Introduction to Nursing Practice Test
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Course Introduction
Introduction to Nursing Practice provides students with an essential foundation in the principles and responsibilities of professional nursing. This course explores the role of nurses in healthcare settings, introduces core concepts such as patient-centered care, communication, safety, and evidence-based practice, and examines the ethical and legal frameworks that guide nursing actions. Through a blend of classroom instruction and supervised clinical experiences, students develop fundamental skills in patient assessment, basic care procedures, documentation, and collaboration with multidisciplinary healthcare teams, preparing them for future roles in clinical nursing environments.
Recommended Textbook
Fundamentals of Nursing Active Learning for Collaborative Practice 1st Edition by Yoost
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42 Chapters
1050 Verified Questions
1050 Flashcards
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Page 2
Chapter 1: Nursing, Theory, and Professional Practice
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nursing class volunteers to serve hot meals at a local homeless shelter on a Saturday afternoon. This focus on serving the community is called:
A) Altruism.
B) Accountability.
C) Autonomy.
D) Advocate.
Answer: A
Q2) The Institute of Medicine (IOM) Report identified several goals for nursing in the United States. The IOM suggested that: (Select all that apply.)
A) Nurses should practice to the full extent of their education.
B) Nursing education should demonstrate seamless progression.
C) Nurses should continue to be subservient to physicians in the hospital setting.
D) Policy making requires better data collection and information infrastructure.
E) Higher levels of education should not be sought by practicing nurses.
Answer: A, B, D
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3
Chapter 2: Values, Beliefs, and Caring
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Sample Questions
Q1) Nurses must collaborate effectively with patients to find treatment methods that are congruent with the patients' belief systems and that promote healthy outcomes. This approach requires:
A) focusing on patient values only and disregard family desires in setting goals.
B) relying more and more on their scientific background.
C) listening carefully to how the patient's beliefs impact their health beliefs.
D) Understanding that the nurse's beliefs are the most important.
Answer: C
Q2) The most effective approach for dealing with a values conflict in which substance abuse or an addiction is involved is to begin with an assessment interview, during which the nurse should: (Select all that apply.)
A) listen for subtle signs of denial.
B) directly confront the patient about his drug abuse.
C) use a matter-of-fact approach to inform the patient.
D) provide straightforward information.
E) avoid direct confrontation.
Answer: A, C, D, E
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Chapter 3: Communication
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Sample Questions
Q1) A helping relationship develops through ongoing, purposeful interaction between a nurse and a patient. Nurse-patient relationships focus on: (Select all that apply.)
A) building trust.
B) demonstrating empathy.
C) tearing down boundaries.
D) developing a plan of care.
Answer: A, B, D
Q2) The nurse is caring for a patient with chronic lung disease. The patient demands a cigarette after eating breakfast. The nurse responds, "If that was me, I wouldn't be asking for a cigarette. That is what has made you so sick in the first place." This nontherapeutic communication response is an example of:
A) changing the subject.
B) giving advice.
C) a stereotypical response.
D) defensiveness.
Answer: B
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Chapter 4: Critical Thinking in Nursing
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Sample Questions
Q1) Professional nursing requires a commitment to lifelong learning because: (Select all that apply.)
A) treatment modalities and technology continue to advance.
B) there are always new things to memorize and store in memory.
C) nurses are expected to update and maintain competency.
D) critical thinking is essential in nursing.
E) nursing school gives the nurse all he/she needs to be competent.
Q2) A patient, frequently admitted to the hospital for chronic back pain, asks the medication nurse for additional pain medication. The nurse has seen patients like this before, and "knows" that the only reason that these people come to the hospital is to get their pain medication. The nurse is demonstrating:
A) illogical thinking.
B) a bias.
C) closed-mindedness.
D) an erroneous assumption.
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Chapter 5: Introduction to the Nursing Process
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Sample Questions
Q1) The term nursing process was first used in 1955. In 1973, the American Nurses Association identified five specific steps of the process. The essential step that was added in 1991 is:
A) assessment.
B) diagnosis.
C) outcome identification.
D) evaluation.
Q2) The charge nurse is discussing a patient's care plan during a team meeting. The team determines that the patient has not met the goal of "ambulating to the nurse's station twice a day" and decides to revise the plan. Which of the following characteristics of the nursing process most represents this decision?
A) Organization
B) Dynamics
C) Adaptability
D) Outcome orientation
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Chapter 6: Assessment
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Sample Questions
Q1) The nurse is performing a physical exam on a patient diagnosed with liver failure resulting from chronic alcoholism. The nurse notes that the abdomen is swollen and decides to assess for abdominal skin tenderness and temperature. Which of the following techniques would the nurse use to collect this data?
A) Inspection
B) Percussion
C) Palpation
D) Auscultation
Q2) The nurse is performing her initial assessment of the day when she notices that the patient has a facial droop that he did not have yesterday and that was not reported in the hand-off report from the night nurse. The nurse proceeds to assess the neurological status of the patient. This type of assessment is known as:
A) an emergency assessment.
B) a focused assessment.
C) a complete physical examination.
D) a comprehensive assessment.
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Chapter 7: Nursing Diagnosis
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Sample Questions
Q1) A group of nursing students is discussing the importance of accurately selecting nursing diagnoses. Which of the following are reasons for choosing the diagnoses carefully? (Select all that apply.)
A) Patient satisfaction
B) Positive patient outcomes
C) Quality patient care
D) Help develop standardized care plans
E) Determine appropriate interventions
Q2) The nurse in an outpatient clinic obtains a blood pressure of 190/88 mm Hg on a patient diagnosed with high blood pressure. The patient tells the nurse, "My blood pressure medicine is really expensive. Do you think I really need it?" The nurse assumes the patient is not taking the medication based on the blood pressure result and the patient's statement and chooses noncompliance as a diagnostic label. The action by the nurse is an example of:
A) clustering unrelated data in the diagnostic statement.
B) selecting erroneous data for use in the diagnostic statement.
C) using medical diagnoses in the diagnostic statement.
D) identifying multiple problems within one diagnostic statement.
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Chapter 8: Planning
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Sample Questions
Q1) Physical therapy, home health care, and personal care are examples of:
A) collaborative interventions.
B) dependent nursing interventions.
C) independent nursing interventions.
D) assessment data.
Q2) Dependent nursing interventions include:
A) ordering heel protectors.
B) preadmission teaching.
C) medication reconciliation.
D) administer antipyretic medications as appropriate.
Q3) Goals are broad statements of purpose that describe the aim of nursing care. As such, goals:
A) are considered short term if achieved within a month of identification.
B) always have established time parameters, such as "long-term" or "short-term."
C) are mutually acceptable to the nurse, patient, and family.
D) can be vague to facilitate evaluation of achievement.
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Chapter 9: Implementation and Evaluation
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Sample Questions
Q1) The nurse is considering asking the patient for permission to involve the patient's family members in the teaching plan for the patient. Which of the following is the best rationale to support this involvement?
A) Involving the family in effective teaching empowers the patient and their support system.
B) Teaching family members decreases the number of questions they may ask.
C) Educated family members choose not to become part of the health care process.
D) The education is interesting although family do not usually care for patients after discharge.
Q2) Of the following interventions, which are prevention oriented? (Select all that apply.)
A) Immunization programs
B) Cleansing an incision
C) Cardiac education related to risk factor modification
D) Placing infants prone when they sleep
E) Teaching patients to ask their physicians to wash their hands
F) None of the above
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Chapter 10: Documentation, Electronic Health Records, and Reporting
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Sample Questions
Q1) The nurse is charting in the paper medical record. She should:
A) print his/her name since signatures are often not readable.
B) not document her credentials since everyone knows that she is a nurse.
C) skip a line, leaving a blank space, between entries so that it looks neater.
D) use black ink unless the facility allows a different color.
Q2) The nurse is charting using electronic documentation. With electronic documentation:
A) errors can be corrected and totally removed from the record in the screen view.
B) log-on access to the electronic record identifies the person charting.
C) each entry requires the nurse to sign her/his name and credentials.
D) documenting significant changes in the electronic record ends the nurse's responsibility.
Q3) Expected nursing documentation includes: (Select all that apply.)
A) nursing assessment.
B) the care plan.
C) critique of the physician's care.
D) interventions.
E) patient responses to care.
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Chapter 11: Ethical and Legal Considerations
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse has been involved sexually with a patient. This is considered an act of:
A) malpractice.
B) libel.
C) slander.
D) battery.
Q2) The nurse realizes that a medication error has been made. The nurse then reports the error and takes responsibility to ensure patient safety despite personal consequences. This nurse has exhibited:
A) autonomy.
B) accountability.
C) justice.
D) advocacy.
Q3) Which law protects health care professionals from charges of negligence when providing emergency care at the scene of an accident?
A) Good Samaritan Act
B) HIPPA
C) Licensure
D) Living wills
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Chapter 12: Leadership and Management
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Sample Questions
Q1) The nurse leader is conducting a staff meeting. During the meeting, staff members have verbalized dissatisfaction with the staffing pattern created by the nurse leader. The nurse listens intently as the staff come up with other options. The nurse leader is demonstrating:
A) openness.
B) integrity.
C) dedication.
D) magnanimity.
Q2) The nurse has made patient care assignments and expects all team members to set their own goals for the day and manage their time to meet their goals. The nurse is implementing what style of leadership?
A) Autocratic
B) Democratic
C) Bureaucratic
D) Laissez-faire
Q3) Communication skills are most essential for the nurse:
A) when they become nurse managers.
B) except when delegation is required.
C) to decrease nurse-family interaction.
D) to obtain information from patients.
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Chapter 13: Evidence-Based Practice and Nursing Research
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Sample Questions
Q1) Florence Nightingale is noted to have provided the initial basis for evidence-based practice (EBP). She did this by: (Select all that apply.)
A) basing her work in trial and error as well as observation.
B) using statistical data as a basis for improvements.
C) applying statistical methods such as "pie charting" to display results.
D) focusing on bedside care and ignoring nursing education.
E) publishing the first EBP journal.
Q2) In researching the effectiveness of an antihypertensive medication, the nurse knows that the medication would be the _________________ variable and the person's blood pressure would be the ____________________ variable.
A) dependent, independent
B) independent, dependent
C) treatment, controlled
D) controlled, treatment
Q3) An institutional review board (IRB) is a review committee established to:
A) approve research involving animal subjects.
B) approve research that is not government funded.
C) function differently than scholarly journals do.
D) protect the rights of human research subjects.
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Page 15
Chapter 14: Health Literacy and Patient Education
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Sample Questions
Q1) The nurse has established a teaching plan including goals. This type of education is termed:
A) formal teaching.
B) informal teaching.
C) psychomotor teaching.
D) affective teaching.
Q2) Ongoing evaluation of patient education occurs by:
A) each member of the health care team who provides teaching.
B) the nurse who evaluates the patient's physical abilities.
C) the patient stating that he understands the instruction.
D) not allowing review so the focus remains forward.
Q3) The nurse is preparing to provide preoperative teaching to a patient who is deaf. To ensure proper learning, the nurse may:
A) use printed materials.
B) provide unamplified recorded materials.
C) use a family member to interpret.
D) place an interpreter behind the patient.
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Chapter 15: Nursing Informatics
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The director of nursing on a medical-surgical floor has met education and experience requirements in nursing informatics. The nurse might expect administration to request that he/she pursue:
A) technical competencies.
B) utility competencies.
C) certification from ANCC.
D) leadership competencies.
Q2) Patients frequently seek sources for health information online, and nurses, as advocates, need to be prepared to help patients evaluate online sources. To do this, the nurse asks who sponsors the site, is the author listed, and the author's credentials. The nurse is evaluating what?
A) Purpose
B) Coverage
C) Currency
D) Authority
Q3) The focus of nursing informatics is:
A) direct patient care.
B) increasing documentation time.
C) the introduction of different EHRs.
D) how patient care can be improved.
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Chapter 16: Health and Wellness
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Sample Questions
Q1) The economic stability of individuals or families can determine whether they are willing to seek preventive care or screening examinations. Which statements about screening examinations are true? (Select all that apply.)
A) Free or low-cost screening ensures patient screening.
B) People may not screen due to fear of testing positive.
C) Early screening ensures minimal treatment costs
D) Employment stability is enhanced by early screening.
E) Treatment of disorders often means lost wages.
Q2) The World Health Organization defines health as
A) the absence of disease.
B) the lack of infirmity.
C) complete well-being.
D) being independent of fiscal responsibility.
Q3) The nurse correctly recognizes which one of the following illnesses to trigger the broadest range of emotional and behavioral responses?
A) Ear infection
B) Mild concussion
C) Rheumatoid arthritis
D) Influenza
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Page 18
Chapter 17: Human Development: Conception through Adolescence
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Sample Questions
Q1) A nurse is conducting a preschool screening in the community. Which child would the nurse refer for further assessment?
A) A 4-year-old who throws a ball over-handed but better under-handed.
B) A 4-year-old who can skip across the room after being shown how.
C) A 5-year-old who is able to ride a bicycle with training wheels.
D) A 5-year-old who is unable to ride a tricycle without falling.
Q2) A home health care nurse is making a well-baby visit to the home of a new mother who has an infant. What assessment finding leads the nurse to provide further anticipatory guidance and teaching to the mother?
A) Mother states she does not breastfeed but uses a recommended formula.
B) Crib has colorful blankets and pillows for the baby to cuddle.
C) A mobile is hanging well above the crib playing soft music.
D) Several rattles and plush toys are available in different textures.
Q3) To help a hospitalized infant master the tasks in Erikson's stage of Trust versus Mistrust, which action by the nurse is best?
A) Provide calming music during quiet time so the infant can sleep
B) Give the family food vouchers for the hospital cafeteria
C) Arrange to have a cot or small bed placed in the infant's room
D) Do not allow unlicensed assistive personnel to care for the infant
Page 19
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Chapter 18: Human Development Young Adult to Older Adult
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Sample Questions
Q1) A nurse working with a middle-aged adult is concerned that the adult is not meeting developmental tasks associated with Erikson's theory. What question by the nurse is most appropriate?
A) Are there community organizations you would like to volunteer with?
B) Do your children come to see you on a regular basis?
C) Do you get at least 30 minutes of exercise most days of the week?
D) How do you feel about reading for a leisure time activity?
Q2) A nurse is assessing a middle-aged adult for cognitive skills. The patient has difficulty with seriation tests. What action by the nurse is most appropriate?
A) Document the findings and continue the assessment.
B) Perform another test for fluid intelligence.
C) Consult with the provider about dementia screening.
D) Ask the patient about family medical history.
Q3) A nurse reads on a patient's chart that she has sarcopenia. What assessment does the nurse perform to confirm this?
A) Mini-mental state exam
B) Tests of muscle strength
C) Gait and balance
D) Vision and hearing
Page 20
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Chapter 19: Vital Signs
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Q1) The nursing faculty member is observing a student taking a patient's carotid pulse. What action by the student requires intervention by the faculty member?
A) Counts pulse for 30 seconds and multiplies by two.
B) Performs hand hygiene prior to patient contact.
C) Compares pulses in both carotid arteries at the same time.
D) Assesses pulse on one side then assesses the other side.
Q2) The nurse assesses a patient's pulse and finds it hard to obliterate with palpation. What action by the nurse is best?
A) Assess the patient for fluid volume overload.
B) Assess the patient for fluid volume deficit.
C) Assess the patient's apical heart rate.
D) Assess the patient's pulse deficit.
Q3) A nurse assesses a patient's radial pulse rate to be 110 beats/min and regular. What action by the nurse is best?
A) Assess the patient for causes of tachycardia.
B) Take an apical heart rate and compare the two.
C) Document the findings in the patient's chart.
D) Notify the patient's health care provider.
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Chapter 20: Health History and Physical Assessment
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Q1) The student nurse asks if it matters whether a healthy eye or a diseased eye should be examined first. What response by the faculty is best?
A) Diseased eye first because it is the priority
B) Healthy eye first to prevent spread of disease
C) It does not matter as long as both eyes are examined
D) Start with the eye the patient wants you to start with
Q2) A nurse assesses a patient's lungs and notes the presence of low-pitched snoring sounds that clear with coughing. What action by the nurse is best?
A) Prepare to treat the patient for asthma.
B) Prepare to treat the patient for pneumonia.
C) Teach the parent how to prevent croup.
D) Assess the patient for heart failure.
Q3) A nurse is assessing a patient's cranial nerves and notes an abnormal response to testing cranial nerve VI. What action by the nurse is best?
A) Ask the patient about recent facial trauma.
B) Inform the provider immediately.
C) Document findings in the patient's chart.
D) Have the patient frown and lift the eyebrows.
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Page 22
Chapter 21: Ethnicity and Cultural Assessment
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Q1) A patient from an unfamiliar culture appears disinterested when the physician is telling her about options for treatment of a new diagnosis. After the physician leaves, the nurse attempts to talk to the patient and notices the same behavior. What action by the nurse is best?
A) Give the patient the information in writing to read later.
B) Ask the patient about the meaning of the patient's behavior.
C) Investigate nonverbal communication patterns of this group.
D) Leave the patient alone to come to terms with the diagnosis.
Q2) A home health care nurse is visiting the home of a patient whose culture is totally unfamiliar to the nurse. What action by the nurse is best?
A) Perform nursing care with a high degree of professionalism.
B) Watch family interaction patterns closely and try to copy them.
C) Tell the family you need to learn about their culture.
D) Apologize after performing tasks that make the patient uncomfortable.
Q3) What does the nursing student learn about race?
A) It is biologically based.
B) It is a social construct.
C) It is chosen by the person.
D) It helps establish superiority.
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Page 23
Chapter 22: Spiritual Health
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Q1) A patient who claims to be very involved in church is near death. What action by the nurse is best?
A) Get permission to contact the religious leader.
B) Allow the family to stay at the patient's bedside.
C) Call the hospital chaplain to come to the bedside.
D) Ask if the patient and family want to pray.
Q2) A patient asks the nurse to pray with him. The nurse is an atheist and uncomfortable with this request. What action by the nurse is best?
A) Deny the request because of atheistic beliefs.
B) Offer to call the chaplain instead.
C) Agree to sit with the patient while he prays.
D) Ask the patient if he will meditate instead.
Q3) The nurse concerned about a patient's spiritual needs can best address this by which action?
A) Leaving a note on the chart for other professional
B) Calling the chaplain to come see the patient
C) Collaborating during interdisciplinary rounds
D) Informing the provider of the patient's needs
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24
Chapter 23: Public Health, Community Base, and Home
Health Care
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Q1) A nurse is discharging a patient and is planning on what material to give the patient to take home. What action by the nurse is best?
A) Assess the patient's ability to read and understand.
B) Determine if the patient wants to take written material home.
C) Give the patient the same material as other patients get.
D) Ask the patient if he/she has a need for written material.
Q2) A nurse is a case manager for a home health care agency. The nurse often orders supplies for patients seen by the agency. What action by the nurse is best?
A) Negotiate for cheaper prices from suppliers.
B) Investigate what each patient's insurance will cover.
C) Refer the patient to the closest supply source.
D) Use the same supplier for all patients' needs.
Q3) The student studying community health nursing learns that vulnerable populations can be best assisted by which activity?
A) Researching their genetic risk for health problems
B) Working with the community to decrease health risks
C) Studying vital statistics to determine their causes of death
D) Making sure the population maintains immunizations
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Chapter 24: Human Sexuality
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Q1) A patient states, "I just don't conform to my gender role." What does the nurse understand about this statement?
A) The patient is a homosexual.
B) The patient's behaviors are abnormal.
C) The patient's actions differ from what is expected.
D) The patient is having a gender crisis.
Q2) A patient has been diagnosed with a sexually transmitted disease (STD) and the patient's partner is angry, saying, "She must have cheated on me." What response by the nurse is most appropriate?
A) "This infection may have been present for a long time."
B) "You need to be tested for this disease too."
C) "Yes, you're right; if you don't have the STD, she cheated."
D) "Now, now, getting angry will not help anything."
Q3) A school nurse is planning a sex education activity. What information from research does the nurse apply to this education?
A) Sex education should wait until high school.
B) Parents desire multiple educational strategies.
C) Abstinence is the only birth control method that should be taught.
D) No need to change the current method of education.
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Page 26
Chapter 25: Safety
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Q1) The nurse is providing education to a cardiac patient who has multiple life stressors that are impacting the patient's health. Which of the following statements by the patient indicate he has a good understanding of actions he can take to reduce his stressors? (Select all that apply.)
A) "I should change my job."
B) "I should plan some downtime."
C) "I should meet with a financial counselor."
D) "I should talk with my family about my situation."
E) "I should make my family go to counseling with me."
Q2) Many health care facilities use the fire emergency response defined by the acronym: A) RACE.
B) PASS.
C) PACE.
D) QSEN.
Q3) The nurse knows that which of the following is not used to assess fall risk?
A) Glasgow Falls Scale
B) Johns Hopkins Hospital Fall Assessment Tool
C) Morse Fall Scale
D) Hendrich II Fall Risk Model
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Page 27
Chapter 26: Asepsis and Infection Control
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Q1) The nurse's stethoscope most correctly represents which possible link in the chain of infection?
A) Source
B) Portal of exit
C) Portal of entry
D) Mode of transmission
Q2) The nurse is providing education to a patient who is being discharged home on antibiotic therapy. Which of the following statement(s) by the patient indicates further education is needed? (Select all that apply.)
A) "I should take antibiotics every time I am sick."
B) "I should take all antibiotics as prescribed."
C) "I should save all unused antibiotics."
D) "I should stop taking antibiotics when I feel better."
Q3) The nurse administers an immunization consisting of antibodies against hepatitis B. The nurse knows this is a form of what type of immunity?
A) Naturally acquired passive
B) Naturally acquired active
C) Artificially acquired passive
D) Innate
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Chapter 27: Hygiene and Personal Care
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Q1) The nurse is demonstrating cultural sensitivity in performing perineal care when he/she does the following: (Select all that apply.)
A) The male nurse delegates perineal care of a female patient to the female UAP.
B) The male nurse asks a female patient if she would prefer a female to perform care.
C) The nurse approaches the care in a sensitive, professional manner.
D) The nurse assesses cultural preferences of the patient prior to care.
Q2) The nurse is bathing a patient and notes reddened skin above the coccyx. Which action by the nurse is appropriate? (Select all that apply.)
A) Apply a barrier cream and massage the area.
B) Document and describe the area and report to the physician.
C) Wash and dry the area and position patient without pressure on coccyx.
D) Report the area to the charge nurse.
Q3) The nurse knows that which areas are at increased risk of excoriation? (Select all that apply.)
A) Exposed areas such as the face
B) Areas exposed to stool
C) Skin on skin areas
D) Area under pendulous breasts
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29
Chapter 28: Activity, Immobility, and Safe Movement
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Source URL: https://quizplus.com/quiz/2203
Sample Questions
Q1) The nurse knows rheumatoid arthritis affects the musculoskeletal system by causing:
A) muscle weakness.
B) muscle wasting.
C) muscle inflammation.
D) muscle mobility.
Q2) The nurse is teaching a patient about ways to decrease her risk of bone fractures. The following statements by the patient indicate a good understanding. (Select all that apply.)
A) "I should do weight-bearing exercises."
B) "I should get adequate intake of calcium and vitamin D."
C) "I should exercise regularly."
D) "I need to do yoga exercises."
Q3) The nurse is preparing to assist her patient to walk to the bathroom after medicating her with a narcotic for pain management. Of what possible adverse effect should the nurse be immediately aware?
A) Constipation
B) Depression
C) Dizziness
D) Pain relief
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Chapter 29: Skin Integrity and Wound Care
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Source URL: https://quizplus.com/quiz/2204
Sample Questions
Q1) The nurse is caring for a postoperative patient who has had abdominal surgery and whose wound has completely eviscerated when she walks into the room. In addition to notifying the physician, what should the nurse do?
A) Cover the wound with a sterile gauze pad.
B) Cover the wound with a transparent dressing.
C) Put pressure on the wound with a sterile gauze pad.
D) Cover the wound with gauze soaked with normal saline.
Q2) The nurse knows that the cause of pressure ulcers includes the following factors: (Select all that apply.)
A) Intensity of the pressure
B) Duration of the pressure
C) The tissue's ability to tolerate the pressure
D) The person's age
E) None of the above
Q3) The nurse knows a stage III pressure ulcer is:
A) a pressure ulcer that involves exposure of bone and connective tissue.
B) a pressure ulcer that does not extend through the fascia.
C) a pressure ulcer that does not include tunneling.
D) a partial-thick wound that involves the epidermis.
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Page 31
Chapter 30: Nutrition
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Sample Questions
Q1) The nurse is providing education to an older adult around diet to support the challenges related to aging. Which statement indicates a need for further education?
A) "I should choose foods that are nutrient dense."
B) "High-fiber foods minimize the risk of constipation."
C) "I should eat more calories to avoid malnutrition."
D) "I can add spices to enhance the taste of food."
Q2) The nurse is measuring his patient's height. Which of the following steps of the procedure indicates a need for further education on this skill?
A) He instructs the patient to remove his shoes.
B) He measures from the top of the patient's head to the bottom of the patient's foot arch.
C) He positions the head against the headboard or measuring device.
D) He makes sure the patient is standing erect.
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Chapter 31: Cognitive and Sensory Alterations
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Sample Questions
Q1) The nurse is educating the family to care for a patient at home with cognitive alterations. Which statement by the family indicates a need for further education?
A) "I should keep the home free of scissors."
B) "I should minimize the number of visitors."
C) "I should use push-button door locks."
D) "24-hour supervision may become necessary."
Q2) You are providing education to the family of a patient being discharged with dementia. Which statement by the family indicates a good level of understanding of dementia? (Select all that apply.)
A) "The condition is permanent and has an acute onset."
B) "Alzheimer's is the most common type of dementia."
C) "The condition worsens over time."
D) "I should observe for wandering behavior."
E) "Agitation can be worse in the evening."
Q3) An appropriate goal for a patient with a diagnosis of social isolation is:
A) the patient will participate in cognitive exercises.
B) the patient will interact with other residents during activities.
C) the patient will communicate basic needs through use of photos.
D) the patient will remain within the unit while in long-term care.
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Page 33
Chapter 32: Stress and Coping
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Sample Questions
Q1) The nurse is educating the patient on the use of relaxing therapy. Which statement by the patient indicates a need for further education?
A) "I should relax my muscles from head to toe."
B) "I visual the relaxed muscle."
C) "I should do this three times a week."
D) "I focus on muscles that are tense."
Q2) The nurse knows that when coordination between multiple health care disciplines is needed, the following role is used:
A) Pastoral care
B) Case manager
C) Social worker
D) Dietitian
Q3) The nurse is educating the patient about alternative therapies. Which statement by the patient indicates a need for more information?
A) Alternative therapies can include relaxation techniques.
B) Alternative therapies are used in conjunction with medical therapies.
C) Alternative therapies can be used when patients are experiencing stress.
D) Some alternative therapists require certification.
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Chapter 33: Sleep
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Sample Questions
Q1) The nurse knows an appropriate goal for the nursing diagnosis Insomnia is:
A) The patient will report an ability to concentrate on tasks.
B) The patient will repeat medication instructions on discharge.
C) The patient will be able to sleep for at least 2 hours at a time.
D) The patient will be able to fall asleep within 15 minutes.
Q2) The nurse knows the reticular activating system (RAS):
A) records brain waves and other variables.
B) relays motor impulse to the hypothalamus.
C) influences patterns of biological functioning.
D) is affected by the light-dark cycle.
Q3) The nurse knows the following information about sudden infant death syndrome (SIDS): (Select all that apply.)
A) SIDS is the most common cause of death among infants (1-12 months).
B) The etiology remains largely unknown.
C) The most modifiable risk factor is sleeping supine.
D) Risk factors include being exposed to cigarette smoke.
E) It is defined as sudden unexpected death.
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35
Chapter 34: Diagnostic Testing
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Source URL: https://quizplus.com/quiz/2209
Sample Questions
Q1) The nurse is caring for a patient who is to collect a 24-hour urine specimen. Which statement by the patient indicates that additional teaching is required?
A) "I will keep the urine container on ice to keep it chilled until I bring it to the lab."
B) "I will start the test over if I forget and urinate into the toilet during the testing time."
C) "I will start the test tomorrow after I urinate first thing in the morning."
D) "I will drink extra fluids so that the lab will have an extra large specimen to test."
Q2) The nurse is caring for a patient who has just undergone bronchoscopy. The patient states that she is thirsty and requests a drink of water. What is the nurse's best action?
A) Provide ice chips.
B) Check the patient for a gag reflex.
C) Provide a small cup of ice water with a straw.
D) Keep the patient NPO.
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Chapter 35: Medication Administration
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Sample Questions
Q1) The nurse is noting an order for a medication to be given TID. Which times will the nurse plan to administer the medication to the patient?
A) 9 A.M., 1 P.M., 5 P.M. and 10 P.M.
B) 9 A.M. and 9 P.M.
C) 9 A.M., 1 P.M. and 5 P.M.
D) Nightly before the patient goes to sleep
Q2) The nurse makes a medication error. Which action will the nurse take first?
A) Prepare an incident report so that the facility can determine the cause of the error.
B) Explain to the patient that a medication error has occurred, and notify the nurse manager.
C) Assess the patient for any adverse reactions and notify the prescriber.
D) Document the medication given, how the patient responded, and the corrective actions taken.
Q3) Which medication has the highest potential for abuse?
A) Methylphenidate (Ritalin) - schedule II
B) Alprazolam (Xanax) - schedule IV
C) Acetaminophen & codeine (Tylenol #3) - schedule III
D) Diphenoxylate & atropine (Lomotil) - schedule V
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Chapter 36: Pain Management
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Sample Questions
Q1) The nurse is checking on the patient after administering pain medication 30 minutes previously. Which assessment finding best indicates to the nurse that the pain medication was effective?
A) The patient is sleeping quietly.
B) The patient states that she has no pain.
C) The patient's respirations are slow and regular.
D) The patient's blood pressure has returned to baseline.
Q2) The nurse is caring for a patient who will be using a hydromorphone (Dilaudid) PCA analgesia pump following surgery. Which intervention is the highest priority for the nurse to include in the patient's care plan for the diagnosis: Readiness for enhanced knowledge r/t appropriate management of PCA pump?
A) Assess the patient's respiratory status every 30 minutes after PCA pump started.
B) Review patient's medication profile to check for interactions with hydromorphone.
C) Teach the patient how to use PCA pump when awake and aware and pain level is tolerable.
D) Keep naloxone (Narcan) available at the bedside in case of respiratory suppression.
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Chapter 37: Perioperative Nursing Care
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Sample Questions
Q1) The nurse is caring for a patient who is recovering from chest surgery. Which action by the patient indicates that additional teaching is needed about how to use the ordered incentive spirometer correctly?
A) The patient breathes into the spirometer so that the marker rises slowly.
B) The patient uses the spirometer at least 10 times every hour while awake.
C) The patient seals his lips tightly around the spirometer mouthpiece.
D) The patient rests for 5 to 10 seconds after each time the spirometer is used.
Q2) The nurse is walking a postoperative patient in the hallway when she notices a large red stain of fresh blood on the patient's gown over the abdominal incision. The patient states, "I felt something just ripped open." What is the priority action of the nurse?
A) Lift up the patient's gown and assess the incision.
B) Assist the patient to the floor and call for assistance.
C) Return the patient to bed and irrigate the wound with sterile saline.
D) Check the patient's vital signs and pulse oximetry.
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Chapter 38: Oxygenation and Tissue Perfusion
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Sample Questions
Q1) The nurse is caring for a patient with severe COPD who is becoming increasingly confused and disoriented. What is the priority action of the nurse?
A) Obtain an arterial blood gas to check for carbon dioxide retention.
B) Increase the patient's oxygen until the pulse oximetry is greater than 98%.
C) Lower the head of the patient's bed and insert a nasal airway.
D) Administer a mild sedative and reorient the patient as needed.
Q2) The nurse is caring for a patient who developed a pulmonary embolism after surgery. Which goal statement is the highest priority for the nurse to include in the patient's care plan for the diagnosis Impaired gas exchange r/t impaired pulmonary blood flow from embolus?
A) The patient will maintain pulse oximetry values of at least 95% on room air.
B) The patient will verbalize understanding of ordered anticoagulants.
C) The patient will report chest pain of no greater than 3 on a 1-10 scale.
D) The patient will ambulate 50 feet in hallway without shortness of breath.
Q3) Which of the following patients would benefit from postural drainage?
A) A patient with a heart murmur and jugular venous distention
B) A patient with asthma and audible wheezing
C) A patient with right-sided heart failure and pitting edema
D) A patient with chronic bronchitis and congested cough
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Page 40
Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
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Sample Questions
Q1) The nurse will be caring for a patient who is severely malnourished. Laboratory test results show that the patient's albumin level is critically low. What assessment finding will the nurse expect to note when meeting with the patient?
A) The patient has generalized 3+ pitting edema.
B) The patient is confused and disoriented.
C) The patient's urine is dark and very concentrated.
D) The patient lung sounds are very diminished.
Q2) The nurse is caring for a patient who has a serum magnesium level of 0.8 mEq/L. Which is the highest priority goal to include in the patient's plan of care?
A) The patient will maintain urine output of at least 30 mL/hr.
B) The patient will verbalize the importance of sufficient dietary intake of magnesium.
C) The patient's oral mucous membranes will remain free of ulceration and pain.
D) The patient will remain alert and oriented x3 with no confusion or seizure activity.
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Chapter 40: Bowel Elimination
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Sample Questions
Q1) The nurse is caring for a patient who will undergo colonoscopy testing. Which intervention will the nurse include in the patient's plan of care for the day before the test?
A) Provide the patient with zinc oxide skin barrier cream for the perineal area.
B) Obtain an order for a gentle laxative to be given once the test is completed.
C) Carefully assess the patient's ability to swallow liquids through a straw.
D) Check the patient for allergies to shellfish and iodine-based contrast dyes.
Q2) The nurse is caring for a patient who has not had a bowel movement for 2 days. Which is the priority nursing intervention for this patient?
A) Obtain an order to administer a soap suds cleansing enema.
B) Teach the patient how to use the Valsalva maneuver.
C) Discontinue medications that can cause constipation.
D) Assess the patient's usual pattern of bowel movements.
Q3) A student nurse is working with a preceptor to administer an enema to the patient. Which action by the student prompts intervention and redirection by the preceptor?
A) Water-soluble lubricant is applied to the end of the enema tubing.
B) The enema tubing is primed with solution that has been warmed.
C) The patient is positioned comfortably in the right side-lying Sims position.
D) The patient's bedpan is put at the bedside in preparation for use.
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Chapter 41: Urinary Elimination
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Sample Questions
Q1) The nurse is caring for a patient who has urinary frequency. Which nursing diagnosis is the highest priority for this patient?
A) Risk for compromised human dignity r/t occasional incontinence
B) Risk-prone health behavior r/t living alone at home with nocturia
C) Risk for contamination r/t urine contact with perineal area skin
D) Risk for falls r/t hurried trips to the bathroom during the day and night
Q2) The nurse is caring for a postoperative patient whose urinary catheter was removed 8 hours previously. The patient has not been able to void since the catheter was removed and now reports suprapubic pain. What is the priority action of the nurse?
A) Encourage oral fluid intake and administer a diuretic.
B) Obtain a urine sample to test for culture and sensitivity.
C) Carefully calculate the patient's daily intake and output.
D) Obtain an order to straight-catheterize the patient.
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43
Chapter 42: Death and Loss
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Sample Questions
Q1) The nurse is caring for a patient who has just died in a motor vehicle accident. What is the priority action of the nurse before the patient's family arrives to see the patient's body?
A) Gently wash the body and provide perineal care.
B) Remove the patient's dentures and jewelry.
C) Ensure that the death certificate has been signed.
D) Determine which funeral home will pick up the body.
Q2) The nurse is caring for a patient who is having difficulty coping after being in a motor vehicle accident in which her brother was killed. The patient was driving the car and blames herself for the accident. What is the priority nursing intervention of the nurse?
A) Check to make sure that the patient does not want to hurt or kill herself.
B) Educate the patient about available support systems for grief resolution.
C) Enhance the patient's coping skills to alleviate depression and anxiety.
D) Encourage the patient to meet with a spiritual leader for guidance.
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