Introduction to Nursing Practice Exam
Course Introduction
Introduction to Nursing provides students with a comprehensive overview of the nursing profession, exploring its history, core values, and fundamental principles. The course covers the roles and responsibilities of nurses within the healthcare system, introducing key concepts such as patient-centered care, communication, ethics, and the nursing process. Students learn about healthcare delivery models, interdisciplinary teamwork, and the legal and ethical considerations essential to nursing practice. Through lectures, discussions, and practical activities, this course lays the foundation for future nursing courses and prepares students for direct patient care experiences.
Recommended Textbook
Canadian Fundamentals of Nursing 6th Edition by Patricia
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48 Chapters
1307 Verified Questions
1307 Flashcards
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Page 2
A. Potter
Chapter 1: Health and Wellness
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) One of the five health promotion strategies,as identified by the Ottawa Charter for Health Promotion,is which of the following?
A)Creating supportive environments.
B)Strengthening educational opportunities.
C)Developing a medical approach.
D)Minimizing stressful situations.
Answer: A
Q2) What priority strategy for health promotion in Canada is optional but seen as important to incorporate in nursing education curricula?
A)Knowledge of disease prevention.
B)Strategies for health promotion.
C)Policy advocacy.
D)Concepts of determinants of health.
Answer: C
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Chapter 2: The Canadian Health Care Delivery System
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Mr.Jones is 72 years old.He is ambulatory and is to be discharged from hospital after a total hip replacement,with requirements for daily physiotherapy and respiratory therapy.What is the most appropriate facility referral for the nurse to make?
A)A rehabilitation centre.
B)An assisted-living facility.
C)A community health clinic.
D)A home care agency.
Answer: D
Q2) The Canadian Patient Safety Institute (CPSI)provides leadership in building and advancing a safer health care system.According to the CPSI,about two thirds of preventable incidents that occur during hospitalization are related to what?
A)Procedures.
B)Care or medication.
C)Patient accidents.
D)Infection control.
Answer: B
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Chapter 3: The Development of Nursing in Canada
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The first undergraduate nursing degree program was established where?
A)Ontario.
B)Nova Scotia.
C)New Brunswick.
D)British Columbia.
Answer: D
Q2) What is a fundamental and guiding principle of French-Canadian hospitals that survived into the twentieth century?
A)Universal precautions are fundamental in preventing nosocomial infections.
B)Nursing is primarily focused on the tertiary level of care.
C)Nurses need to recognize the effects of their health,values,and beliefs on practice.
D)Care is accessible to all,regardless of their background,status in life,or ability to pay.
Answer: D
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Chapter 4: Community Health Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is making a home visit to a Korean family whose daughter gave birth 6 weeks earlier.She finds the daughter in bed with a severe headache.The daughter's father is holding her hand and is pressing different parts of the hand and lower arm.The mother explains that the father is trying to cure the headache by using pressure points.What would be the nurse's best response?
A)Tell the father to stop and give the daughter Tylenol.
B)Ask the mother or father,or both,to explain the procedure.
C)Explain to the father that what he is doing will not work.
D)Let the father finish and then give the daughter Tylenol.
Q2) Community-based nursing requires a strong knowledge base in which of the following? (Select all that apply. )
A)Family theory
B)Communication
C)Group dynamics
D)Focus on the individual
E)Cultural diversity
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Chapter 5: Theoretical Foundations of Nursing Practice
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Whose theory is most pertinent in assisting the nurse who is helping a patient focus on stress reduction?
A)Hildegard Peplau's.
B)Virginia Henderson's.
C)Betty Neuman's.
D)Rosemarie Parse's.
Q2) What is an element that is key to the framework for practice in Martha Rogers's theory?
A)Human becoming.
B)Manipulation of the patient's environment.
C)Seven categories of behaviour and behavioural balance.
D)Focus upon the life process of a human being along a time-space continuum.
Q3) A body of knowledge that encompasses definitions of person,environment,health,and nursing is referred to as which of the following?
A)Family nursing practice.
B)Prescriptive nursing theory.
C)Advanced nursing practice.
D)Metaparadigm of nursing.
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Chapter 6: Evidence-Informed Practice
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Sample Questions
Q1) The nurse is developing a PICOT question related to sucrose administration before phlebotomy in infants: "Is the pain score lower in infants who are administered sucrose one minute before phlebotomy than in infants who do not receive sucrose at all?" With a PICOT question,P is the population of interest,I is the intervention of interest,C is the comparison of interest,O is the outcome,and T is the time;is this a true PICOT question?
A)Yes,because the outcome always comes before the intervention.
B)Yes,regardless of placement of elements.
C)No,because the comparison comes after the intervention.
D)No,because the outcome comes after the population.
Q2) The nurse is preparing to conduct research that will allow precise measurement of a phenomenon.Which of the following methods will provide the nurse with the right kind of data? (Select all that apply. )
A)Experimental research.
B)Surveys.
C)Evaluation research.
D)Phenomenology.
E)Grounded theory.
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Page 8
Chapter 7: Nursing Values and Ethics
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18 Flashcards
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Sample Questions
Q1) A young pregnant woman whose fetus has been exposed to multiple teratogens consents to undergo serial percutaneous umbilical blood sampling (PUBS)to examine how exposure affects the fetus over time.Although these tests will not improve the fetus's outcomes and will expose it to some risks,the information gathered may help infants in the future.Which ethical principle is at greatest risk?
A)Autonomy.
B)Fidelity.
C)Nonmaleficence.
D)Beneficence.
Q2) Which of the following is an example of ethical responsibility?
A)Delivery of competent care.
B)Formation of interpersonal relationships.
C)Application of the nursing process.
D)Evaluation of new computerized technologies.
Q3) How are determinations regarding quality of life characterized?
A)They are based on a person's ability to act according to ethical principles.
B)They are based on a patient's self-determination.
C)They are value judgements that can vary from person to person.
D)They are consistent and stable over the course of one's lifetime.
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Page 9
Chapter 8: Legal Implications in Nursing Practice
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Sample Questions
Q1) A nursing student has been written up several times for being late with providing patient care and for omitting aspects of patient care and not knowing basic procedures that were taught in the skills course one term earlier.The nursing student says,"I don't understand what the big deal is.As my instructor,you are there to protect me and make sure I don't make mistakes." What is the best response from the nursing instructor?
A)"You are expected to perform at the level of a professional nurse."
B)"You are expected to perform at the level of a nursing student."
C)"You are practicing under the licence of the nurse assigned to the patient."
D)"You are expected to perform at the level of a skilled nursing assistant."
Q2) Because of an influenza epidemic among the nursing staff,a nurse has been moved from the ophthalmology unit to the general surgery unit.The supervisor recognizes that the nurse is inexperienced in this specialty.What should the nurse do?
A)Politely refuse to move,take the day off,and go home.
B)Ask to work with an experienced general surgery nurse.
C)Submit a report noting his or her dissatisfaction.
D)Notify the Canadian Nurses Association (CNA)of the issue.
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Chapter 9: Global Health
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Sample Questions
Q1) The nurse is caring for a patient who has emigrated from another country.The patient needs abdominal surgery but seems reluctant to sign the surgical permits.What is one tactic that the nurse should use?
A)Determine the family social hierarchy.
B)Encourage the patient to sign the permits.
C)Call the physician so that surgery can be cancelled.
D)Impress on the patient that her life is in jeopardy.
Q2) What characterizes culturally congruent care?
A)It fits the patient's valued life patterns and set of meanings.
B)It is based on meanings generated by predetermined criteria.
C)It is the same as the values of the professional health care system.
D)It is based on the assumption that a person's own way of life is superior to those of other people.
Q3) Which of the following is considered a noncommunicable disease? (Select all that apply. )
A)Diabetes.
B)Cardiovascular diseases.
C)Influenza.
D)Chronic respiratory diseases.
E)Cancer.
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Chapter 10: Indigenous Health
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following would be considered a distal determinant of health?
A)Effective policing services.
B)Access to walking trails.
C)Eating nutritious meals.
D)Exercising daily.
Q2) The nurse is aware that historically,Indigenous communities experienced health and well-being through which of the following?
A)A holistic view.
B)A biomedical view.
C)A spiritual view.
D)A physical view.
Q3) A nurse caring for an Indigenous family is aware that globally,Indigenous peoples have much in common in terms of world views.How is the concept of time considered?
A)It is focused on minutes rather than days.
B)It is focused on years rather than months.
C)It is focused on seasons rather than hours.
D)It is focused on lunar cycles rather than months.
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12
Chapter 11: Nursing Leadership, management, and
Collaborative Practice
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse on the unit is determining which activities may be delegated to an unregulated care provider (UCP).A number of factors are included in the nurse's decision.Assuming that the UCP is competent,the RN may safely delegate which of the following activities?
A)Ambulation of stable patients.
B)Documenting an admission history for a new patient.
C)Performance of the initial transfer of a postoperative patient.
D)Administering medications prepared by the RN.
Q2) UCPs are allowed to perform tasks with patients in which situation?
A)When tasks are delegated by another UCP.
B)When asked by the patient.
C)With another UCP.
D)When tasks are delegated by an RN.
Q3) The nursing management team in a facility is investigating a nursing care delivery model that involves staff members working under the direction of an RN leader.What does this model reflect?
A)Team nursing.
B)Primary nursing.
C)Functional nursing.
D)Total patient care.
Page 13
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Chapter 12: Critical Thinking in Nursing Practice
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Sample Questions
Q1) While caring for a hospitalized older woman after hip surgery,the new graduate nurse is faced with the task of inserting an indwelling urinary catheter,which involves rotating the hip into a contraindicated position.The nurse exhibits critical thinking to perform this task by doing what?
A)Following textbook procedure.
B)Notifying the physician of the need for a urologist consult.
C)Adapting the positioning technique to the situation.
D)Postponing catheter insertion until the next shift.
Q2) A new graduate nurse will make the best clinical decisions by applying the components of the nursing critical thinking model and which of the following?
A)Drawing on past clinical experiences to formulate standardized care plans.
B)Relying on recall of information from past lectures and textbooks.
C)Depending on the charge nurse to determine priorities of care.
D)Using the nursing process.
Q3) Critical thinking characteristics include which of the following?
A)Considering what is important in a given situation.
B)Accepting one,established way to provide patient care.
C)Making decisions based on intuition.
D)Being able to read and follow prescriber orders.
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Page 14
Chapter 13: Nursing Assessment, diagnosis, and Planning
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Which of the following options correctly explains what the nurse should do with the plan of care for a patient after it is developed?
A)Place the original copy in the chart,so it cannot be tampered with or revised.
B)Communicate the plan of care to all health care providers involved in the patient's care.
C)Send the plan of care to the administration office to be filed.
D)Send the plan of care to quality assurance for review.
Q2) While the patient's lower extremity,which is in a cast,is assessed,the patient tells the nurse about an inability to rest at night.The nurse disregards this complaint,thinking that no correlation has been noted between having a leg cast and developing restless sleep.What would be a more theoretically sound first approach?
A)Document the sleep patterns and complaint in the patient's chart.
B)Tell the patient you are just focused on the leg right now.
C)Explain that a more thorough assessment will be needed next shift.
D)Ask the patient about his usual sleep patterns and when the difficulty with resting began.
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Page 15
Chapter 14: Implementing and Evaluating Nursing Care
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which intervention is most appropriate for the nursing diagnosis Impaired verbal communication related to loss of facial motor control and decreased sensation?
A)Obtain an interpreter for the patient as soon as possible.
B)Assist the patient in performing swallowing exercises each shift.
C)Ask the family to provide a sitter to remain with the patient at all times.
D)Provide the patient with a writing board each shift.
Q2) Which intervention is most appropriate for the nursing diagnosis Impaired skin integrity related to shearing forces?
A)Administer pain medication every 4 hours as needed.
B)Perform the ordered dressing change twice daily.
C)Do not document the wound appearance in the chart.
D)Keep the bed's side rails up at all times.
Q3) Identify elements of the evaluation process.(Select all that apply. )
A)Setting priorities for patient care.
B)Collecting subjective and objective data to determine whether criteria or standards are met.
C)Helping the patient ambulate 7.6 m (25 feet)in the hallway.
D)Documenting findings.
E)Terminating,continuing,or revising the care plan.
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Page 16
Chapter 15: Documenting and Reporting
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Sample Questions
Q1) A nurse wants to reduce data entry errors on the computer system.Which behaviour should the nurse implement?
A)Use the same password all the time.
B)Share password with only one other staff member.
C)Print out and review computer nursing notes at home.
D)Chart on the computer immediately after care is provided.
Q2) A nurse needs to begin discharge planning for a patient admitted with pneumonia and a productive cough.When is the best time for the nurse to start discharge planning for this patient?
A)Upon admission.
B)Right before discharge.
C)After the congestion is treated.
D)When the primary care provider writes the order.
Q3) A nurse is discussing the advantages of standardized documentation forms in the nursing information system.Which advantage should the nurse describe?
A)Varied clinical databases.
B)Reduced errors of omission.
C)Increased hospital costs.
D)More time to read charts.
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Chapter 16: Nursing Informatics and Canadian Nursing Practice
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Sample Questions
Q1) The seven axes of the ICNP are which of the following?
A)Assessment,Analysis,Intervention,Action,Outcome,and Evaluation.
B)Focus,Judgement,Action,Means,Location,Client,and Time.
C)Status,Intervention,Outcome,Intensity,Identifier,Client,and Time.
D)Focus,Standards,Delivery,Outcomes,Intensity,Evaluation,and Time.
Q2) Which of the following is one of the three fundamental directions for the CNA's e-Nursing Strategy?
A)Assessment.
B)Participation.
C)Collaborative care.
D)Nursing practice integration.
Q3) Health Information: Nursing Components (HI:NC)include which of the following?
(Select all that apply. )
A)Nursing interventions.
B)Patient status.
C)Nursing intensity.
D)Primary nurse identifier.
E)Nursing judgement.
F)Patient outcome.
Page 18
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Chapter 17: Communication and Relational Practice
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28 Flashcards
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Sample Questions
Q1) A nurse is sitting at the patient's bedside documenting a nursing history.Which zone of personal space is the nurse using?
A)Intimate.
B)Personal.
C)Social.
D)Public.
Q2) A nurse and patient take action to meet health-related goals.The nurse is in which phase of the helping relationship?
A)Preinteraction
B)Orientation
C)Working
D)Termination
Q3) A patient says,"You are the worst nurse I have ever had." Which response by the nurse is the most assertive?
A)"If I were you,I'd feel grateful for a nurse like me."
B)"I feel uncomfortable hearing that statement."
C)"How can you say that when I have been checking on you regularly?"
D)"You shouldn't say things like that,it is not right."
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19
Chapter 18: Patient-Centred Care: Interprofessional
Collaborative Practice
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A nurse is planning care for a patient on the basis of Orlando's nursing process.The nursing process occurs in which of the following orders?
A)Perception,feeling,thought,action.
B)Feeling,thought,perception,action.
C)Thought,feeling,action,perception.
D)Perception,thought,feeling,action.
Q2) A nurse determines that a patient is in pain and decides to give an analgesic medication that has been ordered.The nurse then goes back to assess the patient's pain after 30 minutes.The act of administering the analgesic medication is best described as which stage of the nursing process?
A)Assessment.
B)Planning.
C)Intervention.
D)Evaluation.
Q3) Who is the expert in the patient's management of illness?
A)The nurse.
B)The physician.
C)The patient.
D)The interprofessional team.
Page 20
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Chapter 19: Family Nursing
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Sample Questions
Q1) It is essential for family members to realize that a family's beliefs,values,and practices strongly influence the health-promoting behaviours of its members,and to understand which of the following?
A)Canadian families are part of the same culture with the same values and beliefs.
B)Economic status has little effect on a family's ability to access adequate health care.
C)Family environment in early life has a strong influence on later health practices.
D)All families place a high value on good health and health practices.
Q2) Mrs.Lily is talking about her recent diagnosis of a chronic condition and how it has affected her emotionally,intellectually,socially,and spiritually.The nurse knows that this is referred to as which of the following?
A)Reflection.
B)Illness narrative.
C)Comprehensive honesty.
D)Complete life review.
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21
Chapter 20: Patient Education
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Sample Questions
Q1) A patient has been taught how to cough and deep breathe.Which evaluation method is most appropriate?
A)Return demonstration.
B)Computer instruction.
C)Verbalization of steps.
D)Cloze test.
Q2) A nurse is going to teach a patient about hypertension.Which action should the nurse implement first?
A)Set mutual goals for knowledge of hypertension.
B)Teach what the patient wants to know about hypertension.
C)Assess what the patient already knows about hypertension.
D)Evaluate the outcomes of patient education for hypertension.
Q3) After a teaching session on taking blood pressures,the nurse tells the patient,"You took that blood pressure like an experienced nurse." What type of reinforcement did the nurse use?
A)Material.
B)Activity.
C)Social.
D)Entrusting.
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Page 22
Chapter 21: Developmental Theories
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Sample Questions
Q1) Which of these statements would be most appropriate for a nurse to state when assessing an adult patient for growth and developmental delays?
A)"How many times per week do you exercise?"
B)"Are you able to stand on one foot for 5 seconds?"
C)"Would you please describe your usual activities during the day?"
D)"How many hours a day do you spend watching television or sitting in front of a computer?"
Q2) Which statement is in accordance with Freud's psychoanalytical/psychosocial theory?
A)Adult personality is the result of resolved conflicts between sources of sexual pleasure and the mandates of reality.
B)Development occurs throughout the lifespan and focuses on psychosocial stages.
C)The genital stage precedes the phallic stage of development.
D)Problems evident in adult life are due to early successes and resolution of earlier developmental stages.
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23
Chapter 22: Conception Through Adolescence
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Sample Questions
Q1) A 5-year-old boy is admitted for surgery to have his tonsils removed.On the basis of knowledge about children of this age,what would the nurse would plan to do?
A)Allow the child to take responsibility for his own preoperative hygienic care.
B)Leave the child alone to relax before the procedure.
C)Allow the child to handle and look at the equipment when the nurse takes his blood pressure.
D)Provide magazines and puzzles for diversion.
Q2) Which statement by the nurse best explains the importance of play during the toddler stage of development?
A)"Exploration can suppress the toddler's curiosity to promote safety."
B)"Parental control during play will eliminate the frustration of learning self-control."
C)"Play can enhance cognitive and psychosocial development."
D)"Play will enhance the toddler's ability to explore the environment safely without supervision."
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Chapter 23: Young to Middle Adulthood
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Sample Questions
Q1) What do changing norms and values about family life in Canada reveal?
A)Basic shifts in attitudes in Canadian society.
B)Greater resistance to cohabitation without marriage.
C)Decreased numbers of infants born to unmarried women.
D)Greater support and acceptance from the health care system.
Q2) The nurse is caring for a hospitalized young man who is uninsured even though he works as a dishwasher at a local restaurant.He states that he would like to get a better job,but he has no education.How can the nurse best assist this patient psychosocially?
A)By providing information and referrals.
B)By telling the patient that he needs to go back to school.
C)By focusing on the patient's medical diagnoses.
D)By expecting the patient to be flexible in his decision making.
Q3) When choosing an appropriate topic for a young adult health fair,the nurse ranks which topic as least relevant?
A)Unplanned pregnancies.
B)Menopause and climacteric factors.
C)Smoking cessation.
D)Alcohol and drug use.
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Chapter 24: Older Persons
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Sample Questions
Q1) A recently widowed 80-year-old male is dehydrated and is admitted to the hospital for intravenous fluid replacement.During the evening shift,the patient becomes acutely confused.The nurse's best action is to assess the patient for which of the following reversible causes? (Select all that apply. )
A)Electrolyte imbalance.
B)Hypoglycemia.
C)Drug effects.
D)Dementia.
E)Cerebral anoxia.
Q2) To promote physical well-being and socialization in an older person,what should the nurse realize?
A)Social isolationism is always a chosen behaviour.
B)Body image plays no role in decision making by the older person.
C)No community resources are focused on the older person.
D)Older persons may have a functional purpose in social arenas.
Q3) Which symptom is an expected cognitive change in the older person?
A)Disorientation.
B)Slower reaction time.
C)Poor judgement.
D)Loss of language skills.
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Chapter 25: The Experience of Loss, death, and Grief
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Sample Questions
Q1) When teaching a group of older persons about cultural beliefs and death,the nurse indicates which of the following?
A)The ethical decisions surrounding a patient's death should be based on hospital policy and not culture.
B)Maintaining rituals and practices allows a sense of acceptance of the dying process.
C)The nurse must decide which cultural practices will be incorporated in care of the dying.
D)Regardless of culture,following hospital practices will help focus patient and family on the dying process.
Q2) The nurse is discussing future treatments with a patient who has a terminal illness.The nurse notes that the patient has not been eating and responds to the nurse's information by stating,"What does it matter?" What is the most appropriate nursing diagnosis for this patient?
A)Social isolation.
B)Hopelessness.
C)Denial.
D)Powerlessness.
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Chapter 26: Self-Concept
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Sample Questions
Q1) The nursing student can help geriatric patients' self-concept by using which technique?
A)Discussing current weather.
B)Reviewing old photos with patients.
C)Encouraging patients to sing.
D)Allowing patients extra computer time.
Q2) While documenting an adolescent's health history,the nurse recognizes that the patient began to act out behaviourally and engage in risky behaviour when her parents divorced.In considering a nursing diagnosis of Altered self-concept,the nurse would gather what information?
A)How long the parents were married.
B)How the patient views her behaviours.
C)Why the parents are divorcing.
D)Why she is acting out of control.
Q3) The nurse can assist the patient in becoming more self-aware by using which technique?
A)Setting up an appointment to allow the patient to vent.
B)Allowing the patient to openly explore thoughts and feelings.
C)Assisting the patient to physically punch a pillow when upset.
D)Providing materials for the patient to write complaint letters.
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Chapter 27: Sexuality
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Sample Questions
Q1) A patient admits that he knew for several months that he had an STI but did not report it.Why did he behave this way?
A)Many patients with STIs do not acknowledge the importance of STI testing and treatment.
B)Many patients with STIs are hesitant to admit they contracted an STI.
C)Many patients with STIs have lifestyles that subject them to repeated exposure.
D)Many patients with STIs are uncomfortable discussing sexual health issues with a same-sex health care provider.
Q2) Which patient is most in need of a nurse's referral to adoption services?
A)A patient considering abortion for an unwanted pregnancy.
B)An infertile couple religiously opposed to artificial insemination.
C)A woman who suffered miscarriage during her first pregnancy.
D)A couple who has been attempting conception for 3 months.
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Chapter 28: Spirituality in Health and Health Care
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20 Flashcards
Source URL: https://quizplus.com/quiz/36701
Sample Questions
Q1) The word spirituality derives from the Latin word spiritus,which refers to breath or wind.Today,spirituality can be described as which of the following?
A)Transcendence beyond self,everyday living,and suffering.
B)Less important than coping with the patient's illness.
C)Patient centred and having no bearing on the nurse's belief patterns.
D)Equated with formal religious practice and having a minor effect on health care.
Q2) The nurse is caring for a patient who is in the final stages of his terminal disease.The patient is very weak but refuses to use a bedpan and wants to get up to use the bedside commode.What should the nurse do?
A)Explain to the patient that he is too weak and needs to use the bedpan.
B)Insert a rectal tube so that the patient no longer needs to actively defecate.
C)Enlist assistance from family members if possible and assist the patient to get up.
D)Put the patient on a bedpan and stay with him until he is finished.
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Chapter 29: Stress and Adaptation
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20 Flashcards
Source URL: https://quizplus.com/quiz/36702
Sample Questions
Q1) A trauma survivor is requesting sleep medication because of "bad dreams." Concerned about PTSD,the nurse would ask which of the following?
A)"Are you reliving your trauma?"
B)"Are you having chest pain?"
C)"Can you describe your phobias?"
D)"Can you tell me when you wake up?"
Q2) An adult who was in a motor vehicle accident is brought into the emergency department by paramedics,who report the following in-transit vital signs:
Oral temperature: 37.2°C (99.0°F)
Pulse: 102 beats per minute
Respiratory rate: 26 breaths per minute
Blood pressure: 140/106
The nurse can identify that which hormones are the likely causes of the abnormal vital signs?
A)Antidiuretic hormone (ADH)and adrenocorticotropic hormone (ACTH).
B)ACTH and epinephrine.
C)ADH and norepinephrine.
D)Epinephrine and norepinephrine.
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Chapter 30: Vital Signs
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Sample Questions
Q1) How does the posterior hypothalamus help control temperature?
A)By causing vasoconstriction.
B)By shunting blood to the skin and extremities.
C)By increasing sweat production.
D)By causing vasodilation.
Q2) Of the following patients,which one is the best candidate to have his temperature measured orally?
A)A 27-year-old postoperative patient with an elevated temperature.
B)A teenage boy who has just returned from outside "for a smoke."
C)An 87-year-old confused male suspected of hypothermia.
D)A 20-year-old male with a history of epilepsy.
Q3) When taking the pulse of an infant,the nurse notices that the rate is 145 beats/min and the rhythm is regular.The nurse realizes that this rate is which of the following?
A)Normal for an infant.
B)The proper rate for a toddler.
C)Too slow for an infant.
D)The same as that of a normal adult.
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Chapter 31: Pain Assessment and Management
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35 Flashcards
Source URL: https://quizplus.com/quiz/36704
Sample Questions
Q1) A nurse is assessing a patient who started to have severe pain 3 days ago.When the nurse asks the patient to describe the pain,the patient states,"The pain feels like it is in my stomach.It is a burning pain,and it spreads out in a circle around the spot where it hurts the most." What type of pain does the nurse document that the patient is having at this time?
A)Superficial pain.
B)Idiopathic pain.
C)Chronic pain.
D)Visceral pain.
Q2) A patient who had a motor vehicle accident 2 days ago is experiencing pain and is receiving patient-controlled analgesia (PCA).How does the nurse know that the patient is experiencing effective pain management with the PCA?
A)The patient is sleeping and is difficult to arouse.
B)The patient rates pain at an acceptable level of 3 on a 0-to-10 scale.
C)Sufficient medication is left in the PCA syringe.
D)The patient presses the control button to deliver pain medication.
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Chapter 32: Health Assessment and Physical Examination
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37 Flashcards
Source URL: https://quizplus.com/quiz/36705
Sample Questions
Q1) A teenaged female patient reports intermittent abdominal pain that has lasted 12 hours.No dysuria is present.During an abdominal assessment,what should the nurse do?
A)Recommend that the patient take more laxatives.
B)Ask the patient about the colour of her stools.
C)Avoid sexual references such as possible pregnancy.
D)Palpate first the spots that are most tender.
Q2) The nurse believes that several new female patients should receive additional health education about the need for more frequent Papanicolaou (Pap)smears and gynecological examinations.Which of the following assessment findings reveals the patient at highest risk for cervical cancer and thus having the greatest need for patient education?
A)13 years old,nonsmoker,not sexually active
B)15 years old,social smoker,celibate
C)22 years old,smokes 1 pack of cigarettes per day,has multiple sexual partners
D)50 years old,stopped smoking 30 years ago,history of hysterectomy
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34
Chapter 33: Infection Control
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40 Flashcards
Source URL: https://quizplus.com/quiz/36706
Sample Questions
Q1) Which of the following nursing actions would most increase a patient's risk for developing a health care-associated infection?
A)Use of surgical aseptic technique to suction an airway.
B)Placement of a urinary catheter drainage bag below the level of the bladder.
C)Clean technique for inserting a urinary catheter.
D)Use of a sterile bottled solution more than once within a 24-hour period.
Q2) The nurse is changing linens for a postoperative patient and feels a stick in her hand.A nonactivated safe needle is noted in the linens.In this scenario,the nurse may be at risk for which of the following infections?
A)Hepatitis B.
B)C.difficile.
C)Methicillin-resistant S aureus (MRSA).
D)Diphtheria.
Q3) Which of these interventions would take priority and should be included in a plan of care for a patient who presents with pneumonia?
A)Observe the patient for decreased activity tolerance.
B)Assume that the patient is in pain and treat accordingly.
C)Maintain the ambient temperature at 18.3°C (65°F).
D)Provide the patient ice chips as requested.
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Page 35
Chapter 34: Medication Administration
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Source URL: https://quizplus.com/quiz/36707
Sample Questions
Q1) Which nursing action is the number one priority for ensuring that medication stays in the target therapeutic range?
A)Measuring the peak and trough levels at the same time each day.
B)Administering a double dose after a dose was missed.
C)Delivering the same amount of the drug at the same time each day.
D)Increasing absorption by holding all other medications 1 hour before administration.
Q2) An order is written for phenytoin (Dilantin),500 mg IM q3-4h prn for pain.The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug.The nurse believes that the prescriber meant to write for hydromorphone (Dilaudid).What should the nurse do?
A)Give the patient Dilaudid,as it was meant to be written.
B)Call the prescriber to clarify and justify the order.
C)Administer the medication and monitor the patient frequently.
D)Refuse to give the medication and notify the nurse supervisor.
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Chapter 35: Complementary and Alternative Approaches in Health Care
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Source URL: https://quizplus.com/quiz/36708
Sample Questions
Q1) Physiological signs of a stress response include all of the following except which one?
A)Constricted pupils.
B)Tachycardia.
C)Tachypnea.
D)Elevated blood pressure.
Q2) A patient asks about the new clinic in town that is staffed by allopathic and complementary practitioners.What type of clinic would this be?
A)Integrative medical clinic.
B)Ayurvedic clinic.
C)Naturopathic medical clinic.
D)Healing intention clinic.
Q3) What is a basic foundational principle of chiropractic care?
A)Structure and function coexist.
B)Chiropractic care is risk free.
C)Human beings need external hands-on care to be healthiest.
D)Subluxation will cause permanently restricted joint movement.
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Chapter 36: Activity and Exercise
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Sample Questions
Q1) A 40-year-old healthy woman has presented to the clinic for a physical examination.When the patient asks the nurse to recommend the amount of time she should spend per week doing moderate-intensity physical activity,what should the nurse recommend?
A)One hour per week or 15 minutes a day for 4 days.
B)Thirty minutes or more a day,for a weekly total of 150 minutes.
C)One hour per day,for a weekly total of 7 hours.
D)Ten minutes a day,for a total of 60 minutes per week.
Q2) The nurse is attempting to start an exercise program in a local community as a health promotion project.In explaining the purpose of the project,what does the nurse explain to community leaders?
A)A sedentary lifestyle contributes to the development of health-related problems.
B)The recommended frequency of workouts should be twice a day.
C)An exercise prescription should incorporate aerobic exercise only.
D)The purpose of weight training is to bulk up muscles.
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Chapter 37: Quality and Patient Safety
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Source URL: https://quizplus.com/quiz/36710
Sample Questions
Q1) A homeless adult patient presents to the emergency department.The nurse obtains the following vital signs: temperature 34.9°C (94.8°F),blood pressure 100/56,apical pulse 56,respiratory rate 12.Which of the vital signs should be addressed immediately?
A)Respiratory rate.
B)Temperature.
C)Apical pulse.
D)Blood pressure.
Q2) A visiting nurse completes an assessment of the ambulatory patient in the home and determines the nursing diagnosis of Risk for injury related to decreased vision.On the basis of this assessment,the patient will benefit the most from which of the following actions?
A)Installing fluorescent lighting throughout the house.
B)Evaluating the need to reposition furniture.
C)Maintaining complete bed rest in a hospital bed with side rails.
D)Applying physical restraints.
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Chapter 38: Hygiene
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Sample Questions
Q1) The patient is complaining of an inability to clear his nasal passages.How should the nurse instruct the patient?
A)To blow his nose forcefully to clear the passage.
B)To insert a cotton-tipped applicator as far as possible.
C)To apply gentle suction with a pediatric bulb suction device.
D)To use a dry washcloth to absorb secretions.
Q2) The female nurse is caring for a male patient who is uncircumcised and not ambulatory,although he has full function of arms and hands.The nurse is providing the patient with a partial bed bath.What statement is true for perineal care for this patient?
A)It is not necessary because he is not circumcised.
B)It should be postponed because it may cause him embarrassment.
C)It should be done by the patient.
D)It should be done by the nurse.
Q3) Of the following hearing aids,which interferes the most with wearing eyeglasses and using a phone?
A)In-the-canal hearing aid.
B)In- the-ear hearing aid.
C)Behind-the-ear hearing aid.
D)They are all equally useful.
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Page 40
Chapter 39: Cardiopulmonary Functioning and Oxygenation
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Sample Questions
Q1) In which condition would the nurse would expect to see increased ventilations?
A)Increased oxygen saturation.
B)Decreased carbon dioxide levels.
C)Decreased pH.
D)Increased hemoglobin levels.
Q2) The process of exchanging gases through the alveolar capillary membrane is known as which of the following?
A)Disassociation.
B)Diffusion.
C)Perfusion.
D)Ventilation.
Q3) The nurse would expect which change in cardiac output for a patient with fluid volume overload?
A)Increased preload.
B)Decreased afterload.
C)Decreased tissue perfusion.
D)Increased heart rate.
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Page 41
Chapter 40: Fluid, electrolyte, and Acid-base Balances
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Source URL: https://quizplus.com/quiz/36713
Sample Questions
Q1) A patient with a lower respiratory infection has a pH of 7.25,a PaCO<sub>2</sub> of 55 mm Hg,and a HCO<sub>3</sub><sup>-</sup> level of 20 mmol/L (20 mEq/L).The physician has been notified.Which is the priority nursing intervention for this patient?
A)Check the colour of the patient's urine output.
B)Place the patient in Trendelenburg position.
C)Encourage the patient to increase respirations.
D)Place the patient in high Fowler's position.
Q2) A patient had an acute intravascular hemolytic reaction during a blood transfusion.After discontinuing the blood transfusion,what is the nurse's next action?
A)Run normal saline through the existing tubing.
B)Start normal saline at to-keep-open (TKO)rate with new tubing.
C)Discontinue the IV catheter.
D)Return the blood to the blood bank.
Q3) Which organ system is responsible for compensation of respiratory acidosis?
A)Respiratory.
B)Renal.
C)Gastrointestinal.
D)Endocrine.
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Chapter 41: Sleep
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Source URL: https://quizplus.com/quiz/36714
Sample Questions
Q1) A 74-year-old patient reports having sleeping difficulties.To have a better idea of the patient's problem,how should the nurse respond?
A)"What do you do just before going to bed?"
B)"Let's make sure that your bedroom is completely darkened at night."
C)"Why don't you try napping more during the daytime?"
D)"You should always eat something just before bedtime."
Q2) Which of the following is a determinant of dreams?
A)Gender.
B)Age.
C)Height.
D)Weight.
Q3) Which of the following instructions does the nurse give the patient in teaching methods to promote positive sleep habits at home?
A)Use the bedroom only for sleep or sexual activity.
B)Eat a large meal 1 to 2 hours before bedtime.
C)Exercise vigorously before bedtime.
D)Stay in bed if sleep does not come after 30 minutes.
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Chapter 42: Nutrition
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Sample Questions
Q1) At present,the most reliable method for verification of placement of small-bore feeding tubes is
A)Auscultation.
B)Aspiration of contents.
C)Radiography.
D)pH testing.
Q2) The nurse is preparing to insert a nasogastric tube in a patient who is semiconscious.To determine the length of the tube needed to be inserted,the nurse measures what length?
A)From the tip of the nose to the xiphoid process of the sternum.
B)From the earlobe to the xiphoid process of the sternum.
C)From the tip of the nose to the earlobe.
D)From the tip of the nose to the earlobe to the xiphoid process.
Q3) The nurse is concerned about pulmonary aspiration when providing her patient with tube feedings.What should the nurse do?
A)Verify tube placement before the feeding.
B)Lower the head of the bed to a supine position.
C)Add blue food colouring to the enteral formula.
D)Run the formula over 12 hours to decrease volume.
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Page 44
Chapter 43: Urinary Elimination
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41 Flashcards
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Sample Questions
Q1) When viewing a urine specimen under a microscope,what would the nurse expect to see in a patient with a urinary tract infection?
A)Bacteria.
B)Casts.
C)Crystals.
D)Protein.
Q2) Which of the following are indications for irrigating a urinary catheter? (Select all that apply. )
A)Sediment occluding within the tubing.
B)Blood clots in the bladder after surgery.
C)Rupture of the catheter balloon.
D)Presence of renal calculi.
Q3) The nurse knows that which in-dwelling catheter procedure places the patient at greatest risk for acquiring a urinary tract infection?
A)Emptying the drainage bag every 8 hours or when half full.
B)Kinking the catheter tubing to obtain a urine specimen.
C)Placing the drainage bag on the side rail of the patient's bed.
D)Failing to secure the catheter tubing to the patient's thigh.
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Chapter 44: Bowel Elimination
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Sample Questions
Q1) The nurse would anticipate which diagnostic examination for a patient with black,tarry stools?
A)Ultrasonography.
B)Barium enema study.
C)Upper endoscopy.
D)Flexible sigmoidoscopy.
Q2) Fecal impactions occur in which portion of the colon?
A)Ascending.
B)Descending.
C)Transverse.
D)Rectum.
Q3) A nurse is preparing a patient for magnetic resonance imaging (MRI).Which nursing action is most important?
A)Ensuring that the patient does not eat or drink 2 hours before the examination.
B)Removing all of the patient's metallic jewellery.
C)Administering a colon-cleansing product 12 hours before the examination.
D)Obtaining an order for a pain medication before the test is performed.
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Chapter 45: Mobility and Immobility
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Sample Questions
Q1) When the nurse creates a plan of care for a patient who is experiencing alterations in mobility,which of the following is true?
A)The nurse cannot delegate interventions to nursing assistive personnel.
B)The nurse is solely responsible for modifying activities of daily living (ADLs).
C)The nurse consults other health care team members to help plan therapy.
D)The nurse consults wound care specialists only when wounds are apparent.
Q2) The nurse is caring for a patient who has suffered a stroke.As part of her ongoing care,what should the nurse do?
A)Encourage the patient to perform as many self-care activities as possible.
B)Provide a complete bed bath to promote patient comfort.
C)Place the patient on bed rest to prevent fatigue.
D)Understand that the patient will not eat because energy needs are decreased.
Q3) In caring for a patient who is immobile,what is important for the nurse to understand?
A)The effects of immobility are the same for everyone.
B)Immobility helps maintain sleep-wake patterns.
C)Changes in role and self-concept may lead to depression.
D)Immobile patients are often eager to help in their own care.
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Chapter 46: Skin Integrity and Wound Care
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Source URL: https://quizplus.com/quiz/36719
Sample Questions
Q1) The nurse is using the Braden scale to complete a skin risk assessment.The patient has some sensory impairment and skin that is rarely moist,walks occasionally,and has slightly limited mobility,along with excellent intake of meals and no apparent problem with friction and shear.What would be the patient's total Braden scale score?
A)15.
B)17.
C)21.
D)23.
Q2) The nurse is caring for a patient with a stage 4 pressure injury.The nurse assigns which of the following nursing diagnoses?
A)Readiness for enhanced nutrition.
B)Impaired physical mobility.
C)Impaired skin integrity.
D)Chronic pain.
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Chapter 47: Sensory Alterations
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Sample Questions
Q1) The nurse is caring for a patient who is a well-known surgeon at the hospital.Because of his status,all the hospital's physicians want to be sure to pay him a visit.The nurse notices the patient becoming more agitated and withdrawn with each group of visitors.The nurse asks the patient if he would like a "Do not disturb" sign placed on the door.A few hours later,the nurse notices a physician who is not involved in the patient's care attempting to enter the room.Which response by the nurse is most appropriate?
A)Allowing the physician to enter because he has higher authority than the nurse.
B)Calling for security to remove the visitor.
C)Firmly explaining that the patient does not wish to have visitors at this time,so do not enter the room.
D)Scolding the physician for not obeying the signs on the door and respecting the patient's wishes.
Q2) Which nursing assessment best measures cognitive functioning?
A)Administering a Mini-Mental Status Examination (MMSE).
B)Asking the patient his name,where he is,and what month it is.
C)Asking the patient's family if the patient is behaving normally.
D)Evaluating the patient's ability to read the newspaper.
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Chapter 48: Care of Surgical Patients
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Source URL: https://quizplus.com/quiz/36721
Sample Questions
Q1) The nurse is documenting a medication history for the surgical patient in preadmission testing.Which of the following medications should the nurse instruct the patient to withhold in preparation for surgery?
A)Ibuprofen.
B)Acetaminophen.
C)Vitamin C.
D)Miconazole.
Q2) Which nursing assessment would indicate that the patient is performing diaphragmatic breathing correctly?
A)Hands placed on border of rib cage with fingers extended will touch as chest wall contracts.
B)Hands placed on chest wall with fingers extended will separate as chest wall contracts.
C)The patient will feel upward movement of the diaphragm during inspiration.
D)The patient will feel downward movement of the diaphragm during expiration.
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