) The nurse is administering 250 mg of a medication elixir to the patient.The medication comes in a dose of 1000 mg/5 mL.How many milliliters should the nurse administer?
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Chapter 32: Complementary and Alternative Therapies
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25781
Sample Questions
Q1) A patient describes practicing a complementary and alternative therapy involving concentrating and controlling his respiratory rate and pattern,recognizing that breath work is to yoga as
A) The "zone" is to acupressure.
B) Massage therapy is to Ayurveda.
C) Reiki therapy is to therapeutic touch.
D) Prayer is to tai chi.
Q2) The therapy that is more effective in treating physical ailments than in preventing disease or managing chronic illness is _____ medicine.
A) Allopathic
B) Complementary
C) Alternative
D) Mind-body
Q3) A holistic nurse would be a nurse who
A) Recommends a vegan diet for all patients.
B) Recognizes the mind-body-spirit connection.
C) Provides spiritual literature to patients.
D) Knows about resources for fresh herbs.
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Chapter 33: Self-Concept
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Sample Questions
Q1) The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment.An appropriate priority for a patient at this clinic would be
A) Identifying local self-help groups before being discharged from the program.
B) Staying away from all triggers that cause substance abuse.
C) Stating a plan to never be tempted by illicit substances after discharge.
D) Identifying personal areas of weakness to grow stronger.
Q2) Potential predictors for suicidal thoughts and behaviors in adolescents are
A) Stressful life events and a scholarship.
B) Very high self-esteem and work failure.
C) Health problems and developmental milestones.
D) Negative body image and low self-esteem.
Q3) Based on current evidence,the nurse who plans smoking cessation interventions for adolescent girls should focus on interventions directed toward
A) Obeying parents and reducing television viewing.
B) Fostering generativity over self-absorption.
C) Role overload, addiction counseling, and depression.
D) Weight management, self-esteem, and stress management.
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Chapter 34: Sexuality
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23 Flashcards
Source URL: https://quizplus.com/quiz/25783
Sample Questions
Q1) The patient expresses his attraction to the nurse who is caring for him.The patient asks the nurse for her phone number.How should the nurse first attempt to handle the situation?
A) Redefine the boundaries of professionalism.
B) Give the patient her number, but ask that he call after work hours.
C) Give the patient false information to appease him.
D) Ask a coworker to take over care for this patient.
Q2) A nurse is caring for a patient who expresses a desire to have an elective abortion.The nurse's religious and ethical values are strongly opposed.How should the nurse best handle the situation?
A) Continue to care for the patient, and limit conversation as much as possible.
B) Refer the patient to a family planning center or health professional.
C) Attempt to educate the patient about the consequences of abortion.
D) Inform the patient that because of moral issues, another nurse will have to care for her.
Q3) Which patient is most in need of a nurse's referral to adoption services?
A) A patient considering abortion for an unwanted pregnancy
B) An infertile couple religiously opposed to artificial insemination
C) A woman who suffered miscarriage during her first pregnancy
D) A couple who has been attempting conception for 3 months
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Chapter 35: Spiritual Health
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20 Flashcards
Source URL: https://quizplus.com/quiz/25784
Sample Questions
Q1) In discussing spiritual well-being,the nurse identifies that the vertical dimension involves
A) The positive relationships and connections people have with others.
B) The transcendent relationship between a person and God.
C) Confidence in something for which there is no proof.
D) Providing an attitude of something to live for and look forward to.
Q2) The nurse and the patient have the same religious affiliation.Because of this,the nurse
A) Can assume that they have the same spiritual beliefs.
B) Should not impose her personal values on the patient.
C) Must use an assessment tool to assess the patient's beliefs.
D) Can skip the spiritual belief assessment.
Q3) In caring for the patient's spiritual needs,the nurse understands that
A) Establishing presence is part of the art of nursing.
B) Presence involves "doing for" the patient.
C) A caring presence involves listening to the patient's wishes only.
D) The nurse must use her expertise to make decisions for the patient.
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Chapter 36: The Experience of Loss, death, and Grief
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Sample Questions
Q1) A woman is called into her supervisor's office regarding her deteriorating work performance since the loss of her husband 2 years ago.The woman begins sobbing and saying that she is "falling apart" at home as well.The woman is escorted to the nurse's office,where the nurse recognizes the woman's symptoms as which of the following?
A) Normal grief
B) Complicated grief
C) Disenfranchised grief
D) Perceived grief
Q2) A man is hospitalized after surgery that amputated both lower extremities owing to injuries sustained during military service.The nurse should recognize his need to grieve for what type of loss?
A) Maturational loss
B) Situational loss
C) Perceived loss
D) Uncomplicated loss
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Chapter 37: Stress and Coping
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Sample Questions
Q1) A teen with celiac disease continues to eat food she knows will make her ill several hours after ingestion.Given appropriate tertiary level interventions,the nursing intervention would be to
A) Teach the patient about the food pyramid.
B) Administer antidiarrheal medications with meals.
C) Assist the teen in meeting dietary restrictions while eating foods similar to those eaten by her friends.
D) Admonish the teen and her parents regarding her consistently poor diet choices.
Q2) While giving a lecture on attention-deficit/hyperactivity disorder,the nurse encourages which of the following to reduce children's stress regarding homework assignments?
A) Time management skills
B) Prevention of iron deficiency anemia
C) Routine preventative health visits
D) Speech articulation skills
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Chapter 38: Activity and Exercise
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Isotonic,isometric,and resistive isometric are three categories of exercise.They are classified according to the type of muscle contraction involved.Of the following exercises,which are considered isotonic?
A) Bicycling, swimming, walking, jogging, dancing
B) Tightening or tensing of muscles without moving body parts
C) Push-ups, hip lifting, pushing feet against a footboard on the bed
D) Quadriceps set exercises and contraction of the gluteal muscles
Q2) The patient has been bedridden for several months owing to severe congestive heart disease.In determining a plan of care for this patient that will address his activity level,the nurse formulates which of the following nursing diagnoses?
A) Fatigue related to poor physical condition
B) Impaired gas exchange related to decreased cardiac output
C) Decreased cardiac output related to decreased myocardial contractility
D) Activity intolerance related to physical deconditioning
Q3) In assisting the patient to exercise,the nurse should
A) Expect that pain will occur with exercise of unused muscle groups.
B) Set the pace for the exercise class.
C) Force muscles or joints to go just beyond resistance.
D) Stop the exercise if pain is experienced.
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Page 40
Chapter 39: Hygiene
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Sample Questions
Q1) When assessing a patient's feet,the nurse notices that the toenails are thick and separated from the nail bed.The nurse is aware that this condition is caused by A) Fungi.
B) Nail polish.
C) Friction.
D) Nail polish remover.
Q2) The nurse is caring for a patient who has multiple ticks on her legs and body.To rid the patient of ticks,the nurse should
A) Burn the ticks in an ashtray once removed.
B) Use blunt tweezers and pull upward with steady pressure.
C) Allow the ticks to drop off by themselves.
D) Use products containing lindane to kill the ticks.
Q3) Of the following hearing aids,which interferes the most with wearing eyeglasses and using a phone?
A) In-the-canal hearing aid
B) In- the-ear hearing aid
C) Behind-the-ear hearing aid
D) They are all equally useful.
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Chapter 40: Oxygenation
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Sample Questions
Q1) Which nursing intervention is most effective in preventing hospital-acquired pneumonia in an elderly patient?
A) Assist patient to cough, turn, and deep breathe every 2 hours.
B) Encourage patient to drink through a straw to prevent aspiration.
C) Discontinue humidification delivery device to keep excess fluid from lungs.
D) Monitor oxygen saturation, and frequently assess lung bases.
Q2) The nurse knows that the most effective method for suctioning a patient with a tracheostomy tube is to
A) Set suction regulator at 150 to 200 mm Hg.
B) Liberally lubricate the end of the suction catheter with a water-soluble solution.
C) Limit the length of suctioning to 10 to 15 seconds.
D) Apply suction while gently rotating and inserting the catheter.
Q3) The structure that is responsible for returning oxygenated blood to the heart is the
A) Pulmonary artery.
B) Pulmonary vein.
C) Superior vena cava.
D) Inferior vena cava.
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Page 42
Chapter 41: Fluid, electrolyte, and Acid-Base Balance
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45 Verified Questions
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Sample Questions
Q1) The nurse would expect a patient with increased levels of serum calcium to also have _____ levels.
A) Increased potassium
B) Decreased phosphate
C) Decreased sodium
D) Increased magnesium
Q2) The nurse would not expect full compensation to occur for which acid-base imbalance?
A) Respiratory acidosis
B) Respiratory alkalosis
C) Metabolic acidosis
D) Metabolic alkalosis
Q3) The nurse would expect a patient with respiratory acidosis to have an excessive amount of
A) Carbon dioxide.
B) Bicarbonate.
C) Oxygen.
D) Phosphate.
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Chapter 42: Sleep
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30 Flashcards
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Sample Questions
Q1) A patient has received a nursing diagnosis of sleep deprivation.Which of the following statements by the patient would indicate that outcomes are being met?
A) "I wake up only once a night to go the bathroom."
B) "I feel rested when I wake up in the morning."
C) "I go to sleep within 30 minutes of lying down."
D) "I only take a 20-minute nap during the day."
Q2) A single dad is discussing with the nurse the sleep needs of a preschooler.Which of the following directions would be most helpful to the parent?
A) "It is important that the 5-year-old get a nap every day."
B) "Preschoolers sleep soundly all night long."
C) "On average, the preschooler needs to sleep 10 hours a night."
D) "The preschooler may have trouble settling down after a busy day."
Q3) The nurse assigns a nursing diagnosis of ineffective breathing pattern.Which of the following sleep conditions would support this diagnosis?
A) Insomnia
B) Narcolepsy
C) Obstructive sleep apnea
D) Sleep deprivation
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Page 44
Chapter 43: Pain Management
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Sample Questions
Q1) The nurse is caring for a patient who recently had surgery to repair a hernia.The patient's pain was 7 out of 10 before receiving pain medication.One hour after receiving an oral opioid,the patient ranks his pain at 3 out of 10.The patient asks the nurse why he isn't receiving more pain medication.Which is the nurse's best response?
A) "This medication can be given only every 4 hours. It is not time for you to have any other pain medication right now."
B) "I will notify the health care provider to come perform an assessment if your pain doesn't improve in 30 minutes."
C) "If the pain becomes severe, we may need to transfer you to an intensive care unit."
D) "It can take 2 hours for oral pain medication to work, and your pain is going down. Let's try boosting you up in bed and putting an ice pack on the incision to see if that helps."
Q2) The nurse anticipates administering an opioid fentanyl patch to which patient?
A) A 15-year-old adolescent with a broken femur
B) A 30-year-old adult with cellulitis
C) A 50-year-old patient with prostate cancer
D) An 80-year-old patient with a broken hip
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Chapter 44: Nutrition
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Sample Questions
Q1) In determining kcal expenditure,the nurse knows that carbohydrates and proteins provide 4 kcal of energy per gram ingested.The nurse also knows that fats provide _____ kcal per gram.
A) 3
B) 4
C) 6
D) 9
Q2) In measuring the effectiveness of nutritional interventions,the nurse should
A) Expect results to occur rapidly.
B) Not be concerned with physical measures such as weight.
C) Expect to maintain a course of action regardless of changes in condition.
D) Evaluate outcomes according to the patient's expectations and goals.
Q3) In creating a plan of care to meet the nutritional needs of the patient,the nurse needs to explore the patient's feelings about weight and food.The nurse must do this to
A) Determine which category of plan to use.
B) Set realistic goals for the patient.
C) Mutually plan goals with patient and team.
D) Prevent the need for a dietitian consult.
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Chapter 45: Urinary Elimination
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Sample Questions
Q1) The nurse would question an order to insert a urinary catheter on which patient?
A) A 26-year-old patient with a recent spinal cord injury at T<sub>2</sub>
B) A 30-year-old patient requiring drug screening for employment
C) A 40-year-old patient undergoing bladder repair surgery
D) An 86-year-old patient requiring monitoring of urinary output for renal failure
Q2) The nurse anticipates urinary diversion from the kidneys to a site other than the bladder for which patient?
A) A 12-year-old female with severe abdominal trauma
B) A 24-year-old male with severe genital warts around the urethra
C) A 50-year-old male with recent prostatectomy
D) A 75-year-old female with end-stage renal disease
Q3) When caring for a hospitalized patient with a urinary catheter,which nursing action best prevents the patient from acquiring an infection?
A) Inserting the catheter using strict clean technique
B) Performing hand hygiene before and after providing perineal care
C) Fully inflating the catheter's balloon according to the manufacturer's recommendation
D) Disconnecting and replacing the catheter drainage bag once per shift
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Chapter 46: Bowel Elimination
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Sample Questions
Q1) The nurse is assessing a patient 2 hours after a colonoscopy.Based on the procedure done,what focused assessment will the nurse include?
A) Bowel sounds
B) Presence of flatulence
C) Bowel movements
D) Nausea
Q2) The nurse knows that most nutrients are absorbed in which portion of the digestive tract?
A) Stomach
B) Duodenum
C) Ileum
D) Cecum
Q3) A patient is diagnosed with a bowel obstruction.The nurse chooses which type of tube for gastric decompression?
A) Salem sump
B) Dobhoff
C) Sengstaken-Blakemore
D) Small bore
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Chapter 47: Mobility and Immobility
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Sample Questions
Q1) Immobilized patients frequently have hypercalcemia,placing them at risk for A) Osteoporosis.
B) Renal calculi.
C) Pressure ulcers.
D) Thrombus formation.
Q2) The nurse must assess the patient for hazards of immobility by performing a head-to-toe physical assessment.When assessing the respiratory system,the nurse should
A) Assess the patient at least every 4 hours.
B) Inspect chest wall movements during the expiratory cycle only.
C) Auscultate the entire lung region to assess lung sounds.
D) Focus auscultation on the upper lung fields.
Q3) Of the following nursing goals,which is the most appropriate for a patient who has had a total hip replacement?
A) The patient will walk 1000 feet using her walker by the time of discharge.
B) The patient will ambulate by the time of discharge.
C) The patient will ambulate briskly on the treadmill by the time of discharge.
D) The nurse will assist the patient to ambulate in the hall.
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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 at risk for skin impairment.The patient is able to sit up in a chair.The nurse includes this intervention in the plan of care.How long should the nurse schedule the patient to sit in the chair?
A) At least 3 hours
B) Not longer than 30 minutes
C) Less than 2 hours
D) As long as the patient remains comfortable
Q2) The nurse is caring for a patient who will have both a large abdominal bandage and an abdominal binder.The nurse's responsibilities and activities before applying the bandage and binder include which of the following?
A) Inspecting the skin for abrasions and edema
B) Covering exposed wounds
C) Assessing condition of current dressings
D) Assessing the skin at underlying areas for circulatory impairment
E) Marking the sites of all abrasions
F) Cleansing the area with hydrogen peroxide
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Chapter 49: Sensory Alterations
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Sample Questions
Q1) Which nursing diagnosis addresses psychological concerns for a patient with both hearing and visual sensory impairment?
A) Self-care deficit
B) Risk for falls
C) Social isolation
D) Impaired physical mobility
Q2) A nurse is caring for a patient who is experiencing vertigo.Which nursing intervention would assist the patient in controlling the vertigo?
A) Increasing fluid intake to 3 liters a day
B) Watching television instead of reading books
C) Avoiding riding in vehicles and making sudden motions
D) Placing several antiemetic patches on the patient
Q3) A new nurse is caring for a patient who is undergoing chemotherapy for cancer.The patient is becoming malnourished because nothing tastes good.Which recommendation by the nurse would be most appropriate for this patient?
A) "Rinse your mouth several times a day to hydrate your taste buds."
B) "Blend foods together in interesting flavor combinations."
C) "Eat soft foods that are easy to chew and swallow."
D) "Avoid adding spices or aromatic ingredients to food to prevent nausea."
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Page 51
Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse is caring for a preoperative patient.The nurse teaches the principles and demonstrates leg exercises for the patient.The patient is unable to perform leg exercises correctly.What is the nurse's best next step?
A) Assess for the presence of anxiety, pain, or fatigue.
B) Ask the patient why he does not want to do the exercises.
C) Encourage the patient to practice at a later date.
D) Assess the educational methods used to educate the patient.
Q2) The nurse is caring for a patient in preadmission testing.The patient has been assigned a physical status classification by the American Society of Anesthesiologist of P3.Which of the following assessments would support this classification?
A) Denial of any major illnesses or conditions
B) Normal, healthy patient
C) History of hypertension, 80 pounds overweight, history of asthma
D) History of myocardial infarction that limits activity
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