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Introduction to Clinical Nursing Solved Exam Questions - 977 Verified Questions

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Introduction to Clinical Nursing Solved Exam Questions

Course

Introduction

Introduction to Clinical Nursing provides students with foundational knowledge and practical skills essential for beginning a career in nursing. The course covers core concepts in patient care, including communication, patient assessment, basic nursing interventions, infection control, and documentation. Emphasis is placed on safety, ethical responsibilities, and teamwork within healthcare settings. Through lectures, laboratory practice, and clinical experiences, students are prepared to deliver compassionate, evidence-based care and to function effectively in diverse clinical environments.

Recommended Textbook

Essentials for Nursing Practice 9th Edition by Potter FAAN

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40 Chapters

977 Verified Questions

977 Flashcards

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Chapter 1: Professional Nursing

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12 Verified Questions

12 Flashcards

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Sample Questions

Q1) Which action of the nurse demonstrates patient-centered care?

A) The nurse elevates the head of the bed when the patient becomes short of breath.

B) The nurse and patient work together to determine the patient's health goals.

C) The nurse checks the patient's name and birthdate before giving medications.

D) The nurse maintains privacy when conversing with the patient and providing care.

E) The nurse respects the patient's choice to refuse transfusion of blood products.

Answer: B,D,E

Q2) Which professional nursing organization ensures that nursing programs adequately prepare students to enter the nursing profession?

A) Federal Nurses Association (FNA)

B) International Council of Nurses (ICN)

C) National League for Nursing (NLN)

D) National Student Nurses Association (NSNA)

Answer: C

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3

Chapter 2: Health and Wellness

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Sample Questions

Q1) Which assessment finding is an example of an internal variable that influences the patient's health beliefs?

A) The patient's spiritual beliefs prohibit the use of blood transfusions.

B) The patient's family is homeless after being evicted from their apartment.

C) The patient relies on a pharmacy assistance program to pay for medications.

D) The patient and community prefer natural medicines over prescription drugs.

Answer: A

Q2) Which action by the nurse helps to meet the cognitive needs of the patient as described by Maslow?

A) Encouraging early ambulation after surgery to prevent formation of blood clots.

B) Providing a calm environment when the patient becomes agitated and confused.

C) Teaching the patient's family how to perform sterile dressing changes.

D) Performing careful perineal care to avoid development of a urinary tract infection.

Answer: B

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4

Chapter 3: The Health Care Delivery System

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Sample Questions

Q1) Which patient is appropriate for an assisted-living agency?

A) A patient who requires tube feeding and frequent tracheostomy suctioning after a massive stroke

B) A patient with dementia who requires supervision during the day when family members are at work

C) A patient with severe depression who has made three suicide attempts in the last 6 months

D) A patient who can perform activities of daily living independently but requires assistance with daily medications

Answer: D

Q2) Which patient will be treated in a Critical Access Hospital (CAH)?

A) The cancer patient who requires a bone marrow transplant

B) The victim of a serious car accident that occurred in a remote area

C) The pregnant patient whose baby will require neonatal intensive care

D) The patient who requires minimally invasive heart valve replacement

Answer: B

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Chapter 4: Community-Based Nursing Practice

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Sample Questions

Q1) Which patients are considered to belong to vulnerable populations?

A) An HIV-positive young adult working as a finance expert

B) A college graduate living in his parents' basement

C) A registered nurse who works at two different clinics

D) An unemployed single mother with four small children

E) A family that just moved to Florida and speaks no English

Q2) Which communication methods will the community nurse use when interacting with recent immigrants who do not speak English?

A) The nurse will obtain the assistance of a speech pathologist.

B) The nurse will speak in a louder tone of voice than usual.

C) The nurse will be sensitive to nonverbal communication cues.

D) The nurse will identify the preferred language for each family member.

E) The nurse will utilize an interpreter when explaining health care procedures.

Q3) Which problem is the highest priority for a family who has just moved to the United States and does not speak any English?

A) Risk for acute confusion

B) Disturbed energy field balance

C) Impaired verbal communication

D) Readiness for enhanced decision making

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Page 6

Chapter 5: Legal Principles in Nursing

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Sample Questions

Q1) Which organization will discipline the nurse for abandoning patients during an assigned shift?

A) The Joint Commission

B) The State Board of Nursing

C) The State Department of Health

D) The National League for Nursing

Q2) The nurse filled out an incident report after a patient fall but makes no mention of the incident report in her notes in the patient's chart.What is the reason for this?

A) The incident report includes the nurse's interpretations of what probably led the patient to get out of bed.

B) A copy of the incident report is filed in the patient's chart along with the nurse's notes about the fall.

C) The incident report is confidential and not intended to be used as evidence in a malpractice suit.

D) The nurse does not want to risk a malpractice lawsuit by mentioning the creation of an incident report.

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Chapter 6: Ethics

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Sample Questions

Q1) The nurse administers the wrong dose of medication and then blames the mistake on a co-worker.Which ethical principle is violated by the nurse?

A) Fidelity

B) Accountability

C) Confidentiality

D) Social networking

Q2) A patient with a rare neurological disease is misdiagnosed by the physician and told that the symptoms are psychosomatic.The patient's sense of self is shattered after being told "You are a waste of a hospital bed." Which ethical theory is violated in this situation?

A) Liberty

B) Fidelity

C) Ethics of care

D) Confidentiality

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8

Chapter 7: Evidence-Based Practice

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Sample Questions

Q1) Which is an example of a sentinel event?

A) The patient suffers a fatal air embolism after a central line is removed incorrectly.

B) The nurse identifies a patient's urinary tract infection before symptoms develop.

C) The unit's urinary tract infection rate is 5% lower than the national average.

D) The pilot study indicates potential effectiveness of a new oral care protocol.

Q2) After a new handwashing protocol is instituted,patients are asked to complete surveys about whether or not providers performed hand hygiene before and aftercare is provided.Which term best describes this action?

A) Process measurement

B) Peer-reviewed research

C) Experimental study

D) Outcomes research

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Chapter 8: Critical Thinking

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Sample Questions

Q1) The nurse is caring for a patient who is having severe pain despite regular doses of narcotic pain medication.The nurse suspects that the patient may be experiencing neuropathy and obtains an order for gabapentin which relieves the patient's pain.Which term most accurately describes the action of the nurse?

A) Intuition

B) Reflection

C) Perseverance

D) Critical thinking

Q2) The nurse implements interventions to address risk for falls after noting that the patient is unsteady when getting out of bed.The nurse is using which skill in this situation?

A) Medical diagnosis

B) Scientific method

C) Diagnostic reasoning

D) Data collection

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Chapter 9: Nursing Process

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Sample Questions

Q1) Which statement by the nurse is an example of back-channeling?

A) "I completely understand.Can you tell me more?"

B) "When did you first seek health care for your symptoms?"

C) "I am sure the doctor will answer all of your questions shortly."

D) "Try not to worry.I'm sure that you will be just fine."

Q2) The nurse is caring for a patient who has been unable to have a bowel movement for the last 4 days after taking prescribed narcotic pain medication.Which nursing diagnosis is appropriate for this patient?

A) Risk for constipation related to irregular defecation habits

B) Perceived constipation related to expectation of daily bowel movements

C) Constipation related to side effects of pain medication

D) Impaired bowel elimination related to abdominal muscle weakness

Q3) The nurse is caring for a toddler who will be having surgery.Which will provide the best primary source of information about how to comfort the child after surgery is completed?

A) Patient's chart

B) Patient

C) Parents

D) Surgeon

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Page 11

Chapter 10: Informatics and Documentation

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Sample Questions

Q1) The nurse realizes that the wrong patient's name was written on several important paperwork forms that were already signed by the attending physician.How will the nurse correct this error?

A) Black out the error with a thick marker and enter the correct information.

B) Use correction tape to write over the incorrect information.

C) Draw one line through the error,make the correction and initial it.

D) Shred the forms with the incorrect information and write on new ones.

Q2) Which patient information may be included in the nursing student's assignment that will be turned in to the instructor after the clinical shift has ended?

A) Room number

B) Date of birth

C) Medical record number

D) Nursing diagnosis

Q3) Which entry in the patient's chart will justify home nursing care reimbursement from Medicare,Medicaid,and private insurance companies?

A) The patient's wound is improving slightly each day.

B) The patient was receptive to the smoking cessation information.

C) The patient's family appreciated the nurse's caring demeanor.

D) The patient's wound was 6 cm × 4 cm and is now 4 cm × 2 cm.

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Page 12

Chapter 11: Communication

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25 Flashcards

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Sample Questions

Q1) A nurse is caring for a patient who is visually impaired.Which technique will the nurse use to facilitate communication?

A) Touch the patient before speaking.

B) Identify self when entering the room.

C) Quietly leave the room when finished.

D) Keep the room dimly lit for calmness.

Q2) The nurse educates the patient about what to expect during suctioning of the tracheostomy tube.Which term best describes the patient's communication role?

A) Channel

B) Receiver

C) Message

D) Sender

Q3) The nurse educates the patient about what to expect during insertion of a nasogastric tube.Which term best describes the nurse's communication role?

A) Channel

B) Receiver

C) Message

D) Sender

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13

Chapter 12: Patient Education

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23 Flashcards

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Sample Questions

Q1) Which is the first action of the nurse when teaching the patient how to perform colostomy care?

A) Determine the patient's educational background and learning abilities.

B) Identify a responsible family member to reinforce colostomy care teaching.

C) Have the patient watch a video that demonstrates how to perform colostomy care.

D) Assess the patient's level of comfort with looking at and caring for the colostomy.

Q2) Which type of reinforcement is used when the nurse gives a sticker to a pediatric patient every time the incentive spirometer is used?

A) Social

B) Material

C) Activity

D) Negative

Q3) Which chart entry documents patient achievement of cognitive learning?

A) The patient verbalized decreased desire to commit self-harm.

B) The patient described three symptoms of diabetic ketoacidosis.

C) The patient demonstrated how to perform active range of motion.

D) The patient expressed satisfaction with ability to share feelings with others.

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Chapter 13: Managing Patient Care

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) Which nursing care concept is demonstrated when the nurse takes the time to correct assessment information that was entered for the wrong patient?

A) Delegation

B) Empowerment

C) Accountability

D) Responsibility

Q2) Which preoperative task may be delegated to the nursing assistant?

A) Apply the patient's thromboembolism deterrent (TED)stockings.

B) Teach the patient how to perform incentive spirometry exercises.

C) Witness the patient's signature on the informed consent document.

D) Make sure that the patient swallowed the prescribed preoperative medication.

Q3) A nurse is using SBAR.Which information will the nurse report for the "B"?

A) The patient has a fractured right leg with a cast that was applied 2 days ago.

B) The patient's toes are cool and pale and the patient reports that the foot feels numb.

C) The patient is reporting severe pain 1 hour after pain medication was given.

D) The nurse requests that the primary health care provider examines the patient.

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Chapter 14: Infection Prevention and Control

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) Which actions of the nurse cause a break in the sterile procedure?

A) Dropping a sterile instrument onto the sterile field

B) Spilling sterile saline solution onto the sterile field

C) Reaching over the sterile field to pick up an instrument

D) Keeping the top of the table above waist level

E) Placing instruments in the center of the sterile field

Q2) Which protective apparel must the nurse wear to start an intravenous line for the patient?

A) Gloves only

B) Sterile gloves only

C) Gloves and a mask

D) Gloves and a gown

Q3) Which action of the nurse is appropriate after leaving the room of the patient with Clostridium difficile?

A) Wash hands thoroughly for 20 seconds with antibacterial soap and water.

B) Vigorously rub a quarter-sized dollop of hand sanitizer into both hands.

C) Perform a sterile scrub procedure using chlorhexidine soap solution.

D) Scrub the hands for 2 minutes keeping hands above the level of the elbows.

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Chapter 15: Vital Signs

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50 Verified Questions

50 Flashcards

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Sample Questions

Q1) The nurse notes that the patient is utilizing accessory and intercostal muscles to breathe.What is the priority action of the nurse?

A) Document this normal assessment finding in the patient's medical record.

B) Elevate the head of the bed and listen to the patient's lung sounds.

C) Direct the nursing assistant to obtain the patient's temperature and blood pressure.

D) Instruct the patient about the importance of smoking cessation.

Q2) The patient has a history of orthostatic hypotension.What is the priority action of the nurse?

A) Assist the patient to sit and stand slowly when getting out of bed.

B) Monitor the patient's neurological status carefully for symptoms of a stroke.

C) Always take the patient's blood pressure manually using a sphygmomanometer.

D) Check the patient's blood pressure on a lower extremity using a thigh-sized cuff.

Q3) Which factors may lead to inaccurate pulse oximetry readings?

A) The patient drinks four to six beers every night.

B) The patient has thick gel polish on the fingernails.

C) The patient was admitted with heatstroke.

D) The patient's hemoglobin level is dangerously low.

E) The patient has a generalized mild sunburn.

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Chapter 16: Health Assessment and Physical Examination

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42 Verified Questions

42 Flashcards

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Sample Questions

Q1) Which factor in the female patient's history places her at higher risk for the development of breast cancer?

A) The patient's first period started at age 10.

B) The patient has three children under the age of 12.

C) The patient used condoms exclusively for contraception.

D) The patient's breasts are tender before each period.

Q2) When is the best time for a male patient to perform a testicular self-assessment?

A) Before getting out of bed in the morning

B) After having a bowel movement

C) After getting out of a hot tub

D) Immediately following ejaculation

Q3) Which assessment finding will the nurse expect to note during physical examination of the patient with a cast on the lower left leg?

A) The patient's left foot has a musty,fetid smell

B) The patient's left foot has 3+ pitting edema and pallor.

C) The temperature of the left foot is the same as the right foot.

D) The patient's left foot is cool with thin,shiny skin.

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Page 18

Chapter 17: Administering Medications

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Sample Questions

Q1) Which pain medication may be administered to the patient as needed?

A) Ketorolac 10 mg IV Q 4 hours prn

B) Fentanyl transdermal patch 25 mcg Q 3 days

C) Acetaminophen with oxycodone 10 mg/325 mg PO Q 6 hours

D) Morphine-extended release 60 mg PO Q 12 hours

Q2) The nurse is to administer 250 mg of amoxicillin PO every 6 hours.

Amoxicillin for oral suspension USP

125 mg per 5 mL

How many mL of medication will be given to the patient for each dose?

A) 5 mL

B) 10 mL

C) 15 mL

D) 20 mL

Q3) Which of the following orders are for topical medications?

A) Methotrexate 20 mg subcutaneously once weekly on Wednesdays

B) Latanoprost 0.005% one drop in left eye daily at bedtime

C) Acetaminophen 650 mg suppository Q 4 hours prn mild pain

D) Ofloxacin otic solution 0.3% instill drops into right ear daily

E) Calcitonin nasal spray one spray daily into alternating nostrils

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Page 19

Chapter 18: Fluid, Electrolyte, and Acid-Base Balances

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Sample Questions

Q1) Order: IV 500 mL 0.9% NS to infuse over 10 hours

IV tubing: 10 drops/mL

What will the infusion pump rate be set at-how many mL/hour? ____

Q2) The nurse is caring for a patient who has been vomiting.The patient's sodium level is 124 mEq/L.Which laboratory result will the nurse also expect to see in the patient's chart?

A) Chloride 81 mEq/L

B) Calcium 11.1 mg/dL

C) Phosphate 5.1 mg/dL

D) Magnesium 2.3 mEq/L

Q3) Order: 500 mL D W to infuse at 100 mL/hour

IV tubing: 10 drops/mL

The IV bag was hung at 12:00 noon.

What time will the IV bag be completed? _____

Q4) Which intake and output measurement can the nurse delegate to the nursing assistant?

A) Oral fluid intake

B) Nasogastric tube intake

C) Wound drainage output

D) Intravenous fluid intake

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Chapter 19: Complementary and Alternative Therapies

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Sample Questions

Q1) The patient reports taking valerian root capsules regularly.What is the patient's rationale for taking the supplement?

A) Relief of constipation

B) Relief of nausea and vomiting

C) Relief of arthritis pain

D) Inability to fall asleep at night

Q2) Which assessment finding indicates that the patient is not a candidate for acupuncture therapy?

A) The patient has several herniated lumbar disks.

B) The patient follows a lactose-free diet.

C) The patient is allergic to latex and strawberries.

D) The patient has a history of thrombocytopenia.

Q3) Which patient would be a candidate for animal-assisted therapy?

A) An elderly patient with Clostridium difficile diarrhea

B) A patient who has just undergone bone marrow transplantation

C) A young patient with an acute asthma exacerbation and dyspnea

D) A forgetful,irritable patient with a history of Alzheimer's disease

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Chapter 20: Caring in Nursing Practice

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Sample Questions

Q1) Which statement is part of Leininger's Transcultural View of Caring?

A) Caring and curing are basically synonymous.

B) Caring acts are independent of patient values.

C) Care uses a standardized approach for all patients.

D) Care is tailored to meet the needs of the individual patient.

Q2) The nurse teaches the patient's family members how to assist with colostomy care.Which caring behavior is demonstrated by the nurse?

A) Providing presence

B) Meeting affiliation needs

C) Meeting basic human needs

D) Appreciating unique meanings

Q3) The nurse ensures that the patient's room is cool,quiet,and dark so that the patient can rest and sleep.Which caring behavior is demonstrated by the nurse?

A) Fulfilling affiliation needs

B) Providing a sense of presence

C) Creating a healing environment

D) Demonstrating an encouraging manner

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22

Chapter 21: Cultural Awareness

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Sample Questions

Q1) Which intervention is most appropriate for the patient with the nursing diagnosis Noncompliance related to the patient's preference for cultural therapies rather than prescription medications?

A) Create a clearly written medication schedule and instruction list with dosages and side effects.

B) Describe the negative health outcomes that will be experienced if the cultural therapies are continued.

C) Attempt to coordinate the patient's cultural therapies with the prescribed treatments.

D) Inform the patient that the hospital will not be able to continue providing care if the noncompliant behavior continues.

Q2) The patients with health insurance receive higher dosages of pain medications than patients who are uninsured.Which term best describes this problem?

A) Health disparity

B) Intersectionality

C) Cultural dissonance

D) Linguistic incompetence

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23

Chapter 22: Spiritual Health

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Sample Questions

Q1) Which action by the nurse is appropriate for a family with a terminally ill newborn?

A) Call the rabbi to come to the bedside.

B) Arrange for the infant to be baptized immediately.

C) Call the hospital chaplain to pray with the family.

D) Ask the family how their spiritual needs can be supported.

Q2) A patient refuses to remove a religious headscarf when being bathed.Which is appropriate action of the nurse?

A) Remove the headscarf because its presence hinders hygiene.

B) Respect the patient's wishes and work around the headscarf.

C) Explain to the patient that the headscarf has no real spiritual value.

D) Identify the refusal to remove the headscarf as a sign of spiritual distress.

Q3) The nurse feels a deep sense of altruism and wonderment after successfully resuscitating a young athlete who suddenly collapsed in cardiac arrest.Which term best describes the sensation experienced by the nurse?

A) Holy conviction

B) Spiritual distress

C) Divine expectation

D) Self-transcendence

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24

Chapter 23: Growth and Development

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Sample Questions

Q1) The nurse is caring for a middle-aged adult who verbalizes a desire to start jogging and has a goal to run a half marathon.Which is the most appropriate action of the nurse?

A) Tell the patient that exercising during middle age could lead to injury.

B) Recommend that the patient have a complete physical examination first.

C) Inform the patient that it is unwise to take up new sports during middle age.

D) Explain that the disability from normal aging prevents taking up new sports.

Q2) Which is the most appropriate goal for an elderly adult with the nursing diagnosis of sedentary lifestyle related to deconditioning and lack of physical exercise?

A) The patient will participate in social activities with others.

B) The patient will increase walking to at least 5000 steps per day.

C) The patient will identify ways to conserve energy and prevent fatigue.

D) The patient will develop meaningful relationships with the nursing staff.

Q3) Which is the highest priority nursing diagnosis for a toddler who is at the autonomy versus doubt stage of development?

A) Toileting self-care deficit related to readiness for transition from diapers

B) Impaired verbal communication related to stage of cognitive development

C) Readiness for enhanced sleep related to desire to sleep in a big kids' bed

D) Risk for poisoning related to unawareness of environmental risks within reach

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Page 25

Chapter 24: Self-Concept and Sexuality

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Sample Questions

Q1) Which sexual education concept is appropriate for a 3-year-old child?

A) Little boys have a penis while little girls do not.

B) Sometimes white liquid comes out of the penis.

C) The penis gets bigger when it is ready to make a baby.

D) The penis goes into the woman's body to make a baby.

Q2) The nurse is caring for a patient with the nursing diagnosis self-mutilation related to inability to cope with ongoing sexual abuse.Which interventions will the nurse include in the patient's plan of care?

A) Teach the patient appropriate alternative outlets for anger and pain.

B) Assess and treat injuries using careful aseptic technique for wounds.

C) Report the patient's situation to the state protective services department.

D) Encourage the patient to forgive and forget in order to move on with life.

E) Perform a physical examination to check for sexually transmitted infection.

Q3) The nurse is caring for a patient who has lost all sexual desire due to severe chronic illness.Which term will the nurse use to chart this assessment finding?

A) Fluid

B) Queer

C) Binary

D) Aromantic

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Page 26

Chapter 25: Family Dynamics

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21 Flashcards

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Sample Questions

Q1) The nurse includes decisional conflict related to adoption versus abortion in the care plan for a pregnant adolescent.Which is the priority outcome for the patient?

A) The patient will express satisfaction with the decision once it is made.

B) The patient will communicate life goals,values,and beliefs to the nurse.

C) The patient will utilize support from social worker when making the decision.

D) The patient will make an informed choice in accordance with beliefs and morals.

Q2) Which nursing diagnosis is most appropriate for an adult patient who is raising young children while caring for elderly parents?

A) Risk for unilateral neglect related to inability to care for both generations

B) Ineffective protection related to inability to constantly supervise elderly parents

C) Risk for caregiver role strain related to responsibilities for parents and children

D) Readiness for enhanced parenting related to realistic expectations of development

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Chapter 26: Stress and Coping

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Sample Questions

Q1) Which position is best suited for a nurse who preferred to study until the early hours of the morning during nursing school?

A) Full-time 8-hour day/evening rotation

B) Part-time 12-hour day/night rotation position

C) Full-time 12-hour night position

D) Full-time 8-hour day position

Q2) Which intervention is appropriate for the nurse to reduce compassion fatigue?

A) Increase nursing responsibilities at work.

B) Hang out with co-workers when not at work.

C) Strengthen relationships outside of the hospital.

D) Take control over new areas at work to reduce stress.

Q3) The patient is frustrated after being treated poorly by providers due to lack of health insurance.Which type of factor is causing the stress for the patient?

A) Rational

B) Situational

C) Maturational

D) Sociocultural

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28

Chapter 27: Loss and Grief

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Sample Questions

Q1) The nurse is caring for a patient who has just passed away.Which is the priority action of the nurse?

A) Ask the family to leave the room so that postmortem care can be provided.

B) Have the patient's family members sign consent forms for organ donation.

C) Remove all drainage tubes and IV lines in case an autopsy is to be performed.

D) Provide postmortem care in a manner consistent with religious or cultural beliefs.

Q2) The patient is on a ventilator and has a heartbeat,but is brain dead.What should the nurse do?

A) Explain that as long as the heart is beating,the patient is still alive.

B) Provide a private area for the family to discuss organ donation options.

C) Inform the family that the organs will be harvested when he is off the ventilator.

D) Stress the importance of leaving the patient on the ventilator to harvest the corneas.

Q3) Which treatment would be refused by a patient who has requested palliative care?

A) Therapeutic touch

B) Supplemental oxygen

C) Narcotic pain medications

D) Knee-replacement surgery

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Chapter 28: Exercise and Activity

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25 Flashcards

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Sample Questions

Q1) Which action demonstrates correct use of a cane by a patient following a left leg injury?

A) The patient holds the cane securely in the left hand.

B) The patient uses the cane when stepping forward with the right leg.

C) The patient's left leg and cane move forward together when walking.

D) The patient leans slightly to the left when advancing the cane forward.

Q2) The nurse is caring for a patient with a traumatic injury to the cerebellum.Which assessment finding will be expected as a result?

A) The patient sways from side to side when walking.

B) The patient's ligaments are weak and easily ruptured.

C) The patient has fine tremors with purposeful movement.

D) The patient's joints are reddened,swollen,and warm to touch.

Q3) Which exercise program should be avoided by a patient with osteoporosis?

A) Yoga

B) Tai chi

C) Tennis

D) Water aerobics

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Chapter 29: Immobility

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Sample Questions

Q1) The nurse suspects that the postoperative patient has developed a deep vein thrombosis.Which is the priority action of the nurse?

A) Obtain an order for STAT bleeding time,D-dimer,and platelet count.

B) Elevate the patient's leg and assess for chest pain or shortness of breath.

C) Apply a mobile compression device (MCD)to the patient's affected leg.

D) Use a Doppler machine to confirm the presence of bilateral pedal pulses.

Q2) The patient refuses to get out of bed to ambulate after surgery.Which is the appropriate response of the nurse?

A) "No problem.You should rest quietly in bed today so that you can heal."

B) "It is important to get out of bed and walk to prevent blood clots or pneumonia."

C) "I will notify your doctor that you refused and make a notation in your chart."

D) "You can have your next dose of pain medication after you get up and walk."

Q3) Which patient would benefit from the use of a hand roll?

A) A patient with paralysis of the right hand after a left-sided stroke

B) A paraplegic patient who requires assistance moving up in the bed

C) A confused patient who is attempting to pull out the urinary catheter

D) A patient with lymphedema of the right arm and hand after mastectomy

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Chapter 30: Safety

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Sample Questions

Q1) The nurse is caring for a patient who has ongoing headaches,nausea,dizziness,and fatigue since the weather turned cold and snowy.Which assessment question is most important to ask the patient?

A) "Has your furnace been inspected lately?"

B) "Have you checked your roof for any leaks?"

C) "When was the last time your house was painted?"

D) "When did you change your smoke detector batteries?"

Q2) The patient lives in an apartment and has difficulty getting on and off of the toilet.Which is the best intervention to protect the patient's safety?

A) Place a bedside commode over the toilet.

B) Screw grab bars into the wall by the toilet.

C) Attach suction cup grab bars to the wall by the toilet.

D) Instruct the patient to lean forward when rising to stand.

Q3) The patient is aggressively attempting to pull out IV lines and hurt staff members.Which is the first action of the nurse?

A) Conduct a thorough mental status assessment.

B) Contact the health care provider to obtain an order for restraints.

C) Place the patient in soft restraints to prevent injury.

D) Document the patient's actions in the medical record.

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Page 32

Chapter 31: Hygiene

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Sample Questions

Q1) Which interventions are appropriate for a patient with the nursing diagnosis impaired oral mucus membranes related to immunosuppression,thrush,and ulceration?

A) Rinse the mouth with warm saline solution every few hours.

B) Rinse the mouth with half strength hydrogen peroxide twice daily.

C) Use cotton swabs soaked in lemon-glycerin solution to clean the oral mucosa.

D) Use a tongue scraper to remove the thick coating from the oral mucosa.

E) Encourage the patient to have soft foods such as yogurt,ice cream,and pudding.

Q2) Which hygiene interventions are appropriate for a patient with the nursing diagnosis ineffective protection related to impaired blood clotting?

A) Use an emery board to file the patient's nails.

B) Use a soft toothbrush and avoid flossing the teeth.

C) Rinse with a chlorhexidine mouthwash after meals.

D) Use antibacterial soap for showering each morning.

E) Use an electric razor to shave the patient's facial hair.

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Chapter 32: Oxygenation

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Sample Questions

Q1) Which interventions are appropriate for the patient with the nursing diagnosis decreased cardiac output related to reduced stroke volume and contractility?

A) Frequent lung sound assessment and continuous pulse oximetry.

B) Strict intake and output monitoring with daily weights before breakfast.

C) Administer oxygen to maintain pulse oximetry levels between 90% and 92%.

D) Provide stool softeners and encourage dietary fiber to prevent constipation.

E) Encourage the patient to consume additional salt to maintain blood pressure.

Q2) Which respiratory problem is experienced by premature infants due to lack of surfactant in their lungs?

A) The alveoli shrivel and are unable to exchange oxygen for carbon dioxide.

B) Weakness of the respiratory muscles limits airflow in and out of the lungs.

C) Swelling of abdominal organs limits expansion and contraction of the diaphragm.

D) Insufficient hemoglobin impairs delivery of oxygen to tissues throughout the body.

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Chapter 33: Sleep

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Sample Questions

Q1) Which is the priority nursing diagnosis for an adolescent who gets up at 5:00 a.m.every morning for school and studies until midnight every night?

A) Fatigue related to insufficient rest and stress of academic demands

B) Risk for injury related to inattention and excessive daytime sleepiness

C) Deficient diversional activity related to lack of time for recreation and leisure

D) Impaired social interaction related to time required to study and maintain grades

Q2) Which nursing intervention can cause an unsafe sleeping environment for the hospitalized patient?

A) A small night-light left on in the bedroom.

B) The patient's bed is in high position with side rails up.

C) All clutter is removed between the bed and the bathroom.

D) Call bell at the bedside for the patient to contact the nurse.

Q3) What is the best intervention to help a school-age child fall asleep at night?

A) Encourage exercise in the evening to promote fatigue.

B) Provide the child with a high-protein snack before bed.

C) Have the parent read a quiet bedtime story to the child.

D) Have the child complete homework before going to bed.

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Page 35

Chapter 34: Pain Management

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Sample Questions

Q1) Which medications are classified as nonsteroidal antiinflammatory medications?

A) Tramadol

B) Acetaminophen

C) Aspirin

D) Ibuprofen

E) Codeine

Q2) Which instruction will the nurse give to the patient about proper use of patient-controlled analgesia (PCA)?

A) "Wait until the pain becomes severe before pushing the PCA button."

B) "The PCA will deliver medication through the IV until the pain is all gone."

C) "You or a designated family member are the only one who gets to push the PCA button-nobody else may do so."

D) "The PCA will give additional pain medication whenever the button is pushed."

Q3) Why is acute pain particularly dangerous for a patient having a heart attack?

A) Release of endorphins causes dangerous elevation of blood pressure.

B) Release of substance P narrows the airways and leads to hypoxemia.

C) Release of prostaglandins lowers the patient's heart rate and blood pressure.

D) Stimulation of the sympathetic nervous system will increase cardiac workload.

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Page 36

Chapter 35: Nutrition

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Sample Questions

Q1) Which nursing diagnoses are priorities for a patient taking prednisone 40 mg PO daily for chronic inflammation?

A) Risk for deficient fluid volume related to excessive hormonal fluid loss through kidneys

B) Risk for unstable blood glucose related to hyperglycemic side effects of corticosteroids

C) Risk for impaired dentition related to loss of minerals for teeth and bone support within the jaw

D) Risk for constipation related to side effects of corticosteroids with loss of urge to defecate

E) Risk for imbalanced nutrition: more than body requirements related to increased appetite

Q2) Which menu item should be removed from the tray of a patient on a full liquid diet?

A) Cup of chicken bouillon

B) Cup of tomato cream soup

C) Cup of orange frozen yogurt

D) Cup of strawberry applesauce

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Chapter 36: Urinary Elimination

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Sample Questions

Q1) Which is the appropriate method to obtain a urinalysis specimen for culture and sensitivity from an incontinent female patient?

A) Obtain a midstream specimen.

B) Perform straight catheterization.

C) Obtain a double-voided specimen.

D) Leave a fresh bedpan under the patient.

Q2) Which outcome is appropriate for the patient with risk for urinary tract infection related to recent urinary catheterization?

A) The patient's urine will remain free from white blood cells and bacteria.

B) The patient will take prescribed antibiotics until the urinary symptoms are gone.

C) The patient will have serial urine cultures to ensure that the infection is resolved.

D) The patient will carefully wipe the perineal area from front to back after voiding.

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Chapter 37: Bowel Elimination

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Sample Questions

Q1) The nurse is caring for a patient who had surgery to remove most of the large intestine.Which finding will the nurse expect to note when assessing the patient?

A) Soft formed stools

B) Chronic loose stools

C) Frequent stool impaction

D) Intermittent constipation

Q2) Which patient would benefit from a sitz bath?

A) A patient who has not had a bowel movement for the last 4 days

B) A patient with painful,swollen hemorrhoids after vaginal childbirth

C) A patient with perineal skin breakdown due to continuous oozing of stool

D) A patient who is having difficulty adhering the ostomy appliance to the skin

Q3) Which is the appropriate nursing action after the patient's fecal occult blood test is positive?

A) Educate the patient about colonoscopy preparation.

B) Obtain an order for a STAT complete blood count (CBC).

C) Check the patient's rectum for the presence of impacted stool.

D) Draw blood for type and cross-match testing by the blood bank.

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Chapter 38: Skin Integrity and Wound Care

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25 Flashcards

Source URL: https://quizplus.com/quiz/49558

Sample Questions

Q1) The patient just sustained a deep laceration that is bleeding profusely.Which stage of healing describes the current state of the patient's wound?

A) Hemostasis phase

B) Proliferative phase

C) Inflammation phase

D) Remodeling phase

Q2) Which is the first intervention of the nurse for changing the dressing to a painful burn?

A) Administer pain medication 30 minutes beforehand.

B) Gently irrigate the wound using sterile normal saline.

C) Loosen the tape gently by pressing the skin away from it.

D) Observe the wound bed for presence of granulation tissue.

Q3) Which intervention will the nurse use for an abscessed leg wound?

A) Warm water sitz baths

B) Cold moist compresses

C) Warm moist compresses

D) Epsom salt solution soaks

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Chapter 39: Sensory Alterations

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Sample Questions

Q1) A patient has had no visitors during a lengthy hospitalization.The patient is bored,restless,and irritable.Which term best describes the patient's feelings?

A) Sensory deficits

B) Sensory overload

C) Sensory deprivation

D) Changes in attitudes

Q2) Which activity should be avoided by older adults due to age-related vision changes?

A) Driving after dark

B) Digital photography

C) Typing on the computer

D) Doing crossword puzzles

Q3) Which assessment findings put the patient at high risk for development of vision problems?

A) Takes insulin glulisine for type 1 diabetes.

B) Takes metoprolol to treat hypertension.

C) Takes docusate sodium for constipation.

D) Takes acetaminophen for osteoarthritis pain.

E) Takes prednisone for multiple sclerosis.

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Page 41

Chapter 40: Surgical Patient

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/49560

Sample Questions

Q1) Which surgery is classified as a palliative procedure?

A) Release of bowel obstruction in a patient with end-stage colon cancer

B) Thoracotomy to determine if a patient's lung nodule is cancerous or benign

C) Tummy tuck and repair of umbilical hernia after the patient gave birth to triplets

D) Removal of the donor's heart,lungs,and cornea for transplant in recipient patients

Q2) Which assessment finding leads the nurse to include risk for ineffective airway clearance to the surgical patient's care plan?

A) The patient is extremely anxious about the upcoming surgery.

B) The patient will be receiving a local anesthetic for the procedure.

C) The patient sleeps poorly and wakes up every morning with a headache.

D) The patient speaks no English and requires the services of an interpreter.

Q3) Which is the priority outcome for the patient with the nursing diagnosis fluid volume deficit related to ongoing postoperative bleeding?

A) The patient's urine output will be at least 30 mL/hour.

B) The patient's temperature will remain within normal limits.

C) The patient's surgical incision will remain intact with sutures.

D) The patient will verbalize measures to reduce fluid volume loss.

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