Introduction to Nursing Practice Exam
Bank
Course Introduction
Introduction to Nursing Practice offers students an essential foundation in the principles and skills required for entry-level nursing. The course explores the professional roles, ethical responsibilities, and legal considerations of nurses, emphasizing patient-centered care, communication, and critical thinking. Through a blend of theory, simulation, and clinical experiences, students learn fundamental nursing skills such as vital sign measurement, basic patient assessment, hygiene, safety, infection control, and documentation. This course prepares students to deliver compassionate, evidence-based care across diverse healthcare settings, fostering the development of professional behaviors and an appreciation for the collaborative healthcare team.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Berman
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42 Chapters
1234 Verified Questions
1234 Flashcards
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Chapter 11: Assessing
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) While conducting a dressing change,the nurse notes a new area of skin breakdown that was caused from the tape used to secure the dressing.In which phase of the nursing process is the nurse working?
A)Assessment
B)Diagnosis
C)Implementation
D)Evaluation
Q2) The nurse has just completed an admission interview with a new client.Which nursing statement indicates that the interview is in the closing phase?
A)"I'm going to set up your physical assessment now.Do you have any questions?"
B)"Tell me more about how you feel."
C)"Could you give examples of what types of other treatments you've had?"
D)"Is there anything you're worried about?"
Q3) A nurse has worked in the trauma critical care area for several years.Which noise may become indiscriminate for this particular nurse?
A)A client with audible breathing
B)Moaning of a client in pain
C)Whirring of ventilators
D)Co-orkers discussing their clients' conditions
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Page 3
Chapter 12: Diagnosing
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is caring for a client recovering from a long and difficult childbirth experience.Which nursing diagnosis did the nurse write appropriately for this client?
A)Constipation,due to tissue trauma,manifested by no bowel movement for 2 days
B)Risk for infection,because of new incision,related to episiotomy
C)Ineffective breast-feeding,related to lack of motivation,secondary to exhaustion
D)Altered urinary elimination,secondary to childbirth
Q2) The nurse is preparing to formulate nursing diagnoses for a client desiring information to help with chronic low back pain.Which human response patterns should the nurse keep in mind when formulating the diagnoses for this client?
Standard Text: Select all that apply.
A)Moving
B)Choosing
C)Perceiving
D)Anticipating
E)Communicating
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4
Chapter 13: Planning
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23 Flashcards
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Sample Questions
Q1) A hospital is implementing the use of the NIC (Nursing Interventions Classification)taxonomy.What purpose will the implementation of this taxonomy serve?
A)Help the nurse with documentation of the care plan
B)Require that the nurse use sound judgment and knowledge of the client
C)Match nursing diagnoses to exact interventions
D)Help the nurse choose activities that are individualized to the client
Q2) The nurse is reviewing a client's plan of care.Which statements indicate that this care plan has been completed accurately and appropriately?
Standard Text: Select all that apply.
A)Ineffective coping related to drug abuse as evidenced by drug overdose.
B)The client will identify two healthy coping mechanisms by time of discharge.
C)The client has identified two health coping mechanisms to replace inappropriate drug use.
D)The client will be provided with guidance in identifying healthy coping mechanisms.
E)The client has apologized to his family for drug abuse behaviors.
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Chapter 14: Implementing and Evaluating
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29 Flashcards
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Sample Questions
Q1) A client has the goal statement "Client will have clear lung sounds bilaterally within 3 days." One intervention to meet this goal is for the nurse to teach the client to cough and deep breathe and have the client do this several times every 2 hours.At the end of the third day,the client's lungs are indeed clear.What should the nurse do to relate the intervention to the outcome?
A)Ask how many times per day the client practiced the coughing and deep breathing exercises.
B)Tell the client that the lungs are clear.
C)Document the assessment findings to show the effectiveness of the intervention.
D)Write this evaluation statement: Goal met,lung sounds clear by third day.
Q2) The nurse manager has been appointed to implement a quality assurance program at the hospital.Which components should the manager prepare to evaluate for this program?
A)Methods
B)Structure
C)Finances
D)Process
E)Outcome
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Chapter 15: Documenting and Reporting
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24 Flashcards
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Sample Questions
Q1) When responding to a call light,the nurse finds a client lying on the floor,with the bed linens around the legs.Which chart entry should the nurse document for this finding?
A)Client fell out of bed,but did push the call button for assistance.
B)Client became tangled in the bed linens,then called for assistance after falling out of bed.
C)Recorder responded to client's call light,upon entering the room,found client on floor.
D)Client found on floor,appeared to have fallen out of bed as a result of getting tangled in bed linens.
Q2) A cardiac specialty hospital has several written plans in place for clients who are admitted,according to specific medical diagnoses and nursing interventions.Typical nursing diagnoses as well as standard nursing interventions are included in these plans.Which type of form is this hospital utilizing?
A)Standardized care plans
B)Traditional care plans
C)Critical pathways
D)Kardex
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Chapter 16: Health Promotion
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28 Flashcards
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Sample Questions
Q1) The nurse is an advocate for health promotion activities.Which nursing actions demonstrate this nurse's advocacy?
Standard Text: Select all that apply.
A)Participating in a community-focused 5-mile run.
B)Attending the local high school's football games.
C)Providing an educational program to senior citizens on blood pressure-control strategies.
D)Attending a community meeting that is promoting the creating of a walking path in the city park.
E)Encouraging an anxious client to practice relaxation techniques.
Q2) Psychologic homeostasis is maintained by a variety of mechanisms.Which client should the nurse identify as being the most likely candidate to obtain psychologic homeostasis?
A)A child who is used to getting ready for school alone
B)A teenager whose circle of friends includes single parents of the same age
C)An elderly person who has just moved to a long-term care facility
D)A young adult who is in a long-term relationship
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Chapter 17: Health, Wellness, and Illness
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse educator is reviewing internal variables that affect people's health status.On which variables is this nurse focusing?
Standard Text: Select all that aply.
A)Genetic makeup
B)Age
C)Developmental level
D)Environment
E)Spiritual and religious beliefs
Q2) During a home visit with a new community member,the nurse suspects that a client has a chronic illness.What did the nurse assess to make this clinical decision?
Standard Text: Select all that apply.
A)Experienced symptoms for 8 months
B)Has periods where the symptoms disappear
C)Altered activities of daily living because of the illness
D)Problem disappeared with over-the-counter medication
E)Symptoms appeared abruptly and disappeared after treatment
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9
Chapter 18: Culture and Heritage
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Sample Questions
Q1) A female client is being discharged after a lengthy hospitalization.The family is from a male-dominated culture.Before discharge instructions are given,which action should the nurse take?
A)Make sure instructions are understood by the client.
B)Arrange for teaching when the spouse is available.
C)Make sure that the physician gives the instructions.
D)Ask the client when the best time for teaching would be.
Q2) A non-English-speaking client is needs to have an emergency surgical procedure.The hospital has an interpreter available.When the interpreter arrives to explain the procedure and help with the consent form,the nurse provides the best support when
A)asking the interpreter to use words the client is familiar with for the best understanding.
B)requesting that the interpreter translate,as closely as possible,the same words used by the professional staff.
C)suggesting that the questions be directed to the interpreter,so nothing is omitted.
D)addressing the questions to the client's family.
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Page 10
Chapter 19: Complementary and Alternative Healing Modalities
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse is helping a hospice client who has had difficulty with making end-of-life decisions.The nurse has encouraged the client to focus on her self-worth,her accomplishments,and having positive self-esteem in order to process through some of these decisions.The nurse is helping the client to achieve balance in which component?
A)Environmental
B)Physical
C)Mental
D)Spiritual
Q2) The nurse is working with a client who,during her interview,expresses feelings of groundedness.The nurse interprets this to mean that the client
A)is full of energy.
B)feels connected to her reality.
C)is focused on her center of energy.
D)feels "down in the dumps."
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11
Chapter 20: Concepts of Growth and Development
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27 Flashcards
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Sample Questions
Q1) A client with an acute,serious illness has been hospitalized.Upon entering the room,the nurse observes the client praying.The client states to the nurse: "I don't know how people manage to get through difficult times without their faith.It's where I get my strength." With which theorist should the nurse associate this client's belief?
A)Fowler
B)Westerhoff
C)Gilligan
D)Kohlberg
Q2) A child is starting school and is being screened for certain developmental milestones.What is the nurse assessing when determining how the child interacts with other children?
A)Temperament
B)Physical characteristics
C)Environment
D)Culture
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12
Chapter 21: Promoting Health From Conception Through Adolescence
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25 Flashcards
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Sample Questions
Q1) The parents of a newborn ask what their baby can see.What should the nurse respond to these parents?
A)"Babies aren't able to see until they are around 4 months old."
B)"Babies won't track moving objects until about 5 months."
C)"Newborns blink in response to bright lights and sound and will follow large objects."
D)"Newborns aren't able to focus,so everything looks blurry to them."
Q2) An adolescent comes to the school nurse's office seeking advice about his friends and feeling pressure to participate in activities with which he isn't comfortable,such as drinking parties and sexual explorations.What should the nurse do?
A)Tell the adolescent to stay away from "friends like that."
B)Be open to the concerns and provide accurate information about any questions.
C)Encourage the adolescent to accept psychosocial counseling.
D)Give the adolescent pamphlets on sexually transmitted diseases.
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Chapter 22: Promoting Health in Young and Middle-Aged
Adults
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A 30-year-old client who plans to travel extensively within the United States asks the nurse about appropriate immunizations.What should the nurse recommend to this client?
A)The client should have a tetanus booster if the client has not had one within the last 5 years.
B)The client should have the hepatitis B immunization series.
C)The client should receive a meningococcal vaccine if the client did not receive one as a teen.
D)The client should not worry about immunizations,as they are not recommended for this age group.
Q2) A client comes to the clinic with a history of pain in his testicle.During the interview assessment,what information should be of concern to the nurse?
A)The client works as an auto-detailer.
B)He smokes half a pack of cigarettes per week.
C)He has not had a yearly exam for 5 years.
D)He does not perform testicular self-exams.
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Page 14
Chapter 23: Promoting Health in Elders
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26 Flashcards
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Sample Questions
Q1) The nurse is planning care for an older adult client.On what should the nurse focus if following the Functional Consequences Theory on aging?
Standard Text: Select all that apply.
A)Promote safety.
B)Promote mental health.
C)Improve quality of life.
D)Promote spiritual health.
E)Promote growth and development.
Q2) An elderly client comes to the clinic for follow-up after a long hospitalization.When the client asks about increasing strength and endurance,what should the nurse respond?
A)"Your muscles can be strengthened,which might help you function better."
B)"It won't matter if you exercise.At your age,there's little room for improvement."
C)"Once muscle mass is decreased,there's nothing that can be done for strength improvement."
D)"Maybe you should think about going to a nursing home.At least the people there will be able to help with your needs."
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Chapter 24: Promoting Family Health
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is planning to complete a family assessment.For which reasons is the nurse completing this assessment?
Standard Text: Select all that apply.
A)Determine the level of family functioning.
B)Identify family strengths and weaknesses.
C)Provide legal guidelines for consent to health care.
D)Clarify family interaction patterns.
E)Describe the health status of individual members.
Q2) The nurse has been working with a family at the community health office and is concerned about signs of family violence.Which finding should the nurse identify as most concerning?
A)The baby always seems to have a cold.
B)One of the children never speaks and seems "on guard" when in the presence of a parent.
C)The family's clothes are relatively clean,but the children usually have some kind of dirt stain on their shirts or pants.
D)The family does not have a regular physician.
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16
Available
Chapter 25: Caring
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28 Flashcards
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Sample Questions
Q1) The nurse educator teaches students about caring nursing practice.Which situation demonstrates a nurse implementing the whole idea of caring?
A)The nurse who takes time for a favorite hobby,at least once a week
B)The nurse who volunteers at church and school events
C)The nurse who makes lists every morning so the day stays organized and planned
D)The nurse who takes care of his elderly parents as well as providing care to his immediate family
Q2) While evaluating how care is delivered at various hospitals,the nurse identifies a facility where caring in the emergency department is perceived differently than caring in the rehabilitation unit.Whose theory of caring is the nurse observing in action?
A)Leininger
B)Ray
C)Roach
D)Boykin and Schoenhofer
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Chapter 26: Communicating
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Sample Questions
Q1) A nurse is working on a telemetry unit when one of the clients has a cardiac arrest.The client's spouse is in the room when the code team arrives.Which statement by the nurse to the spouse is the best in this situation?
A)"I know you're worried about your loved one.I'm sure this is a difficult situation for you.Do you have any questions right now?"
B)"Your spouse's heart stopped.All these people are here to help get it started."
C)"Your spouse's physician will be here shortly and explain all of the medication and treatment that your spouse is receiving right now."
D)"Is there someone you would like to call? I'm sure this is a scary situation and you may feel more comfortable if someone were with you during this time."
Q2) A nurse is giving a demonstration of new equipment to the rest of the nursing unit.Which level of proxemics should the nurse use?
A)Intimate
B)Personal
C)Social
D)Public
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Chapter 27: Teaching
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39 Flashcards
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Sample Questions
Q1) At the end of a busy clinical day a staff nurse asks the instructor if a student would like to administer a Z-track injected medication.This is a skill that the students have not yet been exposed to yet.What should the instructor respond to the staff nurse that supports timing and learning environment?
A)"It will take me a moment to explain the procedure to the students because we've not practiced this,but I'll find somebody to administer it."
B)"Would it be OK if the students observed today? Then,we'll do it next time we're here."
C)"We're leaving now,but thanks for asking."
D)"I'll check with the students and see if one of them would like to volunteer."
Q2) A nurse is working with the family of a child who is hospitalized with asthma.The family members speak little English,and the child is being sent home on nebulizer treatments as well as an inhaler.In addition to enlisting an interpreter to help with the language barrier,the nurse should
A)provide written instructions before discharge.
B)address any healing beliefs the family has.
C)make sure the child comes back for the follow-up appointment.
D)make sure the parents can set up the treatments for their child.
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Chapter 28: Delegating, Managing, and Leading
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Sample Questions
Q1) A nursing student would like to do an observation on one of the inpatient units at a hospital.In assisting the student to meet this desire,the educator would look for which type of nurse?
A)Mentor
B)Manager
C)Team leader
D)Preceptor
Q2) The nursing staff is informed that the current system of record keeping is going to be changed to make it more efficient.In which stage of change is the nursing staff?
A)Refreezing
B)Unfreezing
C)Moving
D)Drift
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Chapter 29: Vital Signs
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Sample Questions
Q1) While assessing the dorsalis pedis pulse of a client,the nurse determines that the pulse is absent.However,the extremity is warm and pink with nail beds blanching at 2 to 3 seconds of capillary refilling time.How would the nurse explain these findings?
A)A change in the client's health status has occurred.
B)The client has thrown a blood clot in that extremity.
C)The RN's watch has stopped working.
D)Too much pressure was applied over the pulse site.
Q2) While waiting for the physician to respond regarding a client's elevated temperature,what can the nurse do to assist the client?
A)Bathe the client with ice water.
B)Give the client an antipyretic.
C)Increase fluid intake.
D)Lower the room temperature.
Q3) Which determinant of blood pressure would explain a client's blood pressure reading of 120/100?
A)Blood viscosity
B)Blood volume
C)Pumping action of the heart
D)Peripheral vascular resistance
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Page 21
Chapter 30: Health Assessment
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Sample Questions
Q1) The nurse is preparing to assess a client's reflexes.What equipment should the nurse gather before entering the room?
A)Sterile gloves
B)Clean gloves
C)Percussion hammer
D)Penlight
Q2) The nurse is preparing to perform a health assessment of the abdomen.In which order should the nurse perform the assessment?
A)Auscultate,percuss,palpate,inspect
B)Inspect,auscultate,palpate,percuss
C)Inspect,auscultate,percuss,palpate
D)Palpate,percuss,auscultate,inspect
Q3) The nurse is assessing peripheral pulses on a client with suspected peripheral vascular disease.Which finding should the nurse report to the physician immediately?
A)Pulses equal bilaterally
B)Full pulsations
C)Thready pulses
D)Pulses present bilaterally
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Chapter 31: Asepsis
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Sample Questions
Q1) The nurse is preparing to remove soiled gloves.What action should the nurse take first?
A)Drop the gloves into the appropriate waste receptacle.
B)Ease the fingers into the gloves.
C)Grasp the outside of the nondominant glove.
D)Hook the bare thumb inside the other glove.
Q2) The nurse is reviewing the agents available to disinfect the hands after providing client care.Which agents should the nurse consider using?
Standard Text: Select all that apply.
A)Triclosan
B)Chlorine (bleach)
C)Isopropyl alcohol
D)Hydrogen peroxide
E)Chlorhexidine gluconate
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23
Chapter 32: Safety
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Sample Questions
Q1) The nurse is considering the use of restraints for a client.In which situation can the nurse apply restraints to a client?
A)Client wanders around the care area.
B)Client is picking at the access site for intravenous infusion of chemotherapy.
C)Client needed to use the bathroom and waited for help but didn't want to soil the bed and fell while attempting to walk to the bathroom.
D)Client does not want to stay in bed but wants to sit in the lounge with others.
Q2) As a member of the safety committee,the nurse's task is to identify actions to prevent falls within the organization.Which intervention should the nurse emphasize as important to prevent falls?
A)Display the phone number to the nurses' station.
B)Keep electrical cords under the bed.
C)Keep the environment tidy.
D)Read label directions.
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24
Chapter 33: Hygiene
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Sample Questions
Q1) Unlicensed assistive personnel are caring for a client's ears.What information should be reported to the nurse?
A)Excessive earwax
B)Loud talking
C)Presence of a hearing aid
D)Presence of any drainage
Q2) The nurse identifies the diagnosis Self-Care Deficit related to cognitive impairment as appropriate for a client.What should the nurse select as an expected outcome for this client?
A)The client will be able to name the staff that works on the day shift.
B)The client will eliminate safety hazards in her environment.
C)The client,with supervision,will brush her teeth.
D)The nurse will stress the importance of adequate fluid intake.
Q3) An older client tells the nurse that showers are not taken because of a previous fall.What can the nurse do to support the client's bathing needs?
A)Obtain a shower chair and assist the client in the shower.
B)Document that the client "refused" a morning bath in the medical record.
C)Tell the client that shower shoes can be worn to prevent falls.
D)Hold the client during the shower.
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Page 25
Chapter 34: Diagnostic Testing
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Sample Questions
Q1) Unlicensed assistive personnel (UAP)will be conducting a test on a client's urine.What should the nurse instruct the UAP about the test?
Standard Text: Select all that apply.
A)Nothing,because the UAP can perform urine testing.
B)Remind the UAP to tell the client the results of the test.
C)Notify the physician with the results of the test.
D)Report the results of the test to the nurse.
E)Save the urine,in case the nurse wants to repeat the test.
Q2) A client with tattooed eyeliner is scheduled for an MRI.What should the nurse instruct the client about this diagnostic test?
A)Earplugs will be provided.
B)Lie very still.
C)Report any burning sensation.
D)Wear goggles.
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Chapter 35: Medications
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Sample Questions
Q1) The nurse is preparing to administer eardrops to a 6-year-old client.What nursing action is correct?
A)Pull the earlobe down and back to straighten the ear canal.
B)Insert the tip of the applicator into the ear canal.
C)Put the eardrops in the refrigerator for 10 minutes prior to administration.
D)Press gently on the tragus of the ear a few times after administration.
Q2) The nurse is preparing to administer a medication that the agency designates as "high alert." What action should the nurse take?
A)Ask another registered nurse to verify the medication.
B)Call the pharmacist to check the efficacy of the medication.
C)Decline to administer the medication unless there is a physician present.
D)Request that the nursing supervisor administer the medication.
Q3) A client has a new order for a medication that does not have a termination date.The nurse would place this medication order under which classification on the client's medication administration record?
A)Standing
B)PRN
C)STAT
D)Single
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Chapter 36: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse has applied an aquathermia pad to a client's back.After 15 minutes of treatment,the client says that the pack no longer is warm and asks the nurse to increase the temperature.How should the nurse evaluate this request?
A)Because this client's thermal tolerance is higher than normal,increasing the temperature is necessary.
B)This client may be experiencing a rebound effect from the application of moist heat.
C)Adaptation of the thermal receptors often results in the decreased sensation of warmth.
D)The aquathermia pad should be replaced with a standard hot pack.
Q2) A client has a wound that is going to heal through secondary intention.When instructing the client about this wound,the nurse would include which statements?
Standard Text: Select all that apply.
A)Minimal tissue loss.
B)Closure of the wound will occur within 5 days.
C)Healing time will be longer.
D)Potential for scarring is greater.
E)Susceptibility to infection is greater.
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Chapter 37: Perioperative Nursing
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Sample Questions
Q1) The nurse is caring for an 80-year-old client preparing for surgery.The nurse realizes this client is at increased risk for which reason?
A)The physiological deficits of aging increase the surgical risk for older adults.
B)The older adult has increased kidney function.
C)The older adult has an increase in sensory function.
D)The older adult will turn,cough,and deep-breathe more effectively.
Q2) The nurse has removed the sutures from a client's surgical wound.What should the nurse document about this procedure?
Standard Text: Select all that apply.
A)Number of sutures removed
B)Appearance of the incision
C)Client teaching
D)Client tolerance of the procedure
E)Name of the surgeon.
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Chapter 38: Sensory Perception
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Sample Questions
Q1) The client who has the medical diagnosis of Alzheimer's disease is confused and has difficulty interpreting environmental stimuli.Which nursing diagnosis problem statement most accurately describes this client's situation?
A)Acute Confusion
B)Altered Role Performance
C)Disturbed Sensory Perception
D)Disturbed Thought Processes
Q2) A client is experiencing changes in taste.What can the nurse do to improve this client's gustatory sense?
Standard Text: Select all that apply.
A)Suggest eating each food separately.
B)Offer foods with a variety of flavors.
C)Recommend eating foods that are cold.
D)Promote sips of water between eating different foods.
E)Encourage the client to consume foods of different textures.
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30
Chapter 39: Self-Concept
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Sample Questions
Q1) The parents of an adolescent report that their child has recently gotten into trouble at school for cheating on an examination and has been barred from participating in a school trip as a consequence of that action.They ask for the nurse's professional opinion about the suitability of the punishment.Which answer best supports self-esteem development in this adolescent?
A)"I think the punishment may be excessive.Have you talked with the school officials about the incident?"
B)"Because my expertise is in health,I really can't respond to your question."
C)"Honesty and respect for authorities is important.I am surprised that the punishment is not more extensive."
D)"Living with the consequences of your actions is a way to help the adolescent develop good self-esteem."
Q2) Which statement made by a new mother would indicate to the nurse that there is potential for lowered self-esteem due to role ambiguity?
A)"I don't know if I know how to be a mom."
B)"My husband will be a stay-at-home dad while I work."
C)"I'm so disappointed that this baby is not a girl."
D)"I haven't even finished the baby's room."
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Chapter 40: Sexuality
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Sample Questions
Q1) After reviewing a list of prescribed medications,the nurse plans to complete a sexual history with the client.Which medications in the client's list caused the nurse to make this clinical decision?
Standard Text: Select all that apply.
A)Antibiotics
B)Antipyretics
C)Cardiotonics
D)Beta-blockers
E)Anticoagulants
Q2) The daughters of an 80-year-old man who is aphasic after suffering a cerebrovascular accident (stroke)express concern that their father is "always exposing and playing with himself and his catheter" while they are in the room.Upon assessment,the nurse finds the client pulling on and rubbing his penis.What is the nurse's priority action?
A)Tell the client to keep his hands away from his penis.
B)Assess the client's penis for irritation from the catheter.
C)Ask the client to keep his linens at waist level when he has visitors.
D)Collaborate with the physician regarding medications to control this behavior.
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Chapter 41: Spirituality
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Q1) A client who is facing a final surgery to save his life asks the nurse to stay and pray with him until the surgery begins.In which ways should the nurse demonstrate presencing with this client?
Standard Text: Select all that apply.
A)Adjusting the intravenous infusion
B)Talking with the client about the surgery
C)Sitting next to the client in the holding area
D)Praying with the client for divine intervention
E)Focusing on the client and fulfilling his needs
Q2) During labor,it becomes apparent that the male infant will survive only a short time after birth.Because this baby's parents are Catholic,what planning should the nurse consider?
A)Arrange to have the baby circumcised immediately after birth.
B)Ask the hospital chaplain to be present in the delivery room.
C)Ask the nursing supervisor to find a Catholic nurse to attend the birth.
D)Consider emergency transport of the mother to a Catholic hospital.
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Chapter 42: Stress and Coping
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Sample Questions
Q1) A client is experiencing the shock phase within the general adaption syndrome.The nurse realizes that this phase affects which hormones?
Standard Text: Select all that apply.
A)Epinephrine
B)Estrogen
C)Norepinephrine
D)Corticotropin-releasing
E)Progesterone
Q2) The nurse is preparing to assess a client's stress and coping patterns.What will be included in this assessment?
Standard Text: Select all that apply.
A)Client's perception of stressors
B)Manifestations of stress
C)Employment status
D)Coping strategies
E)Weight changes
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Chapter 43: Loss, Grieving, and Death
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Q1) A client recovering from back surgery is seen crying softly in bed.Upon assessment,the nurse learns that the client has been told of the future inability to perform certain sports,activities,and employment types because of the surgery.The nurse interprets this client's reaction as a response to which type of loss?
A)Situational loss
B)Anticipatory loss
C)Psychological loss
D)Developmental loss
Q2) The client tells the nurse that she has been having problems sleeping since her boss died unexpectedly 3 weeks ago.She confides that she and the boss had been having a secret extramarital affair for years.The nurse recognizes that the sleeping difficulty is most likely a result of which type of grief?
A)Abbreviated
B)Chronic
C)Disenfranchised
D)External
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Chapter 44: Rest
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Q1) The nurse is teaching a client on the use of a cane.What should the nurse include in this teaching?
Standard Text: Select all that apply.
A)Hold the cane on the weaker side of the body.
B)Move the cane forward while the body weight is between both legs.
C)The length of the cane should permit the elbow to be fully extended.
D)Move the weaker leg forward while the weight is between the cane and the stronger leg.
E)Move the stronger leg forward while the weight is between the cane and the weaker leg.
Q2) What is the priority action of the nurse prior to transferring a client from bed to wheelchair?
A)Place the bed in its lowest position.
B)Place the wheelchair parallel to the bed.
C)Lock the brakes on the bed.
D)Place a transfer belt on the client.
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Chapter 45: Activity and Exercise
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Sample Questions
Q1) A client questions why a medication that is used to treat Parkinson's disease has been prescribed for the diagnosis of periodic limb movement disorder (PLMD).What should the nurse do?
A)Contact the physician.
B)Assure the client that medications used to treat Parkinson's disease are also used to treat PLMD.
C)Tell the client not to take the medication because there is most likely an error.
D)Check with the pharmacy to make sure the correct medication has been provided to the client
Q2) The client who has obstructive sleep apnea is being treated with a nasal continuous positive airway pressure (CPAP)device,but has just been prescribed modafinil (Provigil).What client statement indicates that teaching about these therapies has been effective?
A)"I am so glad that I won't have to sleep in this machine anymore."
B)"Once I get regulated on the Provigil,I will wean myself off the CPAP."
C)"I will continue using my CPAP machine at night."
D)"I can turn down the pressure on my CPAP machine in about 1 week."
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Chapter 46: Pain Management
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Sample Questions
Q1) The client scheduled to undergo minor surgery states,"The physician will not give me pain medication after surgery because my surgery is only minor." What is the best response by the nurse?
A)"You can experience pain after minor surgery,so you can have pain medication."
B)"You are correct.The physician will not order any pain medication."
C)"You are correct.I will need to teach you nonpharmacologic pain relief measures."
D)" You can only have about half the dose because your surgery is minor."
Q2) A client recovering from hip surgery is reluctant to ambulate because of the amount of pain that occurred with walking prior to the surgery.What can the nurse do to help this client with pain control?
A)Provide pain medication before every ambulation session.
B)Address the client's fear of pain with walking.
C)Tell the client that the pain is now gone.
D)Explain that the client is confusing postoperative pain with the pain before the surgery.
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Chapter 47: Nutrition
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Sample Questions
Q1) The nurse is concerned that an older client is at risk for aspiration.What feeding techniques should the nurse instruct the family to use once the client is discharged?
Standard Text: Select all that apply.
A)Thicken all fluids.
B)Use the chin-tuck method.
C)Place the client in a seated position
D)Focus on food preferences.
E)Keep the head of the bed at a 30-degree angle.
Q2) The nurse is planning instruction for a client who is underweight.What should be included in this teaching?
Standard Text: Select all that apply.
A)Discuss factors contributing to inadequate nutrition and weight loss.
B)Discuss ways to manage,minimize,or alter the factors contributing to malnourishment.
C)Discuss principles of a well-balanced diet and high- and low-calorie foods.
D)Provide information about community agencies that can assist in providing food.
E)Provide information about ways to increase calorie intake.
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Chapter 48: Urinary Elimination
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Q1) A client recovering from a transurethral resection of the prostate (TURP)with a three-way indwelling catheter expresses the need to urinate.Which action should the nurse take to help this client?
A)Deflate and then reinflate the balloon.
B)Irrigate the catheter.
C)Reposition the catheter.
D)Retape the catheter to the abdomen.
Q2) A client is instructed on the care of an indwelling urinary catheter.Which returned demonstration by the client indicates that teaching has been effective?
A)The client empties the drainage bag once a day.
B)The client hangs the drainage bag on the towel rod.
C)The client refuses drinks one to two 8-ounce glasses of fluid each day.
D)The client takes a shower each day.
Q3) Which nursing intervention is appropriate when caring for a client with a retention catheter?
A)Don sterile gloves.
B)Gently retract the labia majora away from the urinary meatus.
C)Observe urine in the drainage bag.
D)Retape the catheter to the thigh.
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Chapter 49: Fecal Elimination
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Sample Questions
Q1) A client is prescribed a saline enema.Because this solution is hypertonic,the nurse would expect the enema to cause which action?
A)Exerts osmotic pressure and draws fluid from the interstitial space into the colon
B)Exerts a lower osmotic pressure than the surrounding interstitial fluid
C)Exerts the same osmotic pressure as the interstitial fluid surrounding the colon
D)Stimulates peristalsis by increasing the volume in the colon and irritating the colon
Q2) An older client tells the nurse that in order to have a daily bowel movement,the client uses laxatives most days of the week.What should the nurse tell this client?
Standard Text: Select all that apply.
A)Normal patterns of elimination are different for everyone.
B)Increase fiber intake to 20-35 grams a day.
C)Engage in enjoyable exercise.
D)Ignore the urge to have a bowel movement.
E)Drink six to eight glasses of fluid daily.
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Chapter 50: Oxygenation
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Q1) The nurse is planning the care of a client who has need for frequent suctioning.What should the nurse delegate to the UAP?
A)Both oral and tracheal suctioning
B)Only oral suctioning
C)Only tracheal suctioning
D)Neither oral nor tracheal suctioning
Q2) The client has been admitted with complaints of shortness of breath of 2 weeks duration and has received the nursing diagnosis Impaired Gas Exchange.Which admission laboratory result would support the choice of this diagnosis?
A)Increased hematocrit
B)Decreased BUN
C)Increased blood sugar
D)Increased sedimentation rate
Q3) A client who was a victim of a house fire is coughing.The nurse realizes that the purpose of the cough is to
A)improve oxygenation.
B)remove irritants from the nasal passages.
C)remove irritants from the trachea or bronchi.
D)close the glottis.
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Page 42
Chapter 51: Circulation
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Sample Questions
Q1) The client has a history of recurrent transient ischemic attack (TIA).Based upon this history the nurse should be most concerned about the client's potential to develop A)renal failure.
B)gangrene.
C)myocardial infarction.
D)stroke.
Q2) After a cardiac catheterization,an infant is diagnosed with a malformation of the mitral valve.The nurse will monitor the client for the development of a problem associated with the delivery of
A)oxygenated blood to the body.
B)deoxygenated blood to the lung.
C)oxygenated blood to the right atrium.
D)deoxygenated blood to the left ventricle.
Q3) The nurse determines that UAP can apply sequential compression devices to a client when what is observed?
A)The devices are left off for 1 hour after morning care.
B)The alarm is turned off.
C)The tubing is not kinked.
D)Ankle pressure is set at 100 mm Hg.
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Chapter 52: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) The mother of a 1-month-old infant is concerned because the infant has had vomiting and diarrhea for 2 days.What instruction should the nurse give this infant's mother?
A)Have the infant be seen by a physician
B)Give the infant at least 2 ounces of juice every 2 hours.
C)Measure the infant's urine output for 24 hours.
D)Provide the infant with 50 mL of glucose water.
Q2) A client has had a subclavian central venous catheter inserted.What should the nurse assess as a priority for this client's care?
A)Presence of bibasilar crackles
B)Tachycardia
C)Decreased pedal pulses
D)Headache
Q3) A client has experienced a narcotic overdose.What acid-base imbalance should the nurse expect to observe in this client?
A)Respiratory acidosis
B)Respiratory alkalosis
C)Metabolic acidosis
D)Metabolic alkalosis
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