Integrated Nursing Practice
Exam Materials
Course Introduction
Integrated Nursing Practice is a comprehensive course that synthesizes foundational nursing theory with practical clinical skills, preparing students to deliver holistic, patient-centered care across diverse healthcare settings. Through a combination of classroom instruction, simulation exercises, and supervised clinical experiences, students develop competence in assessment, planning, intervention, and evaluation of patient care. The course emphasizes critical thinking, effective communication, and collaborative teamwork while integrating principles of ethical practice, cultural sensitivity, and evidence-based decision-making. By bridging the gap between theory and practice, Integrated Nursing Practice equips students with the essential competencies needed to provide safe, high-quality nursing care in todays dynamic healthcare environment.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume II 2nd Edition by Pearson Education
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30 Chapters
961 Verified Questions
961 Flashcards
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Page 2
Chapter 22: Addiction
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) The nurse is doing preconception counseling with an adult client with no prior pregnancies.Which client statement indicates that teaching has been effective?
A) "I can continue to drink alcohol throughout my pregnancy."
B) "A beer once a week will not damage the fetus."
C) "I don't need to stop drinking alcohol until my pregnancy is confirmed."
D) "I can't drink alcohol while breastfeeding, because it will pass into the breast milk."
Answer: D
Q2) A nursing instructor is teaching a class about the role of dopamine in substance abuse.Which student statement indicates appropriate understanding?
A) "The dopamine D(1) and dopamine D(2) receptors are responsible for co-occurring disorders."
B) "Dopamine increases opioid transmission, and this reinforces the cycle of substance abuse."
C) "Dopamine causes changes in brain neurotransmission that enhance the cycle of substance abuse."
D) "The dopamine D(3) receptor is involved in drug-seeking behaviors."
Answer: D
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Page 3
Chapter 23: Cognition
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) While assessing the cognitive status of a school-age child,the nurse notes that the child was unable to perform division problems and unable to name several former presidents of the United States.Prior to determining that this client has cognitive issues,what should the nurse keep in mind?
A) The child's developmental level
B) The child's home environment
C) The child's nutritional status
D) The parent's participation in the child's cognitive development
Answer: A
Q2) The staff on a care area that has a high percentage of clients with confusion attends an educational program on delirium management.Which statement,made by a staff nurse,indicates that teaching has been effective?
A) "It is important to provide education for family members as needed."
B) "Sensory deprivation and overstimulation can worsen the symptoms the client exhibits."
C) "Decreasing all stimulation in the client's room is essential."
D) "The family should involve the client in all conversations and interactions involving care."
Answer: B
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Page 4
Chapter 24: Culture and Diversity
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse is working at a healthcare clinic serving the needs of an inner-city,predominantly African-American population.A neighbor says the nurse must be brave because most of "those" people have guns and are in gangs.Which response by the nurse is appropriate?
A) "It's very difficult for me when you discriminate like that."
B) "It's okay because I'm not a gang member so I will be okay."
C) "Hey, it's a job like any other job. All jobs have problems."
D) "That's an unfortunate stereotype. Can we talk about the reality?"
Answer: D
Q2) Which treatment program would be most appropriate for homeless clients whose type 1 diabetes requires daily insulin injections?
A) Home health care
B) Outpatient clinic
C) Partial hospitalization programs
D) Inpatient hospital-based care
Answer: B
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5
Chapter 25: Development
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The nurse is interviewing the mother of a child who is being evaluated for attention-deficit/hyperactivity disorder (ADHD).When assessing the child's health history,which would the nurse identify as a risk factor for ADHD?
A) The measles, mumps, and rubella (MMR) vaccine
B) The immune response of the child
C) Young parental age at conception
D) Smoking during pregnancy
Q2) The mother of a child starting school in a few weeks is concerned how her child will interact with other children.Which response by the nurse is best to address this mother's concern?
A) "The home environment is the major influence."
B) "The child's physical characteristics play a large role in interactions with others."
C) "The child's temperament will determine interaction ability."
D) "The culture in which the child was raised plays a role in interactions with others."
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Chapter 26: Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse is caring for family members who have recently lost their home and belongings in a fire.The family is staying with extended family in the area.Which is the most appropriate nursing diagnosis for this family?
A) Readiness for Enhanced Family Processes
B) Dysfunctional Family Processes
C) Compromised Family Coping
D) Ineffective Individual Coping
Q2) A client with a bipolar disorder arrives at the emergency department disheveled,arguing with family members.The nurse recognizes that the family is suffering from an objective family burden.To which is this burden related?
A) The client's symptomatic behaviors
B) Family conflict
C) Anger
D) Caregiving problems
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Chapter 27: Grief and Loss
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The nurse is caring for an adolescent client with cystic fibrosis who is intubated with an endotracheal tube and is breathing with the assistance of a ventilator.The client is currently alert and oriented to surroundings but has been told by the parents that survival may not be likely.Which is the most appropriate nursing diagnosis for this client?
A) Potential for Imbalanced Nutrition, More Than Body Requirements related to inactivity
B) Potential for Fear of Future Pain related to medical procedures
C) Anxiety related to leaving chores undone at home
D) Powerlessness related to inability to speak to or communicate with friends
Q2) The nurse is caring for a child who is terminally ill with cancer.Which outcomes would be appropriate for this client's care? Select all that apply.
A) The child will eat three balanced meals each day.
B) The child will not experience anticipatory grief.
C) The child will engage in age-appropriate play as often as possible.
D) The airway will be free of secretions.
E) The child will not experience pain.
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8
Chapter 28: Mood and Affect
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50 Flashcards
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Sample Questions
Q1) A client in the manic phase of bipolar disorder is unable to sleep during the night.Which interventions could be helpful to this client? Select all that apply.
A) Engage in conversation.
B) Extend daytime naps.
C) Encourage the client to watch television.
D) Assist the client with a warm bath and provide a light snack.
E) Encourage the client to listen to soothing music.
Q2) The home care nurse is planning care for a client with a history of postpartum depression after the births of all her children.Based on this data,which will the nurse include in the client's plan of care? Select all that apply.
A) Encouraging the client to take advantage of those who want to help and maintain outside interests
B) Contacting the healthcare provider to ensure the client is prescribed medication for postpartum depression
C) Encouraging as much sleep as possible
D) Focusing on the care the other children need
E) Instructing the client to eat a healthful diet with limited alcohol intake
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Page 9
Chapter 29: Self
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is providing care to an adolescent client who has a history of vomiting after eating.Which diagnostic tests does the nurse anticipate when providing care to this client? Select all that apply.
A) Complete blood count
B) Serum electrolytes
C) BUN and creatinine
D) Urine drug screen
E) Barium enema
Q2) A client tells the nurse about feeling pressure to spend every Sunday with family.However,the client's spouse does not want to participate and stays at home waiting for the client to return.Which is determining this client's self-concept?
A) Family and culture
B) History of successes and failures
C) Stressors
D) Resources
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Chapter 30: Spirituality
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Sample Questions
Q1) While helping a client with the evening meal,the nurse observes the client close his eyes,bow his head,and murmur words of thanks and praise.What does this behavior indicate to the nurse?
A) The client did not want the nurse to leave.
B) The client was asking that the meal be better than the last.
C) The client is confused.
D) The client was praying before eating.
Q2) A nurse is caring for a client who was recently diagnosed with pancreatic cancer.Which statement made by the client would indicate to the nurse that the client is in spiritual distress?
A) "I am not sure why this is happening but I believe God has a plan for me."
B) "I wish I did not have cancer but I believe that it is happening for a reason."
C) "I wonder if my children will visit today. They won't even go to church with me anymore and they are having a difficult time dealing with my diagnosis."
D) "People tell me things happen for a reason, but why is God doing this to me?"
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11
Chapter 31: Stress and Coping
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65 Verified Questions
65 Flashcards
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Sample Questions
Q1) The nurse is assessing a client who demonstrates physiologic manifestations of a stress response.Which physiologic manifestations result for the inhibition of the parasympathetic nervous system? Select all that apply.
A) Dry oral mucous membranes
B) Hypoactive bowel sounds
C) Increased heart rate
D) Increased respiratory rate
E) Increased depth of respirations
Q2) A client diagnosed with obsessive-compulsive disorder (OCD)is being admitted as an inpatient.The client is obsessed with thoughts of symmetry.Which compulsive behaviors does the nurse anticipate when performing the admission assessment? Select all that apply.
A) The client repeatedly washes his hands.
B) The client repeatedly taps both wrists on the bedside table.
C) The client avoids shaking the nurse's hand
D) The client begins counting the floor tiles.
E) The client repeatedly cleans the top of the bedside table.
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12
Chapter 32: Violence
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66 Verified Questions
66 Flashcards
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Sample Questions
Q1) An older adult client is brought into the emergency room after experiencing a fall.The nurse suspects elder abuse.Which assessment findings support the nurse's suspicions? Select all that apply.
A) Poor hygiene
B) Dehydration
C) Intracranial trauma
D) Fecal impaction
E) Dislocations
Q2) The nurse at a local hospital is conducting a safety workshop for expectant parents addressing newborn injury prevention and car seat safety.Which statement made by a parent indicates a need for further teaching?
A) "My newborn should be in a car safety seat every time he is in the car."
B) "It is good if I place a blanket over the baby and then buckle the baby onto the seat."
C) "My newborn should ride rear-facing until at least 1 year of age and more than 20 pounds."
D) "Never place a rear-facing car safety seat in the front seat with an active passenger air bag."
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Chapter 33: Reproduction
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) The mother of a preterm infant tells the nurse that she was not looking forward to having a baby and now that the baby is sick,she feels worse.Which nursing diagnosis is appropriate based on this data?
A) Parental Role Conflict
B) Impaired Parenting
C) Dysfunctional Family Processes
D) Ineffective Family Coping
Q2) The nurse is instructing the parents who delivered their first child at 34 weeks' gestation.Which statements made by the parents indicate that additional teaching is needed? Select all that apply.
A) "Tube feedings will be required because his stomach is small."
B) "Breathing might be harder for our baby because he is early."
C) "Our baby will be in an incubator to keep him warm."
D) "The growth of our baby will be slower than if he were term."
E) "Because he came early, he will not produce urine for two days."
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14
Chapter 34: Assessment
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Sample Questions
Q1) The nurse is examining a client with congestive heart failure (CHF)who is prescribed propranolol and furosemide.The client complains of fatigue and an inability to finish tasks.Which conclusion by the nurse is the most appropriate?
A) The medication needs adjustment.
B) The client has not been exercising.
C) The client is experiencing normal findings for the disease process.
D) The client should be hospitalized.
Q2) The nurse is conducting a physical assessment of a middle-age client upon admission to the cardiovascular care unit for cardiopulmonary problems.Which position is likely to be contraindicated for this client?
A) Sitting with back unsupported
B) Supine (horizontal recumbent)
C) Dorsal recumbent (back-lying)
D) Sims (side-lying)
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Chapter 35: Caring Interventions
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) The family members of a recently deceased client wrote a letter to the unit manager,expressing their appreciation for the way the client was treated while dying in the hospital.The family mentioned characteristics that indicate the nurses were caring.What behaviors did the family most likely use to explain the caring actions of the nurses? Select all that apply.
A) Delivered care with style
B) Treated the client as a human being
C) Respected the client
D) Maintained client confidentiality
E) Established limits with the client
Q2) While caring for a client with respiratory alkalosis caused by hyperventilation,the nurse decides that having students in the room may increase the client's anxiety and decides to assign another client for care.Which type of knowledge is the nurse demonstrating when assigning another client for care?
A) Empirical
B) Aesthetic
C) Creative
D) Personal
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16
Chapter 36: Clinical Decision Making
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse is preparing to triage victims of a train derailment who are being transported to the emergency department.Which victims would need immediate care? Select all that apply.
A) Holding broken arm, sitting in a chair
B) Respiratory rate of 8 and irregular
C) Bleeding from fractured limb with a blood pressure of 78/40 mmHg
D) Bleeding from superficial facial wounds and talking to family
E) Walking with a slight limp, asking for something to drink
Q2) The nurse is prioritizing care needed for a group of clients according to urgency.Which care should the nurse identify as being medium priority? Select all that apply.
A) Instructing on changing ostomy appliance
B) Performing passive range of motion every 4 hours
C) Removing splints and providing complete skin care every 2 hours
D) Administering 2 units of fresh frozen plasma
E) Performing endotracheal suction
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Chapter 37: Collaboration
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The case manager interviews an older adult client hospitalized after hip replacement surgery.The client requires in-patient rehabilitation prior to being discharged home.The case manager works with the hospital nursing staff,the rehabilitation center,the client's family members,and other care providers to assist with a smooth transition.Which is the primary goal of the care management model described here?
A) To provide greater peace of mind for the client and his or her family members
B) To help manage concerns that are related to the client's medical care and treatment regimen only
C) To track a client's progress to ensure that appropriate care is provided until the time of discharge
D) To provide a continuum of clinical services in order to help contain costs and improve client outcomes
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18
Chapter 38: Communication
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Sample Questions
Q1) The nurse is preparing to provide care for a client who is newly admitted to the unit.Prior to assessing the client,which should the nurse review to determine care that may be needed?
A) The written care plan
B) The client's medical record
C) The Kardex
D) The medication administration record (MAR)
Q2) Whether in the classroom or clinical setting,the way a group functions,communicates,sets goals,and achieves objectives is related to which concept?
A) Cohesiveness
B) Group dynamics
C) Commitment
D) Member behavior
E) Power
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Chapter 39: Managing Care
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Sample Questions
Q1) The nurse manager is interested in initiating self-scheduling on the medical surgical-unit.Which are stages of the planning process for the initiative that the nurse manager will use? Select all that apply.
A) Establish objectives (goals).
B) Evaluate the present situation and predict future trends and events.
C) Formulate a planning statement (means).
D) Coordinate the work to be done.
E) Convert the plan into an action statement.
Q2) The nurse is caring for a preschool-age client who suffered brain damage following a car accident.The client has a tracheostomy,is ventilator-dependent,and will be discharged from the hospital into the family's care.The family wants to care for the child at home but does not have the resources for 24-hour care.Which action by the care manager is appropriate?
A) Making referrals to a variety of community-based agencies that can meet the family's needs
B) Telling the family that it is impossible to provide care at home
C) Arranging for the child to be sent to a long-term healthcare facility
D) Contacting local nurses in the community to provide the assistance that the family needs to provide care for the client
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Page 20
Chapter 40: Professional Behaviors
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Sample Questions
Q1) During a staff meeting,the new nurse manager informs the staff that they will be getting an e-mail account that will need to be checked every day for information from the manager.Which responses would be expected of a "Generation X" new graduate nurse to this policy? Select all that apply.
A) "Can we access the e-mail from home?"
B) "That sounds like a great idea."
C) "I would rather get the information directly from you."
D) "I would rather receive the information in a unit newsletter."
E) "Can we e-mail one another?"
Q2) A nurse has just received a shift report for a 12-hour shift.As the nurse is preparing to enter a client's room,the nurse overhears a coworker telling an offensive joke with a sexual undertone to the client.Which action by the nurse is appropriate?
A) Tell the nurse, in private, that such conduct is offensive and not professional.
B) Ignore the coworker and walk away.
C) Report the incident to the nurse manager.
D) Ask to be scheduled opposite this coworker.
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Chapter 41: Teaching and Learning
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31 Flashcards
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Sample Questions
Q1) The professional development courses are offered on every shift so all nurses will have an opportunity to participate.Which is the role of the staff nurse during these courses?
A) Identifying strengths and areas of improvement
B) Offering support to one another
C) Providing peer feedback
D) The ability to trade shifts with one another
Q2) The nurse educator is preparing to teach a group of nursing students how to navigate the internet for researching healthcare information.Which does the educator plan to include during lecture?
A) A directory of campus internet sites of interest
B) How to search for and evaluate health information
C) A directory of libraries
D) Information technology instruction
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Chapter 42: Accountability
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Sample Questions
Q1) In alignment with the contributions of Florence Nightingale,the Vietnam Women's Memorial was established to honor which individuals? Select all that apply.
A) The families who lost loved ones during the war
B) Those who brought a human touch to the suffering and dying
C) Those who developed new surgical advancements and anesthetic agents
D) The memory of Ms. Nightingale
E) The image of the angel of mercy
Q2) A nurse obtains certification to provide direct client care,educate others,consult,conduct research,and manage oncology care.Which expanded nursing role best describes this nurse's career position?
A) Nurse anesthetist
B) Clinical nurse specialist
C) Nurse educator
D) Nurse researcher
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Chapter 43: Advocacy
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Sample Questions
Q1) The nurse is working in a low-income neighborhood as a home health nurse.During one of the home care visits,the nurse notes that the children's playground has broken equipment,which the children continue to play on.The nurse has already contacted the owner of the playground about the issue.What action might the nurse take as a public advocate?
A) Write an article to the local newspaper to gain public attention.
B) No action is required; this is a civil problem beyond the realm of the nurse.
C) Call the police to report the owner's neglect.
D) Tell the parents they should not pay their rent until the playground is fixed.
Q2) The nurse is caring for a group of clients on a psychiatric unit.One client has become highly agitated and is threatening other clients and some of the staff.The nurse escorts the client to the isolation room,leaving the door open.Which statement by the nurse is most appropriate?
A) "I can't believe you behaved in this manner and upset everyone else."
B) "I'm going to stay here with you in case you want to talk about what happened."
C) "If you do not calm down, I will sedate you for your own safety."
D) "You scared the other clients."
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Page 24
Chapter 44: Ethics
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Sample Questions
Q1) A nurse educator is talking to a student about how to deal with an ethical dilemma in practice.Which does the nurse educator explain to the student as important regarding actions during an ethical dilemma?
A) Examining all conflicts in the situation.
B) Investigating all aspects of the situation.
C) Relying on nursing judgment.
D) Making a decision based on the policy of the agency.
Q2) What are some reasons the nurse might withhold food and fluids from a client? Select all that apply.
A) A competent and informed client refuses them.
B) A son decides that it is his father's time to die.
C) It is determined to be more harmful to administer them than to withhold them.
D) A schizophrenic client believes that they are being poisoned.
E) The nurse thinks that the client is in too much pain.
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25
Chapter 45: Evidence-Based Practice
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Sample Questions
Q1) A nursing instructor assigns a literature review on evidence-based practice (EBP)to a group of students.Which statement demonstrates that the students understands the benefits of EBP?
A) "This project will allow me to teach other students about literature searches."
B) "Clients at risk for skin breakdown should be repositioned every 2 hours."
C) "Literature searches allow nurses to find problems to implement EBP."
D) "I will be able to present a paper about skin assessment from my query."
Q2) The nursing student providing care for an assigned client knows that the information documented in the client's nursing care plan could potentially be used in research to optimize client care.Which type of research is used to convert research knowledge into healthcare applications for improved outcomes?
A) Translational research
B) Transformational research
C) Quantitative research
D) Qualitative research
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Chapter 46: Health Care Systems
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Sample Questions
Q1) A client asks the nurse,"How am I going to pay for a surgery? I'm broke,but I've been so sick." Which statement regarding the Affordable Care Act (ACA)may be applicable to this client's situation?
A) "The ACA extends coverage to the working poor who do not qualify for public assistance and whose employers do not offer health insurance."
B) "Unfortunately, you will probably be denied coverage because of your existing condition."
C) "Most insurance premiums will be more and some less; you will have to shop around."
D) "Because the rate of inflation is slowing, the ACA will also help curb medical costs."
Q2) The nurse providing rapid triage and emergency treatment for clients in an effort to stabilize them knows that which is the primary purpose of the warm zone?
A) Decontamination
B) Rapid triage
C) Reverse triage
D) Emergency medical treatment
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Chapter 47: Health Policy
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Sample Questions
Q1) A nurse educator is discussing the changes in the healthcare system with a group of nursing students.The students ask why the cost of health care has increased so much in recent years.Which is the best response by the nurse?
A) "There are not enough technological advances."
B) "There is an increased use of alternative medicine."
C) "There is a decrease in chronic disease."
D) "Many people are forced to seek routine health care in the emergency department."
Q2) A nursing student is talking to the instructor about developing professional behavior.Which action does the instructor recommend to the student in order to access information that may be useful in developing professional demeanor?
A) Join the America Nurses Association (ANA).
B) Join the National Student Nurses Association (NSNA).
C) Read the Nurse Practice Act.
D) Use the Internet to obtain information.
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Chapter 48: Informatics
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Sample Questions
Q1) The nurse educator trains case managers on the use of an electronic medical record when providing client care.Which participant statements indicate that training has been effective? Select all that apply.
A) "The record reduces the cost of health care."
B) "The record allows trending of client progress."
C) "Client education is to be documented in the system."
D) "Quality metrics can be observed to reduce readmission rates."
E) "Coordination of care is improved."
Q2) The nurse is caring for a client who has a foot wound that is not healing appropriately.How will accessing the clinical decision support (CDS)system help with this client's care?
A) Allows the nurse to view options from experts
B) Facilitates available medical research
C) Makes the decision for the next step
D) Points the nurse in the next direction
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Chapter 49: Legal Issues
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Sample Questions
Q1) A nurse educator is teaching a group of nursing students about the function of the state board of nursing.Which information will the educator include in the teaching session? Select all that apply.
A) Creating the NCLEX-RN examination
B) Defining professional standards
C) Investigating violations of the nurse practice act
D) Suspending or revoking licenses
E) Finding drug treatment centers for impaired nurses
Q2) A nurse educator is planning a class for a group of nursing students regarding risk management.Which information should the educator include in this presentation? Select all that apply.
A) Risk management seeks to prevent harm.
B) Risk management empowers clients.
C) Risk management controls the cost of supplies.
D) Risk management examines past mistakes and identifies potential hazards.
E) Risk management assures that nurses are truthful.
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Chapter 50: Quality Improvement
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Sample Questions
Q1) The nurse manager is considering increasing the number of RN staff because studies have shown that this decreases infection rates.Which purpose will decreasing infection rates serve?
A) An increased use of overtime
B) A decrease in client satisfaction
C) An increase in client care supplies
D) A decreased cost of care
Q2) The nurse manager is conducting audits to help increase efficiency and reduce costs to enhance the quality of client care.Which suggestion by the manager may occur as a result of these audits?
A) Conduct a wound care study to enhance client outcomes.
B) Install cameras to detect abuse of the clients.
C) Acquire new client care equipment.
D) Decrease staffing on the unit.
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Chapter 51: Safety
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/35056
Sample Questions
Q1) A home health nurse is teaching an older adult client who has returned home after discharge from the hospital about injury prevention.Which goal would be appropriate to include in this client's plan of care?
A) The client will take prescribed medication as desired.
B) The client will make uninformed choices when addressing health issues.
C) The client will demonstrate an understanding of all limitations.
D) The client will establish a buddy system.
Q2) While reviewing safety precautions with the staff in a long-term care facility,which step should the nurse emphasize that helps to promote a safe environment for the clients?
A) Keep clutter out of the hallway and inside the client's room.
B) Provide dim lighting.
C) Turn off alarms to reduce noise.
D) Have the client wear rubber skid-resistant slippers.
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