Introduction to Nursing Practice Question
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Course Introduction
Introduction to Nursing Practice provides an overview of the foundational concepts and skills essential for the nursing profession. The course introduces students to the core values, ethical responsibilities, and standards that guide nursing practice, emphasizing patient-centered care, safety, communication, and collaboration within healthcare teams. Students will learn about the nursing process, health assessment, documentation, and basic clinical procedures through classroom instruction and hands-on laboratory experiences. This course also explores the roles and responsibilities of nurses in diverse healthcare settings, preparing students to deliver compassionate and competent care to individuals across the lifespan.
Recommended Textbook
Fundamentals of Nursing Active Learning for Collaborative Practice 1st Edition by Yoost
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Chapter 1: Nursing, Theory, and Professional Practice
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Q1) The nurse is determining the patient care assignments for a nursing unit. Which of the following responsibilities may be delegated to the licensed practical nurse?
A) Initiating the nursing care plans
B) Formulating nursing diagnoses
C) Assessing a newly admitted patient
D) Administering oral medications
Answer: D
Q2) The nurse is caring for a patient who refuses two units of packed red blood cells. The nurse notifies the health care provider of the patient's decision. The nurse is acting in the role of the:
A) Manager.
B) Change agent.
C) Advocate.
D) Educator.
Answer: C
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Chapter 2: Values, Beliefs, and Caring
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Q1) The nurse is observed sitting at the bedside of a patient discussing the nursing care plan for the shift. Which theory or model most accurately reflects this nurse-patient relationship?
A) Swanson's Theory of Caring
B) Travelbee's Human-to-Human Relationship Model
C) Watson's Theory of Caring
D) Leininger Cultural Care Theory
Answer: A
Q2) Touch is the intentional physical contact between two or more people. It occurs so often in patient care situations that it has been deemed to be an essential and universal component of nursing care. Task-oriented touch occurs when the nurse: (Select all that apply.)
A) holds the patient's hand during a painful procedure.
B) gives the patient an injection to treat discomfort.
C) starts an intravenous (IV) line for fluid administration.
D) inserts a nasogastric tube to decompress the patient's stomach.
E) shakes the patient's hand in order to establish rapport.
Answer: B, C, D
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Chapter 3: Communication
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Q1) A helping relationship develops through ongoing, purposeful interaction between a nurse and a patient. Nurse-patient relationships focus on: (Select all that apply.)
A) building trust.
B) demonstrating empathy.
C) tearing down boundaries.
D) developing a plan of care.
Answer: A, B, D
Q2) The nurse is collaborating with a patient to determine interventions to ensure compliance with medication administration after his pending discharge. The goals and nursing interventions would be agreed upon in the:
A) Preinteraction phase.
B) Orientation phase.
C) Working phase.
D) Termination phase.
Answer: D
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Chapter 4: Critical Thinking in Nursing
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Q1) The nurse has received advanced orders for a patient that she is expecting to be admitted from the emergency room (ER). The patient's name is Mr. Herman Goldstein. Trying to get ahead on her task, the nurse changes the patient's diet from "Regular" to "Kosher." When the patient reaches the unit, the nurse discovers that the patient is Catholic even though his father is Jewish. The nurse is guilty of giving in to:
A) illogical thinking.
B) a bias.
C) closed-mindedness.
D) an erroneous assumption.
Q2) The nurse observes that a patient who recently had an indwelling urinary catheter removed complains of burning on urination and that the urine is cloudy and foul smelling. On the basis of this assessment, the nurse may reason that the patient has a urinary tract infection (UTI). The nurse comes to this conclusion using:
A) inductive reasoning.
B) deductive reasoning.
C) intellectual thought processes (thinking).
D) intuition.
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Page 6
Chapter 5: Introduction to the Nursing Process
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Q1) The term nursing process was first used in 1955. In 1973, the American Nurses Association identified five specific steps of the process. The essential step that was added in 1991 is:
A) assessment.
B) diagnosis.
C) outcome identification.
D) evaluation.
Q2) The nurse is caring for a patient who will be discharged home following surgical repair of a broken shoulder. The patient tells the nurse, "I don't have anyone at home who can help me cook my meals. Is there something you can do?" Demonstrating the adaptability of the nursing process, the nurse should:
A) adjust the patient's care plan so that nursing goals can be met.
B) consult the care provider about extending the patient's hospitalization.
C) abandon the plan of care as not able to be done.
D) contact the social worker about community services.
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Chapter 6: Assessment
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Q1) The unlicensed nursing assistive person (UAP) reports to the nurse that a patient is crying during a comedy show on television. The nurse's best response should be:
A) "Maybe the patient doesn't think the show is funny."
B) "Don't worry about it. Her daughter says this is normal."
C) "I will go visit her right away and see what is going on."
D) "Just document what you observe in your notes."
Q2) The nurse is monitoring the blood sugar results of a patient receiving an intravenous nutritional supplement. The patient tells the nurse, "I have never had sugar problems before. My doctor says it is because I am getting this sugar water." These types of data are considered:
A) primary, objective data.
B) primary, subjective data.
C) secondary, objective data.
D) secondary, subjective data.
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8
Chapter 7: Nursing Diagnosis
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Q1) The nurse completes a health and physical assessment on a patient admitted with a fractured pelvis. Which of the following tasks should the nurse do next?
A) Analyze and cluster the assessment information.
B) Formulate a nursing diagnosis addressing actual issues.
C) Determine the need for potential nursing diagnoses.
D) Create health promotion diagnoses for the patient.
Q2) The nurse is admitting a patient with severe dehydration. Assessment data reveal a decreased blood pressure, an increased pulse rate, and a low circulating blood volume. The student observes that the patient is confused and restless. Which patient information would the nurse consider as a contributing factor when choosing the nursing diagnostic label?
A) Blood pressure, pulse rate
B) Blood pressure, pulse rate, blood volume
C) Blood pressure, pulse rate, blood volume, mental status
D) Blood pressure, pulse rate, blood volume, mental status, dehydration
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9
Chapter 8: Planning
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Sample Questions
Q1) The nurse is caring for a patient who has had abdominal surgery but has developed a slight temperature. A patient-centered goal would be:
A) the patient's temperature will return to normal within 24 hours.
B) the nurse will medicate the patient for surgical pain every 4 hours.
C) skin integrity will be maintained until the patient is ambulatory.
D) the patient will ambulate 10 feet by post-op day 2.
Q2) Which should the nurse address first?
A) Pain
B) Hunger
C) Decreased self-esteem
D) Absence of pulse
Q3) In developing the nursing care plan, the nurse creates goals:
A) with the patient and possibly the family.
B) that the nurse wants the patient to achieve.
C) and actions needed to accomplish the goal.
D) that are aggressive to ensure success.
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Chapter 9: Implementation and Evaluation
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Q1) The nurse is learning to identify readiness to learn in patients. Which one of the following patients would the nurse identify correctly as ready to learn?
A) The patient requesting pain medication for treatment of severe discomfort
B) The patient with nausea and vomiting
C) The patient who learned 30 minutes ago that she has cancer of the pancreas
D) The patient who was recently diagnosed with diabetes mellitus and is scheduled to be discharged in 2 days
Q2) The patient has an order for morphine sulfate 2 mg intravenously prn (as needed) every 2 hours. When the nurse administers this medication, she is providing:
A) an independent nursing intervention.
B) a dependent nursing intervention.
C) a referral
D) an indirect care procedure.
Q3) The registered nurse is providing an independent nursing intervention when:
A) administering oral medications.
B) administering oxygen.
C) providing emotional support.
D) administering intravenous medication.
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Chapter 10: Documentation, Electronic Health Records, and Reporting
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Sample Questions
Q1) Paper records are being replaced by other forms of record keeping because:
A) paper is fragile and susceptible to damage.
B) paper records are always available to multiple people at a time.
C) paper records can be stored without difficulty and are easily retrievable.
D) paper records are permanent and last indefinitely.
Q2) The nurse is charting in the paper medical record. She should:
A) print his/her name since signatures are often not readable.
B) not document her credentials since everyone knows that she is a nurse.
C) skip a line, leaving a blank space, between entries so that it looks neater.
D) use black ink unless the facility allows a different color.
Q3) 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.
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Page 12
Chapter 11: Ethical and Legal Considerations
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Sample Questions
Q1) A nurse has been asked to care for a patient who is an inmate from a nearby prison. During shift report, the nurse asks, "Why was the man convicted and imprisoned?" Another nurse responds that this is not important since nurses are required to provide compassionate care for all people in all circumstances. The responding nurse has displayed what concept?
A) Beneficence
B) Advocacy
C) Confidentiality
D) Autonomy
Q2) 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."
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Chapter 12: Leadership and Management
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Q1) The nurse manager of the emergency room believes that efficiency is the expected standard for her department. She also believes that efficiency lies in following established rules, policies, and guidelines. The only way to change procedures is to changes rules, policies, and guidelines. In order to run the emergency room with this philosophy, the nurse manager must take on the role of:
A) laissez-faire leader.
B) democratic leader.
C) bureaucratic leader.
D) autocratic leader.
Q2) The manager of the intensive care unit is accepting an award for excellence and efficiency in the provision of patient care. The manager accepts the award for the unit and cites the contributions of her staff since, without their expertise and dedication, the award may not have been achieved. The manager is demonstrating the quality of:
A) dedication.
B) openness.
C) magnanimity.
D) creativity.
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Chapter 13: Evidence-Based Practice and Nursing Research
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Q1) The nurse is conducting a literature review to determine the statistical results of all related studies. This type of review is known as:
A) a meta-analysis.
B) an integrative literature review.
C) a systematic review.
D) grounded theory research.
Q2) In practice, the nurse has identified an observable phenomenon and wants to conduct research to generate a hypothesis through observation of the situation. The best way for the nurse to conduct this type of investigation would be to conduct a:
A) correlational research study.
B) experimental research study.
C) descriptive research study.
D) quasi-experimental research study.
Q3) A Magnet hospital is characterized by: (Select all that apply.)
A) excellent medical outcomes.
B) a high level of nursing job satisfaction.
C) a low number of grievances.
D) nursing care leading excellent patient outcomes.
E) a high nurse turnover rate.
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Page 15
Chapter 14: Health Literacy and Patient Education
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Q1) As the health care community explores the concept of health literacy, many organizations recognize that:
A) consumers need to understand has no governmental support.
B) improvements are dependent on developing operational definitions.
C) low literacy and low health literacy are interchangeable terms.
D) interest in effective patient education is unique to the United States.
Q2) Which of the following patients would most likely need to have adjustments made to the education plan for discharge because of role function?
A) A 67-year-old married female who lives with her retired husband
B) A 32-year-old single mother of a toddler following hysterectomy.
C) A 13-year-old who lives at home with his parents after appendectomy
D) A 50-year-old married mother with 2 child in college and teenager at home
Q3) Ongoing evaluation of patient education occurs by:
A) each member of the health care team who provides teaching.
B) the nurse who evaluates the patient's physical abilities.
C) the patient stating that he understands the instruction.
D) not allowing review so the focus remains forward.
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Page 16
Chapter 15: Nursing Informatics
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Sample Questions
Q1) Patients frequently seek sources for health information online, and nurses, as advocates, need to be prepared to help patients evaluate online sources. To do this, the nurse asks who sponsors the site, is the author listed, and the author's credentials. The nurse is evaluating what?
A) Purpose
B) Coverage
C) Currency
D) Authority
Q2) One classification system for nursing informatics competencies uses technical, utility, and leadership categories. Leadership competencies involve:
A) maintaining privacy and confidentiality.
B) using computers and other technological equipment.
C) using a variety of software programs.
D) addressing critical thinking applications.
Q3) When using electronic medical records (EMR), the nurse knows that the EMR:
A) holds the documentation of a single episode of care.
B) is a longitudinal record of care for each patient.
C) is widely used for individual health care encounters.
D) includes progress notes for all disciplines.
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Page 17
Chapter 16: Health and Wellness
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Q1) According to the Health Belief Model, which of the following patients would be most likely to change health behavior?
A) The person who perceives that he is at risk for colon cancer
B) The person who recognizes that colon cancer is easily cured
C) The person who believes that behavior can change outcomes
D) The patient who faces multiple social barriers
Q2) The nurse is reviewing recommendations for screenings. Recommendations state that: (Select all that apply.)
A) women ages 21 to 29 should have a Pap test every 3 years.
B) self-breast exams should be addressed with male and female patients.
C) adolescent males should perform monthly self-testicular exams.
D) women ages 30 to 65 should receive Pap tests every 10 years.
E) after a total hysterectomy, Pap testing should be more frequent.
Q3) The nurse is discussing immunizations for infants and children with new parents. The nurse should focus on:
A) providing scientific evidence to parents.
B) stressing that non-immunization is a crime.
C) acknowledging that immunizations are not needed.
D) informing the parents that they have no choice.
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Page 18
Chapter 17: Human Development: Conception through Adolescence
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Q1) The nurse is asked by the parent of a pediatric patient to explain the difference between growth and development. Which response by the nurse is best?
A) "Growth is physical while development relates to physical, emotional, and cognitive function."
B) "There really is no difference between the two since they occur simultaneously."
C) "Development refers to musculoskeletal and nervous system abilities and growth is a change in height and weight."
D) "Both refer to an increase in abilities and functions of the child that occur sequentially over time."
Q2) A home health care nurse is making a well-baby visit to the home of a new mother who has an infant. What assessment finding leads the nurse to provide further anticipatory guidance and teaching to the mother?
A) Mother states she does not breastfeed but uses a recommended formula.
B) Crib has colorful blankets and pillows for the baby to cuddle.
C) A mobile is hanging well above the crib playing soft music.
D) Several rattles and plush toys are available in different textures.
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Chapter 18: Human Development Young Adult to Older Adult
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Q1) The nurse is assessing hospitalized older adults for risk factors that could lead to delirium. For which patients does the nurse plan extra care to prevent delirium? (Select all that apply.)
A) A 95-year-old
B) On multiple pain medications
C) Is blind
D) Two days post operative
E) Intractable pain
Q2) A young adult tells the nurse he has quit smoking cigarettes and now "vapes" (uses electronic cigarettes [e-cigarettes]). What response by the nurse is best?
A) "Excellent! That is so much better for you than tobacco."
B) "The health consequences of e-cigarettes are not known."
C) "Using e-cigarettes actually is much worse for your health."
D) "Tobacco or e-cigarettes doesn't matter. You need to quit."
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Chapter 19: Vital Signs
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Q1) A nurse is told in the hand-off report that a patient is afebrile. What assessment finding correlates with this statement?
A) Blood pressure 152/98 mm Hg
B) Temperature 98.4° F (36.8° C)
C) Pulse 82 beats/min
D) Respirations 16 breaths/min
Q2) The nurse is caring for a woman who had a right-sided mastectomy 2 years ago. What action by the nurse is most appropriate?
A) Place a sign above the bed: "No blood pressures on the right arm."
B) Place a sign above the bed: "No continuous blood pressures on the right arm."
C) Place a sign above the bed: "Blood pressures in legs only."
D) No specific action is needed for this situation.
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) 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.
Q2) The nurse reads in a chart that a patient has a paronychia. What assessment technique is most appropriate?
A) Auscultate the patient's bowel sounds.
B) Test the cranial nerves for sensory function.
C) Inspect the patient's nails and surrounding skin.
D) Inspect the skin using the ABCDE mnemonic.
Q3) A nurse has finished examining a patient. What actions does the nurse take next? (Select all that apply.)
A) Document all findings.
B) Provide privacy for dressing.
C) Provide any hygiene material needed.
D) Tells the patient he/she can leave.
E) Cleans the room after the patient leaves.
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Page 22
Chapter 21: Ethnicity and Cultural Assessment
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Q1) A nurse is caring for a refugee patient who wants the community shaman to perform a healing ritual at the bedside. What action by the nurse is best?
A) Work with the patient to allow the shaman to perform the ritual.
B) Investigate whether the ritual will harm the patient.
C) Check to see if the ritual breaks laws or policies.
D) Offer to call the hospital chaplain instead.
Q2) A nursing student wants to observe enculturation practices of an ethnic minority community. What action by the student is best?
A) Attend a community dance.
B) Learn to cook an ethnic meal.
C) Visit the group's worship service.
D) Observe a grandmother teaching a child.
Q3) The student studying culture learns that which are characteristics of all cultures?
(Select all that apply.)
A) Integrated systems
B) Shared
C) Learned
D) Symbolic
E) Inherited
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Chapter 22: Spiritual Health
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Q1) The nurse who is aware of spirituality practices of major religions knows that which religions view health and illness as a process of balance or imbalance? (Select all that apply.)
A) Catholicism
B) Native American
C) Hinduism
D) Greek Orthodox
E) Buddhism
Q2) A patient has the nursing diagnosis Spiritual Distress. What assessment by the patient best indicates that an important goal has been met?
A) Observed praying quietly
B) Indecisive about treatment
C) Asks nurse if God exists
D) Executes living will
Q3) 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
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Chapter 23: Public Health, Community Base, and Home Health Care
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Q1) The student learns that which is the best definition of a public health nurse?
A) Works with the public
B) Works in public areas
C) Works with the greater community
D) Works with public funding
Q2) A nurse is assessing social determinants of health. Which does the nurse include in the assessment? (Select all that apply.)
A) Vaccination compliance
B) Family structure
C) Communication patterns
D) Roles for women
E) Education
Q3) A community was devastated by a tornado several months ago. What nursing diagnosis would be most appropriate for the nurse to consider?
A) Social isolation
B) Deficient community resources
C) Ineffective community coping
D) Deficient community health
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Chapter 24: Human Sexuality
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Q1) A male patient takes a medication known to cause erectile dysfunction. What action by the nurse is best?
A) State, "If this medication has bad side effects, talk to your doctor."
B) Ask, "Are you having any sexual problems in your life right now?"
C) Give the patient written information on the side effects of the drug.
D) State, "Many men have erectile dysfunction on this drug."
Q2) The nursing student learns that the function of the hypothalamus is to do which of the following?
A) Cause lactation to begin
B) Produce spermatozoa
C) Release follicle-stimulating hormone
D) Release gonadotropin-releasing hormone
Q3) A patient asks the nurse to recommend a non-prescription contraceptive. What options does the nurse discuss?
A) Diaphragm
B) Cervical cap
C) Condom
D) Intrauterine device
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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) Many health care facilities use the fire emergency response defined by the acronym:
A) RACE.
B) PASS.
C) PACE.
D) QSEN.
Q3) The nurse knows that which of the following is an appropriate way to tie restraints?
A) Knot tied to the bed frame
B) Quick-release knot tied to the side rail
C) Bow tied to the bed frame
D) Quick-release knot tied to the bed frame
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Chapter 26: Asepsis and Infection Control
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Q1) The nurse is planning care for an elderly patient. The nurse recognizes the patient is at risk for respiratory infections based on which factors? (Select all that apply.)
A) Decreased cough reflex
B) Decreased lung elasticity
C) Increased activity of the cilia
D) Abnormal swallowing reflex
E) Increased sputum production
Q2) The nurse is explaining to the patient why she is receiving antibiotics. Her answer would be correct if she stated antibiotics are effective against which microorganism?
A) Viruses
B) Fungi
C) Parasites
D) Bacteria
Q3) The antigen-antibody reaction is an example of what type of immunity?
A) Humoral
B) Cellular
C) Innate
D) Passive
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28
Chapter 27: Hygiene and Personal Care
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Q1) The nurse is caring for a patient with swallowing concerns and decreased level of consciousness. The nurse knows to put the patient in what position for oral care?
A) High Fowler's
B) Prone
C) Side lying
D) Low Fowler's
Q2) What statement is true regarding oral care of patients on anticoagulants?
A) Use an electric toothbrush daily.
B) Avoid oral care.
C) Use mouthwash only.
D) Use a soft-bristled toothbrush.
Q3) Which tool is used to determine risk for impaired skin integrity?
A) Braden scale
B) Glasgow scale
C) Vanderbilt scale
D) MMSE scale
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29
Chapter 28: Activity, Immobility, and Safe Movement
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Q1) An appropriate goal for the patient who is postoperative day one from abdominal surgery and on bed rest with the nursing diagnosis Impaired skin integrity is:
A) the patient will ambulate twice a day.
B) the patient will eat 50% of meals.
C) the patient will have no further skin breakdown.
D) the patient will interact with others.
Q2) The nurse is teaching a patient about ways to decrease her risk of bone fractures. The following statements by the patient indicate a good understanding. (Select all that apply.)
A) "I should do weight-bearing exercises."
B) "I should get adequate intake of calcium and vitamin D."
C) "I should exercise regularly."
D) "I need to do yoga exercises."
Q3) The nurse correctly selects which intervention to avoid causing shear or friction when moving a patient in bed?
A) Using an airflow bed
B) Using a slide board
C) Using a trochanter roll
D) Using a gel mattress
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Page 30
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 caring for a postoperative patient who has had abdominal surgery and whose wound has completely eviscerated when she walks into the room. In addition to notifying the physician, what should the nurse do?
A) Cover the wound with a sterile gauze pad.
B) Cover the wound with a transparent dressing.
C) Put pressure on the wound with a sterile gauze pad.
D) Cover the wound with gauze soaked with normal saline.
Q3) The nurse knows that the following factors contribute to the development of wounds and lead to delays in wound healing: (Select all that apply.)
A) A patient who has diabetes
B) A patient with COPD on long-term steroid therapy
C) A patient with on bed rest who is repositioned
D) A patient who is obese and sweats excessively
E) None of the above
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Page 31
Chapter 30: Nutrition
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Sample Questions
Q1) 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.
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 concerned about aspiration precautions when feeding her patient who has recently suffered a stroke. Which of the following procedures that the nurse performs would demonstrate a need for further education?
A) The nurse uses thickened liquids.
B) The nurse puts the bed at 30 degrees.
C) The nurse encourages slow eating.
D) The nurse has the patient alternate between food and sips of fluid.
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Page 32
Chapter 31: Cognitive and Sensory Alterations
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Sample Questions
Q1) 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."
Q2) The nurse is performing a health history to determine the patient's sensory status. Which questions will be best suited to elicit the information needed? (Select all that apply.)
A) "Do you ever lose your balance?"
B) "Do you wear glasses?"
C) "Do you read the newspaper?"
D) "Can you feel the difference between hot and cold water?"
E) "Do you wear a hearing aid?"
Q3) An appropriate goal for a patient with a diagnosis of social isolation is:
A) the patient will participate in cognitive exercises.
B) the patient will interact with other residents during activities.
C) the patient will communicate basic needs through use of photos.
D) the patient will remain within the unit while in long-term care.
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Chapter 32: Stress and Coping
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Sample Questions
Q1) The nurse is measuring her patient's blood glucose levels after an acute myocardial infarction (MI). She knows the rationale for doing this is:
A) damaged muscle tissue releases glucose.
B) corticosteroids increase glucose.
C) myocardial infarctions are often seen in diabetics.
D) all patients should have their blood glucose checked.
Q2) The nurse is educating the patient on the use of relaxing therapy. Which statement by the patient indicates a need for further education?
A) "I should relax my muscles from head to toe."
B) "I visual the relaxed muscle."
C) "I should do this three times a week."
D) "I focus on muscles that are tense."
Q3) The nurse is educating the patient about alternative therapies. Which statement by the patient indicates a need for more information?
A) Alternative therapies can include relaxation techniques.
B) Alternative therapies are used in conjunction with medical therapies.
C) Alternative therapies can be used when patients are experiencing stress.
D) Some alternative therapists require certification.
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34
Chapter 33: Sleep
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Sample Questions
Q1) 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
Q2) The nurse knows the reticular activating system (RAS):
A) records brain waves and other variables.
B) relays motor impulse to the hypothalamus.
C) influences patterns of biological functioning.
D) is affected by the light-dark cycle.
Q3) The nurse knows that polysomnograpy is:
A) the recording of brain waves and other variables.
B) the relay of motor impulse to the hypothalamus.
C) the patterns of biological functioning.
D) the recording of seizure activity in the brain.
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Chapter 34: Diagnostic Testing
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Sample Questions
Q1) The nurse is caring for a patient who is to have a noncontrast MRI scan performed. Which assessment finding leads the nurse to report that the patient may not be able to have the test?
A) The patient has an implanted insulin pump.
B) The patient is breastfeeding her newborn infant.
C) The patient is severely allergic to iodine and latex.
D) The patient has profound hearing loss.
Q2) The nurse is caring for a patient who has just undergone bronchoscopy. The patient states that she is thirsty and requests a drink of water. What is the nurse's best action?
A) Provide ice chips.
B) Check the patient for a gag reflex.
C) Provide a small cup of ice water with a straw.
D) Keep the patient NPO.
Q3) The nurse is caring for a patient who recently had a liver biopsy. To whom must the nurse give the results?
A) The patient
B) The patient's physician
C) The patient's insurance provider
D) The patient's spouse
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Page 36
Chapter 35: Medication Administration
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Sample Questions
Q1) The nurse is to administer 15 mg of morphine liquid to the patient. How much morphine liquid will the nurse draw up to administer to the patient? Morphire sulfate oral solution (CONCENTRATE)
\(100 \mathrm { mg } / 5 \mathrm {~mL}\) (20 mg/mL)
CII Px only
A) 0.5 mL
B) 0.75 mL
C) 1.3 mL
D) 1.5 mL
Q2) The nurse is caring for a patient who is receiving vancomycin (Vancocin) to treat a severe infection. The next vancomycin dose is due to be administered at 10:00 A.M. What time will the nurse draw the vancomycin serum trough level?
A) 7:30 A.M.
B) 9:30 A.M.
C) 11:30 A.M.
D) 1:30 P.M.
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Chapter 36: Pain Management
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Sample Questions
Q1) Which is the best pain medication option for a patient to manage severe long-term cancer pain at home?
A) Duragesic 50 mcg transdermal patch q 72 hours
B) Meperidine (Demerol) 50 mg IM q 6 hours
C) Hydromorphone (Dilaudid) 0.2 mg q 10 minutes IV via PCA pump
D) Hydromorphone (Dilaudid) 0.08 mg/hour infusion through epidural catheter
Q2) Which assessment question helps the nurse determine the character of the patient's pain?
A) "What does the pain feel like, i.e. stabbing, burning or throbbing?"
B) "When did the pain first start?"
C) "What interventions make the pain better?"
D) "Is there any pattern to when the pain occurs?"
Q3) The nurse is caring for a patient who just underwent laparoscopic appendectomy. The patient tells the nurse that she is experiencing severe postoperative pain between her shoulder blades. Which term best describes the pain that this patient is having?
A) Referred pain
B) Phantom pain
C) Neuropathic pain
D) Psychogenic pain
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Page 38
Chapter 37: Perioperative Nursing Care
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Sample Questions
Q1) The nurse is obtaining preoperative information for a patient who will be having emergency surgery shortly for a ruptured appendix. Which information is crucial for the nurse to assess? (Select all that apply.)
A) All medications that the patient is taking
B) Use of tobacco, alcohol, or recreational drugs
C) Allergies to medications, foods, or other substances
D) Date of last tetanus shot and flu vaccination
E) Insurance coverage and preauthorization requirements
F) Possibility of pregnancy
Q2) The nurse is caring for a postoperative patient who is very sleepy following general anesthesia and administration of pain medication. The nurse notes that the patient is making snoring sounds and his pulse oximetry has dropped to 88%. What is the best action of the nurse?
A) Insert an oral airway and administer oxygen.
B) Call for anesthesia to immediately reintubate the patient.
C) Remove the pillow from behind the patient's head.
D) Elevate the head of the patient's bed.
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Chapter 38: Oxygenation and Tissue Perfusion
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Sample Questions
Q1) The nurse hears a loud murmur when listening to the patient's heart. Which diagnostic test will best display the condition of the valves and structures within the patient's heart that could be causing the murmur?
A) Chest x-ray
B) Cardiac catheterization
C) Echocardiogram
D) Electrocardiogram
Q2) The nurse is caring for a patient with a history of left-sided congestive heart failure who is acutely short of breath. The nurse hears fine crackles throughout both lung fields and notes that the patient's pulse oximetry is only 88% on 4 L of oxygen. What is the priority intervention of the nurse?
A) Administer the ordered intravenous diuretic.
B) Prepare for insertion of a chest tube.
C) Suction secretions from the patient's respiratory tract.
D) Have the patient use the ordered incentive spirometer.
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Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
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Sample Questions
Q1) The nurse is caring for a patient who has a 1200 mL daily fluid restriction. The patient has consumed 250 mL with each of her three meals and had another 150 mL with her medications. The patient has received 150 mL of IV fluids during the day. How many mL of fluid may the patient still consume in order to stay within the prescribed fluid restriction?
A) 100 mL
B) 150 mL
C) 250 mL
D) 300 mL
Q2) The nurse is caring for a patient whose ABG results reveal the following: pH 7.56, PaCOS1U1B12S1U1B0 32 mm Hg, HCOS1U1B13S1U1B0 42 mEq/L, PaOS1U1B12S1U1B0 90 mm Hg.
Which condition will the nurse expect to see in the patient's chart as the underlying cause of these results?
A) Gastroenteritis with severe nausea, vomiting, and diarrhea
B) Widespread tissue ischemia caused by cardiogenic shock
C) Respiratory failure caused by pneumonia with pleural effusions
D) Hyperventilation after a panic attack
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Chapter 40: Bowel Elimination
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Sample Questions
Q1) The nurse is caring for an immobile patient who has abdominal pain and frequent small, liquid stools. The patient vomited his breakfast and is still nauseated. Which action by the nurse is the highest priority?
A) Provide oral care after each episode of emesis.
B) Apply a skin barrier to the patient's perineal area.
C) Check the patient to see if he has a fecal impaction.
D) Administer antiemetic medication with a sip of water.
Q2) The nurse is caring for a patient who is to have testing for fecal occult blood. What step will the nurse perform during this testing?
A) Keep the patient on a clear liquid diet for 72 hours.
B) Send the samples to the laboratory while they are still warm.
C) Inform the patient that several stool samples will be needed.
D) Use a sterile container when collecting the stool samples.
Q3) 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
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Page 42
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 is to complete a 24-hour urine collection to measure creatinine clearance. Which tasks related to this test may be delegated to the nursing assistant? (Select all that apply.)
A) Teaching the patient about sterile specimen collection
B) Keeping the urine collection container cool on ice
C) Dumping the urine from the patient's first void
D) Restricting the patient's oral fluid intake during the test
E) Transporting the specimen to the laboratory for testing
F) Reminding the patient not to put toilet paper in the urine
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43
Chapter 42: Death and Loss
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Sample Questions
Q1) The nurse is caring for a patient who died a few minutes ago. The patient's family is at the bedside and very demonstrative in their grief, weeping loudly and holding on to the patient's body. What is the most appropriate action of the nurse?
A) Inform the family that the patient's body must be taken to the morgue shortly.
B) Ask the family members to step outside while postmortem care is provided.
C) Obtain required signatures for the body to be taken to the funeral home.
D) Provide privacy and allow the patient's family to grieve over the body.
Q2) The home care nurse is caring for a terminally ill patient who states that he wants to set up a scholarship in his name at the local university before he dies. What is the best action of the nurse?
A) Suggest that the patient think it over and wait a few days before contacting the school.
B) Direct the patient to ask his family about the possibility of starting a scholarship.
C) Assess the patient's mental status to ensure that he is competent to make the decision.
D) Assist the patient to find the necessary information about endowed scholarships.
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