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Introduction to Clinical Nursing Study Guide Questions - 1496 Verified Questions

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Introduction to Clinical Nursing Study Guide Questions

Course Introduction

Introduction to Clinical Nursing offers students a foundational understanding of the principles, skills, and values essential for professional nursing practice in clinical settings. The course emphasizes the nursing process, patient safety, effective communication, and evidence-based care, preparing students to deliver holistic, patient-centered services. Through a combination of theoretical instruction and hands-on simulations, learners develop competencies in basic assessment, infection control, documentation, and the use of critical thinking in clinical decision-making. The course also explores ethical considerations, interprofessional collaboration, and the importance of cultural sensitivity in diverse healthcare environments.

Recommended Textbook

Foundations of Nursing 7th Edition by Kim Cooper

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1496 Verified Questions

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Chapter 1: Evolution of Nursing

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Sample Questions

Q1) What document,published in 1965 by the ANA,clearly defined two levels of nursing practice?

A)Licensing standards

B)Position paper

C)Smith-Hughes Act

D)Nurse practice act

Answer: B

Q2) What official agency exists exclusively for LPN/LVN membership and promotes standards for the LPN/LVN?

A)NFLPN

B)ANA

C)NLN

D)NAPNES

Answer: A

Q3) What document identifies the roles and responsibilities of the LPN/LVN?

A)NLN Accreditation Standards

B)Nurse Practice Act

C)NAPNE Code

D)American Nurses' Association Code

Answer: B

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Chapter 2: Legal and Ethical Aspects of Nursing

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Sample Questions

Q1) When a nurse protects the information in a patient's record what ethical responsibility is the nurse fulfilling?

A)Privacy

B)Disclosure

C)Confidentiality

D)Absolute secrecy

Answer: C

Q2) What is the best way for a nurse to avoid a lawsuit?

A)Carry malpractice insurance

B)Spend time with the patient

C)Provide compassionate, competent care

D)Answer all call lights quickly

Answer: C

Q3) Which of the following could cause a nurse to be cited for malpractice?

A)Refusing to give 60 mg of morphine as ordered

B)Giving prochlorperazine (Compazine) to a patient allergic to phenothiazines

C)Dragging an injured motorist off the highway and causing further injury

D)Informing a visitor about a patient's condition

Answer: B

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Page 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 should a medical record provide for all health care providers? (Select all that apply.)

A)Care given to the patient

B)Care planned for the patient

C)A patient's nursing problems

D)A patient's medical problems

E)Details about any incident reports

F) The patient's response to treatment

Answer: A,B,C,D,F

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Page 5

Chapter 4: Communication

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Sample Questions

Q1) A nurse is caring for a newly admitted diabetic patient and is performing the initial assessment.What statement made by the nurse demonstrates use of a closed question?

A)"What time do you take your insulin?"

B)"How do you feel about taking insulin?'

C)"Tell me about your support system."

D)"How do you feel about having diabetes?"

Q2) If the nurse aggressively says to a patient,"Why couldn't you have asked me to give you your pain medication when I was in here earlier?" what feeling is the patient most likely to demonstrate?

A)Anger

B)Satisfaction that his needs are met

C)Humiliation and worthlessness

D)Confidence that his request will be granted

Q3) During a complete assessment,which type of questioning is not usually conducive to fostering communication?

A)Open-ended

B)Focused

C)Closed

D)Clarifying

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Chapter 5: Nursing Process and Critical Thinking

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Sample Questions

Q1) A nurse is formulating a nursing diagnosis.What is an example of an appropriately written nursing diagnosis?

A)Risk for impaired skin integrity related to physical immobilization

B)Physical immobilization secondary to risk for impaired skin integrity

C)Risk for impaired skin integrity related to diagnosis of decubitus ulcers

D)Physical immobilization secondary to decreased cognitive ability

Q2) What are the two primary methods used to collect data?

A)Written report by patient and family

B)Review of the chart and the nurse's notes

C)Interview and physical examination

D)Review of the physician's orders and the Kardex

Q3) What is an example of an appropriate nursing diagnosis?

A)Impaired skin integrity

B)Skin breakdown noted

C)Turn patient every 2 hours

D)The patient has scabies on his back

Q4) The standards that name and measure patient outcomes are referred to as

Q5) A systematic method by which nurses plan and provide care for patients is known as the _________ ____________.

Page 7

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Chapter 6: Cultural and Ethnic Considerations

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Sample Questions

Q1) What basic philosophy in the United States is relevant to health care?

A)Folk remedies

B)Biomedical therapy

C)Holistic therapy

D)Spiritual intervention

Q2) 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

Q3) The nurse is caring for a Mexican American patient.What nursing intervention would best demonstrate cultural sensitivity?

A)Encouraging consultation of male members of the family regarding health care decisions

B)Discouraging consultation of male members of the family regarding health care decisions

C)Insisting on providing all personal care required by the patient

D)Asking only female family members about health care decisions

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Chapter 7: Asepsis and Infection Control

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Sample Questions

Q1) What is the most dependable and practical method to use when sterilizing instruments for the operating room?

A)Chemical solution

B)Boiling water

C)Steam under pressure

D)Dry heat

Q2) What technique should the nurse use when disposing of linens contaminated with feces?

A)Don gown, gloves, and mask

B)Wash hands for 5 minutes after disposal

C)Don gloves only

D)Double-bag the sheets

Q3) What does the nurse describe when giving an example of a fomite vehicle?

A)Rabid dog

B)Person with AIDS

C)Contaminated stethoscope

D)Infected wound

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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Sample Questions

Q1) The nurse counsels the immobilized patient in regard to prevention of muscle atrophy and contractures.What will the nurse be sure to include when counseling this patient?

A)The need for additional calcium

B)The need for additional protein

C)The need for some type of exercise

D)The need for a special protective bed

Q2) A nurse instructs a nursing assistant about moving older adult patients in bed.When should the nurse intervene when observing the nursing assistant perform a return demonstration?

A)The nursing assistant is using simple language.

B)The nursing assistant is avoiding jerky movements.

C)The nursing assistant is avoiding sudden movements.

D)The nursing assistant is pulling the patient across bed linens.

Q3) What implementation might the nurse use to improve safety during a transfer?

A)Weighing the patient first

B)Using a transfer belt

C)Putting shoes on the patient

D)Supporting a flaccid arm

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Chapter 9: Hygiene and Care of the Patients Environment

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Sample Questions

Q1) To prevent skin breakdown in a wheelchair-bound patient,the nurse teaches the patient to shift the patient's weight every _______ minutes.

Q2) The nurse is providing hand and foot care to a patient and notices the patient has extremely hard nails.Who is the person best prepared to provide nail care for patients with extremely hard nails?

A)Physician

B)RN

C)CNA

D)Podiatrist

Q3) When must the nurse remember to use an electric razor when shaving a patient?

A)When a bleeding tendency is present

B)When there is a risk for suicide

C)When the facial hair is fine

D)When speed is essential

Q4) Where should a nurse performing a backrub begin?

A)Shoulder

B)Base of the neck

C)Sacral area

D)Lumbar area

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Chapter 10: Safety

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Sample Questions

Q1) What should a nurse do when encountering a mercury spill?

A)Vacuum the spill

B)Open interior doors

C)Close all outside windows

D)Open any outside windows

Q2) A disaster situation occurs and involves an explosion in a hospital laundry.What would this be classified as ?

A)Active

B)External

C)Life-threatening

D)Internal

Q3) 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

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) What type of body temperature remains relatively constant?

A)Surface

B)Rectal

C)Oral

D)Core

Q2) The nurse assesses for the fifth vital sign,which is______________.

Q3) The patient's pulse is below 60.The nurse is aware that the patient is not receiving digoxin.What does the nurse suspect is causing the bradycardia?

A)Low exercise tolerance

B)Unrelieved severe pain

C)Excessive bed rest

D)A prone position

Q4) A nurse assesses a patient's dorsalis pedis pulse.The pulse feels full and springlike even under moderate pressure.How should the nurse document this finding?

A)Weak pulse

B)Normal pulse

C)Thready pulse

D)Bounding pulse

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Page 13

Chapter 12: Physical Assessment

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Sample Questions

Q1) During a neurologic assessment,the nurse notes a patient has a unilateral,dilated,and nonreactive pupil.This is a sign that the patient is experiencing pressure on which cranial nerve?

A)I

B)II

C)III

D)IV

Q2) A condition of debility,loss of strength and energy,and depleted vitality is known as _________________.

Q3) What should a patient interview being conducted by the nurse convey to the patient?

A)The nurse has feelings of concern.

B)The nurse has limited time.

C)The nurse is very intelligent.

D)The nurse has answers to problems.

Q4) _______________ _________and personal characteristics determine health behavior in individuals and families.More than half of all health problems are the result of behavior and lifestyle.

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Page 14

Chapter 13: Admission, Transfer, and Discharge

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Sample Questions

Q1) When admitting a patient to the hospital,the nurse observes that the patient is distracted and tense.What does this behavior suggest as a common reaction to hospitalization?

A)Relief about being cared for

B)Fear of the unknown

C)Feeling of powerlessness

D)Concern about cost

Q2) Some _____________________patients consider sundown Friday to sundown Saturday to be the Sabbath,which is a time of rest.

Q3) Where can a nurse refer the family of a patient to find a source of financial aid to meet medical expenses?

A)A local bank

B)A clinical nurse specialist

C)The hospital administration

D)Social services

Q4) Because of the stress caused by hospitalization,the nurse assesses a newly admitted older adult patient for ________________.

Q5) The nurse completes thorough documentation before,during,and after a transfer to ensure _______ of _______.

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Chapter 14: Surgical Wound Care

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Sample Questions

Q1) What is the classification for the Jackson-Pratt drainage removal system?

A)Sterile drainage system

B)Closed drainage system

C)Open drainage system

D)Self-measuring drainage system

Q2) When removing the dressing on a patient,the nurse discovers that the gauze dressing has adhered to the wound.What intervention should the nurse implement?

A)Call the RN

B)Gently remove the gauze with sterile forceps

C)Cover with occlusive dressing

D)Moisten the dressing with sterile water

Q3) The physician has not ordered a dressing change for a draining wound on a patient in an acute care setting.How should the nurse assess the amount of drainage?

A)Weigh the patient to estimate the weight of the saturated dressing

B)Reinforce the dressing

C)Circle and date the outline of the exudate on the dressing

D)Count each dressing as 1 mL of drainage

Q4) When preparing to remove a dressing,the nurse should don __________ gloves.

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Page 16

Chapter 15: Specimen Collection and Diagnostic Testing

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Sample Questions

Q1) New physician orders are transcribed for a patient to receive a colonoscopy.What must be completed before the colonoscopy to indicate the patient has been given full knowledge about what will be done along with its risks and complications?

A)Patients' rights

B)Advance directive

C)Informed consent

D)Patient protection

Q2) The process for collecting a blood specimen for measuring blood glucose levels begins by asking the patient to hold the selected arm at his or her side for 30 seconds.From what anatomic location is the specimen obtained?

A)Tip of the finger

B)Cubital fossa

C)Side of the finger

D)Center of the thumb

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.

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Chapter 16: Care of Patients Experiencing Urgent

Alterations in Health

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Sample Questions

Q1) The worried mother of an accident victim asks the nurse how much circulating blood an average adult male is supposed to have.What will the nurse reply?

A)8 pints

B)10 pints

C)12 pints

D)14 pints

Q2) The nurse arrives on the scene of a fire.What is the first thing the nurse will do for a burn victim?

A)Apply dressings

B)Cover with a blanket

C)Cool the burn immediately

D)Apply topical ointment

Q3) The nurse is assessing a patient who is severely bleeding and at risk for hypovolemic shock.What can the nurse anticipate?

A)Slow, labored breathing

B)Hot, flushed skin

C)Edematous extremities

D)Weak, thready pulse

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Chapter 17: Complementary and Alternative Therapies

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Sample Questions

Q1) Why do people often choose complementary and alternative medicine (CAM)?

(Select all that apply.)

A)CAM is less invasive.

B)CAM is more holistic.

C)CAM is focused on treatment of disease.

D)CAM is dedicated to health maintenance.

E)CAM is within the control of the patient.

Q2) People with fractures,rheumatoid arthritis,and osteoporosis are not candidates for ____________ therapy.

Q3) What is the goal of herbal therapy?

A)Treat symptoms

B)Restore balance

C)Treat disease

D)Improve nutrition

Q4) What should the nurse instruct a patient who takes tincture of rosemary to do several times a day?

A)Assess pulse frequently

B)Avoid constipation

C)Watch for hypoglycemia

D)Wear sunscreen

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Chapter 18: Pain Management, Comfort, Rest, and Sleep

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Sample Questions

Q1) When preparing a patient for sleep,diming the lights and decreasing the noise levels are examples of nursing interventions.What are these interventions designed to do?

A)Mimic usual sleep patterns

B)Decrease environmental stimuli

C)Prepare the patient for sleep

D)Provide for more rest

Q2) The nurse is trying to establish an effective relationship with a patient in pain.What is the best statement for the nurse to make when beginning the assessment?

A)"I'll check to see if you can have anything."

B)"Let me give you a backrub and see if it helps."

C)"I believe you are in pain."

D)"When was your last medication for pain?"

Q3) What is the defining term for continuous or intermittent pain that does not serve as a warning of tissue damage?

A)Acute

B)Unrelieved

C)Chronic

D)Subacute

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Chapter 19: Nutritional Concepts and Related Therapies

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Sample Questions

Q1) A fit,young woman was at zero nitrogen balance.The nurse discovers that this patient is now pregnant with her first child.For what is this patient at risk?

A)Embolism

B)Anabolism

C)Catabolism

D)Metabolism

Q2) What are elements that are found in food and necessary for good health but that the body cannot make?

A)Important nutrients

B)Life-saving nutrients

C)Essential nutrients

D)Necessary nutrients

Q3) The nurse is educating a patient on a vegan diet.What supplement will the nurse encourage this patient to take to avoid a deficiency?

A)B<sub>6</sub>

B)B<sub>12</sub>

C)K

D)D

Q4) The body mass index (BMI)of a man 6 feet tall weighing 250 pounds is _______.

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Chapter 20: Fluids and Electrolytes

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Sample Questions

Q1) The nurse explains to a patient that the drug Lasix reduces edema by drawing water from the interstitial space into the intravascular space.What is this process called?

A)Diffusion

B)Filtration

C)Osmosis

D)Homeostasis

Q2) What does actively transporting electrolytes from an area of higher concentration to an area of lower concentration require?

A)Hydrostatic pressure

B)Osmotic pressure

C)Blood pressure

D)Pulse pressure

Q3) 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

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Chapter 21: Mathematics and Medication Administration

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Sample Questions

Q1) To help relax the anal sphincter during the insertion of a suppository,the nurse should ask the patient to ____________.

Q2) Atropine 0.4 mg is to be given.Ampule is labeled gr 1/150/mL.What dose should the nurse administer?

A)1.5 mL

B)0.25 mL

C)0.5 mL

D)1 mL

Q3) What is 2.5 ´ 2?

A)1.25

B)5

C)50

D)22.5

Q4) What is 2.34 + 0.77?

A)0.01

B)90.4

C)2.417

D)3.11

Q5) When giving a tubal medication,the nurse should flush the tubing with ___ to ___ mL of water.

23

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Chapter 22: Care of Patients with Alterations in Health

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Sample Questions

Q1) Before inserting a nasogastric tube,what measurement should the nurse take?

A)Tip of the nose to the earlobe to the xiphoid process

B)Bridge of the nose to the xiphoid process

C)Nose to the top of the ear to the stomach

D)Clavicular notch to the stomach

Q2) When an older adult patient with chronic emphysema comes to the emergency department in respiratory distress,at what rate should the nurse begin oxygen per nasal cannula?

A)2 L/min

B)3 L/min

C)4 L/min

D)5 L/min

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

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24

Chapter 23: Life Span Development

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Sample Questions

Q1) Any substance such as a drug,alcohol,or virus that interferes with fetal development is called a(n)_____________.

Q2) The nurse performing a routine physical assessment on a 25-year-old understands that the patient is most likely experiencing which of the following?

A)A gradual decline in physical capabilities

B)Optimal level of functioning

C)Slight diminishing of visual acuity

D)Minimal hearing loss

Q3) What stage of family development involves the grown children departing from home?

A)Expectant stage

B)Senescence stage

C)Establishment stage

D)Disengagement stage

Q4) Growth and development that moves from the center toward the outside is known as ____________________.

Q5) Growth and development that proceeds from the head toward the feet is known as _____________________.

Q6) 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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Sample Questions

Q1) 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.

Q2) A young nurse caring for a dying patient hastens through the care and leaves the room as quickly as possible.What common reaction to the care of the dying is the nurse exhibiting?

A)Efficiency

B)Anger

C)Withdrawal

D)Anxiety

Q3) What is the termination of tube feedings to a dying patient considered?

A)Active euthanasia

B)Holistic care

C)Passive euthanasia

D)Terminal care

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Chapter 25: Health Promotion and Pregnancy

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Sample Questions

Q1) At what week of fetal development can the nurse expect to first hear fetal heart tones with an amplified stethoscope?

A)10

B)12

C)14

D)16

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) What should a nurse instruct the patient to do before assessing fundal height?

A)Press her lower back against the examination table

B)Empty her bladder

C)Take a deep breath and hold it

D)Bear down

Q4) During the 30th week of gestation,the nurse would anticipate that the fundal height would be _____ centimeters above the symphysis.

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Chapter 26: Labor and Delivery

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Sample Questions

Q1) What method is used to visualize soft tissue and to determine adequacy of the pelvis with no detrimental effects to the fetus?

A)Pelvimetry

B)Palpation

C)Ultrasonography

D)X-ray

Q2) The nurse is admitting a patient to the labor and delivery unit.While performing the initial assessment,which assessment is the priority?

A)The number of previous pregnancies

B)When the baby is due

C)When the patient last ate

D)The timing of contractions

Q3) A woman is admitted in active labor,and the nurse assesses the fetal heart rate

(FHR)at 124 bpm.What action should the nurse take based on the assessment?

A)Position patient on her left side

B)Start oxygen per nasal cannula

C)Reassure the mother the rate is normal

D)Notify the physician at once

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Chapter 27: Care of the Mother and Newborn

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Sample Questions

Q1) The new mother calls the nurse to her room to show how her baby is "jerking around" when she changes his position.The nurse understands that the baby is exhibiting which normal reflex?

A)Traction reflex

B)Babinski reflex

C)Tonic neck reflex

D)Moro reflex

Q2) What should be included in a teaching plan regarding breast engorgement?

A)It typically occurs on the first postpartum day

B)It is usually first observed in the axillary region

C)It occurs only in women who are not breastfeeding

D)It occurs near the nipple on the third postpartum day

Q3) A new mother asks for advice on how to quiet her fussy newborn.Which responses would be appropriate to suggest to the mother? (Select all that apply.)

A)Prewarm the crib sheets with a hot water bottle

B)Swaddle the newborn tightly in a receiving blanket

C)Place the baby in a larger crib or infant bed

D)Offer a pacifier or allow the infant to suckle at the breast

E)Take the infant for a ride in the car

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Page 29

Family with Special Needs

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Sample Questions

Q1) A pregnant woman visits a clinic visit during her 21st week of pregnancy.The nurse identifies edema,hypertension,and proteinuria.What condition does the nurse suspect?

A)Allergy

B)Protein deficiency

C)Circulatory problem

D)Gestational hypertension

Q2) What complication of delivery should the nurse expect with the birth of multiple fetuses?

A)An ectopic tendency

B)Difficulty with breastfeeding

C)A vaginal delivery

D)Loss of uterine tone

Q3) Why is the fetus dependent on the mother for glucose control?

A)The insulin requirements are higher.

B)Insulin is destroyed by the placenta.

C)Insulin does not cross the placenta.

D)Insulin is absorbed by the fetus.

Q4) The nurse explains that severe preeclampsia needs to be controlled because it can develop into another syndrome called _________________.

Page 30

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Chapter 29: Health Promotion for the Infant, Child, and Adolescent

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Q1) To prevent accidental poisoning of a child,where should medications be placed in the home?

A)In a dresser drawer

B)In the medicine cabinet

C)In a locked cupboard

D)On a high shelf

Q2) The pediatric nurse reminds the parents of a 2-year-old that by this age the child should be protected against how many vaccine-preventable childhood diseases?

A)4

B)6

C)8

D)10

Q3) Approximately half of all new HIV cases are among people under what age?

A)50 years

B)40 years

C)30 years

D)25 years

Q4) The nurse recognizes that preventive programs in schools must be stepped up in order to prevent violence,especially __________.

Page 31

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Chapter 30: Basic Pediatric Nursing Care

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Q1) When communicating with parents suspected of child abuse,what should the nurse be sure to do?

A)Tell them the law requires reporting of the incident

B)Be sympathetic to their needs

C)Interact with them in a nonjudgmental manner

D)Suggest psychiatric counseling

Q2) The nurse is aware that visual acuity evaluation in a child is best assessed after the age of _____ years.

Q3) What activity by an infant would cause a false elevation of the tympanic temperature?

A)Having a bowel movement

B)Crying vigorously

C)Having just eaten

D)Having been in a cold room

Q4) What is the preferred IM injection site for a 2-year-old?

A)Deltoid muscle

B)Upper thigh

C)Vastus lateralis

D)Gluteus

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Chapter 31: Care of the Child with a Physical and Mental or Cognitive Disorder

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Q1) What are the clinical manifestations of otitis media?

A)Earache, wheezing, vomiting

B)Coughing, rhinorrhea, headache

C)Fever, irritability, pulling on ear

D)Wheezing, cough, drainage in ear canal

Q2) What should the nurse assess in an infant who has been diagnosed with hypertrophic pyloric stenosis?

A)A history of diarrhea following each feeding

B)Gastric pain evidenced by vigorous crying

C)Poor appetite due to a poor sucking reflex

D)An olive-shaped mass right of the midline

Q3) A teenage girl has been placed in a brace for the treatment of scoliosis,the most common skeletal deformity of adolescence.The family asks what they can do to be more supportive.What suggestion of the nurse is the most appropriate?

A)Enrolling her in a health club

B)Taking her to the mall in a wheelchair

C)Purchasing clothes to disguise the cast

D)Spending a majority of their time with her

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Chapter 32: Health Promotion and Care of the Older Adult

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Q1) When was the Social Security Act,which was the first major legislation providing financial security for older adults,passed?

A)1930

B)1935

C)1940

D)1945

Q2) When an older female patient complains of painful sexual intercourse,what should the nurse recognize as the probable cause?

A)Urinary incontinence

B)Arthritic joints

C)Kyphosis

D)Mucosal drying

Q3) What should be suggested to a patient to aid with the pain of claudication?

A)Rest

B)Exercise

C)Cross legs

D)Stand

Q4) The nurse initiates the application of a draw sheet on every bedfast patient on her unit to facilitate lifting and to prevent _________ forces.

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Chapter 33: Concepts of Mental Health

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Q1) A variety of factors influence the level of anxiety experienced by the patient faced by a stressful situation.Which would the nurse outline? (Select all that apply.)

A)How others perceive the event

B)The number of stressors present at one time

C)Degree of change the stressors require

D)Present role assumption

E)Previous experience with a similar situation

Q2) 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 __________.

Q3) A 40-year-old patient cries and has a tantrum when the physician refuses to give her a prescription for diet pills.The nurse realizes that this is the use of which defense mechanism?

A)Compensation

B)Denial

C)Regression

D)Repression

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Chapter 34: Care of the Patient with a Psychiatric Disorder

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Q1) The nurse is discussing the differences between a patient with a neurosis and one with a psychosis.What is true of the patient experiencing a neurosis?

A)The patient experiences a flight from reality.

B)The patient usually needs hospitalization.

C)The patient has insight that there is an emotional problem.

D)The patient has severe personality deterioration.

Q2) When the patient with a psychosis is thought to be a danger to self or others,by what method should the patient be admitted to the hospital?

A)Probating

B)Nurse's request

C)Physician's order

D)Family request

Q3) When a patient is experiencing a panic attack,how should the nurse best assist the patient?

A)Assist with reality orientation

B)Aid in decision making

C)Assist with rational thought

D)Coach in deep breathing

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Chapter 35: Care of the Patient with an Addictive Personality

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Q1) The nurse is performing an initial assessment on an alcoholic patient.Which of the following actions by the nurse would best ensure honest answers?

A)Not asking personal questions

B)Having a nonjudgmental attitude

C)Including the family

D)Promising the patient not to tell anyone

Q2) The nurse should assess a patient for which criteria of addiction? (Select all that apply.)

A)Excessive use of the substance

B)Increase in social function

C)Uncontrollable consumption

D)Increase in economic function

E)Psychological disturbances

Q3) When assessing an alcoholic patient,the nurse notes short-term memory loss,painful extremities,footdrop,and muttered incoherent responses to questions.The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse,which is known as __________ syndrome.

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Page 37

Chapter 36: Home Health Nursing

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Q1) What is the fastest-growing group in the U.S.population today?

A)30- to 40-year-olds

B)40- to 50-year-olds

C)50- to 65-year-olds

D)Those 85 and older

Q2) How often must the homecare treatment plan be recertified in order for the patient to continue to receive services?

A)Every 3 days

B)Every 60 days

C)Every 10 days

D)Every 2 weeks

Q3) The nurse can best confirm that the patient understands the communication by obtaining ____________ from the patient.

Q4) During a time of acute illness,the family may become extremely distressed and neglect the needs of other family members.On what does the family seem to focus?

A)The outcomes

B)The disease

C)The physician

D)The patient

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Chapter 37: Long-Term Care

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Q1) The LPN/LVN suggests to the RN that the nursing care plan be modified to include referral to an adult day care center.What benefits should the client expect to receive?

(Select all that apply.)

A)Overnight care

B)Respite care for the family

C)Social interaction for the patient

D)Mental stimulation for the patient

E)Supporting maintenance of the ADLs

Q2) How often should the long-term care facility nurse make rounds and monitor residents for safety?

A)Every 2 hours

B)Every 4 hours

C)Every 6 hours

D)Once per shift

Q3) What is the goal for services provided by home health care agencies?

A)Self-care

B)Assisted living

C)Rehabilitation

D)Improved function

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Page 39

Chapter 38: Rehabilitation Nursing

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Q1) The nurse takes special care to be gentle in caring for patients with spinal cord injuries to avoid stimulating the autonomic nervous system and triggering which condition?

A)Paresis

B)Heterotopic ossification

C)Postural hypotension

D)Autonomic dysreflexia

Q2) The nurse should tell a paraplegic that the rehabilitation experience will consist of:

A)relearning former skills.

B)learning to walk.

C)learning new skills to adapt to a different lifestyle.

D)developing muscle strength.

Q3) When caring for a 32-year-old Hispanic male who has become disabled,on what should the rehabilitation team base the priority of treatment goals?

A)Difficulty of the language barrier

B)Cultural significance of the disability

C)Depth of the patient's support system

D)Attitude toward rehabilitation

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Chapter 39: Hospice Care

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Q1) The nurse should educate the patient and caregiver that large doses of narcotics are required to control pain.What is the optimal dose for pain medications?

A)The smallest amount possible to achieve some effects

B)The dose that provides pain relief

C)The dose that is not addictive

D)The dose that works for most people

Q2) When air hunger is assessed in the dying patient,the nurse can perform which intervention(s)? (Select all that apply.)

A)Circulate the air with a fan

B)Use a tranquilizer to decrease anxiety

C)Provide good oral hygiene

D)Perform careful suctioning

E)Raise the head of the bed 30 degrees

Q3) 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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Q1) What is the physical,emotional,and spiritual exhaustion that can occur among caregivers?

A)Excessiveness

B)Burnout

C)Fatigue

D)Weariness

Q2) What is the correct term for a concise,one- or two-page summary of educational and work experience,activities and honors,and concrete skills and interests?

A)Introduction

B)Review

C)Résumé

D)Composite

Q3) When a résumé reflects too many job changes,the employer may question it.How long should an employee remain at the first place of employment?

A)6 months

B)3 months

C)1 year

D)2 years

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