Introduction to Nursing Practice
Exam Materials
Course Introduction
Introduction to Nursing Practice provides a comprehensive overview of the foundational concepts, skills, and ethical standards essential to the nursing profession. Students are introduced to the principles of patient-centered care, evidence-based practice, and critical thinking in clinical settings. The course emphasizes communication, safety, infection control, and basic nursing interventions, while fostering professional identity and the values of compassion, collaboration, and cultural sensitivity. Through a combination of theoretical instruction and hands-on laboratory experience, students develop the competencies necessary to deliver effective holistic care and prepare for more advanced nursing coursework and clinical practice.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume I 2nd Edition by Pearson Education
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21 Chapters
1184 Verified Questions
1184 Flashcards
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Chapter 1: Acidbase Balance
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/35006
Sample Questions
Q1) The nurse is caring for a client who has been admitted to the unit with respiratory failure and respiratory acidosis.Which data from the nursing history would the nurse suspect contributed to the client's current state of health?
A) Use of ibuprofen for the control of pain
B) A recent trip to South America
C) Aspiration pneumonia
D) Recent recovery from a cold virus
Answer: A
Q2) Which risk factors exhibited by the client presenting in the emergency department (ED)would place the client at risk for metabolic acidosis? Select all that apply.
A) Abdominal fistulas
B) Chronic obstructive pulmonary disease
C) Pneumonia
D) Acute renal failure
E) Hypovolemic shock
Answer: A,D,E
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3
Chapter 2: Cellular Regulation
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114 Verified Questions
114 Flashcards
Source URL: https://quizplus.com/quiz/35007
Sample Questions
Q1) The nurse is assigned to care for a child with sickle cell disease who is being admitted with splenic sequestration crisis.Which room would be the most appropriate for this child?
A) Private room
B) Semi-private room
C) Contact-isolation room
D) Airborne-isolation room
Answer: A
Q2) The nurse instructs a group of community members about ways to reduce the development of cancer.Which participant statements indicate that teaching has been effective? Select all that apply.
A) "I should eat at least 2 servings of fruits or vegetables each day."
B) "Sunscreen should be applied before spending time outdoors."
C) "I need to cut down on my smoking."
D) "I need to get my home tested for radon."
E) "I need to keep my children away from smokers."
Answer: B,D,E
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Chapter 3: Comfort
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/35008
Sample Questions
Q1) A client with clinical depression asks the nurse for suggestions on how to improve the quality of sleep.After reviewing the client's history,which suggestion by the nurse is the most appropriate? Select all that apply.
A) Avoid the use of alcohol late in the evening.
B) Consume a cup of tea before bed to relax.
C) Adjust the temperature in the room to a comfortable level.
D) Change the time of aerobic exercise to 1 hour prior to sleep.
E) Avoid smoking before bedtime.
Answer: A,C,E
Q2) A resident in an assisted-living facility is restless most nights and sits in the lounge area reading.When questioned,the resident reports suffering from insomnia.What should the nurse expect as an outcome if the resident continues with this pattern of sleep?
A) Safety issues with an unsupervised resident in the lounge area
B) Onset of cardiac dysfunction
C) Onset of new underdiagnosed health problems
D) The ability to function during the day may be hindered by these episodes.
Answer: D
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Page 5
Chapter 4: Digestion
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/35009
Sample Questions
Q1) The nurse is providing care to a 1-month-old infant who is brought to the pediatric clinic for projectile vomiting.Which data collected during the assessment process would support the diagnosis of pyloric stenosis? Select all that apply.
A) Blood-tinged vomit
B) Low-grade fever
C) Persistent hunger
D) Peristaltic wave
E) Consistent weight gain
Q2) A client is diagnosed with viral hepatitis transmitted by the fecal-oral route.Which conditions may be acquired by this mode of transmission?
A) Hepatitis A (HAV) and hepatitis E (HEV)
B) Hepatitis B (HBV) and hepatitis C (HCV)
C) Hepatitis D (HDV)
D) Hepatitis A (HAV), Hepatitis B (HBV), Hepatitis C (HCV), Hepatitis D (HDV), and Hepatitis E (HEV)
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Chapter 5: Elimination
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64 Verified Questions
64 Flashcards
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Sample Questions
Q1) The nurse on the medical unit is admitting an older adult client whose primary symptoms include fatigue,pruritus,and pain in the right flank area.When conducting this client's assessment,which technique is the most appropriate?
A) Palpation over the costovertebral angles and flanks
B) Blunt percussion over the costovertebral angles and flanks
C) Palpation of the lower pole of both kidneys
D) Capturing of both kidneys
Q2) A client admitted to the hospital with a diagnosis of gout has also been diagnosed with uric acid renal calculi.When planning meals for this client,which diet will the nurse anticipate?
A) Low-purine diet
B) Low-sodium diet
C) A diet high in calcium
D) A diet low in calcium
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Chapter 6: Fluids and Electrolytes
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A child weighing 33 lbs.who is diagnosed with dehydration is prescribed to receive 50 mL/kg of oral fluids for the next 4 hours.How many total mL of fluid should the nurse provide to the client? Calculate to the nearest whole number.
Q2) The nurse is caring for a client who is receiving intravenous fluids postoperatively following cardiac surgery.The nurse is aware that this client is at risk for fluid volume excess.The family asks why the client is at risk for this condition.Which response by the nurse is the most appropriate?
A) "Fluid volume excess is caused by new onset liver failure caused by the surgery."
B) "Fluid volume excess is caused by the intravenous fluids."
C) "Fluid volume excess is common due to increased levels of antidiuretic hormone in response to the stress of surgery."
D) "Fluid volume excess is caused by inactivity."
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Chapter 7: Health, wellness, illness, and Injury
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/35012
Sample Questions
Q1) While teaching a class on health status,the nurse educator reviews internal variables that affect health status.Which internal variables are appropriate for the nurse to include in the class? Select all that apply.
A) Gender
B) Spiritual and religious beliefs
C) Environment
D) Developmental level
E) Age
Q2) The nurse is providing care to an older adult client who was recently diagnosed with early osteoporosis.Which intervention is most appropriate for the nurse to implement with this client?
A) Providing the client with assisted range of motion exercising twice daily
B) Instituting an exercise plan that includes weight-bearing activities
C) Protecting the client's bones with strict bed rest
D) Increasing the amount of calcium in the client's diet
Q3) A nurse is caring for a 50-year-old client performing aerobic exercise in the cardiac rehabilitation office.The nurse calculates the client's target heart rate as
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Chapter 8: Immunity
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/35013
Sample Questions
Q1) The nurse is providing care for a newly married woman with systemic lupus erythematosus (SLE).Which client statement indicates an appropriate understanding of the plan of care?
A) "I will take birth control pills while I am taking cytotoxic medications."
B) "I do not need to contact the doctor if I develop a fever or rash."
C) "I plan to go to the movies this weekend so that I get out of the house."
D) "I can take aspirin as indicated for pain."
Q2) A client recently diagnosed with rheumatoid arthritis (RA)asks the nurse if the disease is caused by ethnicity.Which response by the nurse is the most appropriate?
A) "RA affects those of German descent most often."
B) "RA is most prevalent in Caucasian females."
C) "RA is most prevalent in men under the age of 20 years."
D) "RA affects all races at the same rate."
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Chapter 9: Infection
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75 Verified Questions
75 Flashcards
Source URL: https://quizplus.com/quiz/35014
Sample Questions
Q1) An adolescent is diagnosed with cellulitis from picking the scabs on healing facial pimples.The mother scolds the child for eating too many oily foods that cause the acne.Based on this data,which topic is priority when providing education to the child and mother?
A) Antibiotics are the best way to prevent cellulitis.
B) Oily foods do not cause pimples or cellulitis.
C) Consumption of oily foods poses an increased risk for cellulitis.
D) Popping the pimples spreads the germs over the face.
Q2) The nurse is teaching a mother to administer ophthalmic ointment to her infant with conjunctivitis.The nurse determines that learning goals have been met when the mother performs which action?
A) Places the ointment on a swab and spreads it across closed eyelids.
B) Instills the medication to the lacrimal duct.
C) Uses sterile gauze to apply the ointment.
D) Applies the ointment directly to the conjunctival sac.
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11
Chapter 10: Inflammation
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54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/35015
Sample Questions
Q1) The nurse is caring for an older adult client with cholecystitis.The client has been admitted to the hospital for diagnostic testing and pain control.Which nursing diagnosis would be a priority for this client?
A) Anxiety
B) Risk for Infection
C) Impaired Comfort
D) Imbalanced Nutrition: Less than Body Requirements
Q2) The nurse is caring for an older adult client with gallbladder disease recovering from a cholecystectomy.Which risk factors increase this client's susceptibility to infection?
Select all that apply.
A) Dry skin
B) Advanced age
C) Intact mucous membranes
D) Non-intact skin
E) Active bowel sounds
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Chapter 11: Intracranial Regulation
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/35016
Sample Questions
Q1) The nurse is planning care for an older adult client with a head injury sustained from a motor vehicle crash.Which information should the nurse keep in mind when planning this client's care? Select all that apply.
A) Anxiety, illness, and pain can alter the ability to learn.
B) Reflexes are less intense in an older client.
C) Impulse transmission and reactions to stimuli are slower.
D) The plantar and Achilles reflexes are hyperactive in this age group.
E) Impairment in vision and hearing should be taken into consideration.
Q2) The nurse is caring for a toddler-age client who starts to have a tonic-clonic (grand mal)seizure while in a crib in the hospital.The child's jaws are clamped shut.What is the most appropriate nursing action?
A) Place a tongue blade between the child's jaws.
B) Restrain the child to prevent injury.
C) Prepare the suction equipment.
D) Stay with the child to observe for complications.
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13
Chapter 12: Metabolism
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/35017
Sample Questions
Q1) The family of a client with cirrhosis of the liver asks what symptoms they need to look for while the client is being cared for in their home.Which manifestation should the nurse teach the family that indicates that the client is experiencing portal hypertension?
A) Muscle wasting
B) Hypothermia
C) Bleeding gums
D) Hemorrhoids
Q2) The nurse is discussing a new diet prescription with a client who is seeking help to lose weight.The client asks the nurse how to best balance the new diet.Which response by the nurse is most appropriate?
A) "Your diet should consist of 1,250-1,500 calories per day, with 15% of the calories being sources of protein."
B) "Your diet should be consist of 750-1,000 calories per day, with less than 15% of the total calories coming from fat."
C) "Your diet should simply cut 500 calories per day from your normal intake."
D) "Your diet should consist of 1,000-1,200 calories per day, with less than 15% of the total calories coming from fat."
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Chapter 13: Mobility
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88 Verified Questions
88 Flashcards
Source URL: https://quizplus.com/quiz/35018
Sample Questions
Q1) The nurse is presenting a talk on spinal cord injury for a community health fair.Which statement indicates that the attendees understand the risk factors and prevention methods associated with spinal cord injury?
A) "There isn't much I can do to prevent a head injury when another vehicle hits my car."
B) "As long as my grandson wears a helmet, he will be safe on his motorcycle."
C) "I'm going to spend extra time discussing this talkmy Boy Scout troop because of their higher risk for spinal cord injury."
D) "Due to their high risk, I'd like you to present this talk to the Native American population."
Q2) A preadolescent client who fell from a balance beam in physical education is diagnosed with an ankle fracture.Which action by the nurse is appropriate?
A) Referring the client to physical therapy
B) Placing an ice pack on the ankle
C) Planning for a corticosteroid injection
D) Assessing the need for a back brace
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15
Chapter 14: Nutrition
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/35019
Sample Questions
Q1) The nurse is planning care for a client whose waist circumference is 48 inches and height is 5 feet,2 inches.Based on this data,which topics are appropriate for the nurse to include in the client teaching? Select all that apply.
A) Chronic lung disease
B) Osteoarthritis
C) Type 2 diabetes mellitus
D) Heart disease
E) High blood pressure
Q2) The community health nurse reviews data collected during interviews with community members during a health fair and decides to create an approach to improve iron intake.On which community members is the nurse focusing with this plan? Select all that apply.
A) Males in the 35-50 age range
B) Vegan community members
C) Children
D) Older community members
E) Adolescents
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Chapter 15: Oxygenation
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76 Verified Questions
76 Flashcards
Source URL: https://quizplus.com/quiz/35020
Sample Questions
Q1) A client with acute respiratory distress syndrome (ARDS)is being weaned from ventilatory support.Which nursing actions are appropriate for this client? Select all that apply.
A) Increase percentage of oxygen being provided through the ventilator.
B) Place in the Fowler position.
C) Provide morning care during the weaning procedures.
D) Begin weaning procedures in the morning.
E) Medicate with morphine for pain as needed.
Q2) The nurse is caring for a Spanish-speaking client admitted for exacerbation of chronic obstructive pulmonary disease (COPD).The client speaks very little English and is a smoker.Which action would be the most beneficial for this client?
A) Have the adult child of the client translate during the assessment process
B) Encourage aerobic activity
C) Encourage the client to write down questions prior to seeing the healthcare provider
D) Obtain educational materials about smoking cessation written in Spanish.
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Chapter 16: Perfusion
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154 Verified Questions
154 Flashcards
Source URL: https://quizplus.com/quiz/35021
Sample Questions
Q1) The nurse provides discharge instructions to the parents of a child recovering from surgery to repair a congenital heart defect.What statement indicates that teaching provided to these parents has been effective?
A) "Our child should be restricted in play and activity for at least 6 months."
B) "Our child will need to take antibiotics prior to having dental surgery."
C) "Fluids should be restricted to maximize lung function."
D) "Our child should not return to normal activities for at least 2 years."
Q2) The nurse is auscultating heart sounds for a pregnant client in the third trimester of pregnancy.The client wants to know why her doctor told her she had an extra heart sound at the last visit.Which response by the nurse is appropriate?
A) "You will need to have an echocardiogram to determine the reason for extra sound."
B) "You are likely experiencing heart failure due to the extra fluid that accumulates during this time in pregnancy."
C) "You have what is known as a ventricular gallop and it can be a normal finding during this trimester of pregnancy."
D) "You have what is known as atrial gallop and this is cause for concern."
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18
Chapter 17: Perioperative Care
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) The nurse is discussing the various people whom the client will see when in the operating room suite.Which individuals should the nurse emphasize when discussing this aspect of the surgical process with the client? Select all that apply.
A) Surgeon
B) Postoperative nurse
C) Circulating nurse
D) Anesthesiologist
E) Social worker
Q2) The nurse is preparing a client for emergency surgery to repair liver and colon lacerations caused by a motor vehicle crash.Which information about this type of surgery will the nurse use to guide the client's care? Select all that apply.
A) An organ is going to be removed.
B) This is an emergency surgery.
C) The client will be hospitalized longer.
D) The client is at risk for blood loss.
E) The client is at risk for hypothermia.
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Chapter 18: Sensory Perception
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63 Verified Questions
63 Flashcards
Source URL: https://quizplus.com/quiz/35023
Sample Questions
Q1) The nurse is evaluating the care received by a client who has a hearing deficit.Which client statement indicates that care has been effective?
A) "I ask others to face me when they talk, as I can hear them better."
B) "I hear better when the television volume is raised."
C) "I will change the battery in my hearing aid once a month."
D) "I might use the hearing aid when I go shopping."
Q2) An older adult client prescribed eye drops as treatment for glaucoma is experiencing a change in eye color after using the medication.When the client asks why this is occurring,which response by the nurse is appropriate?
A) "This is an expected side effect of the medication."
B) "What do you mean that your eyes have changed color?"
C) "This is unusual; please come in for an evaluation."
D) "Are you sure that your eyes have changed color?"
Q3) A client has been diagnosed with cataracts of both eyes.Which prescription does the nurse anticipate for this client?
A) Corrective lenses for the cataracts
B) Two procedures, separated by a few weeks, to remove the cataracts
C) One procedure to remove both cataracts at the same time
D) Eye drops to treat the cataracts
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Page 20
Chapter 19: Sexuality
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/35024
Sample Questions
Q1) A client diagnosed with a sexually transmitted infection reports having "no idea" how the illness was contracted.Which nursing diagnosis would be appropriate for the client at this time?
A) Anxiety
B) Knowledge Deficit
C) Ineffective Coping
D) Sexual Dysfunction
Q2) A nurse is caring for a client who is perimenopausal who states that she has recently had frequent bacterial vaginal infections.Which reason for these infections will the nurse include in the response to the client?
A) Decreased vaginal pH
B) Increased vaginal pH
C) Increased estrogen level
D) Decreased vasomotor stability
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Chapter 20: Thermoregulation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/35025
Sample Questions
Q1) An older adult client admitted with pneumonia has a normal body temperature.Which reason for this inconsistency in body temperature will the nurse plan for when providing care to this client?
A) The room is cold.
B) The client does not have pneumonia.
C) The temperature is not a valid indicator of the pathology of the illness.
D) The client is losing body heat.
Q2) An older adult client with a history of congestive heart failure (CHF)has a low-grade fever.Which action by the nurse is appropriate?
A) Provide warm blankets.
B) Restrict fluids.
C) Encourage getting out of bed to ambulate.
D) Notify the healthcare provider.
Q3) A client has been receiving treatment for hypothermia.Which assessment finding indicates nursing interventions have been successful?
A) Current temperature of 95°F
B) Heart rate of 72 and regular
C) Continues to shiver
D) Blood pressure of 88/54 mmHg
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Chapter 21: Tissue Integrity
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/35026
Sample Questions
Q1) A middle-age adult client states to the nurse "I do want to have liver spots like my parents did as they got older".Which instruction by the nurse is appropriate?
A) Spend at least 15 minutes each day in the sun.
B) Increase the intake of calcium.
C) Increase the intake of dietary fat.
D) Avoid the sun or use a sunscreen to reduce skin damage.
Q2) A client has a documented stage III pressure ulcer on the right hip.Which nursing diagnosis is most appropriate for this client?
A) Impaired Skin Integrity
B) Risk for Injury
C) Impaired Tissue Integrity
D) Ineffective Peripheral Tissue Perfusion
Q3) An older adult client diagnosed with chronic obstructive pulmonary disease (COPD)is scheduled for a total knee replacement.What should the nurse include in this client's plan of care?
A) Monitor urine output.
B) Assess postoperative wound healing.
C) Restrict protein intake.
D) Expect purulent drainage.
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