Introduction to Nursing Practice Question
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Course Introduction
Introduction to Nursing Practice provides students with foundational knowledge and skills necessary for the nursing profession. This course introduces core concepts such as patient-centered care, safety and infection control, effective communication, ethical and legal responsibilities, and the nursing process. Students will explore the roles and responsibilities of nurses in various healthcare settings and develop essential competencies in clinical reasoning, critical thinking, and basic patient care procedures. Emphasis is placed on holistic care, cultural sensitivity, teamwork, and the development of professional attitudes and behaviors necessary for effective nursing practice. Laboratory and clinical experiences are included to reinforce theoretical concepts and promote safe practice.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman
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Chapter 1: Historical and Contemporary Nursing Practice
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Sample Questions
Q1) A client tells the nurse about research information on the Internet to learn more about a new health problem.What should the nurse respond to this client?
A)"Information from the Internet isn't always accurate."
B)"It's best to check this information with your physician."
C)"Bring your information to the clinic so we can go through it together."
D)"I'd prefer you rely on information you haven't received from our office."
Answer: C
Q2) While a nurse is conducting a health assessment,the individual asks why the term "patient" is being used.What should the nurse explain about the implication of the term "patient"?
A)The person is seeking assistance because of illness.
B)The individual is proactive in his or her health care needs.
C)The person is a collaborator in his or her care.
D)The individual is using a service or commodity.
Answer: A
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3
Chapter 2: Evidence-Based Practice and Research in Nursing
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Sample Questions
Q1) The nurse educator develops the research "Do students who study in groups score better on the NCLEX exam when compared to students who study independently?"
Which phrase should the educator identify as the dependent variable?
A)Number of students in a study group
B)NCLEX scores of both groups
C)Students' college GPAs
D)Time between graduation and sitting for the NCLEX
Answer: B
Q2) The nurse has defined a research problem.What action should the nurse take next?
A)Formulate a hypothesis.
B)Define variables.
C)Review the literature.
D)Select a design.
Answer: C
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Chapter 3: Nursing Theories and Conceptual Frameworks
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Sample Questions
Q1) The nurse is caring for clients in Stage II/III Alzheimer's disease.If Orem's theory is applied,which type of nursing system should the nurse use when providing client care?
A)Supportive
B)Educative
C)Partly compensatory
D)Wholly compensatory
Answer: D
Q2) During a hospital stay,the client has taken control of her recovery and rehabilitation and is utilizing available resources for her needs.In which level of Peplau's model should the nurse determine that this patient is functioning?
A)Orientation
B)Identification
C)Exploitation
D)Resolution
Answer: C
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Chapter 4: Legal Aspects of Nursing
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Sample Questions
Q1) Before applying for re-licensure,the nurse attends continuing education programs.Which action is the nurse performing to adhere to the state board of nursing expectation?
A)Licensure
B)Competency
C)Credentialing
D)Certification
Q2) The nurse documents in a client's medical record: "The client is a drug addict and is always asking for more medication than what is necessary." With what might the nurse be charged?
A)Defamation
B)Slander
C)Libel
D)Incompetence
Q3) A nurse on the unit notices that a co-worker exhibits a pattern of behavior suggestive of drug abuse.What should the nurse do?
A)Report the situation to the unit charge nurse.
B)Send an anonymous letter to the director of nursing.
C)Let other co-workers know about the situation.
D)Report the situation,then let management take care of it.
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Chapter 5: Values, Ethics, and Advocacy
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Q1) A client who has been blinded as result of an injury informs the rehabilitation staff of planning to return to her counseling practice and working full-time.The nurse should realize that this client is demonstrating which aspect of values clarification?
A)Choosing
B)Prizing
C)Acting
D)Clarifying
Q2) A hospice nurse has been working closely with a client who,on several occasions,has asked about guidance and support in ending her life.What information should the nurse use when making an ethical and moral decision about this client's request?
A)Passive euthanasia is an easy decision to arrive at.
B)Legal issues are not the same as moral or ethical ones.
C)Active euthanasia is supported in the Code for Nurses.
D)Assisted suicide is illegal in all states.
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Chapter 6: Health Care Delivery Systems
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Sample Questions
Q1) The manager of a small clinic has cross-trained the nurses to provide basic nursing care,and perform ECG testing,phlebotomy,and some respiratory therapy interventions.Which type of care delivery model has the manager implemented?
A)Managed care
B)Case management
C)Patient-focused care
D)Critical pathways
Q2) A client being discharged from an acute care hospital requires IV antibiotics,is not able to complete activities of daily living without assistance,and has no family available to assist in the recovery phase.Which type of recommendation should the nurse make for this client?
A)Stay in the hospital until the client is fully capable of self-care.
B)Remain in the hospital until the antibiotic course is completed.
C)Be discharged to an extended care facility.
D)Go to a nursing home.
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Chapter 7: Community Nursing and Care Continuity
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Q1) A parish health nurse is working with a particular congregation in setting up a support program for shut-ins within the congregation who are not able to come to regular prayer services.In which role is this nurse functioning?
A)Counselor
B)Educator
C)Referral source
D)Facilitator
Q2) A large community clinic provides health education,illness prevention,acute care,screening,and rehabilitation and health promotion services for the chronically ill.What should the community health nurse identify this approach to health care as being?
A)Community-based setting
B)Integrated health care system
C)Wellness center
D)Community outreach center
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Chapter 8: Home Care
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Q1) The nurse is taking a tour of a home care agency as part of the interview process.Which services should the nurse recognize as being provided through this health agency?
(Select all that apply)
A)A case manager arranging services to meet the client's need for physical therapy after a fall
B)A nurse educating the pregnant teenager on the signs of premature labor
C)A durable supply company delivering a wheelchair to a client with spina bifida
D)A nurse assessing the feet of a home-bound diabetic client
E)A grocery store delivering groceries to a client recovering from cancer surgery
Q2) The nurse would like to admit a client to home health care,but is worried about insurance reimbursement.What client action is causing the nurse to if home care can be prescribed for this client?
A)Lives with a spouse
B)Needs skilled care
C)Needs intermittent care
D)Drives a car for trips to the barber
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Chapter 9: Electronic Health Records and Information Technology
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Q1) The nurse is beginning a physical assessment of a client who is freelance computer information technologist.On which areas should the nurse place particular emphasis during this assessment?
(Select all that apply)
A)Vision
B)Hearing
C)Back flexibility
D)Hand range of motion
E)Range of motion of arms
Q2) The nurse enrolled in graduate courses is able to continue studies while visiting abroad.What has this nurse's nursing school implemented to make this possible?
A)Classroom technology
B)Distance learning
C)CAI
D)Informatics
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Chapter 10: Critical Thinking and Clinical Reasoning
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Sample Questions
Q1) The nurse manager determines that a new staff nurse is demonstrating characteristics of a critical thinker.What did the manager observe the nurse perform?
(Select all that apply)
A)Listening with empathy to a client who recently has been diagnosed.
B)Waiting for the medical team to determine the focus of the client's supportive care.
C)Questioning a medication order that does not appear to meet the client's needs for pain management.
D)Exhibiting a willingness to try alternate methods of addressing a client's care needs.
E)Practicing nursing in a culturally competent fashion.
Q2) Prior to providing client care,the nurse reviews previous shift charting and the responses to nursing interventions.Which decision-making action is the nurse using?
A)Set the criteria
B)Examine alternatives
C)Implement
D)Evaluate the outcome
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Chapter 11: Assessing
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Q1) A nurse has been assigned a new client who cannot speak English.How should the nurse facilitate communication with this client?
A)Have a member of the housekeeping staff who speaks the same language translate.
B)Use the translation services supplied by the hospital.
C)Make sure a family member who does speak English is available.
D)Conduct the interview using hand gestures.
Q2) The nurse is completing a health history with a newly admitted client.What information should the nurse include when asking about the history of the client's present illness?
(Select all that apply)
A)Allergies
B)Immunization record
C)When the symptoms started
D)Exact location of the problem
E)Things that aggravate the problem
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Chapter 12: Diagnosing
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Q1) A client is diagnosed with pneumonia and has been hospitalized for several days.Which nursing diagnosis should the nurse identify as a priority for this client?
A)Altered oral mucous membranes,related to dry mouth
B)Activity intolerance,related to oxygen supply imbalance
C)Knowledge deficit,related to medication regimen
D)Ineffective airway clearance,related to increased secretions
Q2) The nurse selects the nursing diagnosis of Enhanced readiness for spiritual well-being for a family.Which data cluster did the nurse use to support this diagnosis?
A)The family visits different congregations,the parents have been reflecting on their own spiritual upbringings,and the children are questioning rituals of their friends and friends' families.
B)The children attend Sunday school classes,one parent always attends services with the children,and the parents attempt interaction with congregational activities.
C)The grandparents go to weekly services and have formal interaction with clergy.
D)The children have attended private,religious schools,and the parents are involved in the school's activities.
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Chapter 13: Planning
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Q1) The nurse is creating goals for a client's plan of care.For what reasons should the nurse expect to use these goals?
(Select all that apply)
A)Serve as criteria to evaluate the client's progress
B)Determine when the problem has been resolved
C)Motivate the client to provide a sense of achievement
D)Use as a measuring stick to limit the use of hospital resources
E)Provide direction when planning the client's nursing interventions
Q2) The neonatal intensive care nurse implements several actions to prevent further complications in a newly admitted premature infant.Which type of document did the nurse use to find these actions?
A)Standardized care plan
B)Protocol
C)Standards of care
D)Policy and procedure manual
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Chapter 14: Implementing and Evaluating
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Q1) A client recovering from total knee replacement surgery falls out of bed on the night shift and dies.Which quality improvement actions should the nurse manager expect to complete for this client occurrence?
(Select all that apply)
A)A root cause analysis
B)Paperwork about a sentinel event
C)Analysis of the nurse assigned to the client
D)Number of times the client was observed on the night shift
E)Number of hours since the client last received pain medication
Q2) The nurse is providing care to an assigned client.Which action indicates that the nurse supports the client's respect for dignity?
A)Allowing the client to complete hygienic care when possible
B)Providing all care to the client whenever possible
C)Telling the other staff that the client is demanding,so they are able to meet the client's needs
D)Presenting information to the client's family about the client's condition
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Chapter 15: Documenting and Reporting
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Q1) When attempting to locate recent lab results,the new nurse employee notices that each department has a separate section in the client's chart.Which type of documentation system is the nurse using?
A)Source-oriented record
B)Problem-oriented record
C)Case management
D)Focus charting
Q2) The nurse is reviewing a client's chart in a facility that utilizes problem-oriented recording.In which section would the nurse find the most recent physician orders?
A)Database
B)Problem list
C)Plan of care
D)Progress notes
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Chapter 16: Health Promotion
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Q1) 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
Q2) A client has been working hard in rehabilitation following a traumatic brain injury.She has a weak support system in that her family lives a far distance away and her coworkers are not involved.On which behavior-specific cognitions should the nurse focus to assist this client with success in the rehabilitation program?
A)Situational influences
B)Perceived benefits of action
C)Perceived barriers to action
D)Interpersonal influences
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Chapter 17: Health, Wellness, and Illness
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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? Select all that aply.
A)Genetic makeup
B)Age
C)Developmental level
D)Environment
E)Spiritual and religious beliefs
Q2) A nurse has volunteered to go on a health mission to rural Haiti,where the majority of the people do not have access to health care and live in poverty.According to Dunn's high-level wellness grid,the nurse will be working with clients in which quadrant?
A)Emergent high-level wellness in an unfavorable environment
B)Protected poor health in a favorable environment
C)Poor health in an unfavorable environment
D)Protected poor health in an unfavorable environment
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Chapter 18: Culturally Responsive Nursing Care
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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 client has requested that she have a special item present in her room and explains that it gives her a feeling of comfort and a sense of organization.On which psychosocial component is this client focusing?
A)Culture
B)Religion
C)Ethnicity
D)Socialization
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Chapter 19: Complementary and Alternative Healing
Modalities
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Sample Questions
Q1) A client who resides in a long-term care facility has no family or visitors.Her only social contacts are with the staff.The client is confined to bed and is not able to communicate verbally.As part of the client's care plan,the nurses provide massage therapy three times a week.What is the main benefit of this intervention for this client?
A)Stretch and loosen the muscles
B)Speed the removal of metabolic waste products
C)Help satisfy the need for caring and nurturing touch
D)Relieve pain
Q2) A home health nurse is working with a client who has had to quit his job after a serious injury and whose future employability is uncertain.The client states that his life has no meaning or purpose anymore and that he feels lonely and abandoned.What is an appropriate nursing diagnosis for this client?
A)Body Image Disturbance
B)Health-Seeking Behavior
C)Altered Family Processes
D)Spiritual Distress
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Chapter 20: Concepts of Growth and Development
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Q1) The nurse is assessing a child's growth and development.What s should the nurse ask the parents that demonstrate an understanding of the factors that affect growth and development processes?
(Select all that apply)
A)How tall the parents are
B)Whether noises seem to bother their child
C)How many ounces of formula their child drinks daily
D)What their yearly income is
E)Whether their child will receive day-care services
Q2) A community health nurse is planning adult health education classes.According to Erikson's stages of development,the nurse should address which task with this age group?
A)Industry versus inferiority
B)Identity versus role confusion
C)Intimacy versus isolation
D)Generativity versus stagnation
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Chapter 21: Promoting Health From Conception Through
Adolescence
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Q1) While the nurse is teaching a group of parents and their teenage sons about puberty and sexual growth,a parent asks if fertility coincides with ejaculation.What should the nurse respond to this ?
A)"Yes,if your son is ejaculating,he also possesses fertility."
B)"Sexual maturity does not occur until age 18,so don't worry about anything until then."
C)"Fertility follows several months after the first ejaculation."
D)"You'll have to ask your physician about this because it is a sensitive subject."
Q2) New parents ask if their 8-month-old baby is performing activities that are expected at this age.What should the nurse suggest to screen this baby's developmental level?
A)The Denver Developmental Screening Test (DDST-II)
B)Growth and development charts from the Centers for Disease Control and Prevention (CDC)
C)Assessment tools utilized by the state education department
D)The Apgar scoring system
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Chapter 22: Promoting Health in Young and Middle-Aged
Adults
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Q1) A young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview.In order to best assess the client,what should the nurse ask the client?
A)"Can you tell me what's been going on in your life lately?"
B)"What kind of problems are you having?"
C)"Is someone hurting you?"
D)"Can you explain what your family life is like?"
Q2) During an educational session regarding physical changes of the middle-aged adult,a participant asks about typical weight changes.How should the nurse respond?
A)"Weight loss is no different during this time than at any other time of your life."
B)"Metabolism slows during middle age,which may result in weight gain."
C)"As long as you exercise appropriately,weight loss will be ensured."
D)"Weight loss is always a good idea,regardless of your age."
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Chapter 23: Promoting Health in Older Adults
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Q1) The elderly client comes to the clinic reporting gastrointestinal problems,including frequent constipation and indigestion,but denies any recent weight loss.The nurse initially recognizes that these symptoms
A)indicate a concern and could be caused by cancer.
B)indicate the need for an upper and lower GI x-ray series.
C)could be related to normal changes in muscle tone and activity.
D)are probably indicative of a gastric ulcer or colitis.
Q2) In planning any health program for elderly adults,the nurse will implement Erikson's theory of task development.The nurse realizes that in this stage of life,the successful completion of the task allows the person to A)have a feeling of satisfaction from past accomplishments.
B)make connections with the younger generation.
C)wish he or she could live life over again.
D)live out his or her last years in physical health.
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Chapter 24: Promoting Family Health
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Q1) The nurse is preparing to assess a family regarding the impact of one of its members being diagnosed with diabetes.What should the nurse include in this assessment? (Select all that apply)
A)The seriousness of the disorder
B)Whether the family has ever dealt with a chronic illness before
C)The age of the affected member
D)The financial impact the illness will have on the family
E)The number of members of the family
Q2) A client is asked during an admission interview to describe her family.She proceeds to list parents,siblings,grandparents,aunts,uncles,and cousins.Which type of family should the nurse document for this client?
A)Nuclear
B)Extended
C)Traditional
D)Blended
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26
Chapter 25: Caring
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Q1) The nurse suspects that an older client has no living family members and observes the client sitting quietly in the room,crying.What actions should the nurse take to intentionally know this client?
(Select all that apply)
A)Seek cues from the client.
B)Assess the client thoroughly.
C)Avoid assumptions about the client.
D)Center actions on the client's needs.
E)Assume the client wants to be alone.
Q2) The nurse working on an acute psychiatric unit learns that a client with bipolar disorder is being admitted and says to a coworker,"We better be ready for a busy night." This nurse is exemplifying which process of Swanson's theory of caring?
A)Knowing
B)Being with
C)Doing for
D)Enabling
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Chapter 26: Communicating
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Q1) Several nurses have been assigned to develop a rotation schedule that provides adequate staffing of all shifts.In which type of group are these nurses functioning?
A)Self-help group
B)Task group
C)Teaching group
D)Therapy group
Q2) A nurse explains to a client that he will need to have a bowel prep before going to his esophagogastroscopy.On what should the nurse focus to improve communication skills?
A)Pace
B)Intonation
C)Simplicity
D)Clarity
Q3) The nurse is identifying communication strategies for a client unable to speak.What would be appropriate for the client in this situation?
A)Using a picture board to facilitate communication
B)Facing the client when speaking
C)Employing an interpreter
D)Making sure that the language spoken is the client's dominant language
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Chapter 27: Teaching
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Q1) The nurse is utilizing humanistic theory when instructing a client.What will the nurse demonstrate when utilizing this theory?
(Select all that apply)
A)Empathy
B)Encouraging the client to establish goals
C)Encouraging the client to participate in self-directed learning
D)Multisensory teaching strategies
E)Providing a physical environment conducive to learning
Q2) The nurse is going to be working with a client who has a permanent colostomy and is ready to go home within the next several days.When organizing the teaching/learning experience,the nurse should
A)start from the beginning and proceed through all material.
B)break up sessions into shortened time periods.
C)discover what the learner knows before proceeding with further teaching.
D)make sure the client's spouse is present before the teaching session begins.
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Chapter 28: Leading, Managing, and Delegating
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Q1) A nurse manager has had to handle a particularly difficult physician who is demanding as well as demeaning.Through this situation,the nurse manager has learned that accuracy and honesty are attributes of which skill necessary for managers?
A)Critical thinking
B)Communication
C)Networking
D)Responsibility
Q2) The nurse practices responsibility when functioning in the role of manager of a care area.What will the nurse manager demonstrate as evidence of responsibility?
(Select all that apply)
A)Effective utilization of resources
B)Communication to subordinates
C)Implementation of organizational goals and objectives
D)Problem solving
E)Managing the work team
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Chapter 29: Vital Signs
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Q1) The nurse is planning to assess a client's pulse.What characteristics should the nurse include in this assessment?
(Select all that apply)
A)Rate
B)Rhythm
C)Volume
D)Tone
E)Viscosity
Q2) The nurse determines that unlicensed assistive personnel (UAP)are not to be delegated client blood pressure measurements.What did the nurse observe to make this clinical decision?
(Select all that apply)
A)The valve on the bulb was closed.
B)The client was sitting with the legs crossed.
C)The arm was below the level of the heart.
D)The UAP waited 2 minutes before re-measuring.
E)The cuff bladder was placed over the brachial artery.
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Chapter 30: Health Assessment Preview As Pdf
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Q1) The nurse is preparing to assess a client with the Glasgow Coma Scale.Which areas is the nurse assessing in this patient?
(Select all that apply)
A)Eye response
B)Motor response
C)Verbal response
D)Orientation
E)Musculoskeletal response
Q2) The nurse is concerned that an older client has nutritional deficiencies.What did the nurse find when assessing this client's nails to make this clinical decision?
(Select all that apply)
A)White spots
B)Curved nails
C)Deep purple areas
D)Spoon-shaped nails
E)Bands across the nails
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Chapter 31: Asepsis
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Q1) The nurse is reviewing collected data from a client.Which information should the nurse identify as a physiological barrier to defend the client's body from microorganisms?
A)Heavy smoking
B)Moisturizing the skin
C)Breakdown of skin
D)Voiding quantity sufficient
Q2) A patient is diagnosed with a systemic infection.What will the nurse most likely assess in this client?
A)Edema,rubor,heat,and pain
B)Fever,malaise,anorexia,nausea,and vomiting
C)Palpitations,irritability,and heat intolerance
D)Tingling,numbness,and cramping of the extremities
Q3) The nurse determines that a client has active immunity to a microorganism.What did the nurse assess that caused the client to develop this type of immunity?
A)Becoming ill with tetanus and receiving tetanus toxoid
B)Having chickenpox
C)Receiving a rabies shot after being bitten by a rabid dog
D)Receiving an injection of gamma globulin
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Page 33
Chapter 32: Safety
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/79289
Sample Questions
Q1) A client who is on seizure precautions experiences a seizure while ambulating in the room.What should the nurse include in this client's documentation?
(Select all that apply)
A)Who assisted the client back to bed
B)Location of the seizure
C)Duration of the seizure
D)Status of airway and use of oxygen
E)Who discovered the client
Q2) The nurse is evaluating teaching provided to a client about home safety.Which observation indicates that teaching has been effective?
A)Smoke alarm functioning with new batteries installed
B)Scatter rugs located in the kitchen and bathroom only
C)Cord for a space heater stretched across a hallway
D)Light bulbs burned out in the bathroom and living room
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34
Chapter 33: Hygiene
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/79288
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 client has a hearing aid with an earpiece that is connected by a cord to a receiver that the client keeps in a shirt pocket.The nurse would document this as which type of hearing aid?
A)Body hearing aid
B)In-the-canal aid
C)Completely-in-the-canal aid
D)Eyeglasses aid
Q3) The nurse is preparing to bath a client on the first postoperative day.Which nursing intervention should take priority?
A)Apply lotion to the extremities.
B)Change the water when it becomes cold.
C)Raise side rails when gathering supplies.
D)Remove the soiled dressing during the bath.
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Page 35
Chapter 34: Diagnostic Testing
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/79287
Sample Questions
Q1) A client is scheduled for a nuclear imaging test.What should the nurse instruct the client about this test?
A)It is the use of a magnetic field to produce an image of a body part or organ.
B)A radioisotope will be injected to determine organ functioning as being either hot or cold.
C)It produces a three-dimensional image of an organ.
D)It is more sensitive than an x-ray image.
Q2) An older client is having difficulty handling the specimen cup for a clean catch urine specimen.What can the nurse do to help this client?
A)Provide a clean funnel to pour the urine into the specimen cup.
B)Document that the specimen could not be obtained.
C)Catheterize the client for the specimen.
D)Ask the physician to obtain the specimen.
Q3) The nurse is teaching a client with heart failure about diagnostic tests.Which test should the nurse emphasize in this teaching?
A)BNP
B)CBC
C)LDH
D)PKU
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Page 36
Chapter 35: Medications
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/79286
Sample Questions
Q1) The nurse has just injected insulin subcutaneously into the client's abdomen.What action should the nurse take at this point?
A)Massage the site to encourage absorption.
B)Leave the needle embedded in the client's skin for 5 seconds after administration.
C)Remove the needle rapidly by pulling it quickly from the skin.
D)Cover the injection site with a pressure dressing for at least 15 minutes or until the bleb disappears.
Q2) Upon aspirating a saline lock prior to administering intravenous medication,the nurse notes that there is no blood return.What nursing action should be taken?
A)Discontinue this infiltrated lock and restart another site for medication administration.
B)Slowly infuse 1 mL of saline into the lock,assessing for infiltration.
C)Reinsert the needle into the lock and aspirate using more pressure.
D)Pull the intravenous catheter out 1/8 inch and attempt aspiration.
Q3) The client has required 2 sublingual nitroglycerine tablets that are gr 1/150 per tablet.How many mg of nitroglycerine did the client receive?
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Chapter 36: Skin Integrity and Wound Care
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/79285
Sample Questions
Q1) The nurse is preparing to apply a bandage to a client using the spiral reverse turn.For which body parts should the nurse use this technique when bandaging?
(Select all that apply)
A)Finger
B)Forearm
C)Upper leg
D)Lower leg
E)Upper arm
Q2) Multiple severely injured clients have arrived in the emergency department.On rapid assessment,the nurse notes that a leg wound dressing has a 4-cm by 6-cm blood spot that has soaked through the bandage.The client is otherwise stable.What action should the nurse take?
A)Place a tourniquet above the wound.
B)Remove the dressing and place direct pressure on the wound.
C)Add an additional dressing to the wound without removing the original.
D)Remove the dressing and replace it with a new sterile dressing.
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Chapter 37: Perioperative Nursing
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/79284
Sample Questions
Q1) The nurse is preparing a client for an upper GI endoscopy.For which type of anesthesia should the nurse prepare the client to receive?
A)Local anesthesia
B)Spinal anesthesia
C)Epidural anesthesia
D)Conscious sedation
Q2) The nurse is planning care for a client during the postoperative period.What should the nurse identify as the goal of care for this client?
A)Provide necessary preoperative teaching.
B)Assist the client to achieve the most optimal health status possible.
C)Ensure client safety.
D)Maintain an aseptic environment.
Q3) The nurse is preparing a 6-year-old child for a tonsillectomy.Which strategy should the nurse use for teaching this client?
A)Pamphlets
B)Play
C)Books
D)Videotapes
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Chapter 38: Sensory Perception
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/79283
Sample Questions
Q1) A client is experiencing changes in taste.What can the nurse do to improve this client's gustatory sense?
(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.
Q2) The nurse suspects a client will develop sensory overload.What characteristics did the nurse observe in the client?
(Select all that apply)
A)Ongoing pain
B)Confusion at night
C)Inability to sleep
D)Easily angered
E)Worrying about upcoming diagnostic tests
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Chapter 39: Self-Concept
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/79282
Sample Questions
Q1) During an assessment,the nurse notes that a client frequently refers to his Native American heritage.The nurse determines that this heritage is a strong part of the client's
A)personal identity.
B)body image.
C)role performance.
D)self-esteem.
Q2) The nurse is assisting a client in setting goals as a strategy to reinforce strengths.What intervention should the nurse employ?
A)Encourage the client to set attainable goals,even if small.
B)Help the client choose a significant goal,even if it is time consuming.
C)Devise a set of goals from which the client can pick.
D)Advise the client to avoid goals that will require too much effort.
Q3) A client recovering from a lumpectomy for breast cancer tells the nurse that she "feels ugly." For which nursing diagnosis should the nurse plan interventions?
A)Powerlessness
B)Social Isolation
C)Grieving
D)Hopelessness
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Chapter 40: Sexuality
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/79281
Sample Questions
Q1) The female client has experienced recurrent candidiasis with intense vaginal itching and excoriation.After treatment the client is reexamined,and the nurse practitioner finds presence of a white,cheesy discharge.What recommendation is necessary?
A)Referral to a surgeon for excision of infected tissue
B)Examination and treatment of sexual partner
C)Treatment with a stronger oral antibiotic
D)Routine douches with a topical antibiotic solution
Q2) The 45-year-old client reports that she has no interest in sex and that she and her husband have not had intercourse in 16 years.How should the nurse interpret this assessment data?
A)This couple is experiencing sexual dysfunction.
B)The woman's lack of sexual desire has resulted in impotence in her husband.
C)If both partners share the same lack of desire,there is often not a problem.
D)This situation is so unnatural that some dysfunction is present.
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Chapter 41: Spirituality
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/79280
Sample Questions
Q1) As a part of care planning,the nurse considers the client's spiritual needs.What is the rationale for this concern?
A)Nurses are the only health professionals who provide this type of holistic care.
B)Meeting the client's spiritual needs can decrease suffering.
C)Until spiritual needs are met,physical needs cannot be healed.
D)It is important that the nurse's idea of spirituality matches the client's ideas.
Q2) The emergency department nurse contacts the admissions office to request a bed for a bed-bound client who is a practicing Muslim.In acting as an advocate for the client,what request should the nurse make of the admission clerk?
A)Please try to find a private room.
B)A bed that faces east will be best.
C)Have the bed stripped,as the client will provide special sheets.
D)If the only available room is semi-private,the other client should be Muslim.
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Chapter 42: Stress and Coping
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/79279
Sample Questions
Q1) The parents of a school-age client who was sexually abused by a minister want to know why someone who is sexually attracted to children would choose to go into the ministry.The nurse explains that the displacement of sexual drives into socially acceptable activities is which type of defense mechanism?
A)Repression
B)Sublimation
C)Substitution
D)Undoing
Q2) During an assessment,the nurse learns that a client has been having periodic upper respiratory infections since experiencing the death of a close family member.The nurse identifies this client's reaction to stress as being a A)stimulus.
B)response.
C)transaction.
D)negotiation.
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Chapter 43: Loss, Grieving, and Death
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/79278
Sample Questions
Q1) While caring for a client who is approaching death,the nurse notices the client's facial expression of extreme sadness.What should the nurse do?
A)Leave the client alone.
B)Provide physical care to increase comfort.
C)Acknowledge the client's expression,and ask whether the client would like to talk about her feelings.
D)Offer to provide pain medication.
Q2) The nurse is planning care to help a client work through the grieving process.What would be appropriate to include in this plan of care?
(Select all that apply)
A)Listen to the client.
B)Clarify and reflect the client's feelings.
C)Reassure the client that all will be well.
D)Be silent.
E)Provide advice to the client.
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Chapter 44: Activity and Exercise
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24 Flashcards
Source URL: https://quizplus.com/quiz/79277
Sample Questions
Q1) The nurse is considering using the NANDA nursing diagnosis Impaired Physical Mobility in the care plan of a newly admitted client.In order to make this problem statement more individual,the nurse should take which action?
A)Include what mobility is impaired.
B)Use Level 1,2,3,or 4 to describe immobility.
C)Describe what happens when the client attempts mobility.
D)Add strength assessment data.
Q2) The nurse is preparing to transfer a client from the bed to a stretcher.The correct position for the bed to be placed is parallel to the stretcher and
A)slightly higher.
B)slightly lower.
C)at the same height.
D)at least 2 inches lower.
Q3) The client who is unconscious is developing foot drop.What nursing action is indicated?
A)Place high-topped shoes on the client while in bed.
B)Keep the linens on the end of the bed turned back to expose the feet.
C)Use only the prone and Sims positions for client positioning.
D)Use a device to elevate the linens off the feet.
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Page 46
Chapter 45: Sleep
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/79276
Sample Questions
Q1) The nurse is working with a client to develop an expected outcome for the nursing diagnosis Disturbed Sleep Pattern,difficulty staying asleep related to anxiety secondary to multiple life stressors.Which expected outcome would be most applicable to this client's situation?
A)The client will sleep at least 8 hours each night.
B)The client will list three positive coping mechanisms for anxiety relief.
C)The client will report getting sufficient sleep to provide energy for daily activities.
D)The client will manifest less anxiety after taking prescribed medications.
Q2) The nurse is admitting a critically ill client to the intensive care unit.What should the nurse ask regarding this client's sleep history?
A)No questions should be asked.
B)"When do you usually go to sleep?"
C)"Do you have any problems with sleeping?"
D)"What are your bedtime rituals?"
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Chapter 46: Pain Management
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/79275
Sample Questions
Q1) A client is experiencing pain after spraining an ankle.The nurse realizes that the client is most likely experiencing which type of pain?
A)Mild pain
B)Severe pain
C)Somatic pain
D)Visceral pain
Q2) A client who is on postoperative day 1 after abdominal surgery is requesting a back rub.The nurse realizes this care should be provided by
A)the registered nurse.
B)unlicensed assistive personnel.
C)no one,because the client cannot assume the prone position.
D)the physician.
Q3) A client experiencing pain has been prescribed aspirin.The nurse realizes that this medication will affect which pain process?
A)Transduction
B)Transmission
C)Perception
D)Modulation
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Chapter 47: Nutrition
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/79274
Sample Questions
Q1) The nurse is preparing to administer a feeding to a client with a gastrostomy tube.What should the nurse do before providing this feeding?
A)Assess tube placement.
B)Measure vital signs.
C)Assist the client to a prone position.
D)Lower the head of the bed.
Q2) A client reports that an adolescent family member has started a vegan diet.Which additions to meals should the nurse recommend to help ensure that the adolescent does not become deficient in calcium?
(Select all that apply)
A)Tofu
B)Soybeans
C)Brewer's yeast
D)Raisins
E)Okra
Q3) A client is prescribed a 1600-calorie diet.Of this diet,30% of the intake should be protein,20% fat,and 50% carbohydrates.How many grams of carbohydrates should the client ingest every day?
Calculate to the nearest whole number.
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Chapter 48: Urinary Elimination
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/79273
Sample Questions
Q1) The nurse is documenting the insertion of a retention catheter for a client.What should be included in this documentation?
(Select all that apply)
A)Catheter size
B)Location of the drainage bag
C)Amount of urine that drained after insertion
D)Name of the physician who prescribed the insertion of the catheter
E)Client tolerance of the procedure
Q2) A client is diagnosed with an elevated aldosterone level.The nurse realizes that this finding will affect what aspect of urinary elimination?
A)Increased urine output
B)Urinary incontinence
C)Decreased urine output
D)Urinary retention
Q3) A client with an indwelling urinary catheter is prescribed to receive sterile normal saline bladder irrigation at 100 mL/hr.After an 8-hour shift the nurse measures the client's output as being 1425 mL.What is the client's urine output for the 8-hour shift?
Calculate to the nearest whole number.
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Chapter 49: Fecal Elimination
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse is identifying goals for a client experiencing diarrhea.What goal should the nurse select for this client?
A)Client will defecate regularly.
B)Client will increase the amount of sugar in the diet.
C)Client will limit fluid intake.
D)Client will regain normal stool consistency.
Q2) The nurse is preparing to assess a client's fecal elimination status.Which activity will the nurse complete during this assessment?
A)Obtain a nursing history.
B)Interpret results of diagnostic tests.
C)Perform a physical examination.
D)Set goals with the client.
Q3) Which assessment technique will the nurse use first when examining a client with a fecal elimination problem?
A)Auscultation
B)Inspection
C)Palpation
D)Percussion
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Chapter 50: Oxygenation
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44 Flashcards
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Sample Questions
Q1) A client has been prescribed both a bronchodilator and a steroid medication that is delivered by inhaler.What information is essential to teach this client in regard to these medications?
A)The medications cannot be used on the same day.
B)The steroid inhaler should be used when immediate effects are necessary.
C)The bronchodilator should be used only when absolutely necessary and only after the steroid inhaler.
D)Both medications have the possible side effect of increased heart rate.
Q2) 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
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Chapter 51: Circulation
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28 Flashcards
Source URL: https://quizplus.com/quiz/79270
Sample Questions
Q1) A client exhibits confusion,decreased capillary refill time,low oxygen saturation readings,and decreased renal output.What NANDA nursing diagnosis problem statement should the nurse choose for this client?
A)Ineffective Tissue Perfusion
B)Decreased Cardiac Output
C)Activity Intolerance
D)Risk for Injury
Q2) The client has experienced a myocardial infarction with damage to the inferior portion of the heart.Due to this history,the nurse monitors the client for the development of rhythm disturbances that are most directly based upon which factor?
A)The resultant change in blood sugar
B)Electrolyte disturbances from tissue damage
C)The automaticity of cardiac cells
D)Decreased blood flow to the liver
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Chapter 52: Fluid, Electrolyte, and Acidbase Balance
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/79269
Sample Questions
Q1) The nurse is caring for a client who is receiving intravenous fluids that are not regulated on an electronic controller.In order to calculate the rate of the IV flow in drops per minute,the nurse must know the number of drops per milliliter of fluid the tubing delivers.Where should the nurse look for this information?
A)On the packaging of the tubing
B)In the charting from the nurse who started the infusion
C)In the drug reference book
D)On the roller clamp of the tubing
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) The physician has ordered 50 mL of an IV solution to infuse over the next 20 minutes.In order to accurately infuse this solution,the nurse should set the electronic controller to deliver how many mL/hr? rounding to the nearest whole number.
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