Introduction to Nursing Practice
Exam Questions
Course Introduction
Introduction to Nursing Practice provides students with foundational knowledge and essential skills necessary for professional nursing roles. This course emphasizes the core concepts of patient care, nursing ethics, communication, and evidence-based practice. Students will explore the nursing process, critical thinking, and clinical reasoning, while gaining hands-on experience through laboratory and simulated clinical settings. The course also introduces legal responsibilities, patient safety, and the importance of interdisciplinary collaboration in healthcare environments, preparing students for subsequent, more advanced clinical experiences.
Recommended Textbook
Introduction to Medical Surgical Nursing 5th Edition by Linton
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56 Chapters
1705 Verified Questions
1705 Flashcards
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Page 2
Chapter 1: The Health Care System
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Sample Questions
Q1) A 76-year-old man,who is hospitalized for treatment after a stroke,asks the nurse how long he can expect Medicare to cover his treatment.The nurse's most informative response is:
A) "Your Part B will cover your hospital care as long as is necessary."
B) "Your health care provider will determine how long your Medicare coverage will be in effect."
C) "You are allowed 50 days of inpatient care annually."
D) "You can receive skilled care for up to 100 days."
Answer: D
Q2) The nurse clarifies that the insurance plan that pays the physician in advance each month for each enrolled patient,whether or not the patient is treated by the physician,is a strategy known as ____________________.
Answer: Capitation
Capitation is the system of payment that collects monthly "fees" from enrollees and pays the physician whether the patient has been treated or not.It is rather like a salary that assures the attention of a physician in the event of an illness
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Chapter 2: Patient Care Settings
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Sample Questions
Q1) A patient with multiple sclerosis must be fed,bathed,and dressed.The nurse assesses the patient to be:
A) Disabled
B) Disadvantaged
C) Handicapped
D) Impaired
Answer: D
Q2) Home health nurses have some different nursing activities than those of community health nurses.Which of the following describes the home health nurse's activities?
A) Conducting health education classes in a senior citizens' common residence building.
B) Conducting blood pressure screening on a regular basis at a local mall.
C) Visiting and assessing the home care and further teaching needs of a patient who has been recently discharged from the hospital.
D) Acting as a nurse consultant to a chronic psychiatric section in a state institution.
Answer: C
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4
Chapter 3: Legal and Ethical Considerations
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Sample Questions
Q1) The LPN/LVN has trimmed the toenails of a patient with diabetes too short,which resulted in a toe amputation from infections.This LPN/LVN is guilty of:
A) Unintentional tort
B) Intentional tort
C) Negligence
D) Malpractice
Answer: D
Q2) The LPN/LVN explains to a patient that the hospital has an Institutional Ethics Committee whose main function is to:
A) Preside over policy implementation
B) Revoke the license of someone who violates the law
C) Solve personnel disputes
D) Ensure that hiring adheres to ethnic equality
Answer: A
Q3) The values that direct human behavior and are concerned with defining right from wrong are known as ____________________.
Answer: Ethics
An individual's ability to define right from wrong is based on a value system called ethics.
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5
Chapter 4: The Leadership Role of the Licensed Practical
Nurse
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Sample Questions
Q1) Laissez-faire leadership is the opposite of:
A) Authoritarian
B) Bureaucratic
C) Democratic
D) Participative
Q2) Planning,organizing,directing,and controlling are major functions of
Q3) To establish an effective team,the team leader must be able to: (Select all that apply.)
A) Establish a clear purpose, and clarify its significance.
B) Be firm to maintain focus on one idea, not sidetracked by the ideas of others.
C) Listen to all input in an active manner.
D) Demonstrate concern for stress of the team members.
E) Be honest concerning own opinions and attitudes.
Q4) The task to which nurse aides may be delegated is:
A) Updating a nursing care plan
B) Developing a teaching plan
C) Weighing a patient
D) Evaluating pain medication responses
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Chapter 5: The Nurse-Patient Relationship
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Sample Questions
Q1) An LPN/LVN student is assigned to a patient who makes homosexual remarks and asks the student to meet after discharge.The student's best response would be:
A) "I am required to report inappropriate sexual behavior to my instructor."
B) "I am uncomfortable dealing with homosexuals. Let's just forget this conversation and get on with your care as quickly as possible."
C) "I am here as your nurse to meet your treatment needs. Such provocative conversation is not acceptable to me as part of your care."
D) "Your chosen lifestyle makes me uncomfortable. I will be back with your medication."
Q2) The nurse assessing a patient's affect is trying to discern the patient's:
A) Problem
B) Mood
C) Orientation
D) Needs
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Chapter 6: Cultural Aspects of Nursing Care
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Sample Questions
Q1) After a Jewish woman has given birth and returns to her room,the husband arrives with a camera.The culturally sensitive nurse would say:
A) "Here is a chair near the door so you can be comfortable while you visit."
B) "I'll give you all some privacy because I know you want to give your wife a big hug."
C) "Let me get some instructions for you to follow in her home care after she is discharged this afternoon."
D) "Sit on the bed and put your arm around your wife, and I will take your photograph."
Q2) A nurse,who is leading a discussion with a group of residents of a Jewish long-term care facility to discuss dietary laws and other religious practices,anticipates that the most prominent need of these patients would be:
A) Fasting every Friday night from sunset until sunset on the following Saturday and not taking them to the dining room.
B) Having a quiet time for prayer provided before and after all meals.
C) Serving meat and milk products at the same time but on separate plates.
D) Allowing Jewish men to shave before their Sabbath.
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Chapter 7: The Nurse and the Family
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Sample Questions
Q1) When discussing the communication patterns of families with the patient,the nurse must consider the:
A) Cultural aspects of the family
B) Age of the family members
C) Role adopted by each family member
D) Number of members in the family
Q2) As the nurse is preparing the patient for a colonoscopy,the patient states that she is nervous about the procedure but knows it will help her physician diagnose her problem.The nurse assesses that this patient is using the coping strategy of:
A) Internal family coping by interpreting events in a positive manner
B) Internal family coping by relieving anxiety and tension with humor
C) External family coping by seeking social support
D) External family coping by depersonalizing the procedure
Q3) The current view of the family as a unit would generally best be described as:
A) Functioning together to provide security and support to its members
B) Functioning to meet the needs of society and support its members
C) A unit of two or more that shares common goals and mutual support
D) A unit of two or more joined together by mutual bonds and identity
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Chapter 8: Health and Illness
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Sample Questions
Q1) The nurse explains that the health-illness continuum is based on:
A) Prevention of acute illness
B) Individual response to health or illness
C) Promotion of health and wellness
D) Variation in degree of health or illness
Q2) The nurse explains that according to Maslow,the abilities to solve problems,to maintain self-confidence,and be willing to accept criticism are incorporated in:
A) Safety and security
B) Self-esteem
C) Self-actualization
D) Love and belonging
Q3) The patient returning from surgery complains of incisional pain that is now rated 7 in intensity on the 1-to-10 pain scale.As a nurse,you know that pain is an example of:
A) General adaptation syndrome
B) Local adaptation syndrome
C) Counter-current response
D) Neuroendocrine response
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Chapter 9: Nutrition
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Sample Questions
Q1) The patient on an enteral feeding suddenly complains of feeling faint and is sweating.The diastolic blood pressure has dropped 20 points.The nurse recognizes the signs of the dumping syndrome,which is caused by:
A) Hypertonic fluid entering the jejunum and pulling large amounts of water from the circulating volume
B) Rich enteral feeding causing bowel irritation with severe cramping
C) Hypertonic solution rapidly entering the stomach causing pyloric spasm
D) Rapid drop in blood glucose as a result of the hypertonic solution pooling in the jejunum
Q2) The three areas of the gastrointestinal system in which the digestion of food occurs include the mouth,stomach,and:
A) Large intestine
B) Small intestine
C) Pancreas
D) Pharynx
Q3) The nurse calculates the needed kilocalories (kcal)for a 150-pound moderately active person to be ____________________.
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11
Chapter 10: Developmental Processes
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Sample Questions
Q1) The nurse assesses that the 22-year-old woman who is totally committed to her career and who does not date or socialize is experiencing the Eriksonian crises of
Q2) When a single 48-year-old woman who has not had a regular menstrual period for the last 6 months tells the nurse about vaginal spotting she has been experiencing for the last several days,the nurse urges her to seek medical attention because the bleeding may indicate:
A) Miscarriage
B) Endometrial cancer
C) Severe vaginitis
D) Resumption of menses
Q3) The nurse is aware that ethnic- and gender-related difference in life expectancies exist,such as:
A) Black men live longer than white men.
B) White women live longer than black women.
C) Black men live longer than black women.
D) White men live longer than white women.
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12
Chapter 11: The Older Patient
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Sample Questions
Q1) The nurse includes in her approach to nursing care that older adult patients with mild cognitive impairment (MCI)are more likely to develop:
A) Dementia, non-Alzheimer type
B) Alzheimer dementia
C) Parkinson disease
D) Psychotic disorders
Q2) When the patient holds his Bible 6 inches from his face and turns his head to read out of the corner of his eyes,the nurse suspects that the patient is developing:
A) Cataracts
B) Glaucoma
C) Presbyopia
D) Macular degeneration
Q3) The nursing interventions appropriate for the patient with presbycusis would be:
A) Speak clearly and distinctly while facing the patient.
B) Announce your presence when entering the patient's room.
C) Place needed articles within easy reach.
D) Orient the patient to time and place as needed.
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13
Chapter 12: The Nursing Process and Critical Thinking
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Sample Questions
Q1) The nursing care plan is initiated by the:
A) Primary care provider
B) Registered nurse (RN)
C) Licensed practical/vocational nurse (LPN/LVN)
D) Nurse manager
Q2) In PIE documentation,a type of POMR,the acronym PIE stands for ____________________,____________________ and ____________________.
Q3) The nurse is aware of the goal that reads,"The patient will eat at least 50% of all meals." The nurse has observed the patient eating over 50% of all meals for 2 days.The evaluation statement should read:
A) Ate well for all meals.
B) Problem is resolved; goal is met.
C) Goal is met; patient ate 50% of all meals on 7/12 and 7/13.
D) Ate 50% of meals.
Q4) When percussing the patient's abdomen,the nurse anticipates a note that is:
A) Flat
B) Dull
C) Tympanic
D) Resonant
Page 14
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Chapter 13: Inflammation, Infection, and Immunity
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Sample Questions
Q1) A patient has had several increasingly severe allergic reactions during last year's pollen season.This year,the patient comes regularly to the office to receive some antigen injections.The nurse teaches that these will:
A) Combat infection brought on by the allergic response.
B) Act as a steroid to lessen the allergic response.
C) Increase tolerance to the antigen.
D) Decrease the production of the antibodies.
Q2) The school nurse is required to report to the health department all cases of: (Select all that apply.)
A) Rubella
B) Lyme disease
C) Pediculosis
D) Salmonella
E) Clostridium difficile
Q3) The nurse reminds the patient who is to undergo hyperbaric oxygen therapy that the clothing worn into the chamber must be made of ____________________.
Q4) The nurse assesses a high eosinophil count in a pediatric patient.The nurse recognizes that this elevation is an indicator of ____________________.
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Page 15
Chapter 14: Fluids and Electrolytes
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Sample Questions
Q1) The nurse evaluates the laboratory reports on electrolyte values carefully to assess the balance between positive and negative ions,which is regulated by the process of:
A) Adaptation
B) Diffusion
C) Homeostasis
D) Osmosis
Q2) The nurse explains that fluids carrying nutrients and wastes on a random basis throughout the body are carried primarily by:
A) Filtrates
B) Extracellular fluid
C) Intracellular fluid
D) Osmolytes
Q3) The nurse would instruct the patient with a K? level of 6.2 to avoid: (Select all that apply.)
A) Lima beans
B) Bananas
C) Carrots
D) Tomatoes
E) Celery
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Page 16
Chapter 15: Pain Management
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Sample Questions
Q1) The nurse explains the standards for pain management published by The Joint Commission ( TJC ).The nurse will: (Select all that apply.)
A) Perform organized pain assessment.
B) Record results of analgesia.
C) Give adequate discharge instruction about pain relief.
D) Recognize the right of a patient to manage pain.
E) Teach patients about pain control methods.
F) None of above
Q2) The nurse applying heat to an injured hip of a patient is careful not to leave the heat on longer than:
A) 15 minutes
B) 20 minutes
C) 30 minutes
D) 1 hour
Q3) ____________________ and ____________________ are natural opioid-like substances that block pain perception.
Q4) The nurse explains that afferent pathways are activated by pain receptors called
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Chapter 16: First Aid, Emergency Care, and Disaster Management
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Sample Questions
Q1) The nurse is called on to assist a neighbor who needs first aid.The nurse knows that legal responsibility for this action would be that the nurse:
A) Is legally bound to help in any way possible.
B) Is expected to demonstrate the same skill, knowledge, and care that would be provided by other nurses in the same community with the same credentials.
C) Has no legal responsibilities outside the hospital setting and would be held accountable for nothing.
D) Can legally perform any aid skill, even those not allowed the nurse in the hospital.
Q2) The patient comes to the emergency department with an evisceration after a knife attack.The best nursing intervention related to the exposed bowel is to:
A) Gently replace the bowel into the abdominal cavity.
B) Place a sterile wrapped sandbag on the abdomen to prevent further evisceration.
C) Place the patient in a high Fowler position to allow the bowel to drop back into the abdominal cavity.
D) Cover the bowel with a moist saline dressing.
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Page 18
Chapter 17: Surgical Care
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Sample Questions
Q1) During the preoperative assessment,the nurse must ask the patient for information about:
A) Current address and telephone number
B) Food preferences
C) Allergies, medications, and past medical conditions
D) Bathing and sleep patterns
Q2) The nurse has completed giving discharge instructions to the patient after a hernia repair.The nurse would determine that the patient understands the instructions if he verbalizes that he will:
A) Be going back to work tomorrow.
B) Not change the dressing until he sees his physician in 2 weeks.
C) Ignore changes in the size of his abdomen.
D) Report fever, redness, swelling, or increased pain at the incision site.
Q3) The member of the surgical team who administers anesthetics and monitors the patient's status throughout the procedure is the:
A) Surgeon
B) Circulating nurse
C) Perfusionist
D) Anesthesiologist
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Chapter 18: Intravenous Therapy
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Sample Questions
Q1) The nurse charts signs of infected phlebitis as:
A) Rupture of the cannula with a lump under the skin
B) Pale, cool skin with swelling at the puncture site
C) Firm, cool, raised, painful area at the puncture site; oozing and purulent drainage
D) Puncture site red, warm, with an oozing drainage
Q2) The patient is to receive ampicillin (Unasyn)IV piggyback in 100 ml of fluid every 8 hours.The main IV of D<sub>5</sub>W is running at 80 ml/hr and is on time.The nurse's responsibility is to calculate the total 24-hour intake.At the end of the 24-hour shift,how much IV intake will the nurse document that the patient has received?
A) 300 ml
B) 800 ml
C) 1920 ml
D) 2220 ml
Q3) The nurse explains that caloric sources in IVs come from:
A) Electrolytes
B) Dextrose
C) Vitamins
D) Water
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Chapter 19: Shock
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Sample Questions
Q1) The nurse caring for a patient who has a cervical spine injury immediately documents and reports the assessment of progressive hypotension as a sign of probable:
A) Anaphylaxis
B) Respiratory alkalosis
C) Multiple organ dysfunction syndrome (MODS)
D) Neurogenic shock
Q2) In the treatment of the progressive stage of shock,the nurse would anticipate the use of drugs to bring about a(n):
A) Increase in cardiac output
B) Decrease in blood pressure
C) Decrease in urine output
D) Lower temperature
Q3) One of the most important assessments that the nurse makes is to check urine output.The value that objectively validates minimal acceptable renal perfusion for the average-size person is:
A) 0.5 ml/kg/hr
B) 0.5 ml/lb/hr
C) 1 ml/lb/hr
D) 0.2 ml/kg/hr
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Chapter 20: Falls
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Sample Questions
Q1) The nurse visiting a patient in the patient's home assesses the environment for extrinsic risk factors for falling.The nurse should have the patient or family correct which one of the following?
A) No door thresholds are present.
B) The kitchen floor is clean, shiny, and slick.
C) Lamps have 60-watt bulbs.
D) The telephone is placed on the bedside table.
Q2) In preparation for discharge home,the nurse caring for a patient with ataxia would recommend that the family:
A) Remove all scatter rugs from the home.
B) Rearrange the bedroom furniture.
C) Arrange for someone to stay with the patient 24 hours a day.
D) Purchase oversized shoes so that they are easy to get on.
Q3) The older adult patient with osteoporosis is at risk for falls.To maintain safety in the home,the nurse would advise the patient to:
A) Take the rubber mat out of the shower.
B) Install a grab rail in the bath and shower and by the toilet.
C) Avoid rubber-soled shoes.
D) Avoid exercise.
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Page 22
Chapter 21: Immobility
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Sample Questions
Q1) The nursing assistant is bathing a patient who has a stage I pressure ulcer on the right shoulder.The nurse reminds the nursing assistant that the tissue could become more damaged if she:
A) Positions the patient on the left side.
B) Massages the reddened area.
C) Cleans the area with mild soap and water.
D) Positions the patient in a prone position.
Q2) The nurse knows that the best prevention of immobility-related disorders is:
A) Dietary supplements
B) Fluids
C) Adequate fiber
D) Exercise
Q3) A nurse caring for a patient who has been prescribed bedrest for 1 week notices a reddened area on the patient's left hip.The skin is intact but,when the nurse presses on the area,the redness does not fade.The nurse recognizes this pressure ulcer as:
A) Stage I
B) Stage II
C) Stage III
D) Stage IV
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Page 23
Chapter 22: Confusion
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Sample Questions
Q1) When teaching family members to care for the patient with dementia,the nurse must be sure that they understand two important concepts,which are that the patient usually:
A) Forgets things relatively quickly and is usually unable to learn new things.
B) Can remember new tasks but will forget any previously taught tasks.
C) Cannot learn new information but will probably remember anything you ask about the past.
D) Responds well to reality orientation and needs to have a flexible schedule.
Q2) The patient with delirium repeatedly cries out for her husband.The first intervention by the nurse would be to:
A) Administer Haldol as ordered.
B) Apply restraints so that the patient will not harm herself.
C) Calmly tell the patient that she is in the hospital and that her husband is not there.
D) Call the husband, and tell him that he needs to come and stay with his wife.
Q3) When a normally oriented 87-year-old resident in a long-term care facility exhibits acute confusion,the nurse should first assess for a(n)____________________.
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Chapter 23: Incontinence
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Sample Questions
Q1) The nurse informs the patient that the uroflowmetry diagnostic tool measures:
A) Voiding duration
B) Specific gravity of urine
C) Effectiveness of the detrusor muscle
D) General bladder tone
Q2) The physician's admission report states that the patient has a history of tarry stools.The nurse knows that this means the stools are:
A) Brown and formed
B) Bright red and liquid
C) Black and sticky
D) Clay-colored and pasty
Q3) The nurse uses the knowledge that symptomatic incontinence is probably having symptoms as a result of:
A) Colorectal disease
B) Gastrocolic reflex
C) Constipation
D) Nerve damage
Q4) The nurse explains that the normal bladder will empty when it reaches the capacity of ____________________ to ____________________ ml.
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Chapter 24: Loss,Death,and End-of-Life Care
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Sample Questions
Q1) According to Rando's phases of grief responses,the patient who is beginning emotional healing and learning to deal with their loss is in the phase of:
A) Avoidance
B) Confrontation
C) Accommodation
D) Depression
Q2) Nurses who have been caring for patients who are terminally ill frequently begin to feel helpless and frustrated.The best action by the nurse would be to:
A) Find another job.
B) Express her feelings to a friend or co-worker.
C) Ignore these feelings, because they will soon be gone.
D) Ask to care for different patients.
Q3) A dying 10-year-old boy tells the nurse,"I am going to leave and live with my grandpa in heaven." The nurse assesses this statement to show that he is:
A) Fearful of death
B) Accepting his own death based on adult attitudes
C) Experiencing death anxiety
D) Expressing anger
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26
Chapter 25: The Patient with Cancer
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Sample Questions
Q1) The nurse uses a diagram to show the progress of a normal cell being transformed to a malignant cell.The latent period before the period of rapid growth of tumors is the phase of:
A) Initiation
B) Promotion
C) Progression
D) Metastasis
Q2) The best menu choice for a patient with nausea who is undergoing radiation treatments every other day is:
A) Bowl of vegetable soup, chopped egg and pickle sandwich on wheat bread, one apple, and 8 ounces of orange juice.
B) Broiled chicken with rice, 1-ounce slice of plain American cheese; one-quarter cup of spinach; one-half ripe banana; and 8 ounces of grape juice.
C) Spanish rice, one-half cup of mixed green salad, one-half cup of canned peaches, and 8 ounces of Coke.
D) Spaghetti with tomato sauce, cheddar cheese toast strips, six celery sticks with peanut butter, and 8 ounces of whole milk.
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Chapter 26: The Patient with an Ostomy
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Sample Questions
Q1) An ostomate asks the nurse what limitations must be observed in the immediate postoperative period when at home.The most informative information that the nurse can share is to:
A) Avoid heavy lifting for at least 3 months.
B) Limit fluid intake to no more than 1000 ml/day.
C) Wear loose clothing without belts or elastic.
D) Cover your appliance with plastic sheeting while showering.
Q2) To ensure a good fit of the appliance to avoid leakage,the nurse would instruct the patient to:
A) Place the pouch only when lying down.
B) Check pouch placement to ensure a firm seal.
C) Confirm that the pouch fits tightly to the edges of the stoma.
D) Confirm that the pouch covers the entire abdomen.
Q3) In postoperative teaching to a patient who has undergone a ureterostomy,the nurse would include information pertaining to the:
A) Significance of the ureteral catheter for the first week.
B) Appropriate use of karaya gum products.
C) Daily schedule for changing the pouch.
D) Evening schedule for changing the pouch before bedtime.
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Page 28
Chapter 27: Neurologic Disorders
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Sample Questions
Q1) The nurse updates the nursing care plan for a patient with amyotrophic lateral sclerosis (ALS)who is uniquely prone to depression because:
A) Nutritional intake is poor.
B) Intellectual capacity is not affected.
C) Mobility is limited.
D) Communication is altered.
Q2) The neurologic finding that would be considered abnormal in an 88-year-old patient would be:
A) Slow papillary response to light
B) Jerky eye movements
C) Dizziness and problems with balance
D) Absence of the Achilles tendon jerk
Q3) The nurse documents a normal finding from the Babinski reflex as the:
A) Downward curl of the toes
B) Big toe bending upward
C) Spreading out of the toes
D) Pain in the big toe
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Chapter 28: Cerebrovascular Accident
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34 Flashcards
Source URL: https://quizplus.com/quiz/9205
Sample Questions
Q1) A patient in the acute phase of a CVA who has been speaking distinctly begins to speak indistinctly and only with great effort but still coherent.The nurse assesses:
A) Stroke in evolution with dysarthria
B) Lacunar stroke with fluent aphasia
C) Complete stroke with global aphasia
D) Stroke in evolution with dyspraxia
Q2) The nurse explains that a patient who has been determined to have had a complete stroke as a result of a ruptured vessel in the left hemisphere would be classified as:
A) Ischemic, embolic
B) Hemorrhagic, subarachnoid
C) Hemorrhagic, intracerebral
D) Ischemic, thrombotic
Q3) The nurse adds to the nursing care plan the intervention that will help preserve joint mobility in the acute phase of a CVA,which is:
A) Pull the limbs on the affected side into a functional position.
B) Perform aggressive full range-of-motion exercises for all extremities.
C) Support affected points in good functional alignment.
D) Exercise the limbs every 8 hours.
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Chapter 29: Spinal Cord Injury
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9206
Sample Questions
Q1) Which level of independence is an appropriate nursing care plan goal for a patient with a C8 transection?
A) Manage a mechanical wheelchair with a joystick
B) Manage a mechanical wheelchair with hand control
C) Manage a specially equipped wheelchair
D) Manage an ordinary wheelchair
Q2) The assessment that ensures the emergency department nurse that a patient's spinal cord injury (SCI)is below C4 is:
A) Voluntary eye movement
B) Ability to blink the eyelids
C) Unlabored respiration
D) Ability to make a facial grimace
Q3) When the nurse recognizes autonomic dysreflexia in the patient with a SCI,the immediate intervention should be to:
A) Flex the patient's legs using the knee gatch of the bed.
B) Cool the patient with alcohol solution.
C) Raise the head of the bed to at least 45 degrees.
D) Administer oxygen per mask.
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Chapter 30: Acute Respiratory Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9207
Sample Questions
Q1) When a patient complains of tachypnea,the nurse explains that the breathing pattern has altered because the: (Select all that apply.)
A) Increased pH levels stimulate chemoreceptors in the aorta and carotid arteries, which stimulates the phrenic nerve.
B) Decreased oxygen level signals the phrenic nerve to alter the respiration rate.
C) Muscles of respiration respond to the stimulus.
D) Brain has become hypoxic and causes an alteration in the respiration rate.
E) Deflated lung tissue results in an altered respiration rate.
Q2) The symptoms of hypoxemia for which the nurse should be alert are:
A) Restlessness, tachycardia, and tachypnea
B) Bradycardia, cyanosis, and restlessness
C) Dyspnea, flushed face, and tachycardia
D) Cyanosis, nausea, and bradycardia
Q3) After a thoracentesis has been performed,the nurse will position the patient:
A) On the unaffected side to help drain the affected side
B) In high Fowler position to help with dyspnea
C) Supine to decrease fluid accumulation
D) On the affected side to compress the puncture site
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Chapter 31: Chronic Respiratory Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9208
Sample Questions
Q1) The nurse caring for an 80-year-old patient with COPD suspects right-sided heart failure and assesses and records the data.A sign of right-sided heart failure is decreasing:
A) Blood pressure
B) Urine output
C) Respirations
D) Heart rate
Q2) When the 25-year-old patient with cystic fibrosis (CF)tells the home health nurse that he wants to take a nice vacation,a safe suggestion by the nurse would be a week:
A) In Greece in July.
B) In Colorado in May.
C) In New York in November.
D) On the Mexican coast in August.
Q3) The nurse assessing the CBC of a patient with chronic bronchitis identifies a typical feature of this disease,which is:
A) Decreased platelets
B) Decreased white blood cells (WBCs)
C) Increased eosinophils
D) Increased red blood cells (RBCs)
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Page 33
Chapter 32: Hematologic Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9209
Sample Questions
Q1) A 3-year-old African-American child is diagnosed with sickle cell anemia.The parents know that sickle cell anemia is hereditary but do not understand why their child has the disease,because neither of them has it.The nurse explains that:
A) At least one of the parents has to have the disease.
B) Only one parent has to have the disease or the trait.
C) Someone in previous generations had the disease.
D) Both parents were carriers of the sickle cell trait.
Q2) The rationale for administering injections of vitamin B12 to patients with pernicious anemia is that:
A) The patient's body does not normally manufacture enough vitamin B12.
B) The patient may lack the intrinsic factor necessary for vitamin B12 absorption.
C) Vitamin B<sub>12</sub> is found in very small quantities in the patient's body.
D) Vitamin B<sub>12</sub> is a mineral necessary to aid in the formation of strong bones.
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Chapter 33: Immunologic Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9210
Sample Questions
Q1) The observation by the nurse that would indicate a patient's acceptance of the diagnosis of acute leukemia is that the patient:
A) Plans a 14-day cruise in 2 weeks.
B) States that he will be fine in a few months
C) Asks for educational material about acute leukemia.
D) Rests after a chemotherapy session.
Q2) When the skin test shows a redness and swelling a few days after injection,the nurse assesses this as a hypersensitivity reaction of type:
A) I
B) II
C) III
D) IV
Q3) The nurse explains that the inflammatory process has four distinct stages,which are: (Select all that apply.)
A) Dolor
B) Rubor
C) Tumor
D) Calor
E) Rumor
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Page 35
Chapter 34: Human Immunodeficiency Virus and Acquired
Immunodeficiency Syndrome
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9211
Sample Questions
Q1) When caring for the patient with AIDS who has cutaneous Kaposi sarcoma,the nurse would report signs of:
A) Nausea
B) Fatigue
C) Abdominal pain
D) Weight loss
Q2) The nursing diagnosis that would take priority in the care of an outpatient with AIDS would be:
A) Ineffective therapeutic regimen management
B) Impaired physical mobility
C) Impaired skin integrity
D) Social isolation
Q3) The school nurse uses a chart to demonstrate that,according to statistics from the Centers for Disease Control and Prevention (CDC),the population with the greatest incidence of human immunodeficiency viral (HIV)infection in the United States is:
A) Asian Americans
B) African Americans
C) Latinos
D) Whites
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Chapter 35: Cardiac Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/9212
Sample Questions
Q1) A patient with acute congestive heart failure has jugular vein distention,crackles bilaterally,and dyspnea.The nursing diagnosis with the highest priority would be:
A) Activity intolerance
B) Excess fluid volume
C) Anxiety
D) Ineffective coping
Q2) A dopamine infusion is being administered to a patient with shock.The nurse should be alert for:
A) Sharp spike in blood pressure
B) Tremor of the hands
C) Increasing urinary output
D) Hyperirritability of the patient
Q3) When a patient returns from a cardiac catheterization,the nurse would expect to:
A) Ambulate the patient in the hall.
B) Check the puncture site.
C) Monitor the gag reflex.
D) Remove the gel from all sites on the skin.
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Chapter 36: Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9213
Sample Questions
Q1) The patient with Raynaud disease has a nursing diagnosis of "Ineffective tissue perfusion,related to vasoconstriction" is being given discharge instructions.The nurse would caution the patient to:
A) Avoid defrosting the freezer.
B) Wear gloves and warm socks when outdoors.
C) Chafe hands frequently to warm them.
D) Wash dishes in warm water.
Q2) While performing an intake examination on a patient with PVD,the nurse identifies a factor that aggravates vascular disease,which is that the patient:
A) Rides a bicycle to work.
B) Drinks red wine every day.
C) Is employed as an air traffic controller.
D) Eats chocolate candy every day.
Q3) The nurse cautions a patient that one of the characteristics of a venous stasis ulcer is:
A) Painlessness
B) Poikilothermy
C) Pale color
D) Location near the groin
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Page 38
Chapter 37: Hypertension
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9214
Sample Questions
Q1) The nurse encourages the patient with essential hypertension that a first-line therapeutic approach to lowering blood pressure is: (Select all that apply.)
A) Smoking cessation
B) Beta blockers
C) Exercise programs
D) Weight loss
E) Decreased sodium intake
Q2) An 89-year-old patient is taking an antihypertensive medication.Home care teaching by the nurse would include instructing the patient to:
A) Get up out of bed slowly.
B) Take hot baths.
C) Report sexual dysfunction immediately.
D) Stop taking the drug if side effects occur.
Q3) To use less sodium in the diet,the nurse recommends the use of spices and:
A) Catsup
B) Garlic
C) Soy sauce
D) Cheese
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Chapter 38: Digestive Tract Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9215
Sample Questions
Q1) While the patient is on TPN feedings,the nurse will include in the care plan to: (Select all that apply.)
A) Monitor for hyperglycemia.
B) Assess temperature.
C) Change subclavian dressing with clean procedure.
D) Monitor for hypoglycemia.
E) Assess intake and output.
Q2) The 60-year-old patient who has just been diagnosed with cancer of the stomach says,"I feel blank and numb." The nurse's best response would be:
A) "Shock affects everyone that way."
B) "I'm sure you are considering what you should do now that you have cancer."
C) "Would you like me to bring you a sedative?"
D) "What do you mean when you say 'blank and numb?'"
Q3) Your 34-year-old patient is admitted with severe diarrhea,which has been going on for 2 weeks.The nurse would anticipate the assessments of:
A) Edema of lower legs and feet
B) Hypotension and fatigue
C) Hypertension and hunger
D) Metabolic alkalosis
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Page 40
Chapter 39: Disorders of the Liver, Gallbladder, and Pancreas
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9216
Sample Questions
Q1) Patients with pancreatic disease often have a history of:
A) Liver disorders
B) Drug abuse
C) Alcohol abuse
D) Excessive sugar intake
Q2) The nurse explains to a patient with pancreatitis that the drug Pancrease (lipase,protease,amylase),a pancreatic enzyme,should be:
A) Taken before meals.
B) Sprinkled on warm food.
C) Mixed with juice.
D) Taken 1 hour after eating.
Q3) The nurse reports the observation that would indicate blocked flow of bile from the liver to the intestine,which is:
A) Clay-colored stools
B) Jaundice
C) High blood pressure
D) Tachycardia
Q4) In assessing a dark-skinned patient for jaundice,the nurse would assess the ____________________ for a yellow color.
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Chapter 40: Urologic Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9217
Sample Questions
Q1) The home health patient who has cystitis has been placed on the drug,phenazopyridine (Pyridium),and should be cautioned about:
A) Staying out of the heat
B) Nausea
C) Staining of clothing
D) Skin rash
Q2) The nurse who is performing frequent catheterizations for residual urine has a concern related to the potential for:
A) Introduction of pathogens into the bladder
B) Frequent genital exposure of the patient
C) Presence of the indwelling catheter
D) Causing urethral erosion
Q3) The major risk of peritoneal dialysis is _____________.
Q4) As the nurse assesses the patient with renal impairment,a facial characteristic that is a sign of fluid retention is:
A) Broken blood vessels around the nose
B) Periorbital edema
C) Rash on cheeks and neck
D) Facial twitching
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Chapter 41: Connective Tissue Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9218
Sample Questions
Q1) The rehabilitation nurse clarifies that the goals of therapy for patients with rheumatic arthritis are to: (Select all that apply.)
A) Decrease inflammation.
B) Balance activity and rest.
C) Promote adaptation to limitations.
D) Plan frequent periods of bedrest
E) Supply patient education and support.
Q2) The nurse,in conjunction with the patient,establishes a plan to treat the pain associated with arthritis.The most effective strategy is to:
A) Avoid exercise to spare painful joints.
B) Use narcotics for pain relief.
C) Apply warm, moist compresses before doing activity.
D) Avoid assistive devices that encourage dependence.
Q3) The nurse explains that connective tissue function:
A) Helps provide a source of storage for calcium.
B) Stores hormones in the pores of bone tissue.
C) Controls the distribution of minerals.
D) Provides protection to body parts.
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Chapter 42: Fractures
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30 Flashcards
Source URL: https://quizplus.com/quiz/9219
Sample Questions
Q1) A patient with bilateral avascular necrosis of the hips is to walk with crutches using a four-point gait for 6 weeks after her bone decompression surgeries.Which statement would indicate that the patient understands this technique?
A) "The axillary bars on the crutches should support my weight when I walk."
B) "I will move both crutches and then swing my legs to the crutches-2 and 2 equals 4!"
C) "I will move my right crutch and then my left leg and then the left crutch and my right leg."
D) "I will move both crutches and then swing my legs through the crutches together."
Q2) The nurse uses a diagram to show the process of a fractured bone healing.(Arrange the options in the appropriate sequence.)
A) Ossification
B) Hematoma
C) Fibrocartilage
D) Consolidated
E) Callus
Q3) A fracture that occurs because of osteoporosis is classified as a _____________ fracture.
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Page 44
Chapter 43: Amputations
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9220
Sample Questions
Q1) The nurse discriminates between an open and a closed amputation by saying that a closed amputation is designed to: (Select all that apply.)
A) Prepare a weight-bearing limb.
B) Cover the stump with tissue and muscle.
C) Place sutures immediately over the bone.
D) Be staged to closure.
E) Be immediately ready for a prosthesis.
Q2) The nurse,when selecting possible nursing diagnoses for the 32-year-old patient who is in anticipatory grieving for an upcoming bilateral above-the-knee amputation,would consider: (Select all that apply.)
A) Anxiety, related to knowledge deficit of procedure
B) Disturbed body image, related to loss of body part
C) Sexual dysfunction, related to perceived disfigurement
D) Disturbed self-image, related to loss of independence
E) Activity intolerance, related to pain
F) None of above
Q3) An amputation of a gangrenous limb that is left open for 10 days before closure is classified as a ________________ amputation.
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45
Chapter 44: Pituitary and Adrenal Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9221
Sample Questions
Q1) The nurse making a care plan for a 10-year-old boy with hyperpituitarism identifies a disturbed self-image.The nursing diagnosis she would add to the nursing care plan would best be stated as "Disturbed self-image,related to":
A) "Lack of facial hair"
B) "Excessive height"
C) "Small genitalia"
D) "Skin eruptions on face"
Q2) The mother of a 6-foot,2-inch,16-year-old girl who is being treated for hyperpituitarism says,"I can't stand it that my beautiful daughter is a freak." The nurse's best response is:
A) "Gigantism is treatable."
B) "Her height could help her be a basketball star or a model."
C) "What is it about her height that makes her a freak?"
D) "All parents feel responsible when their children have problems."
Q3) The nurse prepares the family for the altered appearance of the patient returning from stereotactic radiosurgery to see a _____________ ___________ in place.
Q4) The nurse noting a peaked T-wave on the electrocardiogram (ECG)of a patient with Addison disease recognizes this complex as suggestive of _________________.
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Chapter 45: Thyroid and Parathyroid Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9222
Sample Questions
Q1) The nurse recommends the use of salt that is iodized because iodized salt:
A) Can prevent the development of goiter in adults and cretinism in infants.
B) Can help prevent hypothyroidism.
C) Is instrumental in preventing tumors of the parathyroid gland.
D) Works as an important component of thyroid replacement therapy.
Q2) The nurse clarifies the pathophysiologic changes of Graves disease by saying:
A) "Your thyroid gland is not producing enough hormones; consequently, you will need replacement therapy."
B) "Your thyroid gland is overactive, but there are ways to treat it-through medicine or surgery."
C) "It's an autoimmune disorder that has no satisfactory treatment."
D) "Graves disease is a temporary disorder that will gradually subside."
Q3) Congenital hypothyroidism,if left untreated,will result in _________________.
Q4) The patient being treated for hyperparathyroidism is to receive calcitonin (Calcimar).Before administering this drug,the patient should be:
A) Assessed for hydration status
B) Evaluated for cardiac dysrhythmia
C) Tested for sensitivity
D) X-rayed for the presence of urinary calculi
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Chapter 46: Diabetes Mellitus and Hypoglycemia
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9223
Sample Questions
Q1) As part of the teaching plan in preparation for discharge,the patient with type 1 diabetes needs guidelines for exercise.Which one of the following must be included?
A) Plan exercise so that it coincides with the peak action of insulin.
B) Insulin should be injected into the lower extremity before exercise because that site provides the greatest absorption.
C) Exercise should be performed daily at the same time of day and at the same intensity.
D) Keep exercise at a minimum to conserve your energy.
Q2) The nurse administering Humulin R 20 U at 7 AM is aware that this drug will peak in:
A) 15 minutes
B) 30 minutes
C) 1 hour
D) 2 hours
Q3) The nurse reminds the patient with type I diabetes to rotate the insulin injection sites to prevent ___________________________.
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Chapter 47: Female Reproductive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9224
Sample Questions
Q1) After a culdoscopy,the nurse should instruct the patient to:
A) Clean the incision site daily with hydrogen peroxide.
B) Avoid vaginal intercourse.
C) Return to the clinic for suture removal in 7 days.
D) Use tampons.
Q2) Conjugated estrogen (Premarin)is indicated for treatment of menopause.Before administering the medication to a woman who has just had a hysterectomy,the nurse should explain the side effects,which are:
A) Breakthrough bleeding
B) Hypotension
C) Arthralgia
D) Skin rash
Q3) A patient makes an appointment with her gynecologist because she is having difficulty conceiving.The laboratory test that the nurse anticipates the physician to order is:
A) Complete blood count
B) Progesterone level
C) Prothrombin time
D) Erythrocyte count
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Chapter 48: Male Reproductive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9225
Sample Questions
Q1) After the physician has left the room of a 30-year-old man who has been diagnosed with testicular cancer,the patient covers his face with both hands and sighs.The nurse's most therapeutic intervention at this time would be to:
A) Ask the patient, "Do you want to talk about your cancer?"
B) Leave the room, and pull the door closed.
C) Go to the nurse's station, and call the patient's wife.
D) Complete the patient care as quickly as possible.
Q2) When a patient is placed on diethylstilbestrol (DES)for prostate cancer,the nurse explains the possible side effect of the medication might be:
A) Gynecomastia
B) Pruritus
C) Constipation
D) Tinnitus
Q3) A patient's home instructions after a vasectomy should include that:
A) Postoperative care consists of warm Sitz baths.
B) Vasectomies should be seen as usually permanent but sometimes reversible.
C) Sexual intercourse should be delayed for up to 3 months.
D) The surgical procedure may interfere with ejaculation.
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Chapter 49: Sexually Transmitted Infections
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9226
Sample Questions
Q1) The nurse who is caring for a patient who is taking acyclovir (Zovirax)is alert for the side effects of this drug,which include:
A) Fever and bone marrow suppression
B) Vaginal burning and skin irritation
C) Dizziness, headache, and nausea
D) Leukopenia and peripheral neuropathy
Q2) The woman diagnosed with gonorrhea is astounded and states that she had no idea that she had an STI.The nurse explains that gonorrhea:
A) Produces no symptoms in one half of those in the early stages of the infection.
B) Always produces a foul vaginal discharge.
C) Causes a vaginal chancre that is not easily detected.
D) May appear to be an upper respiratory infection in the early stages of the infection.
Q3) Primary stage syphilis is characterized by:
A) Chancre
B) Alopecia
C) Pruritus
D) Dry skin
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Chapter 50: Skin Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9227
Sample Questions
Q1) An excited mother of a teenage boy with severe acne furiously reports to the nurse,"I've told him a thousand times he should bathe more often! I've kept after him about all that junk food he eats.I jump on him when I see him squeezing his zits.I tried to get him to scrub his face three times a day!" The complaint the nurse recognizes as a true statement about the cause of acne is:
A) Poor personal hygiene
B) Ingestion of junk food
C) Squeezing lesions
D) Need for facial scrubs
Q2) In performing a physical assessment on an 80-year-old man,the nurse anticipates that the age-related skin changes will be: (Select all that apply.)
A) Increased nasal hair
B) Flattened nails
C) Small macular lesions at the hairline
D) Increased hair on the helix of the ear
E) Presence of seborrheic keratosis
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Chapter 51: Eye and Vision Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9228
Sample Questions
Q1) When providing patient education about protecting vision,the nurse should tell the patient that:
A) After 40 years of age, eye examinations should be performed every 2 years.
B) Crusted lids on awakening are caused by decreased tear production.
C) Floaters are a sign of eye infection.
D) Blurred vision without pain is temporary eye strain.
Q2) The patient reports to the home health care nurse of having cloudy vision and seeing spots and halos around lights.Based on these complaints,the nurse suggests a medical evaluation for:
A) Cataracts
B) Glaucoma
C) Detached retina
D) Macular degeneration
Q3) The nurse assesses an 80-year-old patient for age-related changes to the eye,which are: (Select all that apply.)
A) Decreased tear production
B) Eyeball sunk deep in orbit
C) Hyperopia
D) Eye lashes diminished
E) Arcus senilis
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Chapter 52: Ear and Hearing Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9229
Sample Questions
Q1) Because the 94-year-old patient is receiving gentamicin sulfate (Garamycin)in a continuous intravenous (IV)infusion,the nurse will add to the nursing care plan the diagnosis,"Risk for injury" and will make implementation of:
A) Pulling side rails in place.
B) Assisting with ambulation.
C) Measuring intake and output.
D) Providing for a possible seizure.
Q2) For the nursing care plan for a patient with Ménière disease,the nursing diagnosis that would take priority would be:
A) Social isolation, related to anxiety
B) Risk for injury, related to falls
C) Risk for deficient fluid intake, related to weakness
D) Nutrition: Less than body requirements, related to fatigue
Q3) A significant instruction to a patient being discharged after ear surgery is to:
A) Use stool softeners with caution.
B) Assume your usual activities.
C) Avoid blowing your nose.
D) Shampoo your hair with baby shampoo.
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54
Chapter 53: Nose, Sinus, and Throat Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9230
Sample Questions
Q1) For a patient having a supraglottic laryngectomy,one major postoperative difficulty is:
A) Teaching the patient to use an assistive device to speak.
B) Coughing without letting food escape through the tracheostomy.
C) Taking care of the tracheostomy, because the patient will always have to have one.
D) Teaching the patient to swallow without aspiration.
Q2) The patient comes into the clinic complaining of waking up with a dry mouth and nose and asks if the dryness has caused the colds she has had in the last few months.The nurse suggests that the patient:
A) Use a humidifier at home.
B) Get a throat culture.
C) Get a nose culture.
D) Request an antibiotic.
Q3) A patient complains that he wants an antibiotic medication for his cold.The nurse's best response is:
A) "Antibiotics are not effective with viral infections."
B) "You will get better faster without the antibiotics."
C) "You might try echinacea or vitamin C."
D) "A cold is not that serious. Try forcing fluids."
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Page 55
Chapter 54: Psychologic Responses to Illness
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9231
Sample Questions
Q1) The patient with low back pain confesses that he drinks heavily each night to help him sleep and control pain.This behavior would be an example of:
A) Alternate pain control methods.
B) Coping with a chronic condition.
C) Using a social coping mechanism.
D) Using a maladaptive coping method.
Q2) The nurse is aware that a preschooler's experiences in a kindergarten can help with adapting to:
A) Sexual identity
B) Interpersonal conflicts
C) Independent decision making
D) Self direction
Q3) When the patient is asked whether he wants his pain medication,he says to you,"I don't know,whatever you think is best." The nurse recognizes that this is a maladaptive coping mechanism called:
A) Powerlessness
B) Helplessness
C) Denial
D) Depression
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Page 56
Chapter 55: Psychiatric Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9232
Sample Questions
Q1) A patient given anxiolytic medications for his mental disorder is being treated using a(n)_______________ approach.
A) Analytical
B) Interpersonal
C) Biologic
D) Psychoanalytic
Q2) A patient who is admitted with PTSD says he had a very stressful experience when in high school and has never really recovered.Appropriate nursing action would be to:
A) Encourage the patient to talk about what caused the traumatic event.
B) Guide the patient in relaxation techniques to distract him when flashbacks occur.
C) Provide sleeping medication so that he can sleep at night.
D) Allow the patient to talk about his condition as often as he likes.
Q3) The combination of medications that could be used to treat an anxiety disorder is:
A) Librium and Xanax
B) Effexor and Ativan
C) Effexor and Haldol
D) Klonopin and Valium
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Chapter 56: Substance-Related Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9233
Sample Questions
Q1) A patient has been diagnosed with alcoholism.The nurse tells him that he has a physical illness with a genetic predisposition to alcoholism,and the only effective treatment is total abstinence from alcohol.This type of approach characterizes which one of the following theories?
A) Biologic
B) Behavioral
C) Sociocultural
D) Intrapersonal
Q2) The nurse in the admissions unit is informed that a patient is being brought in who has been using "ice." The nurse is aware that this patient may be:
A) Extremely dehydrated
B) In a coma
C) Dangerously hypertensive
D) Violent
Q3) The nurse explains that a test that can detect substance abuse for up to 1 year after only 2 or 3 days of use is performed on ____________________.
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