Introduction to Nursing Practice Exam Practice Tests - 1050 Verified Questions
Introduction to Nursing Practice Exam Practice
Tests
Course Introduction
Introduction to Nursing Practice provides students with a foundational understanding of the nursing profession, exploring the roles, responsibilities, and ethical obligations of nurses within diverse healthcare settings. The course emphasizes the development of basic clinical skills, effective communication, and evidence-based care while addressing patient safety, cultural sensitivity, and patient-centered approaches. Students will engage in both theoretical learning and practical experiences designed to build competencies in assessment, documentation, teamwork, and critical thinking, preparing them for further study and professional practice in the field of nursing.
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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Sample Questions
Q1) The nursing student develops a plan of care based on a recently published article describing the effects of bedrest on a patient's calcium blood levels. In creating the plan of care, the nursing student has the obligation to:
A) Critically appraise the evidence and determine validity.
B) Ensure that the plan of care does not alter current practice.
C) Change the process even when there is no problem identified.
D) Maintain the plan of care regardless of initial outcome.
Answer: A
Q2) A patient is being discharged from the hospital with wound care dressing changes. The nurse recommends a referral for home health nursing care. The nurse is using which standard of practice?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Answer: C
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3
Chapter 2: Values, Beliefs, and Caring
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Sample Questions
Q1) Patients who enter the health care system have two reasonable expectations. The first is not to be harmed, and the second is that the nurses providing care will be both competent and compassionate. Provision of care that is consistent and delivered in a predictable way can make the experience less intimidating for the patient. The nurse provides predictable care by:
A) Explaining what is going to take place beforehand.
B) Never making promises to patients.
C) Assuring the patient that his/her requests will get done eventually.
D) Protect the patient from knowing why things are happening.
Answer: A
Q2) The student nurse is planning care for a patient who believes that Western medicine is effective but not always accurate. Nursing theory would best explain the patient's health practices?
A) Nursing: Human Science and Human Care
B) Cultural Care Theory
C) Human-to-Human Relationship Model
D) Five Caring Processes
Answer: B
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Chapter 3: Communication
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Sample Questions
Q1) A nurse has been working with a patient for the entire shift. Which action by the nurse is unacceptable?
A) Sharing a personal mobile phone number
B) Touching the patient's hand during a painful procedure
C) Standing 6 feet away from the patient when conversing
D) Using the SBAR method of hand-off communication
Answer: A
Q2) 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
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Chapter 4: Critical Thinking in Nursing
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Sample Questions
Q1) A patient is admitted to a skilled nursing facility with a closed head injury. The nurse believes that the patient has been pocketing food in his cheeks during the noon meal although she has not found any food pocketed. The nurse refers the patient to the speech therapist for a swallowing evaluation. The nurse is using which critical thinking component in making this decision?
A) Inference
B) Deductive reasoning
C) Intuition
D) Inductive reasoning
Q2) The nurse is taking an advanced cardiac life support (ACLS) recertification class. As part of that class, the nurse, and other nurses in the group, rotates responsibilities during multiple mock code exercises simulating cardiac arrest scenarios. The process of assigning nurses to different responsibilities is known as:
A) concept mapping.
B) simulation.
C) role playing.
D) literature review.
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6
Chapter 5: Introduction to the Nursing Process
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Sample Questions
Q1) During a patient's bath, the nurse observes the patient having a tonic clonic seizure. The nurse immediately turns the patient to a side-lying position. The nurse is demonstrating which phase of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Q2) Establishing short- and long-term goals to address nursing diagnoses involves: (Select all that apply.)
A) discussion with the patient.
B) exclusion of family with making patient decisions.
C) collaboration with other members of health care team.
D) making the health care provider as the central figure.
E) coordination of care as collaborative care.
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Chapter 6: Assessment
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Sample Questions
Q1) The wound care nurse is assessing a non-healing leg wound on a patient recently admitted for uncontrolled diabetes. The nurse organizes the data using Gordon's Functional Health Pattern of:
A) nutrition and metabolism.
B) activity and exercise.
C) sleep and rest.
D) elimination.
Q2) A patient with moderate lower back pain tells the nurse, "My urine smells awful and is as dark as my glass of tea." Which action will assist in validating the patient's concern?
A) Ask the patient to describe the back pain.
B) Review the lab results of the most recent urinalysis.
C) Request the nursing assistant to obtain a set of vital signs.
D) Check the patient's history for urinary tract infections.
Q3) An in-depth health history: (Select all that apply.)
A) includes demographic data.
B) lists the patient's allergies.
C) contains the family history of diseases.
D) explains the patient's health promotion practices.
E) is completed only once and can be recalled electronically.
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Page 8
Chapter 7: Nursing Diagnosis
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Q1) The nurse is reviewing assessment findings on a patient admitted with an extremely slow heart rate. The patient complains of dizziness, shortness of breath, chest pain, and fainting spells. Vital signs are blood pressure of 98/60 mm Hg and pulse of 52 beats/minute. Oxygen saturation is 88%. Which action should the nurse perform next?
A) Exclude all subjective data in favor of objective data.
B) Focus on data gathered during the physical assessment.
C) Evaluate the data looking for patterns and related data.
D) Dismiss family members input as "hearsay."
Q2) Nursing students are analyzing the following nursing diagnostic statement during a study group session. Acute pain related to pressure on lumbar spinal nerves as evidenced by a pain level of 9, patient verbalizations of pain, and grimacing when walking. The students would be correct if they stated that the etiology of the patient's problem is:
A) patient verbalizations of pain.
B) acute pain.
C) pressure on lumbar spinal nerves.
D) grimacing when walking.
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Page 9
Chapter 8: Planning
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Sample Questions
Q1) Discharge planning begins:
A) the day before discharge.
B) upon admission.
C) prior to admission.
D) day of discharge.
Q2) The nurse is formulating a plan of care for a patient. In this phase of the nursing process, the nurse: (Select all that apply.)
A) prioritizes nursing diagnoses.
B) determines short and long-term goals.
C) identifies outcome indicators.
D) lists nursing interventions.
E) gathers assessment data.
Q3) The nurse has a thorough understanding of the planning phase of the nursing process when stating:
A) "Patients should be included in the planning process."
B) "Patient families should not interfere in the planning process."
C) "The planning process should focus on short-term goals only."
D) "Planning is the first phase of the nursing process."
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Chapter 9: Implementation and Evaluation
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Sample Questions
Q1) Of the following skills, which is considered an invasive procedure? (Select all that apply.)
A) Administering oral medications
B) Starting an intravenous (IV) line
C) Repositioning the patient.
D) Inserting a urinary catheter.
Q2) 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.
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Chapter 10: Documentation, Electronic Health Records, and Reporting
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Sample Questions
Q1) The nurse is caring for a patient for the first time and needs background information such as history, medications taken at home, etc. The best central location to obtain this information is the:
A) admission summary.
B) discharge summary.
C) flow sheet.
D) Kardex.
Q2) The nurse is admitting a patient who has had several previous admissions. In order to obtain a knowledge base about the patient's medical history, the nurse may use the:
A) electronic medical record (EMR).
B) the computerized provider order entry (CPOE).
C) electronic health record (EHR).
D) American Recovery and Reinvestment Act.
Q3) A type of charting that records only abnormal or significant data is:
A) PIE.
B) SOAP.
C) narrative.
D) charting by exception.
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Chapter 11: Ethical and Legal Considerations
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Sample Questions
Q1) The nurse is caring for a patient recently diagnosed with cancer that is being asked to participate in a new chemotherapy trial. How would the nurse respond if working under the ethical principle of utilitarianism?
A) "The patient should be allowed to decide."
B) "As your nurse, I'll support your right to refuse."
C) "You should do this because many could benefit from it."
D) "If this is against your beliefs, you should not do it."
Q2) Each state has a nurse practice act that establishes the standards of care required for legal nursing practice. In order to protect herself/himself from litigation, the nurse should understand that:
A) laws create liability issues for nurses.
B) licensure laws are devised to protect the nurse.
C) the nurse is not responsible for other disciplines' mistakes.
D) keeping current with changing laws can protect the nurse.
Q3) The Code of Ethics for Nurses is:
A) like the Constitution and not revisable.
B) a succinct statement of ethical obligations.
C) required by entry level nurses only.
D) a negotiable document dependent on individual conscience.
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Page 13
Chapter 12: Leadership and Management
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Sample Questions
Q1) Mintzberg described management in terms of behaviors. Mintzberg's decisional roles include: (Select all that apply.)
A) figurehead.
B) spokesperson.
C) entrepreneur.
D) resource allocator.
E) negotiator.
Q2) When delegating to other health care providers, the nurse understands that the task: (Select all that apply.)
A) must be within the scope of the person to whom it is being delegated.
B) is one that can be delegated to other health care providers.
C) can be delegated whenever assessments are required.
D) may be re-delegated by the person to whom it was first delegated.
E) may require the nurse to procure resources to complete the task.
Q3) Which of the following was delegated inappropriately?
A) Personal hygiene by the UAP
B) Assistance with eating breakfast by the UAP
C) Assistance with toileting by the UAP
D) Interpretation of abnormal vital signs by the UAP
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Page 14
Chapter 13: Evidence-Based Practice and Nursing Research
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Q1) Nurses use the new information in their practice. In the process of implementing EBP, the nurse: (Select all that apply.)
A) develops clinical questions.
B) creates workshops and in-services.
C) seek answers to support the clinical decision.
D) applies finding to patients.
E) publishes a bulletin.
Q2) Barriers to the use of evidence-based practice (EBP) include: (Select all that apply.)
A) nurses critiquing research.
B) difficulty communicating how to conduct EBP.
C) the copious amount of literature available.
D) the short time between research and practice.
E) the reluctance of organizations to fund research.
Q3) The nurse correctly devises a dissemination plan at what point during the research process?
A) Conclusion of the study
B) After the literature review
C) The beginning of the research process
D) While conducting research
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Page 15
Chapter 14: Health Literacy and Patient Education
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Sample Questions
Q1) The nurse is implementing a patient teaching plan regarding diabetes mellitus. One of the short-term goals of the plan is that the patient will be able to verbalize three symptoms of hypoglycemia. This is an example of:
A) psychomotor teaching.
B) cognitive teaching.
C) affective teaching.
D) VARK teaching.
Q2) The unique ability of the patient to understand and integrate health-related knowledge is known as:
A) health literacy.
B) formal patient education.
C) informal patient education.
D) primary education.
Q3) The nurse is preparing to teach a patient for the first time and needs to evaluate the health literacy of the patient. She uses the VARK assessment to:
A) assess the learning styles of the patient.
B) find the one method that the patient uses to learn.
C) be sure that the patient is a unimodal learner.
D) reduce the need for creating a collaborative learning plan.
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Page 16
Chapter 15: Nursing Informatics
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Sample Questions
Q1) The Health Insurance Portability and Accountability Act (HIPAA) of 1996: (Select all that apply.)
A) requires the user to have verification codes.
B) ensures access to information without fear of audits.
C) sets the standards on how information is maintained.
D) sets the penalties for any breach in security of health data.
E) has no legal authority relative to security issues.
Q2) When technology such as a bar-code medication administration (BCMA) system is used as part of the process of medication administration, fewer errors are made. The proper procedure when using the BCMA includes:
A) signing into the system using the patient's ID number.
B) typing in the patient's name and room number.
C) scanning the patient's ID, MAR, and medication.
D) discontinuing the medication if the system signals an error.
Q3) Computerized provider order entry (CPOE):
A) allows orders to be communicated to the appropriate department.
B) creates an intermediary for order transcription.
C) slows documentation and provider communication.
D) may lead to increased ordering and transcription errors.
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Page 17
Chapter 16: Health and Wellness
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Sample Questions
Q1) A patient presents to the clinic for illness, and the sick role is legitimized by the provider. The nurse recognizes this as what stage of illness according to Suchman's Model?
A) III
B) II
C) I
D) IV
Q2) Self-concept refers to the way in which individuals perceive unchanging aspects of themselves, such as social character, cognitive abilities, physical appearance, and body image. As such, self-concept:
A) if negative, will allow the patient to compensate for weaknesses.
B) if positive, will cause the patient to see challenges as devastating.
C) is a concept that is derived from the patient internally.
D) depends on relationships with family and friends.
Q3) When caring for patients with chronic illness, the nurse needs to:
A) help the patient face the reality that he will not get better.
B) emphasize to the patient that the illness is not his fault.
C) emphasize improving quality of life through preventive behaviors.
D) acknowledge the limitations placed on the patient by his suffering.
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Page 18
Chapter 17: Human Development: Conception through Adolescence
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Q1) The nurse is conducting a home visit on a newborn. What observation would require the nurse to provide further education?
A) The caregiver warms the bottle and tests heat on the inside of the wrist.
B) The parents state the infant is sleeping with them until they buy a crib.
C) One parent states that when the child gets frustrating, the other parent takes over.
D) Caregivers consistently wash their hands before holding the baby.
Q2) The parents of a 4-year-old express concern that the child is wearing the same size clothing as she did last year. What action by the nurse is most appropriate?
A) Weigh and measure the child and compare with last visit.
B) Reassure parents that their child is growing normally.
C) Assess the child's eating and activity patterns.
D) Encourage the parents to provide the child a multivitamin.
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19
Chapter 18: Human Development Young Adult to Older Adult
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Q1) A young adult asks the nurse why she should participate in health screening and educational events. What response by the nurse is best?
A) "Your choices now affect your future health."
B) "It's free and full of good information."
C) "Wouldn't you want to know if you had a problem?"
D) "You can change bad habits now if you know about them."
Q2) The student of adult development learns that cognitive abilities improve during the young adult stage because of the influence of which experiences? (Select all that apply.)
A) Physical growth of the brain
B) Formal education
C) Occupational training
D) Overall life experiences
E) Specific profession chosen
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Chapter 19: Vital Signs
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Q1) Which parameters does the nurse include when assessing pain? (Select all that apply.)
A) Facial expression
B) Muscle spasms
C) Shallow respirations
D) Immobility
E) Temperature
Q2) The nurse has applied a pulse oximeter to the finger of a patient who is hypothermic. The pulse oximeter does not provide a good reading. What action by the nurse is best?
A) Move the oximeter probe to another finger.
B) Assess the fingers for good circulation.
C) Document that the reading cannot be obtained.
D) Remove any fingernail polish present on the fingernail.
Q3) A nurse notes a patient has abnormal vital signs. What action by the nurse is best?
A) Document the findings.
B) Notify the provider.
C) Compare with prior readings.
D) Retake the vital signs.
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Chapter 20: Health History and Physical Assessment
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Q1) The nurse is assessing a patient's cranial nerve III. What technique is best?
A) Have patient identify a common scent with closed eyes.
B) Shine a light into the patient's eyes to assess pupil response.
C) Have the patient read a newspaper or use the Snellen chart.
D) Assess if patient can hear both spoken and whispered words.
Q2) The nurse examining a patient's skin correlates which conditions with which underlying pathology? (Select all that apply.)
A) Albinism: Full-thickness burns
B) Peripheral cyanosis: poor circulation
C) Purpura: clotting disorders
D) Jaundice: liver disease
E) Vitiligo: skin infestation
Q3) A nurse is assessing a patient's abdomen and hears bowel sounds every 20 to 25 seconds. What action by the nurse is best?
A) Avoid palpating this patient's abdomen.
B) Document the findings in the patient's chart.
C) Have another nurse verify the findings.
D) Ask the patient when the last food intake was.
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22
Chapter 21: Ethnicity and Cultural Assessment
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Q1) A patient has hypertension and is on a very-low-sodium diet. However, the patient is going to celebrate an important religious holiday soon that includes many food items high in sodium. What action by the nurse is best?
A) Tell the patient you are so sorry she can't have any of these foods.
B) Consult with the prescriber about increasing the blood pressure medications.
C) Collaborate with the patient and dietitian to include some of these foods.
D) Tell the patient eating these foods once won't hurt her condition.
Q2) A patient in the emergency department needs an emergency operation. The patient refuses to consent and wants the nurse to call a respected elder in the community for consent. What action by the nurse is best?
A) Explain that this violates privacy laws.
B) Call the elder to get consent for the operation.
C) Tell the woman she has the right to consent.
D) Arrange for admission without the operation.
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 is concerned that she will not be able to maintain her dietary restrictions while in the hospital. What nursing diagnosis is most appropriate for this patient?
A) Spiritual distress
B) Impaired religiosity
C) Moral distress
D) Decisional conflict
Q2) When does the nurse assess patients' spirituality? (Select all that apply.)
A) Upon admission
B) New diagnosis
C) Life-changing diagnosis
D) When the chaplain makes rounds
E) When facing treatment decisions
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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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) 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
Q3) The nurse has implemented a community-wide immunization program for seasonal influenza. Once the program has ended, what action by the nurse is best?
A) Begin planning for next year's program.
B) Send mail surveys to participants.
C) Determine financial gains or losses.
D) Evaluate the program and outcomes.
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Chapter 24: Human Sexuality
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Q1) 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.
Q2) A nurse understands that which characteristics of family dynamics impact a patient's sexuality? (Select all that apply.)
A) Religion
B) Age
C) Ethnicity
D) Culture
E) Geographic location
Q3) A nurse is working with a patient using the PLISSIT model. In the LI phase, what is an appropriate activity?
A) Educate the patient on water-based lubricants.
B) Ask the patient for permission to discuss sexuality.
C) Instruct the patient on positions acceptable after knee replacement.
D) Refer the patient and partner to a licensed therapist.
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Chapter 25: Safety
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Q1) Conversations about safe sexual practices, including the consequences of unprotected sex such as pregnancy and sexually transmitted infections, are important to begin in what patient population?
A) Adults
B) School-aged children
C) Adolescents
D) Older adults
Q2) The nurse is educating the patient about the proper disposal of medications in the home. Which statement by the patient indicates she has a good understanding of the information?
A) "Remove the label from the bottle and throw in the trash."
B) "Flush the medication."
C) "Mix the medications with kitty litter and place the mixture in a jar and put the jar in the trash."
D) "Dissolve the medication in water and pour down the drain."
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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Chapter 26: Asepsis and Infection Control
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Sample Questions
Q1) 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
Q2) 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
Q3) 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."
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28
Chapter 27: Hygiene and Personal Care
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Q1) The nurse is asked to shave a patient that is taking Coumadin. What is the most appropriate action?
A) Refuse to shave the patient because he is on an anticoagulant.
B) Shave as usual with a safety razor.
C) Offer to wax rather than shave the patient.
D) Use an electric razor.
Q2) The nurse is providing care to a post-stroke patient on the rehabilitation floor with a nursing diagnosis of hygiene self-care deficit. Which goal is most appropriate on day one?
A) Patient will ambulate independently twice a day.
B) Patient will perform all of own ADLs.
C) Patient will consume 75% of all meals.
D) Patient will begin to perform 50% of own ADLs.
Q3) Regarding denture care, what action by the nurse is inappropriate?
A) Carrying the dentures to the sink wrapped in a paper towel.
B) Placing a towel in the sink and brushing the dentures over the towel.
C) Brushing the dentures as the nurse would the teeth of a conscious patient.
D) Applying adhesive, then inserting upper and then lower dentures.
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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 providing discharge education for her patient who is going home with a walker. Which statement by the patient indicates a good level of understanding of safety in the home? (Select all that apply.)
A) "I need to remove the throw rugs."
B) "I should make sure I only take a bath."
C) "I cannot use the stairs."
D) "I need to place a nonskid mat in front of the kitchen sink."
Q3) The nurse is correctly assisting the patient in using a cane when the patient demonstrates the following: (Select all that apply.)
A) The top of the cane is level with the patient's bent elbow.
B) The patient holds the cane on his/her weaker side.
C) The patient moves the cane forward first.
D) The patient's arm is comfortably bent when walking.
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Chapter 29: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse knows the following wound would be classified as a closed wound:
A) A large bruise on the side of the face
B) A surgical incision that is sutured closed
C) A puncture wound that is healing
D) An abrasion on the leg
Q2) The nurse is delegating care of a patient with a chronic nonsterile wound to a UAP. The delegation is inappropriate if:
A) the nurse asks the UAP to assess the wound.
B) the nurse asks the UAP to report increased wound drainage.
C) the nurse asks the UAP to observe changes in dietary intake.
D) the nurse asks the UAP to change the dressing.
Q3) The nurse is caring for a patient with a Penrose drain. She knows the patient will require the following care:
A) The drain must be compressed after emptying to work properly.
B) The drain must be connected to suction if ordered.
C) The drain is not sutured in place so care is taken to not dislodge it.
D) The suction pulls drainage away from the wound as it re-expands.
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Page 31
Chapter 30: Nutrition
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Source URL: https://quizplus.com/quiz/2205
Sample Questions
Q1) 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.
Q2) The nurse is performing an oral examination on a patient and notices a beefy-red tongue. She knows this is a characteristic finding in:
A) anorexia nervosa.
B) malnutrition.
C) bulimia.
D) pernicious anemia.
Q3) The nurse is caring for an adolescent patient with anorexia nervosa. She knows the best treatment option is:
A) hospitalization with skill nursing care.
B) compulsory tube feedings.
C) individually determined by a collaborative team.
D) outpatient treatment.
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Page 32
Chapter 31: Cognitive and Sensory Alterations
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Sample Questions
Q1) The nurse is completing her assessment of an older adult and notices some cognitive impairment not normally associated with aging. Which of these alterations would prompt further follow-up? (Select all that apply.)
A) The patient does not remember where her son lives.
B) The patient is unable to balance her checkbook.
C) The patient got lost in a city she never traveled to before.
D) The patient often has difficulty remembering words.
E) The patient got lost going to her usual grocery store.
Q2) The nurse is providing discharge instructions to an older adult who is being discharged with orthostatic hypotension. Which of the following responses by the patient indicates a need for further education?
A) "I should take my blood pressure once a day at home."
B) "I should get up quickly to avoid my blood pressure dropping."
C) "I should drink plenty of water during the day."
D) "I should get up slowly and carefully."
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Chapter 32: Stress and Coping
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Sample Questions
Q1) The nurse is providing discharge instructions for a patient with multiple sclerosis (an autoimmune disease). Which discharge instruction is aimed at preventing a future exacerbation?
A) Engage in some form of exercise as tolerated.
B) Avoid highly stressful situations.
C) Check your skin regularly for pressure sores.
D) Eat a diet with lots of fiber.
Q2) The nurse is caring for a patient with a new diagnosis of diabetes type 2. Which of the following statements indicates a negative coping response?
A) "I will look up information on the Internet about diabetes."
B) "I will join a support group."
C) "I will only focus on learning to manage my medication first."
D) "I will make changes slowly so I can adapt to each change."
Q3) The nurse is providing education to a patient around anger management strategies. Which statement indicates a need for further education by the patient?
A) "Exercise can help me deal with the anger."
B) "I can use humor."
C) "I can punch things."
D) "I can take a time out."
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Page 34
Chapter 33: Sleep
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Sample Questions
Q1) The nurse knows an appropriate goal for the nursing diagnosis Disturbed sleep pattern during hospitalization is:
A) the patient will fall asleep within 15 minutes of going to bed.
B) the patient will report an ability to concentrate on tasks.
C) the patient will repeat medication instructions on discharge.
D) the patient will be able to sleep for at least 2 hours at a time.
Q2) The nurse knows that during rapid eye movement (REM) sleep, the following occur: (Select all that apply.)
A) Memories are stored
B) Increase in cerebral blood flow
C) Slow rhythmic scanning eye movements
D) Release of epinephrine
E) Repair of brain cells
Q3) 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.
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Chapter 34: Diagnostic Testing
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Sample Questions
Q1) The nurse is caring for a patient who has had severe acid reflux. Which test will allow the physician to directly check for damage to the esophagus?
A) Upper GI endoscopy
B) MRI scan with contrast
C) Abdominal ultrasound
D) Positron emission tomography (PET) scan
Q2) The nurse is caring for a patient who will be undergoing flexible sigmoidoscopy testing to screen for colon cancer. What goal will the nurse include in the patient's plan of care?
A) Patient will verbalize understanding of pre-procedure preparation to be completed at home the day before the test.
B) Patient will feel comfortable about the upcoming test and have trust in the health care providers.
C) Patient will learn common side effects of the medications used to prepare the GI tract for endoscopy testing.
D) Patient will realize how important regular sigmoidoscopy testing is in the prevention of colon cancer.
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Chapter 35: Medication Administration
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Sample Questions
Q1) The nurse is caring for a patient with multiple chronic illnesses who is having difficulty remembering to take all of her many medications at the correct times. Which is the appropriate nursing diagnosis for this patient?
A) Activity intolerance related to inability to take medications on time
B) Ineffective therapeutic regimen management related to complexity of medication schedule
C) Risk for aspiration related to need to swallow many pills during day
D) Acute confusion related to inability to figure out medication dose times
Q2) During discharge teaching, the nurse is to give the patient a signed, dated, and timed prescription from the physician for medications to be taken at home. Which prescription drug order needs to be corrected before it is given to the patient?
A) Warfarin (Coumadin) 5 mg PO daily before dinner
B) Methotrexate (Trexall) 8 tablets PO once weekly on Saturdays
C) Levothyroxine (Synthroid) 137 mcg PO daily before breakfast
D) Zolpidem (Ambien) 5 mg PO at bedtime as needed for sleep
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Chapter 36: Pain Management
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Sample Questions
Q1) Which patient is best suited for PCA analgesia?
A) A patient who is confused after a head injury
B) A patient recovering from total hysterectomy surgery
C) A patient who has severe psychogenic pain
D) A patient with arthritis who is unable to push the nurse call button
Q2) What is the priority nursing assessment for a patient who his receiving postoperative epidural analgesia with hydromorphone (Dilaudid)?
A) Respiratory rate, depth, and pattern
B) Skin underneath the epidural dressing
C) Bladder scanning to check for urinary retention
D) Itching on the trunk and/or extremities
Q3) The nurse administered 100 mcg sublingual fentanyl spray (Subsys) at 10:00 A.M. to a patient experiencing severe breakthrough pain. At what time will the nurse ask the patient if pain relief was obtained?
A) 10:30 A.M.
B) 11:00 A.M.
C) 11:30 A.M.
D) 12:00 noon
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Chapter 37: Perioperative Nursing Care
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Sample Questions
Q1) The nurse is caring for a patient who has a family history of reactions to general anesthesia. Which medication will the anesthesiologist have ready as a precautionary measure before the patient's surgery is started?
A) Protamine sulfate
B) Dantrolene sodium (Dantrium)
C) Activated charcoal with sorbitol
D) Folinic acid (Leucovorin)
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 who has a history of congestive heart failure with generalized pitting edema. Which of the following laboratory results will the nurse expect to find in the patient's chart?
A) Glycosylated hemoglobin 12%
B) Platelet count 450,000/mmS1U1P13S1S1P0
C) Hematocrit 32%
D) Prothrombin time 8.8 seconds
Q2) The nurse is caring for a postoperative patient who has just been diagnosed with a deep vein thrombosis (DVT) in the right leg. Which focused assessment question has the highest priority for this patient?
A) "Do you have a headache or any dizziness?"
B) "Do you have any chest pain or shortness of breath?"
C) "When did you first notice the swelling and redness in your leg?"
D) "Do you have any cramping or muscle spasms in your leg?"
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 is caring for a patient who is admitted to the hospital with dehydration and gastroenteritis. The patient attempted to walk to the bathroom and fainted right after getting out of bed. Which is the most likely cause of the patient's collapse?
A) Orthostatic hypotension
B) Circulatory overload
C) Hemolytic reaction
D) Catheter embolism
Q2) The nurse is caring for a patient with a history of hyperparathyroidism who presents with a serum calcium level of 14.5 mg/dL. What is the highest priority nursing diagnosis for this patient?
A) Risk for injury related to weakened bones that may easily fracture
B) Deficient knowledge related to need for supplemental calcium in diet
C) Risk for constipation caused by decreased gastrointestinal motility
D) Activity intolerance related to muscle cramping and spasms
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Chapter 40: Bowel Elimination
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Sample Questions
Q1) The nurse is caring for a patient who has an ileostomy. Which nursing diagnosis has the highest priority for the patient?
A) Impaired skin integrity r/t localized skin irritation from liquid stool
B) Social isolation r/t potential leakage of stool from ostomy appliance
C) Knowledge deficit r/t care and maintenance of ostomy appliance
D) Disturbed body image r/t presence of stoma and altered elimination
Q2) The nurse is caring for a patient who is recovering from gastroenteritis. The nurse teaches the patient about dietary recommendations as the digestive system recovers. Which menu selection by the patient indicates that additional teaching is needed?
A) Applesauce
B) Orange Popsicle
C) White toast
D) Coffee with cream
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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 patient who will undergo ultrasound testing of the bladder and kidneys the next morning. Which instruction will the nurse provide to the patient about the test?
A) "A small IV will be inserted into your arm to inject the contrast dye."
B) "You will need to drink lots of water but not use the toilet."
C) "You should not have anything to eat or drink after midnight."
D) "You will receive a cleansing enema before you have the test."
Q3) The nurse is caring for a patient with an indwelling urinary catheter caused by severe prostate enlargement. Which is the priority nursing diagnosis for this patient?
A) Risk for infection r/t indwelling urinary catheter
B) Disturbed body image r/t presence of catheter
C) Risk for contamination r/t potential leakage of urine on clothing
D) Urinary retention r/t blockage of bladder outlet
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Page 43
Chapter 42: Death and Loss
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Sample
Questions
Q1) The nurse is caring for a patient whose mother recently passed away. The patient states that she has not been able to concentrate or sleep since the funeral and is consuming increasing amounts of alcohol to get through each day. Which goal is most appropriate for this patient?
A) The patient will be referred to medical social services for evaluation and counseling.
B) The patient will be encouraged to describe previous stressors and coping mechanisms.
C) Nursing staff support patient's coping attempts and encourage verbalization of feelings.
D) The patient will use effective coping strategies with no alcohol consumption.
Q2) The nurse is caring for a young patient whose mother has only a few weeks to live. The patient has been misbehaving at school recently and is suspended after picking fights with other students and defying teachers. Which stage of grieving is the patient experiencing?
A) Denial
B) Anger
C) Bargaining
D) Depression
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