Nursing Assessment and Skills Question Bank - 2944 Verified Questions

Page 1


Nursing Assessment and Skills

Question Bank

Course Introduction

Nursing Assessment and Skills is a foundational course designed to equip students with the essential knowledge and practical abilities required for effective patient assessment and care. The course covers the systematic collection and analysis of patient data, including physical, psychological, social, and environmental factors influencing health. Emphasis is placed on mastering core clinical skills such as vital signs measurement, patient interviewing, head-to-toe physical examinations, and accurate documentation. Students also learn to utilize critical thinking and evidence-based practice in the assessment process to identify patient needs and prioritize nursing interventions. Hands-on laboratory experiences and simulated clinical scenarios prepare students for real-world application in diverse healthcare settings.

Recommended Textbook

Nursing A Concept Based Approach to Learning Volume I.II and III 1st Edition by Pearson Services

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67 Chapters

2944 Verified Questions

2944 Flashcards

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Page 2

Chapter 1: Acid-Base Balance

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79 Verified Questions

79 Flashcards

Source URL: https://quizplus.com/quiz/45817

Sample Questions

Q1) The nurse is evaluating care provided to a client with respiratory alkalosis. Which outcomes indicate that nursing care has been effective for this client? Select all that apply.

A)Respiratory rate 18 and regular

B)Sleeping through the night

C)Gait steady

D)Consistent body weight

E)Using prescribed bronchodilators

Answer: A, B, C, D

Q2) During a home visit, the nurse evaluates care provided to a client with type 1 diabetes mellitus and a history of metabolic acidosis. Which outcome indicates that the care of this client has been successful?

A)The client is injecting insulin into thigh muscle.

B)The client is taking laxatives three times a week to ensure adequate bowel movements.

C)The client is eating three balanced meals per day with two snacks.

D)The client is taking aspirin 325 mg every 6 hours to treat arthritis pain.

Answer: C

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3

Chapter 2: Cellular Regulation

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119 Verified Questions

119 Flashcards

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Sample Questions

Q1) The nurse is evaluating care provided to a client recovering from surgery for colorectal cancer. Which outcomes indicate that care has been successful? Select all that apply.

A)Client reports pain level as an 8 on a rating scale of 0 to 10.

B)Client has an hourly urine output of 45 mL.

C)Client performs morning care with assistance.

D)Client states family members will care for the ostomy at home.

E)Client tolerates full liquid diet and is requesting solid food.

Answer: B, C, E

Q2) The nurse is planning care for a young child who is admitted with sickle cell crisis. The parents are with the child, and neither has much information about the disease. When planning care for this family, the nurse will set which goal with this family?

A)The child will drink adequate amounts of fluid each day.

B)The child will play outside in the sun.

C)The family will not have the child vaccinated.

D)The family will plan vacations in high-altitude areas.

Answer: A

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Page 4

Chapter 3: Comfort

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76 Flashcards

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Sample Questions

Q1) An adult female client is diagnosed with chronic fatigue syndrome. What statement best accompanies the diagnosis?

A)Continued bed rest will relieve the condition.

B)The client's physician has ruled out an obvious cause for the fatigue.

C)The client is suffering complications from a severe stress reaction.

D)The client needs a rigorous exercise regimen.

Answer: B

Q2) A 13-year-old female client is diagnosed with juvenile primary fibromyalgia syndrome. What should the nurse expect regarding this client?

A)The nurse will treat the client in much the same way as an adult with fibromyalgia.

B)Chronic fatigue can be ruled out as a likely clinical manifestation.

C)The client's pain will likely have lasted no more than 3 months.

D)The client's WPI score will be no greater than 7.

Answer: A

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Chapter 4: Digestion

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Sample Questions

Q1) The multidisciplinary care team is meeting to discuss care for a client who exhibits symptoms of the prodromal phase of hepatitis. Lab results include a positive anti-HAV IgM. The nurse creates an action plan to present to the team. Which interventions are appropriate? Select all that apply.

A)High-fat, low-calorie, and no-alcohol diet teaching

B)Patient education on acceptable pain medication

C)Early treatment with lamivudine

D)Referral to the liver transplant team

E)Family teaching for transmission prevention

Q2) When planning care for a client with chronic hepatitis, which collaborative discipline will be most helpful in treating continued alcohol use?

A)Social worker

B)Primary provider

C)Pharmacist

D)Dietitian

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Chapter 5: Elimination

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Sample Questions

Q1) The nurse is caring for a group of clients on a medical-surgical unit. Which client does the nurse anticipate to be at the greatest risk for alterations in urinary elimination?

A)The client with hypertension who takes a diuretic to manage blood pressure

B)An 80-year-old male client reporting frequent urination at night

C)A 25-year-old female client with low self-esteem

D)A client who had bladder cancer and now has a newly created ileal conduit

Q2) The nurse is caring for a client with a history of kidney stones. The stones have been analyzed and are all composed of calcium phosphate. Based on this data, which foods should the nurse teach the client to avoid?

A)Chicken, beef, and ham products

B)Organ meats, sardines, and seafood

C)Tomatoes, fruits, and nuts

D)Flour, milk, and ice cream

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Chapter 6: Fluids and Electrolytes

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Sample Questions

Q1) The nurse is caring for a client diagnosed with chronic kidney disease (CKD)who is pale and experiencing fatigue. The nurse attributes these symptoms to anemia secondary to CKD. The client's spouse asks why the client is anemic. Which response by the nurse is the most appropriate?

A)"Your spouse has a genetic tendency for the development of anemia."

B)"The increased metabolic waste products in your spouse's body depress the bone marrow and cause anemia."

C)"Your spouse's kidneys are producing reduced amounts of the hormone erythropoietin, and this is the cause of the anemia."

D)"Your spouse is not eating enough iron-rich foods, and this has led to anemia."

Q2) The nurse is planning a seminar to instruct community members on ways to reduce the development of chronic kidney disease (CKD). Which topics should the nurse include in the seminar? Select all that apply.

A)Avoid eating red meat.

B)Control blood glucose levels in diabetes mellitus.

C)Adhere to medication regimen to control hypertension.

D)Participate in regular exercise.

E)Avoid smoking.

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Chapter 7: Health Wellness and Illness

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Sample Questions

Q1) A nurse is caring for a client with glossitis secondary to nutritional deficiencies. Based on this data, which is the priority focus of this client's care?

A)Upper lip

B)Upper teeth

C)Uvula

D)Tongue

Q2) A nurse is teaching a couples' class at a local community center about building positive relationships. Today's session is on learning skills to be open-minded and respectful to those with opposing opinions. Based on this data, on which component of wellness is the nurse focusing this session?

A)Physical

B)Social

C)Environment

D)Emotional

Q3) The portion of the tooth that wears away, allowing dental decay, is the

A)pulp cavity.

B)enamel.

C)gingiva.

D)root.

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Page 9

Chapter 8: Immunity

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Sample Questions

Q1) The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS)who is on antiretroviral therapy. The client complains of nausea, fever, severe diarrhea, and anorexia. Which of the following prescribed medications does the nurse anticipate in order to relieve the anorexia and stimulate the client's appetite? Select all that apply.

A)Dronabinol (Marinol)

B)Zidovudine (Retrovir, AZT)

C)Abacavir (Ziagen)

D)Ciprofloxacin (Cipro)

E)Megestrol (Megace)

Q2) A nurse is working in a summer camp for children. One of the children comes to the clinic with several bee stings. Which clinical manifestations would necessitate injecting the child with epinephrine (EpiPen)? Select all that apply.

A)Skin that is cold and clammy to the touch

B)Skin that is warm and dry to the touch

C)Hyperverbal behavior

D)Extreme anxiety and agitation

E)Facial swelling

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Chapter 9: Infection

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Sample Questions

Q1) The nurse is teaching the parents of an infant who is diagnosed with acute otitis media. Which is the priority teaching point for these parents?

A)Administer a decongestant for nasal congestion.

B)Keep the baby in a flat position during sleep.

C)Administer acetaminophen to relieve pain and decrease fever.

D)Place the baby to sleep with a pacifier.

Q2) A toddler with otitis media is prescribed amoxicillin clavulanate 250 mg/5 mL three times daily by mouth for 10 days. What should the nurse teach the mother about this medication?

A)"It is OK to stop the antibiotic if the child begins to have side effects."

B)"Give the antibiotic for the full 10 days as prescribed."

C)"It is important to measure the prescribed dose in a household teaspoon."

D)"Be sure to administer a loading dose of the medication when you get home."

Q3) A type of infection that is associated with the delivery of healthcare services in a facility such as a hospital or nursing home is called a(n)

A)etiologic infection.

B)latent infection.

C)healthcare-associated infection.

D)hospital-associated infection.

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Page 11

Chapter 10: Inflammation

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66 Flashcards

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Sample Questions

Q1) The nurse is caring for a client who was admitted to the hospital 1 day prior with cholelithiasis. Which new assessment finding indicates that the stone has probably obstructed the client's common bile duct?

A)Nausea and vomiting

B)Jaundice

C)Right upper quadrant (RUQ)pain

D)Elevated cholesterol level

Q2) The warmth and redness that accompany inflammation result from which of the following steps in the inflammatory process?

A)Exudate production

B)Cellular regeneration

C)Hyperemia

D)Margination of leukocytes

Q3) In the presence of inflammation, a client's erythrocyte sedimentation rate (ESR)

A)decreases due to the decreased proportion of fibrinogen in the blood.

B)decreases due to the increased proportion of fibrinogen in the blood.

C)increases due to the decreased proportion of fibrinogen in the blood.

D)increases due to the increased proportion of fibrinogen in the blood.

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Chapter 11: Intracranial Regulation

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45 Flashcards

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Sample Questions

Q1) Traumatic brain injury occurs when which of the following causes some degree of impairment to brain structure or function?

A)Congenital disorder

B)External force

C)Infection

D)Stress reaction

Q2) When a nurse provides a client with the guidance to wear seat belts and avoid mobile device use while driving, this measure is intended to lower the risk of which of the following?

A)Cerebral edema

B)Head trauma

C)Hydrocephalus

D)Intracranial tumors

Q3) Which statement about cerebral edema or ischemia is true?

A)It often causes a skull fracture.

B)It is an example of a lacerating injury.

C)It is an example of a penetrating injury.

D)It is often secondary to a traumatic brain injury.

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13

Chapter 12: Metabolism

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Sample Questions

Q1) The nurse identifies the nursing diagnosis Imbalanced Nutrition: Less Than Body Requirements as appropriate for a client with osteoporosis. Which client statement indicated to the nurse that this nursing diagnosis was appropriate?

A)"I like to remove all of the fat from the meat I eat."

B)"I am trying to eat a low-carb diet."

C)"I plan to start eating out less."

D)"I am allergic to dairy products."

Q2) Which client is at the greatest risk for developing hypothyroidism?

A)A 21-year-old woman who has a mother with Graves disease

B)A 32-year-old man who has an uncle with type 1 diabetes mellitus

C)A 57-year-old woman whose aunt had systemic lupus erythematosus

D)A 72-year-old man whose father had cardiovascular disease

Q3) Health promotion and prevention related to type 1 diabetes should include

A)teaching clients at high risk how to prevent type 1 diabetes.

B)teaching clients with type 1 diabetes how to prevent complications.

C)providing clients with vaccinations against viruses that cause type 1 diabetes.

D)referring clients to a nutritionist and exercise therapist.

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Page 14

Chapter 13: Mobility

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114 Verified Questions

114 Flashcards

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Sample Questions

Q1) A client who sustained a cervical neck injury 2 days ago is demonstrating an irregular respiratory pattern with a rate of 8-10 breaths per minute. Based on this data, which is the priority nursing diagnosis?

A)Impaired Physical Mobility

B)Autonomic Dysreflexia

C)Ineffective Breathing Pattern

D)Impaired Gas Exchange

Q2) Which of the following procedures used in the treatment of osteoarthritis (OA)involves removing a small amount of bone at the articulating surface of the joint and fitting a metal replacement over the end of the bone?

A)Osteotomy

B)Arthroplasty

C)Arthroscopy

D)Joint resurfacing

Q3) Which of the following clients is at highest risk for autonomic dysreflexia?

A)A client with an injury to T9

B)A client with an injury to C7

C)A client with an injury to L2

D)A client with an injury to S1

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Page 15

Chapter 14: Nutrition

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Sample Questions

Q1) The nurse is caring for an adult client with a BMI of 26.8 who complains of sleep apnea and gout. The nurse anticipates that treatment of this patient for obesity will consist of which therapies? Select all that apply.

A)Pharmacotherapy

B)Diet

C)Exercise

D)Behavior modification

E)Surgery

Q2) Bariatric surgery is an option for which category of clients?

A)Overweight

B)Pregnant women

C)Adolescents

D)Morbidly obese

Q3) The nurse is performing a nutritional assessment of a client who weighs 185 lb and is 5 feet, 3 inches tall. This client's body mass index, rounded to the nearest hundredth, is

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Chapter 15: Oxygenation

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Sample Questions

Q1) Friends of a client hospitalized with asthma would like to bring the client a gift. Which gift should the nurse recommend for this client?

A)A basket of flowers

B)A stuffed animal

C)Fruit and candy

D)A book

Q2) The nurse is reviewing discharge instructions with a client who is newly diagnosed with asthma. Which client statement indicates a need for further teaching?

A)"I need to rinse my mouth after every use of my inhaler."

B)"I need to take my Singulair at least 1 hour before I eat."

C)"When inhaling two different medications, I should use the bronchodilator last."

D)"Because I am on theophylline, I will need to have therapeutic blood levels drawn."

Q3) Vaccinations can help promote healthy oxygenation by

A)reducing the transmission of preventable diseases.

B)increasing the exchange of oxygen for carbon dioxide in the lungs.

C)promoting adequate blood circulation to organs and tissues.

D)preventing all respiratory infections.

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Page 17

Chapter 16: Perfusion

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Sample Questions

Q1) The nurse is caring for a 76-year-old client with a history of angina. What atypical age-related warning sign of a myocardial infarction should the nurse need to include in client teaching?

A)Cool, clammy skin

B)Chest pain

C)Tachycardia

D)Abdominal pain

Q2) Which is believed to be the cause of preeclampsia?

A)Placental dysfunction

B)Liver disease

C)Anxiety

D)Low sodium intake

Q3) A client has a blood pressure of 142/92 mmHg. Which classification is appropriate for the nurse to use when documenting this data?

A)Normal

B)Hypertension stage I

C)Prehypertension

D)Hypertension stage II

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18

Chapter 17: Perioperative Care

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Sample Questions

Q1) Which of the following statements best describes the vital signs the nurse collects during the preoperative phase?

A)They are the only vital signs collected during the perioperative period.

B)When later vital signs are taken, they are compared against the preoperative set.

C)Generally preoperative vital signs are only relevant during the intraoperative process.

D)These are not essential and may be omitted for emergency surgeries.

Q2) A prothrombin time (PT)test measures which of the following?

A)Time required for the client's blood to clot

B)Time required for the client's plasma to clot

C)Time required for platelets to effectively stop bleeding

D)Time required for a surgical procedure

Q3) A client presents with decreased blood volume, hypotension, tachycardia, and tachypnea during surgery. Which of the following intraoperative complications is most likely?

A)Hypovolemia

B)Hypervolemia

C)Hypokalemia

D)Hypernatremia

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Chapter 18: Sensory Perception

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Sample Questions

Q1) A client has been diagnosed with cataracts of both eyes. The client's vision and activities of daily living have become severely impaired. What collaborative intervention does the nurse anticipate for this client?

A)Corrective lenses for the cataracts

B)Two surgical procedures, separated by a few weeks, to remove the cataracts

C)Two surgical procedures to remove both cataracts at the same time

D)Eyedrops to treat the cataracts

Q2) A nurse working in the emergency department is caring for a client with an eye injury. The client describes spots in the field of vision. Based on this finding, which of the following is the nurse's priority concern?

A)The possibility that the client will immediately lose all vision

B)The possibility that the client will experience a progressive deterioration of vision

C)The possibility that the client will begin to experience intense eye pain

D)The possibility that the client's conjunctiva will become red and edematous

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Chapter 19: Sexuality

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Sample Questions

Q1) A 30-year-old client is concerned that he will become impotent after experiencing difficulty sustaining an erection during a recent sexual encounter. What is the nurse's best response to this client's concerns?

A)"An occasional incident like this is normal and common."

B)"Sexually transmitted infections may result in sexual problems in adults."

C)"Erectile dysfunction is the correct term for inability to achieve or sustain an erection."

D)"A medical diagnosis of erectile dysfunction is not made until a man has experienced erectile difficulties for a period of at least 3 months."

Q2) What should the nurse include in the plan of care for a client experiencing erectile dysfunction due to a chronic health condition? Select all that apply.

A)Information about herbal supplements that can help treat ED

B)Information on prescription medications used in ED treatment

C)Brief description of types of devices and surgeries available to help with ED

D)Explanation of how to discontinue any prescribed medications that may be contributing to the client's ED

E)Information on the exact cause of the client's ED

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Chapter 20: Thermoregulation

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Sample Questions

Q1) The nurse is caring for a client who presents to the emergency department after a boating accident in which the client nearly drowned. The nurse understands that which type of heat loss resulted in a diagnosis of hypothermia?

A)Evaporation

B)Insensible water loss

C)Convection

D)Insensible heat loss

Q2) During an assessment, the nurse notes that a client who was a victim of an industrial accident has a mildly elevated body temperature. When discussing the client's increased temperature, which will the nurse attribute it to?

A)Infection

B)Diet

C)Exercise

D)Stress

Q3) What is the primary means of assessing the severity of hyperthermia?

A)Core temperature measurement

B)Skin temperature measurement

C)Clinical presentation of the client

D)Client history related to current condition

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Page 22

Chapter 21: Tissue Integrity

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Sample Questions

Q1) Which of the following findings suggests that a wound is infected with pyogenic bacteria?

A)Sanguineous exudate

B)Serous exudate

C)Serosanguineous exudate

D)Purulent exudate

Q2) The nurse is caring for an older adult. Which age-related changes should the nurse identify as increasing the risk of dry skin? Select all that apply.

A)Reduction in elastin

B)Depleted moisture in epidermal cells

C)Decreased size of sebaceous glands

D)Thinner subcutaneous skin layer

E)Poor nutrition

Q3) A client has a laceration that was closed with tissue adhesive. By what process will this wound heal?

A)Tertiary intention

B)Secondary intention

C)Delayed primary intention

D)Primary intention

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Page 23

Chapter 22: Addiction

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Sample Questions

Q1) An 80-year-old client with heart disease tells the nurse, "I am sick because I sinned by smoking cigarettes." Which response by the nurse is appropriate?

A)"Smoking cigarettes isn't a sin. There are many worse habits you could have."

B)"Cigarette smoking was socially acceptable when you began smoking. People didn't fully understand the problems it could cause."

C)"Why don't we call the hospital chaplain and you can pray about your sins?"

D)"You are correct, but it is too late to do anything about it now."

Q2) A nurse is caring for a client who smokes cigarettes and wants information about nicotine replacement therapy (NRT). Which statement is appropriate for the nurse to include in the teaching session?

A)"Over-the-counter NRT products include transdermal patches, gums, nicotine inhalers, and nasal sprays."

B)"NRT helps relieve the psychologic and physiologic effects of nicotine withdrawal."

C)"NRT does not address addictive behavior."

D)"Using NRT in conjunction with a smoking cessation program is no more effective than using NRT alone."

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Page 24

Chapter 23: Cognition

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Sample Questions

Q1) The nurse is explaining the difference between delirium and dementia to a family member of a client with confusion. Which statement is appropriate for the nurse to include?

A)"The cause of delirium is always unknown."

B)"Dementia develops suddenly."

C)"Delirium is a serious but common occurrence in older adult clients who are hospitalized."

D)"Delirium is often confused with depression in older adult clients."

Q2) The nurse is planning care to address safety needs for an older adult client who has recently been diagnosed with early Alzheimer disease. Which interventions are appropriate to address safety needs? Select all that apply.

A)Use of a restraint belt at night to prevent wandering behaviors

B)Check shoes for fit and support.

C)Contact the department of motor vehicles to have the client's license suspended.

D)Keep all familiar objects in the home.

E)Remove throw rugs and electrical cords.

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Chapter 24: Culture and Diversity

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Sample Questions

Q1) The nurse notices that a client, who is from another country, appears uncomfortable when the nurse asks to look at the client's abdominal incision from a recent surgery. Which nursing action is the most culturally competent?

A)Close the client's curtain to maintain privacy.

B)Ask the client to explain why she is uncomfortable.

C)Explain the reason for the intervention using lay terms.

D)Wait until the next assessment time to observe the incision.

Q2) A general term used for a variety of conditions in which an individual is born with a reproductive or sexual anatomy that does not seem to fit the typical definitions of female or male is

A)homosexual.

B)transgender.

C)genderqueer.

D)intersex.

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Chapter 25: Development

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Sample Questions

Q1) The parents of a child with autism spectrum disorder (ASD)observe that the child has difficulty making friends and are concerned about social expectations for their child. Which of the following is the priority diagnosis for this child based on the parents' concern?

A)Ineffective Coping

B)Deficient Diversional Activity

C)Social Isolation

D)Impaired Social Interaction

Q2) A 6-month-old is in the clinic for a well-child visit. As part of the visit, the nurse will assess his development using the Ages and Stages Questionnaire (ASQ). Which will the nurse rely on to make her assessment?

A)Observation of the child's skills in a variety of areas

B)Parent reports of communication and motor skills, social skills, and problem-solving ability

C)Parental reports and observation of the child's skills in a variety of areas

D)Childcare provider reports of communication and motor skills, social skills, and problem-solving ability

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Chapter 26: Family

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Sample Questions

Q1) The nurse is caring for a client who is hospitalized with pneumonia. Which of the following will the nurse assess when determining the impact of the illness on the family? Select all that apply.

A)The duration of the illness

B)The effect of the illness on future family functioning

C)The cause of the illness

D)The meaning of the illness to the family

E)The financial impact of the illness

Q2) The nurse is observing a family counseling session that is focusing on the family members' communication patterns. Which observation indicates that there are existing or potential problems with family communication?

A)All members are participating in the discussion equally.

B)A few of the members just sit and listen.

C)Disagreements are ignored by the family leader.

D)The verbal communication is congruent with the nonverbal messages.

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28

Chapter 27: Grief and Loss

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Sample Questions

Q1) The community nurse is developing a seminar to help children who have experienced a loss. Which information should the nurse include to help these children adapt?

A)Explain that magical thinking helps with the pain.

B)Remind the child that big children don't cry.

C)Help create new memories.

D)Pretend that the individual has not really gone.

Q2) Which clients should the nurse identify as being at risk for prenatal loss? Select all that apply.

A)The woman who drinks one cup of coffee every morning

B)The woman recovering from a gastrointestinal virus

C)The unmarried 14-year-old girl living in the city

D)The woman who lacks access to health and prenatal care

E)The woman who had a healthy baby 6 months ago resulting from a healthy pregnancy

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Chapter 28: Mood and Effect

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Sample Questions

Q1) A nurse working in labor and delivery is assessing a client's risk for developing postpartum depression. Which is a risk factor for this disorder?

A)Multiparity (multiple pregnancies)

B)Overwhelming family support

C)History of bipolar disorder

D)Supportive relationship with spouse

Q2) A client tells the nurse about rarely going outdoors in the winter because of a lack of energy or desire. Based on this data, which does the nurse suspect the client is experiencing?

A)Seasonal affective disorder

B)Side effect of medication

C)Situational depression

D)Anxiety

Q3) Which molecule has been implicated in the pathophysiology of depression?

A)Brain natriuretic peptide

B)Dopamine

C)Epinephrine

D)Calcitonin

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Chapter 29: Self

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/45860

Sample Questions

Q1) The nurse is providing care to a client who has been diagnosed with a personality disorder. Which finding indicates that the treatment plan has been beneficial for this client?

A)The client has ceased self-mutilating behavior and bathes once a week.

B)The client eats sporadically and reports being told she does not deserve to eat.

C)The client asks others for money because the client's money was stolen.

D)The client sits with others in the lounge area conversing about current affairs.

Q2) A clinic nurse is providing care for several clients. Which client is at the highest risk for anorexia nervosa?

A)A 16-year-old Hispanic female client

B)A 21-year-old Hispanic male client

C)A 16-year-old non-Hispanic White female client

D)A 22-year-old non-Hispanic White male client

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Chapter 30: Spirituality

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/45861

Sample Questions

Q1) A nurse enters a client's room to assess why the alarm on an IV infusion has sounded. As the nurse checks the IV equipment, the client says he would like someone to pray with. How should the nurse address the client's spiritual needs while providing necessary IV care?

A)The nurse should focus her attention solely on the infusion, because it is more important at this time than the client's prayer request.

B)The nurse should nod in response to the client's request while taking care of the infusion.

C)While taking care of the infusion, the nurse should offer to call a clergy member.

D)After assessing that the alarm is not an emergency, the nurse should offer to pray with the client.

Q2) While helping a client with the evening meal, the nurse observes the client close his eyes, bow his head, and murmur words of thanks and praise. What should this behavior suggest to the nurse?

A)The client did not want the nurse to leave.

B)The client was asking that the meal be better than the last.

C)The client is confused.

D)The client was praying before eating.

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Chapter 31: Stress and Coping

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57 Verified Questions

57 Flashcards

Source URL: https://quizplus.com/quiz/45862

Sample Questions

Q1) The nurse is concerned that a client is demonstrating signs of obsessive-compulsive disorder. Which clinical manifestations and risk factors identified during the nursing assessment caused the nurse's concern? Select all that apply.

A)Not making eye contact with the nurse

B)Female age 25

C)Client checking the contents of a purse several times within minutes

D)Client repeating the words "third floor"

E)Client asking to use the bathroom in the middle of the assessment

Q2) A client states to the nurse that learning how to use the blood glucose machine will have to wait until holiday events are planned. Which cognitive indication of stress is the client demonstrating?

A)Problem solving

B)Suppression

C)Self-control

D)Cognitive structuring

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33

Chapter 32: Trauma

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60 Flashcards

Source URL: https://quizplus.com/quiz/45863

Sample Questions

Q1) The nurse is caring for a client who has a history of being physically and sexually abused as a child, and his father abandoned the family when he was 7 years old. The nurse recognizes that this increases the client's risk of becoming a perpetrator of rape because of which type of risk factors?

A)Individual

B)Relationship

C)Community

D)Societal

Q2) A 72-year-old male client has been admitted to the emergency department after a nurse at the long-term care facility where the client lives found the client bleeding from his rectum. The client told the emergency department nurse that one of the caregivers at the facility raped him. What intervention will the nurse need to include in this client's plan of care before discharge?

A)Help the client find a new long-term care facility.

B)Help the client create a post-discharge safety plan.

C)Help the client find a lawyer to sue the long-term care facility.

D)Help the client understand the warning signs of suicide.

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Page 34

Chapter 33: The Concept of Reproduction

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72 Verified Questions

72 Flashcards

Source URL: https://quizplus.com/quiz/45864

Sample Questions

Q1) A premature newborn's neuronal immaturity may contribute to what complication?

A)Apnea of prematurity

B)Patent ductus arteriosus

C)Respiratory distress syndrome

D)Anemia of prematurity

Q2) The nurse is caring for a 15-year-old pregnant adolescent during the labor and delivery process. The client has no support person with her, and she plans to give up her baby for adoption. What nursing intervention can the nurse implement to facilitate the grieving process for this client?

A)Encourage the client to avoid seeing and holding the baby.

B)Encourage the client to see and hold the baby.

C)Encourage the client to have the adoptive parents present for the birth.

D)Encourage the client to sign the adoption papers as soon as possible after the birth.

Q3) Upon delivery of the newborn, which nursing intervention promotes parental attachment?

A)Placing the newborn under the radiant warmer

B)Placing the newborn on the bed next to the mother

C)Placing the newborn on the maternal chest

D)Taking the newborn to the nursery for the initial assessment

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Page 35

Chapter 34: Assessment

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/45865

Sample Questions

Q1) The nurse is conducting a physical assessment of a middle-aged client upon admission to the cardiovascular care unit for cardiopulmonary problems. Which position is likely to be contraindicated for this client?

A)Sitting with back unsupported

B)Supine (horizontal recumbent)

C)Dorsal recumbent (back-lying)

D)Sims (side-lying)

Q2) The nurse is assessing an older adult client during a routine health maintenance visit. To assess the client's range of motion of the knees, which action by the nurse is appropriate?

A)Seat the client and extend each knee until the client alerts the nurse of severe pain.

B)Seat the client and extend each knee until the client alerts the nurse of any pain whatsoever.

C)Place the client prone and gently lift the entire right leg, followed by the entire left leg.

D)Have the client stand and extend each knee as far as it will go.

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Chapter 35: Caring Interventions

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11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/45866

Sample Questions

Q1) In holistic nursing, the nurse should emphasize the client's personal responsibility in maintaining health. This idea is most closely related to which concept in caring interventions?

A)Nursing presence

B)Empowerment

C)Compassion

D)Competence

Q2) During a care conference, the nursing student differentiates between the different theories of caring when discussing client care. Which type of knowledge is the student demonstrating?

A)Aesthetic knowing

B)Ethical knowing

C)Personal knowing

D)Empirical knowing

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Chapter 36: Clinical Decision Making

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/45867

Sample Questions

Q1) What is one of the primary reasons that it is important for nurses to prioritize care?

A)Nurses need to plan how to accomplish all activities within one shift.

B)Nurses can accomplish more if they perform the easiest or fastest interventions first.

C)Nurses should perform interventions related to client preferences early in the shift.

D)Nurses only have a limited amount of time to perform nursing interventions.

Q2) The nurse who uses clinical decision making to start CPR on a client is concerned about what other nursing concept?

A)Cognition

B)Perfusion

C)Thermoregulation

D)Acid-base balance

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Chapter 37: Collaboration

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/45868

Sample Questions

Q1) A staff nurse learns before reporting to work that a close family member has been diagnosed with terminal cancer. When receiving the shift report, the nurse finds that this family member has been assigned as a client. The nurse who cared for this individual on the outgoing shift states that the client is very demanding and complains a lot. Which action by the staff nurse who is assigned care for the oncoming shift is appropriate?

A)Discuss the situation with the charge nurse.

B)Resolve to refrain from reacting negatively to the client.

C)Tell the client to change the behavior.

D)Ask the healthcare provider to help control the client.

Q2) A client with type 1 diabetes mellitus has developed an open sore on the shin and is having trouble meeting daily goals for exercise. The client is scheduled for discharge in a couple of days. When planning for this client's continued care, who will the nurse notify regarding the client's postdischarge needs?

A)The pharmacy

B)The case manager

C)The occupational therapist

D)The physical therapist

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Chapter 38: Communication

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54 Verified Questions

54 Flashcards

Source URL: https://quizplus.com/quiz/45869

Sample Questions

Q1) The nurse is providing care for a client who is about to be discharged. The nurse is discussing the discharge orders with the client's primary healthcare provider. Which statement by the nurse is an appropriate example of using assertive communication?

A)"Can we talk about this client prior to discharge?"

B)"That new medication you prescribed for the client is ineffective."

C)"I am worried about the client's blood pressure. It remains high even with the new medication."

D)"Excuse me, Doctor, I think you need to do something about the client's blood pressure."

Q2) The nurse is caring for a school-age client who is scheduled to have major heart surgery the next morning. The nurse enters the room to administer a medication and finds the client crying. Which response by the nurse is most therapeutic?

A)"Would you like some toys from the playroom?"

B)"I'm going to go get the doctor."

C)"You shouldn't cry. You are not in pain."

D)"It is okay to cry. I know this is scary."

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Chapter 39: Managing Care

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/45870

Sample Questions

Q1) The emergency department staff is overwhelmed when multiple victims arrive from an explosion at a downtown factory. What leadership style would be most beneficial for the charge nurse to adopt in this situation to most efficiently provide nursing care to the incoming victims?

A)Autocratic

B)Democratic

C)Laissez-faire

D)Bureaucratic

Q2) The nurse is managing the care of an older adult client who is near the end of life but still has treatment options available. The treatment options could potentially be painful and expensive, and they would only extend the client's life approximately 2 months. What important topic should the nurse include during initial discussions with the client and family?

A)The need for hospice care for the client

B)Referral for grief counseling for the family

C)Reasons why the client should remain in the hospital until death

D)The client's health and impending mortality

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Chapter 40: Professional Behaviors

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/45871

Sample Questions

Q1) A nurse has just received the shift report for a 12-hour shift. As the nurse is preparing to enter a client's room, the nurse overhears a coworker telling an offensive joke with a sexual undertone to the client. Which action by the nurse is appropriate?

A)Tell the coworker, in private, that such conduct is offensive and not professional.

B)Ignore the coworker and walk away.

C)Report the incident to the unit manager.

D)Ask to be scheduled on a different shift than this coworker.

Q2) The nurse must start an IV for a toddler in the emergency department. The toddler is accompanied by a parent. The parent asks the nurse, "Can I stay with my child and comfort him?" Which response by the nurse is best?

A)"Yes, it would be helpful for you to stay and comfort your child."

B)"We do this all the time, so don't worry. I will come get you when we are done starting the IV."

C)"Be ready to hold your child down when I tell you to."

D)"It doesn't take long to start an IV, so there's no need for you to stay for the procedure."

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42

Chapter 41: Teaching and Learning

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/45872

Sample Questions

Q1) What is a good way for a nurse to prepare the environment for teaching?

A)Keep to a strict schedule decided in advance.

B)Emphasize the importance of paying close attention if client reactions demonstrate confusion.

C)Evaluate client abilities to perform skills with return demonstrations.

D)Inform students that they need to take effective notes because you will not be repeating yourself.

Q2) The nurse educator is preparing to teach a group of nursing students how to navigate the internet to research healthcare information. Which does the educator plan to include during lecture?

A)A directory of campus internet sites of interest

B)How to search for and evaluate health information

C)A directory of libraries

D)Information technology instruction

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43

Chapter 42: Accountability

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/45873

Sample Questions

Q1) How does accountability differ from responsibility?

A)Responsibility involves specific tasks that must be completed in order to fulfill a role, whereas accountability involves being answerable for the outcomes of those tasks.

B)Accountability involves specific tasks that must be completed in order to fulfill a role, whereas responsibility involves being answerable for the outcomes of those tasks.

C)Responsibility involves the professional standards used to determine what a nurse should or should not do, whereas accountability involves taking ownership of the actions of others.

D)Accountability involves the professional standards used to determine what a nurse should or should not do, whereas responsibility involves taking ownership of the actions of others.

Q2) ________ establishes and maintains the social, political, and economic arrangements that give professionals the means to control their professional affairs.

A)Autonomy

B)Governance

C)Socialization

D)Accountability

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44

Chapter 43: Advocacy

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/45874

Sample Questions

Q1) By providing volunteer client care to an inadequately insured population, the nurse is demonstrating which value of client advocacy?

A)The client has the right to make choices and decisions.

B)The nurse has the responsibility to ensure the client has access to healthcare services.

C)The client has the right to expect a nurse-client relationship based on shared respect.

D)The nurse has the responsibility to make choices and decisions.

Q2) The nurse is caring for a terminally ill pediatric client. The parents have decided to remove their child from life support. Which action by the nurse displays the role of client advocate?

A)Respecting the parents' decision

B)Telling the parents they are making the right decision

C)Asking to be assigned to a different client

D)Referring the parents to social services

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Chapter 44: Ethics

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/45875

Sample Questions

Q1) The nurse on a committee to determine the funding that each part of the hospital receives would be most concerned with which moral theory?

A)Consequence-based theory

B)Principles-based theory

C)Relationship-based theory

D)Legal-based theory

Q2) A pregnant client with a history of drug use refuses testing for human immunodeficiency virus (HIV), despite the recommendation of her nurse-midwife. Which actions by the nurse are appropriate in this situation? Select all that apply.

A)Refuse to treat the client.

B)Do the testing anyway.

C)Re-emphasize the importance of HIV testing.

D)Offer counseling.

E)Throughout the pregnancy, encourage the client to reconsider the decision not to be tested.

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Chapter 45: Evidence-Based Practice

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/45876

Sample Questions

Q1) A nurse working in a home health agency is asked to participate on a committee that is looking to incorporate evidence-based nursing care. What should be the committee's first step in implementing evidence-based practice (EBP)?

A)Compile a list of questions.

B)Research evidence-based practices that can be implemented.

C)Evaluate the results of different research projects.

D)Suggest that individual staff members try new means of delivering care.

Q2) A nurse educator is interacting with a group of nurses who are working toward their graduate degrees. The members of the group are interested in replication studies. Which of the following replication studies would be most appropriate given the changing demographics in the United States?

A)A study examining the ability of families to adapt to acute health problems

B)A study examining how effective use of supplies affects the cost of care

C)A study examining the ability of an aging population to care for itself

D)A study examining how new technology affects client care

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Chapter 46: Healthcare Systems

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/45877

Sample Questions

Q1) The nurse knows that Congress enacted the Emergency Medical Treatment and Labor Act (EMTALA)of 1986 to prevent which action by emergency services?

A)Refusing to treat uninsured clients

B)Servicing suburban clients only

C)Stopping the poor from using emergency services as primary care

D)Providing free examinations to the poor

Q2) The nurse in an urgent care center is assessing an adult client who is diagnosed with the flu. The nurse discusses the need for flu shots with the client, who states, "I cannot afford the shots. I do not have health insurance." Which suggestion by the nurse is most appropriate?

A)Seek preventive care at the local health department.

B)Find a primary care physician who will give free care.

C)Obtain the flu shot at a local pharmacy.

D)Get the shot every year in the emergency department.

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Chapter 47: Health Policy

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11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/45878

Sample Questions

Q1) The nurse is working for a healthcare organization that is going through the reaccreditation process. What action can the nurse take to help the organization be successful in the reaccreditation process?

A)Write position statements related to current events that affect the nursing profession.

B)Influence change by working with public officials at the local, community, state, and national levels.

C)Understand how healthcare policy affects patients, their own practice, and their organization.

D)Facilitate the use of nursing procedures that are current and evidence-based.

Q2) Which organization promotes excellence in all levels of nursing education?

A)National League for Nursing (NLN)

B)National Student Nurses Association (NSNA)

C)American Nurses Association (ANA)

D)American Association of Colleges of Nursing (AACN)

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Chapter 48: Informatics

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/45879

Sample Questions

Q1) Which best describes how the use of a clinical decision support system can help the nurse plan care for a client with a particular condition?

A)It can help the nurse find out what was done on the previous admission.

B)It can help the nurse identify evidence-based guidelines for this client's condition.

C)It can help the nurse use standardized nursing language during documentation.

D)It can help the nurse search the internet for information about surgical procedures.

Q2) How does the clinical decision support system support human resource functions?

A)Determining if staff are correctly coding client care procedures

B)Identifying staff who are incorrectly charging for resources used for client care

C)Recognizing staff who are not discharging clients according to identified lengths of stay

D)Evaluating the number of staff with licensure due to expire

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Chapter 49: Legal Issues

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/45880

Sample Questions

Q1) The nurse is in the midst of a complicated client care situation and is not sure what needs to be done with some information. Which healthcare issues must the nurse report to the state? Select all that apply.

A)Amputation of a limb

B)Death of a client

C)Death of a neonate

D)Diagnosis of tuberculosis

E)Kidney transplant

Q2) The nurse receives a notice that the state board of nursing has become a member of the Nurse Licensure Compact. How would this change in the state board of nursing structure influence the nurse's ability to practice nursing? Select all that apply.

A)The nurse can only practice nursing in the residing state.

B)The nurse can practice nursing in other states within the compact.

C)The nurse is accountable to the state in which the nurse and clients reside.

D)The nursing license will become similar to having a driver's license.

E)The nurse has to obtain an additional license.

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Chapter 50: Quality Improvement

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16 Flashcards

Source URL: https://quizplus.com/quiz/45881

Sample Questions

Q1) The nurse working in a blame-free environment provides medication to a client at the wrong time. No harm came to the client as a result of the nurse's error, and the nurse files a report about the medication error. Which action by the risk management team should the nurse anticipate?

A)Taking disciplinary action

B)Reporting to the board of nursing.

C)Monitoring all nurses on the unit.

D)Suggesting system changes to prevent future errors

Q2) The nurse is working in a healthcare setting that has implemented Lean Six Sigma. Which of the following should the nurse anticipate with regard to this model?

A)Shorter breaks

B)Ordering extra supplies

C)Replacing licensed with unlicensed personnel

D)Decreasing staff when the census is low

Q3) Which best describes the desired outcome of decreased readmission rates?

A)An increased use of overtime

B)A decrease in client satisfaction

C)An increase in client care supplies

D)A decreased cost of care

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Page 52

Chapter 51: Safety

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32 Flashcards

Source URL: https://quizplus.com/quiz/45882

Sample Questions

Q1) The nurse is assessing a 12-year-old male client. The client is within the normal range for height, weight, and body mass index (BMI)for his age. The client plans to play contact sports at school this year. He lives with his mother and attends after-school events when she is working late. What education should the nurse identify as a priority for this client to promote safety?

A)The importance of learning how to feel secure when he is at home alone

B)The importance of maintaining a normal weight and participating in physical activity

C)The importance of using safety equipment when playing contact sports

D)The importance of good hygiene practices and healthy diet

Q2) The nurse is conducting a home risk assessment for a family with toddler and preschool-age children. Which should the nurse identify as the priority safety hazard?

A)Safety plugs in electrical outlets

B)Medications on the kitchen counter

C)Lack of helmets next to bicycles

D)Child locks on the doors

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Chapter 52: Assessment

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24 Flashcards

Source URL: https://quizplus.com/quiz/45816

Sample Questions

Q1) Which does the nurse observe during the assessment while documenting a Tanner Stage 5?

A)There is no pubic hair except for fine body hair.

B)Pubic hair is developing along the labia.

C)Pubic hair distribution extends to umbilicus.

D)Pubic hair appears on the inner aspect of the thigh.

Q2) Which is the most important question the nurse should ask a client before performing a routine musculoskeletal assessment?

A)"Do you exercise every day?"

B)"Do you have a history of any sports injuries?"

C)"Do you take a hot bath to relax your muscles?"

D)"Do you want pain medication before I begin?"

Q3) Which would cause an erroneously low blood pressure during a general assessment for an adult client?

A)Bladder to cuff ratio too wide

B)Arm unsupported

C)Cuff wrapped too loosely

D)Arm below heart level

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Chapter 53: Caring Interventions

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/45818

Sample Questions

Q1) The nurse cares for a client who wears soft contact lenses for vision correction. Which statement will the nurse include when teaching the client about care of the lenses?

A)"If you do not have saline solution, saliva works to cleanse the lenses."

B)"If you wear disposable lenses, it is acceptable to cleanse them and wear them again."

C)"If you are removing the lens, place your thumb and forefinger directly on the lens."

D)"If you wear disposable lenses, be sure to cleanse the lens container daily."

Q2) Prior to delegating hearing aid care to a UAP, what is the nurse's priority?

A)Determine the UAP's knowledge of the procedure.

B)Inform the UAP of what to report back to the nurse.

C)Discuss relevant client health information necessary for the task.

D)Provide the UAP with guidance on where to find supplies necessary for the task.

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Chapter 54: Comfort

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20 Flashcards

Source URL: https://quizplus.com/quiz/45820

Sample Questions

Q1) A nurse assesses a client who is experiencing acute pain. Which aspects of the pain assessment are gathered first before the detailed assessment? Select all that apply.

A)Location

B)Provocation

C)Intensity

D)Quality

E)Radiation

Q2) The nurse is preparing to use a disposable hot pack on the client for pain relief. Which action will the nurse prioritize as an appropriate task for the UAP?

A)Observing the site of application and reporting abnormal findings.

B)Assessing the client's level of pain.

C)Determining if the client requires additional therapy.

D)Documenting the client's response to therapy.

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Chapter 55: Elimination

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Source URL: https://quizplus.com/quiz/45823

Sample Questions

Q1) When placing the client on a bedpan, which position will the nurse place the client?

A)High-Fowler's

B)Semi-Fowler's

C)Upright

D)Supine

Q2) The nurse prepares to obtain a urine specimen from a client's indwelling catheter. What is the nurse's understanding of the purpose of clamping the indwelling catheter prior to collection of urine?

A)Decreases client discomfort.

B)Increases urine production.

C)Promotes sterile collection.

D)Eases technique of procedure.

Q3) A nurse attempts to obtain a urine sample from a client's ileal conduit. After correct sterile catheterization, no urine output is noted. How should the nurse respond?

A)Contact the health care provider.

B)Reinsert the catheter.

C)Ask the client to drink water.

D)Advance the catheter further in the stoma.

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Chapter 56: Fluids and Electrolytes

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23 Flashcards

Source URL: https://quizplus.com/quiz/45824

Sample Questions

Q1) A nurse attempts to flush the lumen of a triple lumen central catheter and notes severe resistance to flushing. Which diagnostic procedure does the nurse anticipate when assessing the correct placement of the central line?

A)Chest CT

B)Fluoroscopy

C)Chest X-ray

D)Endoscopy

Q2) The nurse cares for a client with traumatic injuries due to a motor vehicle accident. The nurse wants to increase the intravenous flow rate of intravenous fluids infusing. Which actions will the nurse take? Select all that apply.

A)Insert a large bore IV catheter.

B)Warm the IV fluid prior to infusing.

C)Cool the IV fluid prior to infusing.

D)Insert a long IV catheter.

E)Use a macrodrip IV tubing set.

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Chapter 57: Infection

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20 Flashcards

Source URL: https://quizplus.com/quiz/45826

Sample Questions

Q1) The nurse needs to remove an isolation gown that slips over the head. How will the nurse remove the gown?

A)Pull the shoulders forward to loosen the Velcro at the neck.

B)Tear the gown at the neck.

C)Pull the sleeves over the hands to loosen the gown.

D)Pull the gown over the head inside out.

Q2) The nurse exits a client's room who is in isolation precautions. The nurse must remove both protective eyewear and a face mask. Place the steps in the correct order of removing the PPE.

A)Untie the upper strings of the mask.

B)Dispose of the mask.

C)Remove the protective eyewear.

D)Untie the lower strings of the mask.

Q3) The nurse is caring for a client suspected of having tuberculosis. The nurse must don an N95 particulate mask. Place the steps in correct order for donning this mask.

A)Position the mask over the mouth and nose.

B)Pull the strap over the head.

C)Pull the shorter strap over the head, below the ears.

D)Hold the mask in the hands with the nosepiece towards the fingertips.

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Page 59

Chapter 58: Intracranial Regulation

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Sample Questions

Q1) The charge nurse in a long-term care facility is called to assess an older adult client diagnosed with Alzheimer disease who has fallen and has a head laceration. The nurse is aware that the Glasgow Coma Scale is not an accurate tool to assess this client's level of consciousness because of which reason?

A)The client is in a long-term care facility.

B)The client is an older adult.

C)The client has a head laceration.

D)The client has been diagnosed with Alzheimer disease.

Q2) The nurse is caring for a client diagnosed with diabetic ketoacidosis and notes that the client's level of consciousness appears to be deteriorating. The nurse is aware that which assessments are a component of both the Glasgow Coma Score and the Full Outline of Un-Responsiveness (FOUR Score)Coma Scale? Select all that apply.

A)Brainstem reflexes

B)Ability to follow verbal commands

C)Abnormal breathing patterns

D)Pupil size

E)Types of motor responses

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Page 60

Chapter 59: Metabolism

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Sample Questions

Q1) The client diagnosed with diabetes mellitus calls the nurse to complain about dizziness that occurs upon standing. The nurse informs the client that this may be caused by which initial complication related to diabetes mellitus?

A)Hypertension

B)Impaired peripheral circulation

C)Diabetic autonomic neuropathy

D)Diabetic nephropathy

Q2) The client calls the clinic complaining of an unusual problem. Which client statement to the nurse is most suggestive of a subjective symptom related to an endocrine problem?

A)"I don't have as much energy as I used to. I get out of breath going up stairs."

B)"Recently I have noticed little purple spots on my legs."

C)"All I want to eat are salty things and I'm adding salt to everything I eat."

D)"My belly seems to be growing bigger every day and it's hard to breathe."

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Chapter 60: Mobility

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Sample Questions

Q1) The nurse is teaching a group of newly hired UAP's about proper body mechanics and instructs them to use which most important piece of equipment to ensure that proper body mechanics are used?

A)Gait belt

B)Assistive moving device

C)Additional staff

D)No special equipment is required

Q2) The nurse is observing an unlicensed assistant person (UAP)make an occupied bed and will provide correction if the UAP uses which technique with body mechanics?

A)The UAP stands close to the bed while making it.

B)The UAP pulls the client to move him in the bed.

C)The UAP distributes weigh evenly between both feet.

D)The UAP carries the clean sheets and blankets close to the body.

Q3) The nurse will stand where when preparing to ambulate a client who uses crutches?

A)On the client's affected side and slightly behind.

B)On the client's strong side and slightly ahead.

C)On the client's affected side and directly next to the client.

D)On the client's strong side and directly next to the client.

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Chapter 61: Nutrition

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Sample Questions

Q1) The nurse is feeding a client with dementia and should assist swallowing with which nursing action?

A)Encourage the client to drink water between each bite.

B)Stroke the client in a downward motion under the chin.

C)Blow softly in the client's face to encourage swallowing.

D)Tell the client to quickly take bites to facilitate swallowing.

Q2) The nurse started a lipid infusion on a client approximately 1 hour ago and will observe for which signs and symptoms related to lipid side effects? Select all that apply.

A)Dizziness

B)Peripheral neuropathy

C)Nausea

D)Joint pain

E)Headache

F)Insomnia

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63

Chapter 62: Oxygenation

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Q1) The nurse is caring for a client who was just placed on supplemental oxygen per nasal cannula and should contact the healthcare provider if which assessment data are noted at the next assessment? Select all that apply.

A)The client complains of feeling anxious and restless.

B)Skin color is pink and warm to touch.

C)The heart rate is 82.

D)The respiratory rate is 36.

E)The client is using accessory muscles to breathe.

Q2) The nurse should encourage the client to use incentive spirometry prior to which procedure?

A)Ambulating the client

B)Preparing the client for a rest period

C)Removing the client's meal tray

D)Obtaining a sputum specimen

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64

Chapter 63: Perfusion

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Sample Questions

Q1) The nurse observes an irregular chaotic rhythm. Which arrhythmia should the nurse document?

A)Ventricular tachycardia

B)Ventricular fibrillation

C)Atrial flutter

D)Atrial fibrillation

Q2) Before removing a unit of blood from the blood bank, what should the nurse ask first?

A)Verify the client's name, date of birth, and blood type.

B)Review the signed consent form in the client's EMR.

C)Ask if any family members had a reaction to a blood transfusion.

D)Administer prescribed premedications before starting the blood transfusion.

Q3) A new nurse asks the RN why blood needs to be hung within 30 minutes after leaving the blood bank. Which is the most appropriate answer by the nurse?

A)"Coagulation occurs faster the warmer the blood gets."

B)"Rejection occurs when the blood is not administered cold."

C)"Risk for bacterial growth occurs as it gets warmer."

D)"An allergy will occur if administered when cold."

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65

Chapter 64: Perioperative Care

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Sample Questions

Q1) The nurse enters a room in preparation for a sterile dressing change. Which must the nurse do before preparing the sterile field?

A)Turn the room fan off.

B)Open the blinds in the room.

C)Request the client perform hand hygiene.

D)Increase the temperature in the room 10 degrees to prevent chilling the client.

Q2) The nurse is preparing four older adult patients for surgery and knows that which client is at highest risk for postoperative pressure wound development?

A)The client who regularly attends the local senior center for socialization and meals and takes diphenhydramine (Benadryl)at night for sleep

B)The client who walks one mile every other day and takes ibuprofen twice a day for arthritis in his knees

C)The client who babysits every day and takes prednisone daily for allergies

D)The client who drives a bus every week and takes fluoxetine (Prozac)for anxiety

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Chapter 65: Reproduction

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Sample Questions

Q1) The nurse is using a Doppler for obtaining the fetal heart tone of a client who is at 28 weeks gestation and obtains a rate of 98 bpm. Which is the nurse's next action for this client?

A)Take the client's pulse while monitoring the fetal heart rate.

B)Massage the client's abdomen and retake the fetal heart tone.

C)Distract the client and retake the fetal heart tone.

D)Request the healthcare provider (HCP)assess the client for possible fetal compromise.

Q2) The nurse is admitting a client to the labor and delivery unit and is preparing to apply the tocodynamometer (toco). Which must the nurse do first to properly apply this equipment?

A)Apply ultrasound gel to the client's abdomen before applying the toco.

B)Determine the fetal position.

C)Locate the uterine fundus.

D)Ensure that the client's membranes have ruptured.

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Chapter 66: Safety

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Sample Questions

Q1) The nurse is caring for a female client who has just completed taking a shower. The nurse notes that she is using her own hair dryer to dry her hair. Which is the nurse's best statement to the client concerning this possible safety issue?

A)"I noticed you are using your own hair dryer. We don't allow that."

B)"Before you start drying your hair, let me see if our maintenance department can come up and check it for safety."

C)"We usually don't allow clients to use their own electrical products from home but if I don't see you use it, then I don't know you have it."

D)"Your hair looks good just the way it is. Please put the hair dryer away for today."

Q2) The nurse is completing an assessment of an older adult client whose primary caretaker is the grandson. Which would alert the nurse that this client is a possible victim of emotional abuse?

A)The client refuses to look at the grandson.

B)The client reprimands the grandson for being late to the appointment.

C)The client asks the grandson to leave the room during the pelvic examination.

D)The client tells the nurse that the grandson isn't a very good cook.

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68

Chapter 67: Tissue Integrity

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Source URL: https://quizplus.com/quiz/45846

Sample Questions

Q1) The nurse is using wet-to-dry dressing changes to assist in debridement of an open abdominal wound and knows that which step must be performed to ensure that the newly granulated tissue in the wound will not be injured during the dressing changes?

A)Place a heat lamp over the dressing for 15 minutes after the dressing change to prevent chilling the client with the cool dressings.

B)Rewet the dressings with normal saline every 15 minutes to ensure adequate debridement.

C)Soak the dressing with normal saline prior to removal of the packed gauze to prevent damage to the granulating tissue.

D)Premedicate the client 1 hour before the dressing change to improve client cooperation during the dressing change.

Q2) The nurse is caring for four clients who have had surgery and knows that which client would benefit the most from the application of a spiral elastic bandage?

A)The client who had a breast reduction.

B)The client who had a hip replacement.

C)The client who had ankle surgery.

D)The client who had a shoulder replacement.

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