Introduction to Nursing Practice
Exam Questions
Course Introduction
Introduction to Nursing Practice offers students an essential foundation in the principles and roles of nursing within healthcare systems. The course introduces key concepts including patient safety, ethical and legal standards, communication, and evidence-based care, while emphasizing the development of basic clinical skills and critical thinking. Through lectures, simulations, and hands-on experiences, students gain an understanding of the nurses responsibilities in promoting health, preventing illness, and providing compassionate care to diverse populations. This course prepares students for further study and clinical experiences in their nursing education.
Recommended Textbook
Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
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Page 2
Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) After licensure, the nurse wants to stay current in knowledge and skills. Which programs are the \(\bold{most}\) common ways nurses can do this? (Select all that apply.)
A) Master's degree
B) Inservice education
C) Doctoral preparation
D) Continuing education
E) National Council Licensure Examination retakes
Answer: B, D
Q2) A nurse teaches a group of nursing students about nurse practice acts. Which information is \(\bold{most}\) important to include in the teaching session about nurse practice acts?
A) Protects the nurse
B) Protects the public
C) Protects the provider
D) Protects the hospital
Answer: B
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Chapter 2: The Health Care Delivery System
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Sample Questions
Q1) Medicare
A)Insurance for low-income families
B)Federal insurance for people aged 65 and older
C)Health maintenance focus to specific group of voluntarily enrolled people
D)Services at a discount for companies under contract
Answer: B
Q2) The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?
A) Capitation provides the hospital with a means of recovering variable charges.
B) The hospital will be paid for the full cost of the patient's hospitalization.
C) Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
D) Medicare will pay the national average for the patient's condition.
Answer: C
Q3) A nurse is completing a minimum data set. Which area is the nurse working?
A) Nursing center
B) Psychiatric facility
C) Rehabilitation center
D) Adult day care center
Answer: A
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Chapter 3: Community-Based Nursing Practice
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23 Flashcards
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Sample Questions
Q1) Before a patient with beginning stage of Alzheimer's disease is discharged, the community-based nurse is making a visit to the patient's home. The patient's daughter and family live in the home with the patient. What is the major focus of this visit?
A) Teach the family how to monitor blood pressure.
B) Demonstrate techniques for providing care.
C) Stress to the family how difficult it will be to provide care at home.
D) Encourage the family to send the patient to an extended care facility.
Answer: B
Q2) Which community-based nursing activities indicate the nurse is working in the role of educator? (Select all that apply.)
A) Offers prenatal classes
B) Offers a child safety program
C) Offers to defend patients' decisions
D) Offers creative solutions to local problems
E) Offers coordinate resources after discharge
Answer: A, B
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5
Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) A nurse is conducting research about the needs of depressed patients. The nurse writes the following: Depression is a patient reporting a score above 7 on the Hamilton Depression Rating Scale. What did the nurse write?
A) Operational definition
B) Conceptual definition
C) Paradigm
D) Concept
Q2) A patient is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA) and is placed in isolation until cultures can be obtained and declared noninfectious. During the isolation process, the nurse encourages family visits. Which level of Maslow's hierarchy of needs is the nurse promoting when the family is encouraged to visit?
A) First level
B) Second level
C) Third level
D) Fourth level
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6
Chapter 5: Evidence-Based Practice
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Sample Questions
Q1) The nurse is caring for a patient with chronic low back pain. The nurse wants to determine the best evidence-based practice regarding clinical guidelines for low back pain. What is the best database for the nurse to access?
A) MEDLINE
B) EMBASE
C) PsycINFO
D) AHRQ
Q2) The nurse is reviewing nursing research literature related to a potential practice problem on the nursing unit. What is the rationale for the nurse's action? (Select all that apply.)
A) Nursing research ensures the nurse's promotion.
B) Nursing research identifies new knowledge.
C) Nursing research improves professional practice.
D) Nursing research enhances effective use of resources.
E) Nursing research leads to decreases in budget expenditures.
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Chapter 6: Health and Wellness
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Sample Questions
Q1) A patient has had emphysema (lung disease) for many years. When approached by the nurse, the patient states "I would be better off dead." The patient supports the family, and now because of oxygen dependency the patient must quit work. The patient's spouse will have to go to work. Which action should the nurse take?
A) Develop a plan of care for the family.
B) Contact psychiatric services for a referral.
C) Assure the patient that things will work out.
D) Focus the plan of care solely on maximizing patient function.
Q2) The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the fourth time the patient is being admitted in the last 6 months for high blood sugars. During the admission process, the nurse asks the patient about employment status and displays a nonjudgmental attitude. What is the rationale for the nurse's actions?
A) External variables have little effect on compliance.
B) A person's compliance is affected by economic status.
C) Employment status is an internal variable that impacts compliance.
D) Noncompliant patients thrive on the disapproval of authority figures.
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Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) A nurse is using Watson's model to provide care to patients. Which carative factor will the nurse use?
A) Maintaining belief
B) Instilling faith-hope
C) Maintaining ethics
D) Instilling values
Q2) A nurse attends a seminar on nursing theories for caring. Which information from the nurse indicates a correct understanding of these theories?
A) Benner identifies caring as highly connected involving patient and nurse.
B) Swanson develops four caring processes to convey caring in nursing.
C) Watson's transcultural caring views inclusion of culture as caring.
D) Leininger's theory places care before cure and is transformative.
Q3) A nurse cares for patients. Which areas does caring influence? (Select all that apply.)
A) The way in which patients feel
B) The way in which patients learn
C) The way in which patients think
D) The way in which patients study
E) The way in which patients behave
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Page 9
Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) The nurse is caring for a patient who has successfully undergone cancer therapy and will be discharged home soon. The patient is concerned about going home and not knowing what to do. Which information is the most valuable for the nurse to share with the patient?
A) The nurse will develop a plan of care that will tell exactly what needs to be done.
B) If any issues arise, call the health care provider and follow the instructions.
C) Proper cancer treatment has been provided, and nothing else is required.
D) There is a team that will provide support and care that may be needed.
Q2) The collaborative care pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
Q3) The family caregiving pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
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Chapter 9: Cultural Awareness
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Sample Questions
Q1) Cultural knowledge
A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills
Q2) A nurse is assessing a patient's ethnohistory. Which question should the nurse ask?
A) What language do you speak at home?
B) How different is your life here from back home?
C) Which caregivers do you seek when you are sick?
D) How different is what we do from what your family does when you are sick?
Q3) A nurse is using core measures to reduce health disparities. Which group should the nurse focus on to cause the \(\bold{most}\) improvement in core measures?
A) Caucasians
B) Poor people
C) Alaska Natives
D) American Indians
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11
Chapter 10: Caring for Families
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Sample Questions
Q1) A nurse reviews the current trends affecting the family. Which trend will the nurse find?
A) Mothers are staying at home.
B) Adolescent mothers usually live on their own.
C) More grandparents are raising their grandchildren.
D) Teenage fathers usually have stronger support systems.
Q2) Who at your workplace is close to the family?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
Q3) A nurse is assessing the realms of family life. Which processes will the nurse assess? (Select all that apply.)
A) Developmental
B) Interactive
C) Integrity
D) Coping
E) Life
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Chapter 11: Developmental Theories
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Sample Questions
Q1) A nurse is assessing a 17-year-old adolescent's cognitive development. Which behavior indicates the adolescent has reached formal operations?
A) Uses play to understand surroundings
B) Discusses the topic of justice in society
C) Hits other students to deal with environmental change
D) Questions where the ice is hiding when ice has melted in a drink
Q2) A nurse is measuring an infant's head circumference and height. Which area is the nurse assessing?
A) Moral development
B) Cognitive development
C) Biophysical development
D) Psychosocial development
Q3) A nurse takes the history of a middle-aged patient in a health clinic. Which information indicates the patient has achieved generativity?
A) Married for 30 years
B) Teaches preschoolers
C) Has no regrets with life choices
D) Cares for aging parents after work
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13
Chapter 12: Conception Through Adolescence
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Sample Questions
Q1) A nurse is teaching a class about the effects of nutrition on fetal growth and development. A pregnant patient asks the nurse how much weight should normally be gained over the pregnancy. Which information should the nurse share with the patient?
A) About 10 to 20 pounds
B) About 15 to 25 pounds
C) About 20 to 30 pounds
D) About 25 to 35 pounds
Q2) Which statement, if made by a parent, will require further instruction from the nurse?
A) "I should not be surprised that my teenage son has so many friends."
B) "I get worried because my teenage son thinks he's indestructible."
C) "I should cover for my 10-year-old son when he makes mistakes until he learns the ropes."
D) "I usually have nutritious snacks available because my 10-year-old son is always hungry right after school."
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14
Chapter 13: Young and Middle Adults
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Sample Questions
Q1) A nurse is planning care for a 30 year old. Which goal is priority?
A) Refine self-perception.
B) Master career plans.
C) Examine life goals.
D) Achieve intimacy.
Q2) A nurse is teaching young adults about health risks. Which statement from a young adult indicates a correct understanding of the teaching?
A) "It's probably safe for me to start smoking. At my age, there's not enough time for cancer to develop."
B) "My mother had appendicitis so this increases my chance for developing appendicitis."
C) "Controlling the amount of stress in my life may decrease the risk of illness."
D) "I don't do drugs. I do drink coffee, but caffeine is not a drug."
Q3) Which goal is priority when the nurse is caring for a middle-aged adult?
A) Maintain immediate family relationships.
B) Maintain future generation relationships.
C) Maintain personal career relationships.
D) Maintain work relationships.
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Chapter 14: Older Adult
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with the nurse's suspicions?
A) Flea bites and lice infestation
B) Left at a grocery store
C) Refuses to take a bath
D) Cuts and bruises
Q2) Therapeutic communication
A)Respecting the older adult's uniqueness
B)Improving level of awareness
C)Listening to the patient's past recollections
D)Accepting describing of patient's perspective
E)Offering help with grooming and hygiene
Q3) An older-adult patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information?
A) Notify the health care provider immediately to rule out cranial nerve damage.
B) Schedule the patient for an appointment at a smell and taste disorders clinic.
C) Perform testing on the vestibulocochlear nerve and a hearing test.
D) Explain to the patient that diminished senses are normal findings.
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Chapter 15: Critical Thinking in Nursing Practice
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Sample Questions
Q1) A nurse is reviewing care plans. Which finding, if identified in a plan of care, should the registered nurse revise?
A) Patient's outcomes for learning
B) Nurse's assumptions about hospital discharge
C) Identification of several actual health problems
D) Documentation of patient's ability to meet the goal
Q2) In which order will the nurse use the nursing process steps during the clinical decision-making process?
1) Evaluating goals
2) Assessing patient needs
3) Planning priorities of care
4) Determining nursing diagnoses
5) Implementing nursing interventions
A) 2, 4, 3, 5, 1
B) 4, 3, 2, 1, 5
C) 1, 2, 4, 5, 3
D) 5, 1, 2, 3, 4
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Chapter 16: Nursing Assessment
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Sample Questions
Q1) The nurse is using critical thinking skills during the first phase of the nursing process. Which action indicates the nurse is in the first phase?
A) Completes a comprehensive database
B) Identifies pertinent nursing diagnoses
C) Intervenes based on priorities of patient care
D) Determines whether outcomes have been achieved
Q2) A nurse has already set the agenda during a patient-centered interview. What will the nurse do next?
A) Begin with introductions.
B) Ask about the chief concerns or problems.
C) Explain that the interview will be over in a few minutes.
D) Tell the patient "I will be back to administer medications in 1 hour."
Q3) A nurse is gathering information about a patient's habits and lifestyle patterns. Which method of data collection will the nurse use that will best obtain this information?
A) Carefully review lab results.
B) Conduct the physical assessment.
C) Perform a thorough nursing health history.
D) Prolong the termination phase of the interview.
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Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) A charge nurse is evaluating a new nurse's plan of care. Which finding will cause the charge nurse to follow up?
A) Assigning a documented nursing diagnosis of Risk for infection for a patient on intravenous (IV) antibiotics
B) Completing an interview and physical examination before adding a nursing diagnosis
C) Developing nursing diagnoses before completing the database
D) Including cultural and religious preferences in the database
Q2) A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did the nurse write?
A) Ineffective breathing pattern related to pneumonia
B) Risk for infection related to chest x-ray procedure
C) Risk for deficient fluid volume related to dehydration
D) Impaired gas exchange related to alveolar-capillary membrane changes
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19
Chapter 18: Planning Nursing Care
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Sample Questions
Q1) Which action will the nurse take after the plan of care for a patient is developed?
A) Place the original copy in the chart, so it cannot be tampered with or revised.
B) Communicate the plan to all health care professionals involved in the patient's care.
C) File the plan of care in the administration office for legal examination.
D) Send the plan of care to quality assurance for review.
Q2) A nurse is preparing to make a consult. In which order, beginning with the first step, will the nurse take?
1) Identify the problem.
2) Discuss the findings and recommendation.
3) Provide the consultant with relevant information about the problem.
4) Contact the right professional, with the appropriate knowledge and expertise.
5) Avoid bias by not providing a lot of information based on opinion to the consultant
A) 1, 4, 3, 5, 2
B) 4, 1, 3, 2, 5
C) 1, 4, 5, 3, 2
D) 4, 3, 1, 5, 2
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Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) The nurse is intervening for a patient that has a risk for a urinary infection. Which direct care nursing intervention is most appropriate?
A) Teaches proper handwashing technique
B) Properly cleans the patient's toilet
C) Transports urine specimen to the lab
D) Informs the oncoming nurse during hand-off
Q2) A nurse is preparing to carry out interventions. Which resources will the nurse make sure are available? (Select all that apply.)
A) Equipment
B) Safe environment
C) Confidence
D) Assistive personnel
E) Creativity
Q3) A new nurse is working in a unit that uses interdisciplinary collaboration. Which action will the nurse take?
A) Act as a leader of the health care team.
B) Develop good communication skills.
C) Work solely with nurses.
D) Avoid conflict.
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Page 21
Chapter 20: Evaluation
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Sample Questions
Q1) The nurse is evaluating whether patient goals and outcomes have been met for a patient with physical mobility problems due to a fractured leg. Which finding indicates the patient has met an expected outcome?
A) The nurse provides assistance while the patient is walking in the hallways.
B) The patient is able to ambulate in the hallway with crutches.
C) The patient will deny pain while walking in the hallway.
D) The patient's level of mobility will improve.
Q2) A nurse is modifying a patient's care plan after evaluation of patient care. In which order, starting with the first step, will the nurse perform the tasks?
1) Revise nursing diagnosis.
2) Reassess blood pressure reading.
3) Retake blood pressure after medication.
4) Administer new blood pressure medication.
5) Change goal to blood pressure less than 140/90.
A) 1, 5, 2, 4, 3
B) 2, 1, 5, 4, 3
C) 4, 3, 1, 5, 2
D) 5, 4, 5, 1, 2
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) A nurse has a transactional leader as a manager. Which finding will the nurse anticipate from working with this leader?
A) Increased turnover rate
B) Increased patient mortality rate
C) Increased rate of medication errors
D) Increased level of patient satisfaction
Q2) A nurse manager conducts rounds on the unit and discovers that expired stock medicine is still in the cabinet despite the e-mail that was sent stating that it had to be discarded. The staff nurse dress code is not being adhered to as requested in the same e-mail. Several staff nurses deny having received the e-mail. Which action should the nurse manager take?
A) Close the staff lounge.
B) Enforce a stricter dress code.
C) Include the findings on each staff member's annual evaluation.
D) Place a hard copy of announcements and unit policies in each staff member's mailbox.
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Chapter 22: Ethics and Values
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Sample Questions
Q1) During a severe respiratory epidemic, the local health care organizations decide to give health care workers priority access to ventilators over other members of the community who also need that resource. Which philosophy would give the strongest support for this decision?
A) Deontology
B) Utilitarianism
C) Ethics of care
D) Feminist ethics
Q2) A nurse agrees with regulations for mandatory immunizations of children. The nurse believes that immunizations prevent diseases as well as prevent spread of the disease to others. Which ethical framework is the nurse using?
A) Deontology
B) Ethics of care
C) Utilitarianism
D) Feminist ethics
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Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) A nurse performs cardiopulmonary resuscitation (CPR) on a 92-year-old with brittle bones and breaks a rib during the procedure, which then punctures a lung. The patient recovers completely without any residual problems and sues the nurse for pain and suffering and for malpractice. Which key point will the prosecution attempt to prove against the nurse?
A) The CPR procedure was done incorrectly.
B) The patient would have died if nothing was done.
C) The patient was resuscitated according to the policy.
D) The older patient with brittle bones might sustain fractures when chest compressions are done.
Q2) A pediatric oncology nurse floats to an orthopedic trauma unit. Which action should the nurse manager of the orthopedic unit take to enable safe care to be given by this nurse?
A) Provide a complete orientation to the functioning of the entire unit.
B) Determine patient acuity and care the nurse can safely provide.
C) Allow the nurse to choose which mealtime works best.
D) Assign nursing assistive personnel to assist with care.
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Page 25
Chapter 24: Communication
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Sample Questions
Q1) Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients?
A) Shows sympathy appropriately
B) Uses automatic responses fluently
C) Demonstrates passive remarks accurately
D) Self-examines personal communication skills
Q2) A smiling patient angrily states, "I will not cough and deep breathe." How will the nurse interpret this finding?
A) The patient's denotative meaning is wrong.
B) The patient's personal space was violated.
C) The patient's affect is inappropriate.
D) The patient's vocabulary is poor.
Q3) A nurse and a patient work on strategies to reduce weight. Which phase of the helping relationship is the nurse in with this patient?
A) Preinteraction
B) Orientation
C) Working
D) Termination
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Chapter 25: Patient Education
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Sample Questions
Q1) A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage?
A) Encourage independent learning.
B) Develop a problem-solving scenario.
C) Wrap a bandage around a stuffed animal's ear.
D) Use discussion throughout the teaching session.
Q2) A nurse is teaching a patient about hypertension. In which order from first to last will the nurse implement the steps of the teaching process?
1) Set mutual goals for knowledge of hypertension.
2) Teach what the patient wants to know about hypertension.
3) Assess what the patient already knows about hypertension.
4) Evaluate the outcomes of patient education for hypertension.
A) 1, 3, 2, 4
B) 2, 3, 1, 4
C) 3, 1, 2, 4
D) 3, 2, 1, 4
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) A nurse has taught the patient how to use crutches. The patient went up and down the stairs using crutches with no difficulties. Which information will the nurse use for the "I" in PIE charting?
A) Patient went up and down stairs
B) Demonstrated use of crutches
C) Used crutches with no difficulties
D) Deficient knowledge related to never using crutches
Q2) A nurse is completing an OASIS data set on a patient. The nurse works in which area?
A) Home health
B) Intensive care unit
C) Skilled nursing facility
D) Long-term care facility
Q3) A nurse wants to find the daily weights of a patient. Which form will the nurse use?
A) Database
B) Progress notes
C) Patient care summary
D) Graphic record and flow sheet
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Chapter 27: Patient Safety and Quality
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Sample Questions
Q1) A patient has an ankle restraint applied. Upon assessment the nurse finds the toes a light blue color. Which action will the nurse take next?
A) Remove the restraint.
B) Place a blanket over the feet.
C) Immediately do a complete head-to-toe neurologic assessment.
D) Take the patient's blood pressure, pulse, temperature, and respiratory rate.
Q2) A patient may need restraints. Which task can the nurse delegate to a nursing assistive personnel?
A) Determining the need for restraints
B) Assessing the patient's orientation
C) Obtaining an order for a restraint
D) Applying the restraint
Q3) A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take?
A) Check on the patient once a shift.
B) Encourage visitors in the early evening.
C) Place all four side rails in the "up" position.
D) Keep the patient on fall risk until discharge.
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29
Chapter 28: Immobility
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Sample Questions
Q1) A nurse is developing an individualized plan of care for a patient. Which action is important for the nurse to take?
A) Establish goals that are measurable and realistic.
B) Set goals that are a little beyond the capabilities of the patient.
C) Use the nurse's own judgment and not be swayed by family desires.
D) Explain that without taking alignment risks, there can be no progress.
Q2) A nurse is caring for an immobile patient. Which metabolic alteration will the nurse monitor for in this patient?
A) Increased appetite
B) Increased diarrhea
C) Increased metabolic rate
D) Altered nutrient metabolism
Q3) The nurse is caring for an older-adult patient with a diagnosis of urinary tract infection (UTI). Upon assessment the nurse finds the patient confused and agitated. How will the nurse interpret these assessment findings?
A) These are normal signs of aging.
B) These are early signs of dementia.
C) These are purely psychological in origin.
D) These are common manifestation with UTIs.
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Page 30
Chapter 29: Infection Prevention and Control
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46 Flashcards
Source URL: https://quizplus.com/quiz/2408
Sample Questions
Q1) The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)
A) "Can you explain the risk for infection in your home?"
B) "Have you traveled outside of the United States?"
C) "Will you demonstrate how to wash your hands?"
D) "What are the signs and symptoms of infection?"
E) "Are you able to walk to the mailbox?"
F) "Who runs errands for you?"
Q2) The nurse is caring for a patient in protective environment. Which actions will the nurse take? (Select all that apply.)
A) Wear an N95 respirator when entering the patient's room.
B) Maintain airflow rate greater than 12 air exchanges/hr.
C) Place in special room with negative-pressure airflow.
D) Open drapes during the daytime.
E) Listen to the patient's interests.
F) Place dried flowers in a plastic vase.
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Chapter 30: Vital Signs
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51 Flashcards
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Sample Questions
Q1) A nurse is focusing on temperature regulation of newborns and infants. Which action will the nurse take?
A) Apply just a diaper.
B) Double the clothing.
C) Place a cap on their heads.
D) Increase room temperature to 90 degrees.
Q2) Hypothermia
A)Patient's temperature is 113° F (45° C) with hot, dry skin.
B)Patient's blood pressure sitting is 130/60 and 110/40 standing.
C)Patient's pulse is 110 beats/min.
D)Patient's temperature is 93.2° F (34° C).
E)Patient's blood pressure went from 126/76 to 90/50.
Q3) Shock/Hypotension
A)Patient's temperature is 113° F (45° C) with hot, dry skin.
B)Patient's blood pressure sitting is 130/60 and 110/40 standing.
C)Patient's pulse is 110 beats/min.
D)Patient's temperature is 93.2° F (34° C).
E)Patient's blood pressure went from 126/76 to 90/50.
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Chapter 31: Health Assessment and Physical Examination
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49 Flashcards
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Sample Questions
Q1) The paramedics transport an adult involved in a motor vehicle accident to the emergency department. On physical examination, the patient's level of consciousness is reported as opening eyes to pain and responding with inappropriate words and flexion withdrawal to painful stimuli. Which value will the nurse report for the patient's Glasgow Coma Scale score?
A) 5
B) 7
C) 9
D) 11
Q2) Tinnitus
A)Lower extremity swollen and warm with normal pulse
B)Neck vein visible when sitting
C)Spoon nails
D)Lower extremity pale and cool with decreased pulse
E)Ringing in ears
F)Swayback
G)Black, tarry stools
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Chapter 32: Medication Administration
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50 Flashcards
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Sample Questions
Q1) A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?
A) Have another nurse witness the wasted medication.
B) Return the wasted medication to the medication dispenser.
C) Place the wasted portion of the medication in the sharps container.
D) Exit the medication room to call the health care provider to request an order that matches the dosages.
Q2) A nurse is caring for a patient who is receiving pain medication through a saline lock. After obtaining a good blood return when the nurse is flushing the patient's peripheral IV, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm and tender to the touch. What is the nurse's initial action?
A) Do not administer the pain medication.
B) Administer the pain medication slowly.
C) Apply a warm compress to the site.
D) Apply a cool compress to the site.
Q3) The nurse is administering 250 mg of a medication elixir to the patient. The medication comes in a dose of 1000 mg/5 mL. How many milliliters should the nurse administer? Record your answer using two decimal places. ____ mL
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34
Chapter 33: Complementary and Alternative Therapies
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27 Flashcards
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Sample Questions
Q1) Saw palmetto
A)Elevated cholesterol levels
B)Nausea and vomiting
C)Benign prostatic hyperplasia
D)Skin inflammation
E)Mild anxiety
F)Unsafe and should not be used
Q2) A patient asks about the new clinic in town that is staffed by allopathic and complementary practitioners. Which response from the nurse is best?
A) It is probably an ayurvedic clinic.
B) It is probably a homeopathic clinic.
C) It is probably an integrative medical clinic.
D) It is probably a naturopathic medical clinic.
Q3) Valerian
A)Elevated cholesterol levels
B)Nausea and vomiting
C)Benign prostatic hyperplasia
D)Skin inflammation
E)Mild anxiety
F)Unsafe and should not be used
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Chapter 34: Self-Concept
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25 Flashcards
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Sample Questions
Q1) The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment. Which goal is a priority at this time?
A) Identifying local self-help groups before being discharged from the program
B) Stating a plan to never be tempted by illicit substances after discharge
C) Staying away from all triggers that cause substance abuse
D) Recognizing personal areas of weakness to grow stronger
Q2) A nurse is teaching a patient about self-concept. Which information from the patient indicates the nurse needs to follow up about components of self-concept?
A) One component is identity.
B) One component is coping.
C) One component is body image.
D) One component is role performance.
Q3) A nurse grimaces while changing a patient's colostomy bag. Which effect will the nurse's behavior \(\bold{most}\) likely have on the patient?
A) Assist recovery by using honest communication.
B) Motivate the patient to increase physical activity.
C) Promote development of a negative body image.
D) Develop a kind nickname for the colostomy bag.
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36
Chapter 35: Sexuality
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23 Flashcards
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Sample Questions
Q1) A patient who had a colostomy placed 1 month ago is feeling depressed and does not want to participate in sexual activities anymore. The patient is afraid that the partner does not want sex. The patient is afraid the ostomy is physically unattractive. Which initial nursing intervention will be most effective in helping this patient resume sexual activity?
A) Inform the patient about a support group for people with colostomies.
B) Reassure the patient that lots of people resume sex the same week the colostomy is placed.
C) Teach the patient about intimate activities that can be done to incorporate the ostomy.
D) Discuss ways to adapt to new body image so the patient will be comfortable in resuming intimacy.
Q2) A nurse is interviewing a woman who uses a diaphragm. Which information from the patient will require the nurse to follow up?
A) "I have lost 12 pounds on this diet."
B) "I use the diaphragm to prevent pregnancy."
C) "I use a contraceptive cream with my diaphragm."
D) "I know this provides a barrier over the cervical opening."
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Chapter 36: Spiritual Health
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25 Flashcards
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Sample Questions
Q1) A nurse is teaching a patient how to meditate. Which information from the patient indicates effective learning?
A) I will lie on the floor.
B) I will breathe quickly.
C) I will focus on an image.
D) I will do this for 10 minutes every day.
Q2) The patient is admitted with chronic anxiety. Which action is most appropriate for the nurse to take?
A) Focus on finding quick remedies for the anxiety.
B) Realize that the patient's only goal is relief of the anxiety.
C) Look at how anxiety influences the patient's ability to function.
D) Help the patient realize that there is little hope of relief from anxiety.
Q3) Judaism
A)Nature controls life and health.
B)Organ transplantation or donation is not considered.
C)Observance of the Sabbath is important.
D)Past sins cause illness.
E)Nonhuman spirits invading the body cause illness.
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Chapter 37: The Experience of Loss, Death, and Grief
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Sample Questions
Q1) A nurse is documenting end-of-life care. Which information will the nurse include in the patient's electronic medical record? (Select all that apply.)
A) Reason for the death
B) Time and date of death
C) How ethically the family grieved
D) Location of body identification tags
E) Time of body transfer and destination
Q2) A severely depressed patient cannot state any positive attributes to life. The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life. Which spiritual concept is the nurse trying to promote?
A) Time management
B) Reminiscence
C) Hope
D) Faith
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Chapter 38: Stress and Coping
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Sample Questions
Q1) An adult male reports new-onset, seizure-like activity. An EEG and a neurology consultant's report rule out a seizure disorder. It is determined the patient is using conversion. Which action should the nurse take \(\bold{next}\)?
A) Suggest acupuncture.
B) Confront the patient on malingering.
C) Obtain history of any recent life stressors.
D) Recommend a regular exercise program.
Q2) Which sociocultural finding in the history of a patient will alert the nurse to a possible developmental problem?
A) Family relocation
B) Childhood obesity
C) Prolonged poverty
D) Loss of stamina
Q3) A nurse is planning care for a patient that uses displacement. Which information should the nurse consider when planning interventions?
A) This copes with stress directly.
B) This evaluates an event for its personal meaning.
C) This protects against feelings of worthlessness and anxiety.
D) This triggers the stress control functions of the medulla oblongata.
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Page 40
Chapter 39: Activity and Exercise
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Sample Questions
Q1) The nurse is teaching a patient how to use a cane. Which information will the nurse include in the teaching session?
A) Place the cane at the top of the hip bone.
B) Place the cane on the stronger side of the body.
C) Place the cane in front of the body and then move the good leg.
D) Place the cane 10 to 15 inches in front of the body when walking.
Q2) An adolescent tells the nurse that a health professional said the fibrous tissue that connects bone and cartilage was strained in a sporting accident. On which structure will the nurse focus an assessment?
A) Tendon
B) Ligament
C) Synergistic muscle
D) Antagonistic muscle
Q3) The nurse is caring for a patient in the emergency department with an injured shoulder. Which type of joint will the nurse assess?
A) Fibrous
B) Synovial
C) Synergistic
D) Cartilaginous
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Page 41
Chapter 40: Hygiene
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Sample Questions
Q1) A nurse is completing an assessment of the patient. Which principle is a priority?
A) Foot care will always be important.
B) Daily bathing will always be important.
C) Hygiene needs will always be important.
D) Critical thinking will always be important.
Q2) A self-sufficient bedridden patient is unable to reach all body parts. Which type of bath will the nurse assign to the nursing assistive personnel?
A) Bag bath
B) Sponge bath
C) Partial bed bath
D) Complete bed bath
Q3) The patient is diagnosed with athlete's foot (tinea pedis). The patient says that he is relieved because it is only athlete's foot, and it can be treated easily. Which information should the nurse consider when formulating a response to the patient?
A) Contagious with frequent recurrences
B) Helpful to air-dry feet after bathing
C) Treated with salicylic acid
D) Caused by lice
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Chapter 41: Oxygenation
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Sample Questions
Q1) A patient has heart failure and cardiac output is decreased. Which formula can the nurse use to calculate cardiac output?
A) Myocardial contractility * Myocardial blood flow
B) Ventricular filling time/Diastolic filling time
C) Stroke volume * Heart rate
D) Preload/Afterload
Q2) A nurse is teaching the patient with mitral valve problems about the valves in the heart. Starting on the right side of the heart, describe the sequence of the blood flow through these valves.
1) Mitral
2) Aortic
3) Tricuspid
4) Pulmonic
A) 1, 3, 2, 4
B) 4, 3, 2, 1
C) 3, 4, 1, 2
D) 2, 4, 1, 3
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Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) A nurse is assisting the health care provider in inserting a central line. Which action indicates the nurse is following the recommended bundle protocol to reduce central line-associated bloodstream infections (CLABSI)?
A) Preps skin with povidone-iodine solution.
B) Suggests the femoral vein for insertion site.
C) Applies double gloving without hand hygiene.
D) Uses chlorhexidine skin antisepsis prior to insertion.
Q2) A patient presents to the emergency department with reports of vomiting and diarrhea for the past 48 hours. The health care provider orders isotonic intravenous (IV) therapy. Which IV will the nurse prepare?
A) 0.225% sodium chloride (1/4 NS)
B) 0.45% sodium chloride (1/2 NS)
C) 0.9% sodium chloride (NS)
D) 3% sodium chloride (3% NaCl)
Q3) A patient has 250 mL of a jejunostomy feeding with 30 mL of water before and after feeding and 200 mL of urine. Thirty minutes later the patient has 100 mL of diarrhea. At 1300 the patient receives 150 mL of blood and voids another 200 mL. Calculate the patient's intake. Record your answer as a whole number. _____ mL
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44
Chapter 43: Sleep
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Sample Questions
Q1) Cataplexy
A)Use continuous positive airway pressure.
B)Offer a small meal several hours before bedtime.
C)Administer antidepressants.
D)Administer modafinil (Provigel).
E)Do not startle.
F)Administer benzodiazepine-like drugs.
Q2) Obstructive sleep apnea
A)Use continuous positive airway pressure.
B)Offer a small meal several hours before bedtime.
C)Administer antidepressants.
D)Administer modafinil (Provigel).
E)Do not startle.
F)Administer benzodiazepine-like drugs.
Q3) The nurse is caring for a patient who is having trouble sleeping. Which action will the nurse take?
A) Suggest snug-fitting nightwear.
B) Provide a favorite beverage.
C) Encourage deep breathing.
D) Walk with the patient.
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Chapter 44: Pain Management
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Sample
Questions
Q1) A nurse is caring for a patient who fell on the ice and has connective tissue damage in the wrist and hand. The patient describes the pain as throbbing. Which type of pain does the nurse document in this patient's medical record?
A) Visceral pain
B) Somatic pain
C) Centrally generated pain
D) Peripherally generated pain
Q2) Severity
A)Could you rate your pain on a scale of 0 to 10?
B)How often does it recur?
C)Could you point to the area of pain?
D)Do certain activities worsen the pain?
E)What does the pain feel like?
Q3) Aggravating factors
A)Could you rate your pain on a scale of 0 to 10?
B)How often does it recur?
C)Could you point to the area of pain?
D)Do certain activities worsen the pain?
E)What does the pain feel like?
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Chapter 45: Nutrition
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Sample Questions
Q1) The patient has just started on enteral feedings, and the patient is reporting abdominal cramping. Which action will the nurse take \(\bold{next}\)?
A) Slow the rate of tube feeding.
B) Instill cold formula to "numb" the stomach.
C) Change the tube feeding to a high-fat formula.
D) Consult with the health care provider about prokinetic medication.
Q2) The nurse is providing nutrition education to a Korean patient using the five food groups. In doing so, what should be the focus of the teaching?
A) Discouraging the patient's ethnic food choices
B) Changing the patient's diet to a more conventional American diet
C) Including racial and ethnic practices with food preferences of the patient
D) Comparing the patient's ethnic preferences with American dietary choices
Q3) The nurse is preparing to check the gastric aspirate for pH. Which equipment will the nurse obtain?
A) 10-mL Luer-Lok syringe
B) Asepto syringe
C) Sterile gloves
D) Double gloves
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Chapter 46: Urinary Elimination
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Sample Questions
Q1) The patient is having lower abdominal surgery and the nurse inserts an indwelling catheter. What is the rationale for the nurse's action?
A) The patient may void uncontrollably during the procedure.
B) Local trauma sometimes promotes excessive urine incontinence.
C) Anesthetics can decrease bladder contractility and cause urinary retention.
D) The patient will not interrupt the procedure by asking to go to the bathroom.
Q2) A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up?
A) Protein level of 2 mg/100 mL
B) Urine output of 80 mL/hr
C) Specific gravity of 1.036
D) pH of 6.4
Q3) The nurse, upon reviewing the history, discovers the patient has dysuria. Which assessment finding is consistent with dysuria?
A) Blood in the urine
B) Burning upon urination
C) Immediate, strong desire to void
D) Awakes from sleep due to urge to void
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Chapter 47: Bowel Elimination
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Sample Questions
Q1) A patient is receiving opioids for pain. Which bowel assessment is a \(\bold{priority}\)?
A) Clostridium difficile
B) Constipation
C) Hemorrhoids
D) Diarrhea
Q2) The nurse is caring for a patient with Clostridium difficile. Which nursing actions will have the \(\bold{greatest}\) impact in preventing the spread of the bacteria?
A) Appropriate disposal of contaminated items in biohazard bags
B) Monthly in-services about contact precautions
C) Mandatory cultures on all patients
D) Proper hand hygiene techniques
Q3) A nurse is preparing a patient for a magnetic resonance imaging (MRI) scan. Which nursing action is \(\bold{most}\) important?
A) Ensuring that the patient does not eat or drink 2 hours before the examination.
B) Administering a colon cleansing product 6 hours before the examination.
C) Obtaining an order for a pain medication before the test is performed.
D) Removing all of the patient's metallic jewelry.
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Chapter 48: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a patient on the medical-surgical unit with a wound that has a drain and a dressing that needs changing. Which action should the nurse take \(\bold{first}\)?
A) Provide analgesic medications as ordered.
B) Avoid accidentally removing the drain.
C) Don sterile gloves.
D) Gather supplies.
Q2) The nurse is caring for a patient with a surgical incision that eviscerates. Which actions will the nurse take? (Select all that apply.)
A) Place moist sterile gauze over the site.
B) Gently place the organs back.
C) Contact the surgical team.
D) Offer a glass of water.
E) Monitor for shock.
Q3) Transparent
A)Absorbs drainage through the use of exudate absorbers in the dressing
B)Very soothing to the patient and do not adhere to the wound bed
C)Barrier to external fluids/bacteria but allows wound to "breathe"
D)Manufactured from seaweed and comes in sheet and rope form
E)Oldest and most common absorbent dressing
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Chapter 49: Sensory Alterations
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Sample Questions
Q1) The nurse is caring for a patient who is recovering from a traumatic brain injury and frequently becomes disoriented to everything except location. Which nursing intervention will the nurse add to the care plan to reduce confusion?
A) Keep a day-by-day calendar at the patient's bedside.
B) Place a patient observer in the patient's room for safety.
C) Assess the patient's level of consciousness and document every 4 hours.
D) Prepare to discharge once the patient is awake, alert, and oriented.
Q2) The nurse is caring for a group of patients and is monitoring for sensory deprivation. Which patient will the nurse monitor \(\bold{most}\) closely?
A) A patient in the ICU under constant monitoring following a myocardial infarction
B) A patient on the unit with tuberculosis on airborne precautions
C) A patient who recently had a stroke and has left-sided weakness
D) A patient receiving hospice care for end-stage lung cancer
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Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse demonstrates postoperative exercises for a patient. In which order will the nurse instruct the patient to perform the exercises?
1) Turning
2) Breathing
3) Coughing
4) Leg exercises
A) 4, 1, 2, 3
B) 1, 2, 3, 4
C) 2, 3, 4, 1
D) 3, 1, 4, 2
Q2) The nurse has completed a preoperative assessment for a patient going to surgery and gathers assessment data. Which will be the \(\bold{most}\) important next step for the nurse to take?
A) Notify the operating suite that the patient has a latex allergy.
B) Document that the patient had a bath at home this morning.
C) Administer the ordered preoperative intravenous antibiotic.
D) Ask the nursing assistive personnel to obtain vital signs.
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