Introduction to Clinical Nursing
Midterm Exam
Course Introduction
Introduction to Clinical Nursing provides students with foundational knowledge and skills essential for entry into clinical practice in the nursing profession. The course covers core concepts such as patient-centered care, communication, safety, and evidence-based practices. Students gain practical experience through simulations and supervised clinical placements, learning to perform basic nursing procedures, monitor patient health, document care, and collaborate with multidisciplinary healthcare teams. Emphasis is placed on ethical decision-making, cultural sensitivity, and developing critical thinking necessary for delivering high-quality care across diverse patient populations.
Recommended Textbook
Foundations of Nursing 7th Edition by Kim Cooper
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Page 2
Chapter 1: Evolution of Nursing
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Sample Questions
Q1) Patient care emphasis on wellness,rather than illness,begins as a result of:
A)increased education concerning causes of illness.
B)improved insurance payments.
C)decentralized care centers.
D)increased number of health care givers.
Answer: A
Q2) What system reduces the number of employees but still provides quality care for patients?
A)Team nursing
B)Cross-training
C)Use of critical pathways
D)Case management
Answer: B
Q3) How may a newly licensed LPN/LVN practice?
A)Independently in a hospital setting
B)With an experienced LPN/LVN
C)Under the supervision of a physician or RN
D)As a sole practitioner in a clinic setting
Answer: C
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Page 3
Chapter 2: Legal and Ethical Aspects of Nursing
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Q1) A nurse fails to irrigate a feeding tube as ordered,resulting in harm to the patient.This nurse could be found guilty of:
A)malpractice.
B)harm to the patient.
C)negligence.
D)failure to follow the nurse practice act.
Answer: A
Q2) A physician instructs the nurse to bladder train a patient.The nurse clamps the patient's indwelling urinary catheter but forgets to unclamp it.The patient develops a urinary tract infection.What do the nurse's actions exemplify?
A)Malpractice
B)Battery
C)Assault
D)Neglect of duty
Answer: A
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4
Chapter 3: Documentation
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Sample Questions
Q1) A health care audit that evaluates services provided and the results achieved compared with accepted standards is known as ____________
Answer: quality assurance
quality assessment
quality improvement
Quality assurance/assessment/improvement is an audit in health care that evaluates services provided and the results achieved compared with accepted standards.
Q2) What are categories of inadequate documentation that may lead to a malpractice claim? (Select all that apply.)
A)Incorrectly recording the time of an event
B)Failing to record verbal orders
C)Charting events in advance
D)Documenting an incorrect date
E)Marking out and initialing charting errors
Answer: A,B,C,D
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Chapter 4: Communication
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Sample Questions
Q1) The nurse explains to a patient that based on the description of "personal space," the area within 18 inches of the patient is designated as the ____________ zone.
Q2) A nurse is standing at the bedside with the patient lying in bed.What can the nurse be construed as demonstrating?
A)Interest
B)Power
C)Caring
D)Support
Q3) What does therapeutic communication accomplish?
A)Facilitates the formation of a positive nurse-patient relationship
B)Manipulates the patient
C)Assigns the patient a passive role
D)Requires the patient to accept what the nurse says
Q4) A nurse actively avoids the use of one-way communication.What is the major problem with one-way communication?
A)The receiver is in control.
B)Feedback is provided to the sender.
C)Participation is not equal.
D)The communication is unstructured.
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Chapter 5: Nursing Process and Critical Thinking
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Q1) During an admission assessment,the nurse collects objective and subjective data.What is an example of objective data?
A)The patient is jaundiced.
B)The patient states, "I am nervous."
C)The patient complains of palpitations.
D)The patient denies dizziness when ambulating.
Q2) From where are the "risk for" nursing diagnoses identified?
A)The care plan
B)The interventions
C)The assessment
D)The evaluation
Q3) What framework does the establishment of priorities of care during the planning phase of the nursing process often use?
A)Erikson's developmental tasks
B)Piaget's cognitive table
C)Maslow's hierarchy of needs
D)Freud's classifications
Q4) The standards that name and measure patient outcomes are referred to as
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Chapter 6: Cultural and Ethnic Considerations
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Q1) A nurse is caring for a female neonate born to observant Orthodox Jewish parents.What book does the nurse know will be used when naming this neonate?
A)Bible
B)Koran
C)Holy Torah
D)Book of Mormon
Q2) A nurse is caring for an Orthodox Jewish patient.What is the most appropriate dietary requirement for the nurse to implement?
A)Mixing of milk and meat at a meal
B)Use of separate cooking utensils for meat and milk products
C)Use of one set of cooking utensils for meat and milk products
D)Consumption of food not slaughtered in accordance with Jewish law
Q3) A nurse is caring for a neonate born to observant Orthodox Jewish parents.Who can the nurse anticipate will name the neonate?
A)Father
B)Mother
C)Grandfather
D)Grandmother
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Chapter 7: Asepsis and Infection Control
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Q1) What are some characteristics of microorganisms? (Select all that apply.)
A)Involved in a life process of their own
B)Pathogens that cause disease
C)Nonpathologic organisms that cause disease
D)May be infectious
E)Can enter the body via skin, air, or blood
Q2) A major threat to health care workers is blood-contaminated sharps.What should the nurse use to discard the used syringe?
A)Wastebasket
B)Sink
C)Puncture-proof container
D)Disinfecting soap
Q3) What bacteria can lie dormant when conditions for growth are not favorable?
A)Residue
B)Capsules
C)Spores
D)Flagella
Q4) The nurse reminds a group of nursing students that the type of asepsis that destroys all microorganisms and their spores is _______ asepsis.
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Chapter 8: Body Mechanics and Patient Mobility
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Q1) Where should the nurse place the load when carrying heavy objects?
A)In a low position
B)To the side of the body
C)Close to the body midline
D)With another's assistance
Q2) The nurse instructs a nursing assistant to use large muscle groups when lifting.What is the rationale for this instruction?
A)Workers' compensation claims will be prevented
B)Big muscles work more effectively
C)It guarantees no muscle strain
D)It distributes workload more evenly
Q3) To maintain a wide base of support,the nurse should stand with the feet separated by the distance of _______ times the length of the nurse's shoe.
Q4) What should the nurse do to protect his or her back when lifting or moving a patient?
A)Lowering the height of the bed
B)Holding the back straight with locked knees
C)Bending knees and hips
D)Getting the patient to the side of the bed
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Chapter 9: Hygiene and Care of the Patients Environment
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Sample Questions
Q1) The nurse discovers a reddened area over a patient's hip.What should be the nurse's first intervention?
A)Cover the area with an occlusive dressing
B)Apply mild ointment with a cotton-tipped applicator
C)Press the area gently to assess for blanching
D)Rub gently to increase circulation
Q2) Clear water is used to cleanse the eyes.It is important to use proper technique when cleansing the eyes to prevent infection.What direction will the water flow when cleansing a patient's eyes?
A)Upward toward the forehead
B)Downward toward the chin
C)From the outer toward the inner canthus
D)From the inner toward the outer canthus
Q3) Because of its effect on epithelization,the LPN/LVN should confirm the order to use ____________ or _____________ on a stage III pressure ulcer.
Q4) The nurse avoids dragging the patient across the bed linen to decrease the potential risk of skin injury by _________.
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11
Chapter 10: Safety
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Sample Questions
Q1) The nurse manager is providing an in-service regarding a "safe hospital environment." What will this education mainly focus on preventing?
A)Falls
B)Exposure to contaminants
C)Injury
D)Electrical hazard
Q2) The nurse explains that the measurement of radiation exposure is in multiples of Gy.The number of Gy an individual may absorb before becoming ill with radiation syndrome is _______.
Q3) A long-term care facility is committing to a restraint-free environment.What will the health care workers implement to encourage this environment? (Select all that apply.)
A)Frequent orientation to surroundings
B)Explain all procedures and treatments
C)Discourage visitors
D)Maintain toileting routines
E)Minimize exercise and ambulation
Q4) ___________ is a violent or dangerous act used to intimidate or coerce a person or government to further a political or social agenda.
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Chapter 11: Vital Signs
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Sample Questions
Q1) How should the nurse position the earpieces on a stethoscope to ensure optimum reception?
A)Backward
B)Parallel to the ears
C)Toward the face
D)Downward
Q2) What is the pulse-the expansion and contraction of an artery- produced by?
A)Contraction of the right atrium
B)Contraction of the right ventricle
C)Contraction of the left atrium
D)Contraction of the left ventricle
Q3) The nurse assesses respirations of a patient demonstrating pursed-lip breathing,flared nostrils,and retractions.How will the nurse describe these respirations?
A)Tachypnea
B)Stertorous
C)Dyspnea
D)Cheyne-Stokes
Q4) The nurse assesses the blood pressure as 192/86,noting that the patient has a pulse pressure of ________.
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Chapter 12: Physical Assessment
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Sample Questions
Q1) When assessing a patient,the nurse notes that the patient is unable to lie flat to breathe.When the nurse assists the patient into a sitting position,the patient is able to breathe more easily.What should the nurse document that the patient is experiencing?
A)Dyspnea
B)Cyanosis
C)Jaundice
D)Orthopnea
Q2) Signs that are perceived by an examiner and can be seen,heard,measured,or felt are known as ___________ _________.
Q3) The nurse is obtaining a history of a patient's present illness.The PQRST system is used for the interview.What does the R stand for in this system?
A)Random
B)Region
C)Result
D)Recent
Q4) Redness or inflammation of the skin or mucous membranes that is the result of dilation and congestion of superficial capillaries is known as _________________.
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Chapter 13: Admission, Transfer, and Discharge
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Q1) Upon admission,the nurse notes that a patient without family members present has a billfold filled with cash.Where can the nurse suggest the money be placed?
A)In a sealed envelope in the bedside table
B)In the care of hospital security
C)Locked in the narcotic cupboard
D)In the hospital safe
Q2) The nurse must be sensitive to an older adult patient experiencing separation anxiety when admitted to the hospital.When a child experiences separation anxiety they will usually cry.What will an older adult often demonstrate when experiencing separation anxiety?
A)Withdrawal
B)Anger
C)Depression
D)Regression
Q3) The nurse completes thorough documentation before,during,and after a transfer to ensure _______ of _______.
Q4) Some _____________________patients consider sundown Friday to sundown Saturday to be the Sabbath,which is a time of rest.
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15
Chapter 14: Surgical Wound Care
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Sample Questions
Q1) The nurse assessing a patient's wound notes bright red drainage.How will the nurse most accurately document this finding?
A)Serous drainage
B)Purulent drainage
C)Sanguineous drainage
D)Serosanguineous drainage
Q2) The nurse is instructing a patient about the effects of smoking.What accurate information does the nurse provide?
A)Smoking increases the amount of tissue oxygenation.
B)Smoking increases the amount of functional hemoglobin in blood.
C)Smoking may decrease platelet aggregation and cause hypercoagulability.
D)Smoking interferes with normal cellular mechanisms that promote release of oxygen.
Q3) The nurse assessing a patient's wound notes thick,yellow drainage.How will the nurse most accurately document this finding?
A)Serous drainage
B)Purulent drainage
C)Sanguineous drainage
D)Serosanguineous drainage
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Chapter 15: Specimen Collection and Diagnostic Testing
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Sample Questions
Q1) The nurse should administer Telepaque in preparation for a cholecystogram.How frequently will the nurse administer one tablet of Telepaque before this procedure?
A)Every 5 minutes
B)Every 10 minutes
C)Every 15 minutes
D)Every 20 minutes
Q2) What should the nurse do when preparing the patient for an abdominal scan?
A)Assess laboratory results only for liver function
B)Assess patient for allergies to dye or shellfish
C)Instruct patient to limit fluid intake immediately following procedure
D)Instruct patient to be NPO for 1 hour before scan if contrast medium is used
Q3) Following an intravenous pyelogram,the nurse should watch the patient closely for a delayed reaction to the dye,usually occurring within ___ to ___ hours following the procedure.
Q4) When initiating a 24-hour urine collection,the nurse asks the patient to void.The nurse then _______ the specimen.
Q5) After a bone scan,the nurse assesses a hematoma at the injection site of the dye.The nurse should apply ______ soaks or compresses.
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Chapter 16: Care of Patients Experiencing Urgent
Alterations in Health
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Sample Questions
Q1) When assessing a patient who has suffered a burn injury,the nurse classifies the burn as a deep partial-thickness burn.What is this observation most likely based upon?
A)Painful reddened skin
B)Charred skin with milky-white areas
C)Erythema and blisters
D)Erythema, pain, and swelling
Q2) A machinist visits the industrial nurse's clinic with a deep laceration of the thigh.What should be the nurse's first action?
A)Splint the thigh and apply tape to approximate the edges
B)Apply ice and a pressure dressing to the thigh
C)Give a tetanus booster injection
D)Wash the laceration with an antiseptic
Q3) When treating an infant choking on a foreign body,the nurse should use a combination of ______ _________ and chest thrusts.
Q4) When performing CPR on an infant,the breastbone is depressed approximately ____ to ____ inch(es).
Q5) When two nurses perform two-person CPR,there should be _____ slow breaths for every _____ compressions.
Page 18
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Chapter 17: Complementary and Alternative Therapies
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Q1) What type of therapy is thought to increase circulation to the affected area,promote healing,and stimulate acupuncture points?
A)Relaxation therapy
B)Magnetic therapy
C)Yoga therapy
D)Imagery therapy
Q2) What is the importance of the nurse asking about the patient's use of alternative therapies when obtaining a health history?
A)Alternative therapies can be covered by insurance.
B)Alternative therapies have unfortunate interactions with traditional therapies.
C)Alternative therapies can be substituted for allopathic medicine.
D)Alternative therapies have curative and healing power.
Q3) What will placing an herb in alcohol or vinegar make?
A)A suspension
B)An emulsion
C)An infusion
D)A tincture
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Chapter 18: Pain Management, Comfort, Rest, and Sleep
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Q1) An American Indian patient requests that an egg yolk be placed in a saucer and put under his bed to absorb the pain.What should the nurse do?
A)Explain that medication will relieve the pain better
B)Place the egg in a saucer under the bed
C)Ask the physician for permission
D)Warn that housekeeping staff will remove the egg
Q2) The home health nurse is caring for a patient with an implanted pacemaker.What type of pain management would be contraindicated?
A)Peripheral analgesics
B)A TENS unit
C)Opioid analgesics
D)Adjuvant analgesics
Q3) When should a nurse administer prescribed analgesic medication when treating a postoperative patient?
A)Before activity
B)Only when requested by the physician
C)Only when requested by the family
D)Only when requested by the patient
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Chapter 19: Nutritional Concepts and Related Therapies
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Q1) The young woman who is breastfeeding will need an increase of calories and protein.What foods should the nurse suggest as sources of protein?
A)Green, leafy vegetables
B)Citrus fruits
C)Asparagus
D)Nuts
Q2) The nurse is providing information about high cholesterol levels.What is the rationale for avoiding saturated fats?
A)They block absorption of nutrients
B)They interfere with metabolism
C)They increase blood cholesterol
D)They must be hydrogenated
Q3) The home health nurse is caring for a patient that has undergone removal of a part of the stomach.For what should the nurse carefully assess this patient?
A)A stomach ulcer
B)Digestive problems
C)Pernicious anemia
D)Malabsorption
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21
Chapter 20: Fluids and Electrolytes
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Q1) When reading the laboratory report of a patient with excessive diarrhea,the nurse notes that the pH is 7.10,and the PaCO? and the PaO? are normal.What should the nurse recognize as this patient's state from this information alone?
A)Respiratory acidosis
B)Metabolic acidosis
C)Respiratory alkalosis
D)Metabolic alkalosis
Q2) Three body systems work at different speeds to keep the pH in the narrow range of normal.What is the order of effectiveness for these three systems?
A)Blood buffers, kidneys, and lungs
B)Kidneys, lungs, and blood buffers
C)Blood buffers, lungs, and kidneys
D)Lungs, kidneys, and blood buffers
Q3) What is the nurse closely assessing for in a patient with hypokalemia?
A)Systemic edema
B)Cardiac complications
C)Muscle cramping
D)Impaired kidney function
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Chapter 21: Mathematics and Medication Administration
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Sample Questions
Q1) What important principle should be taken to prevent medication errors?
A)Placing an unlabeled syringe on the medication cart
B)Following the six rights of medication administration
C)Leaving a medication with the patient only when family is there
D)Always charting medications before the end of the shift
Q2) What is 0.9% expressed as a decimal?
A)9
B)0.9
C)0.09
D)0.009
Q3) When a patient comes into the emergency department with a narcotic overdose,the nurse anticipates that the patient will be treated with Narcan.What drug classification is Narcan?
A)Enhancer
B)Substitute
C)Control
D)Antagonist
Q4) When giving a tubal medication,the nurse should flush the tubing with ___ to ___ mL of water.
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Chapter 22: Care of Patients with Alterations in Health
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Q1) What gauge needle should be selected by the nurse when preparing to administer blood?
A)25
B)22
C)21
D)18
Q2) The appliance that connects to an IV drip and delivers a continuous irrigation to the eye is known as a ________ _________ _________.
Q3) The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently.What is the purpose of the inflated cuff?
A)Prevent regurgitation after meals
B)Hold the trachea open until it is completely healed
C)Dilate the tracheal opening for passage of secretions
D)Prevent aspiration when eating
Q4) To what temperature should water for eye compress be heated?
A)95° F
B)110° F
C)115° F
D)120° F
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Chapter 23: Life Span Development
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Q1) A child who is able to use a systematic,scientific problem-solving approach is in which of the Piaget stages of cognitive development?
A)Sensorimotor
B)Preoperational thought
C)Formal operational thought
D)Concrete operational thought
Q2) A 5-year-old who has an imaginary friend with whom he converses frequently is displaying characteristics consistent with which of Piaget's stages of cognitive development?
A)Operational stage
B)Preoperational stage
C)Formal operations stage
D)Concrete operations stage
Q3) What is the leading cause of injury and death among infants and young children?
A)Accidents
B)Child abuse
C)Drug abuse
D)Adolescent parents
Q4) The process that refers to gradual change and differentiation is _____________.
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Chapter 24: Loss, Grief, Dying, and Death
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Q1) How does a perceived loss differ from an actual loss?
A)A perceived loss is more quickly resolved.
B)A perceived loss is situational.
C)A perceived loss is easily overlooked.
D)A perceived loss has a superficial response.
Q2) Upon being told of her father's death,the daughter cries out,"No! Oh,God,no!" What stage of grief is the daughter in?
A)Anger
B)Bargaining
C)Denial
D)Prayer
Q3) A dying patient uses the call light frequently to ask the nurse to do simple tasks.The nurse recognizes this as a fear of:
A)increased pain.
B)failure.
C)abandonment.
D)isolation.
Q4) The nurse explains to a grieving husband that the process of the resolution of the hurt and the reestablishment of his life is called the __________ ___________.
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Chapter 25: Health Promotion and Pregnancy
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Q1) How long does the embryonic stage of pregnancy typically last?
A)3 weeks
B)4 weeks
C)6 weeks
D)8 weeks
Q2) When the young primigravida asks about how to adjust her diet for her pregnancy,what should the nurse suggest the mother add to her diet?
A)Leafy green vegetables and fruit
B)Beef and poultry
C)Foods high in sodium and potassium
D)Bread and grains
Q3) Which hormone is secreted by the placenta?
A)Follicle-stimulating hormone (FSH)
B)Alpha-fetoprotein (AFP)
C)Human chorionic gonadotropin (HCG)
D)Luteinizing hormone (LH)
Q4) The nurse instructor reminds the nursing student that the "Shiny Schultz" is a name given to the _____________ side of the placenta.
Q5) The chorion and the amnion are the two components of the ________
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Chapter 26: Labor and Delivery
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Q1) A mother has entered the second stage of labor.When does the second stage of labor end?
A)When the mother begins to push
B)When the baby's head crowns
C)With delivery of the baby
D)With delivery of the placenta
Q2) What area of the uterus provides the force during a contraction?
A)Lower portion
B)Middle portion
C)Upper portion
D)Cervical portion
Q3) What is the ideal attitude for the fetal body during labor?
A)Extension
B)Lateral
C)Flexion
D)Transverse
Q4) A primigravida has a pelvis of the android type,which usually means the delivery will be a _______________.
Q5) A nurse shows the patient an x-ray of the fetal spine in parallel alignment with the mother's to demonstrate a ________ lie.
28
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Chapter 27: Care of the Mother and Newborn
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Q1) During the immediate postpartum period,the mother has a temperature of 100.2°
F,pulse 52,respirations 18,BP 138/84.What should the nurse do?
A)Report the temperature as abnormal
B)Continue to monitor every 15 minutes
C)Report the pulse as abnormal
D)Nothing as the vital signs are normal
Q2) What should be included when discussing the care of a circumcised infant after discharge from the hospital?
A)Gently remove the yellow exudate from the foreskin.
B)Apply sterile petroleum gauze after each diaper change.
C)Wipe the circumcision with alcohol each day.
D)Avoid the use of cloth diapers until the foreskin has healed.
Q3) Which statement would be a correct description of colostrum?
A)Slightly yellow and low in protein
B)Slightly yellow and provides antibodies
C)Creamy and high in fat and protein
D)Colorless and high in fat and carbohydrates
Q4) The nurse describes the return of the postpartum patient's uterus to a pregravid state as ________________.
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Family with Special Needs
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Q1) Compared to older infants of comparable weight,how much higher is the morbidity and mortality rate for preterm infants?
A)1 to 2 times
B)2 to 3 times
C)3 to 4 times
D)4 to 5 times
Q2) The nurse reports to the charge nurse that the 3-hour postpartum patient is bleeding excessively as she has saturated one peripad in less than ______ minutes.
Q3) What is a major complication of gestational diabetes that affects the infant?
A)Lack of nutrition
B)Dehydration
C)Hypoglycemia
D)Hyperglycemia
Q4) A woman who is 14 weeks pregnant calls the clinic nurse to report that after a brief bleeding episode a week ago,her uterus seems to have gotten smaller,but her periods have not begun.The nurse assesses the indicators for a _____________ abortion.
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Chapter 29: Health Promotion for the Infant, Child, and Adolescent
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/6608
Sample Questions
Q1) What age group is experiencing the largest increase in drug use?
A)7- to 9-year-olds
B)10- to 12-year-olds
C)12- to 13-year-olds
D)15- to 17-year-olds
Q2) Smoking contributes to an increased risk of heart and lung disease in children by which methods?
A)Air pollution
B)Allergens in the environment
C)Environmental smoke
D)Lack of oxygen in the air
Q3) The school nurse recognizes that lack of physical activity and increased consumption of fast food by children are causative factors contributing to which of the following problems?
A)Nutritional disorders
B)Weight gain
C)Type I diabetes
D)Dental caries
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Chapter 30: Basic Pediatric Nursing Care
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/6609
Sample Questions
Q1) What is the purpose of a mist tent?
A)To provide a constant oxygen supply
B)To liquefy respiratory secretions
C)To aid in lowering temperature
D)To improve the infant's hydration
Q2) What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid analgesic?
A)The opioid is likely to cause significant respiratory depression.
B)The medicine is prescribed with the knowledge that addiction may occur.
C)The opioid is very effective as a pain control method.
D)The opioid is only to be given in cases of severe pain.
Q3) When attempting to provide information to the parents of a child undergoing surgery,the nurse notes that the parents appear confused and do not seem to remember what they are being told.What is the most probable cause of the parents' forgetfulness?
A)Noisy environment
B)Serious nature of surgery
C)Increased level of parents' anxiety
D)Developmental age of the child
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Page 32
Chapter 31: Care of the Child with a Physical and Mental or Cognitive Disorder
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70 Verified Questions
70 Flashcards
Source URL: https://quizplus.com/quiz/6610
Sample Questions
Q1) What should the nurse caring for a 6-year-old child with acute glomerulonephritis anticipate as the most difficult part of the care to implement?
A)Forced fluids
B)Increased feedings
C)Bed rest
D)Frequent position changes
Q2) What is the priority nursing diagnosis for the parents of a newborn born with cleft lip and palate?
A)Parental role conflict
B)Risk for delayed growth and development
C)Risk for impaired attachment
D)Anticipatory grieving
Q3) The nurse is caring for a child who has been diagnosed as having an attention deficit hyperactivity disorder (ADHD).What is the most important intervention for the nurse?
A)Have the child enrolled in a special education class.
B)Allay any feelings of guilt the parents may have.
C)Counsel the parents that the medications are lifelong.
D)Teach the parents to set limits.
Page 33
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Chapter 32: Health Promotion and Care of the Older Adult
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/6611
Sample Questions
Q1) An older adult is having difficulty swallowing.What position should the nurse recommend to aid in swallowing?
A)Chin parallel
B)Chin upward
C)Chin down
D)Chin to the side
Q2) The older patient informs the nurse that food has no taste and therefore the patient has no appetite.What is this most likely caused by?
A)Tasteless food
B)Overuse of salt
C)Lack of variety
D)Loss of taste buds
Q3) Which symptom of diabetes distorts tactile sensation?
A)Proprioception
B)Loss of visual acuity
C)Progressive paresis
D)Peripheral neuropathy
Q4) The nurse recognizes that a term referring to mechanical difficulty of swallowing is
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Chapter 33: Concepts of Mental Health
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) What is the most likely result when an attempt at adaptation fails?
A)Depression
B)Anger
C)Frustration
D)Anxiety
Q2) When developing a care plan for a mentally ill patient,what should the nurse assess first?
A)Coping strategies
B)Emotional status
C)Medications taken
D)Nutritional status
Q3) What coping mechanism demonstrated by a patient should indicate to the nurse that the patient is seeking ways to deal with and resolve stress?
A)Projection
B)Adaptation
C)Reaction formation
D)Compensation
Q4) The situation in which a parent must choose between attending a daughter's ballet recital or a son's baseball game is an example of a __________.
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Chapter 34: Care of the Patient with a Psychiatric Disorder
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/6613
Sample Questions
Q1) A patient believes himself to be the president of the United States and that terrorists are trying to kidnap him.The nurse records these observations as which type of behavior?
A)Absent behavior
B)Positive behavior
C)Negative behavior
D)False behavior
Q2) What are considered warning signs of suicide? (Select all that apply.)
A)Talking about suicide
B)Increased interactions with friends and family
C)Drug or alcohol abuse
D)Difficulty concentrating on work or school
E)Personality changes
Q3) The nurse asks a patient with schizophrenia if he had any visitors on Sunday.Which response indicates loose association?
A)"No."
B)"Yes! I had 90 visitors who came from every state in the union."
C)"Sunday is the Sabbath. Do we have visitors on the Sabbath?"
D)"We visited Yellowstone Park last summer."
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Page 36
Chapter 35: Care of the Patient with an Addictive Personality
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A college student has brought his hallucinating roommate to the college clinic.The young man says his roommate has been experimenting with phencyclidine (PCP).How long should the nurse expect the hallucinations to last?
A)30 to 60 minutes
B)1 to 4 hours
C)4 to 6 hours
D)6 to 12 hours
Q2) The nurse assesses an alcoholic patient carefully for signs of withdrawal.How soon after cessation of alcohol intake do withdrawal symptoms usually appear?
A)3 hours
B)4 hours
C)5 hours
D)6 hours
Q3) Which drug is often used in date rape?
A)Dalmane
B)Xanax
C)Narcan
D)Rohypnol
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Chapter 36: Home Health Nursing
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/6615
Sample Questions
Q1) Medical social services focus on the emotional and social aspects of illness.What is another area of service?
A)Home problems
B)Marriage problems
C)Crisis intervention
D)Work problems
Q2) The nurse should provide the patient and family with accurate health information concerning diagnoses and progress.What will accurate information help the family to become?
A)Active participants
B)Effective caregivers
C)Encouraged supporters
D)Active providers
Q3) The licensed nurse can delegate which task(s)to the home health assistive personnel?
A)Bathing the patient
B)Assessing ability to void
C)Administering an injection
D)Teaching about medications
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Page 38
Chapter 37: Long-Term Care
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) Although the Occupational Safety and Health Act (OSHA)increases the cost of care,what is a benefit that it provides for long-term care?
A)It ensures a safe environment for personnel.
B)It ensures that medications are administered safely.
C)It ensures that food is prepared safely.
D)It ensures safe ambulation and transportation of patients.
Q2) Which statement is true concerning a 50-year-old patient recovering from a stroke who is going to a long-term care facility for a short stay?
A)Her regular hospitalization insurance will pay for the care.
B)She will still have daily physician visits.
C)She will need to contract outside physical therapy services.
D)She will probably be discharged within 6 months.
Q3) The nurse assesses a patient's ability to perform self-care activities,as well as more complex social and household activities.What is provided from this assessment?
A)Physical status
B)Emotional status
C)Health status
D)Functional status
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Chapter 38: Rehabilitation Nursing
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/6617
Sample Questions
Q1) What is the primary difference between the rehabilitation of children and the rehabilitation of adults?
A)Level of disability
B)Body part involved
C)Degree of disability
D)Developmental potential
Q2) The spinal cord injury patient has paralysis of all extremities and bowel and bladder disturbance.The nurse recognizes the injury as most likely occurring at what vertebral level?
A)C1 to C2
B)C3 to C4
C)C2 to C7
D)C4 to C7
Q3) The nurse explains that the main roles of the gerontological rehabilitation nurse are to provide rehabilitative care and what other role?
A)Provide restoration
B)Teach prevention
C)Teach adaptive skills
D)Provide positive reinforcement
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Page 40
Chapter 39: Hospice Care
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/6618
Sample Questions
Q1) Who was responsible for renewing the hospice philosophy in the 1960s?
A)Cicely Saunders
B)Lillian Wald
C)Dorothea Dix
D)Florence Nightingale
Q2) What are the goals of hospice service? (Select all that apply.)
A)Alleviating symptoms of approaching death
B)Educating and supporting primary caregivers
C)Using family input for designing a plan of care
D)Encouraging patients and caregivers to enjoy life
E)Focusing on the desires of the family in the plan of care
Q3) Who conducts the nutritional assessment at the time of admission to hospice care?
A)Physician
B)Hospice nurse
C)Caregiver
D)Nursing assistant
Q4) When the dying patient becomes confused,the nurse should ____________ him or her.
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Chapter 40: Professional Roles and Leadership
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/6619
Sample Questions
Q1) Which employment setting would likely involve a daytime schedule with weekends off,and would focus on prevention and patient teaching?
A)Long-term care
B)Physician's office
C)Hospice setting
D)Adult day care
Q2) A nursing instructor is preparing her class for the NCLEX-PN examination.Which statements by the students indicate understanding of the testing process? (Select all that apply.)
A)"It will be a computerized adaptive test."
B)"I will have a maximum of 265 questions."
C)"The maximum time allowed for testing is 5 hours."
D)"The minimum number of questions on the test is 60."
E)"My state board of nursing must approve my application to test."
Q3) What is the physical,emotional,and spiritual exhaustion that can occur among caregivers?
A)Excessiveness
B)Burnout
C)Fatigue
D)Weariness
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