Introduction to Nursing Practice Review
Questions
Course Introduction
Introduction to Nursing Practice provides students with foundational knowledge and skills essential for the nursing profession. The course covers fundamental concepts of nursing care, the nursing process, patient safety, communication, critical thinking, and ethical and professional responsibilities. Students are introduced to the roles and responsibilities of nurses within healthcare teams and develop basic clinical competencies through simulated and supervised practical experiences. The course emphasizes holistic and patient-centered care, preparing students to apply evidence-based practices and prioritize patient wellbeing in various healthcare settings.
Recommended Textbook Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
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Page 2
Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2380
Sample Questions
Q1) The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity is appropriate for a CRNA?
A) Manages gynecological services such as PAP smears
B) Works under the guidance of an anesthesiologist
C) Obtains a PhD degree in anesthesiology
D) Coordinates acute medical conditions
Answer: B
Q2) A nurse is preparing a teaching session about contemporary influences on nursing. Which examples should the nurse include? (Select all that apply.)
A) Human rights
B) Affordable Care Act
C) Demographic changes
D) Medically underserved
E) Decreasing health care costs
Answer: A, B, C, D
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Chapter 2: The Health Care Delivery System
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24 Flashcards
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Sample Questions
Q1) A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse's primary objective?
A) Screening
B) Education
C) Dependence
D) Counseling
Answer: B
Q2) A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?
A) Primary care
B) Preventive care
C) Restorative care
D) Continuing care
Answer: B
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Chapter 3: Community-Based Nursing Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse observes an outbreak of lice in a certain school district. The nurse collects data and identifies a common practice of sharing lockers, caps, and hair brushes. The nurse shares the information with the school. Which community-based nursing competency did the nurse use?
A) Educator
B) Caregiver
C) Case manager
D) Epidemiologist
Answer: D
Q2) The nurse is working with a 16-year-old pregnant female who tells the nurse that she needs an abortion. The nurse, acting as a counselor, provides the patient with information on alternatives to abortion, but after several sessions, the patient still insists on having the abortion. What should the nurse, in the counselor role, do next?
A) Encourage the patient to speak with a "Right-to-Life" advocate.
B) Refuse to provide a referral to an abortion service.
C) Provide referral to an abortion service.
D) Delay referral to an abortion service.
Answer: C
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) The nurse is caring for a patient who does not follow the prescribed regimen for diabetes management. As a prescriber to Orem's theory, the nurse interviews the patient in an attempt to identify the cause of the patient's "noncompliance." What is the rationale for the nurse's behavior?
A) Orem's theory is useful in designing interventions to promote self-care.
B) Orem's theory focuses on cultural issues that may affect compliance.
C) Orem's theory allows for reduction of anxiety with communication.
D) Orem's theory helps nurses manipulate the patient's environment.
Q2) A nurse is conducting research about the needs of depressed patients. The nurse writes the following: Depression is a patient reporting a score above 7 on the Hamilton Depression Rating Scale. What did the nurse write?
A) Operational definition
B) Conceptual definition
C) Paradigm
D) Concept
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Chapter 5: Evidence-Based Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with chronic low back pain. The nurse wants to determine the best evidence-based practice regarding clinical guidelines for low back pain. What is the best database for the nurse to access?
A) MEDLINE
B) EMBASE
C) PsycINFO
D) AHRQ
Q2) The nurse is trying to identify common general themes relative to the effectiveness of cardiac rehabilitation from patients who have had heart attacks and have gone through cardiac rehabilitation programs. The nurse conducts interviews and focus groups. Which type of research is the nurse conducting?
A) Nonexperimental research
B) Experimental research
C) Qualitative research
D) Evaluation research
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Chapter 6: Health and Wellness
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22 Flashcards
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Sample Questions
Q1) A nurse is using the World Health Organization definition of health to provide care. Which area will the nurse focus on while providing care?
A) Making sure the patients are disease free
B) Making sure to involve the whole person
C) Making sure care is strictly personal in nature
D) Making sure to focus only on the pathological state
Q2) The nurse is working in a drug rehabilitation clinic and is in the process of admitting a patient for "detox." What should the nurse do next?
A) Identify the patient's stage of change.
B) Realize that the patient is ready to change.
C) Teach the patient that choices will have to change.
D) Instruct the patient that relapses will not be tolerated.
Q3) A nurse is assessing internal variables that are affecting the patient's health status. Which area should the nurse assess?
A) Perception of functioning
B) Socioeconomic factors
C) Cultural background
D) Family practices
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8
Chapter 7: Caring in Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient in pain. Which nursing approach is priority?
A) Relationship-centered
B) Technology-centered
C) High tech-centered
D) Family-centered
Q2) Which actions by the nurse should be done in order to get to know the patient?
(Select all that apply.)
A) Avoid assumptions
B) Focus on the patient
C) Engage in a caring relationship
D) Form the relationship very quickly
E) Not address spiritual or higher needs
Q3) Interpersonally
A)Connection with others
B)Connection with higher power
C)Connection with oneself
Q4) Intrapersonally
A)Connection with others
B)Connection with higher power
C)Connection with oneself
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Chapter 8: Caring for the Cancer Survivor
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer. The patient asks the nurse about the value of cancer screening when therapy is over. What is the nurse's best response?
A) "It should be done on an ongoing schedule."
B) "It is not something that should be discussed right now."
C) "It probably will not be needed since the cancer has been cured."
D) "It usually is not done but can be done if the patient wants peace of mind."
Q2) The collaborative care pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
Q3) The nurse is caring for a patient diagnosed with cancer. The family of the patient asks the nurse for resources about the cancer. What should the nurse do?
A) Refer family members to the health care provider.
B) Inform them that few options are available.
C) Maintain confidentiality by keeping silent.
D) Provide the family with the information.
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Page 10
Chapter 9: Cultural Awareness
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26 Flashcards
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Sample Questions
Q1) Cultural desires
A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills
Q2) A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring?
A) Accessibility of health care services
B) Outcomes of health conditions
C) Prevalence of complications
D) Incidence of diseases
Q3) A nurse is designing a form for lesbian, gay, bisexual, and transgender (LGBT) patients. Which design should the nurse use?
A) Use partnered rather than married.
B) Use mother rather than father.
C) Use parents rather than guardian.
D) Use wife/husband rather than significant other.
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Chapter 10: Caring for Families
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20 Flashcards
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Sample Questions
Q1) Who is the "peacekeeper" of the family?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
Q2) How often does the family hug each other?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
Q3) The nurse is interviewing a patient who is being admitted to the hospital. The patient's family went home before the nurse's interview. The nurse asks the patient, "Who decides when to come to the hospital?" What is the rationale for the nurse's action?
A) To assess the family form
B) To assess the family function
C) To assess the family structure
D) To assess the family generalization
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Chapter 11: Developmental Theories
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21 Flashcards
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Sample Questions
Q1) A nurse is developing a plan of care concerning growth and development for a hospitalized adolescent. What should the nurse do? (Select all that apply.)
A) Apply developmental theories when making observations of the adolescent's patterns of growth and development.
B) Compare the adolescent's assessment findings versus normal findings.
C) Recognize her own (the nurse's) moral developmental level.
D) Stick with one developmental theory for consistency.
E) Apply a unidimensional life span perspective.
Q2) A nurse is using Jean Piaget's developmental theory to focus on cognitive development. Which area will the nurse assess in this patient?
A) Latency
B) Formal operations
C) Intimacy versus isolation
D) The postconventional level
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13
Chapter 12: Conception Through Adolescence
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is observing a 2-year-old hospitalized patient in the playroom. Which activity will the nurse \(\bold{most}\) likely observe?
A) Seeking out same sex children to play with
B) Participating as the leader of a small group activity
C) Sitting beside another child while playing with blocks
D) Separating building blocks into groups by size and color
Q2) A nurse is communicating with a newly admitted teenaged patient. Which action should the nurse take?
A) Avoid questioning the patient about cigarette use when the nurse observes a cigarette lighter lying on the bedside table.
B) Complete the admission database as quickly as possible by asking yes and no questions.
C) Look for meaning behind the patient's words and actions.
D) Ignore the patient's withdrawn behavior.
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Chapter 13: Young and Middle Adults
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Insulators
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
Q2) Which goal is priority when the nurse is caring for a middle-aged adult?
A) Maintain immediate family relationships.
B) Maintain future generation relationships.
C) Maintain personal career relationships.
D) Maintain work relationships.
Q3) A nurse is assessing a middle-aged patient's barriers to change in eating habits. Which areas will the nurse assess that are external barriers? (Select all that apply.)
A) Lack of facilities
B) Lack of materials
C) Lack of knowledge
D) Lack of social supports
E) Lack of short- and long-term goals
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15
Chapter 14: Older Adult
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) An older patient with dementia and confusion is admitted to the nursing unit after hip replacement surgery. Which action will the nurse include in the plan of care?
A) Keep a routine.
B) Continue to reorient.
C) Allow several choices.
D) Socially isolate patient.
Q2) A patient asks the nurse what the term polypharmacy means. Which information should the nurse share with the patient?
A) This is multiple side effects experienced when taking medications.
B) This is many adverse drug effects reported to the pharmacy.
C) This is the multiple risks of medication effects due to aging.
D) This is concurrent use of many medications.
Q3) Body image
A)Respecting the older adult's uniqueness
B)Improving level of awareness
C)Listening to the patient's past recollections
D)Accepting describing of patient's perspective
E)Offering help with grooming and hygiene
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16
Chapter 15: Critical Thinking in Nursing Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) While caring for a hospitalized older-adult female post hip surgery, the nurse is faced with the task of inserting an indwelling urinary catheter, which involves rotating the hip into a contraindicated position. Which action should the nurse take?
A) Postpone catheter insertion until the next shift.
B) Adapt the positioning technique to the situation.
C) Notify the health care provider for a urologist consult.
D) Follow textbook procedure with contraindicated position.
Q2) The nurse enters a room to find the patient sitting up in bed crying. How will the nurse display a critical thinking attitude in this situation?
A) Provide privacy and check on the patient 30 minutes later.
B) Set a box of tissues at the patient's bedside before leaving the room.
C) Limit visitors while the patient is upset.
D) Ask the patient about the crying.
Q3) Which action should the nurse take to best develop critical thinking skills?
A) Study 3 hours more each night.
B) Attend all inservice opportunities.
C) Actively participate in clinical experiences.
D) Interview staff nurses about their nursing experiences.
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Chapter 16: Nursing Assessment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is gathering data on a patient. Which data will the nurse report as objective data?
A) States "doesn't feel good"
B) Reports a headache
C) Respirations 16
D) Nauseated
Q2) A nurse has already set the agenda during a patient-centered interview. What will the nurse do next?
A) Begin with introductions.
B) Ask about the chief concerns or problems.
C) Explain that the interview will be over in a few minutes.
D) Tell the patient "I will be back to administer medications in 1 hour."
Q3) The nurse begins a shift assessment by examining a surgical dressing that is saturated with serosanguineous drainage on a patient who had open abdominal surgery yesterday (or 1 day ago). Which type of assessment approach is the nurse using?
A) Gordon's Functional Health Patterns
B) Activity-exercise pattern assessment
C) General to specific assessment
D) Problem-oriented assessment
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Chapter 17: Nursing Diagnosis
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21 Verified Questions
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Sample Questions
Q1) A nurse performs an assessment on a patient. Which assessment data will the nurse use as an etiology for Acute pain?
A) Discomfort while changing position
B) Reports pain as a 7 on a 0 to 10 scale
C) Disruption of tissue integrity
D) Dull headache
Q2) After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is the rationale for the nurse's actions?
A) To form a language that can be encoded only by nurses
B) To distinguish the nurse's role from the physician's role
C) To develop clinical judgment based on other's intuition
D) To help nurses focus on the scope of medical practice
Q3) A patient exhibits the following symptoms: tachycardia, increased thirst, headache, decreased urine output, and increased body temperature. The nurse analyzes the data. Which nursing diagnosis will the nurse assign to the patient?
A) Adult failure to thrive
B) Hypothermia
C) Deficient fluid volume
D) Nausea
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Page 19
Chapter 18: Planning Nursing Care
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Sample Questions
Q1) A nurse is completing a care plan. Which intervention is most appropriate for the nursing diagnostic statement Impaired skin integrity related to shearing forces?
A) Administer pain medication every 4 hours as needed.
B) Turn the patient every 2 hours, even hours.
C) Monitor vital signs, especially rhythm.
D) Keep the bed side rails up at all times.
Q2) Which information indicates a nurse has a good understanding of a goal?
A) It is a statement describing the patient's accomplishments without a time restriction.
B) It is a realistic statement predicting any negative responses to treatments.
C) It is a broad statement describing a desired change in a patient's behavior.
D) It is a measurable change in a patient's physical state.
Q3) The nurse completes a thorough assessment of a patient and analyzes the data to identify nursing diagnoses. Which step will the nurse take next in the nursing process?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
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Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) The nurse inserts an intravenous (IV) catheter using the correct technique and following the recommended steps according to standards of care and hospital policy. Which type of implementation skill is the nurse using?
A) Cognitive
B) Interpersonal
C) Psychomotor
D) Judgmental
Q2) A nurse is making initial rounds on patients. Which intervention for a patient with poor wound healing should the nurse perform first?
A) Reinforce the wound dressing as needed with 4 * 4 gauze.
B) Perform the ordered dressing change twice daily.
C) Observe wound appearance and edges.
D) Document wound characteristics.
Q3) A new nurse is working in a unit that uses interdisciplinary collaboration. Which action will the nurse take?
A) Act as a leader of the health care team.
B) Develop good communication skills.
C) Work solely with nurses.
D) Avoid conflict.
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Page 21
Chapter 20: Evaluation
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse is evaluating the goal of acceptance of body image in a young teenage girl. Which statement made by the patient is the best indicator of progress toward the goal?
A) "I'm worried about what those other girls will think of me."
B) "I can't wear that color. It makes my hips stick out."
C) "I'll wear the blue dress. It matches my eyes."
D) "I will go to the pool next summer."
Q2) A new nurse is confused about using evaluative measures when caring for patients and asks the charge nurse for an explanation. Which response by the charge nurse is most accurate?
A) "Evaluative measures are multiple-page documents used to evaluate nurse performance."
B) "Evaluative measures include assessment data used to determine whether patients have met their expected outcomes and goals."
C) "Evaluative measures are used by quality assurance nurses to determine the progress a nurse is making from novice to expert nurse."
D) "Evaluative measures are objective views for completion of nursing interventions."
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) A new nurse expresses frustration at not being to complete all interventions for a group of patients in a timely manner. The nurse leaves the rounds report sheets at the nurse's station when caring for patients and reports having to go back and forth between rooms for equipment and supplies. Which type of skill does the nurse need?
A) Interpersonal communication
B) Clinical decision making
C) Organizational
D) Evaluation
Q2) A nurse is working in a facility that has fewer directors with managers and staff able to make shared decisions. In which type of organizational structure is the nurse employed?
A) Delegation
B) Research-based
C) Decentralization
D) Philosophy of care
Q3) Low priority
A)Patient that needs to be turned to prevent pneumonia
B)Patient with acute asthma attack
C)Patient who will be discharged in 2 days who needs teaching
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Page 23
Chapter 22: Ethics and Values
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19 Flashcards
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Sample Questions
Q1) A young woman who is pregnant with a fetus exposed to multiple teratogens consents to have her fetus undergo serial PUBS (percutaneous umbilical blood sampling) to examine how exposure affects the fetus over time. Although these tests will not improve the fetus's outcomes and will expose it to some risks, the information gathered may help infants in the future. Which ethical principle is at \(\bold{greatest}\) risk?
A) Fidelity
B) Autonomy
C) Beneficence
D) Nonmaleficence
Q2) Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is most compromised when only one nurse anesthetist is on call?
A) Justice
B) Fidelity
C) Beneficence
D) Nonmaleficence
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Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) A pediatric oncology nurse floats to an orthopedic trauma unit. Which action should the nurse manager of the orthopedic unit take to enable safe care to be given by this nurse?
A) Provide a complete orientation to the functioning of the entire unit.
B) Determine patient acuity and care the nurse can safely provide.
C) Allow the nurse to choose which mealtime works best.
D) Assign nursing assistive personnel to assist with care.
Q2) A home health nurse notices that a patient's preschool children are often playing on the sidewalk and in the street unsupervised and repeatedly takes them back to the home and talks with the patient, but the situation continues. Which immediate action by the nurse is mandated by law?
A) Contact the appropriate community child protection facility.
B) Tell the parents that the authorities will be contacted shortly.
C) Take pictures of the children to support the overt child abuse.
D) Discuss with both parents about the safety needs of their children.
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25
Chapter 24: Communication
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Sample Questions
Q1) When making rounds, the nurse finds a patient who is not able to sleep because of surgery in the morning. Which therapeutic response is most appropriate?
A) "You will be okay. Your surgeon will talk to you in the morning."
B) "Why can't you sleep? You have the best surgeon in the hospital."
C) "Don't worry. The surgeon ordered a sleeping pill to help you sleep."
D) "It must be difficult not to know what the surgeon will find. What can I do to help?"
Q2) Which types of nurses make the best communicators with patients?
A) Those who learn effective psychomotor skills
B) Those who develop critical thinking skills
C) Those who like different kinds of people
D) Those who maintain perceptual biases
Q3) A nurse is sitting at the patient's bedside taking a nursing history. Which zone of personal space is the nurse using?
A) Socio-consultative
B) Personal
C) Intimate
D) Public
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Chapter 25: Patient Education
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Sample Questions
Q1) A nurse is assessing the ability to learn of a patient who has recently experienced a stroke. Which question/statement will best assess the patient's ability to learn?
A) "What do you want to know about strokes?"
B) "Please read this handout and tell me what it means."
C) "Do you feel strong enough to perform the tasks I will teach you?"
D) "On a scale from 1 to 10, tell me where you rank your desire to learn."
Q2) A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess to determine a patient's ability to learn?
A) Sociocultural background and motivation
B) Stage of grieving and overall physical health
C) Developmental capabilities and physical capabilities
D) Psychosocial adaptation to illness and active participation
Q3) A nurse teaches a patient with heart failure healthy food choices. The patient states that eating yogurt is better than eating cake. Which element represents feedback?
A) The nurse
B) The patient
C) The nurse teaching about healthy food choices
D) The patient stating that eating yogurt is better than eating cake
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Chapter 26: Documentation and Informatics
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34 Flashcards
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Sample Questions
Q1) A nurse is charting. Which information is critical for the nurse to document?
A) The patient had a good day with no complaints.
B) The family is demanding and argumentative.
C) The patient received a pain medication, Lortab.
D) The family is poor and had to go on welfare.
Q2) A nurse in a long-term care setting that is funded by Medicare and Medicaid is completing standardized protocols for assessment and care planning for reimbursement. Which task is the nurse completing?
A) A minimum data set
B) An admission assessment and acuity level
C) A focused assessment/specific body system
D) An intake assessment form and auditing phase
Q3) A nurse preceptor is working with a student nurse. Which behavior by the student nurse will require the nurse preceptor to intervene?
A) The student nurse reads the patient's plan of care.
B) The student nurse reviews the patient's medical record.
C) The student nurse shares patient information with a friend.
D) The student nurse documents medication administered to the patient.
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28
Chapter 27: Patient Safety and Quality
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Sample Questions
Q1) A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take?
A) Check on the patient once a shift.
B) Encourage visitors in the early evening.
C) Place all four side rails in the "up" position.
D) Keep the patient on fall risk until discharge.
Q2) The nurse is performing the "Timed Get Up and Go (TUG)" assessment. Which actions will the nurse take? (Select all that apply.)
A) Ranks a patient as high risk for falls after patients takes 18 seconds to complete
B) Teaches patient to rise from straight back chair using arms for support
C) Instructs the patient to walk 10 feet as quickly and safely as possible
D) Observes for unsteadiness in patient's gait
E) Begins counting after the instructions
F) Allows the patient a practice trial
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Chapter 28: Immobility
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Sample Questions
Q1) The nurse is working on an orthopedic rehabilitation unit that requires lifting and positioning of patients. Which personal injury will the nurse \(\bold{most}\) likely try to prevent?
A) Arm
B) Hip
C) Back
D) Ankle
Q2) The patient is being admitted to the neurological unit with a diagnosis of stroke. When will the nurse begin discharge planning?
A) At the time of admission
B) The day before the patient is to be discharged
C) When outpatient therapy will no longer be needed
D) As soon as the patient's discharge destination is known
Q3) The nurse is providing teaching to an immobilized patient with impaired skin integrity about diet. Which diet will the nurse recommend?
A) High protein, high calorie
B) High carbohydrate, low fat
C) High vitamin A, high vitamin E
D) Fluid restricted, bland
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Page 30
Chapter 29: Infection Prevention and Control
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Sample Questions
Q1) The nurse is caring for a patient who becomes nauseated and vomits without warning. The nurse has contaminated hands. Which action is best for the nurse to take next?
A) Wash hands with an antimicrobial soap and water.
B) Clean hands with wipes from the bedside table.
C) Use an alcohol-based waterless hand gel.
D) Wipe hands with a dry paper towel.
Q2) The nurse is providing an education session to an adult community group about the effects of smoking on infection. Which information is most important for the nurse to include in the educational session?
A) Smoke from tobacco products clings to your clothing and hair.
B) Smoking affects the cilia lining the upper airways in the lungs.
C) Smoking can affect the color of the patient's fingernails.
D) Smoking tobacco products can be very expensive.
Q3) The nurse is caring for a group of patients. Which patient will the nurse see first?
A) A patient with Clostridium difficile in droplet precautions
B) A patient with tuberculosis in airborne precautions
C) A patient with MRSA infection in contact precautions
D) A patient with a lung transplant in protective environment precautions
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Page 31
Chapter 30: Vital Signs
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51 Flashcards
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Sample Questions
Q1) When assessing the temperature of newborns and children, the nurse decides to utilize a temporal artery thermometer. What is the rationale for the nurse's action?
A) It is not affected by skin moisture.
B) It has no risk of injury to patient or nurse.
C) It reflects rapid changes in radiant temperature.
D) It is accurate even when the forehead is covered with hair.
Q2) The nurse is preparing to obtain an oxygen saturation reading on a toddler. Which action will the nurse take?
A) Secure the sensor to the toddler's earlobe.
B) Determine whether the toddler has a latex allergy.
C) Place the sensor on the bridge of the toddler's nose.
D) Overlook variations between an oximeter pulse rate and the toddler's pulse rate.
Q3) Orthostatic hypotension
A)Patient's temperature is 113° F (45° C) with hot, dry skin.
B)Patient's blood pressure sitting is 130/60 and 110/40 standing.
C)Patient's pulse is 110 beats/min.
D)Patient's temperature is 93.2° F (34° C).
E)Patient's blood pressure went from 126/76 to 90/50.
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Chapter 31: Health Assessment and Physical Examination
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Sample Questions
Q1) A male student comes to the college health clinic. He hesitantly describes that he found something wrong with his testis when taking a shower. Which assessment finding will alert the nurse to possible testicular cancer?
A) Hard, pea-sized testicular lump
B) Rubbery texture of testes
C) Painful enlarged testis
D) Prolonged diuretic use
Q2) During a genitourinary examination of a 30-year-old male patient, the nurse identifies a small amount of a white, thick substance on the patient's uncircumcised glans penis. What is the nurse's next step?
A) Record this as a normal finding.
B) Avoid embarrassing questions about sexual activity.
C) Notify the provider about a suspected sexually transmitted infection.
D) Tell the patient to avoid doing self-examinations until symptoms clear.
Q3) The nurse is assessing skin turgor. Which technique will the nurse use?
A) Press lightly on the forearm.
B) Press lightly on the fingertips.
C) Grasp a fold of skin on the sternal area.
D) Grasp a fold of skin on the back of the hand.
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Page 33
Chapter 32: Medication Administration
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Sample Questions
Q1) The nurse is administering 250 mg of a medication elixir to the patient. The medication comes in a dose of 1000 mg/5 mL. How many milliliters should the nurse administer? Record your answer using two decimal places. ____ mL
Q2) The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse's priority?
A) Change the dose to one that is within range.
B) Administer the medication because it is within the therapeutic range.
C) Notify the health care provider that the prescribed dose is in the toxic range.
D) Notify the health care provider that the prescribed dose is below the therapeutic range.
Q3) Which methods will the nurse use to administer an intravenous (IV) medication that is incompatible with the patient's IV fluid? (Select all that apply.)
A) Start another IV site.
B) Administer slowly with the IV fluid.
C) Do not give the medication and chart.
D) Flush with 10 mL of sterile water before and after administration.
E) Flush with 10 mL of normal saline before and after administration.
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Chapter 33: Complementary and Alternative Therapies
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Sample Questions
Q1) Garlic
A)Elevated cholesterol levels
B)Nausea and vomiting
C)Benign prostatic hyperplasia
D)Skin inflammation
E)Mild anxiety
F)Unsafe and should not be used
Q2) A patient asks about the new clinic in town that is staffed by allopathic and complementary practitioners. Which response from the nurse is best?
A) It is probably an ayurvedic clinic.
B) It is probably a homeopathic clinic.
C) It is probably an integrative medical clinic.
D) It is probably a naturopathic medical clinic.
Q3) A nurse is teaching a patient about the use of biofeedback. Which goal should the nurse add to the care plan?
A) Opens emotional channels
B) Uses music to calm the mind
C) Holds various postures with breathing
D) Controls autonomic physiological functions
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Chapter 34: Self-Concept
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Sample Questions
Q1) The nurse is caring for an older-adult patient. Which technique will the nurse use to enhance an older-adult patient's self-concept?
A) Discussing current weather
B) Encouraging patients to sing
C) Reviewing old photos with patients
D) Allowing patients extra computer time
Q2) The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment. Which goal is a priority at this time?
A) Identifying local self-help groups before being discharged from the program
B) Stating a plan to never be tempted by illicit substances after discharge
C) Staying away from all triggers that cause substance abuse
D) Recognizing personal areas of weakness to grow stronger
Q3) Disturbed body image
A)I am ugly with all these burn scars.
B)I am one with the universe.
C)I am good for nothing.
D)I am a good mother.
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Chapter 35: Sexuality
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Sample Questions
Q1) A nurse is interviewing a woman who uses a diaphragm. Which information from the patient will require the nurse to follow up?
A) "I have lost 12 pounds on this diet."
B) "I use the diaphragm to prevent pregnancy."
C) "I use a contraceptive cream with my diaphragm."
D) "I know this provides a barrier over the cervical opening."
Q2) A nurse is preparing a community class about sexually transmitted infections. Which primary group will the nurse focus on for this class?
A) Bisexual women
B) Men who have sex with men
C) Youths between the ages of 24 and 27
D) Pregnant women and their partners
Q3) A nurse is assessing a child for sexual abuse. Which assessment findings will the nurse expect?
A) Physical aggression and sleep disturbances
B) Many peers and no drug usage
C) Panic attacks and anorexia
D) Anxiety and depression
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Chapter 36: Spiritual Health
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Sample Questions
Q1) Islam
A)Nature controls life and health.
B)Organ transplantation or donation is not considered.
C)Observance of the Sabbath is important.
D)Past sins cause illness.
E)Nonhuman spirits invading the body cause illness.
Q2) The nurse is caring for a group of patients. Which patient will the nurse see first?
A) A patient saying that God has left and there is no reason for living.
B) A patient refusing treatment on the Sabbath.
C) A patient having a folk healer in the room.
D) A patient praying to Allah.
Q3) The patient is admitted with chronic anxiety. Which action is most appropriate for the nurse to take?
A) Focus on finding quick remedies for the anxiety.
B) Realize that the patient's only goal is relief of the anxiety.
C) Look at how anxiety influences the patient's ability to function.
D) Help the patient realize that there is little hope of relief from anxiety.
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Chapter 37: The Experience of Loss, Death, and Grief
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Q1) A nurse is documenting end-of-life care. Which information will the nurse include in the patient's electronic medical record? (Select all that apply.)
A) Reason for the death
B) Time and date of death
C) How ethically the family grieved
D) Location of body identification tags
E) Time of body transfer and destination
Q2) A nurse is caring for a dying patient. When is the best time for the nurse to discuss end-of-life care?
A) During assessment
B) During planning
C) During implementation
D) During evaluation
Q3) A nurse is caring for a patient in the last stages of dying. Which finding indicates the nurse needs to prepare the family for death?
A) Redness of skin
B) Clear-colored urine
C) Tense muscles tone
D) Cheyne-Stokes breathing
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Chapter 38: Stress and Coping
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Sample Questions
Q1) A nurse is helping parents who have a child with attention-deficit/hyperactivity disorder. Which strategy will the nurse share with the parents to reduce stress regarding homework assignments?
A) Time-management skills
B) Speech articulation skills
C) Routine preventative health visits
D) Assertiveness training for the family
Q2) A female teen with celiac disease continues to eat food she knows will make her ill several hours after ingestion. While planning care, the nurse considers maturational and tertiary-level interventions. Which intervention will the nurse add to the care plan?
A) Teach the teen about the food pyramid.
B) Administer antidiarrheal medications with meals.
C) Gently admonish the teen and her parents regarding the consistently poor diet choices.
D) Assist the teen in meeting dietary restrictions while eating foods similar to those eaten by her friends.
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Chapter 39: Activity and Exercise
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Sample Questions
Q1) The nurse is teaching a patient how to sit with crutches. In which order will the nurse present the instructions starting with the first step?
1) Place both crutches in one hand.
2) Grasp arm of chair with free hand.
3) Completely lower self into chair.
4) Transfer weight to crutches and unaffected leg.
A) 4, 1, 2, 3
B) 1, 4, 2, 3
C) 1, 2, 4, 3
D) 4, 2, 1, 3
Q2) A nurse is working in a facility that follows a comprehensive safe patient-handling program. Which finding will alert the nurse to intervene?
A) Mechanical lifts are in a locked closet.
B) Algorithms for patient handling are available.
C) Ergonomic assessment protocols are being followed.
D) A no-lift policy is in place with adherence by all staff.
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Chapter 40: Hygiene
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Sample Questions
Q1) A nurse is providing AM care to patients. Which action will the nurse take?
A) Soaks feet of patient with peripheral vascular disease
B) Applies CHG solution to wash perineum of patient with a stroke
C) Cleanses eye from outer canthus to inner canthus of patient with diabetes
D) Uses long, firm stroke to wash legs of patient with blood-clotting disorder
Q2) The nurse is caring for a patient who is immobile. The nurse frequently checks the patient for impaired skin integrity. What is the rationale for the nurse's action?
A) Inadequate blood flow leads to decreased tissue ischemia.
B) Patients with limited caloric intake develop thicker skin.
C) Pressure reduces circulation to affected tissue.
D) Verbalization of skin care needs is decreased.
Q3) A nurse is providing perineal care to a female patient. Which washing technique will the nurse use?
A) Back to front
B) In a circular motion
C) From pubic area to rectum
D) Upward from rectum to pubic area
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Chapter 41: Oxygenation
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Sample Questions
Q1) A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?
A) "Atelectasis affects only those with chronic conditions such as emphysema."
B) "It is important to do breathing exercises every hour to prevent atelectasis."
C) "If I develop atelectasis, I will need a chest tube to drain excess fluid."
D) "Hyperventilation will open up my alveoli, preventing atelectasis."
Q2) The home health nurse recommends that a patient with respiratory problems install a carbon monoxide detector in the home. What is the rationale for the nurse's action?
A) Carbon monoxide detectors are required by law in the home.
B) Carbon monoxide tightly binds to hemoglobin, causing hypoxia.
C) Carbon monoxide signals the cerebral cortex to cease ventilations.
D) Carbon monoxide combines with oxygen in the body and produces a deadly toxin.
Q3) A nurse auscultates heart sounds. When the nurse hears S?, which valves is the nurse hearing close?
A) Aortic and mitral
B) Mitral and tricuspid
C) Aortic and pulmonic
D) Mitral and pulmonic
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Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) A patient is admitted for a bowel obstruction and has had a nasogastric tube set to low intermittent suction for the past 3 days. Which arterial blood gas values will the nurse expect to observe?
A) Respiratory alkalosis
B) Metabolic alkalosis
C) Metabolic acidosis
D) Respiratory acidosis
Q2) A chemotherapy patient has gained 5 pounds in 2 days. Which assessment question by the nurse is most appropriate?
A) "Are you following any weight loss program?"
B) "How many calories a day do you consume?"
C) "Do you have dry mouth or feel thirsty?"
D) "How many times a day do you urinate?"
Q3) A nurse has just received a bag of packed red blood cells (RBCs) for a patient. What is the longest time the nurse can let the blood infuse?
A) 30 minutes
B) 2 hours
C) 4 hours
D) 6 hours
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Page 44
Chapter 43: Sleep
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Sample Questions
Q1) A nurse is teaching the staff about the sleep cycle. Which sequence will the nurse include in the teaching session?
A) NREM Stage 1, 2, 3, 4, REM
B) NREM Stage 1, 2, 3, 4, 3, 2, 1, REM
C) NREM Stage 1, 2, 3, 4, REM, 4, 3, 2 REM
D) NREM Stage 1, 2, 3, 4, 3, 2, REM
Q2) Which nursing observation of the patient in intensive care indicates the patient is sleeping comfortably during NREM sleep?
A) Eyes closed, lying quietly, respirations 12, heart rate 60
B) Eyes closed, tossing in bed, respirations 18, heart rate 80
C) Eyes closed, mumbling to self, respirations 16, heart rate 68
D) Eyes closed, lying supine in bed, respirations 22, heart rate 66
Q3) A single parent is discussing the sleep needs of a preschooler with the nurse. Which information will the nurse share with the parent?
A) "Most preschoolers sleep soundly all night long."
B) "It is important that the 5-year-old get a nap every day."
C) "On average, the preschooler needs to sleep 10 hours a night."
D) "Preschoolers may have trouble settling down after a busy day."
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45
Chapter 44: Pain Management
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Sample Questions
Q1) A nurse is planning care for an older-adult patient who is experiencing pain. Which statement made by the nurse indicates the supervising nurse needs to follow up?
A) "As adults age, their ability to perceive pain decreases."
B) "Older patients may have low serum albumin in their blood, causing toxic effects of analgesic drugs."
C) "Patients who have dementia probably experience pain, and their pain is not always well controlled."
D) "It is safe to administer opioids to older adults as long as you start with small doses and frequently assess the patient's response to the medication."
Q2) The nurse is caring for a 4-year-old child who has pain. Which technique will the nurse use to best assess pain in this child?
A) Use the FACES scale.
B) Check to see what previous nurses have charted.
C) Ask the parents if they think their child is in pain.
D) Have the child rate the level of pain on a 0 to 10 pain scale.
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Chapter 45: Nutrition
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Sample Questions
Q1) The patient is to receive multiple medications via the nasogastric tube. The nurse is concerned that the tube may become clogged. Which action is \(\bold{best}\) for the nurse to take?
A) Instill nonliquid medications without diluting.
B) Irrigate the tube with 60 mL of water after all medications are given.
C) Mix all medications together to decrease the number of administrations.
D) Check with the pharmacy for availability of the liquid forms of medications.
Q2) The patient is on parenteral nutrition and is lethargic. The patient reports thirst and headache and has had increased urination. Which problem does the nurse prepare to address?
A) Hyperglycemia
B) Hypoglycemia
C) Hypercapnia
D) Hypocapnia
Q3) The nurse is preparing to check the gastric aspirate for pH. Which equipment will the nurse obtain?
A) 10-mL Luer-Lok syringe
B) Asepto syringe
C) Sterile gloves
D) Double gloves
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Chapter 46: Urinary Elimination
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Sample Questions
Q1) A nurse is providing care to a patient with an indwelling catheter. Which practice indicates the nurse is following guidelines for avoiding catheter-associated urinary tract infection (CAUTI)?
A) Drapes the urinary drainage tubing with no dependent loops
B) Washes the drainage tube toward the meatus with soap and water
C) Places the urinary drainage bag gently on the floor below the patient
D) Allows the spigot to touch the receptacle when emptying the drainage bag
Q2) The nurse, upon reviewing the history, discovers the patient has dysuria. Which assessment finding is consistent with dysuria?
A) Blood in the urine
B) Burning upon urination
C) Immediate, strong desire to void
D) Awakes from sleep due to urge to void
Q3) A patient has severe flank pain. The urinalysis reveals presence of calcium phosphate crystals. The nurse will anticipate an order for which diagnostic test?
A) Intravenous pyelogram
B) Mid-stream urinalysis
C) Bladder scan
D) Cystoscopy
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Page 48
Chapter 47: Bowel Elimination
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Sample Questions
Q1) Which nursing intervention is \(\bold{most}\) effective in promoting normal defecation for a patient who has muscle weakness in the legs?
A) Administer a soapsuds enema every 2 hours.
B) Use a mobility device to place the patient on a bedside commode.
C) Give the patient a pillow to brace against the abdomen while bearing down.
D) Elevate the head of the bed 20 degrees 60 minutes after breakfast while on bedpan.
Q2) A guaiac test is ordered for a patient. Which type of blood is the nurse checking for in this patient's stool?
A) Bright red blood
B) Dark black blood
C) Microscopic
D) Mucoid
Q3) Which action will the nurse take to reduce the risk of excoriation to the mucosal lining of the patient's nose from a nasogastric tube?
A) Instill Xylocaine into the nares once a shift.
B) Tape tube securely with light pressure on nare.
C) Lubricate the nares with water-soluble lubricant.
D) Apply a small ice bag to the nose for 5 minutes every 4 hours.
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49
Chapter 48: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a patient who is experiencing a full-thickness repair. Which type of tissue will the nurse expect to observe when the wound is healing?
A) Eschar
B) Slough
C) Granulation
D) Purulent drainage
Q2) Hydrocolloid
A)Absorbs drainage through the use of exudate absorbers in the dressing
B)Very soothing to the patient and do not adhere to the wound bed
C)Barrier to external fluids/bacteria but allows wound to "breathe"
D)Manufactured from seaweed and comes in sheet and rope form
E)Oldest and most common absorbent dressing
Q3) The medical-surgical acute care patient has received a nursing diagnosis of Impaired skin integrity. Which health care team member will the nurse consult?
A) Respiratory therapist
B) Registered dietitian
C) Case manager
D) Chaplain
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Chapter 49: Sensory Alterations
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Q1) A nurse is caring for a patient with a right hemisphere stroke and partial paralysis. Which action by the nursing assistive personnel (NAP) will cause the nurse to praise the NAP?
A) Dressing the left side first
B) Dressing the right side first
C) Dressing the lower extremities first
D) Dressing the upper extremities first
Q2) A new nurse is caring for a patient who is undergoing chemotherapy for cancer. The patient is becoming malnourished because nothing tastes good. Which recommendation by the nurse will be \(\bold{most}\) appropriate for this patient?
A) "Rinse your mouth several times a day to hydrate your taste buds."
B) "Avoid adding spices or lemon juice to food to prevent nausea."
C) "Blend foods together in interesting flavor combinations."
D) "Eat soft foods that are easy to chew and swallow."
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Chapter 50: Care of Surgical Patients
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Q1) The circulating nurse is caring for a patient intraoperatively. Which primary role of the circulating nurse will be implemented?
A) Suturing the surgical incision in the OR suite
B) Managing patient care activities in the OR suite
C) Assisting with applying sterile drapes in the OR suite
D) Handing sterile instruments and supplies to the surgeon in the OR suite
Q2) The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an assessment and reviews the patient's laboratory tests and allergies and prepares the patient for surgery. In which perioperative nursing phase is the nurse working?
A) Perioperative
B) Preoperative
C) Intraoperative
D) Postoperative
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