Medical-Surgical Nursing I Final Test Solutions
Course Introduction
Medical-Surgical Nursing I introduces students to the foundational principles and practices essential to the care of adult patients experiencing common medical and surgical conditions. This course emphasizes the application of the nursing process to assess, plan, implement, and evaluate patient care, while integrating knowledge from anatomy, physiology, pharmacology, and pathophysiology. Topics include health promotion, management of acute and chronic illnesses, perioperative care, infection control, and fluid and electrolyte balance. Through a combination of theoretical instruction and practical clinical experiences, students develop critical thinking, communication, and technical skills to provide safe, evidence-based care in a variety of healthcare settings.
Recommended Textbook
Foundations of Nursing 7th Edition by Kim Cooper
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40 Chapters
1496 Verified Questions
1496 Flashcards
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Chapter 1: Evolution of Nursing
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) What is a nursing program considered when certified by a state agency?
A)Accredited
B)Approved
C)Provisional
D)Exemplified
Answer: B
Q2) What premise is Maslow's hierarchy of needs based on?
A)All needs are equally important.
B)Basic needs must be met before the next level of needs can be met.
C)Self-actualization is a primary need.
D)Individuals prioritize needs the same way.
Answer: B
Q3) What document,published in 1965 by the ANA,clearly defined two levels of nursing practice?
A)Licensing standards
B)Position paper
C)Smith-Hughes Act
D)Nurse practice act
Answer: B
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Page 3
Chapter 2: Legal and Ethical Aspects of Nursing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is assisting a patient to clarify values by encouraging the expression of feelings and thoughts related to the situation.What is the most appropriate action for the nurse?
A)Compare values with those of the patient
B)Make a judgment
C)Withhold an opinion
D)Give advice
Answer: C
Q2) A physician instructs the nurse to bladder train a patient.The nurse clamps the patient's indwelling urinary catheter but forgets to unclamp it.The patient develops a urinary tract infection.What do the nurse's actions exemplify?
A)Malpractice
B)Battery
C)Assault
D)Neglect of duty
Answer: A
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Chapter 3: Documentation
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30 Flashcards
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Sample Questions
Q1) Documentation using the DARE format (Data,Action,Response,Education)includes elements of the __________ charting system.
Answer: focused
Focused charting uses the acronym DARE to direct and formalize charting.
Q2) What regulates standards for long-term care documentation?
A)OBRA
B)Title XXII
C)Nursing diagnoses
D)The care plan
Answer: A
Q3) A new patient is being admitted to a long-term care facility.Who has primary responsibility for each patient's initial admission nursing history,physical assessment,and development of the care plan based on the nursing diagnoses identified?
A)Physician
B)Registered nurse
C)Nursing assistant
D)Licensed practical nurse/licensed vocational nurse
Answer: B
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Page 5
Chapter 4: Communication
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) When speaking to a person of a different culture,how should the nurse consider modifying his or her communication style? (Select all that apply.)
A)Speak slowly and with increased volume
B)Use of touch
C)Use of eye contact
D)Reference of address
E)Meaning of gestures
Q2) During a complete assessment,which type of questioning is not usually conducive to fostering communication?
A)Open-ended
B)Focused
C)Closed
D)Clarifying
Q3) What is one of the main characteristics of therapeutic communication?
A)It allows the patient a passive role.
B)It uses only verbal communication.
C)It involves the patient as a person.
D)It is directive.
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6
Chapter 5: Nursing Process and Critical Thinking
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) Human responses to levels of wellness in an individual,family,or community that have a readiness for enhancement are known as a _____________ ____________
Q2) What is an example of an appropriate nursing diagnosis?
A)Impaired skin integrity
B)Skin breakdown noted
C)Turn patient every 2 hours
D)The patient has scabies on his back
Q3) During an admission assessment,the nurse collects objective and subjective data.What is an example of objective data?
A)The patient complains of chest pain.
B)The patient states, "I feel nauseous."
C)The patient complains of feeling faint.
D)The patient is short of breath on exertion.
Q4) A health care system that provides control over health care services for a specific group of individuals in an attempt to control cost is known as ___________
Q5) NANDA International meets to reorganize diagnosis labels and language every ______ years.
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Chapter 6: Cultural and Ethnic Considerations
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45 Verified Questions
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Sample Questions
Q1) The nurse is caring for a postpartum patient who requests to dry and bury the umbilical cord near an object or in a place that symbolizes what the parents want for the child's future.Which cultural beliefs does the nurse recognize this patient adhering to?
A)American Indian
B)African American
C)Chinese American
D)Mexican American
Q2) Which statement about the biomedical health belief system is true?
A)Life processes can be manipulated by human beings by mechanical interventions.
B)Life processes cannot be manipulated by human beings by mechanical interventions.
C)Disease has a nonspecific cause, onset, course, and treatment.
D)Disease is only caused by failure of body parts and chemical imbalances.
Q3) A nation,community,or broad group of people who establish particular aims,beliefs,or standards of living and conduct is known as a _____________.
Q4) The nurse should not maintain eye contact with a Korean patient because many Asians believe prolonged eye contact is _____________.
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Page 8
Chapter 7: Asepsis and Infection Control
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Sample Questions
Q1) What bacteria can lie dormant when conditions for growth are not favorable?
A)Residue
B)Capsules
C)Spores
D)Flagella
Q2) How long should the nurse perform hand hygiene before beginning care of a patient?
A)5 minutes
B)2 minutes
C)1 minute
D)30 seconds
Q3) What does the nurse describe when giving an example of a fomite vehicle?
A)Rabid dog
B)Person with AIDS
C)Contaminated stethoscope
D)Infected wound
Q4) The nurse reminds a group of nursing students that the type of asepsis that destroys all microorganisms and their spores is _______ asepsis.
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Chapter 8: Body Mechanics and Patient Mobility
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25 Verified Questions
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Sample Questions
Q1) What is the site of the most common strain injury acquired by the nurse when working?
A)Trapezius muscle group
B)Thoracic muscle group
C)Lumbar muscle group
D)Thigh muscle group
Q2) To maintain a wide base of support,the nurse should stand with the feet separated by the distance of _______ times the length of the nurse's shoe.
Q3) What is considered to be the minimum number of hours of daily activity necessary to prevent the negative consequences of immobility?
A)2 hours
B)4 hours
C)6 hours
D)8 hours
Q4) Where should the nurse place the load when carrying heavy objects?
A)In a low position
B)To the side of the body
C)Close to the body midline
D)With another's assistance
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Chapter 9: Hygiene and Care of the Patients Environment
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Sample Questions
Q1) The nurse is providing hand and foot care to a patient and notices the patient has extremely hard nails.Who is the person best prepared to provide nail care for patients with extremely hard nails?
A)Physician
B)RN
C)CNA
D)Podiatrist
Q2) The nurse is bathing a patient with a deep vein thrombosis in the left leg.What modification will the nurse make when attending to the left leg?
A)Washing the leg with long, firm strokes and drying with a towel
B)Omitting washing the leg at all
C)Gently washing the leg and patting dry with a towel
D)Applying lotion in long, smooth strokes
Q3) How will the nurse correctly replace a patient's dentures after cleaning?
A)Inserting the lower denture first
B)Asking the patient to insert them
C)Inserting both dentures together
D)Inserting the upper denture first
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Chapter 10: Safety
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Sample Questions
Q1) The nurse conducting a seminar on bioterrorism reviews several types of agents that may be used as weapons.An agent that does not seriously damage or kill the target population but only impairs it is classified as _____________.
Q2) What is important for the nurse to determine in order to decrease the risk for injury to a patient?
A)If patient can read English
B)If patient is left-handed
C)If patient is able to eat unassisted
D)If patient can dress independently
Q3) The nurse explains that the measurement of radiation exposure is in multiples of Gy.The number of Gy an individual may absorb before becoming ill with radiation syndrome is _______.
Q4) A disaster situation occurs and involves an explosion in a hospital laundry.What would this be classified as ?
A)Active
B)External
C)Life-threatening
D)Internal
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Chapter 11: Vital Signs
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) When assessing vital signs on a 40-year-old male,the nurse identifies a pulse rate of 120.What is this pulse interpreted as by the nurse?
A)Normal
B)Bradycardic
C)Arrhythmic
D)Tachycardic
Q2) What does the nurse use the diaphragm of the stethoscope to best assess?
A)Carotid sounds
B)Lung sounds
C)Vascular sounds
D)Low-pitched sounds
Q3) What part of the body maintains a balance between heat production and heat loss,regulating body temperature?
A)Thymus
B)Thyroid
C)Hypothalamus
D)Adrenal glands
Q4) The nurse assesses the blood pressure as 192/86,noting that the patient has a pulse pressure of ________.
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Chapter 12: Physical Assessment
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90 Verified Questions
90 Flashcards
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Sample Questions
Q1) A physician documents that a patient has a scleral icterus.What is the cause of this coloring?
A)Bilirubin
B)Hemoglobin
C)Serum potassium
D)Serum magnesium
Q2) A nurse needs to auscultate a patient's lung sounds.In what position should the nurse place the patient?
A)Sims
B)Prone
C)Sitting
D)Lithotomy
Q3) A nurse is caring for a patient with congestive heart failure.During the physical assessment,the nurse notes the patient is experiencing difficulty breathing.What should the nurse document that the patient is experiencing?
A)Dyspnea
B)Cyanosis
C)Diaphoresis
D)Ecchymosis
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Chapter 13: Admission, Transfer, and Discharge
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18 Flashcards
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Sample Questions
Q1) How can the nurse demonstrate cultural sensitivity to a Haitian American patient?
A)By providing a well-lit room 24 hours a day
B)By writing out all instructions given to the patient
C)By allowing the patient to keep leaves in her room
D)By asking the physician to provide all directions to the patient
Q2) When should discharge planning begin?
A)The day before discharge
B)On the first day postoperatively
C)Shortly after admission
D)When the doctor orders it
Q3) If a patient has an order for an interagency transfer where does the nurse explain that the patient will be moved?
A)A double room to a private room
B)One unit of the hospital to another
C)One room of the unit to another
D)One facility to another
Q4) Some _____________________patients consider sundown Friday to sundown Saturday to be the Sabbath,which is a time of rest.
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Chapter 14: Surgical Wound Care
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The nurse assessing a patient's wound notes pale red watery drainage.How will the nurse most accurately document this finding?
A)Serous drainage
B)Purulent drainage
C)Sanguineous drainage
D)Serosanguineous drainage
Q2) The physician has not ordered a dressing change for a draining wound on a patient in an acute care setting.How should the nurse assess the amount of drainage?
A)Weigh the patient to estimate the weight of the saturated dressing
B)Reinforce the dressing
C)Circle and date the outline of the exudate on the dressing
D)Count each dressing as 1 mL of drainage
Q3) What is the usual length of time before suture removal?
A)2 to 3 days
B)4 to 5 days
C)5 to 6 days
D)7 to 10 days
Q4) When preparing to remove a dressing,the nurse should don __________ gloves.
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Chapter 15: Specimen Collection and Diagnostic Testing
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Sample Questions
Q1) What health care professional has the responsibility for notifying the physician when laboratory and diagnostic studies deviate from the norm?
A)Laboratory technician
B)Cooperating physician
C)Nurse
D)Supervisor
Q2) The nurse is obtaining a throat culture.What area will the nurse swab with a cotton-tipped applicator?
A)Larynx
B)Oral mucosa
C)Pharynx
D)Trachea
Q3) Anaerobic organisms tend to grow within body cavities.What will the nurse use to collect an anaerobic specimen?
A)Sterile cotton applicator
B)Sterile culture tube
C)Sterile syringe tip
D)Sterile glass rod
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17
Chapter 16: Care of Patients Experiencing Urgent
Alterations in Health
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A patient with multiple serious injuries sustained in a motorcycle accident is lying beside his wrecked motorcycle unconscious and bleeding when the rescuer arrives at the scene.What will be the rescuer's priority action?
A)Assessing blood loss
B)Assessing respiratory status
C)Obtaining vital signs
D)Organizing laypeople at the scene
Q2) The acronym RICE directs the nurse in the care of a sprain.The "C" in the acronym stands for ________.
Q3) CPR has been initiated at an accident site.When can CPR be terminated?
A)Victim is clinically dead
B)Victim is brain dead
C)Paramedics arrive
D)Rescuer perceives CPR is futile
Q4) When two nurses perform two-person CPR,there should be _____ slow breaths for every _____ compressions.
Q5) When treating an infant choking on a foreign body,the nurse should use a combination of ______ _________ and chest thrusts.
Page 18
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Chapter 17: Complementary and Alternative Therapies
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30 Verified Questions
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Sample Questions
Q1) Founded in 1992,the National Center for Complementary and Alternative Medicine (NCCAM)has the responsibility for what actions? (Select all that apply.)
A)Evaluating alternative treatments
B)Distributing information to the public
C)Coordinating and conducting research
D)Removing defective products from the market
E)Regulating third-party reimbursement
Q2) What is a therapeutic treatment that joins the mind and body and increases muscle tone and flexibility?
A)Acupressure
B)Spiritual enrichment
C)Yoga therapy
D)Therapeutic massage
Q3) Acupuncture is a complementary therapy that uses fine needles placed in acupoints.What is the believed purpose of these acupoints?
A)"Close the gate" for pain transmission
B)Align the internal organs
C)Open meridians to release qi
D)Stimulate the "centering" of qi
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Page 19
Chapter 18: Pain Management, Comfort, Rest, and Sleep
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Sample Questions
Q1) The home health nurse is caring for a patient with an implanted pacemaker.What type of pain management would be contraindicated?
A)Peripheral analgesics
B)A TENS unit
C)Opioid analgesics
D)Adjuvant analgesics
Q2) The nurse clarifies that the term peripheral analgesics describes the group of drugs also referred to as ___________.
Q3) An American Indian patient requests that an egg yolk be placed in a saucer and put under his bed to absorb the pain.What should the nurse do?
A)Explain that medication will relieve the pain better
B)Place the egg in a saucer under the bed
C)Ask the physician for permission
D)Warn that housekeeping staff will remove the egg
Q4) The pain relief intervention that stimulates large cutaneous nerve fibers to "close the gate" is the _________ unit.
Q5) The nurse is aware that the state at which a person is mentally relaxed,free from worry,and is physically calm is __________.
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Chapter 19: Nutritional Concepts and Related Therapies
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Sample Questions
Q1) The body uses 22 common amino acids,but 9 of them must be obtained from protein in the diet.What are these proteins considered?
A)Essential
B)Basic
C)Fundamental
D)Primary
Q2) The nurse is educating a group of high school students regarding nutrition.How should the nurse respond when the students ask what occurs when protein,mineral,iron,and fat combine?
A)Body processes are regulated
B)Energy is provided
C)Tissue is built and repaired
D)Body function is restored
Q3) How many kcal/g does 1 g of alcohol provide?
A)4 kcal/g
B)5 kcal/g
C)6 kcal/g
D)7 kcal/g
Q4) The body mass index (BMI)of a man 6 feet tall weighing 250 pounds is _______.
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Chapter 20: Fluids and Electrolytes
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Sample Questions
Q1) The nurse explains to a patient that the drug Lasix reduces edema by drawing water from the interstitial space into the intravascular space.What is this process called?
A)Diffusion
B)Filtration
C)Osmosis
D)Homeostasis
Q2) What is the method by which inhaled oxygen is moved into the intravascular compartment called?
A)Active transport
B)Oxygenation
C)Passive transport
D)Mass movement
Q3) Three body systems work at different speeds to keep the pH in the narrow range of normal.What is the order of effectiveness for these three systems?
A)Blood buffers, kidneys, and lungs
B)Kidneys, lungs, and blood buffers
C)Blood buffers, lungs, and kidneys
D)Lungs, kidneys, and blood buffers
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22
Chapter 21: Mathematics and Medication Administration
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Sample Questions
Q1) Which of the following fractions is the smallest?
A)3/12
B)2/3
C)5/6
D)3/4
Q2) Lanoxin 0.125 mg is to be given.The nurse converts the dose to how many grams?
A)1.250 g
B)1250 g
C)0.000125 g
D)0.00125 g
Q3) What is 0.9% expressed as a decimal?
A)9
B)0.9
C)0.09
D)0.009
Q4) What important principle should be taken to prevent medication errors?
A)Placing an unlabeled syringe on the medication cart
B)Following the six rights of medication administration
C)Leaving a medication with the patient only when family is there
D)Always charting medications before the end of the shift
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Chapter 22: Care of Patients with Alterations in Health
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24 Verified Questions
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Sample Questions
Q1) If a patient has a transfusion reaction,the nurse should perform the following interventions in which priority order? Put a comma and space between each answer choice (A,B,C,D,etc.).
A) Take and record vital signs
B) Notify physician and blood bank
C) Stop the transfusion
D) Monitor urine output
E) Return blood and tubing to the blood bank
Q2) The nurse instructs a patient receiving home O? therapy to drink plenty of fluids to help keep bronchial secretions liquefied.What is the recommended fluid?
A)Milk
B)Water
C)Tea with artificial sweetener
D)Coffee
Q3) Why should the nurse instill eye irrigation from the inner to the outer canthus?
A)To avoid harming the sclera
B)To include the conjunctiva in the irrigation
C)To keep the pupil constricted
D)To protect the nasolacrimal ducts
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Page 24
Chapter 23: Life Span Development
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Sample Questions
Q1) What is the stage of family development that begins at the birth or adoption of the first child?
A)Expectant stage
B)Parenthood stage
C)Establishment stage
D)Engagement/commitment stage
Q2) A baby's muscular development progresses in what type of pattern?
A)Regressive
B)Erratic
C)Cephalocaudal
D)Unpredictable
Q3) A 53-year-old woman complains of night sweats and mood swings.The nurse recognizes that these symptoms most likely relate to which condition?
A)Menopause
B)Weight problems
C)Dietary problems
D)Thyroid problems
Q4) The process that refers to gradual change and differentiation is _____________.
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Chapter 24: Loss, Grief, Dying, and Death
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Sample Questions
Q1) After a physician in the emergency department has pronounced a 2-year-old dead following a swimming pool accident,the mother tearfully says to the father,"I am so sorry.I am so sorry." What is the mother expressing?
A)Fear
B)Guilt
C)Hostility
D)Grief
Q2) Upon being told of her father's death,the daughter cries out,"No! Oh,God,no!" What stage of grief is the daughter in?
A)Anger
B)Bargaining
C)Denial
D)Prayer
Q3) The nurse explains to a grieving husband that the process of the resolution of the hurt and the reestablishment of his life is called the __________ ___________.
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26
Chapter 25: Health Promotion and Pregnancy
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Sample Questions
Q1) A woman tells the nurse that this is her third pregnancy.She has had twin girls at full term and one miscarriage.How does the nurse record the information?
A)G2, T2, L3
B)G4, T3, A1, L1
C)G3, T3, A2, L1
D)G3, T1, A1, L2
Q2) Smoking by the mother can have what effect in the fetus?
A)Hearing deficits
B)Neuromuscular deformities
C)Cerebral palsy
D)Low birth weight
Q3) What does the increase in circulating blood volume during pregnancy cause in the mother?
A)Shortness of breath
B)Frontal headaches
C)Decreased white blood cell count
D)Decreased hemoglobin
Q4) The chorion and the amnion are the two components of the ________
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Chapter 26: Labor and Delivery
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Sample Questions
Q1) Why is oxytocin administered in the third stage of labor?
A)To stimulate lactation
B)To relieve postpartum pain
C)To stimulate uterine contractions
D)To sedate the mother so she can rest
Q2) A nurse is assessing the printout from the fetal monitor.What is the legal responsibility of the nurse?
A)Correctly identifying abnormal FHR patterns and prescribing medication
B)Correctly identifying abnormal FHR patterns and notifying the health care provider
C)The nurse is not legally responsible for fetal monitoring
D)Providing technical assessment to the monitor technicians
Q3) The physician has decided to induce labor with prostaglandin gel and an amniotomy.When should the nurse expect that labor will start?
A)1 hour
B)4 hours
C)8 hours
D)12 hours
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28
Chapter 27: Care of the Mother and Newborn
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Sample Questions
Q1) A new mother asks for advice on how to quiet her fussy newborn.Which responses would be appropriate to suggest to the mother? (Select all that apply.)
A)Prewarm the crib sheets with a hot water bottle
B)Swaddle the newborn tightly in a receiving blanket
C)Place the baby in a larger crib or infant bed
D)Offer a pacifier or allow the infant to suckle at the breast
E)Take the infant for a ride in the car
Q2) What is the term for the cream cheese-like substance that protects the infant's skin from amniotic fluid?
A)Lanugo
B)Meconium
C)Desquamation
D)Vernix caseosa
Q3) What is characteristic of a normal breastfed infant's stool?
A)Green and loose
B)Dark green and sticky
C)Pale yellow and frequent
D)Light brown and pasty
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Family with Special Needs
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Sample Questions
Q1) A primigravida is Rh negative and her husband is Rh positive.She is concerned about the health of the fetus.The nurse explains that there is little danger to the fetus if it is Rh positive; however,the mother would become sensitized during delivery.If this were the case,the mother would produce what in subsequent pregnancies?
A)Rh-negative blood cells
B)Rh-positive blood cells
C)Rh-negative antibodies
D)Rh-positive antibodies
Q2) An infant born to a diabetic mother should be closely monitored for the presence of what condition?
A)Hyperglycemia
B)Hypercalcemia
C)Hypoglycemia
D)Cardiac abnormalities
Q3) Why do alcohol and illegal drugs endanger the fetus?
A)Both are absorbed into the bloodstream.
B)Both affect the mother.
C)Both cross the placental barrier.
D)Both increase the heart rate of the fetus.
Page 30
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Chapter 29: Health Promotion for the Infant, Child, and Adolescent
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Sample Questions
Q1) The nurse stresses that regular physical activity has been identified as a leading health indicator.Regular physical activity has which positive effect on children?
A)Improves social skills
B)Reduces fluid retention
C)Increases bone and muscle strength
D)Increases attention span
Q2) The nurse sets up a sample physical activities schedule to fit the FDA's Dietary Guidelines for Americans that recommends that children get at least how many minutes of physical activity per day?
A)15
B)30
C)45
D)60
Q3) Which are physical risks associated with excess weight? (Select all that apply.)
A)Poor eyesight
B)Heart disease
C)Arthritis
D)Stroke
E)Appendicitis
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Chapter 30: Basic Pediatric Nursing Care
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) How should an infant be positioned after a feeding?
A)On the stomach
B)On the right side
C)On the left side
D)On the back
Q2) What should the nurse do to minimize an unpleasant-tasting drug?
A)Pour the drug over ice
B)Squirt the drug in the mouth with a syringe
C)Administer the drug through a straw
D)Enlist the parent's assistance
Q3) What is a disadvantage of using a mist tent with a toddler?
A)The nurse must remove the restless child.
B)The wet bedding and clothing must be changed frequently.
C)The mist tent must be opened at least once every hour.
D)All objects must be kept outside of the tent.
Q4) What was one of the major strides in pediatric care made by Dr.Abraham Jacobi?
A)Pediatric wards in hospitals
B)Free inoculations against smallpox
C)Milk stations in the city of New York
D)Serving nutritious foods in orphanages
Page 32
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Chapter 31: Care of the Child with a Physical and Mental or Cognitive Disorder
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Q1) The nurse explains that cognitive impairment is categorized by four levels that depend on the intelligence quotient (IQ).How is a child with an IQ of 45 classified?
A)Within the normal low range
B)Educable
C)Trainable
D)Severe
Q2) How is the infant with gastroesophageal reflux (GER)typically treated?
A)By making the infant NPO
B)By thickening the formula or breast milk with cereal
C)By placing the infant to sleep on the side
D)By switching the infant to cow's milk
Q3) The nurse explains that which diagnostic studies are needed for the diagnosis of cognitive impairment? (Select all that apply.)
A)Denver Developmental Screening Test
B)Stanford-Binet Intelligence Scale
C)Wechsler Intelligence Scale
D)Miller's Analogies
E)Strong Personality Assessment
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Chapter 32: Health Promotion and Care of the Older Adult
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The nurse initiates the application of a draw sheet on every bedfast patient on her unit to facilitate lifting and to prevent _________ forces.
Q2) The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?
A)Osteoporosis
B)Arthritis
C)Kyphosis
D)Osteomyelitis
Q3) The nurse recognizes that a term referring to mechanical difficulty of swallowing is
Q4) When bathing an 80-year-old woman who lives on a farm,the nurse assesses brown macules on the patient's hands and forearms.The nurse recognizes these as
Q5) What is the most common cause of dementia?
A)Multi-infarct
B)Medications
C)Alzheimer disease
D)Parkinson disease
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Chapter 33: Concepts of Mental Health
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40 Flashcards
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Sample Questions
Q1) Which theorist believed that personality development was based on task mastery?
A)Sigmund Freud
B)Erik Erikson
C)Jean Piaget
D)Friedrich Nietzsche
Q2) A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness.What other feelings may the patient have that should be recognized?
A)Isolation
B)Suicidal ideation
C)Fear
D)Anger
Q3) A 40-year-old patient cries and has a tantrum when the physician refuses to give her a prescription for diet pills.The nurse realizes that this is the use of which defense mechanism?
A)Compensation
B)Denial
C)Regression
D)Repression
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Page 35
Chapter 34: Care of the Patient with a Psychiatric Disorder
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Sample Questions
Q1) The nurse recognizes that a woman who has experienced physical abuse and has inadequate income to care for herself and her family would be categorized under Axis
Q2) A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime.What is the term applied to this type of delirium?
A)Disordered thinking
B)Schizophrenia
C)Dementia
D)Sundowning syndrome
Q3) A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off.What does this behavior represent?
A)Phobia
B)Post-traumatic stress disorder
C)Obsessive-compulsive disorder
D)Disordered thinking
Q4) The nurse recognizes that stress can cause an ulcer,which is classified as a _______________ illness.
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Chapter 35: Care of the Patient with an Addictive Personality
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Sample Questions
Q1) A college student has brought his hallucinating roommate to the college clinic.The young man says his roommate has been experimenting with phencyclidine (PCP).How long should the nurse expect the hallucinations to last?
A)30 to 60 minutes
B)1 to 4 hours
C)4 to 6 hours
D)6 to 12 hours
Q2) When a patient denies any problems related to addiction,what is the nurse's most therapeutic response?
A)"What do you call this hospitalization?"
B)"How can anybody help you if you don't see a problem?"
C)"Would your family agree that you have no problems?"
D)"Can you think of any time your behavior created an unpleasant situation in your life?"
Q3) Which drug is often used in date rape?
A)Dalmane
B)Xanax
C)Narcan
D)Rohypnol
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Chapter 36: Home Health Nursing
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Sample Questions
Q1) Complete documentation is essential and must include an accurate picture of the type and quality of care given,as well as the effectiveness of the plan of care.Which model should be followed to best provide adequate documentation?
A)Caretaker
B)Nursing process
C)Home health care
D)Nursing efficiency
Q2) What should be the focus when the family and the patient work with the nurse to plan interventions?
A)Determining actions
B)Participating in care
C)Setting goals
D)Celebrating achievements
Q3) What is the fastest-growing group in the U.S.population today?
A)30- to 40-year-olds
B)40- to 50-year-olds
C)50- to 65-year-olds
D)Those 85 and older
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Chapter 37: Long-Term Care
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Sample Questions
Q1) Although the Occupational Safety and Health Act (OSHA)increases the cost of care,what is a benefit that it provides for long-term care?
A)It ensures a safe environment for personnel.
B)It ensures that medications are administered safely.
C)It ensures that food is prepared safely.
D)It ensures safe ambulation and transportation of patients.
Q2) What impact will the Affordable Care Act have on nursing homes and long-term care centers when fully implemented? (Select all that apply.)
A)A weaker consumer complaint system
B)Better training for state inspectors
C)Program to support national criminal background checks
D)Public disclosure of nursing home owners and operators
E)Training of nursing assistants in the care of people with dementia
Q3) When a resident who is a Muslim becomes concerned about his religiously dictated dietary requirements,the nurse may refer this concern to the long-term care ____________ department.
Q4) The nurse explains to a patient that shopping,using a phone,and administering his own medications are classified as ____________ activities of daily living.
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Page 39
Chapter 38: Rehabilitation Nursing
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Sample Questions
Q1) When the nurse observes a patient experiencing a severe episode of autonomic dysreflexia,what should be the initial intervention?
A)Locate the cause of irritation
B)Assess the blood pressure
C)Cover the patient with several blankets
D)Raise the head of the bed to a high Fowler position
Q2) The nurse instructs the mother of a 5-year-old who sustained a mild brain injury that although all neurologic evaluations are normal,her child may exhibit postconcussive syndrome.What are common characteristics of this syndrome?
A)Convulsions and high fever
B)Irritability and memory deficits
C)Muscular twitching and muscle pain
D)Paresis of limbs and fatigue
Q3) What is the best way to define a handicap?
A)Any loss of function
B)A disability that interferes with one's normal functioning
C)Any loss of ability to perform activities of daily living
D)An irreversible lifelong impairment
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Chapter 39: Hospice Care
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Sample Questions
Q1) What are the drugs of choice when caring for the hospice patient?
A)Nonsteroidal anti-inflammatory drugs
B)Anticholinergic drugs
C)Duragesic patches
D)Morphine derivatives
Q2) The hospice nurse documents an assessment finding of cachexia in the patient record.What does cachexia describe?
A)Deep sleep and unresponsiveness
B)Marked weakness and emaciation
C)Total addiction to opioids
D)Renewed energy
Q3) The hospice nurse requests that the patient designate a primary caregiver for himself.What is true of the primary caregiver?
A)Must be a relative
B)Has complete control over the patient's care
C)Assumes ongoing responsibility for health maintenance of the patient
D)Must have power of attorney
Q4) When the dying patient becomes confused,the nurse should ____________ him or her.
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Chapter 40: Professional Roles and Leadership
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Sample Questions
Q1) What is the best way to resolve most disagreements?
A)Agreement
B)Argument
C)Communication
D)Withdrawing
Q2) A manager is concerned that one of the nurses on the unit is experiencing burnout.Which symptoms would support the concerns? (Select all that apply.)
A)Fatigue
B)Forgetfulness
C)Increased energy
D)Negative outlook
E)Changes in eating habits
Q3) What type of leadership uses four different styles-directing,coaching,supporting,and delegating?
A)Autocratic
B)Situational
C)Democratic
D)Authoritative
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