Nursing Care Across the Lifespan Study Guide Questions
Course Introduction
Nursing Care Across the Lifespan explores the principles and practices essential for providing competent, compassionate, and age-appropriate nursing care to individuals at different stages of life from infancy and childhood through adolescence, adulthood, and older adulthood. The course emphasizes holistic assessment, health promotion, disease prevention, and therapeutic interventions tailored to the unique needs of each developmental stage. Students will examine common health issues, cultural considerations, and the role of family and community in supporting health throughout the lifespan, preparing them to deliver safe and effective care in a variety of healthcare settings.
Recommended Textbook
Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
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Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to the obstetrical floor?
A) Novice
B) Proficient
C) Competent
D) Advanced beginner
Answer: A
Q2) A nurse teaches a group of nursing students about nurse practice acts. Which information is \(\bold{most}\) important to include in the teaching session about nurse practice acts?
A) Protects the nurse
B) Protects the public
C) Protects the provider
D) Protects the hospital
Answer: B
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3
Chapter 2: The Health Care Delivery System
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24 Flashcards
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Sample Questions
Q1) A nurse is completing a minimum data set. Which area is the nurse working?
A) Nursing center
B) Psychiatric facility
C) Rehabilitation center
D) Adult day care center
Answer: A
Q2) A nurse is using research findings to improve clinical practice. Which technique is the nurse using?
A) Performance improvement
B) Integrated delivery networks
C) Nursing-sensitive outcomes
D) Utilization review committees
Answer: A
Q3) Preferred provider organization
A)Insurance for low-income families
B)Federal insurance for people aged 65 and older
C)Health maintenance focus to specific group of voluntarily enrolled people
D)Services at a discount for companies under contract
Answer: D
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Page 4
Chapter 3: Community-Based Nursing Practice
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23 Flashcards
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Sample Questions
Q1) A nurse is using the Healthy People 2020 to establish goals for the community. Which goal is priority?
A) Reduce health care costs.
B) Increase life expectancy.
C) Provide services close to where patients live.
D) Isolate patients to prevent the spread of disease.
Answer: B
Q2) Population
A)Education level
B)Housing
C)Government
Answer: A
Q3) Which community-based nursing activities indicate the nurse is working in the role of educator? (Select all that apply.)
A) Offers prenatal classes
B) Offers a child safety program
C) Offers to defend patients' decisions
D) Offers creative solutions to local problems
E) Offers coordinate resources after discharge
Answer: A, B
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Chapter 4: Theoretical Foundations of Nursing Practice
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21 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who is actively bleeding. The health care provider prescribes blood transfusions. The patient is a Jehovah's Witness and does not want blood products. The nurse contacts the health care provider to request alternative treatment. Which theory is the nurse using?
A) Roy's theory
B) Leininger's theory
C) Watson's theory
D) Orem's theory
Q2) A nurse is testing meditation for migraine headaches and the expected outcome of care when performing this intervention. Which type of theory is the nurse using?
A) Grand
B) Prescriptive
C) Descriptive
D) Middle-range
Q3) Which action indicates the nurse is using the nursing process in patient care?
A) Generates nursing knowledge for use in nursing practice.
B) Conceptualizes an aspect of nursing to predict nursing care.
C) Develops nursing care as a specific, distinct phenomenon.
D) Delivers nursing care using a systematic approach.
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Page 6
Chapter 5: Evidence-Based Practice
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Sample Questions
Q1) The nurse is reviewing nursing research literature related to a potential practice problem on the nursing unit. What is the rationale for the nurse's action? (Select all that apply.)
A) Nursing research ensures the nurse's promotion.
B) Nursing research identifies new knowledge.
C) Nursing research improves professional practice.
D) Nursing research enhances effective use of resources.
E) Nursing research leads to decreases in budget expenditures.
Q2) A nurse wants to change a patient procedure. Which action will the nurse take to easily find research evidence to support this change?
A) Read all the articles found on the Internet.
B) Make a general search of the Internet.
C) Use a PICOT format for the search.
D) Start with a broad question.
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Chapter 6: Health and Wellness
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Sample Questions
Q1) The patient had a colostomy placed 1 week ago. When approached by the nurse, the patient and spouse refuse to talk about it and refuse to be taught about how to care for it. How will the nurse evaluate this couple's stage of adjustment?
A) Shock
B) Withdrawal
C) Acceptance
D) Rehabilitation
Q2) The patient is reporting moderate incisional pain that was not relieved by the last dose of pain medication. The patient is not due for another dose of medication for another 2 1/2 hours. The nurse repositions the patient, asks what type of music the patient likes, and sets the television to the channel playing that type of music. Which health care model is the nurse using?
A) Health belief model
B) Holistic health model
C) Health promotion model
D) Maslow's hierarchy of needs
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Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) Interpersonally
A)Connection with others
B)Connection with higher power
C)Connection with oneself
Q2) A nurse cares for patients. Which areas does caring influence? (Select all that apply.)
A) The way in which patients feel
B) The way in which patients learn
C) The way in which patients think
D) The way in which patients study
E) The way in which patients behave
Q3) Which actions by the nurse should be done in order to get to know the patient?
(Select all that apply.)
A) Avoid assumptions
B) Focus on the patient
C) Engage in a caring relationship
D) Form the relationship very quickly
E) Not address spiritual or higher needs
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9
Chapter 8: Caring for the Cancer Survivor
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18 Flashcards
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Sample Questions
Q1) The family caregiving pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
Q2) A breast cancer survivor has chemotherapy-related cognitive impairment. Which area should the nurse assess?
A) Pain
B) Grief
C) Nightmares
D) Short-term memory
Q3) A nurse is providing follow-up care for cancer survivors. Which condition should the nurse \(\bold{most}\) monitor for in these patients?
A) Cancer
B) Infection
C) Weight gain
D) Low blood pressure
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Chapter 9: Cultural Awareness
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26 Flashcards
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Sample Questions
Q1) A nurse is using core measures to reduce health disparities. Which group should the nurse focus on to cause the \(\bold{most}\) improvement in core measures?
A) Caucasians
B) Poor people
C) Alaska Natives
D) American Indians
Q2) The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse is working with an interpreter. Which action should the nurse take?
A) Use long sentences when talking.
B) Look at the patient when talking.
C) Use breaks in sentences when talking.
D) Look at only nonverbal behaviors when talking.
Q3) Which action indicates the nurse is meeting a primary goal of cultural competent care for patients?
A) Provides care to transgender patients
B) Provides care to restore relationships
C) Provides care to patients that is individualized
D) Provides care to surgical patients
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11
Chapter 10: Caring for Families
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Sample Questions
Q1) A nurse cares for the family's as well as the patient's needs using available resources. Which approach is the nurse using?
A) Family as context
B) Family as patient
C) Family as system
D) Family as caregivers
Q2) Who is the "peacekeeper" of the family?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
Q3) A nurse is assessing the family unit to determine the family's ability to adapt to the change of a member having surgery. Which area is the nurse monitoring?
A) Family durability
B) Family resiliency
C) Family diversity
D) Family forms
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Chapter 11: Developmental Theories
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21 Flashcards
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Sample Questions
Q1) A nurse is caring for a young adult after surgery. Which action by the nurse will be \(\bold{priority}\)?
A) Allow involvement of peers
B) Allow involvement of partner
C) Allow involvement of volunteer activities
D) Allow involvement of consistent schedule
Q2) A nurse is assessing an 18-month-old toddler. The nurse distinguishes normal from abnormal findings by remembering Gesell's theory of development. Which information will the nurse consider?
A) Growth in humans is determined solely by heredity.
B) Environmental influence does not influence development.
C) The cephalocaudal pattern describes the sequence in which growth is fastest at the top.
D) Gene activity influences development but does not affect the sequence of development.
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13
Chapter 12: Conception Through Adolescence
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is observing a 2-year-old hospitalized patient in the playroom. Which activity will the nurse \(\bold{most}\) likely observe?
A) Seeking out same sex children to play with
B) Participating as the leader of a small group activity
C) Sitting beside another child while playing with blocks
D) Separating building blocks into groups by size and color
Q2) 6 to 8 months
A)Can place objects into containers
B)Pulls a string to obtain an object
C)Can hold a baby bottle
D)Holds rattle for short periods
E)Uses pincer grasp well
Q3) A nurse is working in the delivery room. Which action is priority immediately after birth?
A) Open the airway.
B) Determine gestational age.
C) Monitor infant-parent interactions.
D) Promote parent-newborn physical contact.
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Chapter 13: Young and Middle Adults
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Upon assessment of a middle-aged adult, the nurse observes uneven weight bearing and decreased range of joint motion. Which area is priority?
A) Abuse potential
B) Fall precautions
C) Stroke prevention
D) Self-esteem issues
Q2) A young-adult patient is brought to the hospital by police after crashing the car in a high-speed chase when trying to avoid arrest for spousal abuse. Which action should the nurse take?
A) Question the patient about drug use.
B) Offer the patient a cup of coffee to calm nerves.
C) Discretely assess the patient for sexually transmitted infections.
D) Deal with the issue at hand, not asking about previous illnesses.
Q3) Agricultural workers
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
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Page 15
Chapter 14: Older Adult
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A 70-year-old patient who suffers from worsening dementia is no longer able to live alone. The nurse is discussing health care services and possible long-term living arrangements with the patient's only son. What will the nurse suggest?
A) An apartment setting with neighbors close by
B) Having the patient utilize weekly home health visits
C) A nursing center because home care is no longer safe
D) That placement is irrelevant because the patient is retreating to a place of inactivity
Q2) A nurse is helping an older-adult patient with instrumental activities of daily living. The nurse will be assisting the patient with which activity?
A) Taking a bath
B) Getting dressed
C) Making a phone call
D) Going to the bathroom
Q3) A nurse is caring for an older adult. Which goal is \(\bold{priority}\)?
A) Adjusting to career
B) Adjusting to divorce
C) Adjusting to retirement
D) Adjusting to grandchildren
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Chapter 15: Critical Thinking in Nursing Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which action by a nurse indicates application of the critical thinking model to make the best clinical decisions?
A) Drawing on past clinical experiences to formulate standardized care plans
B) Relying on recall of information from past lectures and textbooks
C) Depending on the charge nurse to determine priorities of care
D) Using the nursing process
Q2) While caring for a hospitalized older-adult female post hip surgery, the nurse is faced with the task of inserting an indwelling urinary catheter, which involves rotating the hip into a contraindicated position. Which action should the nurse take?
A) Postpone catheter insertion until the next shift.
B) Adapt the positioning technique to the situation.
C) Notify the health care provider for a urologist consult.
D) Follow textbook procedure with contraindicated position.
Q3) A nurse is using the critical thinking skill of evaluation. Which action will the nurse take?
A) Examine the meaning of data.
B) Support findings and conclusions.
C) Review the effectiveness of nursing actions.
D) Search for links between the data and the nurse's assumptions.
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Page 17
Chapter 16: Nursing Assessment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which statement by a nurse indicates a good understanding about the differences between data validation and data interpretation?
A) "Data interpretation occurs before data validation."
B) "Validation involves looking for patterns in professional standards."
C) "Validation involves comparing data with other sources for accuracy."
D) "Data interpretation involves discovering patterns in professional standards."
Q2) Which scenario best illustrates the nurse using data validation when making a nursing clinical decision for a patient?
A) The nurse determines to remove a wound dressing when the patient reveals the time of the last dressing change and notices old and new drainage.
B) The nurse administers pain medicine due at 1700 at 1600 because the patient reports increased pain and the family wants something done.
C) The nurse immediately asks the health care provider for an order of potassium when a patient reports leg cramps.
D) The nurse elevates a leg cast when the patient reports decreased mobility.
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Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) A new nurse writes the following nursing diagnoses on a patient's care plan. Which nursing diagnosis will cause the nurse manager to intervene?
A) Wandering
B) Hemorrhage
C) Urinary retention
D) Impaired swallowing
Q2) A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did the nurse write?
A) Ineffective breathing pattern related to pneumonia
B) Risk for infection related to chest x-ray procedure
C) Risk for deficient fluid volume related to dehydration
D) Impaired gas exchange related to alveolar-capillary membrane changes
Q3) Which diagnosis will the nurse document in a patient's care plan that is NANDA-I approved?
A) Sore throat
B) Acute pain
C) Sleep apnea
D) Heart failure
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Page 19
Chapter 18: Planning Nursing Care
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Sample Questions
Q1) A charge nurse is reviewing outcome statements using the SMART approach. Which patient outcome statement will the charge nurse praise to the new nurse?
A) The patient will ambulate in hallways.
B) The nurse will monitor the patient's heart rhythm continuously this shift.
C) The patient will feed self at all mealtimes today without reports of shortness of breath.
D) The nurse will administer pain medication every 4 hours to keep the patient free from discomfort.
Q2) A nurse is planning care for a patient with a nursing diagnosis of Impaired skin integrity. The patient needs many nursing interventions, including a dressing change, several intravenous antibiotics, and a walk. Which factors does the nurse consider when prioritizing interventions? (Select all that apply.)
A) Rank all the patient's nursing diagnoses in order of priority.
B) Do not change priorities once they've been established.
C) Set priorities based solely on physiological factors.
D) Consider time as an influencing factor.
E) Utilize critical thinking.
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Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) The nurse is intervening for a patient that has a risk for a urinary infection. Which direct care nursing intervention is most appropriate?
A) Teaches proper handwashing technique
B) Properly cleans the patient's toilet
C) Transports urine specimen to the lab
D) Informs the oncoming nurse during hand-off
Q2) The nurse inserts an intravenous (IV) catheter using the correct technique and following the recommended steps according to standards of care and hospital policy. Which type of implementation skill is the nurse using?
A) Cognitive
B) Interpersonal
C) Psychomotor
D) Judgmental
Q3) A new nurse is working in a unit that uses interdisciplinary collaboration. Which action will the nurse take?
A) Act as a leader of the health care team.
B) Develop good communication skills.
C) Work solely with nurses.
D) Avoid conflict.
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Page 21
Chapter 20: Evaluation
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Sample Questions
Q1) A nurse is evaluating an expected outcome for a patient that states heart rate will be less than 80 beats/min by 12/3. Which finding will alert the nurse that the goal has been met?
A) Heart rate 78 beats/min on 12/3
B) Heart rate 78 beats/min on 12/4
C) Heart rate 80 beats/min on 12/3
D) Heart rate 80 beats/min on 12/4
Q2) The nurse is caring for a patient who has an order to change a dressing twice a day, at 0600 and 1800. At 1400, the nurse notices that the dressing is saturated and leaking. What is the nurse's next action?
A) Wait and change the dressing at 1800 as ordered.
B) Revise the plan of care and change the dressing now.
C) Reassess the dressing and the wound in 2 hours.
D) Discontinue the plan of care for wound care.
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) A staff nurse delegates a task to a nursing assistive personnel (NAP), knowing that the NAP has never performed the task before. As a result, the patient is injured, and the nurse defensively states that the NAP should have known how to perform such a simple task. Which element of the decision-making process is the nurse lacking?
A) Authority
B) Autonomy
C) Responsibility
D) Accountability
Q2) A nurse manager sent one of the staff nurses on the unit to a conference about new, evidence-based wound care techniques. The nurse manager asks the staff nurse to prepare a poster to present at the next unit meeting, which will be mandatory for all nursing staff on the unit. Which type of opportunity is the nurse manager providing for the staff?
A) Staff education
B) Interprofessional collaboration
C) Providing a professional shared governance council
D) Establishing a nursing practice committee
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23
Chapter 22: Ethics and Values
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Sample Questions
Q1) A young woman who is pregnant with a fetus exposed to multiple teratogens consents to have her fetus undergo serial PUBS (percutaneous umbilical blood sampling) to examine how exposure affects the fetus over time. Although these tests will not improve the fetus's outcomes and will expose it to some risks, the information gathered may help infants in the future. Which ethical principle is at \(\bold{greatest}\) risk?
A) Fidelity
B) Autonomy
C) Beneficence
D) Nonmaleficence
Q2) A nurse must make an ethical decision concerning vulnerable patient populations. Which philosophy of health care ethics would be particularly useful for this nurse?
A) Teleology
B) Deontology
C) Utilitarianism
D) Feminist ethics
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Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) Abandonment
A)Nurse posts about patient's loud and unruly family members.
B)Nurse immediately applies restraints to make patient stay in bed.
C)Nurse leaves bed in high position, causing patient to fall and break hip.
D)Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet.
E)Nurse applies abdominal bandage after refusal.
F)Nurse gets angry at patient and nurse leaves the hospital.
Q2) A nurse performs cardiopulmonary resuscitation (CPR) on a 92-year-old with brittle bones and breaks a rib during the procedure, which then punctures a lung. The patient recovers completely without any residual problems and sues the nurse for pain and suffering and for malpractice. Which key point will the prosecution attempt to prove against the nurse?
A) The CPR procedure was done incorrectly.
B) The patient would have died if nothing was done.
C) The patient was resuscitated according to the policy.
D) The older patient with brittle bones might sustain fractures when chest compressions are done.
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Page 25
Chapter 24: Communication
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Sample Questions
Q1) A confused older-adult patient is wearing thick glasses and a hearing aid. Which intervention is the priority to facilitate communication?
A) Focus on tasks to be completed.
B) Allow time for the patient to respond.
C) Limit conversations with the patient.
D) Use gestures and other nonverbal cues.
Q2) A nurse is using SOLER to facilitate active listening. Which technique should the nurse use for R?
A) Relax
B) Respect
C) Reminisce
D) Reassure
Q3) E
A)Nurse describes procedures and tests.
B)Nurse lets the patient know how long the procedure will last.
C)Nurse recognizes the person with a positive attitude.
D)Nurse thanks the patient.
E)Nurse tells the patient "I am an RN and will be managing your care."
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26
Chapter 25: Patient Education
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Sample Questions
Q1) A nurse is teaching a culturally diverse patient with a learning disability about nutritional needs. What must the nurse do first before starting the teaching session?
A) Obtain pictures of food.
B) Get an interpreter.
C) Establish a rapport.
D) Refer to a dietitian.
Q2) A nurse is teaching a patient with a risk for hypertension how to take a blood pressure. Which action by the nurse is the priority?
A) Assess laboratory results for high cholesterol and other data.
B) Identify that teaching is the same as the nursing process.
C) Perform nursing care therapies to address hypertension.
D) Focus on a patient's learning needs and objectives.
Q3) Which learning objective/outcome has the highest priority for a patient with life-threatening, severe food allergies that require an EpiPen (epinephrine)?
A) The patient will identify the main ingredients in several foods.
B) The patient will list the side effects of epinephrine.
C) The patient will learn about food labels.
D) The patient will administer epinephrine.
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) A nurse is teaching the staff about health care reimbursement. Which information should the nurse include in the teaching session?
A) Home health, long-term care, and hospital nurses' documentation can affect reimbursement for health care.
B) A clinical information system must be installed by 2014 to obtain health care reimbursement.
C) A "near miss" helps determine reimbursement issues for health care.
D) HIPAA is the basis for establishing reimbursement for health care.
Q2) A nurse wants to reduce data entry errors on the computer system. Which action should the nurse take?
A) Use the same password all the time.
B) Share password with only one other staff member.
C) Print out and review computer nursing notes at home.
D) Chart on the computer immediately after care is provided.
Q3) D
A)Applied oxygen, stayed with patient, and instructed to slow breathing.
B)Patient states, "feel better," respirations 16 with O<sub>2</sub> saturations 96%.
C)Patient states, "can't catch my breath and chest hurts." Confused.
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Chapter 27: Patient Safety and Quality
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Sample Questions
Q1) A nurse is providing care to a patient. Which action indicates the nurse is following the National Patient Safety Goals?
A) Identifies patient with one identifier before transporting to x-ray department
B) Initiates an intravenous (IV) catheter using clean technique on the first try
C) Uses medication bar coding when administering medications
D) Obtains vital signs to place on a surgical patient's chart
Q2) The emergency department has been notified of a potential bioterrorism attack. Which action by the nurse is priority?
A) Monitor for specific symptoms.
B) Manage all patients using standard precautions.
C) Transport patients quickly and efficiently through the elevators.
D) Prepare for post-traumatic stress associated with this bioterrorism attack.
Q3) The nurse is caring for a hospitalized patient. Which behavior alerts the nurse to consider the need for a restraint?
A) The patient refuses to call for help to go to the bathroom.
B) The patient continues to remove the nasogastric tube.
C) The patient gets confused regarding the time at night.
D) The patient does not sleep and continues to ask for items.
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29
Chapter 28: Immobility
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Sample Questions
Q1) The nurse is caring for an older-adult patient who has been diagnosed with a stroke. Which intervention will the nurse add to the care plan?
A) Encourage the patient to perform as many self-care activities as possible.
B) Provide a complete bed bath to promote patient comfort.
C) Coordinate with occupational therapy for gait training.
D) Place the patient on bed rest to prevent fatigue.
Q2) The patient is unable to move self and needs to be pulled up in bed. What will the nurse do to make this procedure safe?
A) Place the pillow under the patient's head and shoulders.
B) Do by self if the bed is in the flat position.
C) Place the side rails in the up position.
D) Use a friction-reducing device.
Q3) A nurse is preparing to assess a patient for orthostatic hypotension. Which piece of equipment will the nurse obtain to assess for this condition?
A) Thermometer
B) Elastic stockings
C) Blood pressure cuff
D) Sequential compression devices
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Chapter 29: Infection Prevention and Control
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Sample Questions
Q1) The nurse is providing an educational session for a group of preschool workers. The nurse reminds the group about the \(\bold{most}\) important thing to do to prevent the spread of infection. Which information did the nurse share with the preschool workers?
A) Encourage preschool children to eat a nutritious diet.
B) Suggest that parents provide a multivitamin to the children.
C) Clean the toys every afternoon before putting them away.
D) Wash their hands between each interaction with children.
Q2) The nurse is caring for a patient who has just delivered a neonate. The nurse is checking the patient for excessive vaginal drainage. Which precaution will the nurse use?
A) Contact
B) Droplet
C) Standard
D) Protective environment
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Chapter 30: Vital Signs
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2409
Sample Questions
Q1) A nurse is focusing on temperature regulation of newborns and infants. Which action will the nurse take?
A) Apply just a diaper.
B) Double the clothing.
C) Place a cap on their heads.
D) Increase room temperature to 90 degrees.
Q2) The nurse is caring for a patient who has a pulse rate of 48. His blood pressure is within normal limits. Which finding will help the nurse determine the cause of the patient's low heart rate?
A) The patient has a fever.
B) The patient has possible hemorrhage or bleeding.
C) The patient has chronic obstructive pulmonary disease (COPD).
D) The patient has calcium channel blockers or digitalis medication prescriptions.
Q3) The nurse is preparing to assess the blood pressure of a 3-year-old. How should the nurse proceed?
A) Use the diaphragm portion of the stethoscope to detect Korotkoff sounds.
B) Obtain the reading before the child has a chance to "settle down."
C) Choose the cuff that says "Child" instead of "Infant."
D) Explain the procedure to the child.
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Page 32
Chapter 31: Health Assessment and Physical Examination
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/2410
Sample Questions
Q1) The nurse considers several new female patients to receive additional teaching on the need for more frequent Pap test and gynecological examinations. Which assessment findings reveal the patient at highest risk for cervical cancer and having the greatest need for patient education?
A) 13 years old, nonsmoker, not sexually active
B) 15 years old, social smoker, celibate
C) 22 years old, smokes 1 pack of cigarettes per day, has multiple sexual partners
D) 50 years old, stopped smoking 30 years ago, has history of multiple pregnancies
Q2) The nurse is assessing skin turgor. Which technique will the nurse use?
A) Press lightly on the forearm.
B) Press lightly on the fingertips.
C) Grasp a fold of skin on the sternal area.
D) Grasp a fold of skin on the back of the hand.
Q3) A nurse is conducting Weber's test. Which action will the nurse take?
A) Place a vibrating tuning fork in the middle of patient's forehead.
B) Place a vibrating tuning fork on the patient's mastoid process.
C) Compare the number of seconds heard by bone versus air conduction.
D) Compare the patient's degree of joint movement to the normal level.
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Chapter 32: Medication Administration
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/2411
Sample Questions
Q1) A patient is receiving vancomycin. Which function is the \(\bold{priority}\) for the nurses to assess?
A) Vision
B) Hearing
C) Heart tones
D) Bowel sounds
Q2) The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse's priority?
A) Change the dose to one that is within range.
B) Administer the medication because it is within the therapeutic range.
C) Notify the health care provider that the prescribed dose is in the toxic range.
D) Notify the health care provider that the prescribed dose is below the therapeutic range.
Q3) A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen 500 mg (Vicodin) every 4 hours. The patient is also taking 2 tablets of acetaminophen (Tylenol) 325 mg every 12 hours. How many grams of acetaminophen is the patient taking daily? Record your answer using one decimal place. ______ g
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Page 34
Chapter 33: Complementary and Alternative Therapies
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2412
Sample Questions
Q1) Garlic
A)Elevated cholesterol levels
B)Nausea and vomiting
C)Benign prostatic hyperplasia
D)Skin inflammation
E)Mild anxiety
F)Unsafe and should not be used
Q2) Saw palmetto
A)Elevated cholesterol levels
B)Nausea and vomiting
C)Benign prostatic hyperplasia
D)Skin inflammation
E)Mild anxiety
F)Unsafe and should not be used
Q3) A nurse is emphasizing the use of touch to decrease "skin hunger" in caring for patients. Which age group is the nurse primarily describing?
A) Infants
B) Children
C) Middle age
D) Older adults
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Chapter 34: Self-Concept
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25 Flashcards
Source URL: https://quizplus.com/quiz/2413
Sample Questions
Q1) A nurse is assessing a patient for possible altered self-concept. Which assessment finding is consistent with altered self-concept?
A) Appropriately dressed with clean clothes
B) Hesitant to express opinions
C) Independent attitude
D) Holds eye contact
Q2) An adult son is adjusting to the idea of his chronically ill parents moving into his family home. The community health nurse is assessing the adult son for potential stressors secondary to the new family living arrangement. Which stressor will the nurse assess for in this adult son?
A) Role confusion
B) Role ambiguity
C) Role performance
D) Role overload
Q3) Identity confusion
A)I am ugly with all these burn scars.
B)I am one with the universe.
C)I am good for nothing.
D)I am a good mother.
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Page 36
Chapter 35: Sexuality
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23 Flashcards
Source URL: https://quizplus.com/quiz/2414
Sample Questions
Q1) A nurse is preparing a community class about sexually transmitted infections. Which primary group will the nurse focus on for this class?
A) Bisexual women
B) Men who have sex with men
C) Youths between the ages of 24 and 27
D) Pregnant women and their partners
Q2) A nurse is conducting a sexual assessment. Which question is appropriate for the nurse to ask?
A) Have you noticed any changes in the way you feel about yourself?
B) What is your favorite sex position with men and with women?
C) Do you think your partner is attractive?
D) Why do you like men over women?
Q3) A parent asks about the human papillomavirus (HPV) vaccine. Which information will the nurse include in the teaching session?
A) It is recommended for girls 6 to 9 years old.
B) It is recommended for females ages 11 to 26.
C) It is recommended that booster injections be given.
D) It is recommended to receive four required injections.
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Chapter 36: Spiritual Health
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Sample Questions
Q1) The nurse is admitting a patient to the hospital. The patient is a very spiritual person but does not practice any specific religion. How will the nurse interpret this finding?
A) This indicates a strong religious affiliation.
B) This statement is contradictory.
C) This statement is reasonable.
D) This indicates a lack of hope.
Q2) A nurse is caring for a Hindu patient. Which action will the nurse take?
A) Allow time to practice the Five Pillars.
B) Allow time to practice Blessingway.
C) Allow time for Holy Communion.
D) Allow time for purity rituals.
Q3) A nurse is providing spiritual care to patients. Which action is essential for the nurse to take?
A) Know one's own personal beliefs.
B) Learn about other religions.
C) Visit churches, temples, mosques, or synagogues.
D) Travel to other areas that do not have the same beliefs.
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Chapter 37: The Experience of Loss, Death, and Grief
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Sample Questions
Q1) A nursing assistive personnel (NAP) is caring for a dying patient. Which action by the NAP will cause the nurse to intervene?
A) Elevating head of bed
B) Making the patient eat
C) Giving mouth care every 2 to 4 hours
D) Keeping skin clean, dry, and moisturized
Q2) A nurse is providing postmortem care. Which action will the nurse take?
A) Leave dentures in the mouth.
B) Lower the head of the bed.
C) Cover the body with a sterile sheet.
D) Remove all tubes for an autopsy.
Q3) A nurse is caring for a dying patient. One of the nurse's goals is to promote dignity and validation of the dying person's life. Which action will the nurse take to best achieve this goal?
A) Take pictures of visitors.
B) Provide quiet visiting time.
C) Call the organ donation coordinator.
D) Listen to family stories about the person.
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Chapter 38: Stress and Coping
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Source URL: https://quizplus.com/quiz/2417
Sample Questions
Q1) A nurse is helping parents who have a child with attention-deficit/hyperactivity disorder. Which strategy will the nurse share with the parents to reduce stress regarding homework assignments?
A) Time-management skills
B) Speech articulation skills
C) Routine preventative health visits
D) Assertiveness training for the family
Q2) A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply.)
A) Cancer
B) Diabetes
C) Infections
D) Allostasis
E) Low blood pressure
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Chapter 39: Activity and Exercise
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Sample Questions
Q1) The nurse is evaluating care of a patient for crutches. Which finding indicates a successful outcome?
A) The top of the crutch is three to four finger widths from the armpit.
B) The elbows are slightly flexed at 30 to 35 degrees when the patient is standing.
C) The tip of the crutch is 4 to 6 inches anterior to the front of the patient's shoes.
D) The position of the handgrips allows the axilla to support the patient's body weight.
Q2) The patient is eager to begin an exercise program with a 2-mile jog. The nurse instructs the patient to warm up. The patient does not want to waste time with a "warm-up." Which information will the nurse share with the patient?
A) The warm-up in this case can be done after the 2-mile jog.
B) The warm-up prepares the body and decreases the potential for injury.
C) The warm-up allows the body to readjust gradually to baseline functioning.
D) The warm-up should be performed with high intensity to prepare for the coming challenge.
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Chapter 40: Hygiene
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Source URL: https://quizplus.com/quiz/2419
Sample Questions
Q1) A nurse is providing perineal care to a female patient. Which washing technique will the nurse use?
A) Back to front
B) In a circular motion
C) From pubic area to rectum
D) Upward from rectum to pubic area
Q2) A nurse is assessing a patient's skin. Which patient is most at risk for impaired skin integrity?
A) A patient who is afebrile
B) A patient who is diaphoretic
C) A patient with strong pedal pulses
D) A patient with adequate skin turgor
Q3) The nurse is providing education about the importance of proper foot care to a patient who has diabetes mellitus. Which primary goal is the nurse trying to achieve?
A) Prevention of plantar warts
B) Prevention of foot fungus
C) Prevention of neuropathy
D) Prevention of amputation
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Chapter 41: Oxygenation
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Sample Questions
Q1) The patient has right-sided heart failure. Which finding will the nurse expect when performing an assessment?
A) Peripheral edema
B) Basilar crackles
C) Chest pain
D) Cyanosis
Q2) A nurse is following the Ventilator Bundle standards to prevent ventilator-associated pneumonia. Which strategies is the nurse using? (Select all that apply.)
A) Head of bed elevation to 90 degrees at all times
B) Daily oral care with chlorhexidine
C) Cuff monitoring for adequate seal
D) Clean technique when suctioning
E) Daily "sedation vacations"
F) Heart failure prophylaxis
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Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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51 Flashcards
Source URL: https://quizplus.com/quiz/2421
Sample Questions
Q1) The nurse is caring for a patient with hyperkalemia. Which body system assessment is the priority?
A) Gastrointestinal
B) Neurological
C) Respiratory
D) Cardiac
Q2) A patient is experiencing respiratory acidosis. Which organ system is responsible for compensation in this patient?
A) Renal
B) Endocrine
C) Respiratory
D) Gastrointestinal
Q3) A patient has 250 mL of a jejunostomy feeding with 30 mL of water before and after feeding and 200 mL of urine. Thirty minutes later the patient has 100 mL of diarrhea. At 1300 the patient receives 150 mL of blood and voids another 200 mL. Calculate the patient's intake. Record your answer as a whole number. _____ mL
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Chapter 43: Sleep
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Sample Questions
Q1) The nurse is caring for a patient on the medical-surgical unit who is experiencing an exacerbation of asthma. Which intervention will be most appropriate to help this patient sleep?
A) Place bed in semi-Fowler's position.
B) Offer iron-rich foods for meals.
C) Provide a snack before bedtime.
D) Encourage the patient to read.
Q2) The nurse is having a conversation with an adolescent regarding the need for sleep. The adolescent states that it is common to stay up with friends several nights a week. Which action should the nurse take next?
A) Talk with the adolescent's parent about staying up with friends and the need for sleep.
B) Discuss with the adolescent sleep needs and the effects of excessive daytime sleepiness.
C) Refer the adolescent for counseling about alcohol abuse problems.
D) Take no action for this normal occurrence.
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Chapter 44: Pain Management
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Sample Questions
Q1) The nurse is caring for a patient who suddenly experiences chest pain. What is the nurse's first priority?
A) Call the rapid response team.
B) Start an intravenous (IV) line.
C) Administer pain-relief medications.
D) Ask the patient to rate and describe the pain.
Q2) A nurse is assessing a patient who started to have severe pain 3 days ago. When the nurse asks the patient to describe the pain, the patient states, "The pain feels like it is in my stomach. It is a burning pain, and it spreads out in a circle around the spot where it hurts the most." Which type of pain does the nurse document the patient is having at this time?
A) Superficial pain
B) Idiopathic pain
C) Chronic pain
D) Visceral pain
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Chapter 45: Nutrition
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Sample Questions
Q1) The nurse is concerned about pulmonary aspiration when providing the patient with an intermittent tube feeding. Which action is the \(\bold{priority}\)?
A) Observe the color of gastric contents.
B) Verify tube placement before feeding.
C) Add blue food coloring to the enteral formula.
D) Run the formula over 12 hours to decrease overload.
Q2) A nurse is teaching a health class about the nutritional requirements throughout the life span. Which information should the nurse include in the teaching session? (Select all that apply.)
A) Infants triple weight at 1 year.
B) Toddlers become picky eaters.
C) School-age children need to avoid hot dogs and grapes.
D) Breastfeeding women need an additional 750 kcal/day.
E) Older adults have altered food flavor from a decrease in taste cells.
Q3) The patient has H. pylori. Which action should the nurse take?
A) Encourage avoidance of wheat and oats.
B) Encourage milkshakes as a nutritious snack.
C) Encourage completion of antibiotic therapy.
D) Encourage nonsteroidal antiinflammatory drugs.
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Page 47
Chapter 46: Urinary Elimination
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Sample Questions
Q1) Which findings should the nurse follow up on after removal of a catheter from a patient? (Select all that apply.)
A) Increasing fluid intake
B) Dribbling of urine
C) Voiding in small amounts
D) Voiding within 6 hours of catheter removal
E) Burning with the first couple of times voiding
Q2) A patient has severe flank pain. The urinalysis reveals presence of calcium phosphate crystals. The nurse will anticipate an order for which diagnostic test?
A) Intravenous pyelogram
B) Mid-stream urinalysis
C) Bladder scan
D) Cystoscopy
Q3) A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?
A) Obtaining a midstream urine specimen
B) Interpreting a bladder scan result
C) Inserting a straight catheter
D) Irrigating a catheter
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Chapter 47: Bowel Elimination
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42 Flashcards
Source URL: https://quizplus.com/quiz/2426
Sample Questions
Q1) A nurse is teaching a health class about colorectal cancer. Which information should the nurse include in the teaching session? (Select all that apply.)
A) A risk factor is smoking.
B) A risk factor is high intake of animal fats or red meat.
C) A warning sign is rectal bleeding.
D) A warning sign is a sense of incomplete evacuation.
E) Screening with a colonoscopy is every 5 years, starting at age 50.
F) Screening with flexible sigmoidoscopy is every 10 years, starting at age 50.
Q2) A nurse is providing discharge teaching for a patient who is going home with a guaiac test. Which statement by the patient indicates the need for further education?
A) "If I get a blue color that means the test is negative."
B) "I should not get any urine on the stool I am testing."
C) "If I eat red meat before my test, it could give me false results."
D) "I should check with my doctor to stop taking aspirin before the test."
Q3) Which patient will the nurse assess \(\bold{most}\) closely for an ileus?
A) A patient with a fecal impaction
B) A patient with chronic cathartic abuse
C) A patient with surgery for bowel disease and anesthesia
D) A patient with suppression of hydrochloric acid from medication
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Page 49
Chapter 48: Skin Integrity and Wound Care
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/2427
Sample Questions
Q1) The nurse is caring for a patient after an open abdominal aortic aneurysm repair. The nurse requests an abdominal binder and carefully applies the binder. Which is the best explanation for the nurse to use when teaching the patient the reason for the binder?
A) It reduces edema at the surgical site.
B) It secures the dressing in place.
C) It immobilizes the abdomen.
D) It supports the abdomen.
Q2) Hydrocolloid
A)Absorbs drainage through the use of exudate absorbers in the dressing
B)Very soothing to the patient and do not adhere to the wound bed
C)Barrier to external fluids/bacteria but allows wound to "breathe"
D)Manufactured from seaweed and comes in sheet and rope form
E)Oldest and most common absorbent dressing
Q3) Hydrogel
A)Absorbs drainage through the use of exudate absorbers in the dressing
B)Very soothing to the patient and do not adhere to the wound bed
C)Barrier to external fluids/bacteria but allows wound to "breathe"
D)Manufactured from seaweed and comes in sheet and rope form
E)Oldest and most common absorbent dressing
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Chapter 49: Sensory Alterations
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Sample Questions
Q1) A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?
A) Risk for falls
B) Self-care deficit
C) Social isolation
D) Impaired physical mobility
Q2) The nurse is caring for a patient with conductive hearing loss resulting from prolonged cerumen impaction. Which intervention by the nurse is most important in establishing effective communication with the patient?
A) Speaking with hands, face, and expressions
B) Using a loud voice, enunciating every syllable
C) Having direct conversation with the patient in the affected ear
D) Repeating the phrase again, if the patient does not understand what the nurse said
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Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an assessment and reviews the patient's laboratory tests and allergies and prepares the patient for surgery. In which perioperative nursing phase is the nurse working?
A) Perioperative
B) Preoperative
C) Intraoperative
D) Postoperative
Q2) The nurse is caring for a patient in the preoperative holding area of an ambulatory surgery center. Which nursing action will be \(\bold{most}\) appropriate for this area?
A) Count the sterile surgical instruments.
B) Empty the urinary drainage bag.
C) Check the surgical dressing.
D) Apply a warm blanket.
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