Medical-Surgical Nursing Fundamentals
Exam Preparation Guide
Course Introduction
Medical-Surgical Nursing Fundamentals introduces students to the core principles and practices of nursing care for adult patients experiencing a range of medical and surgical conditions. This course covers essential topics such as patient assessment, clinical decision-making, evidence-based interventions, and the management of common acute and chronic illnesses. Emphasis is placed on the development of critical thinking, effective communication, and collaboration within interdisciplinary healthcare teams. Students also learn foundational skills in infection control, medication administration, perioperative care, and patient education, preparing them to deliver safe, holistic, and patient-centered care across diverse clinical settings.
Recommended Textbook Essentials for Nursing Practice 8th Edition by Potter
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39 Chapters
1000 Verified Questions
1000 Flashcards
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Chapter 1: The Nursing Profession
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7466
Sample Questions
Q1) A nurse must follow legal laws that protect public health,safety,and welfare.Which law is the nurse following?
A) Code of Ethics
B) Nurse Practice Act
C) Standards of practice
D) Quality and safety education for nurses
Answer: B
Q2) A nurse uses effective strategies to communicate and handle conflict with nurses and other health care professionals.Which Quality and Safety Education for Nurses (QSEN)competency is the nurse demonstrating?
A) Informatics
B) Quality improvement
C) Teamwork and collaboration
D) Evidence-based practice
Answer: C
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3
Chapter 2: Health and Wellness
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A nurse is teaching the staff about the stages of change.Which information should the nurse include in the teaching session?
A) Precontemplation, contemplation, preparation, action, maintenance
B) Contemplation, preparation, action, maintenance, postmaintenance
C) Contemplation, procrastination, preparation, action, maintenance
D) Precontemplation, contemplation, preparation, action, engagement
Answer: A
Q2) A nurse is assessing a patient's risk factors for heart disease and finds that the patient has several risk factors.How should the nurse interpret this finding?
A) The patient needs surgery for heart disease.
B) The patient has a genetic disease.
C) The patient will develop the disease.
D) The patient has an increased chance to develop the disease.
Answer: D
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Chapter 3: The Health Care Delivery System
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A patient states that he or she cannot afford health care insurance for the family because of a low income.What is the best form of insurance available for this patient?
A) Medicaid
B) Medicare
C) Private insurance
D) A managed care organization
Answer: A
Q2) A 74-year-old patient was admitted to the hospital with diabetic ketoacidosis.How will the hospital be reimbursed by Medicare?
A) Based upon the diagnostic-related group
B) Based upon the cost of care
C) Based upon the actual length of stay
D) Based upon the number of medications
Answer: A
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Chapter 4: Community-Based Nursing Practice
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Upon assessment the nurse finds the following: a 46-year-old immigrant patient from the Czech Republic has diabetes and hypertension and just recently moved in to live with a family member who must travel frequently.The patient speaks English very well.The community health nurse knows that this patient may be vulnerable because of which assessment finding?
A) Age
B) Immigration status
C) Diabetes
D) Language
Q2) A nurse wants to use the most important competency in community nursing.Which competency should the nurse use?
A) Caregiver
B) Case manager
C) Educator
D) Epidemiologist
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Chapter 5: Legal Principles in Nursing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) As part of the admission process the nurse asks if the patient has an advance directive.The patient doesn't know for sure.What is the nurse's best response?
A) It is autopsy permission.
B) It is a living will.
C) It is informed consent.
D) It is an organ donation card.
Q2) A patient falls out of bed because the nurse did not raise the side rails.Which action did the nurse commit?
A) Felony
B) Assault
C) Battery
D) Negligence
Q3) A nurse wants to follow nursing standards of care.Which document should the nurse follow?
A) World Health Organization guidelines
B) National League for Nursing brochure
C) Health care facility's written procedure manual
D) Department of Health and Human Services guidelines
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Chapter 6: Ethics
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Sample Questions
Q1) A patient is about to undergo a new,controversial bone marrow transplant procedure.The procedure may cause periods of pain and suffering.Although nurses agree to do no harm,this procedure may be necessary to promote health.This is an example of which ethnical principle?
A) Autonomy
B) Justice
C) Fidelity
D) Nonmaleficence
Q2) Although a registered nurse has been working for several years as a staff nurse on an adult oncology unit,the nurse recently transferred to a pediatric unit in the hospital.The nurse will be in orientation for several days to learn about the different systems and will need to demonstrate proficiency in various pediatric areas such as medication administration.Which behavior is the nurse demonstrating?
A) Competency
B) Judgment
C) Advocacy
D) Utilitarianism
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Chapter 7: Evidence-Based Practice
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A student nurse is looking for research articles that can be used to complete a research paper.Where can the nursing student look to quickly find out if an article is research or clinically based?
A) p value
B) Abstract
C) Analysis
D) Literature review
Q2) At a health care organization,patients are turned every 2 hours to help prevent pressure ulcers.Because of this nursing intervention,patients exhibit far fewer pressure ulcers than the national average.Which term should the nurse use to describe this finding?
A) Sentinel event
B) Qualitative research
C) Manuscript narrative
D) Nursing-sensitive outcome
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9
Chapter 8: Critical Thinking
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26 Flashcards
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Sample Questions
Q1) A student nurse in the last semester of nursing school found that keeping a journal of clinical experiences helped the student nurse understand why certain actions were taken and to evaluate whether there was a better way of approaching the task.The student nurse has found that this has helped strengthen critical thinking skills.Which skill for developing critical thinking did the student nurse use?
A) Professional standards
B) Nursing process
C) Concept mapping
D) Purposeful reflection
Q2) Which patient situation indicates the nurse used fairness?
A) The nurse used original thinking to find solutions outside the standard routine.
B) The nurse asked "why" the interventions were used to help the patient.
C) The nurse did not allow personal attitudes to influence delivery of care.
D) The nurse followed the "six rights" when giving medication to a patient.
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10
Chapter 9: Nursing Process
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is beginning an assessment of a newly admitted patient.What are some recommended comprehensive assessment approaches the nurses can use? (Select all that apply.)
A) Functional Health Patterns
B) Nursing Diagnosis
C) Problem-Focused Approach
D) Nursing Intervention Classification
E) Nursing Outcome Classification
Q2) A patient with bilateral pneumonia is admitted to the intensive care unit.The nurse who initially prepared the plan of care identified that the patient had the collaborative problem of Potential complications: hypoxemia.What made the nurse classify this as a collaborative problem?
A) It requires ensuring adequate hydration.
B) It requires monitoring for signs of acid-base imbalance.
C) It requires evaluating the effects of positioning on oxygenation.
D) It requires both nursing and physician-prescribed interventions.
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11
Chapter 10: Informatics and Documentation
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Sample Questions
Q1) After a nurse receives a medication telephone order for a patient,what is the proper action?
A) Withholding the medication until the physician or health care provider signs the order
B) Verifying the physician's or health care provider's order with the pharmacy
C) Reading it back to the person who gave the order
D) Clarifying the new medication order with another registered nurse
Q2) A nurse is frustrated about the lack of staffing for the shift.When one of the patients fell and broke a hip,the nurse documented the incident in the patient's chart.Which entry is the best way that the nurse should document what happened?
A) "Patient stated that fell while going to the bathroom. Physician notified."
B) "Nobody available to answer call bell; patient got up on own and fell."
C) "Patient fell because of unsafe staffing levels on unit."
D) "Patient waited as long as possible but nobody there to help and fell."
Q3) A nurse is preparing a discharge summary.Which item should the nurse include?
A) Provision for follow-up care
B) Patient status at admission
C) Standardized nursing care plan
D) Detailed description of nursing procedures
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12
Chapter 11: Communication
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25 Verified Questions
25 Flashcards
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Sample
Questions
Q1) A nurse is assisting in the admission of a patient to the orthopedic unit of the hospital and is obtaining information for the database.Which technique is the best way for the nurse to obtain information from the patient?
A) Ask personal questions so as to show interest.
B) Use medical vocabulary to appear competent.
C) Ask why the patient waited so long to get treatment.
D) Use silence while the patient collects his or her thoughts.
Q2) A nurse forms a contract with the patient to specify roles during a therapeutic helping relationship.The nurse is in which phase of the therapeutic relationship?
A) Working
B) Termination
C) Pre-interaction
D) Orientation
Q3) Which technique by the nurse will facilitate communication with an older adult?
A) Have the TV play lightly in the background.
B) Ask several questions in a row.
C) Allow reminiscing.
D) Use long sentences.
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Chapter 12: Patient Education
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24 Flashcards
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Sample Questions
Q1) A 75-year-old patient who is being discharged home after a stroke has no use of the right hand.Which teaching strategy is best for the nurse to use for this patient?
A) Provide all the teaching at once, immediately before going home so the patient will remember it.
B) Teach the patient with the aid of a computer to demonstrate that the discharge instructions are on the hospital webpage.
C) Teach the patient using generic patient discharge information about strokes.
D) Provide information based on the patient's needs in frequent sessions.
Q2) A patient was recently diagnosed with heart failure.The health care provider has ordered a low-sodium diet.A nurse is planning patient education for diet instruction.Which information should the nurse present first?
A) How much daily intake of sodium is recommended
B) How to read food labels at the grocery store
C) How to understand the metric system of measurement
D) How to cook different meals with low-sodium foods
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14
Chapter 13: Managing Patient Care
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A registered nurse requests that a nursing assistant give a patient a bath in the morning because the patient is going to surgery.As the nurse prepares the patient for surgery,the nurse notes that the patient has not received the bath,and it is too late to give one because surgery is calling for the patient.The nurse needs to give feedback to the nursing assistant.Where would be the most appropriate place for the nurse to provide the nursing assistant this feedback?
A) In the hallway
B) At the nurse's station
C) In the patient's room
D) In a private conference room
Q2) A nurse must give feedback to a nursing assistant that did not take vital signs.How should the nurse give feedback?
A) "How can I trust you when things don't get done like I asked?"
B) "You are a bad assistant because you didn't do your tasks."
C) "The vital signs were not taken. What happened?"
D) "Where did you learn to take vital signs?"
Q3) Communicate with patients,families,communities and other health care professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and treatment of disease.
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Page 15
Chapter 14: Infection Prevention and Control
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) An emergency department nurse is caring for a patient with a laceration on the lower leg that has become infected.On assessment the nurse realizes that a sign of an inflammatory response consists of:
A) wound blanching.
B) coolness at the site of injury.
C) a vascular reaction that delivers fluid, blood, and nutrients to the area.
D) decreased pain sensation.
Q2) The student nurse caring for a postsurgical patient who has developed a health care-acquired wound infection that has become systemic.Which of the following should be the student nurse's top priority?
A) Providing emotional support
B) Managing vital signs
C) Providing patient education
D) Providing personal hygiene
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Chapter 15: Vital Signs
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A man has been admitted to the hospital with lethargy.He was placed on the telemetry unit and is being continuously monitored.He is due to receive his dose of digoxin.The nurse knows that the medication is to be held if the pulse rate is less than 60 beats per minute.The nurse will use which site to assess the patient's pulse?
A) Apical
B) Radial
C) Brachial
D) Carotid
Q2) A nursing assistant asks the nurse why she needs to bathe a febrile patient.The best response is that this intervention increases heat loss through which of the following?
A) Convection
B) Radiation
C) Conduction
D) Evaporation
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Chapter 16: Health Assessment and Physical Examination
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/7481
Sample Questions
Q1) A woman went to the public health clinic with a fever that had persisted for several days.Upon palpation of the neck,a registered nurse found several large lymph nodes.What is the nurse's best response to this patient upon palpating her lymph nodes?
A) "There is no need to worry; enlarged lymph nodes are normal findings."
B) "Lymph nodes are not really significant because they really have no function."
C) "Most people have a few enlarged lymph nodes."
D) "Enlarged lymph nodes sometimes indicate an infection."
Q2) A single mother with three school-age children has recently noticed that the second child has been scratching his head and complains that it itches.She asks the school nurse to examine him.The school nurse notes that the child has head lice.Which of the following is the best description of head lice?
A) Lice are easy to see and look like little white crabs.
B) Lice are difficult to see, but their eggs are small oval particles.
C) Lice and their eggs are on the hair shafts and look like dandruff.
D) Treatment for lice can wait until the entire family can be checked.
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18
Chapter 17: Administering Medications
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) A patient has an order for a subcutaneous injection of insulin.The nurse will prepare to give this injection into which of the following tissues?
A) Into a large muscle
B) Into the connective tissue beneath the dermis
C) Into a vein using a pump
D) Between the epidermis and dermis
Q2) A(n)______ effect is a predictable and often unavoidable adverse effect produced at a usual therapeutic dose.
A) adverse
B) side
C) therapeutic
D) toxic
Q3) The nurse is preparing to administer medications to a patient.In doing so the nurse should do which of the following? (Select all that apply.)
A) Monitor medication effects.
B) Assess the patient's ability to self-administer medications.
C) Determine if the patient should receive the medication.
D) Educate the patient and family about medication administration.
E) Delegate administration to nursing assistive personnel (NAP).
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Page 19
Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A patient has recently been diagnosed with heart failure and has been put on a low sodium diet in the hospital.In addition,the patient has a fluid restriction.The nurse should suggest that half the total oral fluid allotment occur between which two times?
A) 7 AM; 7 PM
B) 3 AM; 3 PM
C) 7 AM; 3 PM
D) 3 PM; 7 AM
Q2) A 27-year-old patient has seen a health care provider at the local clinic because he has had diarrhea for the past week.The health care provider instructed the patient to drink plenty of fluids,and the nurse clarifies these instructions by advising him to avoid which item as long as he has diarrhea?
A) Ice chips
B) Pedialyte
C) Coffee
D) Tap water
Q3) Yesterday morning the patient weighed 169.4 lb (77 kg).This morning the patient weighs 171.6 lb (78 kg).The nurse determines that the patient has gained _____ liter(s)of fluid.
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Chapter 19: Caring in Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The relief of pain and suffering give a patient comfort,dignity,respect,and peace.To enhance the therapeutic environment,what should the nurse do?
A) Make the environment as noise free as possible.
B) Remove personal items so that the environment is as clinical as possible.
C) Focus on removing negative physical stimuli.
D) Make the environment a place to soothe mind, body, and spirit.
Q2) A registered nurse who works for an orthopedic unit of an acute care hospital makes hourly rounds on his patients.He also closes the door and pulls the curtains around the beds of patients in semiprivate rooms before exposing them for treatments.This is an example of which of the following behaviors?
A) Human respect
B) Encouraging manner
C) Healing environment
D) Affiliation needs
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21
Chapter 20: Cultural Awareness
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Sample Questions
Q1) Cultural competence is the ongoing process in which a health care professional continuously strives to achieve the ability to work effectively within the cultural context.To do this effectively,what must the nurse do?
A) Understand the cultural norms of the patient's community.
B) See herself or himself as being culturally competent.
C) Face the reality that cultural competence can take up to a year to achieve.
D) View herself or himself as becoming culturally competent.
Q2) The nurse is performing a cultural assessment on a patient.What does the nurse know about cultural assessments?
A) They are intrusive and time consuming.
B) They are not dependent on a trusting relationship.
C) They are rarely plagued by miscommunication.
D) They are based in similarities of behavior.
Q3) When dealing with cultural awareness,the nurse realizes that the term oppression involves which of the following?
A) Maintaining advantages based on social group membership
B) Systems that maintain disadvantages aimed purely at individuals
C) Intentional discrepancies alone
D) Issues at institutional levels independent of individual or cultural factors
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Page 22
Chapter 21: Spiritual Health
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) To assess,evaluate,and support a patient's spirituality the best action a nurse should take includes:
A) recognizing that spirituality does not enhance therapeutic relationships.
B) performing a definitive spiritual assessment once because spirituality does not vary.
C) focusing the assessment on religious doctrine and faith.
D) remembering that spirituality is very subjective.
Q2) A nurse who works in a neonatal intensive care unit is caring for a critically ill infant with a poor prognosis.She is Christian and feels responsible to care for both the physical and spiritual needs of the infant and his parents.What is the best statement for the nurse to make to the parents of the infant?
A) "You should have the child baptized so that its soul will be saved."
B) "Would you like me to call the chaplain to christen your child at the bedside?"
C) "What can I do to support your spiritual needs?"
D) "I have asked my pastor to stop by and talk to you."
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Chapter 22: Growth and Development
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A specific phase or period when the presence of a function or reasoning has its greatest effect on a specific aspect of development is referred to as:
A) Freud's psychoanalytic model of personality.
B) a critical period of development.
C) Erikson's stages of development.
D) Piaget's theory of cognitive development.
Q2) A pregnant teenager asks the clinic nurse why she cannot smoke during the first trimester.Remembering growth and development,what is the nurse's best response?
A) "Smoking is a bad habit, but it probably won't affect the baby."
B) "Smoking may affect organ systems that are beginning to develop."
C) "Smoking will only affect the baby in the third trimester."
D) "Smoking mothers usually produce overweight babies"
Q3) A 90-year-old patient constantly tells the nurse stories about life many years ago.The nurse encourages this behavior because reminiscence or life review is:
A) a technique that prepares the individual for the end of life.
B) a review of dispelling past experiences as meaningless.
C) helpful although it is unnatural in the older adult.
D) a way for the elderly to realize that conflicts cannot be reconciled.
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Chapter 23: Self-Concept and Sexuality
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The mother of a 7-year-old boy asked the nurse what factors tended to increase self-esteem in boys.Which of the following is the nurse's best response?
A) Positive family communication supporting the child's self-worth.
B) It does not really matter because self-esteem varies widely throughout life.
C) Avoid situational crises because they lead to permanent changes in self-esteem.
D) Let the child know that it is OK to be incompetent.
Q2) A nurse is caring for an adult patient who retired last year.While rendering care,the nurse identifies that the patient is struggling emotionally with this change.This situation is most likely associated with what self-concept component?
A) Role performance
B) Identity stressors
C) Self-esteem
D) Body image stressors
Q3) Reviewing sexuality changes associated with aging is important because:
A) very few older women experience any type of sexual problems.
B) in older men, the penis does not become firm as quickly.
C) ejaculation remains the same throughout life.
D) ejaculation is quicker with aging.
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Chapter 24: Family Context in Nursing
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Sample Questions
Q1) The family is the primary social context in which health promotion and disease prevention take place.Placed in this context,it is reasonable for the nurse to assume which of the following is true?
A) The family's beliefs, values, and culture strongly influence health behaviors.
B) Families function haphazardly without creating goals.
C) Good health is always highly valued in family settings.
D) The long-term habits of one family member has no effect on the others.
Q2) The nurse is caring for a family within an impoverished community.What is it important for the nurse to understand about families?
A) They are made up of a set of interacting individuals related by blood, marriage or adoption.
B) They are comprised of a group of individuals living together who may not be related.
C) They all have one unique form independent of cultural or ethnic orientations.
D) They all have the same strengths, weaknesses, resources and challenges.
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Chapter 25: Stress and Coping
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Sample Questions
Q1) A patient telephones a crisis intervention hotline.The nurse assigned to this center assesses that the patient is experiencing a crisis.What is the most appropriate action for the nurse to take?
A) Take control of the situation and tell the patient what needs to be done.
B) Define the problem at hand and ensure that the patient is safe.
C) Ask the patient how he would like to handle the crisis and follow through.
D) Ask the patient to list all of his problems and prioritize which to deal with first.
Q2) The nurse has recently been promoted to a new management position in her hospital.She is concerned about her new responsibilities and has found that she is having difficulty sleeping at night.This is an example of what ego-defense mechanism?
A) Compensation
B) Denial
C) Conversion
D) Displacement
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Chapter 26: Loss and Grief
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Sample Questions
Q1) A parent of three children has the oldest child start school this year,and the parent cries as the child is left at kindergarten on the first day.How is the loss that the parent is experiencing best described?
A) Maturational
B) Situational
C) Actual
D) Perceived
Q2) A businessman has been diagnosed with multiple sclerosis and has poor prognosis because the disease is progressing very quickly.To help the patient maintain a sense of hope,what should the nurse do?
A) Help the patient set realistic goals.
B) Assure the patient that he will be well cared for and does not need to do anything.
C) Impress on the family the importance of limiting visiting hours to provide rest.
D) Withhold negative information about the patient's disease processes.
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Chapter 27: Exercise and Activity
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Sample Questions
Q1) The nurse is assigned to take care of a 56-year-old patient with COPD.The patient does not tolerate a supine position for sleeping.In what position should the nurse place the patient?
A) Lateral
B) Prone
C) Semi-Fowler's
D) Sims'
Q2) The patient has been diagnosed with a progressive neuromuscular disease and is having difficulty walking and has decreased awareness of the body's position.What is the term that best describes this phenomenon?
A) Balance
B) Proprioception
C) Posture
D) Hemiplegia
Q3) Which group of muscles is involved with joint stabilization?
A) Skeletal muscles
B) Antigravity muscles
C) Synergistic muscles
D) Antagonistic muscles
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Page 29
Chapter 28: Safety
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Sample Questions
Q1) A nursing student is undergoing a community health clinical rotation.One of the patients is a 53-year-old grandmother who has recently assumed custody of her daughter's two young children,ages 3 and 5 years old.Regarding the children's welfare,which of the following is most important for the nursing student to assess on this visit?
A) The patient's financial ability to care for two young children
B) The patient's knowledge of safety precautions for young children
C) The patient's emotional stability
D) The patient's feelings regarding taking on this responsibility
Q2) A toddler is ready to be discharged home after outpatient surgery.When conducting a home safety assessment the child's guardian states,"I keep the cleaning supplies under the sink for easy access,and how soon can the child resume swimming in the local pond?" Based on this statement,what is the most important safety issue for the nurse to identify?
A) Standing water in the neighborhood
B) Reasons for outbursts in behavior
C) Storage of cleaning supplies in the house
D) Child's use of safety equipment when riding or skating
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Chapter 29: Hygiene
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse who works for a pediatric clinic is preparing a 13-year-old patient with strep throat for the health care provider.Which of the following is the most important patient teaching information to prevent re-infection?
A) "Replace your toothbrush."
B) "Floss thoroughly after each meal."
C) "Store your toothbrush with a toothbrush cover."
D) "Gargle with antiseptic mouthwash."
Q2) The nursing student is caring for a patient with a hearing aid.The nursing student sees that the patient has taken out his or her hearing aid and set it on the windowsill.What should be the nursing student's next intervention?
A) Remove the battery from the hearing aid because it is not in use.
B) Cover the hearing aid with a lint-free cloth to protect it from the heat.
C) Remove the hearing aid from the windowsill because heat can change the shape of the ear mold, causing the appliance not to fit properly.
D) Remind the patient to put the hearing aid back in before meals.
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Chapter 30: Oxygenation
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Sample Questions
Q1) The assistive personnel reports that an older patient is complaining of shortness of breath and palpitations.The nurse connects the patient to an electrocardiogram monitor and analyzes the rhythm with normal P wave and normal QRS and T waves.The rate is 116 beats per minute and regular.The nurse identifies this rhythm as which of the following?
A) Sinus bradycardia
B) Ventricular tachycardia
C) Sinus tachycardia
D) Normal sinus rhythm
Q2) A 47-year-old woman with a history of diabetes and hypertension calls the clinic complaining of epigastric pain and shortness of breath with activity.She has taken antacids with no relief.What type of pain is the patient experiencing?
A) Pericardial pain
B) Pleuritic chest pain
C) Musculoskeletal pain
D) Cardiac pain
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Chapter 31: Sleep
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Sample Questions
Q1) A 45-year-old obese patient has been scheduled for cardiac bypass surgery.The nurse who is preparing the patient for surgery asks,"Do you have a history of sleep apnea?" This is important to know before surgery because patients with sleep apnea: A) are prone to snore after surgery and require a private room.
B) who receive general anesthesia have a greater risk for airway obstruction.
C) generally need additional pain medication.
D) usually require sleep aids to provide more restful sleep.
Q2) A primary health care provider prescribes eszopiclone (Lunesta)for a patient.Which classification of drug will the nurse be administering to the patient?
A) Benzodiazepine
B) Melatonin agonist
C) L-tryptophan antagonist
D) Nonbenzodiazepine, benzodiazepine receptor agonist
Q3) Which of the following bedtime snack(s)helps to promote sleep in a patient?
A) Cereal and milk
B) A full meal
C) Chips and cola
D) Coffee and toast
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Chapter 32: Pain Management
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Sample Questions
Q1) The hospice nurse is assessing the patient at home for the first time.The patient has a lot of questions regarding what the role hospice will have as the illness progresses.The patient states,"I don't want to be in pain and kept alive,but I'm not ready to die either." What is the best response that will educate the patient of the role hospice will play in his or her care?
A) Hospice will make sure you are pain free, how long you live is up to you and the doctor.
B) Hospice focuses on the quality of life, including pain management, rather than how long you will live.
C) Hospice will give you enough pain medication to keep you pain free. This is a higher priority than quality of life.
D) Hospice allows you time to get your affairs in order.
Q2) Aspirin and ibuprofen are classified as:
A) narcotics.
B) nonopioids.
C) opioids.
D) nonsteroidal antiinflammatory analgesics.
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Page 34
Chapter 33: Nutrition
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Q1) The patient was admitted with the diagnosis of a stroke.The patient experiences dysphagia and right side paralysis and needs assistance with activities of daily living (ADLs).The nurse caring for the patient has assigned the task of feeding the patient to the new nursing assistant personnel (NAP),and is concerned about aspiration.The nurse knows additional teaching is necessary when NAP states which of the following?
A) "I will remind the patient to tilt the head backward when drinking fluids."
B) "Thin fluids like water and fruit juice will need to be thickened."
C) "I need to watch for pocketing food as I feed the patient."
D) "It will take much longer to feed the patient than it did before the stroke."
Q2) A patient presents to an ambulatory care clinic reporting a lack of energy and tiredness.One of several assessments the nurse wants to make is a diet history.To perform a home diet history the nurse instructs the patient to keep a journal of which of the following?
A) All food for the last 5 days
B) Only solid food for 3 days
C) All food for 3 days, including one weekend day
D) Only solid food for 3 days, including one weekend day
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Chapter 34: Urinary Elimination
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Q1) The nurse is caring for a 45-year-old patient with a suspicious tumor in the bladder.The health care provider has ordered a procedure to identify the tumor tissue.Which test is done to collect tissue specimens?
A) Abdominal radiograph
B) Intravenous pyelogram
C) Endoscopy/cystoscopy
D) Ultrasound renal bladder
Q2) A male patient has been admitted with a fever and malaise.The health care provider has ordered a clean catch midstream specimen for urinalysis on this patient.To collect the urine specimen,the nurse should instruct the patient to do which of the following?
A) Return to bed to obtain the specimen using a straight catheter insertion.
B) Use sterile gloves to cleanse his penis and collect the specimen in a sterile cup.
C) Ask the patient to void into a cup or urine collection container.
D) Cleanse his penis, begin his stream, and then void into a sterile cup.
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Chapter 35: Bowel Elimination
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Q1) Elevating the head of the bed to the maximum allowed amount of 30 degrees for a patient in balanced suspension traction helps to promote normal elimination by which of the following?
A) Decreasing peristaltic movement
B) Promoting contraction of the thigh muscles
C) Strengthening the resistance of the internal and external sphincters
D) Exerting increased pressure on the rectum
Q2) Which of the following conditions could affect the function of the digestive process? (Select all that apply.)
A) Increase in mobility
B) Diagnostic testing
C) Increase in nutrition
D) Medications
E) Increase in fluid intake
F) Surgery
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Chapter 36: Immobility
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Q1) The nurse working with a new nursing assistive personnel (NAP),is explaining about the importance of repositioning immobile patients to prevent pressure ulcers.At a minimum,the nurse tells the NAP to reposition patients how often?
A) Every 2 hours
B) Every 3 hours
C) Every 4 hours
D) Once every shift
Q2) A patient is recovering from an abdominal aortic bypass graft.To reduce the effects of orthostatic hypotension,what is the most appropriate action for the nurse to take?
A) Encourage moving positions slowly.
B) Perform isometric exercises.
C) Decrease the number of ankle pumps.
D) Participate in chest physiotherapy.
Q3) Which patient is most at risk for developing a urinary tract infection?
A) Teenage comatose patient on a ventilator lying supine
B) Middle-age adult after abdominal surgery sitting in a chair
C) Elderly adult with Alzheimer disease who is wandering at night
D) Middle-age adult postcardiac catheterization being discharged home
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Chapter 37: Skin Integrity and Wound Care
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Sample Questions
Q1) A patient is being seen in the Emergency Department for a puncture wound on the foot.The patient was walking in a construction site,but is unsure what caused the injury.During the initial assessment the nurse determines if the patient has received a tetanus toxoid injection within which time frame?
A) Within the past year
B) Within the last 3 years
C) Within the last 5 years
D) Within the last 10 years
Q2) An elderly patient who resides in a nursing home is suffering from a respiratory infection.During the illness,the patient has become incontinent of both urine and stool.The nursing staff used a special cleanser on the perineum,put a moisture barrier on the exposed area,and used absorbent briefs to prevent the skin from becoming soft because of the moisture.What was the staff trying to prevent?
A) Maceration
B) Dehiscence
C) Evisceration
D) Debridement
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Chapter 38: Sensory Alterations
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Sample Questions
Q1) A nurse is caring for a patient who signs and lip reads.When communicating,the most appropriate nursing action is to do which of the following?
A) Rely on family members to interpret.
B) Speak louder and more distinctly than normal.
C) Sit facing the patient when speaking.
D) Repeat the entire conversation if it is not understood the first time.
Q2) The school nurse is performing periodic screening on preschool children.She is aware that the most common visual problem in childhood is which of the following?
A) Refractive errors
B) Strabismus
C) Congenital blindness
D) Color blindness
Q3) An older adult patient has been admitted to a busy medical unit.To control environmental stimuli a nurse should do which of the following?
A) Leave the hospital room lights on at all times.
B) Turn off bedside equipment not in use.
C) Leave the window curtains closed at all times.
D) Leave the door open so the patient can hear the staff and feel secure.
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Chapter 39: Surgical Patient
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Sample Questions
Q1) A 44-year-old patient with breast cancer who is scheduled to undergo a right-side mastectomy.Ideally when should preoperative teaching begin?
A) As soon as she is diagnosed with breast cancer
B) One week before surgery
C) The day before surgery
D) The day of surgery
Q2) A patient asks a nurse to explain the differences between general anesthesia and regional anesthesia.What is the correct response relating to general anesthesia?
A) "General anesthesia inhibits peripheral nerve conduction."
B) "Under general anesthesia all sensation and consciousness is lost."
C) "Under general anesthesia there is a loss of sensation in a specific area of the body."
D) "General anesthesia is routinely used for procedures that only require a decreased level of consciousness."
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