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Introduction to Nursing Review Questions - 1473 Verified Questions

Page 1


Introduction to Nursing Review Questions

Course Introduction

Introduction to Nursing offers an essential overview of the nursing profession, including its history, core values, and foundational principles. The course introduces students to the roles and responsibilities of nurses in various healthcare settings, emphasizing patient-centered care, ethics, communication, and teamwork. Students will explore the nursing process, consider legal and ethical issues in practice, and examine contemporary challenges in healthcare. Through lectures, discussions, and practical exercises, this course lays the groundwork for further study and development of professional nursing skills.

Recommended Textbook

Foundations of Nursing 8th Edition by

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1473 Verified Questions

1473 Flashcards

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Page 2

Chapter 1: The Evolution of Nursing

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Sample Questions

Q1) What score does the graduate practical nurse require to be issued a license upon completion of the computerized examination?

A)70% or better

B)This is defined and set by each state

C)Designated as "pass"

D)Within the 75th percentile

Answer: C

Q2) Which of the following must the nurse recognize regarding the health care delivery system?

A)It includes all states.

B)It affects the illness of patients.

C)Insurance companies are not involved.

D)The major goal is to achieve optimal levels of health care.

Answer: D

Q3) What is the purpose of licensing laws for LPN/LVNs?

A)To limit the number of LPN/LVNs

B)Prevention of malpractice

C)Protection of the public from unqualified people

D)To increase revenue for the state board of nursing

Answer: C

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Chapter 2: Legal and Ethical Aspects of Nursing

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Sample Questions

Q1) What is true about nurse practice acts?

A)They informally define the scope of nursing practice.

B)They provide for unlimited scope of nursing practice.

C)Only some states have adopted a nurse practice act.

D)The nurse must know the nurse practice act within his or her state.

Answer: D

Q2) When a nurse protects the information in a patient's record,what ethical responsibility is the nurse fulfilling?

A)Privacy

B)Disclosure

C)Confidentiality

D)Absolute secrecy

Answer: C

Q3) 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

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Chapter 3: Documentation

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Sample Questions

Q1) When documenting an incident in the nurse's notes,what should the nurse include?

(Select all that apply.)

A)Description of injury,including diagrams of injury placement

B)Date,time,and location of incident

C)Name of health care provider and family members notified

D)Chronologic order of events of the incident

E)Confirmation that an incident report was initiated

Answer: A,B,C,D

Q2) What is the nurse required to do to adhere to the concept of confidentiality for the patient's medical record?

A)Provide information only to another nurse.

B)Provide information only to an attorney.

C)Share information only with the family.

D)Have a clinical reason for reading the record.

Answer: D

Q3) Documentation using the DARE format (Data,Action,Response,Education)includes elements of the __________ charting system.

Answer: focused

Focused charting uses the acronym DARE to direct and formalize charting.

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Page 5

Chapter 4: Communication

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Sample Questions

Q1) If the nurse aggressively says to a patient,"Why couldn't you have asked me to give you your pain medication when I was in here earlier?" What feeling is the patient most likely to demonstrate?

A)Anger

B)Satisfaction that his needs are met

C)Humiliation and worthlessness

D)Confidence that his request will be granted

Q2) If in response to the patient statement,"I am upset about all this lab work" the nurse responds,"You're upset?" What is this is an example of?

A)An open-ended question

B)Reflecting

C)Restating

D)Paraphrasing

Q3) The term that describes an individual's perception or understanding of a particular word or phrase is _____________.

Q4) A patient with aphasia who cannot understand a spoken or written message is said to have ___________ aphasia.

Q5) ____________ 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) During an admission assessment,the nurse collects objective and subjective data.What is an example of subjective data?

A)The patient is coughing.

B)The patient has cyanosis of the lips.

C)The patient experiences tachypnea.

D)The patient complains of generalized discomfort.

Q2) Human responses to health conditions and life processes that may develop in a vulnerable individual,family,or community are known as a(n)__________ patient problem.

Q3) What objective data should the nurse include after a patient assessment?

A)Headache of 3 days' duration

B)Severe stomach cramps

C)Flatulence

D)Anxiety

Q4) What is classified as information provided by the family when a patient is unable to provide data during assessment?

A)Primary

B)Secondary

C)Unreliable

D)Biased

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Chapter 6: Cultural and Ethnic Considerations

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Sample Questions

Q1) The nurse is caring for an African-American patient.Who would the nurse expect to be the primary decision maker in the patient's family?

A)Men

B)Women

C)Clergy

D)Grandparents

Q2) Culture varies from patient to patient.Why is it important that the nurse understand and accept each person as an individual?

A)To develop a plan of care

B)To provide holistic care

C)To identify differences

D)To support each patient

Q3) The nurse from New York City is caring for a patient from Atlanta,Georgia.What difference between the nurse and patient may cause them to experience difficulty in communicating?

A)Race

B)Subculture

C)Ethnic group

D)Culture

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Page 8

Chapter 7: Asepsis and Infection Control

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Sample Questions

Q1) What can result from the nurse consistently performing hand hygiene and using sterile supplies when caring for patients in the hospital setting?

A)Hospital stay is shortened

B)Sense of self-worth is improved

C)Risk of infection is reduced

D)Nursing care needed is reduced

Q2) What action exemplifies a nurse practicing medical asepsis in performing daily care?

A)Lifting a sterile swab from a sterile field

B)Using disposable sterile gowns

C)Washing hands for 5 minutes between patients

D)Keeping bed linens off the floor

Q3) What assessment does the nurse recognize as an inflammatory response in a surgical wound on the leg of a patient?

A)A foul drainage is coming from the wound.

B)The affected leg is cooler than the other leg.

C)There are raised,red,pruritic welts on the leg.

D)Rubor and edema appear around the wound.

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Chapter 8: Body Mechanics and Patient Mobility

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Sample Questions

Q1) The nurse is performing passive range-of-motion exercises on a patient following a traumatic injury.What is the number of times the nurse should move each joint when performing passive range-of-motion (ROM)exercises?

A)Three

B)Four

C)Five

D)Six

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) Place the initial nursing activities in priority order for preparing to move a patient.Put a comma and space between each answer choice (A,B,C,D,etc.).

A)Explain procedure.

B)Preform hand hygiene.

C)Prepare patient.

D)Introduce self.

E)Identify patient.

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Page 10

Chapter 9: Hygiene and Care of the Patients Environment

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Sample Questions

Q1) As a safety precaution against breakage of dentures,the nurse should place __________ in the emesis basin before cleaning the dentures.

Q2) The nurse is providing hand and foot care to a patient and notices the patient has extremely hard nails.Who is the person best prepared to provide nail care for patients with extremely hard nails?

A)Health care provider

B)RN

C)CNA

D)Podiatrist

Q3) The nurse is preparing to bathe a patient.What should the room temperature be set at?

A)No warmer than 67°F (19.4°C)

B)No cooler than 68°F (20°C)

C)No cooler than 70°F (21.1°C)

D)75°F or warmer (23.8°C)

Q4) The nurse avoids dragging the patient across the bed linen to decrease the potential risk of skin injury by _________.

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11

Chapter 10: Safety

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Sample Questions

Q1) A disaster situation occurs and involves an explosion in a hospital laundry.What would this be classified as?

A)Active

B)External

C)Life-threatening

D)Internal

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) 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.

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Chapter 11: Admission,transfer,and Discharge

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Sample Questions

Q1) 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

Q2) Some Orthodox Jewish patients consider sundown Friday to sundown ____________ to be the Sabbath,which is a time of rest.

Q3) A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA).What action should the nurse take?

A)Forcibly detain and restrain the patient.

B)Administer a sedative hypnotic medication.

C)Prevent patient from leaving until an AMA form is signed.

D)Notify the health care provider that the patient is threatening to leave AMA.

Q4) If a patient has an order for an interagency transfer,where does the nurse explain that the patient will be moved?

A)A double room to a private room

B)One unit of the hospital to another

C)One room of the unit to another

D)One facility to another

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Chapter 12: Vital Signs

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Sample Questions

Q1) The nurse assesses respirations of a patient demonstrating pursed-lip breathing,flared nostrils,and retractions.How will the nurse describe these respirations?

A)Tachypnea

B)Stertorous

C)Dyspnea

D)Cheyne-Stokes

Q2) A nurse assesses a patient's dorsalis pedis pulse.The pulse is easily felt but not palpable when moderate pressure is applied.How should the nurse document this finding?

A)Weak pulse

B)Normal pulse

C)Thready pulse

D)Bounding pulse

Q3) 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

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Page 14

Chapter 13: Physical Assessment

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Sample Questions

Q1) The nurse is assessing a patient for collection of subjective and objective data.What will this data provide the basis for making?

A)Care plan

B)Medical diagnosis

C)Nursing assessment

D)Patient problem

Q2) There are four categories of factors that increase an individual's vulnerability to develop a disease: genetic,physiologic,age,and lifestyle.What is the term for these factors?

A)Risk factors

B)Causative factors

C)Etiologic factors

D)Hazardous factors

Q3) The nurse uses a systematic method for collecting data on all body systems,including normal functioning and any noted changes.What is this method?

A)Nursing interview

B)Review of systems

C)Nursing assessment

D)Health history

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Page 15

Chapter 14: Oxygenation

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Sample Questions

Q1) The nurse instructs a patient receiving home O<sub>2</sub> therapy to drink plenty of fluids to help keep bronchial secretions liquefied.What is the recommended fluid?

A)Milk

B)Water

C)Tea with artificial sweetener

D)Coffee

Q2) 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.

Q3) 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.

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Page 16

Chapter 15: Elimination and Gastric Intubation

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Sample Questions

Q1) ____________________ is the inability to control urine or bowel elimination and can be a psychologically distressing and socially disruptive problem,especially among older adults.

Q2) When explaining the difference between a colostomy and an ileostomy,the nurse explains which of the following about an ileostomy?

A)It is always permanent.

B)It drains semiliquid stool.

C)It has a much larger stoma.

D)It does not need a pouch.

Q3) A ________________ tube is a flexible,hollow tube that is passed into the stomach via the nasopharynx.

Q4) 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

Q5) A ________ is the diversion of urine away from a diseased or defective bladder through a surgically created opening or stoma in the skin.

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Chapter 16: Care of Patients Experiencing Urgent

Alterations in Health

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Sample Questions

Q1) The patient with heatstroke has been undressed and treated with cold packs and a fan.The patient's temperature is now down to 101.2°F (38.4°C).The patient starts to shiver.What action should the emergency department nurse take?

A)Raise the head of the bed.

B)Offer warm liquids.

C)Remove cold packs and fan.

D)Continue with cooling interventions.

Q2) CPR has been initiated on an adult patient.How will the nurse confirm the effectiveness of CPR?

A)Assessing an EKG pattern with each compression

B)Assessing a palpable carotid pulse during each compression

C)Assuring a compression depth of 1\(\frac {1 } { 2 }\) to 2 in

D)Observing pupils that change from pinpoint to dilated

Q3) When treating an infant choking on a foreign body,the nurse should use a combination of back _________ and chest thrusts.

Q4) When performing _________ on an infant,the breastbone is depressed approximately one-third of the chest diameter or 1\(\frac {1 } { 2 }\) in.

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Chapter 17: Dosage Calculation and Medication Administration

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Sample Questions

Q1) What is the correct conversion for the improper fraction \(\frac { 77 } { 9 }\) ?

A)7 \(\frac { 7 } { 9 }\)

B)8 \(\frac { 5 } { 9 }\)

C)7.79

D)79.7

Q2) When giving a subcutaneous injection to a very thin patient,how does the nurse alter the injection technique?

A)Using a 23-gauge needle

B)Spreading the skin before injection

C)Pinching up the skin and inserting the needle at a 45-degree angle

D)Injecting the medicine quickly to reduce pain

Q3) Atropine 0.4 mg is to be given.Ampule is labeled gr 1/150/mL.What dose should the nurse administer?

A)1.5 mL

B)0.25 mL

C)0.5 mL

D)1 mL

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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Sample Questions

Q1) The nurse expects an adult with normal ______________ function to void a minimum of 120 mL of urine in 4 hours.

Q2) The nurse modifies the care plan for the immobilized patient after assessing a calcium level of 6.2 mEq/L.What nursing assessment should the nurse include when modifying this care plan?

A)Osteoporosis

B)Tooth loss

C)Renal calculi

D)Contractures

Q3) The nurse uses a diagram to show that fluids in the interstitial and intravascular compartments are combined.What do they combine to form?

A)Intercellular compartment

B)Circulating compartment

C)Vertical compartment

D)Extracellular compartment

Q4) A child has been having an asthma attack for the last 8 hours.Because of the child's inability to exhale effectively,the nurse assesses for respiratory __________.

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Chapter 19: Nutritional Concepts and Related Therapies

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Sample Questions

Q1) A fit,young woman was at zero nitrogen balance.The nurse discovers that this patient is now pregnant with her first child.For what is this patient at risk?

A)Embolism

B)Anabolism

C)Catabolism

D)Metabolism

Q2) What is the term for stored fat that insulates the body and serves as a cushion to protect organs?

A)Subcutaneous tissue

B)Adipose tissue

C)Cohesive tissue

D)Lipid tissue

Q3) When reviewing a patient's dietary intake,the nurse recommends that sugar consumption be reduced to the recommended daily level.What is this level?

A)No more than 24% of total daily kilocalories

B)No more than 16% of total daily kilocalories

C)No more than 8% of total daily kilocalories

D)No more than 4% of total daily kilocalories

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Chapter 20: Complementary and Alternative Therapies

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Sample Questions

Q1) ___________________is a noninvasive method an individual can employ to learn control of the body to manage certain conditions.Monitoring equipment is used to measure vital signs and muscle tension.The messages are sent back to the individual.

Q2) An older adult patient tells the home health nurse,"My health care provider hasn't helped my arthritis at all.I am using the chiropractor now." What change has the patient made?

A)Western medicine to complementary therapy

B)Complementary therapy to alternative therapy

C)Alternative therapy to allopathic medicine

D)Allopathic medicine to alternative therapy

Q3) A patient admitted with lower back pain is not sure that the prescribed treatment is helping and asks what alternative therapies might help.What should the nurse suggest?

A)Herbal therapy

B)Chiropractic therapy

C)Acupressure

D)Reflexology

Q4) People with fractures,rheumatoid arthritis,and osteoporosis are not candidates for ____________ therapy.

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Page 22

Chapter 21: Pain Management,comfort,rest,and Sleep

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Sample Questions

Q1) The nurse teaches noninvasive pain relief techniques,such as guided imagery,biofeedback,and relaxation.What is the primary advantage of these techniques?

A)Can be done any time.

B)Does not require a nurse.

C)Gives the patient some control.

D)Is most effective.

Q2) The nurse reassures a patient that most acute pain is intense and of short duration.How long does can acute pain usually last?

A)1 week

B)Less than 6 months

C)At least 9 months

D)More than 1 year

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.

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Chapter 22: Surgical Wound Care

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Sample Questions

Q1) The nurse assessing a patient's wound notes thick,yellow drainage.How will the nurse most accurately document this finding?

A)Serous drainage

B)Purulent drainage

C)Sanguineous drainage

D)Serosanguineous drainage

Q2) The nurse is caring for a patient with a surgical wound.How can the nurse promote healing?

A)Offer fluids every 4 hours.

B)Encourage the consumption of large meals.

C)Encourage up to 1000 mL of daily fluid intake.

D)Encourage the consumption of small frequent meals.

Q3) The health care provider has not ordered a dressing change for a draining wound on a patient in an acute care setting.How should the nurse assess the amount of drainage?

A)Weigh the patient to estimate the weight of the saturated dressing.

B)Reinforce the dressing.

C)Circle and date the outline of the exudate on the dressing.

D)Count each dressing as 1 mL of drainage.

Q4) When preparing to remove a dressing,the nurse should don __________ gloves.

Page 24

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Chapter 23: Specimen Collection and Diagnostic Testing

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Q1) The nurse is preparing to collect a urine specimen.What will this nurse include when labeling this specimen? (Select all that apply.)

A)Date and time of collection

B)Identification of last name only

C)Room number

D)Medical record number

E)Insurance information

Q2) The patient is to be catheterized for residual urine.The nurse must perform this catheterization within how many minutes following voiding?

A)40 minutes

B)30 minutes

C)20 minutes

D)10 minutes

Q3) What is the probable source of bright red blood in the stool?

A)Stomach

B)Small intestine

C)Lower gastrointestinal tract

D)Higher intestinal tract

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25

Chapter 24: Lifespan Development

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Sample Questions

Q1) 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

Q2) What is the stage of family development that begins when conception begins and continues through the pregnancy?

A)Expectant stage

B)Parenthood stage

C)Establishment stage

D)Engagement/commitment stage

Q3) Any substance such as a drug,alcohol,or virus that interferes with fetal development is called a(n)_____________.

Q4) Growth and development that moves from the center toward the outside is known as ____________________.

Q5) Growth and development that proceeds from the head toward the feet is known as _____________________.

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Chapter 25: Loss,grief,dying,and Death

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Q1) A young nurse caring for a dying patient hastens through the care and leaves the room as quickly as possible.What common reaction to the care of the dying is the nurse exhibiting?

A)Efficiency

B)Anger

C)Withdrawal

D)Anxiety

Q2) The nurse spends a great deal of time in the room of a dying 12-year-old because the nurse knows that most children are aware of their condition and want the nurse to do which of the following?

A)Keep them clean.

B)Help them eat.

C)Care about them.

D)Keep them comfortable.

Q3) What is the first thing the nurse should do before involving the family in the care of a dying patient?

A)Ask the patient if he or she wants family care.

B)Ask family members if they want to assist with care.

C)Check the hospital policy on the family giving care.

D)Set a caring example.

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Chapter 26: Health Promotion and Pregnancy

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Sample Questions

Q1) Where does implantation of the fertilized ovum usually occur?

A)Lower uterine wall

B)Side of the uterus

C)Fundus of the uterus

D)Body of the uterus

Q2) Early in the first trimester,a woman complains of morning sickness.What does the nurse suggest to aid with the discomfort?

A)Eating something with a high-fat content

B)Eating dry crackers before getting up

C)Eating three well-balanced meals

D)Getting rest and taking antiemetics

Q3) The health care provider decides to send the mother for a test to determine the fetal lung maturity.What is the name of this fetal well-being test?

A)Biophysical profile

B)Alpha-fetoprotein

C)Amniocentesis

D)Ultrasound

Q4) The nurse assesses a reactive result to a nonstress test when the fetal heart rate increases _____ beats/min.

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Chapter 27: Labor and Delivery

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Q1) A woman is admitted in active labor,and the nurse assesses the fetal heart rate (FHR)at 124 beats/min.What action should the nurse take based on the assessment?

A)Position patient on her left side.

B)Start oxygen per nasal cannula.

C)Reassure the mother the rate is normal.

D)Notify the health care provider at once.

Q2) A woman who is 38 weeks' pregnant tells the nurse that the baby has dropped and she is having urinary frequency again.What do these symptoms describe?

A)Lightening

B)Braxton-Hicks contractions

C)Initiation of labor

D)Engagement

Q3) For the first hour following delivery,how often should the nurse assess the mother?

A)Every 5 minutes

B)Every 10 minutes

C)Every 15 minutes

D)Every 30 minutes

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Chapter 28: Care of the Mother and Newborn

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Q1) When assessing a mother 12 hours following the delivery of a baby,where should the nurse expect to palpate the fundus?

A)2 cm below the umbilicus

B)At the umbilicus

C)1 cm below the umbilicus

D)Halfway between the umbilicus and the symphysis pubis

Q2) Why is vitamin K given by injection to the newborn?

A)Most mothers have a vitamin K deficiency that develops during pregnancy.

B)Bacteria that synthesize vitamin K are not present in newborns.

C)Vitamin K prevents the synthesis of prothrombin.

D)The newborn does not store vitamin K.

Q3) When is breast engorgement most likely to occur?

A)When the infant's mouth surrounds the areola when feeding

B)When the breast tissue becomes congested

C)When the breast is emptied completely at each feeding

D)When the infant's mouth grasps the nipple firmly

Q4) The new mother tells the home health nurse that she is concerned about her 5-day-old infant's hard,dried umbilical stump.What time frame should the nurse give the mother for the umbilical stump to fall off? 10 to 14 ___________.

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Family With Special Needs

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Q1) What should the nurse hope to identify by keeping a record of a patient's blood pressure during prenatal visits?

A)Ketoacidosis

B)Placenta previa

C)Gestational diabetes

D)Gestational hypertension

Q2) The nurse assures a patient who has become sensitized to the Rh antigen that she can be protected for future pregnancies by receiving what injection?

A)Iron

B)Vitamin B<sub>12</sub>

C)RhoGAM

D)Type O blood

Q3) A patient with a history of rheumatic heart disease is being admitted to the labor and delivery unit.To prevent further stress on the heart,what should the nurse anticipate to be ordered?

A)Oxygen administration

B)Administering large amount of IV fluids

C)Positioning the patient on her back

D)Encouraging activity between contractions

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Chapter 30: Health Promotion for the Infant, child, and Adolescent

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Q1) The school nurse collaborates with the physical education instructor to increase the amount of physical activity during the school day.What are major benefits of physical activity? (Select all that apply.)

A)Reduced death rates as adults

B)Reduced risk of cardiovascular disease

C)Reduced risk of hypertension

D)Reduced risk of diabetes

E)Reduced self-esteem

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) A nurse emphasizes a study that focused on the amount of time children spend using various media,such as TV,video games,and computers,and stated that by cutting this time by ____%,it would have a significant impact on increasing physical activity.

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Page 32

Chapter 31: Basic Pediatric Nursing Care

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Q1) The nurse clarifies that the family-centered care approach terminates which policies? (Select all that apply.)

A)Rigid visiting hours

B)Freedom to choose which medications to take

C)Exclusion of family during procedures

D)Discouraging family to stay overnight

E)Restricting parents from reading the chart

Q2) What is the special category that encompasses children who have congenital abnormalities,malignancies,gastrointestinal (GI)diseases,or central nervous system (CNS)anomalies?

A)Very dependent children

B)Children requiring special education

C)Children with special needs

D)Children requiring long-term care

Q3) What should be the focus of a practice where the pediatric nurse uses a developmental approach?

A)Stimulation of the child to reach expected norms

B)Age-centered care plans

C)Strengths and abilities of the child

D)Characteristics for the particular age

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Chapter 32: Care of the Child With a Physical and Mental or Cognitive Disorder

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Q1) An adolescent female asks the nurse about taking retinoic acid (Accutane).What guidance should be provided by the nurse?

A)The medication should be used only for 10 weeks.

B)The medication requires that sexually active females use contraception.

C)The medication lowers hemoglobin very quickly.

D)The medication has few side effects.

Q2) A 2-year-old child with laryngotracheobronchitis (LTB)is fussy and restless in the oxygen tent.The oxygen level in the tent is 25%,and blood gases are normal.What would be the correct action by the nurse?

A)Restrain the child in the tent and notify the health care provider.

B)Increase the oxygen concentration in the tent.

C)Take the child out of the tent and into the playroom.

D)Ask the mother for help in comforting the child.

Q3) The nurse instructs the parents of a child who has had a myringotomy to place the child in which position?

A)Supine

B)On the affected side

C)On the unaffected side

D)In a Trendelenburg's position

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Chapter 33: Health Promotion and Care of the Older Adult

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Q1) When bathing an 80-year-old woman who lives on a farm,the nurse assesses brown macules on the patient's hands and forearms.The nurse recognizes these as

Q2) Which areas are affected only minimally by age?

A)Physical activity

B)Productivity

C)Cognition

D)Sexuality

Q3) 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

Q4) When discussing aging,to whom does the term older adulthood apply?

A)Age 55 and above

B)Age 65 and above

C)Age 70 and above

D)Age 75 and above

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Chapter 34: Concepts of Mental Health

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Q1) 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

Q2) The majority of people function in a relatively healthy manner.What can diminish their functional capacity?

A)Lack of a support system

B)Periods of crisis

C)Nutritional deficits

D)A physical disease process

Q3) What is the mental health nurse referring to when using the term behavior?

A)An isolated incident

B)The manner in which a person performs

C)A product of a coping strategy

D)Failure to adapt

Q4) The situation in which a parent must choose between attending a daughter's ballet recital or a son's baseball game is an example of a __________.

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Chapter 35: Care of the Patient With a Psychiatric Disorder

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Q1) The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit.How should the nurse document this behavior?

A)Disordered thinking

B)Anhedonia

C)Hallucination

D)Alogia

Q2) The nurse recognizes that researchers have identified that hereditary factors account for what percentage of mood disorders?

A)10% to 15%

B)20% to 30%

C)35% to 50%

D)60% to 80%

Q3) The nurse is caring for a patient with a diagnosis of catatonic schizophrenia.What behavior is consistent with this diagnosis?

A)Talks excitedly about going home.

B)Suspiciously watches the staff.

C)Stands on one foot for 15 minutes.

D)States he has a cat under his bed that talks to him.

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Chapter 36: Care of the Patient With an Addictive Personality

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Q1) What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother?

A)Swaddle the baby closely.

B)Place the baby in a brightly lit area.

C)Hold and rock the baby frequently.

D)Place the baby in a busy part of the nursery for stimulation.

Q2) 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.

Q3) What should the entire health team focus on during the rehabilitation phase?

A)Establishing a support system

B)Seeking and maintaining employment

C)Abstaining from drug use

D)Addressing the problems related to addiction

Q4) The nurse uses the CAGE questionnaire to assess a patient.The nurse suspects the patient is an alcoholic if there are affirmative answers for _____ items on the questionnaire.

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Chapter 37: Home Health Nursing

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Q1) For physical therapy services to be reimbursed by Medicare,what must be the goal of the therapy?

A)Preventive

B)Restorative

C)Maintenance

D)Educational

Q2) The home health nurse plans interventions to meet which general service goals? (Select all that apply.)

A)Restore function as is appropriate.

B)Improve level of function.

C)Maintain current health level.

D)Ensure return of health.

E)Teach healthy lifestyle.

Q3) By offering enteral,parenteral,intravenous,and blood transfusion therapies,what can home care services prevent?

A)Morbidity

B)Hospitalization

C)Hospice care

D)Mortality

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Page 39

Chapter 38: Long-Term Care

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Q1) The family caring for an older adult in their home feels that they need assistance from a hospice service.What is necessary for hospice service to be initiated?

A)A family request

B)A patient request

C)Medical certification

D)A referral by a hospice nurse

Q2) Which statement is true concerning a 50-year-old patient recovering from a stroke who is going to a long-term care facility for a short stay?

A)Her regular hospitalization insurance will pay for the care.

B)She will still have daily health care provider visits.

C)She will need to contract outside physical therapy services.

D)She will probably be discharged within 6 months.

Q3) What is the goal for services provided by home health care agencies?

A)Self-care

B)Assisted living

C)Rehabilitation

D)Improved function

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Chapter 39: Rehabilitation Nursing

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Sample Questions

Q1) The nurse explains that the Americans with Disabilities Act of 1990 defines a person as disabled if which criteria are met? (Select all that apply.)

A)The person has a physical or mental impairment.

B)The person is limited in at least one major life activity.

C)The person has a medical record of the impairment.

D)The person is unemployed.

E)The person needs assistance in completion of ADLs.

Q2) The nurse used a diagnosis of impaired cognition for a 40-year-old patient with a brain injury.Which assessment data would support the diagnosis?

A)Frequently becomes violent.

B)Becomes easily fatigued.

C)Is depressed.

D)Cannot add three numbers in his head.

Q3) The rehabilitation nurse assesses localized edema around the knee of a patient with paraplegia.The nurse suspects that this is the first sign of __________ ossification.

Q4) A child who was struck by a car and suffered a closed head injury was unconscious for 24 hours before waking.The nurse recognizes this as a _______ brain injury.

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Page 41

Chapter 40: Hospice Care

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Q1) The hospice nurse instructs caregivers in repositioning the patient because the patient spends most of the time reclining.What problem can this cause?

A)Contractures

B)Pressure injuries

C)Bruising

D)Excoriation

Q2) The hospice nurse introduced the family to the volunteer coordinator who will assign a volunteer to the patient.What can a hospice volunteer do for a patient and caregiver?

A)Give the family respite.

B)Give necessary medication in the absence of the nurse.

C)Be at the family's disposal 16 hours a week.

D)Bathe the patient.

Q3) The hospice nurse tells the family that the nurse coordinator,an RN,will visit them.What is the role of the nurse coordinator?

A)Collect initial fees for the hospice service.

B)Officially admit the patient to the hospice service.

C)Assist with accessing community resources.

D)Assist with funeral planning.

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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) A nursing instructor is preparing her class for the NCLEX-PN examination.Which statements by the students indicate understanding of the testing process? (Select all that apply.)

A)"It will be a computerized adaptive test."

B)"I will have a maximum of 265 questions."

C)"The maximum time allowed for testing is 5 hours."

D)"The minimum number of questions on the test is 60."

E)"My state board of nursing must approve my application to test."

Q3) What is the best way to resolve most disagreements?

A)Agreement

B)Argument

C)Communication

D)Withdrawing

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