Introduction to Nursing Practice
Solved Exam Questions
Course Introduction
Introduction to Nursing Practice provides students with a comprehensive overview of the foundational principles and skills essential to the nursing profession. The course covers the roles and responsibilities of nurses within the healthcare team, effective communication with patients and colleagues, and the application of ethical and legal standards in clinical settings. Students will learn basic nursing procedures, patient assessment techniques, and the importance of safety and infection control. Emphasis is placed on developing critical thinking and decision-making abilities to deliver patient-centered care. Through a combination of classroom instruction, simulation, and supervised clinical experiences, students are prepared to begin their journey as competent, compassionate nursing professionals.
Recommended Textbook
Foundations of Nursing 8th Edition by Kim Cooper RN MSN
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Chapter 1: The Evolution of Nursing
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Sample Questions
Q1) According to Maslow's hierarchy of needs,what is an individual's most basic need?
A)Safety and security
B)Love/belongingness
C)Physiologic
D)Self-actualization
E)Esteem
Answer: C
Q2) The relationships among nursing,patients,health,and the environment are the basis for:
A)care plans.
B)nursing models.
C)health care provider's orders.
D)evaluation of patient care.
Answer: B
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Chapter 2: Legal and Ethical Aspects of Nursing
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Sample Questions
Q1) A lumbar puncture was performed on a patient without a signed informed consent form.This patient might sue for:
A)punitive damages.
B)civil battery.
C)assault.
D)nothing; no violation has occurred.
Answer: B
Q2) A nurse fails to irrigate a feeding tube as ordered,resulting in harm to the patient.This nurse could be found guilty of:
A)malpractice.
B)harm to the patient.
C)negligence.
D)failure to follow the nurse practice act.
Answer: A
Q3) What is the best way for a nurse to avoid a lawsuit?
A)Carry malpractice insurance.
B)Spend time with the patient.
C)Provide compassionate,competent care.
D)Answer all call lights quickly.
Answer: C
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Chapter 3: Documentation
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Sample Questions
Q1) Why is documentation especially significant in managed care?
A)The hospital needs to show that employees care for patients.
B)Institutions are reimbursed only for patient care that is documented.
C)Patients might bring lawsuits if care was not given.
D)Documents may become part of a lawsuit.
Answer: B
Q2) Twenty-four-hour charting is designed to establish __________ levels to help determine staffing needs.
Answer: acuity
Patient acuity,which is reflected in 24-hour charting compilation,can dictate staffing needs.
Q3) The nurse charts only additional treatments done,changes in patient condition,and new concerns.What is this system of documentation?
A)SOAP
B)Block
C)CBE
D)Focus
Answer: C
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Chapter 4: Communication
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Q1) A patient does not speak English; therefore,the nurse cannot use words to provide comfort during a painful procedure.What is another intervention that may provide comfort to this patient?
A)Silence
B)Listening
C)Touch
D)Restating
Q2) A nurse examines whether patient interventions have been appropriate and expected outcomes have been met.The nurse is demonstrating which step in the nursing process?
A)Assessment
B)Planning
C)Implementation
D)Evaluation
Q3) How can the nurse demonstrate warmth and acceptance when listening to a patient?
A)Tightly crossing her arms
B)Uncrossing her arms
C)Tightly crossing her legs
D)Facing away from the patient
Q4) ____________ is described as the exchange of information.
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Chapter 5: Nursing Process and Critical Thinking
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Sample Questions
Q1) What is an important consideration when developing the care plan?
A)Ensure the number of interventions is limited.
B)Ensure the patient is involved in the process.
C)Ensure interventions will be easy to implement.
D)Ensure evaluation of the patient problems is possible.
Q2) What type of assessment is performed continuously throughout nurse-patient contact?
A)Complete
B)Body systems
C)Focused
D)Subjective
Q3) What best defines the nursing process?
A)A method to ensure that the health care provider's orders are implemented correctly.
B)A series of assessments that isolate a patient's health problem.
C)A framework for the organization of individualized nursing care.
D)A preset formula for the design of nursing care.
Q4) A clinical judgment concerning a human response to health conditions/life processes,or a vulnerability for that response,by an individual,family,group or community is known as a nursing ___________.
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Chapter 6: Cultural and Ethnic Considerations
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Q1) What should the culturally sensitive nurse do for a Muslim woman being treated in the hospital? (Select all that apply.)
A)Assign only female staff to care for her.
B)Keep her head and extremities covered as much as possible.
C)Arrange for family to bring specially prepared pork dishes.
D)Let her make decisions relative to her care.
E)Allow privacy for prayer.
Q2) While caring for a Mexican American family in the home,the home health nurse recognizes that the family may also consult the curandero or _____________ for health advice.
Q3) A nurse is preparing to discuss birth control options for a Roman Catholic patient.What is the most appropriate method for the nurse to discuss with this patient?
A)Abstinence
B)Vasectomy
C)Tubal ligation
D)Oral contraceptives
Q4) The cultural characteristic of unwillingness to leave a current activity-which may result in late or missed appointments-is called ____________.
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Page 8
Chapter 7: Asepsis and Infection Control
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Q1) What is the most dependable and practical method to use when sterilizing instruments for the operating room?
A)Chemical solution
B)Boiling water
C)Steam under pressure
D)Dry heat
Q2) Recognizing the stages of an infection assists the nurse in identifying the progression of an infection.What is the nonspecific to specific symptom stage of an infection?
A)Convalescent
B)Illness
C)Prodromal
D)Incubation
Q3) The nurse is instructing a bioterrorism class regarding anthrax.How can anthrax be transmitted?
A)From person to person
B)Through microscopic skin punctures
C)Through inhalation of the spores
D)By exposure to animals that have anthrax
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Page 9
Chapter 8: Body Mechanics and Patient Mobility
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Q1) Acute _______________ syndrome occurs in the extremities,especially the legs,where a sheath of inelastic fascia partitions blood vessel,nerve,and muscle tissue.
Q2) What implementation might the nurse use to improve safety during a transfer?
A)Weighing the patient first
B)Using a transfer belt
C)Putting shoes on the patient
D)Supporting a flaccid arm
Q3) The nurse counsels the immobilized patient in regard to prevention of muscle atrophy and contractures.What will the nurse be sure to include when counseling this patient?
A)The need for additional calcium
B)The need for additional protein
C)The need for some type of exercise
D)The need for a special protective bed
Q4) The most common cause of musculoskeletal disorders in nurses involves a movement that requires the nurse to ________ and lift at the same time.
Q5) Continuous ___________________ motion machines flex and extend joints to mobilize them passively without the strain of active exercises.
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Chapter 9: Hygiene and Care of the Patients Environment
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Sample Questions
Q1) The health care provider orders a patient to be placed in the reverse Trendelenburg's position.How should the nurse place the bed?
A)On the floor
B)Parallel with the floor
C)Tilted with the head of the bed down
D)Tilted with the foot of the bed down
Q2) The nursing assessment of a pressure injury includes size,depth,pain,odor,and color of tissue.What does this evaluate?
A)Treatment needed
B)Effectiveness of implementation
C)Whether improvement is occurring
D)Need for additional interventions
Q3) The nurse is caring for a patient experiencing presbycusis.What intervention should the nursing personnel be instructed to implement?
A)Speak quickly to the patient.
B)Speak in loud tones to the patient.
C)Speak slowly and clearly to the patient.
D)Tell the patient they must purchase a hearing aid.
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Chapter 10: Safety
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Sample Questions
Q1) What must the nurse do before applying a safety reminder device (SRD)?
A)Get permission from the family.
B)Assess patient's skin condition.
C)Get a health care provider's order.
D)Explain the SRD to the patient.
Q2) When the nurse ambulates with a patient who has left-sided weakness,what actions should the nurse take? (Select all that apply.)
A)Walk on the patient's right side.
B)Keep the patient away from heavy furniture.
C)Hold the patient's arm securely.
D)Keep the leg nearest the patient behind the patient's knee.
E)Use a gait belt.
Q3) The emergency department nurse admits a victim of poisoning.Who should the nurse call to receive the best assistance for dealing with this victim?
A)American Red Cross
B)Fire department paramedics
C)Poison control center
D)Civil defense office
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Chapter 11: Admission,transfer,and Discharge
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Q1) How can the nurse demonstrate cultural sensitivity to a Haitian American patient?
A)By providing a well-lit room 24 hours a day
B)By writing out all instructions given to the patient
C)By allowing the patient to keep leaves in her room
D)By asking the health care provider to provide all directions to the patient
Q2) When admitting a patient to the hospital,the nurse observes that the patient is distracted and tense.What does this behavior suggest as a common reaction to hospitalization?
A)Relief about being cared for
B)Fear of the unknown
C)Feeling of powerlessness
D)Concern about cost
Q3) When should discharge planning begin?
A)The day before discharge
B)On the first day postoperatively
C)Shortly after admission
D)When the health care provider orders it
Q4) Some Orthodox Jewish patients consider sundown Friday to sundown ____________ to be the Sabbath,which is a time of rest.
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Chapter 12: Vital Signs
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Q1) A patient is admitted to a medical surgical unit.What factors will determine how frequently vital signs will be assessed? (Select all that apply.)
A)Desire of the patient
B)Judgment of need by the nurse
C)Discretion of the family
D)Orders of the health care provider
E)Patient's condition
Q2) The nurse uses cooling techniques to keep the body temperature below 105°F (40.6°C).What can result from an elevated temperature?
A)Excessive thirst
B)Excessive perspiration
C)Damage to body cells
D)Increased heart rate
Q3) What part of the body maintains a balance between heat production and heat loss,regulating body temperature?
A)Thymus
B)Thyroid
C)Hypothalamus
D)Adrenal glands
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Page 14
Chapter 13: Physical Assessment
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Sample Questions
Q1) Symptoms that are perceived by the patient are known as _____________ data.
Q2) As part of an assessment,the nurse asks the patient for subjective information related to the present illness.What are the subjective findings perceived by the patient?
A)Assessments
B)Symptoms
C)Signs
D)Observations
Q3) A patient was admitted with a complaint of abdominal pain.Later,the nurse observed the patient demonstrating dyspnea.What type of assessment does this change in condition require?
A)Individualized
B)Focused
C)Specialized
D)Systematic
Q4) An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is known as ___________________.
Q5) Redness or inflammation of the skin or mucous membranes that is the result of dilation and congestion of superficial capillaries is known as _________________.
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Chapter 14: Oxygenation
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Sample Questions
Q1) The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently.What is the purpose of the inflated cuff?
A)Prevent regurgitation after meals.
B)Hold the trachea open until it is completely healed.
C)Dilate the tracheal opening for passage of secretions.
D)Prevent aspiration when eating.
Q2) The nurse is caring for a patient with an endotracheal tube.What interventions will the nurse implement? (Select all that apply.)
A)Change or clean all respiratory therapy equipment every 24 hours.
B)Turn and reposition the patient every 2 hours.
C)Provide constant airway humidification.
D)Encourage intake of fruits and vegetables.
E)Elevate the head of the bed.
Q3) Which of the following is an appropriate nursing measure when performing tracheostomy care?
A)Wear clean gloves.
B)Insert the catheter without suction.
C)Suction for 1 minute before removing the catheter.
D)Place the used catheter in a plastic shield for later use.
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Chapter 15: Elimination and Gastric Intubation
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Q1) What would be the correct explanation of catheter care?
A)Cleansing the first 2 in of the catheter with soap and water every shift
B)Disinfecting the entire catheter with alcohol every shift
C)Lubricating the catheter with antiseptic lotion every 24 hours
D)Cleansing the meatal-catheter junction every 24 hours
Q2) ____________________ is the inability to control urine or bowel elimination and can be a psychologically distressing and socially disruptive problem,especially among older adults.
Q3) During insertion of a Foley catheter,the patient grimaces as the balloon is inflated.What is the immediate reaction of the nurse?
A)Withdraw the catheter.
B)Ask the patient to bear down.
C)Continue to inflate the balloon.
D)Advance the catheter into the bladder.
Q4) After a Foley catheter has been removed,the nurse should assess the patient for:
A)hemorrhage.
B)constipation.
C)urinary retention.
D)bladder spasm.
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Chapter 16: Care of Patients Experiencing Urgent
Alterations in Health
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Q1) When assessing a patient who has suffered a burn injury,the nurse classifies the burn as a deep partial-thickness burn.What is this observation most likely based upon?
A)Painful reddened skin
B)Charred skin with milky-white areas
C)Erythema and blisters
D)Erythema,pain,and swelling
Q2) A patient has been stung by a bee and is brought to the emergency department.The nurse observes the sting site and identifies that the stinger is still in the skin.What action should the nurse take?
A)Remove it with sterile tweezers.
B)Soak the area with a cold compress.
C)Scrape the stinger with the side of a knife.
D)Squeeze the surrounding tissue to expel the stinger.
Q3) A nurse is assessing victims in an emergency situation.What will the nurse assess for first?
A)Hemorrhage
B)Fractures
C)Mobility
D)Abnormal breathing
Page 18
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Chapter 17: Dosage Calculation and Medication
Administration
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Q1) What landmarks are used for the administration of an intramuscular injection into the gluteal site?
A)The tip of the coccyx and the greater trochanter
B)Between the center of the gluteus and the iliac spine
C)Between the posterior iliac crest and the greater trochanter
D)On an imaginary line between the center of the gluteus and the greater trochanter
Q2) What is the main organ that inactivates and metabolizes drugs?
A)Spleen
B)Liver
C)Lungs
D)Pancreas
Q3) Which of the following fractions is the largest?
A) \(\frac { 1 } { 2 }\)
B) \(\frac { 1 } { 3 }\)
C) \(\frac { 1 } { 4 }\)
D) \(\frac { 1 } { 5 }\)
Q4) When giving a tubal medication,the nurse should flush the tubing with 30 to 50 _______ of water.
Page 19
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Chapter 18: Fluids and Electrolytes
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Q1) The nurse expects an adult with normal ______________ function to void a minimum of 120 mL of urine in 4 hours.
Q2) The lactating mother is counseled by the nurse to eat adequate amounts of meat and legumes.What level will this help to increase?
A)Potassium
B)Chloride
C)Magnesium
D)Phosphorus
Q3) A nurse assesses an edematous cardiac patient.The nurse is aware that this condition is a result of retained fluid.What is the patient considered to be?
A)Hyponatremic
B)Hypokalemic
C)Hypernatremic
D)Hypercalcemic
Q4) What is the nurse closely assessing for in a patient with hypokalemia?
A)Systemic edema
B)Cardiac complications
C)Muscle cramping
D)Impaired kidney function
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Chapter 19: Nutritional Concepts and Related Therapies
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Q1) What is a nursing intervention to decrease the thirst of a patient who is on a fluid restriction?
A)Rinsing the mouth with warm water
B)Sipping carbonated drinks
C)Sucking on occasional ice chips
D)Limiting tooth brushing to once per day
Q2) Careful attention to carbohydrate consumption can improve metabolic control of diabetes.The nurse teaches a meal planning approach that focuses on the total amount of carbohydrates eaten at a meal.What is this meal planning approach called?
A)Carbohydrate splitting
B)Reduced caloric intake
C)Carbohydrate counting
D)Carbohydrate balancing
Q3) How many kcal/g does 1 g of alcohol provide?
A)4 kcal/g
B)5 kcal/g
C)6 kcal/g
D)7 kcal/g
Q4) The body mass index (BMI)of a man 6 ft tall weighing 250 lb is _______.
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Chapter 20: Complementary and Alternative Therapies
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Q1) Why do people often choose complementary and alternative medicine (CAM)? (Select all that apply.)
A)CAM is less invasive.
B)CAM is more holistic.
C)CAM is focused on treatment of disease.
D)CAM is dedicated to health maintenance.
E)CAM is within the control of the patient.
Q2) Acupuncture is a complementary therapy that uses fine needles placed in acupoints.What is the believed purpose of these acupoints?
A)"Close the gate" for pain transmission.
B)Align the internal organs.
C)Open meridians to release qi.
D)Stimulate the "centering" of qi.
Q3) The nurse describes a therapy that can produce a state of decreased cognitive,physiologic,and/or behavioral arousal.To what alternative therapy is the nurse referring?
A)Subconscious
B)Imagery
C)Sleep
D)Relaxation
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Chapter 21: Pain Management,comfort,rest,and Sleep
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Q1) The nurse is assessing pain reported by a Latino male patient.What is important for the nurse take into consideration when observing objective data?
A)Latino men are suspicious of female caregivers.
B)Latino men have a cultural bias against use of narcotics.
C)Latino men believe pain is necessary for cure.
D)Latino men feel it is unmanly to admit to pain.
Q2) The nurse clarifies that the term peripheral analgesics describes the group of drugs also referred to as ___________.
Q3) What action should the nurse implement when assisting a postoperative patient with pain control and comfort?
A)Pull the patient up in bed.
B)Lift the patient up in bed.
C)Tighten constricting bandages.
D)Restrict fluid and dietary intake.
Q4) What is the best approach for a nurse to use when planning pain relief measures?
A)Use a variety of pain relief methods.
B)Use only nonopioid analgesics.
C)Use at least three alternating methods.
D)Use only one method at a time.
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Chapter 22: Surgical Wound Care
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Q1) The nurse is preparing to redress a wound and will secure the dressing using a gauze bandage as ordered by the health care provider.What is an advantage of gauze bandages?
A)Provision of warmth.
B)Applies strong pressure.
C)Antibacterial effects.
D)Prevents skin maceration.
Q2) The nurse assessing a postoperative patient discovers that the pulse is rapid,blood pressure has decreased,urinary output has decreased,and the dressing is dry.What can the nurse determine is indicated by these findings?
A)Pain shock
B)Dehydration
C)Internal hemorrhage
D)Acute infection
Q3) Which are the phases of wound healing? (Select all that apply.)
A)Reconstruction
B)Hemostasis
C)Inflammation
D)Granulation
E)Maturation
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Chapter 23: Specimen Collection and Diagnostic Testing
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Q1) What should the nurse do when preparing the patient for an exercise tolerance test (treadmill)?
A)Withhold all foods and fluids before the test.
B)Withhold all heart medications before the test.
C)Allow the patient to drink water before the test.
D)Allow the patient to consume food before the test.
Q2) Following a liver biopsy,the nurse should observe for hemorrhage and ensure that the patient is kept on bed rest for 24 hours.How should the nurse keep the patient for the first 1 to 2 hours?
A)On his or her left side
B)On his or her back
C)On his or her right side
D)In high Fowler's position
Q3) What should the nurse do when preparing the patient for a bone scan?
A)Sedate the patient.
B)Restrict food intake.
C)Restrict fluid intake.
D)Encourage water intake.
Q4) When performing a venipuncture,the tourniquet should be left on no more than ____ to ____ minutes.
25
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Chapter 24: Lifespan Development
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Q1) A nurse assessing a 4-month-old infant would expect the infant to do which of the following?
A)Crawl up the stairs.
B)Creep on the floor at least 30 ft.
C)Walk upright with a waddling gait.
D)Hold head at a 90-degree angle while prone.
Q2) Separation anxiety includes which stages? (Select all that apply.)
A)Detachment
B)Protest
C)Anger
D)Despair
E)Withdrawal
Q3) The nurse reminds an older adult patient that the task for the older adult is to achieve ego integrity.Failure to achieve this task results in which of the following?
A)Failure
B)Despair
C)Reminiscing
D)Accomplishment
Q4) The process that refers to gradual change and differentiation is _____________.
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Chapter 25: Loss,grief,dying,and Death
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Q1) What should the nurse do before approaching a grieving family member?
A)Offer sympathy
B)Assess level of resolution
C)Give assurance that the pain will pass
D)Encourage the family member to return to normal activities
Q2) What is the final stage of human growth and development?
A)Integrity
B)Death
C)Despair
D)Resolution
Q3) Following the death of a day-old infant,the nurse brings the baby to the parents.What is the rationale for the parents' visit with the deceased baby?
A)Bond with the family.
B)Reinforce the individuality of the baby.
C)Generate preparation for another child.
D)Make the death a reality.
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Chapter 26: Health Promotion and Pregnancy
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Q1) The nurse instructor reminds the nursing student that the "Shiny Schultz" is a name given to the _____________ side of the placenta.
Q2) Why is the nurse concerned about a patient in her first trimester of pregnancy being exposed to German measles?
A)The disease is capable of causing a spontaneous abortion.
B)The disease is capable of causing birth defects.
C)The disease is capable of causing high fever and convulsions.
D)The disease is capable of interfering with placental implantation.
Q3) The nurse assesses a reactive result to a nonstress test when the fetal heart rate increases _____ beats/min.
Q4) Which of the following demonstrate culturally competent care of the pregnant patient? (Select all that apply.)
A)Discuss beliefs with the patient and incorporate them in the plan of care.
B)Prohibit visits from anyone other than immediate family members.
C)Require the patient's participation in every aspect of the health care system.
D)Maintain the patient's modesty at all times.
E)Strive to maintain a harmonious environment for the patient.
Q5) The chorion and the amnion are the two components of the ________ membrane.
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Chapter 27: Labor and Delivery
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Q1) How do Braxton-Hicks contractions,which may begin in the first trimester and become increasingly stronger during the pregnancy,differ from labor contractions?
A)Last several minutes.
B)Are always regular.
C)Do not dilate the cervix.
D)Are only mild.
Q2) The nurse is alarmed as she assesses a protruding umbilical cord from the vagina.What immediate action should the nurse take?
A)Monitor intensity of contractions.
B)Place the patient in the knee-chest position.
C)Notify the charge nurse.
D)Ask the patient to perform a Valsalva's maneuver.
Q3) A nurse shows the patient an x-ray of the fetal spine in parallel alignment with the mother's to demonstrate a ________ lie.
Q4) A primigravida has a pelvis of the android type,which usually means the delivery will be a _______________.
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Chapter 28: Care of the Mother and Newborn
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Sample Questions
Q1) What is the term for the cream cheese-like substance that protects the infant's skin from amniotic fluid?
A)Lanugo
B)Meconium
C)Desquamation
D)Vernix caseosa
Q2) Before initially feeding an infant,what reflex should the nurse assess?
A)Moro reflex
B)Rooting reflex
C)Babinski reflex
D)Swallow reflex
Q3) After delivery of a 9-lb baby,the nurse assesses a perineal laceration extending through the muscles of the perineum.The nurse records this as a ________-degree laceration.
Q4) Which newborn assessment finding can suggest a chromosomal disorder?
A)Epstein pearls
B)Gynecomastia
C)Babinski reflex
D)Simian crease
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Family With Special Needs
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41 Flashcards
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Sample Questions
Q1) How should twins who share a placenta and come from one fertilized ovum be identified?
A)Dizygotic
B)Trizygotic
C)Genetically different
D)Monozygotic
Q2) What condition is a possible cause of gestational hypertension?
A)Too much salt
B)A toxin
C)Renal disease
D)Diabetes
Q3) What is the usual treatment for severe postpartum depression?
A)Improved nutrition
B)Vitamin therapy
C)Pharmacologic interventions
D)Support group therapy
Q4) The patient who has taken the ovulation stimulant clomiphene (Clomid),and who has been determined to be pregnant,calls the clinic nurse to report that she is bleeding and has passed a small grapelike object.From this information the nurse suspects a hydatidiform ____________.
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Chapter 30: Health Promotion for the Infant, child, and Adolescent
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Sample Questions
Q1) Which are physical risks associated with excess weight? (Select all that apply.)
A)Poor eyesight
B)Heart disease
C)Arthritis
D)Stroke
E)Appendicitis
Q2) A major dental problem among very young children is bottle mouth caries.What is a preventive measure the nurse should suggest?
A)Juice at bedtime
B)Milk at bedtime
C)A sugar-coated pacifier
D)Water at bedtime
Q3) Because the water in the infant's residential area is not fluoridated,when should the nurse suggest that the infant receive supplemental fluoride?
A)2 months old
B)4 months old
C)5 months old
D)6 months old
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Chapter 31: Basic Pediatric Nursing Care
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42 Flashcards
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Sample Questions
Q1) Following a lumbar puncture of a 2-year-old,what should the nurse do?
A)Keep the child flat for several hours.
B)Allow the child to play quietly at will.
C)Hold the child in a flexed position for 5 minutes.
D)Stand the child upright immediately.
Q2) What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid analgesic?
A)The opioid is likely to cause significant respiratory depression.
B)The medicine is prescribed with the knowledge that addiction may occur.
C)The opioid is very effective as a pain control method.
D)The opioid is only to be given in cases of severe pain.
Q3) When a safety reminder device (SRD)is used to protect a child,what is a responsibility of the nurse?
A)Apply it loosely.
B)Remove it every 2 hours.
C)Place it over clothing.
D)Apply only one type.
Q4) The nurse is aware that visual acuity evaluation in a child is best assessed after the age of _____ years.
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Chapter 32: Care of the Child With a Physical and Mental or Cognitive Disorder
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Sample Questions
Q1) When performing an assessment of a child with recurrent abdominal pain (RAP),the nurse recognizes the child will most likely experience what symptom?
A)Increased temperature
B)Constipation
C)Right quadrant pain
D)Exercise-associated pain
Q2) What is the priority patient problem for the parents of a newborn born with cleft lip and palate?
A)Parental role conflict
B)Risk for delayed growth and development
C)Risk for impaired attachment
D)Anticipatory grieving
Q3) What are early signs of varicella disease?
A)High fever over 101°F (38.3°C)
B)General malaise
C)Increased appetite
D)Crusty sores
Q4) The nurse anticipates that the cerebrospinal fluid (CSF)taken from a child with bacterial meningitis would have a low __________ level.
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Chapter 33: Health Promotion and Care of the Older Adult
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Sample Questions
Q1) At mealtime,the older adult seems to be eating less food than would be adequate.Compared to the younger adult,what is a requirement for the older adult?
A)More fluids
B)Less calcium
C)Fewer calories
D)More vitamins
Q2) When communicating with an older adult patient,the nurse becomes aware of the fact that the patient is well satisfied with his accomplishments over a lifetime and has no regrets concerning aging.Which of Erikson's developmental stages has the patient achieved?
A)Acceptance
B)Withdrawal
C)Ego integrity
D)Interaction
Q3) The nurse recognizes that a term referring to mechanical difficulty of swallowing is
Q4) The nurse initiates the application of a draw sheet on every bedfast patient on her unit to facilitate lifting and to prevent _________ forces.
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Chapter 34: Concepts of Mental Health
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Sample Questions
Q1) A 40-year-old patient cries and has a tantrum when the health care provider refuses to give her a prescription for diet pills.The nurse realizes that this is the use of which defense mechanism?
A)Compensation
B)Denial
C)Regression
D)Repression
Q2) When developing a care plan for a mentally ill patient,what should the nurse assess first?
A)Coping strategies
B)Emotional status
C)Medications taken
D)Nutritional status
Q3) What action by a student before taking a test should indicate to a nursing instructor that the student is demonstrating signs of moderate anxiety?
A)Studies for 6 hours
B)Sleeps 6 hours because of fatigue
C)Vomits
D)Argues about the scheduling of the test
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Chapter 35: Care of the Patient With a Psychiatric Disorder
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Sample Questions
Q1) What disorder is a severe form of self-starvation that can lead to death?
A)Bulimia nervosa
B)Anorexia nervosa
C)Teenage nervosa
D)Obesity nervosa
Q2) When a patient demonstrates accelerated heart rate,trembling,choking,and chest pain along with acute,intense,and overwhelming anxiety,the nurse should recognize that the patient is most likely experiencing what condition?
A)Terror
B)Fright
C)Fear
D)Panic
Q3) What are considered warning signs of suicide? (Select all that apply.)
A)Talking about suicide
B)Increased interactions with friends and family
C)Drug or alcohol abuse
D)Difficulty concentrating on work or school
E)Personality changes
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Chapter 36: Care of the Patient With an Addictive Personality
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Sample Questions
Q1) What should the nurse do to decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy?
A)Turn the patient to his right side.
B)Elevate the head of the bed 30 degrees.
C)Provide the patient with a pacifier.
D)Administer a muscle relaxant.
Q2) During the initial intake assessment of a drug user,the nurse should attempt to obtain which subjective data? (Select all that apply.)
A)Usual pattern of use
B)Specific drug
C)Previous arrests
D)Amount of drug used
E)Time of last use
Q3) What should the nurse do to decrease the patient's disorientation at night during the detoxification period?
A)Place the patient in a room with another recovering patient.
B)Instruct the patient to orient himself to his surroundings at bedtime.
C)Wake the patient up every 4 hours to eat a small snack.
D)Use nightlights and remove extra furniture from the room.
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Chapter 37: Home Health Nursing
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Sample Questions
Q1) After the patient is admitted to the home health services system,a treatment plan is drafted cooperatively with the health care provider and is signed.A separate,detailed care plan is always required for which disciplines?
A)Registered nurse
B)Physical therapist
C)Home health aide
D)LPN/LVN
Q2) Because many illnesses are now controlled rather than cured,the number of people with chronic,debilitating illnesses has increased.What do home care nurses prevent by providing?
A)Deaths
B)Increased morbidity
C)Increased hospitalization
D)Acute episodes
Q3) The nurse describes a new technological service to the patient that will monitor several assessments remotely.This new intervention is known as ___________ services.
Q4) The nurse can best confirm that the patient understands the communication by obtaining ____________ from the patient.
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Chapter 38: Long-Term Care
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Sample Questions
Q1) What would be the most appropriate guidance the nurse could provide an older adult couple that is considering a continuing care retirement community (CCRC)?
A)Admittance is limited to people who are relatively unimpaired.
B)A contract is usually a lifetime commitment.
C)A contract is an acceptable tax shelter.
D)Contracts can be signed on a month-to-month basis.
Q2) The Omnibus Budget Reconciliation Act (OBRA)defines the requirements for which aspect of care as it relates to long-term care?
A)Nursing care
B)Nutritional support
C)Quality of care
D)Staffing requirements
Q3) The Health Care Financing Administration (HCFA)conducts unannounced institutional surveys annually to assess the quality of life for the patients.The findings of the surveys are reported to:
A)various licensing boards.
B)facility administrators.
C)the public.
D)the US Department of Health and Human Services.
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Chapter 39: Rehabilitation Nursing
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36 Flashcards
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Sample Questions
Q1) The patient with a brain injury is beginning to regain memory.The nurse explains to the family that what will most likely occur?
A)The patient will become less combative.
B)The patient will become angrier.
C)The patient will become more depressed.
D)The patient will wish to retire.
Q2) When changing the position of a patient with a spinal cord injury at T4,the nurse should recognize that what symptom is an indication of an episode of autonomic dysreflexia?
A)Nausea
B)Pallor
C)Goose bumps
D)Dizziness
Q3) The nurse should tell a paraplegic that the rehabilitation experience will consist of:
A)relearning former skills.
B)learning to walk.
C)learning new skills to adapt to a different lifestyle.
D)developing muscle strength.
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Chapter 40: Hospice Care
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Sample Questions
Q1) The social worker evaluates and assesses the psychosocial needs of the patient.To work in a hospice,the social worker must have at least which degree?
A)Associate
B)Bachelor's
C)Master's
D)Doctorate
Q2) Which of the following is an expected part of the end-of-dying process?
A)Denial
B)Despair
C)Anorexia
D)Depression
Q3) Which are signs and symptoms of approaching death? (Select all that apply.)
A)Mottled extremities
B)Significant increase in urine output
C)Increased restlessness and pulling at bed linens
D)Alteration in rhythmic respiration
E)Increased pulse rate
Q4) When the dying patient becomes confused,the nurse should ____________ him or her.
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Chapter 41: Professional Roles and Leadership
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Sample Questions
Q1) Technical and scientific changes have resulted in a multiplicity and complexity of functions placed on nurses,and sometimes job descriptions have not been rewritten.What is true of the role of the LPN/LVN?
A)It is constantly enlarging.
B)It is constantly changing.
C)It is constantly improving.
D)It is constantly growing.
Q2) What type of leadership uses four different styles-directing,coaching,supporting,and delegating?
A)Autocratic
B)Situational
C)Democratic
D)Authoritative
Q3) What type of leadership involves a leader who displays little trust or confidence in employees and therefore makes all the decisions?
A)Democratic
B)Laissez-faire
C)Autocratic
D)Authoritative
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