Medical-Surgical Nursing
Final Test Solutions
Course Introduction
Medical-Surgical Nursing is a comprehensive course that focuses on the care of adult patients experiencing a wide range of acute and chronic medical conditions, as well as surgical procedures. The course covers foundational concepts such as patient assessment, pathophysiology, pharmacology, and evidence-based interventions that support the management of diseases across body systems. Students learn to develop critical thinking, problem-solving, and clinical decision-making skills through simulated and real-life scenarios. Emphasis is placed on holistic, patient-centered care, effective communication, interdisciplinary collaboration, and the promotion of safety and ethical practice in diverse healthcare settings.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume I.II and III 1st Edition by Pearson Services
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67 Chapters
2944 Verified Questions
2944 Flashcards
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Page 2
Chapter 1: Acid-Base Balance
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79 Verified Questions
79 Flashcards
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Sample Questions
Q1) A compensatory mechanism that may indicate to a nurse that a client is experiencing metabolic acidosis includes:
A)headache.
B)Kussmaul respirations.
C)vomiting.
D)decreased level of consciousness.
Answer: B
Q2) The nurse is evaluating care provided to a client with respiratory alkalosis. Which outcomes indicate that nursing care has been effective for this client? Select all that apply.
A)Respiratory rate 18 and regular
B)Sleeping through the night
C)Gait steady
D)Consistent body weight
E)Using prescribed bronchodilators
Answer: A, B, C, D
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3
Chapter 2: Cellular Regulation
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119 Verified Questions
119 Flashcards
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Sample Questions
Q1) The nurse is planning care to address ineffective airway clearance for a client with lung cancer. Which interventions should the nurse include in the client's plan of care? Select all that apply.
A)Suction the airway as needed.
B)Help the client turn, cough, and deep breathe as needed.
C)Provide chest percussion as ordered.
D)Educate the client about smoking cessation.
E)Administer pneumococcal vaccine.
Answer: A, B, C
Q2) While receiving discharge teaching, an adult client recovering from a prostatectomy is distressed to learn that episodes of incontinence may occur. Which should the nurse teach the client to help minimize incontinence?
A)Proper administration of incontinence medication
B)Steps to change the Foley catheter bag every day
C)Fluid restriction
D)Kegel exercises
Answer: D
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4
Chapter 3: Comfort
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Sample Questions
Q1) The nurse identifies the nursing diagnosis of Chronic Pain as being appropriate for a client with fibromyalgia. Which manifestation did the client most likely report that caused the nurse to select this diagnosis?
A)Pain from eyestrain
B)Pain from a severe skin rash
C)Acute chest pain
D)Tender points in the knees
Answer: D
Q2) During a home visit with new parents, the nurse learns that a new mother is fatigued because the baby is not sleeping well. Which suggestion could the nurse make that would most help decrease this client's fatigue?
A)Advise the client to alternate night feedings with the baby's father to allow each parent to rest.
B)Suggest that the client ask the neighbors to babysit one night a week.
C)Ask the physician for medication to restore energy.
D)Increase exercise time each week to promote energy.
Answer: A
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Chapter 4: Digestion
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Sample Questions
Q1) A school-age child, recently diagnosed with celiac disease, is underweight, vitamin deficient, and anemic and experiences frequent diarrhea. In addition to removing gluten from his diet, what other recommendations will the nurse provide for this child and family? Select all that apply.
A)Fat restriction
B)A high-carbohydrate diet
C)Vitamin supplements
D)High-calorie diet
E)High-protein diet
Q2) When planning care for a client with chronic hepatitis, which collaborative discipline will be most helpful in treating continued alcohol use?
A)Social worker
B)Primary provider
C)Pharmacist
D)Dietitian
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Chapter 5: Elimination
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Sample Questions
Q1) A client with BPH is experiencing urinary retention and bladder distention. The nurse understands that, without proper treatment, the client is at risk for complications such as diverticula, hydroureter, and hydronephrosis. Which issue related to the client's condition is most important to address in order to reduce the risk for these complications?
A)The enlarging mass of prostatic tissue must be reduced.
B)Straining during urination must be avoided.
C)Bladder pain must be managed.
D)The weak urinary stream must be strengthened.
Q2) The nurse at a health fair is educating clients on risk factors associated with urinary incontinence. Which risk factor does the nurse include as a nonmodifiable risk factor for urinary incontinence?
A)Age
B)Obesity
C)Smoking
D)Diabetes
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Chapter 6: Fluids and Electrolytes
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Sample Questions
Q1) A client is admitted to the emergency department for vomiting and diarrhea that has lasted 4 days. The client's current weight is 154 pounds. The healthcare provider has diagnosed the client with a viral infection. The nurse has been monitoring intravenous fluids and urine output. Which urinary output would indicate that efforts to rehydrate this client have been successful?
A)40 mL per hour
B)20 mL per hour
C)25 mL per hour
D)30 mL per hour
Q2) The community nurse visits the home of a young child who is home from school because of sudden onset of nausea, vomiting, and lethargy. The nurse suspects acute kidney injury (AKI). Which clinical manifestations support the nurse's suspicions? Select all that apply.
A)Elevated blood pressure
B)Postural hypotension
C)Wheezing
D)Edema
E)Hematuria
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8
Chapter 7: Health Wellness and Illness
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35 Flashcards
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Sample Questions
Q1) A nurse identifies the seven components of wellness as a useful tool in assessing health. Which are some of the components of wellness? Select all that apply.
A)Physical
B)Environmental
C)Emotional
D)Financial
E)Spiritual
Q2) An occupational health nurse for a large corporation is planning programs to address health problems identified in the Healthy People 2020 report. Which programs should the nurse include for the company employees at the worksite? Select all that apply.
A)A blood disorder and blood safety education program
B)A seminar about the components of wellness
C)A cultural competence program related to LGBT health
D)An informational program about genomics
E)An education program about the importance of sleep health
Q3) A nurse is caring for a 50-year-old client performing aerobic exercise in the cardiac rehabilitation office. The nurse calculates the client's target heart rate as ________-________.
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Chapter 8: Immunity
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Sample Questions
Q1) The nurse is caring for a client who is newly diagnosed with human immunodeficiency virus (HIV)infection. The client asks the nurse whether there are ways to protect the client's life partner from getting the virus. After the nurse provides the client with teaching related to this topic, which statement on the part of the client would indicate a need for further education?
A)"I know to use an oil-based lubricant to prevent spread of the virus to my partner."
B)"I can still kiss and hug my partner to show affection."
C)"I will not share my razor with my partner."
D)"I know I have to practice safer sex with my partner by using a latex condom."
Q2) The nurse is caring for a client in an allergy clinic. After completing the client history, the nurse selects the nursing diagnosis of Risk for Shock. Which item in the client's history supports the need for this nursing diagnosis?
A)Anaphylactic reaction to shellfish
B)A drug reaction to penicillin causing a rash
C)Glomerulonephritis
D)Dermatitis resulting from a response to laundry detergent
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Chapter 9: Infection
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100 Verified Questions
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Sample Questions
Q1) A client with a previously healed tuberculosis lesion experiences lesion rupture that leads to active disease. Which type of tuberculosis does this client have?
A)Miliary tuberculosis
B)Extrapulmonary tuberculosis
C)Reactivation tuberculosis
D)Cavitation tuberculosis
Q2) A client who uses extended-wear contact lenses should be taught measures for reducing the risk of which of the following conditions?
A)Conjunctivitis
B)Cataracts
C)Glaucoma
D)Macular degeneration
Q3) A nurse is caring for a client with septicemia. What assessment by the nurse best addresses the potential for ineffective peripheral perfusion?
A)Monitor heart rate every hour.
B)Assess temperature every 4 hours.
C)Monitor pupil reactions every 8 hours.
D)Monitor for cyanosis.
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11
Chapter 10: Inflammation
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Sample Questions
Q1) A nurse is providing instruction to the parents of a pediatric client who is experiencing inflammation due to respiratory infection. Which of the following points would be most appropriate for the nurse to include as part of this teaching?
A)"Try to keep your child in a supine position to promote more effective oxygenation."
B)"Adequate fluid intake is even more important for children with inflammation than for adults with inflammation."
C)"If your child seems to be gasping for air, encourage him to tuck his chin against his chest."
D)"Rapid heartbeat is an early sign of dehydration and low blood volume in children."
Q2) A client with cholelithiasis is in the clinic for a follow-up assessment after hospitalization. What lifestyle modification should the nurse teach the client to decrease the pain associated with the disease process?
A)Reduce sodium intake
B)Decrease fat consumption
C)Increase fluids
D)Decrease smoking
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Chapter 11: Intracranial Regulation
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Sample Questions
Q1) The nurse provides teaching about phenytoin (Dilantin)to the mother of a school-age client with a seizure disorder. Which statement made by the mother indicates that teaching has been effective?
A)"I will give his medicine on an empty stomach so he will absorb it better."
B)"I will check his gums and increase visits to the dentist."
C)"I will use a carbonated beverage to dilute his medication."
D)"I will allow him to chew the tablet."
Q2) A newly admitted adult client with increased intracranial pressure caused from a head injury has a Glasgow Coma Scale (GCS)score of 6. Which of the following assessment findings is most likely in this client?
A)Extension to painful stimuli
B)Spontaneous eye opening
C)Oriented to time, place, and person
D)Withdraws to touch
Q3) Which events are associated with the loss of autoregulation?
A)Both intracranial pressure and cerebral perfusion decrease.
B)Both intracranial pressure and cerebral perfusion increase.
C)Intracranial pressure decreases and cerebral perfusion increases.
D)Intracranial pressure increases and cerebral perfusion decreases.
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Page 13
Chapter 12: Metabolism
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Sample Questions
Q1) The nurse identifies the nursing diagnosis Imbalanced Nutrition: Less Than Body Requirements as appropriate for a client with osteoporosis. Which client statement indicated to the nurse that this nursing diagnosis was appropriate?
A)"I like to remove all of the fat from the meat I eat."
B)"I am trying to eat a low-carb diet."
C)"I plan to start eating out less."
D)"I am allergic to dairy products."
Q2) A nurse is educating a group of adults about the risks for osteoporosis. Which statements will the nurse include when discussing the use of alcohol and cigarettes? Select all that apply.
A)"Smoking decreases nerve supply to the bones."
B)"Nicotine increases calcium absorption, leading to decreased bone density."
C)"Moderate alcohol consumption in postmenopausal women actually may increase bone mineral content."
D)"Alcohol has a direct toxic effect on osteoclast activity, suppressing bone formation."
E)"Heavy alcohol use may be associated with nutritional deficiencies that contribute to osteoporosis."
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Page 14
Chapter 13: Mobility
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114 Verified Questions
114 Flashcards
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Sample Questions
Q1) The nurse is presenting a program at a senior center on how to survive a fall. Which statement by a program participant indicates that this person needs clarification about what emergency actions to take after a fall?
A)"I should crawl to a phone on the affected side to keep it stable against a hard surface."
B)"I should try to cover myself with a blanket while I wait for help to arrive."
C)"To call for help, I can scoot on my bottom to a low wall-mounted phone."
D)"If possible, I can crawl to a stairway and use the stairs to lift up to a standing position."
Q2) A client is recovering from surgery to repair a fractured hip. Which actions by the nurse may reduce this client's risk for osteomyelitis in the postoperative period? Select all that apply.
A)Assess for pain every 1-2 hours.
B)Use sterile technique for dressing changes.
C)Assess wound for size, color, and drainage.
D)Administer antibiotics as prescribed.
E)Administer anticoagulants as prescribed.
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Chapter 14: Nutrition
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which statements regarding upper body obesity are accurate? Select all that apply.
A)Upper body obesity is also called peripheral obesity.
B)Upper body obesity is when the waist-to-hip ratio in men is greater than 0.8 in men or greater than 1 in women.
C)Upper body obesity is associated with a greater risk of hypertension.
D)Young women tend to have more intra-abdominal fat than men.
E)Postmenopausal women tend to have upper body obesity.
Q2) During a home visit, the nurse is assessing an older adult client. Which assessment findings support the nursing diagnosis Imbalanced Nutrition: Less than Body Requirements? Select all that apply.
A)Client reports a problem with dentures slipping while chewing.
B)Client complains of occasional dry mouth and problems with feelings of nausea.
C)Client's adult children arrive to eat dinner together several times a week.
D)Client is prescribed 15 medications.
E)Client's Social Security payments have gone down over the last year.
Q3) The nurse is performing a nutritional assessment of a client who weighs 185 lb and is 5 feet, 3 inches tall. This client's body mass index, rounded to the nearest hundredth, is
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Chapter 15: Oxygenation
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Sample Questions
Q1) A 15-year-old client with cystic fibrosis asks why she has not started her menstrual period yet. Which response by the nurse is correct?
A)"Usually girls with cystic fibrosis start menstruating earlier than their peers."
B)"It is normal for girls with cystic fibrosis to start their period at age 16. Just be patient."
C)"Some girls with cystic fibrosis do not experience menstruation due to nutritional problems."
D)"Because secretions are thicker in people with cystic fibrosis, your period will be very heavy once it starts."
Q2) The mother of a 5-month-old baby, who attends daycare, is concerned because the child has developed a runny nose, cough, and low-grade fever over the last few days. These symptoms are consistent with which condition?
A)Meningitis
B)Respiratory syncytial virus (RSV)bronchiolitis
C)Bronchitis
D)The common cold
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Chapter 16: Perfusion
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183 Verified Questions
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Sample Questions
Q1) The nurse is planning care for an older adult client with chronic venous insufficiency. Which will the nurse include in the client's teaching plan?
A)Keep the legs dependent as much as possible and elevate only when asleep.
B)Wear elastic hose as prescribed.
C)Standing will prevent the progression of the disease.
D)Cross legs only at the knees.
Q2) The nurse is providing discharge teaching to a client recovering from deep venous thrombosis (DVT). Which instructions are appropriate for the nurse to include in the teaching session? Select all that apply.
A)Avoid crossing the legs
B)Avoid long car trips
C)Avoid prolonged standing or sitting
D)Take frequent walks
E)Take a daily aspirin dose of 650 mg
Q3) Blood pressure is influenced by all except which factor?
A)Pumping action of the heart
B)Peripheral vascular resistance
C)Heart rate
D)Blood volume
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Page 18
Chapter 17: Perioperative Care
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Sample Questions
Q1) How often should a client be monitored during the intraoperative phase?
A)Every 5 minutes
B)Every 30 minutes
C)Constantly
D)Occasionally
Q2) Which of the following situations demands that all perioperative staff cover their bodies with lead shields?
A)The surgical team uses a bipolar handpiece to cauterize a client's tissue.
B)The surgical team uses a class 3 laser to cut a client's kidney stone.
C)The surgical team uses a pneumatic tourniquet to cut off circulation to a client's hand.
D)The surgical team uses radiology to take intraoperative photos.
Q3) A client presents with decreased blood volume, hypotension, tachycardia, and tachypnea during surgery. Which of the following intraoperative complications is most likely?
A)Hypovolemia
B)Hypervolemia
C)Hypokalemia
D)Hypernatremia
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Chapter 18: Sensory Perception
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Sample Questions
Q1) The nurse is identifying nursing diagnoses appropriate for a client with severe symptoms of tinnitus, vertigo, sensorineural hearing deficit, nausea, and vomiting. Which diagnosis would be the lowest priority for this client?
A)Impaired Verbal Communication
B)Social Isolation
C)Nausea
D)Risk for Injury
Q2) Which of the following scenarios is consistent with secondary congenital glaucoma?
A)A newborn is diagnosed with glaucoma at birth.
B)An infant is diagnosed at 6 months with glaucoma.
C)A 1-year-old infant develops glaucoma following neurofibromatosis.
D)A 5-year-old child is diagnosed with glaucoma.
Q3) What class of drugs both decreases production of aqueous humor in the eye and increases drainage of aqueous humor from the uveoscleral pathway?
A)Beta-adrenergic blockers
B)Prostaglandin analogs
C)Alpha<sub>2</sub>-adrenergic agonists
D)Cholinergic agonists
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Page 20
Chapter 19: Sexuality
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Sample Questions
Q1) Which of the following statements is true regarding the etiology and pathophysiology of primary dysmenorrhea?
A)Primary dysmenorrhea is caused by decreased levels of prostaglandins, which cause uterine contractions to increase in strength.
B)Primary dysmenorrhea begins within the first three or four menstrual periods after menarche and will occur with each ovulatory cycle during a woman's teens and twenties.
C)Secondary dysmenorrhea is more common than primary dysmenorrhea.
D)Causes of primary dysmenorrhea include endometriosis, tumors, cysts, pelvic adhesions, pelvic inflammatory disease, infections, cervical stenosis, uterine leiomyomas, and adenomyosis.
Q2) Which of the following interventions should the nurse recommend to a client who is experiencing primary dysmenorrhea? Select all that apply.
A)Increase caffeine intake.
B)Use a heating pad.
C)Try relaxation techniques.
D)Engage in regular exercise.
E)Avoid vitamin supplements.
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Chapter 20: Thermoregulation
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Sample Questions
Q1) A client is admitted to the emergency department complaining of the inability to feel the hands and feet after exposure to 20°F temperatures for more than 2 hours. Which action by the nurse is appropriate?
A)Warm the hands and feet in 104°F water for 20 to 30 minutes.
B)Provide an antipyretic.
C)Rub and massage the hands and feet.
D)Warm the hands and feet in tepid water for 2 hours.
Q2) The nurse is caring for a client admitted with minor burns and elevated body temperature after being in a house fire. What should be included in this client's plan of care to address the elevated body temperature? Select all that apply.
A)Providing blankets
B)Keeping the room temperature warm
C)Restricting fluids
D)Encouraging fluids
E)Lowering room temperature
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Chapter 21: Tissue Integrity
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Sample Questions
Q1) How should the nurse position a client who is returned to the burn unit following a graft procedure to the leg?
A)Place the client flat with the affected extremity abducted.
B)Elevate the head of bed 30 degrees
C)Maintain the head of bed flat
D)Elevate the affected extremity
Q2) An older adult client diagnosed with chronic obstructive pulmonary disease (COPD)is scheduled for a total knee replacement. What should the nurse include in this client's plan of care to address the risk of an alteration in tissue integrity?
A)Monitor urine output.
B)Assess postoperative wound healing.
C)Restrict protein intake.
D)Expect purulent drainage.
Q3) Which of the following medications may be discontinued in a client who is experiencing delayed wound healing?
A)Oral prednisone
B)Topical antibiotics
C)Topical growth factors
D)Oral antibiotics
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Chapter 22: Addiction
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Sample Questions
Q1) The nurse is providing care to a client who admits to smoking two packs of cigarettes per day for 34 years. The client also has a history of intermittent claudication, chronic bronchitis, and emphysema. After 6 weeks of smoking cessation, the client reports that he is frequently "yelling" at his spouse and "flying off the handle." Which effects of cigarette smoking are associated with the data the nurse has collected from the client? Select all that apply.
A)Nicotine causes destruction of the alveoli.
B)Smoking triggers the release of epinephrine, which causes vasoconstriction.
C)Dopaminergic processes are implicated in nicotine withdrawal.
D)The tar in cigarettes can cause the mucus production seen in chronic bronchitis.
E)Tobacco use leads to atherosclerosis.
Q2) A public health nurse is presenting a teaching session about alcohol use to a group of college seniors. During the session, one of the students admits to frequent alcohol use. What is the nurse's priority action?
A)Initiate a community assessment of the campus
B)Contact the campus nurse and refer the student for services
C)Notify campus security that the student may be driving while intoxicated
D)Complete a crisis assessment with the student
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Chapter 23: Cognition
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Sample Questions
Q1) The nurse is planning care for a client who is experiencing stage 1 Alzheimer disease. Which intervention will best promote cognitive function?
A)Ensure there is background music or sound from the television.
B)Dim the lights during waking hours.
C)Maintain a daily routine.
D)Keep social interaction to a minimum.
Q2) The nurse is assessing an older adult client and observes that the client is having several cognitive problems, including memory and attention deficits and fluctuating levels of orientation. The nurse confirms with the family that the client's symptoms developed over a several-year period. The client's symptoms are commonly observed with which condition?
A)Depression
B)Dementia
C)Intellectual disability
D)Delirium
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Chapter 24: Culture and Diversity
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Sample Questions
Q1) Which treatment program would be most appropriate for homeless clients whose type 1 diabetes requires daily insulin injections?
A)Home healthcare
B)Outpatient clinic
C)Partial hospitalization programs
D)Inpatient hospital-based care
Q2) The nurse caring for an adult client from another country notices that the client consults with her mother on all healthcare decisions. What action by the nurse is the most culturally competent?
A)Ask the client why the parent is being consulted for every decision.
B)Accept the behavior of the client and family member.
C)Ask the client's mother to leave the room to provide the client with more privacy.
D)Confront the client's mother to state the importance of the client making her own decisions.
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26
Chapter 25: Development
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Sample Questions
Q1) An infant is diagnosed with congenital CP caused by a meningitis infection. Based on this diagnosis, the nurse understands that the pathway for cellular damage is
A)genetic mutation to the brain cells prompted by infection with the causative agent.
B)accumulation of causative agents in the blood stream that gradually build up in the brain.
C)stretching and shearing of the neural pathways and brain tissue.
D)consumption of brain tissue and production of lactic acid by the causative pathogen.
Q2) Which clinical manifestation of ADHD is more commonly observed in school-aged girls than in school-aged boys?
A)Aggression
B)Anxiety
C)Sleep disturbances
D)Impulsiveness
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Chapter 26: Family
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Sample Questions
Q1) During a home visit, the nurse determines that care interventions are needed to address alcohol and substance abuse by family members. Which interventions should the nurse consider when planning care for this family? Select all that apply.
A)Suggest grief counseling.
B)Evaluate family members' potential for being a danger to self or others.
C)Suggest engaging in educational activities.
D)Be alert to behaviors that indicate sibling jealousy.
E)Recommend community resources to assist with substance abuse behavior.
Q2) The nurse has been asked to review a hospital's written policies for the pediatric care unit. Hospital management is concerned that the current materials express an authoritarian attitude that is off-putting to families. The goal of the nurse's review is to recommend changes that promote openness and communicate appreciation for the role of families in the care of children. Which of the following statements meets this goal?
A)"Parents are welcome to remain in their child's room overnight if they wish."
B)"Hospital policies require that patients eat food prepared onsite."
C)"Sibling visits are allowed between the hours of 8 a.m. and 6 p.m."
D)"Comfort items from home are not permitted without the approval of the nursing staff."
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28
Chapter 27: Grief and Loss
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Sample Questions
Q1) The nurse is providing counseling to the family of a terminally ill client. The family has children of varying ages. Which statement regarding the reactions of children to death is appropriate for the nurse to include in the counseling session?
A)"Older school-age children begin to understand that death is irreversible."
B)"Adolescents tend to cope better with death than adults."
C)"Preschool children view death as a spiritual release."
D)"Toddlers are able to fully comprehend the ideas related to death."
Q2) The home health nurse is visiting an older client with a terminal illness for a routine medication check. The nurse determines that the client has declined since the last home visit. The nurse suggests that the client should be transported to the hospital; however, the family members state that they want the client to stay in the home. Which action by the nurse is most appropriate?
A)Follow the decision of the family.
B)Call for an ambulance to transport the client to a hospital.
C)Ask the client's preference regarding transport to the hospital.
D)Encourage the family to take the client to the hospital.
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Chapter 28: Mood and Effect
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Sample Questions
Q1) The nurse is caring for a client with a chronic health condition. Which condition should the nurse identify as a common complication associated with reduced role function?
A)Osteoporosis
B)Congestive heart failure
C)Diabetes
D)Depression
Q2) The home care nurse hears the spouse of a client say "With you being so sick lately, I can't maintain this home by myself, so I never invite family over anymore. I can't stand to have them see our house in this rundown state." The client engages in an argument with the spouse, and the spouse begins to cry. Which does the home care nurse identify as occurring with this couple?
A)Evidence of low blood glucose levels
B)Financial struggles within the family
C)Possible situational depression
D)Spousal abuse
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Chapter 29: Self
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/45860
Sample Questions
Q1) The nurse is planning care for a client who has been diagnosed with antisocial personality disorder. Which goals address the client's antisocial behavior? Select all that apply.
A)The client will share meals with others in the community dining area.
B)The client will interact socially with others.
C)The client will engage in individual therapy without disruptions.
D)The client will take all medications as prescribed.
E)The client will refrain from attention-seeking behavior.
Q2) An adolescent client tells the nurse that she plans to fight recent charges of shoplifting because she was just taking what was rightfully hers. Which trait associated with personality disorders is this client exhibiting?
A)Lying
B)Narcissism
C)Projection
D)Manipulation
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Chapter 30: Spirituality
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/45861
Sample Questions
Q1) A client who is scheduled for surgery wants to continue to wear a religious medallion. Which actions by the nurse support the client's religious needs? Select all that apply.
A)Keep the medallion on the client but remove it once anesthesia is provided.
B)Ask the client if wearing a medallion is going to ensure a successful surgery.
C)Document that the medallion is being worn by the client.
D)Suggest the client not wear the medallion because it will most likely be lost.
E)Explain that the medallion can be safety pinned to the client's gown.
Q2) The nurse is preparing to discharge a client from the hospital. Which actions by the client indicate that her religious needs were met during the hospitalization? Select all that apply.
A)Requesting and attending religious services in the hospital chapel
B)Thanking the nurse for contacting a priest to visit while hospitalized
C)Asking nurse for additional supplies to change dressings while at home
D)Refusing home care services because the client's daughter is a nurse and a Sunday school teacher
E)Asking the nurse whom to call if problems occur after surgery
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Chapter 31: Stress and Coping
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/45862
Sample Questions
Q1) The nurse is providing care to a client who is experiencing a crisis. Which statement by the client indicates that the goals of care have not been met?
A)"I came up with some ideas on how to cope when I am in this position."
B)"I feel like I am in control and can begin managing things now."
C)"I am not sure whom I am going to call when I start feeling like this again."
D)"I can deal with this, I am a strong person, and I have a lot of friends and family."
Q2) Which of these is an accurate description of a crisis?
A)An acute event that is detrimental
B)A chronic event that is intermittent
C)A chronic event that is consistent and ongoing
D)An acute event that will resolve
Q3) Which assessment findings indicate to the nurse that a client is experiencing stress?
Select all that apply.
A)Chewing on a fingernail
B)Checking cellular phone
C)Reading a magazine
D)Talking with others
E)Tapping foot
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33
Chapter 32: Trauma
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A nurse is developing a plan of care for a client diagnosed with posttraumatic stress disorder (PTSD)who was admitted to the hospital for suicidal ideations and sleep disturbance due to frequent nightmares. Which is the priority nursing diagnosis for this client?
A)Disturbed Sleep Pattern
B)Post-Trauma Syndrome
C)Risk for Other-Directed Violence
D)Risk for Self-Directed Violence
Q2) The nurse is assessing two clients: a 23-year-old man who recently returned from overseas deployment with the military and a 68-year-old man who served in the military during the Vietnam War. Both clients have been diagnosed with posttraumatic stress disorder (PTSD). Which statement did the nurse likely record from the 68-year-old man?
A)"I startle at every sudden noise I hear, whether it is loud or quiet."
B)"I haven't had much of an appetite lately, and I keep forgetting important things."
C)"I just want to go out and hit someone."
D)"I feel so guilty that I came home and three of my good buddies didn't."
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Page 34
Chapter 33: The Concept of Reproduction
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72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/45864
Sample Questions
Q1) The nurse is providing care to a client whose last menstrual period was 6 weeks ago. The client believes she is pregnant. Which diagnostic test does the nurse anticipate in order to confirm the pregnancy?
A)Serum or urine human chorionic gonadotropin (hCG)
B)Fetal heartbeat by Doppler
C)Fetal heartbeat by fetoscope
D)Fetal movement
Q2) The nurse is providing care to the client during the second stage of labor. Which nursing action is appropriate?
A)Assessing maternal temperature every 1-2 hours after amniotic membranes have ruptured
B)Encouraging the client to void every 1-2 hours
C)Assessing fetal heart rate every 5 minutes
D)Administering antibiotics for a positive group beta strep
Q3) A premature newborn's neuronal immaturity may contribute to what complication?
A)Apnea of prematurity
B)Patent ductus arteriosus
C)Respiratory distress syndrome
D)Anemia of prematurity
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Page 35
Chapter 34: Assessment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/45865
Sample Questions
Q1) A client is complaining of pain in the lower-left quadrant of his abdomen. The nurse prepares to auscultate the lower abdomen and notes that the client has a great deal of hair there. Which action by the nurse is appropriate prior to auscultating the client's abdomen?
A)Moistening the abdominal hair
B)Documenting that the client has hirsutism
C)Cutting the client's hair over the entire abdomen
D)Discontinuing the use of auscultation and palpating the abdomen only
Q2) The nurse is preparing to assess a client who is experiencing difficulty breathing. Before palpating the client's abdomen, which nursing action is appropriate?
A)Administering 10 L of oxygen to the client
B)Having the client remain upright
C)Placing the client in a modified Sims position
D)Asking the client to bend over a table
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Chapter 35: Caring Interventions
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/45866
Sample Questions
Q1) A hospital is preparing for the American Nurses' Credentialing Center's magnet hospital designation process. Nurse representatives on the Magnet Council consider several Professional Practice Models (PPMs)as their approach to nursing care. After selecting a PPM model, members of the Council plan a series of nursing grand rounds. These focus on the six Cs of caring in nursing: compassion, competence, confidence, conscience, commitment, and comportment. What particular nursing theory, philosophical approach, or framework of caring have the nurses decided to adopt?
A)Watson's Theory of Human Care
B)Leininger's Theory of Culture Care Diversity and Universality
C)Roach's Theory of Caring as the Human Mode of Being
D)Boykin and Schoenhofer's Nursing as Caring Theory
Q2) The nurse is caring for an older adult client who visits the clinic semiannually to help maintain quality of life. When providing caring interactions to this client, what intervention should the nurse avoid?
A)Self-care
B)Assessment for mental health problems
C)Referral to a geriatrician
D)Use of elderspeak
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Chapter 36: Clinical Decision Making
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/45867
Sample Questions
Q1) The nurse is preparing to provide care to a group of clients. On which specific areas should the nurse focus in order to prioritize the clients' care needs? Select all that apply.
A)Asking if any clients have complex issues
B)Noting number of licensed staff assigned for the shift
C)Noting time when the attending physicians make rounds
D)Identifying clients with specific medication times
E)Noting which clients have particular safety needs
Q2) The nurse is selected to participate on a committee to write clinical pathways for a specific set of medical diagnoses. Which are advantages of using this approach when providing client care? Select all that apply.
A)Link nursing diagnoses with specific assessment data
B)Sequence the care that is to be given on a particular day
C)Identify interventions, time frames, and expected outcomes
D)List medical treatments to be performed by other providers
E)Provide specific columns for diagnosis, interventions, and evaluation
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Chapter 37: Collaboration
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/45868
Sample Questions
Q1) A home health nurse is planning care for an adult client who is being discharged from the hospital after experiencing complications of diabetes mellitus. The client requires an extensive dressing change twice per day, help with activities of daily living, and comprehensive education. To ensure these needs are met, the nurse is coordinating home visits from aides and therapists. Which role is the nurse assuming by coordinating this client's care?
A)Health educator
B)Case manager
C)Client advocate
D)Health promoter
Q2) The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as long as possible. In order for the client to meet this goal, what should the nurse prepare to do?
A)Teach the client about nutrition and joint exercises.
B)Ask the client about the reasons for this goal.
C)Tell the client that activity limitations are inevitable with rheumatoid arthritis.
D)Provide referrals to other professionals who can help the client meet this goal.
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Chapter 38: Communication
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54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/45869
Sample Questions
Q1) A nurse is providing teaching for an inpatient support group meeting. Which group behavior indicates that the teaching was effective?
A)The group members appear relaxed and interested in the topic.
B)The group members are tentative in expressing their feelings.
C)The group avoids discussion about their signs and symptoms.
D)The group members appear self-conscious when asked questions about their condition.
Q2) The nurse is caring for a client who received analgesic medication via central line to treat pain associated with cancer. After reassessing the client's response, which section of the PIE record will the nurse use when documenting the client's care?
A)Evaluation
B)Progress notes
C)Problem
D)Intervention
Q3) What is the first phase in the therapeutic nurse-client relationship?
A)Introductory phase
B)Working phase
C)Preinteraction phase
D)Anticipatory phase
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Page 40
Chapter 39: Managing Care
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/45870
Sample Questions
Q1) The nursing supervisor is asked to help manage the switch from paper to electronic records. Which standard managerial steps will the nursing supervisor take to initiate this process? Select all that apply.
A)Planning
B)Experimenting
C)Organizing
D)Criticizing
E)Synthesizing
Q2) The nurse is working on a unit with unlicensed assistive personnel (UAP). One nurse refuses to use the UAP and is consistently leaving nursing tasks for the next shift that have yet to be completed. Which is the most likely reason the nurse is not using the UAP to assist with client care?
A)Avoidance of responsibility
B)Overdependence on others
C)The belief that no one else can perform a task as well as the nurse can
D)The state nurse practice act
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Chapter 40: Professional Behaviors
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/45871
Sample Questions
Q1) Which behaviors by a new nurse are likely to reduce stress and burnout? Select all that apply.
A)Meditate or take a long soak in a tub.
B)Join a local aerobics class.
C)Participate in a professional organization.
D)Refuse to acknowledge personal limitations.
E)Don't accept failure; try, try, and try again.
Q2) A nurse overhears two colleagues disparaging a client on a public elevator. Which action by the nurse is most appropriate?
A)Immediately ask the nurses to stop talking about clients in public.
B)Report the nurses' behavior to the unit manager.
C)Wait and speak to the nurses about their behavior in a private place.
D)Report the nurses' behavior to the hospital's risk manager.
Q3) Which action by a student nurse is most consistent with commitment to the nursing profession?
A)The student calls in sick for clinicals in order to study for a class exam.
B)The student declines to observe a new procedure for giving a necessary bath.
C)The student misses class to attend a political rally.
D)The student calls in sick for clinicals because of a respiratory infection.
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Page 42
Chapter 41: Teaching and Learning
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A community health nurse runs a clinic that provides health screening mainly to Mexican American and Filipino American clients. The nurse wants to have a class on smoking cessation for interested adults of this group. What action should the nurse take to adjust to their time orientation?
A)Organize the instructions around short-term objectives.
B)Mail letters ahead of time to make sure clients are informed about the upcoming class.
C)Make posters and place them in areas of the community frequented by these groups. D)Make sure that the classes are held at specific times.
Q2) A nurse conducted a safety class for a group of older adult clients in the community on fall prevention. During a follow-up visit in the home of one of these clients, the nurse sees a number of fall hazards she identified during her class. What should the nurse document regarding the learning outcome for this client?
A)The client might not have heard necessary information during the class.
B)The client did not understand the teaching given in the class.
C)The client understood the teaching given in the class but chose to ignore it.
D)The client did not comply with the teaching given in the class.
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Page 43
Chapter 42: Accountability
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/45873
Sample Questions
Q1) How does accountability differ from responsibility?
A)Responsibility involves specific tasks that must be completed in order to fulfill a role, whereas accountability involves being answerable for the outcomes of those tasks.
B)Accountability involves specific tasks that must be completed in order to fulfill a role, whereas responsibility involves being answerable for the outcomes of those tasks.
C)Responsibility involves the professional standards used to determine what a nurse should or should not do, whereas accountability involves taking ownership of the actions of others.
D)Accountability involves the professional standards used to determine what a nurse should or should not do, whereas responsibility involves taking ownership of the actions of others.
Q2) ________ establishes and maintains the social, political, and economic arrangements that give professionals the means to control their professional affairs.
A)Autonomy
B)Governance
C)Socialization
D)Accountability
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44
Chapter 43: Advocacy
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Sample Questions
Q1) The nurse is caring for a client on a mental health unit who is yelling at other clients and some of the staff. Which verbal intervention by the nurse is most consistent with the concept of advocacy?
A)"You should be ashamed of your behavior. No wonder you ended up on a mental health unit."
B)"You seem upset. Can you tell me what you think might help to calm you down?"
C)"You need to behave. If this doesn't stop you are going to be placed in restraints."
D)"You are out of control. You have no choice but to take more medication."
Q2) The nurse is working in a community health setting. Which of the following should the nurse identify as a threat to environmental quality?
A)Many residences appear to be vulnerable to intrusion, with open garage doors or ground-floor windows.
B)Children in many neighborhoods are playing in the street with no adult supervision.
C)Many people walking their pets do not clean up their pets' waste.
D)On many residential streets, cars are parked in a way that blocks traffic and creates potential driving hazards.
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Chapter 44: Ethics
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Source URL: https://quizplus.com/quiz/45875
Sample Questions
Q1) The nurse is caring for a 22-year-old client with Down syndrome. Because the client has an intellectual disability, he is under the legal care of his parents. The client needs medical treatment for aspiration pneumonia, but the parents are declining care because they have heard that aspiration pneumonia is often fatal in clients with chronic health conditions. In addition to ethics and advocacy, what other nursing concept must the nurse factor into care decisions made in this case?
A)Informatics
B)Development
C)Mood and Affect
D)Spirituality
Q2) The nurse performing an admission assessment on a client must inform the client of client rights and responsibilities. Which client rights are considered standard by many healthcare agencies? Select all that apply.
A)You have a right to be informed about the care you receive.
B)You have the right to safe care.
C)You have the right to be treated with courtesy and respect.
D)You have the right to be listened to.
E)You have the right to be appointed a personal advocate by the healthcare provider.
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Chapter 45: Evidence-Based Practice
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Source URL: https://quizplus.com/quiz/45876
Sample Questions
Q1) The nurse is caring for a client with a chronic disease process. The client tells the nurse he recently read an article about funding for the National Institute of Nursing Research (NINR). He then asks the nurse why the U.S. Congress would fund such an organization. Which response by the nurse is most appropriate?
A)"The government is looking to the NINR for information about promoting health."
B)"Funding the NINR is one cause of health cost increases in the country."
C)"The government is interested in preventing chronic disease."
D)"Nursing research is focused on prevention and health promotion, which will decrease healthcare costs."
Q2) A nursing student who is providing care for an assigned client knows that the information documented in the client's nursing care plan could potentially be used in research to optimize client care. Which type of research is used to convert research knowledge into healthcare applications for improved outcomes?
A)Translational research
B)Transformational research
C)Quantitative research
D)Qualitative research
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Chapter 46: Healthcare Systems
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34 Flashcards
Source URL: https://quizplus.com/quiz/45877
Sample Questions
Q1) Why should job seekers in the healthcare sector pay attention to advances in healthcare technology?
A)Advances in technology require specialized personnel.
B)Advances in technology involve policies and strategies at the organizational level.
C)Changing demographics increase the need for new jobs.
D)Technology plays a role in health literacy.
Q2) A railway accident causes the release of a dangerous chemical compound into the atmosphere. The nurse providing rapid triage and emergency treatment for clients in an effort to stabilize them knows that which is the primary purpose of the warm zone in this incident?
A)Decontamination
B)Rapid triage
C)Reverse triage
D)Emergency medical treatment
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Chapter 47: Health Policy
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Sample Questions
Q1) What action can a nursing student take to comply with nurse practice acts and remain accountable for knowing the legal nursing scope of practice in their state?
A)Become engaged in organizational quality improvement projects.
B)Obtain current licensure.
C)Join the American Nurses Association (ANA).
D)Become accredited.
Q2) A local health system implemented a number of health promotion policies and plans to prioritize health problems. The system must now evaluate the effectiveness of the interventions. Which groups are stakeholders in this initiative and would be involved in the evaluation process?
A)Only consumers who were directly affected by the services provided
B)Consumers, community leaders, and politicians
C)Only hospital and clinic personnel who administered healthcare needs
D)Healthcare providers employed by other health systems
Q3) Which organization promotes excellence in all levels of nursing education?
A)National League for Nursing (NLN)
B)National Student Nurses Association (NSNA)
C)American Nurses Association (ANA)
D)American Association of Colleges of Nursing (AACN)
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Page 49
Chapter 48: Informatics
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Source URL: https://quizplus.com/quiz/45879
Sample Questions
Q1) The nurse is facing a problem with a long-term care client that is different from anything encountered by the nurse in the past. What nursing action is appropriate prior to taking the problem to the research committee?
A)Perform a review of the literature.
B)Ask the client's family if this is a recurring issue.
C)Bring the problem up for discussion in the next staff meeting.
D)Ask the physician for assistance.
Q2) A client diagnosed with cancer is receiving care through a facility that is 100 miles from the client's home. After the nurse explains how telehealth will be used to enhance this client's care, which client statements indicate that teaching about telehealth has been effective? Select all that apply.
A)"I will have to move closer to the provider."
B)"My health record can stay where I am."
C)"I can participate in the videoconference."
D)"I will have to change doctors."
E)"This will help lower some costs of care."
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Chapter 49: Legal Issues
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36 Flashcards
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Sample Questions
Q1) Which statement exemplifies the ultimate accountability of nursing students for their actions?
A)"State regulatory bodies have the ultimate responsibility for my actions."
B)"The client's perception of the care I give determines the correctness of my actions."
C)"I am responsible for my own actions, correct or incorrect."
D)"No one may judge my actions as correct or incorrect other than me."
Q2) A client who sustained a traumatic brain injury several weeks ago is in a chronic vegetative state and is no longer competent to make healthcare decisions. Who should the nurse expect to make care decisions for this client?
A)The physician
B)The client's spouse
C)Social services
D)The agent named in the durable power of attorney
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Chapter 50: Quality Improvement
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Sample Questions
Q1) Which best describes the desired outcome of decreased readmission rates?
A)An increased use of overtime
B)A decrease in client satisfaction
C)An increase in client care supplies
D)A decreased cost of care
Q2) Which statement correctly describes quality management?
A)Quality management compares nursing processes to accepted standards to prevent errors in treatment.
B)Quality management refers to systematic actions that lead to improvements in healthcare services.
C)Quality management is the degree to which health services increase the likelihood of desired health outcomes.
D)Quality management provides clients with appropriate service in a technically competent manner.
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Chapter 51: Safety
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Sample Questions
Q1) When a nurse performs or observes nursing practices that are not safe, the nurse has a responsibility to report those actions. This principle ties the concept of safety to what other nursing concept?
A)Accountability
B)Advocacy
C)Assessment
D)Clinical Decision Making
Q2) A complaint about unsafe working conditions should be reported to which agency?
A)Occupational Safety and Health Administration
B)National Institute for Occupational Safety and Health
C)State board of nursing
D)American Nurses Association
Q3) Reducing the risk of functional decline in older adults can help prevent which complication?
A)Pressure ulcers
B)Macular degeneration
C)Hyperglycemia
D)Hearing loss
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Chapter 52: Assessment
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Sample Questions
Q1) The nurse is observing the UAP taking the temperature of an unconscious client. Which route will the nurse question the UAP using?
A)Oral
B)Rectal
C)Scanner
D)Tympanic
Q2) The nurse is changing a 2-month-old client's diaper and notes the client feels warm to touch. Which is the best method for checking this baby's temperature?
A)Oral
B)Rectal
C)Axillary
D)Tympanic membrane
Q3) Which would cause an erroneously low blood pressure during a general assessment for an adult client?
A)Bladder to cuff ratio too wide
B)Arm unsupported
C)Cuff wrapped too loosely
D)Arm below heart level
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54
Chapter 53: Caring Interventions
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Sample Questions
Q1) The nurse determines some client care tasks can be delegated to the UAP. Which task should not be delegated?
A)Performing foot care for a client with diabetes.
B)Changing an occupied bed for a client with multiple intravenous medications infusing.
C)Performing a bath for a newborn with an unhealed umbilical cord.
D)Oral care for an unconscious client.
Q2) The nurse understands that, in addition to the five client rights of medication administration, there are now more rights for safe medication administration. Which rights are the new rights for safe medication administration? Select all that apply.
A)Right documentation
B)Right dose
C)Right time
D)Right route
E)Right reason
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Chapter 54: Comfort
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Sample Questions
Q1) The nurse is caring for a client in acute pain and plans to use a pain scale tool for assessment. What is the major advantage in using this tool?
A)It allows organization in the assessment process.
B)It works with the same efficacy among the entire population.
C)It allows for variation among various cultures.
D)It can always be performed quickly.
Q2) The nurse cares for a client who wants to try biofeedback for relief of chronic pain. What advantages to this therapy does the nurse recognize? Select all that apply.
A)Increases circulation and endorphins.
B)Completely controlled by the client.
C)Rapid pain relief.
D)Redirects energy flow through pressure on meridian points.
E)Promotes stress reduction as well as pain relief.
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Chapter 55: Elimination
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Sample Questions
Q1) The home care nurse cares for a client who requires continuous ambulatory peritoneal dialysis (CAPD)at home. Place the steps in correct order for infusing the dialysate.
A)Warm the dialysate.
B)Add medications to the dialysate as ordered.
C)Connect tubing to dialysate bag.
D)Perform hand hygiene and don gloves.
E)Hang the dialysate bag above the client's shoulder and open the clamp.
Q2) When placing the client on a bedpan, which position will the nurse place the client?
A)High-Fowler's
B)Semi-Fowler's
C)Upright
D)Supine
Q3) When assessing the client's AV fistula, the nurse notes vibration at the fistula site. How should the nurse respond to this finding?
A)Contact the health care provider.
B)Ask the client how long this has occurred.
C)Determine when the fistula was placed.
D)Document the finding.
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Page 57
Chapter 56: Fluids and Electrolytes
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Sample Questions
Q1) The nurse is assisting the health care provider insert a central line for the client. During the procedure, the client reports sudden shortness of breath and the client's SpO<sub>2</sub> falls to 88% on room air. Which actions will the nurse take? Select all that apply.
A)Place the client in the left side-lying position.
B)Lower the client's head of the bed.
C)Raise the client's head of the bed.
D)Apply 100% oxygen via mask.
E)Prepare for intubation and mechanical ventilation.
Q2) A novice nurse performs care of a client's central line. Which action by the novice nurse requires intervention by the nurse preceptor?
A)Changing a clean gauze dressing that is 48 hours old.
B)Changing a clean transparent dressing that is 72 hours old.
C)Scrubbing the insertion site with antimicrobial solution for 30 seconds.
D)Placing an impregnated antimicrobial dressing on the insertion site.
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Chapter 57: Infection
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Sample Questions
Q1) The nurse needs to remove an isolation gown that slips over the head. How will the nurse remove the gown?
A)Pull the shoulders forward to loosen the Velcro at the neck.
B)Tear the gown at the neck.
C)Pull the sleeves over the hands to loosen the gown.
D)Pull the gown over the head inside out.
Q2) The nurse exits a client's room who is in isolation precautions. The nurse must remove both protective eyewear and a face mask. Place the steps in the correct order of removing the PPE.
A)Untie the upper strings of the mask.
B)Dispose of the mask.
C)Remove the protective eyewear.
D)Untie the lower strings of the mask.
Q3) The nurse caring for a client in an isolation environment decides to change the isolation mask. What is the most likely reason the nurse changes the mask?
A)The effectiveness of the mask decreased.
B)The mask became soiled by the client.
C)The mask was too uncomfortable.
D)The mas did not seal properly.
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Page 59
Chapter 58: Intracranial Regulation
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Sample Questions
Q1) The charge nurse is preparing to assign a staff member to assist the healthcare provider planning to perform a lumbar puncture on a 9-month-old infant who is irritable and has an elevated temperature. Which staff member would be the best one to assist in this procedure?
A)An RN who graduated from nursing school 6 weeks ago
B)A UAP with 9 years of experience in caring for elderly clients
C)A UAP with 2 years of experience on a pediatric unit
D)An LPN who has been licensed for 4 years but has only worked on the unit for 2 weeks
Q2) The nurse is assisting with a lumbar puncture of an infant who is irritable and feverish. The manometer indicates increased intracranial pressure and the cerebral spinal fluid appears cloudy. The nurse will institute which interventions as a result of these findings?
A)Prepare to send the infant for a CT scan to look for an area of bleeding.
B)Assess the infant's anterior fontanel for any bulging.
C)Place the child in respiratory isolation because of possible meningitis.
D)Administer an antipyretic and prepare to send the infant home.
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Chapter 59: Metabolism
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Sample Questions
Q1) The nurse is caring for a client who has just been diagnosed with diabetes mellitus. The client tells the nurse that she went to the doctor with symptoms of a urinary tract infection and ended up being admitted with diabetes mellitus. She then tells the nurse that her father had diabetes and he ended up dying with kidney failure. The client says, "It looks like that's what is going to happen to me. My kidneys are already messed up." Which is the nurse's BEST response to this client's statement?
A)"It does appear that your disease is progressing quite quickly. Do you have anyone in your family who would donate a kidney for you?"
B)"I wouldn't worry about that right now. Your first job is to get used to having diabetes."
C)"Have you had any other symptoms of kidney failure such as edema or high blood pressure?"
D)"Your current infection was caused by the diabetes, but watching your blood sugar in the future will help prevent complications."
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Chapter 60: Mobility
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Sample Questions
Q1) The nurse has completed discharge teaching about range-of-motion exercises with an elderly client that are to be completed at home. The nurse explains that these exercises are important to complete for what reason?
A)ROM exercises will help the client maintain necessary muscle mass.
B)ROM exercises prevent the elderly client from becoming depressed.
C)ROM exercises increase the elderly client's dependent behaviors.
D)ROM exercises causes an elderly client to use proper body mechanics.
Q2) The nurse has asked the unlicensed assistive person (UAP)to provide personal care to the client who is in skin traction and will ensure that UAP knows to place the client in what position?
A)Semi-Fowler
B)Low-Fowler
C)Lateral
D)Supine
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Chapter 61: Nutrition
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Sample Questions
Q1) The nurse is caring for a client receiving enteral nutrition through a syringe. Midway through the feeding, the client complains of gas pains. Which is the nurse's best action at this time?
A)Contact the healthcare provider.
B)Clamp the tubing going to the client for a short time to see if symptoms are relieved.
C)Stop the feeding and remove the nasogastric tube.
D)Continue the feeding while reassuring the client that this is a common issue related to enteral feedings.
Q2) The nurse is completing an admission assessment of a bedridden client and will use which technique to measure the height of this client?
A)Place the client in a bed sling and use a tape measure to measure the client's length.
B)Ask the client to fully extend both arms out to the sides of the body and measure the arm span.
C)Assist the client to a sitting position and measure the length of the client's spine and double the number.
D)Using a tape measure, measure around the client's fist and multiply by 5.
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Chapter 62: Oxygenation
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Sample Questions
Q1) The nurse is observing a new mother use a bulb syringe to suction her newborn's nose and mouth and should provide further instruction if the mother performs which action?
A)The mother begins the procedure by suctioning the infant's nose.
B)The mother deflates the bulb before placing the tip of the bulb syringe in the infant's nose.
C)The mother releases the bulb and removes the bulb syringe from the infant's nose.
D)The mother washes the bulb syringe with soap and water and then allows it to air dry.
Q2) The nurse is caring for a 4-year-old postoperative client who has been unable to understand the use of the incentive spirometer. The nurse should choose which activity that will assist the child to perform the same action as the spirometer?
A)Blowing out candles
B)Sucking on a straw
C)Filling up a balloon
D)Using bubbles
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64
Chapter 63: Perfusion
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Sample Questions
Q1) The nurse is providing care to a client with an arrhythmia. For which arrhythmia will the nurse administer prescribed digoxin?
A)Atrial fibrillation
B)Atrial flutter
C)Premature ventricular contractions
D)Sinus bradycardia
Q2) How will the nurse know that the electrodes have been placed properly?
A)Lights on the box come on when electrodes are placed properly.
B)Follow the picture on the box for proper placement of electrodes.
C)Call the base station to run an ECG strip to check the signal of transmission.
D)Electrodes are placed correctly unless notified by the monitoring station.
Q3) A nurse is providing care to a client on complete bed rest. Which is the best explanation by the nurse as to the function of sequential compression devices?
A)"Inflatable compartments compress legs in a graduated sequential fashion."
B)"An air compressor fills an inflatable sleeve, then allows the air to drain out of the sleeve."
C)"Proper measurement will provide adequate pressure on the legs to facilitate venous return."
D)"The function is to promote circulation in the upper legs."
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Page 65
Chapter 64: Perioperative Care
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Q1) The nurse is caring for an older adult client who is being prepared for abdominal surgery. During the preoperative assessment, the nurse notes that the client has a nonproductive cough but all lung sounds appear normal. With regard to this finding, which preoperative teaching will take priority with this client?
A)Postoperative nutrition
B)Pursed-lip breathing
C)Use of incentive spirometer
D)Bed leg exercises
Q2) The nurse is preparing four older adult patients for surgery and knows that which client is at highest risk for postoperative pressure wound development?
A)The client who regularly attends the local senior center for socialization and meals and takes diphenhydramine (Benadryl)at night for sleep
B)The client who walks one mile every other day and takes ibuprofen twice a day for arthritis in his knees
C)The client who babysits every day and takes prednisone daily for allergies
D)The client who drives a bus every week and takes fluoxetine (Prozac)for anxiety
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66
Chapter 65: Reproduction
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Q1) The nurse is discussing anticipated weight gain with a client who has a BMI of 32. Which statement by the client indicates understanding of the topic?
A)"I know that because I am overweight that my baby already has access to sufficient nutrients and I should attempt to keep my weight stable through the pregnancy."
B)"No matter what you weigh when you are pregnant, you should attempt to gain 25 to 30 lb so that my baby will be born healthy."
C)"I will need to watch what I eat and make sure that I am eating a nutritious diet and I will try and limit by weight gain to less than 20 lb."
D)"I will limit what I eat while I am pregnant so I can begin to lose weight and to ensure that my baby is not born fat."
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Chapter 66: Safety
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Q1) The nurse is assessing an older adult client who has come to the emergency department with a possible urinary tract infection. Which would alert the nurse that this client has been abused?
A)The right knee has a large bruise.
B)The underwear smells of urine.
C)There are bilateral contusions above the elbows.
D)There are small lacerations on the forehead.
Q2) The nurse is discussing safety precautions at home with the parents of an 8-year-old child diagnosed with a seizure disorder. Which play activity would the nurse recommend to this family?
A)Sitting quietly reading a book
B)Swimming at the beach
C)Riding a bicycle
D)Participating on a robotic team
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68
Chapter 67: Tissue Integrity
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Q1) Place the steps for changing a sterile surgical dressing in the appropriate order.
A)Apply clean gloves and remove the old dressing.
B)Apply sterile gloves.
C)Create a sterile field.
D)Assess the incision area for erythema, edema, or drainage.
E)Replace sterile dressing.
F)Clean the incision using sterile saline.
Q2) The nurse is preparing to change the dressing of a client who had abdominal surgery 3 days ago. The nurse notes that the incision has purulent drainage and appears very puffy. The client states that the pain level has increased from a 3 to a 7 in the last 24 hours. Which is the nurse's next action in regard to this client's wound?
A)Clean the wound, place a new dressing, and plan to recheck the incision in 4 hours.
B)Contact the client's surgeon after obtaining the client's vital signs.
C)Recognize that this is an expected outcome for a client on the third day after surgery.
D)Culture the wound drainage and redress the wound.
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