Medical-Surgical Nursing Fundamentals
Exam Review
Course Introduction
Medical-Surgical Nursing Fundamentals provides a comprehensive introduction to the essential knowledge, skills, and attitudes required for effective nursing care of adult patients experiencing a wide range of medical and surgical conditions. This course integrates foundational concepts in anatomy, physiology, pharmacology, and pathophysiology with evidence-based practices in patient assessment, clinical decision-making, and therapeutic interventions. Emphasis is placed on the nursing process, critical thinking, patient safety, communication, and interdisciplinary collaboration to support optimal patient outcomes in acute and chronic care settings. Students will also explore health promotion, risk factor modification, and patient education strategies vital to medical-surgical nursing practice.
Recommended Textbook
Fundamentals of Nursing 8th Edition by Patricia A. Potter
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50 Chapters
1445 Verified Questions
1445 Flashcards
Source URL: https://quizplus.com/study-set/1297
Page 2
Chapter 1: Nursing Today
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25750
Sample Questions
Q1) During the American Civil War,which of the following women was active in the Underground Railroad movement and assisted in leading more than 300 slaves to freedom?
A) Harriet Tubman
B) Clara Barton
C) Dorothea Dix
D) Mary Ann Ball (Mother Bickerdyke)
Answer: A
Q2) A bill has been submitted to the State House of Representatives that is designed to reduce the cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1.The nurse realizes that
A) Legislation is politics beyond the nurse's control.
B) National programs have no bearing on state politics.
C) The individual nurse can influence legislative decisions.
D) Focusing on nursing care provides the best patient benefit.
Answer: C
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3
Chapter 2: The Health Care Delivery System
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is evaluating the Falls Program instituted on the medical unit to decrease the number of falls.The number of falls has decreased in the last month.The nurse realizes that
A) The program has been successful and can be terminated.
B) Policies for the program need to be developed or evaluated further.
C) The program evaluation is a nursing-sensitive outcome that can enhance safety.
D) The program results need to be reported to the QI Committee only.
Answer: B,C
Q2) The nurse is caring for a patient who is on Medicare.Because the patient is on Medicare,the nurse is aware that
A) The hospital will be paid for the full cost of the patient's hospitalization.
B) Capitation provides the hospital with a means of recovering variable charges.
C) Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
D) Medicare will pay the national average for the patient's condition.
Answer: C
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Chapter 3: Community-Based Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The patient is being readmitted to an inner city hospital for chest pain after being discharged 3 months earlier after having a heart attack.The patient was referred to the hospital's cardiac rehabilitation program after her previous admission.The patient states that she began going to cardiac rehabilitation and liked it but stopped.When asked why,she states that,at the beginning,the classes were at 9 AM,but then got switched to 7 PM,when it's dark.The cardiac rehabilitation program was within walking distance of the patient's home.What is the most likely cause of the patient's unwillingness to go to cardiac rehabilitation?
A) Lack of transportation
B) Fear of walking at night
C) Reimbursement issues
D) Noncompliance
Answer: B
Q2) A specialist in public health nursing requires
A) The same level of education as the community health nurse.
B) Preparation at the basic entry level.
C) An advanced degree regardless of public health experience.
D) A graduate level education with a focus in public health science.
Answer: D
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Page 5
Chapter 4: Theoretical Foundations of Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse researcher is evaluating whether holding pressure at an injection site after injecting the anticoagulant enoxaparin (Lovenox)will reduce bruising at the injection site.This study involves a prescriptive theory because it
A) Tests a specific nursing intervention.
B) Explains why bruising occurs.
C) Is broad in scope and complex.
D) Reflects a wide variety of nursing care situations.
Q2) A paradigm is useful in describing the domain of a discipline.Nursing's paradigm includes which of the following?
A) Person
B) Disease
C) Health
D) Environment
E) Nursing
Q3) The nursing process is
A) The generation of nursing knowledge for use in practice.
B) A systematic view of a phenomenon specific to inquiry.
C) A method used to inform a system about how it functions.
D) A systematic process for the delivery of nursing care.
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Chapter 5: Evidence-Based Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The hospital quality improvement committee has noted that the incidence of needlestick injuries on a particular unit has increased.When faced with issues,the committee applies the PDSA model,a formal model for exploring and resolving quality concerns.Because the committee is multidisciplinary in nature,and few members are nurses,it is imperative that the committee first A) Plan.
B) Do.
C) Study.
D) Act.
Q2) The hospital policy states that when starting an intravenous (IV)catheter,the nurse must first prepare the potential IV site with alcohol and dress it using a gauze dressing.The nurse has done a literature review and believes that evidence-based practice dictates the use of a transparent dressing to prevent catheter dislodgment.What should the nurse do?
A) Begin to use transparent dressing instead of gauze dressings.
B) Bring findings to the policy and procedure committee.
C) Use transparent dressings on half of her IV starts and gauze on the other.
D) Continue following hospital policy without saying anything.
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Chapter 6: Health and Wellness
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in the drinking water of the community.In doing so,the nurse is fostering the concept of
A) Illness prevention.
B) Active health promotion.
C) Wellness education.
D) Passive health promotion.
Q2) The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath.She is placed on oxygen,has labs and blood gases drawn,and is given an electrocardiogram and breathing treatments.What level of preventive care is this patient receiving?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
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Chapter 7: Caring in Nursing Practice
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Caring is a universal phenomenon that influences the ways in which people
A) Learn.
B) Think.
C) Believe.
D) Feel.
E) Behave.
Q2) The nurse is caring for a patient who has been sullen and quiet for the past three days.Suddenly,he says,"I'm really nervous about surgery tomorrow,but I'm more worried about how it will affect my family." What should the nurse do?
A) Assure the patient that everything will be all right and continue what she/he is doing.
B) Tell the patient that whatever happens is out of his control, so he shouldn't worry.
C) Stop what he/she is doing (if possible) and ask the patient to expand on his statement.
D) Contact hospital clergy to come and talk with the patient.
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9
Chapter 8: Caring for the Cancer Survivor
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Why is cancer survivorship especially difficult for family members in the "sandwich generation"?
A) They are totally dependent on their parents who have cancer but are still the providers, and hence, "make the sandwiches."
B) They are the primary caregivers of children with cancer, and hence, "make their sandwiches."
C) They are cancer survivors who are in between ("sandwiched") treatments and require a great deal of support.
D) They are caught in the middle of caring for their own immediate family, as well as a parent with cancer.
Q2) When working with cancer survivors,the nurse must understand that cancer survivors
A) Face depression that is devastating and destroys one's sense of life.
B) Seek a balance between independence and interdependence.
C) Experience similar long-term impact regardless of cultural beliefs.
D) Are at much lower risk for developing a new cancer.
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Chapter 9: Culture and Ethnicity
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Providing culturally congruent care means providing care that
A) Fits the patient's valued life patterns and set of meanings.
B) Is based on meanings generated by predetermined criteria.
C) Is the same as the values of the professional health care system.
D) Holds one's own way of life as superior to those of others.
Q2) The nurse is caring for a member of the Jewish faith who needs to undergo a critical procedure on Saturday.The patient is refusing the procedure because it is scheduled to be done on the Sabbath.The nurse impresses on the patient the urgency of the procedure,stating that delaying the procedure would put his life at risk.The patient continues to refuse.What should the nurse do?
A) Cancel the procedure.
B) Seek permission from the patient to contact the patient's rabbi.
C) Have a family member sign the permit.
D) Have the procedure done against patient wishes.
Q3) Which statement is true relative to caring for a Hindu patient who is dying?
A) The family will turn his head eastward or to the right.
B) A close kin will stay with the patient to hear his last wishes.
C) Anointing of the sick is a common right of the dying.
D) The family will place a drop of water on the patient's lips.
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Page 11
Chapter 10: Caring for Families
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The family is a central institution in American society; however,the concept,structure,and functioning of the family unit continue to change over time.The uniqueness of each family is referred to as family
A) Durability.
B) Resiliency.
C) Diversity.
D) Forms.
Q2) When focusing on older adults,the nurse must be aware that
A) Elder abuse happens in lower socioeconomic classes only.
B) Elders have the same social networks as younger people.
C) Caregivers may be spouses or middle-age children.
D) Caregiver stress is minimal when caring for a parent.
Q3) Balancing employment and family life creates a variety of challenges in terms of child care and household work for both parents.This has major implications in health care because
A) Maternal employment has been demonstrated to be harmful for children.
B) Maternal employment has shifted the majority of household tasks to the male.
C) Fathers now participate more fully in day-to-day parenting responsibilities.
D) The number of single-parent families has decreased since 1970.
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Page 12
Chapter 11: Developmental Theories
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nursing instructor will need to provide further instruction to the student who states
A) "Intellectual development is affected by cognitive processes."
B) "Socioemotional processes can influence an individual's growth and development."
C) "Breast development is an example of a change resulting from biological processes."
D) "An individual's biological processes determine physical characteristics and do not affect growth and development."
Q2) Which of these approaches would be most appropriate for the nurse to use when teaching a 4-year-old patient about a scheduled surgery?
A) Give the parents a book to read about the procedure and do not discuss the procedure with the child to decrease anxiety.
B) Set boundaries before teaching by telling the child that she can ask only three questions because time is limited.
C) Insist that the parents wait outside the room to ensure privacy of the child.
D) Allow the child to touch and hold medical equipment such as thermometers and syringes.
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13
Chapter 12: Conception Through Adolescence
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse knows that the mother of a newborn understands associated health risks to her baby when she states
A) "I need to moisten the umbilical cord every hour during the day until the cord falls off."
B) "I need to remind anyone who wants to hold the baby to wash their hands."
C) "I need to leave the blankets off the baby to prevent smothering."
D) "I can throw away the bulb syringe now because my baby is breathing on her own."
Q2) A mother brings her child to the clinic for a 12-month well visit.The child weighed 6 pounds 2 ounces and was 21 inches long at birth.What finding indicates that the child needs further assessment?
A) Height of 30 inches
B) Weight of 16 pounds
C) The infant is not yet potty-trained.
D) The infant is not yet walking up stairs.
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Chapter 13: Young and Middle Adults
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and hot flashes.What should the nurse explain?
A) Those symptoms are normal when a woman undergoes the climacteric.
B) An assessment is not really needed because these problems are normal for older women.
C) The patient's age and symptoms point toward normal menopause.
D) The patient should stop regular exercise because that is probably causing her symptoms.
Q2) What do changing norms and values about family life in the United States reveal?
A) Basic shifts in attitudes in our society
B) Greater resistance to cohabitation without marriage
C) Decreased numbers of infants born to unmarried women
D) Greater support and acceptance from the health care system
Q3) What should the nurse recognize when comparing the physical changes in young and middle adulthood?
A) Fertility issues do not occur in young adulthood.
B) Young adults are quite active but are at risk for illness in later years.
C) Young adults tend to suffer more from severe illness.
D) Exercise is less important in young adulthood than in middle adulthood.
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Page 15
Chapter 14: Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which symptom is an expected cognitive change in the older adult patient?
A) Disorientation
B) Slower reaction time
C) Poor judgment
D) Loss of language skills
Q2) An older adult patient has developed acute confusion.The patient has been on tranquilizers for the past week.The patient's vital signs are normal.What should the nurse do?
A) Take into account age-related changes in body systems that affect pharmacokinetic activity.
B) Increase the dose of tranquilizer if the cause of the confusion is an infection.
C) Note when the confusion occurs and medicate before that time.
D) Restrict telephone usage to prevent further confusion.
Q3) Which of these assessments of an older adult,who has a urinary tract infection,requires an immediate nursing intervention?
A) Presbycusis
B) Confusion
C) Death of a spouse 3 months ago
D) Temperature of 97.6° F
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Page 16
Chapter 15: Critical Thinking in Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25764
Sample Questions
Q1) While caring for a hospitalized older adult female post hip surgery,the new graduate nurse is faced with the task of inserting an indwelling urinary catheter,which involves rotating the hip into a contraindicated position.The nurse exhibits critical thinking to perform this task by
A) Following textbook procedure.
B) Notifying the physician of the need for a urologist consult.
C) Adapting the positioning technique to the situation.
D) Postponing catheter insertion until the next shift.
Q2) Which of these findings,if identified in a plan of care,should the registered nurse revise because it is not characteristic of critical thinking and the nursing process?
A) Patient's reactions to diagnostic testing
B) Nurse's assumptions about hospital discharge
C) Identification of five different nursing diagnoses
D) Documentation of patient's ability to cope with loss
Q3) Professional nurses are responsible for making clinical decisions to
A) Prove traditional methods of providing nursing care to patients.
B) Take immediate action when a patient's condition worsens.
C) Apply clear textbook solutions to patients' problems.
D) Formulate standardized care plans for groups of patients.
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Page 17
Chapter 16: Nursing Assessment
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) While the patient's lower extremity,which is in a cast,is assessed,the patient tells the nurse about an inability to rest at night.The nurse disregards this complaint,thinking that no correlation has been noted between having a leg cast and developing restless sleep.A more theoretically sound approach would be to first
A) Document the sleep patterns and complaint in the patient's chart.
B) Tell the patient you are just focused on the leg right now.
C) Explain that a more thorough assessment will be needed next shift.
D) Ask the patient about his usual sleep patterns and the onset of having difficulty resting.
Q2) The use of critical thinking skills during the assessment phase of the nursing process ensures that the nurse
A) Completes a comprehensive database.
B) Identifies pertinent nursing diagnoses.
C) Intervenes based on patient goals and priorities of care.
D) Determines whether outcomes have been achieved.
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Chapter 17: Nursing Diagnosis
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The charge nurse is reviewing a patient's plan of care,which includes the nursing diagnostic statement,Impaired physical mobility related to tibial fracture as evidenced by patient's inability to ambulate to bathroom.The nurse needs to revise which part of the diagnostic statement?
A) Nursing diagnosis
B) Etiology
C) Patient chief complaint
D) Defining characteristic
Q2) Which of these questions would be most appropriate for a nurse to ask a patient to assist in establishing a nursing diagnosis of Diarrhea?
A) "What types of foods do you think caused your upset stomach?"
B) "How many bowel movements a day have you had?"
C) "Are you able to get to the bathroom in time?"
D) "What medications are you currently taking?"
Q3) Which diagnosis below is NANDA-I approved?
A) Sleep disorder
B) Acute pain
C) Sore throat
D) High blood pressure
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Chapter 18: Planning Nursing Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A patient has reduced muscle strength following a left-sided stroke and is at risk for falling.Which intervention is most appropriate for the nursing diagnostic statement,Risk for falls?
A) Encourage patient to remain in bed most of the shift.
B) Keep all side rails down at all times.
C) Place patient in room away from the nurses' station if possible.
D) Assist patient into and out of bed every 6 hours or as tolerated.
Q2) When evaluating a plan of care,the nurse reviews the goals for the patient.Which goal statement is realistic to assign to a patient with a pelvic fracture on bed rest? The patient will increase mobility by
A) Ambulating in the hallway two times this shift.
B) Turning side to back to side with assistance every 2 hours.
C) Using the walker correctly to ambulate to the bathroom as needed.
D) Using a sliding board correctly to transfer to the bedside commode as needed.
Q3) When planning patient care,a goal can be described as
A) A statement describing the patient's accomplishments without a time restriction.
B) A realistic statement predicting any negative responses to treatments.
C) A broad statement describing a desired change in patient behavior.
D) An identified long-term nursing diagnosis.
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Page 20
Chapter 19: Implementing Nursing Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which of the following are direct care interventions?
A) Turning a patient
B) Counseling a patient
C) Performing resuscitation
D) Documenting wound care
E) Teaching wound care
Q2) Which is the appropriate initial intervention for the nursing diagnostic statement Impaired skin integrity related to poor wound healing?
A) Reinforce the wound dressing as needed with 4 x 4 gauze.
B) Perform the ordered dressing change twice daily.
C) Document wound characteristics.
D) Assess wound appearance each shift.
Q3) In which step of the nursing process does the nurse provide nursing care interventions to patients?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
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21
Chapter 20: Evaluation
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20 Flashcards
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Sample Questions
Q1) The nurse is evaluating whether a patient's turning schedule was effective in preventing the formation of pressure ulcers.Which finding indicates success of the turning schedule?
A) Staff documentation of turning the patient every 2 hours
B) Absence of skin breakdown
C) Presence of redness only on the heels of the patient
D) Patient's eating 100% of all meals
Q2) A new nurse states that she is confused about using evaluative measures when caring for patients and asks the charge nurse for examples and an explanation.Which of the following is the most accurate response from the charge nurse?
A) "Evaluative measures are multiple-page documents used to evaluate nurse performance."
B) "Evaluative measures include assessment data used to determine whether patients have met their expected outcomes and goals."
C) "Evaluative measures are used by quality assurance nurses to determine the progress a nurse is making from novice to expert nurse."
D) "Evaluative measures are objective views of incident reports."
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistant.The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus.The best next action of this nurse is to
A) Ask the nursing assistant to observe while the nurse performs catheter care.
B) Leave the room and ask the nursing assistant to go back and perform proper catheter care.
C) Discontinue the catheter.
D) Document the incident in the patient's chart.
Q2) In which nursing care model is the RN usually appointed the position of group leader?
A) Total patient care
B) Primary nursing
C) Team nursing
D) Case management
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Chapter 22: Ethics and Values
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18 Flashcards
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Sample Questions
Q1) The nurse questions a physician's order to administer a placebo to the patient.The nurse's action is based on which ethical principle?
A) Autonomy
B) Beneficence
C) Justice
D) Fidelity
Q2) Which issue has increased the attention paid to quality of life concerns in recent history?
A) Health care disparities
B) National movement regarding disabled persons
C) Aging of the population
D) Health care financial reform
Q3) Four patients in labor all request epidural analgesia to manage their pain at the same time.Which ethical principle is compromised when only one nurse anesthetist is on call?
A) Justice
B) Nonmaleficence
C) Beneficence
D) Fidelity
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Page 24
Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) The nurse calculates the medication dose for an infant on the pediatric unit and determines that the dose is twice what it should be.The pediatrician is contacted and says to administer the medication as ordered.What is the next action that the nurse should take?
A) Notify the nursing supervisor.
B) Check the chain of command policy for such situations.
C) Give the medication as ordered.
D) Give the amount calculated to be correct.
E) Contact the pharmacy for clarification.
Q2) A confused patient with a urinary catheter,nasogastric tube,and intravenous line keeps touching these needed items for care.The nurse has tried to explain to the patient that he should not touch these lines,but the patient continues.What is the best action by the nurse at this time?
A) Apply restraints loosely on the patient's dominant wrist.
B) Try other approaches to prevent the patient from touching these care items.
C) Notify the health care provider that restraints are needed immediately to maintain the patient's safety.
D) Allow the patient to pull out lines to prove that the patient needs to be restrained.
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Chapter 24: Communication
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28 Flashcards
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Sample Questions
Q1) The patient that will cause the greatest communication concerns for a nurse is the patient who is
A) Alert, has strong self-esteem, and is hungry.
B) Oriented, pain free, and blind.
C) Cooperative, depressed, and hard of hearing.
D) Dyspneic, has a tracheostomy, and is anxious.
Q2) Which critical thinking standards should the nurse use to ensure sound effective communication with patients?
A) Faith
B) Supportiveness
C) Self-confidence
D) Humility
E) Independent attitude
F) Spiritual expression
Q3) Which situation will cause the nurse to intervene and follow up on the nurse aide's behavior?
A) The nurse aide is calling the older adult patient "honey."
B) The nurse aide is facing the older adult patient when talking.
C) The nurse aide cleans the older adult patient's glasses.
D) The nurse aide allows time for the older adult patient to respond.
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Chapter 25: Patient Education
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A nurse wants the patient to begin to accept the chronic nature of diabetes.Which teaching technique should the nurse use to enhance learning?
A) Lecture
B) Demonstration
C) Role play
D) Question and answer session
Q2) A nurse is teaching an older adult patient about strokes.Which teaching technique is most appropriate for the nurse to use?
A) Use a pamphlet about strokes with large font in blues and greens.
B) Speak in a high tone of voice to describe strokes.
C) Begin and end each teaching session with the most important information about strokes.
D) Provide specific information about strokes in frequent, large amounts.
Q3) A nurse is preparing to teach a kinesthetic learner about exercise.Which technique should the nurse use?
A) Let the patient touch and use the exercise equipment.
B) Provide the patient with pictures of the exercise equipment.
C) Let the patient listen to a podcast about the exercise equipment.
D) Provide the patient with a case study about the exercise equipment.
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Page 27
Chapter 26: Documentation and Informatics
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A nurse is teaching the staff about health care reimbursement.Which information should the nurse include?
A) Sentinel events help determine reimbursement issues for health care.
B) Home health, long-term care, and hospital nurses' documentation can affect reimbursement for health care.
C) A clinical information system must be installed by 2014 to obtain health care reimbursement.
D) HIPAA is the basis for establishing reimbursement for health care.
Q2) A nurse obtained a telephone order from a primary care provider for a patient in pain.Which chart entry should the nurse document?
A) 12/16/20XX 0915 Tylenol 3, 2 tablets, every 6 hours for incisional pain. VO Dr. Day/J. Winds, RN, read back.
B) 12/16/20XX 0915 Tylenol 3, 2 tablets, every 6 hours for incisional pain. TO J. Winds, RN, read back.
C) 12/16/20XX 0915 Tylenol 3, 2 tablets, every 6 hours for incisional pain. TO Dr. Day/J. Winds, RN, read back.
D) 12/16/20XX 0915 Tylenol 3, 2 tablets, every 6 hours for incisional pain. TO J. Winds, RN.
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28
Chapter 27: Patient Safety
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Sample Questions
Q1) The home health nurse is caring for a patient in the home who is using an electrical infusion device.While visiting the patient,the nurse smells smoke and notices an electrical fire started by this device.The nurse uses the fire extinguisher and fights the fire when
A) All occupants have left the home.
B) Fire department has been called.
C) Fire is confined to one room.
D) An exit route is available.
E) The correct extinguisher is available.
F) The nurse thinks she can use the fire extinguisher.
Q2) The nurse has placed a patient on high-risk alert for falls.Which of the following observations by the nurse would indicate that the patient has an understanding of this alert?
A) The patient removes the high alert armband to bathe.
B) The patient wears the red nonslip footwear.
C) The call light is kept on the bedside table.
D) The patient insists on taking a "water" pill on home schedule in the evening.
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Chapter 28: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25777
Sample Questions
Q1) The infection control nurse is reviewing data for the medical-surgical unit.The nurse notices a spike in postoperative infections on this unit and categorizes this type of health care-associated infection as _____ infections.
A) Iatrogenic
B) Exogenous
C) Endogenous
D) Nosocomial
Q2) What would be required after exposure of a nurse to blood by a cut from a scalpel in the perioperative area?
A) Removing sterile gloves and disposing of in kick bucket
B) Placing the scalpel in a needle safe container
C) Testing the patient and offering treatment to the nurse
D) Providing a medical evaluation of the nurse to the manager
Q3) The home health nurse is teaching a patient and family about hand hygiene in the home.The nurse is sure to emphasize washing hands before
A) And after shaking hands.
B) And after treatments.
C) Opening the refrigerator.
D) And after using a computer.
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Page 30
Chapter 29: Vital Signs
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25778
Sample Questions
Q1) Which artery is the most appropriate for assessing the pulse of a small child?
A) Radial
B) Femoral
C) Brachial
D) Ulnar
Q2) A nurse is caring for a patient who smokes and drinks caffeine.Which point is important for the nurse to understand before she assesses the patient's blood pressure?
A) Neither caffeine nor smoking affects blood pressure.
B) She needs to insist that the patient stop smoking for at least 3 hours.
C) The nurse should have the patient perform mild exercises.
D) Caffeine and smoking can cause false BP elevations.
Q3) Of the following patients,which one is the best candidate to have his temperature taken orally?
A) A 27-year-old postoperative patient with an elevated temperature
B) A teenage boy who has just returned from outside "for a smoke"
C) An 87-year-old confused male suspected of hypothermia
D) A 20-year-old male with a history of epilepsy
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Chapter 30: Health Assessment and Physical Examination
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The paramedics transport an adult involved in a motor vehicle accident to the emergency department.On physical examination,the patient's level of consciousness is reported as opening eyes to pain and responding with inappropriate words and flexion withdrawal to painful stimuli.The nurse correctly identifies the patient's Glasgow Coma Scale score as
A) 5.
B) 7.
C) 9.
D) 11.
Q2) The nurse is urgently called to the gymnasium regarding an injured student.The student is crying in severe pain with a malformed fractured lower leg.The proper sequence for the nurse's initial assessment is
A) Deep palpation, light palpation, inspection.
B) Light palpation, deep palpation, inspection.
C) Inspection, light palpation.
D) Auscultation, deep palpation, light palpation.
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Chapter 31: Medication Administration
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50 Flashcards
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Sample Questions
Q1) A confused patient refuses his medication.What is the nurse's first response?
A) Agrees with the patient's decision and documents it in his chart
B) Educates the patient about the importance of the medication
C) Discreetly hides the medication in the patient's favorite Jell-O
D) Informs the patient that he must take the medication whether he wants to or not
Q2) A patient needs assistance excreting a gaseous medication.What is the correct nursing action?
A) Encourage the patient to cough and deep-breathe.
B) Suction the patient's respiratory secretions.
C) Administer the antidote via inhalation.
D) Administer 100% FiO<sub>2</sub> via simple face mask.
Q3) A patient informs the nurse that his urine is starting to look discolored.How should the nurse respond?
A) "Don't worry, that is a normal side effect of your medication."
B) "That is an unusual side effect. I'll notify your provider immediately."
C) "You need to drink more fluids to flush the medication from your system."
D) "Other than the discoloration, has anything changed with your urination?"
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Page 33
Chapter 32: Complementary and Alternative Therapies
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25781
Sample Questions
Q1) A patient describes practicing a complementary and alternative therapy involving concentrating and controlling his respiratory rate and pattern,recognizing that breath work is to yoga as
A) The "zone" is to acupressure.
B) Massage therapy is to Ayurveda.
C) Reiki therapy is to therapeutic touch.
D) Prayer is to tai chi.
Q2) A long-term outcome for an individual who is learning relaxation therapy is
A) Identifying tension in his body and consciously releasing the tension.
B) Having no tension in his life.
C) Increasing delta brain activity.
D) Increasing the focus on himself.
Q3) Physiological symptoms of a stress response include all of the following except A) Constricted pupils.
B) Tachycardia.
C) Tachypnea.
D) Elevated blood pressure.
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34
Chapter 33: Self-Concept
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25782
Sample Questions
Q1) The developmental self-concept task known as initiative versus guilt would occur in which person?
A) 3-week-old neonate
B) 5-year-old kindergarten student
C) 11-year-old student
D) 15-year-old high school student
Q2) The nurse can best assess the patient's self-concept by evaluating the patient's A) Drug abuse history.
B) Nonverbal behavior.
C) Personal journal.
D) Social networking site.
Q3) The nurse can assist the patient in becoming more self-aware by using which technique?
A) Setting up an appointment to allow the patient to vent
B) Allowing the patient to openly explore thoughts and feelings
C) Assisting the patient to physically punch a pillow when upset
D) Providing materials for the patient to write complaint letters
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Chapter 34: Sexuality
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A patient who had an ostomy placed 1 month ago states that he is feeling depressed and does not want to participate in sexual activities anymore because he is afraid that his partner is not physically attracted to him.Which nursing intervention will be most effective in helping this patient resume sexual activity?
A) Reassure the patient that lots of people resume sex the same week the ostomy is placed.
B) Inform the patient about a support group for people with ostomies.
C) Teach the patient about intimate activities that can be done to incorporate the ostomy.
D) Discuss ways to adapt to new body image so the patient will be comfortable in resuming intimacy.
Q2) A patient who has had several sexual partners in the past month expresses a desire to use a contraceptive.Which contraceptive method should the nurse recommend?
A) Spermicide
B) Condom
C) Diaphragm
D) Oral contraceptive
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36
Chapter 35: Spiritual Health
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20 Flashcards
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Sample Questions
Q1) The nurse and the patient have the same religious affiliation.Because of this,the nurse
A) Can assume that they have the same spiritual beliefs.
B) Should not impose her personal values on the patient.
C) Must use an assessment tool to assess the patient's beliefs.
D) Can skip the spiritual belief assessment.
Q2) The nurse creates a referral to pastoral care when he/she realizes that the patient is in need of
A) Psychiatric care.
B) Return to religious affiliation.
C) Spiritual care.
D) Transfer to the psychiatric unit.
Q3) The nurse is caring for a patient who is terminally ill with very little time left to live.The patient states,"I always believed that there was life after death.Now,I'm not so sure.Do you think there is?" The nurse states,"I believe there is." The nurse has attempted to
A) Strengthen the patient's religion.
B) Provide hope.
C) Support the patient's agnostic beliefs.
D) Support the horizontal dimension of spiritual well-being.
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Page 37
Chapter 36: The Experience of Loss, death, and Grief
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Sample Questions
Q1) A severely depressed patient cannot state any positive attributes to his or her life.The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life.The nurse is helping the patient to demonstrate which spiritual concept?
A) Time management
B) Hope
C) Charity
D) Faith
Q2) After the anticipated demise of a chronically ill patient,the unit nurse is found crying in the staff lounge.The best response to her crying colleague would be
A) "It is normal to feel this way. Give yourself some time to mourn."
B) "Your other patients still need you, so hurry back to them."
C) "You're being a bad role model to the unit's nursing students."
D) "Why don't you take a sedative to cope?"
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Chapter 37: Stress and Coping
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20 Flashcards
Source URL: https://quizplus.com/quiz/25786
Sample Questions
Q1) While giving a lecture on attention-deficit/hyperactivity disorder,the nurse encourages which of the following to reduce children's stress regarding homework assignments?
A) Time management skills
B) Prevention of iron deficiency anemia
C) Routine preventative health visits
D) Speech articulation skills
Q2) The purpose of unconscious ego defense mechanisms is to do which of the following for the individual?
A) Protect against feelings of worthlessness and anxiety.
B) Facilitate the use of problem-focused coping.
C) Evaluate an event for its personal meaning.
D) Trigger the stress control functions of the medulla oblongata.
Q3) A trauma survivor is requesting sleep medication because of "bad dreams."
Concerned about posttraumatic stress disorder,the nurse asks
A) "Are you reliving your trauma?"
B) "Are you having chest pain?"
C) "Can you describe your phobias?"
D) "Can you tell me when you wake up?"
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Page 39
Chapter 38: Activity and Exercise
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30 Flashcards
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Sample Questions
Q1) Bones perform five functions in the body: support,protection,movement,mineral storage,and hematopoiesis.In the discussion of body mechanics,which are the most important?
A) Support
B) Protection
C) Movement
D) Mineral storage
E) Hematopoiesis
Q2) The patient is admitted with a stroke.The outcome of this disorder is uncertain,but the patient is unable to move his right arm and leg.The nurse understands that
A) Active range of motion is the only thing that will prevent contractures from forming.
B) Passive range of motion must be instituted to help prevent contracture formation.
C) Range-of-motion exercises should be started 2 days after the patient is stable.
D) Range-of-motion exercises should be done on major joints only.
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Chapter 39: Hygiene
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Sample Questions
Q1) Of the following developmental changes,which are most commonly associated with the elderly?
A) Increased eccrine and apocrine gland function
B) Fungal nail infections
C) Less resilient skin and bruising
D) Increased skin lubrication
E) Dry, itchy skin
Q2) The patient has been brought to the emergency department following a motor vehicle accident.The patient is unresponsive.His driver's license states that he needs glasses to operate a motor vehicle,but no glasses were brought in with the patient.The nurse should
A) Assume that the glasses were lost during the accident.
B) Stand to the side of the patient's eye and observe the cornea.
C) Assume that the patient was not wearing glasses while driving.
D) Assume that the ambulance personnel have them.
Q3) In providing perineal care to a female patient,the nurse should wash
A) Upward from rectum to pubic area.
B) From back to front.
C) From pubic area to rectum.
D) In a circular motion.
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Chapter 40: Oxygenation
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48 Flashcards
Source URL: https://quizplus.com/quiz/25789
Sample Questions
Q1) The nurse knows that the primary function of the alveoli is to
A) Carry out gas exchange.
B) Store oxygen.
C) Regulate tidal volume.
D) Produce hemoglobin.
Q2) The nurse knows that a myocardial infarction is an occlusion of what blood vessel?
A) Pulmonary artery
B) Ascending aorta
C) Coronary artery
D) Carotid artery
Q3) A nurse caring for a patient who was in a motor vehicle accident that resulted in trauma to C4 would expect to find
A) Decreased tidal volumes.
B) Increased perfusion.
C) Increased use of accessory muscles.
D) Decreased hemoglobin.
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Chapter 41: Fluid, electrolyte, and Acid-Base Balance
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25790
Sample Questions
Q1) Which assessment finding should cause a nurse to question administering a sodium-containing isotonic intravenous fluid?
A) Blood pressure 102/58
B) Dry mucous membranes
C) Poor skin turgor
D) Pitting edema
Q2) A patient is to receive 1500 mL of 0.9% sodium chloride intravenously at a rate of 125 mL/hr.The nurse is using microdrip gravity drip tubing.What is the minute flow rate (drops per minute)?
A) 12 gtt/min
B) 24 gtt/min
C) 125 gtt/min
D) 150 gtt/min
Q3) Which assessment finding would the nurse expect for a patient with the following laboratory values: sodium 145 mEq/L,potassium 4.5 mEq/L,calcium 4.5 mg/dL?
A) Lightheadedness when standing up
B) Weak quadriceps muscles
C) Tingling of the extremities and tetany
D) Decreased deep tendon reflexes
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Page 43
Chapter 42: Sleep
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30 Flashcards
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Sample Questions
Q1) The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment Center.Which of these statements by the nurses would best indicate that learning has occurred?
A) "If the patient has a disease process in the central nervous system, it can influence the functions of sleep."
B) "If the patient has a disease process in the cranial nerves, it can influence the functions of sleep."
C) "If the patient has an interruption in the motor pathways, it can influence the functions of sleep."
D) "If the patient has an interruption in the spinal reflexes, it can influence the functions of sleep."
Q2) The older patient is visiting the clinic after a fall during the night.Which of the following data points obtained most likely would contribute to this fall?
A) The patient has been taking glucosamine.
B) The patient has been taking a fish oil.
C) The patient has been taking Benadryl (diphenhydramine).
D) The patient has been taking vitamin C.
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Page 44
Chapter 43: Pain Management
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35 Flashcards
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Sample Questions
Q1) The nurse is caring for an infant in the intensive care unit.Which of the following is the most accurate description of factors that will influence the perception and management of pain for this patient?
A) Infants cannot tolerate analgesics owing to an underdeveloped metabolism.
B) Infants have an increased sensitivity to pain when compared with older children.
C) Pain cannot be accurately assessed in infants.
D) Infants respond behaviorally and physiologically to painful stimuli.
Q2) A nurse is caring for a patient who fell on the ice and has connective tissue damage in the wrist and hand.What does type of pain does the nurse document that the patient has?
A) Visceral pain
B) Somatic pain
C) Peripherally generated pain
D) Centrally generated pain
Q3) The nurse anticipates administering an opioid fentanyl patch to which patient?
A) A 15-year-old adolescent with a broken femur
B) A 30-year-old adult with cellulitis
C) A 50-year-old patient with prostate cancer
D) An 80-year-old patient with a broken hip
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Page 45
Chapter 44: Nutrition
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Sample Questions
Q1) The ChooseMyPlate program includes guidelines for A) Children younger than 2 years.
B) Balancing calories.
C) Increasing portion size.
D) Decreasing water consumption.
Q2) The patient is elderly and has been diagnosed with Imbalanced nutrition: less than body requirements.Her treatment regimen should include having the nurse
A) Encourage weight gain as rapidly as possible.
B) Encourage large meals three times a day.
C) Decrease fluid intake to prevent feeling full.
D) Encourage fiber intake.
Q3) The nurse is teaching the patient about dietary guidelines.In discussing the four components of dietary reference intakes (DRIs),it is important to understand that
A) The estimated average requirement (EAR) is appropriate for 100% of the population.
B) The recommended dietary allowance (RDA) meets the needs of the individual.
C) Adequate intake (AI) determines the nutrient requirements of the RDA.
D) The tolerable upper intake level (UL) is not a recommended level of intake.
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Chapter 45: Urinary Elimination
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Sample Questions
Q1) Which statement by the patient about an upcoming computed tomography (CT)scan indicates a need for further teaching?
A) "I'm allergic to shrimp, so I should monitor myself for an allergic reaction."
B) "I will complete my bowel prep program the night before the scan."
C) "I will be anesthetized so that I lie perfectly still during the procedure."
D) "I will ask the technician to play music to ease my anxiety."
Q2) The nurse properly obtains a 24-hour urine specimen collection by
A) Asking the patient to void and to discard the first sample.
B) Keeping the urine collection container on ice.
C) Withholding all patient medications for the day.
D) Asking the patient to notify the staff before and after every void.
Q3) The nurse anticipates urinary diversion from the kidneys to a site other than the bladder for which patient?
A) A 12-year-old female with severe abdominal trauma
B) A 24-year-old male with severe genital warts around the urethra
C) A 50-year-old male with recent prostatectomy
D) A 75-year-old female with end-stage renal disease
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Chapter 46: Bowel Elimination
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40 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who is confined to the bed.The nurse asks the patient if he needs to have a bowel movement 30 minutes after eating a meal because
A) The digested food needs to make room for recently ingested food.
B) Mastication triggers the digestive system to begin peristalsis.
C) The smell of bowel elimination in the room would deter the patient from eating.
D) More ancillary staff members are available after meal times.
Q2) Fecal impactions occur in which portion of the colon?
A) Ascending
B) Descending
C) Transverse
D) Rectum
Q3) A nurse is preparing a patient for a magnetic resonance imaging scan.Which nursing action is most important?
A) Ensuring that the patient does not eat or drink 2 hours before the examination
B) Removing all of the patient's metallic jewelry
C) Administering a colon cleansing product 12 hours before the examination
D) Obtaining an order for a pain medication before the test is performed
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Chapter 47: Mobility and Immobility
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Sample Questions
Q1) Although isometric contractions do not result in muscle shortening,the nurse understands that isometric contractions
A) Result in decreased energy expenditure.
B) Are always desirable regardless of patient condition.
C) Are necessary for the active movement of muscles.
D) Result in increased energy expenditure.
Q2) The nurse is caring for a patient with the diagnosis of Impaired physical mobility.The nurse needs to be alert for which of the following potential complications?
A) Pulmonary emboli
B) Pneumonia
C) Impaired skin integrity
D) Somnolence
E) Increased socialization
Q3) The nurse is assessing body alignment for a patient who is immobilized.To do this,the nurse must
A) Place the patient in the supine position.
B) Remove the pillow from under the patient's head.
C) Insert positioning supports to help the patient.
D) Place the patient in a lateral position.
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Page 49
Chapter 48: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a patient with a wound.The patient appears anxious as the nurse is preparing to change the dressing.What should the nurse do to decrease the patient's anxiety?
A) Tell the patient to close his eyes.
B) Explain the procedure.
C) Turn on the television.
D) Ask the family to leave the room.
Q2) The wound care nurse visits a patient in the long-term care unit.The nurse is monitoring a patient with a stage III pressure ulcer.The wound seems to be healing,and healthy tissue is observed.How would the nurse stage this ulcer?
A) Stage I pressure ulcer
B) Healing stage II pressure ulcer
C) Healing stage III pressure ulcer
D) Stage III pressure ulcer
Q3) The nurse is completing an assessment of the skin's integrity,which includes
A) Pressure points.
B) All pulses.
C) Breath sounds.
D) Bowel sounds.
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Page 50
Chapter 49: Sensory Alterations
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Sample Questions
Q1) A nurse is caring for a patient who is experiencing vertigo.Which nursing intervention would assist the patient in controlling the vertigo?
A) Increasing fluid intake to 3 liters a day
B) Watching television instead of reading books
C) Avoiding riding in vehicles and making sudden motions
D) Placing several antiemetic patches on the patient
Q2) What nursing action can the nurse implement to comfort an elderly patient with sensory deprivation to improve meaningful stimuli?
A) Placing a "Do not disturb" sign on the patient's door
B) Offering the patient a back rub
C) Asking the patient if he would like a newspaper to read
D) Placing the patient in the room farthest from the nurses' station
Q3) Which of the following sensory changes are normal with aging?
A) Impaired night vision
B) Difficulty hearing low pitch
C) Increase in taste discrimination
D) Heightened sense of smell
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Chapter 50: Care of Surgical Patients
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45 Flashcards
Source URL: https://quizplus.com/quiz/25799
Sample Questions
Q1) The patient has presented to the ambulatory surgery center to have a colonoscopy.The patient is scheduled to receive moderate sedation (conscious sedation)during the procedure.Moderate sedation is used routinely for procedures that require
A) Performance on an outpatient basis.
B) A depressed level of consciousness.
C) Loss of sensation in an area of the body.
D) The patient to be immobile.
Q2) The nurse is caring for a postoperative patient with a history of obstructive sleep apnea.The nurse monitors for which of the following?
A) Choking and noisy, irregular respirations
B) Shallow respirations
C) Moaning and reports of pain
D) Disorientation
Q3) The nurse is caring for a patient intraoperatively.Primary roles of the circulating nurse include
A) Establishing and implementing the plan of care.
B) Maintaining a sterile field.
C) Assisting with applying sterile drapes.
D) Handing sterile instruments and supplies to the surgeon.
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