Nursing Care Across the Lifespan Textbook Exam
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Course Introduction
This course explores the principles and practices of nursing care for individuals and families across all stages of the human lifespan, from infancy through old age. Emphasis is placed on holistic, culturally competent, and evidence-based approaches to health promotion, disease prevention, chronic illness management, and end-of-life care. Students will examine developmental milestones, physiological changes, psychosocial needs, and ethical considerations relevant to each age group, preparing them to deliver safe, patient-centered nursing interventions in a variety of healthcare settings.
Recommended Textbook Fundamentals of Nursing 9th Edition by Potter
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Chapter 1: Nursing Today
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Q1) 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
Q2) A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
A) Licensure
B) Autonomy
C) Certification
D) Accountability
Answer: B
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Chapter 2: The Health Care Delivery System
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Q1) A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning?
A) When the patient is ready
B) Close to the time of discharge
C) Upon admission to the hospital
D) After an order is written/prescribed
Answer: C
Q2) A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session?
A) Increased spread of communicable diseases
B) Increased homogeneous mix of nursing staff
C) Decreased poverty and increased "health tourism"
D) Decreased urbanization as populations shift to the suburbs
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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Chapter 3: Community-Based Nursing Practice
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Sample Questions
Q1) Before a patient with beginning stage of Alzheimer's disease is discharged, the community-based nurse is making a visit to the patient's home. The patient's daughter and family live in the home with the patient. What is the major focus of this visit?
A) Teach the family how to monitor blood pressure.
B) Demonstrate techniques for providing care.
C) Stress to the family how difficult it will be to provide care at home.
D) Encourage the family to send the patient to an extended care facility.
Answer: B
Q2) A nurse is working as a public health nurse. What will be the nurse's primary focus?
A) The individual as one member of a group
B) Individuals and families
C) Needs of a population
D) Health promotion
Answer: C
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Chapter 4: Theoretical Foundations of Nursing Practice
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Q1) A patient is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA) and is placed in isolation until cultures can be obtained and declared noninfectious. During the isolation process, the nurse encourages family visits. Which level of Maslow's hierarchy of needs is the nurse promoting when the family is encouraged to visit?
A) First level
B) Second level
C) Third level
D) Fourth level
Q2) Which behavior from a nurse indicates the nurse is using Nightingale's theory to plan nursing care?
A) Knows all about the disease processes affecting patients
B) Focuses on medication administration and treatments
C) Thinks about the patients and patients' environments
D) Considers nursing knowledge and medicine the same
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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Chapter 5: Evidence-Based Practice
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Sample Questions
Q1) A nurse is developing a care delivery outcomes research project. Which population will the nurse study?
A) Nurses
B) Patients
C) Administrators
D) Health care providers
Q2) A nurse writes the following PICOT question: How do patients with breast cancer rate their quality of life? How should the nurse evaluate this question?
A) A true PICOT question regardless of the number of elements
B) A true PICOT question because the intervention comes before the control
C) Not a true PICOT question because the comparison comes after the intervention
D) Not a true PICOT question because the time is not designated
Q3) 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) A female patient has been overweight for most of her life. She has tried dieting in the past and has lost weight, only to regain it when she stopped dieting. The patient is visiting the weight loss clinic/health club because she has decided to do it. She states that she will join right after the holidays, in 3 months. Which stage is the patient displaying?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
Q2) A nurse is using Maslow's hierarchy to prioritize care for an anxious patient that is not eating and will not see family members. Which area should the nurse address \(\bold{first}\)?
A) Anxiety
B) Not eating
C) Mental health
D) Not seeing family members
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Chapter 7: Caring in Nursing Practice
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Q1) Intrapersonally
A)Connection with others
B)Connection with higher power
C)Connection with oneself
Q2) Which action indicates a nurse is using caring touch with a patient?
A) Inserts a catheter
B) Rubs a patient's back
C) Prevents a patient from falling
D) Administers an injection
Q3) In making rounds, the nurse meets a patient for the first time. The nurse asks the patient when morning medications are taken, such as before breakfast, after breakfast, or during breakfast. What does knowing the patient allow the nurse to do?
A) Choose the most appropriate time to give the medication.
B) Know what information to put on the medication error report form.
C) Explain to the patient that the medication will not be given at the usual time.
D) Evaluate whether or not the patient is taking the medication correctly at home.
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Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) A cancer survivor is in the intensive care unit (ICU). Some of the patient's family is from out of town and would like to see the patient even though it is not "official" visiting hours. The patient is anxious to see family members. The nurse allows the family to visit. What is the rationale for the nurse's actions?
A) The nurse disagrees with the established time for visiting.
B) The nurse realizes that the patient is dying.
C) The nurse feels there is no real reason to have limited visiting hours.
D) The nurse believes that the visit will help relieve psychological stress.
Q2) When planning for cancer survivor care needs, which information should the nurse consider?
A) Survivorship care plans are reviewed with the patient at home.
B) All health care agencies provide survivorship care plans.
C) Some survivors are discharged with no survivor plan.
D) The plan does not deal with future cancer screenings.
Q3) The self-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.
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Chapter 9: Cultural Awareness
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Sample Questions
Q1) A nurse is performing a cultural assessment using the ETHNIC mnemonic for communication. Which area will the nurse assess for the "H"?
A) Health
B) Healers
C) History
D) Homeland
Q2) A nurse is using Campinha-Bacote's model of cultural competency. Which areas will the nurse focus on to become competent? (Select all that apply.)
A) Cultural skills
B) Cultural desire
C) Cultural transition
D) Cultural knowledge
E) Cultural encounters
Q3) Cultural desires
A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills
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Page 11
Chapter 10: Caring for Families
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Q1) Who is the "peacekeeper" of the family?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
Q2) 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
Q3) How are house rules established?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
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Page 12
Chapter 11: Developmental Theories
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Sample Questions
Q1) A formerly independent older adult becomes severely withdrawn upon admission to a nursing home. Which action should the nurse take \(\bold{first}\)?
A) Offer a reward to the patient for participation in all events.
B) Encourage the patient to eat meals in the dining room with others.
C) Allow the patient to incorporate personal belongings into the room.
D) Advise the patient of the importance of attending mandatory activities.
Q2) A nurse is measuring an infant's head circumference and height. Which area is the nurse assessing?
A) Moral development
B) Cognitive development
C) Biophysical development
D) Psychosocial development
Q3) A patient follows all the instructions a nurse provides because the patient wants to be perceived as a "good" patient. How should the nurse interpret this information according to moral development?
A) The patient is in postformal thought reasoning.
B) The patient is in postconventional reasoning.
C) The patient is in preconventional reasoning.
D) The patient is in conventional reasoning.
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Page 13
Chapter 12: Conception Through Adolescence
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Q1) A nurse is teaching parents about appropriate activities for different age groups. Which toy, if selected by the parent of a 12-month-old infant, will indicate a correct understanding of the teaching?
A) Busy box
B) Electronic games
C) Game requiring two to four people
D) Small, plastic alphabet letters and magnets
Q2) 8 to 10 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) The nurse is caring for an infant. Which activity is \(\bold{most}\) appropriate for the nurse to offer to the infant?
A) Set of cards to organize and separate into groups
B) Set of sock puppets with movable eyes
C) Set of plastic stacking rings
D) Set of paperback book
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Chapter 13: Young and Middle Adults
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Sample Questions
Q1) A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and hot flashes. Which information should the nurse share with the patient?
A) The patient's assessment points toward normal menopause.
B) Those symptoms are normal when a woman undergoes the climacteric.
C) An assessment is not really needed because these problems are normal for older women.
D) The patient should stop regular exercise because that is probably causing these symptoms.
Q2) A nurse determines that a middle-aged patient is a typical example of the "sandwich generation." What did the nurse discover the patient is caught between?
A) Job responsibilities or family responsibilities
B) Stopping old habits and starting new ones
C) Caring for children and aging parents
D) Advancing in career or retiring
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Chapter 14: Older Adult
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Q1) A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with the nurse's suspicions?
A) Flea bites and lice infestation
B) Left at a grocery store
C) Refuses to take a bath
D) Cuts and bruises
Q2) Validation therapy
A)Respecting the older adult's uniqueness
B)Improving level of awareness
C)Listening to the patient's past recollections
D)Accepting describing of patient's perspective
E)Offering help with grooming and hygiene
Q3) Reality orientation
A)Respecting the older adult's uniqueness
B)Improving level of awareness
C)Listening to the patient's past recollections
D)Accepting describing of patient's perspective
E)Offering help with grooming and hygiene
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Chapter 15: Critical Thinking in Nursing Practice
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Q1) A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates the charge nurse needs to intervene?
A) Making an ethical clinical decision
B) Making an informed clinical decision
C) Making a clinical decision in the patient's best interest
D) Making a clinical decision based on previous shift assessments
Q2) Which findings will alert the nurse that stress is present when making a clinical decision? (Select all that apply.)
A) Tense muscles
B) Reactive responses
C) Trouble concentrating
D) Very tired feelings
E) Managed emotions
Q3) Which action should the nurse take to best develop critical thinking skills?
A) Study 3 hours more each night.
B) Attend all inservice opportunities.
C) Actively participate in clinical experiences.
D) Interview staff nurses about their nursing experiences.
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17
Chapter 16: Nursing Assessment
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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) The nurse begins a shift assessment by examining a surgical dressing that is saturated with serosanguineous drainage on a patient who had open abdominal surgery yesterday (or 1 day ago). Which type of assessment approach is the nurse using?
A) Gordon's Functional Health Patterns
B) Activity-exercise pattern assessment
C) General to specific assessment
D) Problem-oriented assessment
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18
Chapter 17: Nursing Diagnosis
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Q1) 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
Q2) A nurse is developing nursing diagnoses for a patient. Beginning with the first step, place in order the steps the nurse will use.
1) Observes the patient having dyspnea (shortness of breath) and a diagnosis of asthma
2) Writes a diagnostic label of impaired gas exchange
3) Organizes data into meaningful clusters
4) Interprets information from patient
5) Writes an etiology
A) 1, 3, 4, 2, 5
B) 1, 3, 4, 5, 2
C) 1, 4, 3, 5, 2
D) 1, 4, 3, 2, 5
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Chapter 18: Planning Nursing Care
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Q1) Which action indicates the nurse is using a PICOT question to improve care for a patient?
A) Practices nursing based on the evidence presented in court
B) Implements interventions based on scientific research
C) Uses standardized care plans for all patients.
D) Plans care based on tradition
Q2) The nurse performs an intervention for a collaborative problem. Which type of intervention did the nurse perform?
A) Dependent
B) Independent
C) Interdependent
D) Physician-initiated
Q3) A patient has reduced muscle strength following a left-sided stroke and is at risk for falling. Which intervention is most appropriate for the nursing diagnostic statement Risk for falls?
A) Keep all side rails down at all times.
B) Encourage patient to remain in bed most of the shift.
C) Place patient in room away from the nurses' station if possible.
D) Assist patient into and out of bed every 4 hours or as tolerated.
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Page 20
Chapter 19: Implementing Nursing Care
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Q1) A nurse is making initial rounds on patients. Which intervention for a patient with poor wound healing should the nurse perform first?
A) Reinforce the wound dressing as needed with 4 * 4 gauze.
B) Perform the ordered dressing change twice daily.
C) Observe wound appearance and edges.
D) Document wound characteristics.
Q2) The nurse is caring for a patient who requires a complex dressing change. While in the patient's room, the nurse decides to change the dressing. Which action will the nurse take just before changing the dressing?
A) Gathers and organizes needed supplies
B) Decides on goals and outcomes for the patient
C) Assesses the patient's readiness for the procedure
D) Calls for assistance from another nursing staff member
Q3) Which initial intervention is most appropriate for a patient who has a new onset of chest pain?
A) Reassess the patient.
B) Notify the health care provider.
C) Administer a prn medication for pain.
D) Call radiology for a portable chest x-ray.
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Page 21
Chapter 20: Evaluation
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Sample Questions
Q1) Which nursing actions will the nurse perform in the evaluation phase of the nursing process? (Select all that apply.)
A) Set priorities for patient care.
B) Determine whether outcomes or standards are met.
C) Ambulate patient 25 feet in the hallway.
D) Document results of goal achievement.
E) Use self-reflection and correct errors.
Q2) 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
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22
Chapter 21: Managing Patient Care
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Q1) Which approach will be most appropriate for a nurse to take when faced with the challenge of performing many tasks in one shift?
A) Do as much as possible by oneself before seeking assistance from others.
B) Evaluate the effectiveness of all tasks when all tasks are completed.
C) Complete one task before starting another task.
D) Delegate tasks the nurse does not like doing.
Q2) A nurse is assigned to care for the following patients who all need vital signs taken right now. Which patient is most appropriate for the nurse to delegate vital sign measurement to the nursing assistive personnel (NAP)?
A) Patient scheduled for a procedure in the nuclear medicine department
B) Patient transferring from the intensive care unit (ICU)
C) Patient returning from a cardiac catheterization
D) Patient returning from hip replacement surgery
Q3) Low priority
A)Patient that needs to be turned to prevent pneumonia
B)Patient with acute asthma attack
C)Patient who will be discharged in 2 days who needs teaching
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Chapter 22: Ethics and Values
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Q1) The nurse has become aware of missing narcotics in the patient care area. Which ethical principle obligates the nurse to report the missing medications?
A) Advocacy
B) Responsibility
C) Confidentiality
D) Accountability
Q2) During a severe respiratory epidemic, the local health care organizations decide to give health care workers priority access to ventilators over other members of the community who also need that resource. Which philosophy would give the strongest support for this decision?
A) Deontology
B) Utilitarianism
C) Ethics of care
D) Feminist ethics
Q3) Which action by the nurse indicates a safe and efficient use of social networks?
A) Promotes support for a local health charity
B) Posts a picture of a patient's infected foot
C) Vents about a patient problem at work
D) Friends a patient
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Page 24
Chapter 23: Legal Implications in Nursing Practice
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Q1) Assault
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) The nurse hears a health care provider say to the charge nurse that a certain nurse cannot care for patients because the nurse is stupid and won't follow orders. The health care provider also writes in the patient's medical records that the same nurse, by name, is not to care for any of the patients because of incompetence. Which torts has the health care provider committed? (Select all that apply.)
A) Libel
B) Slander
C) Assault
D) Battery
E) Invasion of privacy
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Chapter 24: Communication
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Q1) A patient is aphasic, and the nurse notices that the patient's hands shake intermittently. Which nursing action is most appropriate to facilitate communication?
A) Use a picture board.
B) Use pen and paper.
C) Use an interpreter.
D) Use a hearing aid.
Q2) A smiling patient angrily states, "I will not cough and deep breathe." How will the nurse interpret this finding?
A) The patient's denotative meaning is wrong.
B) The patient's personal space was violated.
C) The patient's affect is inappropriate.
D) The patient's vocabulary is poor.
Q3) A nurse believes that the nurse-patient relationship is a partnership and that both are equal participants. Which term should the nurse use to describe this belief?
A) Critical thinking
B) Authentic
C) Mutuality
D) Attend
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Chapter 25: Patient Education
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Q1) A nurse is teaching a patient's family member about permanent tube feedings at home. Which purpose of patient education is the nurse meeting?
A) Health promotion
B) Illness prevention
C) Restoration of health
D) Coping with impaired functions
Q2) While preparing a teaching plan, the nurse describes what the learner will be able to accomplish after the teaching session about healthy eating. Which action is the nurse completing?
A) Developing learning objectives
B) Providing positive reinforcement
C) Presenting facts and knowledge
D) Implementing interpersonal communication
Q3) A nurse is teaching a patient about the Speak Up Initiatives. Which information should the nurse include in the teaching session?
A) If you still do not understand, ask again.
B) Ask a nurse to be your advocate or supporter.
C) The nurse is the center of the health care team.
D) Inappropriate medical tests are the most common mistakes.
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Chapter 26: Documentation and Informatics
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Q1) A hospital is using a computer system that allows all health care providers to use a protocol system to document the care they provide. Which type of system/design will the nurse be using?
A) Clinical decision support system
B) Nursing process design
C) Critical pathway design
D) Computerized provider order entry system
Q2) A nurse obtained a telephone order from a primary care provider for a patient in pain. Which chart entry should the nurse document?
A) 12/16/20XX 0915 Morphine, 2 mg, IV every 4 hours for incisional pain. VO Dr. Day/J. Winds, RN, read back.
B) 12/16/20XX 0915 Morphine, 2 mg, IV every 4 hours for incisional pain. TO J. Winds, RN, read back.
C) 12/16/20XX 0915 Morphine, 2 mg, IV every 4 hours for incisional pain. TO Dr. Day/J. Winds, RN, read back.
D) 12/16/20XX 0915 Morphine, 2 mg, IV every 4 hours for incisional pain. TO J. Winds, RN.
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28
Chapter 27: Patient Safety and Quality
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Q1) A nurse reviews the history of a newly admitted patient. Which finding will alert the nurse that the patient is at risk for falls?
A) 55 years old
B) 20/20 vision
C) Urinary continence
D) Orthostatic hypotension
Q2) The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? (Select all that apply.)
A) One family member has gone to lunch.
B) Patient is placed in bilateral wrist restraints at 0815.
C) Bilateral radial pulses present, 2+, hands warm to touch
D) Straps with quick-release buckle attached to bed side rails
E) Attempts to distract the patient with television are unsuccessful.
F) Released from restraints, active range-of-motion exercises completed
Q3) Which activity will cause the nurse to monitor for equipment-related accidents?
A) Uses a patient-controlled analgesic pump
B) Uses a computer-based documentation record
C) Uses a measuring device that measures urine
D) Uses a manual medication-dispensing device
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Chapter 28: Immobility
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Q1) 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.
Q2) The nurse is caring for a patient who has had a stroke causing total paralysis of the right side. To help maintain joint function and minimize the disability from contractures, passive ROM will be initiated. When should the nurse begin this therapy?
A) After the acute phase of the disease has passed
B) As soon as the ability to move is lost
C) Once the patient enters the rehab unit
D) When the patient requests it
Q3) Which goal is \(\bold{most}\) appropriate for a patient who has had a total hip replacement?
A) The patient will ambulate briskly on the treadmill by the time of discharge.
B) The patient will walk 100 feet using a walker by the time of discharge.
C) The nurse will assist the patient to ambulate in the hall 2 times a day.
D) The patient will ambulate by the time of discharge.
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Page 30
Chapter 29: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/2408
Sample Questions
Q1) The nurse is caring for an adult patient in the clinic who has been evacuated and is a victim of flooding. The nurse teaches the patient about rest, exercise, and eating properly and how to utilize deep breathing and visualization. What is the primary rationale for the nurse's actions related to the teaching?
A) Topics taught are standard information taught during health care visits.
B) The patient requested this information to teach the extended family members.
C) Stress for long periods of time can lead to exhaustion and decreased resistance to infection.
D) These techniques will help the patient manage the pain and loss of personal belongings.
Q2) The patient has contracted a urinary tract infection (UTI) while in the hospital. Which action will \(\bold{most}\) likely increase the risk of a patient contracting a UTI?
A) Reusing the patient's graduated receptacle to empty the drainage bag.
B) Allowing the drainage bag port to touch the graduated receptacle.
C) Emptying the urinary drainage bag at least once a shift.
D) Irrigating the catheter infrequently.
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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) The nurse is caring for a patient who has an elevated temperature. Which principle will the nurse consider when planning care for this patient?
A) Hyperthermia and fever are the same thing.
B) Hyperthermia is an upward shift in the set point.
C) Hyperthermia occurs when the body cannot reduce heat production.
D) Hyperthermia results from a reduction in thermoregulatory mechanisms.
Q2) 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.
Q3) The nurse is assessing the patient's respirations. Which action by the nurse is most appropriate?
A) Inform the patient that she is counting respirations.
B) Do not touch the patient until completed.
C) Obtain without the patient knowing.
D) Estimate respirations.
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Chapter 31: Health Assessment and Physical Examination
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) An older-adult patient is taking aminoglycoside for a severe infection. Which assessment is the \(\bold{priority}\)?
A) Eyes
B) Ears
C) Skin
D) Reflexes
Q2) Koilonychia
A)Lower extremity swollen and warm with normal pulse
B)Neck vein visible when sitting
C)Spoon nails
D)Lower extremity pale and cool with decreased pulse
E)Ringing in ears
F)Swayback
G)Black, tarry stools
Q3) An older-adult patient is being seen for chronic entropion. Which condition will the nurse assess for in this patient?
A) Ptosis
B) Infection
C) Borborygmi
D) Exophthalmos
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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 needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). Which action will the nurse take?
A) Encourage the patient to cough and deep-breathe.
B) Suction the patient's respiratory secretions.
C) Suggest voiding every 2 hours.
D) Increase fluid intake.
Q2) An order is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What should the nurse do?
A) Call the health care provider to clarify the order.
B) Give the patient hydromorphone, as it was meant to be written.
C) Administer the medication and monitor the patient frequently.
D) Refuse to give the medication and notify the nurse supervisor.
Q3) The patient is to receive amoxicillin 500 mg q8h; the medication is dispensed at 250 mg/5 mL. How many milliliters will the nurse administer for one dose? Record your answer using a whole number. ___ mL
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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) Ginger
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 using caring-healing relationships to support whole person/whole systems healing. Which type of nursing is the nurse using?
A) Holistic nursing
B) Integrative nursing
C) Interprofessional nursing
D) Complementary and alternative nursing
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Chapter 34: Self-Concept
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2413
Sample Questions
Q1) 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
Q2) A nurse is teaching a patient about self-concept. Which information from the patient indicates a correct understanding of the teaching?
A) Self-concept is how a person feels about others.
B) Self-concept is how a person thinks about others.
C) Self-concept is how a person feels about oneself.
D) Self-concept is how a person thinks about oneself.
Q3) Disturbed body image
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 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2414
Sample Questions
Q1) Which patient is most in need of a nurse's referral to adoption services?
A) A woman considering abortion for an unwanted pregnancy
B) An infertile couple religiously opposed to artificial insemination
C) A woman who suffered miscarriage during her first pregnancy
D) An infertile couple who has been attempting conception for 3 months
Q2) 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.
Q3) The nurse is caring for a patient who recently had unprotected sex with a partner who has HIV. Which response by the nurse is best?
A) "You should have your blood drawn today to see if you were infected."
B) "If you have the virus, you will have flu-like symptoms in 6 months."
C) "Highly active antiretroviral therapy has been shown effective in slowing the disease process."
D) "I will set you up with a support group to help you cope with dying within the next 10 years."
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Page 37
Chapter 36: Spiritual Health
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2415
Sample Questions
Q1) 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.
Q2) A nurse makes a connection with the patient when providing spiritual care. Which type of connectedness did the nurse experience?
A) Intrapersonal
B) Interpersonal
C) Transpersonal
D) Multipersonal
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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24 Flashcards
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Sample Questions
Q1) An Orthodox Jewish rabbi has been pronounced dead. The nursing assistive personnel respectfully ask family members to leave the room and go home as postmortem care is provided. Which statement from the supervising nurse is best?
A) "I should have called a male colleague to handle the body."
B) "Family members stay with the body until burial the next day."
C) "I wish they would go home because we have work to do here."
D) "Family will quietly leave after praying and touching the rabbi's head."
Q2) During a follow-up visit, a female patient is describing new onset of marital discord with her terminally ill spouse to the hospice nurse. Which Kübler-Ross stage of dying is the patient experiencing?
A) Denial
B) Anger
C) Bargaining
D) Depression
Q3) 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.
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Page 39
Chapter 38: Stress and Coping
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2417
Sample Questions
Q1) A nurse is teaching the staff about the general adaptation syndrome. In which order will the nurse list the stages, beginning with the first stage?
1) Resistance
2) Exhaustion
3) Alarm
A) 3, 1, 2
B) 3, 2, 1
C) 1, 3, 2
D) 1, 2, 3
Q2) A female teen with celiac disease continues to eat food she knows will make her ill several hours after ingestion. While planning care, the nurse considers maturational and tertiary-level interventions. Which intervention will the nurse add to the care plan?
A) Teach the teen about the food pyramid.
B) Administer antidiarrheal medications with meals.
C) Gently admonish the teen and her parents regarding the consistently poor diet choices.
D) Assist the teen in meeting dietary restrictions while eating foods similar to those eaten by her friends.
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Chapter 39: Activity and Exercise
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34 Flashcards
Source URL: https://quizplus.com/quiz/2418
Sample Questions
Q1) The patient weighs 450 lbs (204.5 kg) and reports shortness of breath with any exertion. The health care provider has recommended beginning an exercise program. The patient states that she can hardly get out of bed and just cannot do anything around the house. Which nursing diagnosis will the nurse add to the care plan?
A) Activity intolerance related to excessive weight
B) Impaired physical mobility related to bed rest
C) Imbalanced nutrition: less than body requirements
D) Impaired gas exchange related to shortness of breath
Q2) The nurse is teaching a patient how to sit with crutches. In which order will the nurse present the instructions starting with the first step?
1) Place both crutches in one hand.
2) Grasp arm of chair with free hand.
3) Completely lower self into chair.
4) Transfer weight to crutches and unaffected leg.
A) 4, 1, 2, 3
B) 1, 4, 2, 3
C) 1, 2, 4, 3
D) 4, 2, 1, 3
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Chapter 40: Hygiene
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50 Flashcards
Source URL: https://quizplus.com/quiz/2419
Sample Questions
Q1) The nurse is caring for a patient who is immobile. The nurse frequently checks the patient for impaired skin integrity. What is the rationale for the nurse's action?
A) Inadequate blood flow leads to decreased tissue ischemia.
B) Patients with limited caloric intake develop thicker skin.
C) Pressure reduces circulation to affected tissue.
D) Verbalization of skin care needs is decreased.
Q2) The patient is diagnosed with athlete's foot (tinea pedis). The patient says that he is relieved because it is only athlete's foot, and it can be treated easily. Which information should the nurse consider when formulating a response to the patient?
A) Contagious with frequent recurrences
B) Helpful to air-dry feet after bathing
C) Treated with salicylic acid
D) Caused by lice
Q3) A nurse is providing AM care to patients. Which action will the nurse take?
A) Soaks feet of patient with peripheral vascular disease
B) Applies CHG solution to wash perineum of patient with a stroke
C) Cleanses eye from outer canthus to inner canthus of patient with diabetes
D) Uses long, firm stroke to wash legs of patient with blood-clotting disorder
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Chapter 41: Oxygenation
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51 Flashcards
Source URL: https://quizplus.com/quiz/2420
Sample Questions
Q1) A nurse is preparing a patient for nasotracheal suctioning. In which order will the nurse perform the steps, beginning with the first step?
1) Insert catheter.
2) Apply suction and remove.
3) Have patient deep breathe.
4) Encourage patient to cough.
5) Attach catheter to suction system.
6) Rinse catheter and connecting tubing.
A) 1, 2, 3, 4, 5, 6
B) 4, 5, 1, 2, 3, 6
C) 5, 3, 1, 2, 4, 6
D) 3, 1, 2, 5, 4, 6
Q2) The nurse is caring for a patient who needs oxygen via a nasal cannula. Which task can the nurse delegate to the nursing assistive personnel?
A) Applying the nasal cannula
B) Adjusting the oxygen flow
C) Assessing lung sounds
D) Setting up the oxygen
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Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2421
Sample Questions
Q1) A nurse is assisting the health care provider in inserting a central line. Which action indicates the nurse is following the recommended bundle protocol to reduce central line-associated bloodstream infections (CLABSI)?
A) Preps skin with povidone-iodine solution.
B) Suggests the femoral vein for insertion site.
C) Applies double gloving without hand hygiene.
D) Uses chlorhexidine skin antisepsis prior to insertion.
Q2) The nurse observes edema in a patient who has venous congestion from right heart failure. Which type of pressure facilitated the formation of the patient's edema?
A) Osmotic
B) Oncotic
C) Hydrostatic
D) Concentration
Q3) Bicarbonate
A)Increases excretion of sodium and water
B)Reduces excretion of sodium and water
C)Reduces excretion of water
D)Major buffer in the extracellular fluid
E)Vasoconstricts and stimulates aldosterone release
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Page 44
Chapter 43: Sleep
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36 Flashcards
Source URL: https://quizplus.com/quiz/2422
Sample Questions
Q1) The nurse adds a nursing diagnosis of ineffective breathing pattern to a patient's care plan. Which sleep condition caused the nurse to assign this nursing diagnosis?
A) Insomnia
B) Narcolepsy
C) Sleep deprivation
D) Obstructive sleep apnea
Q2) The nurse is caring for a patient in the sleep lab. Which assessment finding indicates to the nurse that the patient is in stage 4 NREM?
A) The patient awakens easily.
B) The patient's eyes rapidly move.
C) The patient is difficult to awaken.
D) The patient's vital signs are elevated.
Q3) The nurse is evaluating outcomes for the patient with insomnia. Which key principle will the nurse consider during this process?
A) The patient is the best evaluator of sleep.
B) The nurse is the best evaluator of sleep.
C) Effective interventions are the best evaluators of sleep.
D) Observations of the patient are the best evaluators of sleep.
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Chapter 44: Pain Management
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40 Flashcards
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Sample Questions
Q1) A nurse teaches the patient about the gate control theory. Which statement made by a patient reflects a correct understanding about the relationship between the gate control theory of pain and the use of meditation to relieve pain?
A) "Meditation controls pain by blocking pain impulses from coming through the gate."
B) "Meditation alters the chemical composition of pain neuroregulators, which closes the gate."
C) "Meditation will help me sleep through the pain because it opens the gate."
D) "Meditation stops the occurrence of pain stimuli."
Q2) A nurse is caring for a patient with chronic pain from arthritis. Which action is best for the nurse to take?
A) Give pain medications around the clock.
B) Administer pain medication before any activity.
C) Give pain medication after the pain is a 7/10 on the pain scale.
D) Administer pain medication only when nonpharmacological measures have failed.
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Chapter 45: Nutrition
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Sample Questions
Q1) A patient is on a full liquid diet. Which food item choice by the patient will cause the nurse to intervene?
A) Custard
B) Frozen yogurt
C) Pureed vegetables
D) Mashed potatoes and gravy
Q2) When assessing patient with nutritional needs, which patients will require follow-up from the nurse? (Select all that apply.)
A) A patient with infection taking tetracycline with milk
B) A patient with irritable bowel syndrome increasing fiber
C) A patient with diverticulitis following a high-fiber diet daily
D) A patient with an enteral feeding and 500 mL of gastric residual
E) A patient with dysphagia being referred to a speech-language pathologist
Q3) A nurse is caring for patients with dysphagia. Which patient has neurogenic dysphagia?
A) A patient with benign peptic stricture
B) A patient with muscular dystrophy
C) A patient with myasthenia gravis
D) A patient with stroke
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Page 47
Chapter 46: Urinary Elimination
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2425
Sample Questions
Q1) Which clinical manifestation will the nurse expect to observe in a patient with excessive white blood cells present in the urine?
A) Reduced urine specific gravity
B) Increased blood pressure
C) Abnormal blood sugar
D) Fever with chills
Q2) A nurse is caring for a patient who just underwent an intravenous pyelography that revealed a renal calculus obstructing the left ureter. What is the nurse's first priority in caring for this patient?
A) Turn the patient on the right side to alleviate pressure on the left kidney.
B) Encourage the patient to increase fluid intake to flush the obstruction.
C) Monitor the patient for fever, rash, and difficulty breathing.
D) Administer narcotic medications to the patient for pain.
Q3) The nurse, upon reviewing the history, discovers the patient has dysuria. Which assessment finding is consistent with dysuria?
A) Blood in the urine
B) Burning upon urination
C) Immediate, strong desire to void
D) Awakes from sleep due to urge to void
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Page 48
Chapter 47: Bowel Elimination
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/2426
Sample Questions
Q1) A nurse is providing care to a group of patients. Which patient will the nurse see \(\bold{first}\)?
A) A child about to receive a normal saline enema
B) A teenager about to receive loperamide for diarrhea
C) An older patient with glaucoma about to receive an enema
D) A middle-aged patient with myocardial infarction about to receive docusate sodium
Q2) A patient is receiving opioids for pain. Which bowel assessment is a \(\bold{priority}\)?
A) Clostridium difficile
B) Constipation
C) Hemorrhoids
D) Diarrhea
Q3) The nurse is caring for patients with ostomies. In which ostomy location will the nurse expect very liquid stool to be present?
A) Sigmoid
B) Transverse
C) Ascending
D) Descending
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Chapter 48: Skin Integrity and Wound Care
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55 Flashcards
Source URL: https://quizplus.com/quiz/2427
Sample Questions
Q1) The nurse is completing a skin risk assessment using the Braden Scale. The patient has slight sensory impairment, has skin that is rarely moist, walks occasionally, and has slightly limited mobility, along with excellent intake of meals and no apparent problem with friction and shear. Which score will the nurse document for this patient?
A) 15
B) 17
C) 20
D) 23
Q2) 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.
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Chapter 49: Sensory Alterations
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30 Flashcards
Source URL: https://quizplus.com/quiz/2428
Sample Questions
Q1) A nurse is teaching a patient about vision. In which order will the nurse describe the pathway for vision, beginning with the first structure?
1) Lens
2) Pupil
3) Retina
4) Cornea
5) Optic nerve
A) 2, 1, 4, 5, 3
B) 1, 2, 4, 3, 5
C) 4, 2, 1, 3, 5
D) 5, 2, 4, 1, 3
Q2) Which assessment question should the nurse ask to best understand how visual alterations are affecting the patient's self-care ability?
A) "Have you stopped reading books or switched to books on audiotape?"
B) "What do you do to protect yourself from injury at work?"
C) "Are you able to prepare a meal or write a check?"
D) "How does your vision impairment make you feel?"
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Chapter 50: Care of Surgical Patients
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46 Flashcards
Source URL: https://quizplus.com/quiz/2429
Sample Questions
Q1) The nurse is caring for a group of patients. Which patient will the nurse see \(\bold{first}\)?
A) A patient who had cataract surgery is coughing.
B) A patient who had vascular repair of the right leg is not doing right leg exercises.
C) A patient after knee surgery is wearing intermittent pneumatic compression devices and receiving heparin.
D) A patient after surgery has vital signs taken every 15 minutes twice, every 30 minutes twice, hourly for 2 hours then every 4 hours.
Q2) The nurse is making a preoperative education appointment with a patient. The patient asks if a family member should come to the appointment. Which is the best response by the nurse?
A) "There is no need for an additional person at the appointment."
B) "Your family can come and wait with you in the waiting room."
C) "We recommend including family members at this appointment."
D) "It is required that you have a family member at this appointment."
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