Introduction to Nursing
Textbook Exam Questions
Course Introduction
Introduction to Nursing provides students with a foundational understanding of the nursing profession, exploring its history, core values, and the integral role of nurses within the healthcare system. Through an overview of patient-centered care, ethical principles, communication skills, and the nursing process, this course prepares students to engage with patients and healthcare teams effectively. Emphasis is placed on health promotion, clinical reasoning, evidence-based practice, and cultural competency, laying the groundwork for future coursework and clinical experience within the nursing field.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Berman
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1234 Verified Questions
1234 Flashcards
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Chapter 11: Assessing
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28 Flashcards
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Sample Questions
Q1) During an assessment interview,the client states that an elective surgical procedure will not be done because it does not fit into the client's life goals.Into which of Gordon's functional health patterns should the nurse identify this client's comment?
A)Cognitive/perceptual pattern
B)Coping/stress-tolerance pattern
C)Health-perception/health-management pattern
D)Value/belief pattern
Q2) The nurse is conducting an interview with a new client.Which actions indicate that the nurse is implementing effective communication guidelines?
Standard Text: Select all that apply.
A)Looking directly at the client to ensure good eye contact
B)Managing the conversation to avoid periods of silence
C)Providing personal experiences to help the client focus
D)Sitting in a chair next to the client who is in bed
E)Keeping arms unfolded and in a relaxed position
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3
Chapter 12: Diagnosing
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23 Flashcards
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Sample Questions
Q1) The graduate nurse is struggling with identifying cues from clustered data.What should the nurse use to recognize data patterns and cues?
A)Depend on knowledge gained from peers' experiences.
B)Work with seasoned and experienced nurses and learn from them.
C)Take assessment notes and utilize information from textbooks for comparison.
D)Know that this will take time,and experience is the best teacher.
Q2) The nurse has formulated a diagnosis of Activity intolerance related to decreased airway capacity for a client with chronic asthma.In looking at the client's coping skills,the nurse realizes that the client has a vast knowledge about the disease and what exacerbates symptoms in particular situations.Why should the nurse utilize this information?
A)Strengths can be an aid to mobilizing health and the healing process.
B)The client will be more active in the plan.
C)It will be easier for the nurse to educate the client about other interventions.
D)The nurse won't have to spend time going over the pathology of the client's disease.
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Chapter 13: Planning
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Sample Questions
Q1) A client is admitted to a comprehensive rehabilitation center for continuing care following a motor vehicle crash.The admitting nurse will develop the initial plan of care,but who will be involved with the ongoing planning of this client's care?
A)The admitting nurse
B)All nurses who work with the client
C)Everybody involved in this client's care
D)The client and the client's support system
Q2) The nurse is reviewing a client's plan of care.Which statements indicate that this care plan has been completed accurately and appropriately?
Standard Text: Select all that apply.
A)Ineffective coping related to drug abuse as evidenced by drug overdose.
B)The client will identify two healthy coping mechanisms by time of discharge.
C)The client has identified two health coping mechanisms to replace inappropriate drug use.
D)The client will be provided with guidance in identifying healthy coping mechanisms.
E)The client has apologized to his family for drug abuse behaviors.
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Chapter 14: Implementing and Evaluating
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Sample Questions
Q1) The nurse reviews clients' records and the care they received while in the hospital for an insurance company.Part of the job description requires the nurse to make sure that the client and insurance company were billed for services and treatment/therapies rendered and that there were no errors in billing.Which type of audit is the nurse completing?
A)Concurrent
B)Peer review
C)Nursing audit
D)Retrospective
Q2) The nurse is reviewing the difference between evaluation and assessment with a new graduate nurse.What should the nurse emphasize as the major difference between these two steps in the nursing process?
A)Assessment is done at the beginning of the process.
B)Evaluation is completed at the end of the process.
C)They are the same and there is no need to differentiate.
D)The difference is in how the data are used.
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Chapter 15: Documenting and Reporting
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Sample Questions
Q1) The nurse works at an organization that is installing a new computerized record system.What should the nurse learn that has been implemented to help ensure the security of client records?
A)A firewall to protect the server from unauthorized access
B)One unit password to protect the unit's information
C)Expectation to log off a terminal after using it
D)Expectation to turn the monitor away from view when unattended
E)Requirement to shred all computer-generated worksheets
Q2) A client in long-term care is scheduled for a review of the assessment and care screening process.Where should the nurse document this information?
A)MDS
B)OBRA
C)CBE
D)Kardex
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Chapter 16: Health Promotion
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28 Flashcards
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Sample Questions
Q1) Psychologic homeostasis is maintained by a variety of mechanisms.Which client should the nurse identify as being the most likely candidate to obtain psychologic homeostasis?
A)A child who is used to getting ready for school alone
B)A teenager whose circle of friends includes single parents of the same age
C)An elderly person who has just moved to a long-term care facility
D)A young adult who is in a long-term relationship
Q2) A client is hospitalized with numerous acute health problems.According to Maslow's basic needs model,which nursing diagnosis should the nurse identify as being the highest priority for this client?
A)Risk for Injury related to unsteady gait
B)Altered Nutrition,Less Than Body Requirements related to inability to absorb nutrients
C)Self-Care Deficit related to weakness and debilitation
D)Powerlessness related to chronic disease state
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8
Chapter 17: Health, Wellness, and Illness
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Sample Questions
Q1) A nurse has volunteered to go on a health mission to rural Haiti,where the majority of the people do not have access to health care and live in poverty.According to Dunn's high-level wellness grid,the nurse will be working with clients in which quadrant?
A)Emergent high-level wellness in an unfavorable environment
B)Protected poor health in a favorable environment
C)Poor health in an unfavorable environment
D)Protected poor health in an unfavorable environment
Q2) A nurse is conducting a community assessment to determine which diseases are prevalent and most likely to occur.The nurse is basing the assessment on which model of health?
A)Role performance
B)Eudemonistic
C)Ecological
D)Adaptive
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9
Chapter 18: Culture and Heritage
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Sample Questions
Q1) During the admission interview,the culturally diverse client averts her eyes and refrains from answering questions for long periods of time.The culturally sensitive nurse should take which action?
A)Come back at a different time,when the client is feeling more communicative.
B)Have another nurse finish the interview,as there is something uncomfortable the client senses.
C)Understand that this may be completely appropriate and take cues accordingly.
D)Leave the room and come back after having learned more about this particular culture.
Q2) A Chinese client is hospitalized with a fever of unknown origin and follows a very traditional,cultural view of illness.Which food should the nurse offer the client?
A)Hot tea
B)Warm soup
C)Spicy meat
D)Cold liquids
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Chapter 19: Complementary and Alternative Healing
Modalities
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Sample Questions
Q1) The nurse is teaching a client regarding the use of herbal preparations.Which statements should the nurse include in this teaching?
Standard Text: Select all that apply.
A)"Echinacea might reduce the effectiveness of the immunosuppressant medications you've been prescribed since your transplant."
B)"Gingko could affect the results of your aspirin therapy."
C)"Ginger could be contraindicated because you are taking anticoagulant medications."
D)"With your history of glaucoma,I don't believe you should be supplementing with ginseng."
E)"St.John's wort is a safe supplement when being medicated for depression."
Q2) The client asks whether herbal medicines are a "good idea." What should the nurse respond?
A)"Things found in nature are always healthy."
B)"If your doctor didn't prescribe it,don't take it."
C)"Are there specific ones you're wondering about?"
D)"Everything is good in moderation."
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Chapter 20: Concepts of Growth and Development
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Sample Questions
Q1) A client is being seen in the mental health clinic for antisocial behavior.According to Erikson's stages of development,the nurse realizes that this client is dealing with which task of development?
A)Initiative versus guilt
B)Industry versus inferiority
C)Intimacy versus isolation
D)Identity versus role confusion
Q2) A child is starting school and is being screened for certain developmental milestones.What is the nurse assessing when determining how the child interacts with other children?
A)Temperament
B)Physical characteristics
C)Environment
D)Culture
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12
Chapter 21: Promoting Health From Conception Through Adolescence
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Sample Questions
Q1) During an auditory screening of third graders,the school nurse identifies a hearing deficit for one of the students.When the parents ask the nurse about the findings,how should the nurse respond?
A)"Hearing acuity is not fully developed in your child.Let's recheck next year."
B)"I'd like to recheck at the clinic.Then we may need to have your child be seen by an auditory specialist."
C)"It was too noisy when we were testing,so I wouldn't be concerned if I were you."
D)"Your child will probably need a hearing aid."
Q2) The nurse suspects that an adolescent is working through the stages of spiritual development.What observations did the nurse make to come to this conclusion?
Standard Text: Select all that apply.
A)Imitated behavior demonstrated by parents
B)Conceptualized angels and devils with the use of imagination
C)Compartmentalized differences between spiritual beliefs with friends
D)Determined differences between spiritual beliefs as being right or wrong
E)Met with the church priest to talk about the differences in spiritual beliefs
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Page 13
Chapter 22: Promoting Health in Young and Middle-Aged
Adults
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Sample Questions
Q1) The nurse is preparing information for a community health education seminar.Which statement should the nurse include regarding disease for the middle-aged adult?
A)Cancer is the leading cause of death in the age group from 25 to 64 years.
B)Coronary heart disease is the leading cause of death.
C)Leading causes of death include suicide and motor vehicle crashes.
D)Injuries and chronic disease are the leading causes of death in this age group.
Q2) A 30-year-old client who plans to travel extensively within the United States asks the nurse about appropriate immunizations.What should the nurse recommend to this client?
A)The client should have a tetanus booster if the client has not had one within the last 5 years.
B)The client should have the hepatitis B immunization series.
C)The client should receive a meningococcal vaccine if the client did not receive one as a teen.
D)The client should not worry about immunizations,as they are not recommended for this age group.
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Chapter 23: Promoting Health in Elders
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) An older adult client comes to the clinic with reports of not being able to hold her urine,stating: "I feel so terrible.This shouldn't happen at my age." How should the nurse respond?
A)"You shouldn't feel badly.Lots of people have this trouble."
B)"You'll probably have to start wearing incontinence briefs.Then you won't be worried about accidents."
C)"Getting old isn't much fun,is it?"
D)"There could be a number of causes for this.I need to ask you some more questions about it."
Q2) In the review of an elderly client's chart,the nurse reads that the client has sarcopenia.What should the nurse expect the client to report?
A)Weight loss and nausea
B)Hair loss and thin skin
C)Bleeding and bruising tendencies
D)Lack of strength and tiring easily
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Chapter 24: Promoting Family Health
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18 Flashcards
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Sample Questions
Q1) A nurse is conducting a family assessment as part of the process for services provided through the community.Which part of the assessment should provide the nurse with the best information in identifying existing or potential health problems?
A)Ecomap
B)Genogram
C)Cultural assessment
D)Family communication patterns
Q2) The nurse is confident that a family is functioning appropriately.What findings did the nurse use to make this determination?
Standard Text: Select all that apply.
A)The teenage son keeps the money he earns from cutting grass for his "car fund."
B)All the children are expected to excel in the sport of their choice.
C)A parent reads the preschool child a bedtime story each night.
D)All the children have household chores once they reach school age.
E)A young adult child moves back home after losing his job.
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16
Chapter 25: Caring
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Sample Questions
Q1) A labor and delivery nurse wants to conduct research focused on the response of new parents toward their babies.The approach the nurse would like to use suggests that caring is a nurturing process.The nurse should review the ideas of which theorist because they are best in line with this research?
A)Swanson
B)Watson
C)Roach
D)Benner
Q2) A student asks the nursing instructor which types of knowledge are important in the clinical area.How should the instructor respond to the student?
A)"Empirical knowledge-you have to know the physiology of the problem before you decide which interventions to use."
B)"A good nurse will have a mix of all four types of knowledge."
C)"Ethical knowledge-nurses must be able to identify principles and norms,handle conflicts,and be sensitive to sensitive issues."
D)"Aesthetic knowledge-a nurse must appreciate the special qualities of each client and the individual situation."
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Chapter 26: Communicating
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Sample Questions
Q1) A client has been sullen and withdrawn since receiving the news of her cancer diagnosis.As the nurse enters the room,the client asks for assistance with a shower.Which comment by the nurse is the most appropriate?
A)"If you look better,you might feel better."
B)"Taking a shower might wash away some of that gloom and doom."
C)"This is a positive sign.I'll be right back with your supplies."
D)"Your spouse will be glad to see that you're feeling better."
Q2) A nurse is giving a demonstration of new equipment to the rest of the nursing unit.Which level of proxemics should the nurse use?
A)Intimate
B)Personal
C)Social
D)Public
Q3) A nurse must perform a catheterization on a male client.Which zone of proximity should the nurse use for this intervention?
A)Personal distance
B)Intimate distance
C)Social distance
D)Public distance
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Page 18
Chapter 27: Teaching
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Sample Questions
Q1) The nurse is instructing a client on self-administration of insulin.Which statement regarding feedback will be most beneficial to the client?
A)"You know,there are children who can learn to do this."
B)"Maybe it would be better if we taught your spouse to help you with this."
C)"Next time,dart the needle in your skin,instead of pushing it in."
D)"If you don't learn this,you can't be discharged."
Q2) A school nurse is planning a program for adolescents about positive lifestyle choices.The nurse should keep in mind that content presented to this age group must be Standard Text: Select all that apply.
A)based on learning outcomes.
B)current.
C)adjusted to the adolescent client.
D)based on sources available within the school system.
E)accurate.
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Chapter 28: Delegating, Managing, and Leading
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Sample Questions
Q1) The nurse practices responsibility when functioning in the role of manager of a care area.What will the nurse manager demonstrate as evidence of responsibility?
Standard Text: Select all that apply.
A)Effective utilization of resources
B)Communication to subordinates
C)Implementation of organizational goals and objectives
D)Problem solving
E)Managing the work team
Q2) The nurse has been promoted to the role of manager for a client care area.What responsibilities of the nurse will this new role include?
Standard Text: Select all that apply.
A)Accomplish the goals of the organization.
B)Use the organization's resources efficiently.
C)Ensure effective client care.
D)Ensure compliance with regulatory standards.
E)Manage relationships.
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Chapter 29: Vital Signs
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Sample Questions
Q1) The nurse is preparing to assess a client's blood pressure.Which artery will the nurse use for this assessment?
A)Brachial
B)Femoral
C)Radial
D)Ulnar
Q2) While assessing the dorsalis pedis pulse of a client,the nurse determines that the pulse is absent.However,the extremity is warm and pink with nail beds blanching at 2 to 3 seconds of capillary refilling time.How would the nurse explain these findings?
A)A change in the client's health status has occurred.
B)The client has thrown a blood clot in that extremity.
C)The RN's watch has stopped working.
D)Too much pressure was applied over the pulse site.
Q3) When assessing a client's peripheral pulse,the health care provider is also assessing which of the following?
A)Depth
B)Rhythm
C)Sound
D)Stress
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21
Chapter 30: Health Assessment
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Sample Questions
Q1) The nurse is preparing a client for an abdominal examination.What should the nurse done before beginning the examination?
A)Ask the client to urinate.
B)Ask the client to drink 8 ounces of water.
C)Assess vital signs.
D)Assess heart rate.
Q2) The nurse is performing a lung assessment on a client with suspected pneumonia.Which finding should the nurse report to the physician immediately?
A)Chest symmetrical
B)Breath sounds equal bilaterally
C)Asymmetrical chest expansion
D)Bilateral symmetric vocal fremitus
Q3) While performing an assessment of the integument system,the nurse notes the client's eyeballs are protruding and the upper eyelids are elevated.What term should the nurse use to document this finding?
A)Erythema
B)Cyanosis
C)Exophthalmos
D)Normocephalic
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Page 22
Chapter 31: Asepsis
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Sample Questions
Q1) While irrigating a client's abdominal wound,the irrigate splashes into the nurse's nose and eyes.What should the nurse do?
A)Flush the nose and eyes for 5 to 10 minutes with water or normal saline.
B)Begin HIV high-risk exposure prophylaxis within 24 hours.
C)Wash the areas with soap and water.
D)Have blood drawn for hepatitis B antibodies.
Q2) The nurse is using medical asepsis when providing client care.Which action did the nurse demonstrate?
A)Administering parenteral medications
B)Changing a dressing
C)Performing a urinary catheterization
D)Using personal protective equipment
Q3) The nurse is preparing to leave a client's isolation room.Which action should the nurse take first when removing a grossly soiled gown?
A)Grasp the sleeve of the dominant arm,and remove it with a gloved hand.
B)Release the neck ties of the gown and allow the gown to fall forward.
C)Untie the strings at the neck first.
D)Untie the strings at the waist first.
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Chapter 32: Safety
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Sample Questions
Q1) The home care nurse wants to ensure the safety of an older client who lives at home alone.Which intervention should the nurse identify as a way to prevent this client from falling?
A)Check vision every 5 years.
B)Exercise regularly.
C)Place socks on feet.
D)Turn the light on after getting out of bed.
Q2) The nurse is evaluating teaching provided to a client about home safety.Which observation indicates that teaching has been effective?
A)Smoke alarm functioning with new batteries installed
B)Scatter rugs located in the kitchen and bathroom only
C)Cord for a space heater stretched across a hallway
D)Light bulbs burned out in the bathroom and living room
Q3) While eating in a restaurant,a nurse notices that a customer at the next table begins to clutch his throat while eating a steak.What should the nurse do first?
A)Ask the customer if he is choking.
B)Attempt to give five back blows.
C)Perform the Heimlich maneuver.
D)Start chest compressions.
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Page 24
Chapter 33: Hygiene
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Sample Questions
Q1) The nurse is shampooing a client's hair.Which assessment finding should the nurse consider as expected?
A)Dry,dark,thin
B)Smooth,taut,shiny
C)Smooth texture and not oily or dry
D)Tender,warm scalp
Q2) The nurse is preparing to remove ticks from a client's scalp.Which actions should the nurse perform to safely remove these pathogens from the client?
Standard Text: Select all that apply.
A)Grasp the tick with blunt tweezers.
B)Apply heat to the tick with a match.
C)Wash the area with antibacterial soap.
D)Pull the tick away in a perpendicular movement.
E)Apply petroleum jelly to the surface of the tick.
Q3) A client's hearing aid needs to be removed.What action should the nurse perform?
A)Assist the client with removal when necessary.
B)Instruct the client to remove the aid in the sunroom.
C)Leave the aid in place when bathing.
D)Send the aid home with the family.
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Page 25
Chapter 34: Diagnostic Testing
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Sample Questions
Q1) The nurse is preparing to collect a throat culture from a client.What client response indicates to the nurse that teaching about this test has not been effective?
A)"I need to hyperextend my neck."
B)"I need to say 'ah.'"
C)"I will need to sit up."
D)"The nurse will use a light."
Q2) What is the responsibility of the nurse when collecting a specimen from a client?
A)Always accompany the client to collect a specimen.
B)Handle the specimen discreetly.
C)Clean technique should be used with all specimen collection.
D)Use day-old specimens.
Q3) A client is having a timed urine collection done.The unlicensed assistive personnel does not save one specimen.What should the nurse do?
A)Continue with the test,and document that one specimen is missing.
B)End the test immediately,and send what is collected to the laboratory.
C)Document that the test cannot be completed.
D)Start the test over.
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Chapter 35: Medications
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Sample Questions
Q1) The nurse identifies that the ordered dose for a medication is twice the amount generally administered.What action should the nurse take?
A)Administer the medication as it was ordered.
B)Check to see if previous shift nurses gave the medication.
C)Collaborate with the prescriber about the order.
D)Administer only the standard dose of the medication.
Q2) The nurse is providing discharge teaching for a client who is being dismissed with prescriptions for a bronchodilator inhaler and a corticosteroid inhaler.What information should the nurse provide regarding the dosage schedule for these two medications?
A)Always use the corticosteroid inhaler first.
B)Use the bronchodilator first.
C)It makes no difference which inhaler is used first.
D)Use the inhalers on alternate days,not on the same day.
Q3) A client weighing 220 lbs.is prescribed to receive 25 mg/kg of a medication,divided over 4 equal doses.How many mg of the medication should the nurse provide for each dose?
Standard Text: Round to the nearest whole number.
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Page 27
Chapter 36: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse has established an expected outcome that the client will demonstrate healing of a stage II pressure ulcer over the coccyx.Which finding,discovered by the nurse during evaluation,might be implicated in the failure to achieve this outcome?
A)The rubber doughnut pressure relief device was not delivered by central supply.
B)The client's serum albumin increased over the last month.
C)Nurses did not document disinfection of the wound with alcohol with each dressing change.
D)Unlicensed assistive personnel (UAP)followed a right side-back-left side-back turning schedule.
Q2) On the fourth postoperative day,the client has a sudden coughing episode and tells the nurse that "something popped" in the abdominal incision.Upon inspection,the nurse finds that evisceration has occurred.What nursing action should be taken first?
A)Notify the client's surgeon.
B)Cover the area with a large saline-soaked dressing.
C)Position the client in bed with knees bent.
D)Pack the wound with nonadherent gauze.
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Chapter 37: Perioperative Nursing
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Sample Questions
Q1) The nurse is preparing to instruct a client on leg exercises to be used when recovering from abdominal surgery.What should the nurse determine before beginning this teaching?
Standard Text: Select all that apply.
A)Type of surgery
B)Time of surgery
C)Postoperative diet
D)Preoperative orders
E)Name of the surgeon
Q2) The nurse is caring for a client in the recovery area.In which position should the nurse place the unconscious client during the immediate postanesthesia phase?
A)Supine
B)Prone
C)Side-lying
D)Supine with a pillow under the head
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29
Chapter 38: Sensory Perception
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Sample Questions
Q1) The nurse is concerned that a client is experiencing sensory deprivation.What did the nurse assess to make this clinical decision?
Standard Text: Select all that apply.
A)Excessive sleeping
B)Confusion at night
C)Anger over minor issues
D)Easily distracted
E)Sitting quietly reading a book
Q2) The nurse is identifying diagnoses appropriate for a client recovering from cataract surgery who lives alone.Which diagnosis would be the priority for this client?
A)Social Isolation
B)Risk for Impaired Skin Integrity
C)Disturbed Sensory Perception
D)Risk for Injury
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Chapter 39: Self-Concept
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Sample Questions
Q1) Which statement made by a new mother would indicate to the nurse that there is potential for lowered self-esteem due to role ambiguity?
A)"I don't know if I know how to be a mom."
B)"My husband will be a stay-at-home dad while I work."
C)"I'm so disappointed that this baby is not a girl."
D)"I haven't even finished the baby's room."
Q2) The nurse and client had set the following expected outcome: "At the next clinic visit,the client will report participation in three activities to increase self-esteem." At today's visit,the client is unable to meet the stated outcome.What should be the nurse's next action?
A)Explore the possible reasons for not meeting the outcome.
B)Reevaluate the accuracy of the outcome statement.
C)Collaborate with the client to write a new expected outcome.
D)Identify new interventions to help the client achieve the outcome.
Q3) Which statement,made by the client,would indicate a "me-centered" self-concept?
A)"I couldn't stand to disappoint my parents."
B)"My sister is so much smarter than I am."
C)"My future is based on the decisions I make today."
D)"The world has always been against people like me."
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Page 31
Chapter 40: Sexuality
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Sample Questions
Q1) The mother of a 5-year-old tells the nurse that her daughter has always been closer to her than to her husband.The mother expresses concern that,over the last 2 months,the little girl wants to spend all of her time with her father instead of with the mother.The nurse recognizes that this behavior
A)may indicate sexual abuse by the father and should be further investigated.
B)is a normal expectation of a preschooler developing sexuality.
C)indicates that the girl is overidentifying with the male gender. D)can be a sign of precocious puberty and should be monitored.
Q2) The nurse is preparing to assess a client's sexual health.What will the nurse include in this assessment?
Standard Text: Select all that apply.
A)Sexual self-concept
B)Body image
C)Gender identity
D)Contraceptive choices
E)Employment
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Chapter 41: Spirituality
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31 Flashcards
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Sample Questions
Q1) A client newly diagnosed with a terminal illness asks to talk with the hospital chaplain and requests a Bible to read.What do these client behaviors indicate to the nurse?
A)The client does not have any family members to discuss spiritual issues.
B)The client is searching for answers.
C)The client wants to talk with someone other than the nurse about spiritual concerns.
D)Interventions for Spiritual Distress have been effective.
Q2) After asking general assessment questions regarding spirituality,the nurse finds the client content and satisfied.How should the nurse conduct the rest of the assessment?
A)Specific questions regarding beliefs should be included.
B)The nurse should validate spiritual information with the client's family.
C)The assessment can now move on to physical assessment.
D)No further specific spiritual assessment is currently necessary.
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33
Chapter 42: Stress and Coping
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Sample Questions
Q1) After dealing with a variety of physical stressors,a client is entering the stage of exhaustion.The nurse should recognize that the end of this stage will depend upon which factors?
Standard Text: Select all that apply.
A)Release of hormones
B)Severity of the stressor
C)Reversal of body changes
D)External resources provided
E)Energy resources of the client
Q2) During an assessment,the nurse learns that a client has been having periodic upper respiratory infections since experiencing the death of a close family member.The nurse identifies this client's reaction to stress as being a
A)stimulus.
B)response.
C)transaction.
D)negotiation.
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Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) The nurse is providing emotional support to a client who just learned the outcome of a biopsy.What actions will be the best for the nurse to provide at this time?
Standard Text: Select all that apply.
A)Encourage the client to resume normal activities on a schedule that promotes physical and psychological health.
B)Use therapeutic communication techniques.
C)Offer choices that promote client autonomy.
D)Provide information about community resources or support groups.
E)Acknowledge the grief of the client.
Q2) While caring for a client who is approaching death,the nurse notices the client's facial expression of extreme sadness.What should the nurse do?
A)Leave the client alone.
B)Provide physical care to increase comfort.
C)Acknowledge the client's expression,and ask whether the client would like to talk about her feelings.
D)Offer to provide pain medication.
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Chapter 44: Rest
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Sample Questions
Q1) The nurse is assisting a newly delivered mother in ambulating to the nursery to see the baby.The client complains of light-headedness and begins to faint.What is the nurse's most important action?
A)Ensure the client's modesty as she falls.
B)Be certain the client does not hit the head on anything.
C)Call for immediate assistance.
D)Check the vital signs and for excessive vaginal bleeding.
Q2) The nurse is caring for a client diagnosed with early osteoporosis.Which intervention is most applicable for this client?
A)Institute an exercise plan that includes weight-bearing activities.
B)Increase the amount of calcium in the client's diet.
C)Protect the client's bones with strict bed rest.
D)Provide the client with assisted range-of-motion exercising twice daily.
Q3) The client who is unconscious is developing foot drop.What nursing action is indicated?
A)Place high-topped shoes on the client while in bed.
B)Keep the linens on the end of the bed turned back to expose the feet.
C)Use only the prone and Sims positions for client positioning.
D)Use a device to elevate the linens off the feet.
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Page 36
Chapter 45: Activity and Exercise
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Sample Questions
Q1) The client who has sleep apnea reports falling asleep while driving,almost being involved in an accident,and frequent episodes of sleepwalking.What nursing diagnosis should be a priority for this client?
A)Disturbed Sleep Pattern related to difficulty staying asleep
B)Risk for Impaired Gas Exchange related to sleep apnea
C)Disturbed Thought Processes related to chronic insomnia
D)Risk for Injury related to somnambulism
Q2) A hospitalized client is being woken up every hour during the night for care and procedures.The nurse realizes that the lack of NREM sleep can have which physiological effect?
A)Decrease urine output
B)Increase thirst
C)Increase susceptibility to infection
D)Decrease heart rate
Q3) The hospitalized client requests a bedtime snack.Which food should the nurse offer this client?
A)Hot chocolate
B)Tea and crackers
C)Cereal with milk
D)Chips and salsa
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Chapter 46: Pain Management
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Sample Questions
Q1) A client experiencing pain after surgery says "Something must be wrong" because the pain is so severe.What is the best response for the nurse to make to the client?
A)"The amount of tissue disrupted from the surgery is not related to the degree of pain you feel."
B)"That could be so."
C)"Taking pain medication for many years has made the medication ineffective now."
D)"Are you sure the pain is as bad as you are saying it is?"
Q2) A client repeatedly asks the nurse "How much longer until I can get more pain medication?" Once the medication is provided,the client stops asking for it.The nurse identifies the client's behavior as being
A)addiction.
B)tolerance.
C)pseudoaddiction.
D)physical dependence.
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Chapter 47: Nutrition
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Sample Questions
Q1) A client reports following the "food pyramid" to guide nutritional intake.How should the nurse evaluate this information?
A)Because this food pyramid is produced by the U.S.Department of Agriculture,the client is likely consuming necessary levels of all essential nutrients.
B)The food pyramid is most useful when applied to the nutritional intake of children.
C)The food pyramid is not very useful because it does not take fluid intake and combination foods into consideration.
D)Following the appropriate food pyramid is helpful,but there are additional factors to consider in a balanced diet.
Q2) The nurse notes that the tube-fed client has shallow breathing and dusky color.The feeding is running at the prescribed rate.What should the nurse do first?
A)Place the client in high Fowler's position.
B)Turn off the tube feeding.
C)Assess the client's lung sounds.
D)Assess the client's bowel sounds.
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Chapter 48: Urinary Elimination
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Sample Questions
Q1) The nurse is assessing a client's urinary elimination.Which factor should the nurse keep in mind as influencing this elimination?
A)Age
B)Body image
C)Knowledge
D)Socioeconomic status
Q2) The nurse is identifying outcomes for a client with the nursing diagnosis Stress
Urinary Incontinence.Which outcome would be related to sphincter incompetence?
A)The client will empty her bladder every time she voids.
B)The client will improve her incontinence within 1 month.
C)The client will perform four to five squeezes for 5 to 10 seconds.
D)The client will stop the flow of urine when voiding.
Q3) The RN is admitting a client to the medical unit for a urinary disorder.Which physical assessment techniques should the nurse use in assessing this client's urinary system?
A)Auscultation and inspection
B)Inspection and percussion
C)Observation and auscultation
D)Palpation and observation
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Chapter 49: Fecal Elimination
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Sample Questions
Q1) The nurse is taking care of a client who states that he ignores the urge to defecate when he is at work.Which response should the nurse make to explain why this practice should be changed?
A)"If you continue to ignore the urge to defecate,the urge is ultimately lost."
B)"It is best to suppress the urge rather than suffer embarrassment at work."
C)"This is a common practice,and it will strengthen the reflex later."
D)"You will get the urge later;don't worry."
Q2) A hospitalized client tells the nurse of the inability to have a bowel movement because "too many people are around." What should the nurse do to promote normal fecal elimination for this client?
A)Provide a laxative.
B)Assist the client to the bathroom to ensure privacy.
C)Restrict fluids.
D)Assist the client with ambulation.
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Chapter 50: Oxygenation
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Sample Questions
Q1) The nurse has completed nasopharyngeal suctioning of a client.What should the nurse document about this procedure?
Standard Text: Select all that apply.
A)Amount,consistency,color,and odor of sputum
B)Amount of sterile solution used to flush the catheter
C)Lung sounds before the procedure
D)Lung sounds after the procedure
E)Oxygen saturation after the procedure
Q2) Before administering the prescribed medication propranolol (Inderal)to a client,the nurse contacts the health care provider to the order.What health problems did the client have that caused the nurse to the medication order?
Standard Text: Select all that apply.
A)COPD
B)Asthma
C)Arthritis
D)Gastritis
E)Heart failure
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Chapter 51: Circulation
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Sample Questions
Q1) The client is admitted with a possible deep vein thrombosis.Nursing interventions should be designed to prevent which complication?
A)Myocardial infarction
B)Renal failure
C)Pulmonary embolism
D)Pneumonia
Q2) The post-myocardial infarction client asks the nurse about return to exercise.What information should the nurse give this client?
A)It is better to exercise when it is cold.
B)Environmental temperatures have little impact on cardiac function.
C)Avoid exercise when the weather is hot or cold.
D)Hot temperatures increase peripheral blood vessel contraction.
Q3) A client has a heart rate of 170 beats per minute.For what will the nurse assess next in this client?
A)Increased cardiac output
B)Increased preload
C)Decreased afterload
D)Decreased cardiac output
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Chapter 52: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) The nurse is collecting equipment to administer a unit of packed red blood cells.Which IV fluid should be used to initiate the IV for this transfusion?
A)1,000 mL of lactated Ringer's solution
B)250 mL of normal saline
C)500 mL of 5% dextrose and water
D)100 mL of 5% dextrose and 1/2 normal saline
Q2) The nurse initiates a blood transfusion for a client.What action should the nurse take next?
A)Stay with the client and closely observe him for the first 5 to 10 minutes of the transfusion.
B)Assign the UAP to sit with the client for 15 minutes.
C)Advise the client to notify the nurse if he experiences any chilling,nausea,flushing,or rapid heart rate.
D)Return to the room and take a set of vital signs in 15 minutes.
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