Nursing Care and Practice Review Questions
Course Introduction
Nursing Care and Practice is an essential course designed to equip students with the foundational knowledge and practical skills necessary for effective patient care in various healthcare settings. Emphasizing evidence-based practice, this course covers core nursing concepts such as patient assessment, clinical decision-making, communication, safety, and infection control. Students will explore holistic and patient-centered approaches to care, ethical and legal responsibilities, and interdisciplinary collaboration. Through a combination of theoretical instruction and supervised clinical experiences, students will develop critical thinking, technical proficiency, and compassionate care required to address the diverse needs of individuals across the lifespan.
Recommended Textbook
Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
Source URL: https://quizplus.com/study-set/175 Page 2
Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2380
Sample Questions
Q1) While providing care to a patient, the nurse is responsible, both professionally and legally. Which concept does this describe?
A) Autonomy
B) Accountability
C) Patient advocacy
D) Patient education
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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Page 3
Chapter 2: The Health Care Delivery System
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2381
Sample Questions
Q1) A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?
A) Managed care insures full coverage of health care costs.
B) Managed care only assumes the financial risk involved.
C) Managed care allows providers to focus on illness care.
D) Managed care causes providers to focus on prevention.
Answer: D
Q2) Which finding indicates the \(\bold{best}\) quality improvement process?
A) Staff identifies the wait time in the emergency department is too long.
B) Administration identifies the design of the facility's lobby increases patient stress.
C) Director of the hospital identifies the payment schedule does not pay enough for overtime.
D) Health care providers identify the inconsistencies of some of the facility's policy and procedures.
Answer: A
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4
Chapter 3: Community-Based Nursing Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse is providing screening at a health fair. Which finding indicates the person may be a vulnerable patient who is \(\bold{most}\) likely to develop health problems?
A) One who is pregnant
B) One who has excessive risks
C) One who has unlimited access to health care
D) One who uses nontraditional healing practices
Answer: B
Q2) Population
A)Education level
B)Housing
C)Government
Answer: A
Q3) Social system
A)Education level
B)Housing
C)Government
Answer: C
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Page 5
Chapter 4: Theoretical Foundations of Nursing Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2383
Sample Questions
Q1) The nurse is caring for a patient diagnosed with essential hypertension. The health care provider prescribes blood pressure medication that the nurse administers. The nurse then monitors the patient's blood pressure for several days to help determine effectiveness. Which system component is the nurse evaluating?
A) Input
B) Output
C) Content
D) Feedback
Q2) The nurse researcher is evaluating whether holding pressure at an injection site after injecting the anticoagulant enoxaparin will reduce bruising at the injection site. This study involves a prescriptive theory. What is the nurse's rationale for involving a prescriptive theory?
A) It explains why bruising occurs.
B) It is broad in scope and complex.
C) It tests a specific nursing intervention.
D) It reflects a wide variety of nursing care situations.
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Chapter 5: Evidence-Based Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) After reviewing the literature, the evidence-based practice committee institutes a practice change that bedrails should be left in the down position and hourly nursing rounds should be conducted. The results indicate over a 40% reduction in falls. What is the committee's next step?
A) Evaluate the changes in 1 month.
B) Implement the changes as a pilot study.
C) Wait a month before implementing the changes.
D) Communicate to staff the results of this project.
Q2) A nurse identifies a clinical problem with pressure ulcers. Which step should the nurse take next in the research process?
A) Analyze results.
B) Conduct the study.
C) Determine method.
D) Develop a hypothesis.
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Chapter 6: Health and Wellness
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2385
Sample Questions
Q1) A nurse is using the World Health Organization definition of health to provide care. Which area will the nurse focus on while providing care?
A) Making sure the patients are disease free
B) Making sure to involve the whole person
C) Making sure care is strictly personal in nature
D) Making sure to focus only on the pathological state
Q2) A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
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8
Chapter 7: Caring in Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/2386
Sample Questions
Q1) A nurse follows the "ethics of care" when working with patients. Which action will the nurse take?
A) Becomes the patient's advocate based on the patient's wishes
B) Makes decisions for the patient solely using analytical principles
C) Uses only intellectual principles to determine what is best for the patient
D) Ignores unequal family relationships since that is a personal matter for the family
Q2) 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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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/2387
Sample Questions
Q1) A nurse is working on a cancer unit. The unit uses the National Coalition for Cancer Survivorship definition for a cancer survivor. Which definition will the nurse use?
A) Been cancer free for 5 years after diagnosis
B) Been cancer free for 3 years after diagnosis
C) Had cancer and is declared cancer free
D) Had cancer and extends until death
Q2) A nurse is assessing a cancer survivor for chemotherapy-induced peripheral neurotoxicity (CPIN). Which assessment finding is consistent with CPIN?
A) Hearing loss
B) Devastating depression
C) Extreme loss of motor functioning
D) Numbness and tingling in hands and feet
Q3) The collaborative care 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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10
Chapter 9: Cultural Awareness
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2388
Sample Questions
Q1) A nurse is providing care to a patient from a different culture. Which action by the nurse indicates cultural competence?
A) Communicates effectively in a multicultural context
B) Functions effectively in a multicultural context
C) Visits a foreign country
D) Speaks a different language
Q2) A nurse is assessing population groups for the risk of suicide requiring medical attention. Which group should the nurse monitor \(\bold{most}\) closely?
A) Young bisexuals
B) Young caucasians
C) Asian Americans
D) African-Americans
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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Chapter 10: Caring for Families
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/2389
Sample Questions
Q1) A nurse is working with a patient. When the nurse asks about family members, the patient states that it includes my spouse, children, and aunt and uncle. How will the nurse describe this type of family?
A) Nuclear
B) Blended
C) Extended
D) Alternative
Q2) The nurse is caring for an older adult patient who has no apparent family. When questioned about family and the definition of family, the patient states, "I have no family. They're all gone." When asked, "Who prepares your meals?" the patient states, "I do, or I go out." Which approach should the nurse use for this patient?
A) Family as context
B) Family as patient
C) Family as system
D) Family as caregiver
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Chapter 11: Developmental Theories
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2390
Sample Questions
Q1) 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.
Q2) A nurse is caring for a 4-year-old patient. Which object will the nurse allow the child to play with safely to foster cognitive development?
A) The pump administering intravenous fluids
B) A book to read alone in a quiet place
C) The blood pressure cuff
D) A baseball bat
Q3) 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
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Page 13
Chapter 12: Conception Through Adolescence
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2391
Sample Questions
Q1) A nurse performs an assessment on a healthy newborn. Which assessment finding will the nurse document as normal?
A) Cyanosis of the feet and hands for the first 48 hours
B) Triangle-shaped anterior fontanel
C) Sporadic motor movements
D) Weight of 4800 grams
Q2) 10 to 12 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) 2 to 4 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
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14
Chapter 13: Young and Middle Adults
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2392
Sample Questions
Q1) A nurse is caring for a young adult. Which goal is priority?
A) Maintain peer relationships.
B) Maintain family relationships.
C) Maintain parenteral relationships.
D) Maintain recreational relationships.
Q2) The nurse is caring for a hospitalized young-adult male who works as a dishwasher at a local restaurant. He states that he would like to get a better job but has no education. How can the nurse best assist this patient psychosocially?
A) By providing information and referrals
B) By focusing on the patient's medical diagnoses
C) By telling the patient that he needs to go back to school
D) By expecting the patient to be flexible in decision making
Q3) Agricultural workers
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
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15
Chapter 14: Older Adult
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2393
Sample Questions
Q1) An older-adult patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information?
A) Notify the health care provider immediately to rule out cranial nerve damage.
B) Schedule the patient for an appointment at a smell and taste disorders clinic.
C) Perform testing on the vestibulocochlear nerve and a hearing test.
D) Explain to the patient that diminished senses are normal findings.
Q2) A patient asks the nurse what the term polypharmacy means. Which information should the nurse share with the patient?
A) This is multiple side effects experienced when taking medications.
B) This is many adverse drug effects reported to the pharmacy.
C) This is the multiple risks of medication effects due to aging.
D) This is concurrent use of many medications.
Q3) A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding?
A) Oily skin
B) Faster nail growth
C) Decreased elasticity
D) Increased facial hair in men
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Chapter 15: Critical Thinking in Nursing Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2394
Sample Questions
Q1) Which patient scenario of a surgical patient in pain is most indicative of critical thinking?
A) Administering pain-relief medication according to what was given last shift
B) Offering pain-relief medication based on the health care provider's orders
C) Asking the patient what pain-relief methods, pharmacological and nonpharmacological, have worked in the past
D) Explaining to the patient that self-reporting of severe pain is not consistent with the minor procedure that was performed
Q2) The nurse enters a room to find the patient sitting up in bed crying. How will the nurse display a critical thinking attitude in this situation?
A) Provide privacy and check on the patient 30 minutes later.
B) Set a box of tissues at the patient's bedside before leaving the room.
C) Limit visitors while the patient is upset.
D) Ask the patient about the crying.
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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Page 17
Chapter 16: Nursing Assessment
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2395
Sample Questions
Q1) A nurse is completing an assessment. Which findings will the nurse report as subjective data? (Select all that apply.)
A) Patient's temperature
B) Patient's wound appearance
C) Patient describing excitement about discharge
D) Patient pacing the floor while awaiting test results
E) Patient's expression of fear regarding upcoming surgery
Q2) Time
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
Q3) A nurse is using the problem-oriented approach to data collection. Which action will the nurse take first?
A) Complete the questions in chronological order.
B) Focus on the patient's presenting situation.
C) Make accurate interpretations of the data.
D) Conduct an observational overview.
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Page 18
Chapter 17: Nursing Diagnosis
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2396
Sample Questions
Q1) 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
Q2) 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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Chapter 18: Planning Nursing Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2397
Sample Questions
Q1) A patient's son decides to stay at the bedside while his father is confused. When developing the plan of care for this patient, what should the nurse do?
A) Individualize the care plan only according to the patient's needs.
B) Request that the son leave at bedtime, so the patient can rest.
C) Suggest that a female member of the family stay with the patient.
D) Involve the son in the plan of care as much as possible.
Q2) A nurse is caring for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications. Which outcome is most appropriate for the nurse to include in the plan of care?
A) Patient will have one soft, formed bowel movement by end of shift.
B) Patient will walk unassisted to bathroom by the end of shift.
C) Patient will be offered laxatives or stool softeners this shift.
D) Patient will not take any pain medications this shift.
Q3) Which information indicates a nurse has a good understanding of a goal?
A) It is a statement describing the patient's accomplishments without a time restriction.
B) It is a realistic statement predicting any negative responses to treatments.
C) It is a broad statement describing a desired change in a patient's behavior.
D) It is a measurable change in a patient's physical state.
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Chapter 19: Implementing Nursing Care
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2398
Sample Questions
Q1) A patient visiting with family members in the waiting area tells the nurse "I don't feel good, especially in the stomach." What should the nurse do?
A) Request that the family leave, so the patient can rest.
B) Ask the patient to return to the room, so the nurse can inspect the abdomen.
C) Ask the patient when the last bowel movement was and to lie down on the sofa.
D) Tell the patient that the dinner tray will be ready in 15 minutes and that may help the stomach feel better.
Q2) The standing orders for a patient include acetaminophen 650 mg every 4 hours prn for headache. After assessing the patient, the nurse identifies the need for headache relief and determines that the patient has not had acetaminophen in the past 4 hours. Which action will the nurse take next?
A) Administer the acetaminophen.
B) Notify the health care provider to obtain a verbal order.
C) Direct the nursing assistive personnel to give the acetaminophen.
D) Perform a pain assessment only after administering the acetaminophen.
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Chapter 20: Evaluation
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2399
Sample Questions
Q1) A goal for a patient with diabetes is to demonstrate effective coping skills. Which patient behavior will indicate to the nurse achievement of this outcome?
A) States feels better after talking with family and friends
B) Consumes high-carbohydrate foods when stressed
C) Dislikes the support group meetings
D) Spends most of the day in bed
Q2) A nurse has instituted a turn schedule for a patient to prevent skin breakdown. Upon evaluation, the nurse finds that the patient has a stage II pressure ulcer on the buttocks. Which action will the nurse take next?
A) Reassess the patient and situation.
B) Revise the turning schedule to increase the frequency.
C) Delegate turning to the nursing assistive personnel.
D) Apply medication to the area of skin that is broken down.
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Chapter 21: Managing Patient Care
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2400
Sample Questions
Q1) 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
Q2) 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
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23
Chapter 22: Ethics and Values
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/2401
Sample Questions
Q1) The nurse values autonomy above all other principles. Which patient assignment will the nurse find most difficult to accept?
A) Older-adult patient who requires dialysis
B) Teenager in labor who requests epidural anesthesia
C) Middle-aged father of three with an advance directive declining life support
D) Family elder who is making the decisions for a young-adult female member
Q2) 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
Q3) 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
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Page 24
Chapter 23: Legal Implications in Nursing Practice
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25 Verified Questions
25 Flashcards
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Sample Questions
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) False imprisonment
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.
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Chapter 24: Communication
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Sample Questions
Q1) A nurse and a patient work on strategies to reduce weight. Which phase of the helping relationship is the nurse in with this patient?
A) Preinteraction
B) Orientation
C) Working
D) Termination
Q2) 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
Q3) A
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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Chapter 25: Patient Education
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2404
Sample Questions
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) A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage?
A) Encourage independent learning.
B) Develop a problem-solving scenario.
C) Wrap a bandage around a stuffed animal's ear.
D) Use discussion throughout the teaching session.
Q3) 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.
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Chapter 26: Documentation and Informatics
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34 Flashcards
Source URL: https://quizplus.com/quiz/2405
Sample Questions
Q1) A nurse is completing an OASIS data set on a patient. The nurse works in which area?
A) Home health
B) Intensive care unit
C) Skilled nursing facility
D) Long-term care facility
Q2) A nurse is discussing the advantages of a nursing clinical information system. Which advantage should the nurse describe?
A) Varied clinical databases
B) Reduced errors of omission
C) Increased hospital costs
D) More time to read charts
Q3) A nurse wants to find the daily weights of a patient. Which form will the nurse use?
A) Database
B) Progress notes
C) Patient care summary
D) Graphic record and flow sheet
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Chapter 27: Patient Safety and Quality
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2406
Sample Questions
Q1) The nurse is performing the "Timed Get Up and Go (TUG)" assessment. Which actions will the nurse take? (Select all that apply.)
A) Ranks a patient as high risk for falls after patients takes 18 seconds to complete
B) Teaches patient to rise from straight back chair using arms for support
C) Instructs the patient to walk 10 feet as quickly and safely as possible
D) Observes for unsteadiness in patient's gait
E) Begins counting after the instructions
F) Allows the patient a practice trial
Q2) The patient applies sequential compression devices after going to the bathroom. The nurse checks the patient's application of the devices and finds that they have been put on upside down. Which nursing diagnosis will the nurse add to the patient's plan of care?
A) Risk for falls
B) Deficient knowledge
C) Risk for suffocation
D) Impaired physical mobility
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Chapter 28: Immobility
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54 Flashcards
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Sample Questions
Q1) Lordosis
A)Lateral-S- or C-shaped spinal column with vertebral rotation
B)Legs curved inward so knees come together as person walks
C)One or both legs bent outward at knee
D)Inclining of head to affected side
E)Exaggeration of anterior convex curve of lumbar spine
F)Increased convexity in curvature of thoracic spine
Q2) The nurse is evaluating the body alignment of a patient in the sitting position. Which observation by the nurse will indicate a normal finding?
A) The edge of the seat is in contact with the popliteal space.
B) Both feet are supported on the floor with ankles flexed.
C) The body weight is directly on the buttocks only.
D) The arms hang comfortably at the sides.
Q3) Genu varum
A)Lateral-S- or C-shaped spinal column with vertebral rotation
B)Legs curved inward so knees come together as person walks
C)One or both legs bent outward at knee
D)Inclining of head to affected side
E)Exaggeration of anterior convex curve of lumbar spine
F)Increased convexity in curvature of thoracic spine
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Chapter 29: Infection Prevention and Control
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Sample Questions
Q1) A patient presents with pneumonia. Which priority intervention should be included in the plan of care for this patient?
A) Observe the patient for decreased activity tolerance.
B) Assume the patient is in pain and treat accordingly.
C) Provide the patient ice chips as requested.
D) Maintain the room temperature at 65° F.
Q2) The nurse is caring for a patient who has a bloodborne pathogen. The nurse splashes blood above the glove to intact skin while discontinuing an intravenous (IV) infusion. Which step(s) will the nurse take next?
A) Obtain an alcohol swab, remove the blood with an alcohol swab, and continue care.
B) Immediately wash the site with soap and running water, and seek guidance from the manager.
C) Do nothing; accidentally getting splashed with blood happens frequently and is part of the job.
D) Delay washing of the site until the nurse is finished providing care to the patient.
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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 patient is being encouraged to purchase a portable automatic blood pressure device to monitor blood pressure at home. Which information will the nurse present as benefits for this type of treatment? (Select all that apply.)
A) Patients can actively participate in their treatment.
B) Self-monitoring helps with compliance and treatment.
C) The risk of obtaining an inaccurate reading is decreased.
D) Blood pressures can be obtained if pulse rates become irregular.
E) Patients can provide information about patterns to health care providers.
Q2) A nurse is working in the intensive care unit and must obtain core temperatures on patients. Which sites can be used to obtain a core temperature? (Select all that apply.)
A) Rectal
B) Tympanic
C) Esophagus
D) Temporal artery
E) Pulmonary artery
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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) During a routine physical examination of a 70-year-old patient, a blowing sound is auscultated over the carotid artery. Which assessment finding will the nurse report to the health care provider?
A) Bruit
B) Thrill
C) Phlebitis
D) Right-sided heart failure
Q2) A teen female patient reports intermittent abdominal pain for 12 hours. No dysuria is present. Which action will the nurse take when performing an abdominal assessment?
A) Assess the area that is most tender first.
B) Ask the patient about the color of her stools.
C) Recommend that the patient take more laxatives.
D) Avoid sexual references such as possible pregnancy.
Q3) A nurse is preparing to perform a lung assessment on a patient and discovers through the nursing history the patient smokes. The nurse figures the pack-years for this patient who has smoked two and a half (2 1/2) packs a day for 20 years. Which value will the nurse record in the patient's medical record? Record answer as a whole number.
_________ pack-years
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Page 33
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 has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse obtain to administer the medication?
A) 3-mL syringe
B) U-100 syringe
C) Needleless syringe
D) Tuberculin syringe
Q2) A nurse is caring for a patient who is receiving pain medication through a saline lock. After obtaining a good blood return when the nurse is flushing the patient's peripheral IV, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm and tender to the touch. What is the nurse's initial action?
A) Do not administer the pain medication.
B) Administer the pain medication slowly.
C) Apply a warm compress to the site.
D) Apply a cool compress to the site.
Q3) A patient is at risk for aspiration. Which nursing action is most appropriate?
A) Give the patient a straw to control the flow of liquids.
B) Have the patient self-administer the medication.
C) Thin out liquids so they are easier to swallow.
D) Turn the head toward the stronger side.
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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) An older-adult patient is newly admitted to a skilled nursing facility with the diagnoses of Alzheimer's dementia, lipidemia, and hypertension, and a history of pulmonary embolism. Medications brought on admission included lisinopril (Zestril, Prinivil), hydrochlorothiazide (Microzide), warfarin (Coumadin), low-dose aspirin, ginkgo biloba, and echinacea. Which potential interaction will cause the nurse to notify the patient's health care provider?
A) Echinacea and warfarin
B) Lisinopril and echinacea
C) Warfarin and ginkgo biloba
D) Lisinopril and hydrochlorothiazide
Q2) A nurse is providing different types of therapies to a patient with excessive fatigue and cancer. Which technique will cause the nurse manager to intervene?
A) Meditation
B) Guided imagery
C) Passive relaxation
D) Active progressive relaxation
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Chapter 34: Self-Concept
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25 Flashcards
Source URL: https://quizplus.com/quiz/2413
Sample Questions
Q1) Low self-esteem
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.
Q2) A nurse is completing a history on a patient with role conflict. Which finding is consistent with role conflict?
A) A patient is unsure about job expectations in a fast-paced company.
B) A patient has to travel for work and misses children's birthdays.
C) A patient feels less of a man after a leg amputation.
D) A patient loses a job from the company's downsizing.
Q3) A nurse is developing a drinking prevention presentation for adolescents. Which areas should the nurse include in the teaching session?
A) Stressful life events and scholarships
B) Very high self-esteem and work failure
C) Health problems and avoidance of conflict
D) Stress management and improving self-esteem
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Chapter 35: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2414
Sample Questions
Q1) A nurse is interviewing a woman who uses a diaphragm. Which information from the patient will require the nurse to follow up?
A) "I have lost 12 pounds on this diet."
B) "I use the diaphragm to prevent pregnancy."
C) "I use a contraceptive cream with my diaphragm."
D) "I know this provides a barrier over the cervical opening."
Q2) 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
Q3) A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated attempts at fertility treatment. The patient tells the nurse, "I feel happier, but my sex drive is gone." Which nursing diagnosis has the highest priority?
A) Sexual dysfunction
B) Ineffective coping
C) Risk for self-directed violence
D) Deficient knowledge about contraception
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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 co-worker asks the nurse to explain spirituality. What is the nurse's best response?
A) It has a minor effect on health.
B) It is awareness of one's inner self.
C) It is not as essential as physical needs.
D) It refers to fire or giving of life to a person.
Q2) The nurse is caring for a patient with a chronic illness who is having conflicts with beliefs. Which health care team member will the nurse ask to see this patient?
A) The clergy
B) A psychiatrist
C) A social worker
D) An occupational therapist
Q3) A male patient in stable condition is in the intensive care unit (ICU) and is asking to see his spouse and two daughters. What should the nurse do?
A) Allow only 5 to 10 minutes with the family.
B) Allow the wife and daughters to visit at the patient's request.
C) Allow the two daughters to visit, and let the wife visit when they leave.
D) Allow the wife and one daughter to enter the ICU but not the other daughter.
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Page 38
Chapter 37: The Experience of Loss, Death, and Grief
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24 Flashcards
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Sample Questions
Q1) In preparation for the eventual death of a female hospice patient of the Muslim faith, the nurse organizes a meeting of all hospice caregivers. A plan of care to be followed when this patient dies is prepared. Which information will be included in the plan?
A) Prepare the body for autopsy.
B) Prepare the body for cremation.
C) Allow male Muslims to care for the body after death has occurred.
D) Allow female Muslims to care for the body after death has occurred.
Q2) 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."
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Chapter 38: Stress and Coping
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) After a natural disaster occurred, an emergency worker referred a family for crisis intervention services. One family member refused to attend the services, stating, "No way, I'm not crazy." What is the nurse's \(\bold{best}\) response?
A) "Many times disasters can create mental health problems, so you really should participate with your family."
B) "Seeking this kind of help does not mean that you have a mental illness; it is a short-term problem-solving technique."
C) "Don't worry now. The psychiatrists are well trained to help."
D) "This will help your family communicate better."
Q2) The nurse teaches stress-reduction and relaxation training to a health education group of patients after cardiac bypass surgery. Which level of intervention is the nurse using?
A) Primary
B) Secondary
C) Tertiary
D) Quad
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Chapter 39: Activity and Exercise
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34 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with inner ear problems. Which goal is the priority?
A) Maintain balance.
B) Maintain proprioception.
C) Maintain muscle strength.
D) Maintain body alignment.
Q2) A nurse is teaching a health promotion class about isotonic exercises. Which types of exercises will the nurse give as examples?
A) Swimming, jogging, and bicycling
B) Tightening or tensing of muscles without moving body parts
C) Quadriceps set exercises and contraction of the gluteal muscles
D) Push-ups, hip lifting, pushing feet against a footboard on the bed
Q3) An adolescent tells the nurse that a health professional said the fibrous tissue that connects bone and cartilage was strained in a sporting accident. On which structure will the nurse focus an assessment?
A) Tendon
B) Ligament
C) Synergistic muscle
D) Antagonistic muscle
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Chapter 40: Hygiene
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Sample Questions
Q1) The patient is being fitted with a hearing aid. In teaching the patient how to care for the hearing aid, which instructions will the nurse provide?
A) Change the battery every day or as needed.
B) Adjust the volume for a talking distance of 1 yard.
C) Wear the hearing aid 24 hours per day except when sleeping.
D) Avoid the use of hairspray, but aerosol perfumes are allowed.
Q2) The debilitated patient is resisting attempts by the nurse to provide oral hygiene. Which action will the nurse take \(\bold{next}\)?
A) Insert an oral airway.
B) Place the patient in a flat, supine position.
C) Use undiluted hydrogen peroxide as a cleaner.
D) Quickly proceed while not talking to the patient.
Q3) 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
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Chapter 41: Oxygenation
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2420
Sample Questions
Q1) A patient has a myocardial infarction. On which primary blood vessel will the nurse focus care to reduce ischemia?
A) Superior vena cava
B) Pulmonary artery
C) Coronary artery
D) Carotid artery
Q2) The nurse is using a closed suction device. Which patient will be most appropriate for this suctioning method?
A) A 5-year-old with excessive drooling from epiglottitis
B) A 5-year-old with an asthma attack following severe allergies
C) A 24-year-old with a right pneumothorax following a motor vehicle accident
D) A 24-year-old with acute respiratory distress syndrome requiring mechanical ventilation
Q3) While the nurse is changing the ties on a tracheostomy collar, the patient coughs, dislodging the tracheostomy tube. Which action will the nurse take first?
A) Press the emergency response button.
B) Insert a spare tracheostomy with the obturator.
C) Manually occlude the tracheostomy with sterile gauze.
D) Place a face mask delivering 100% oxygen over the nose and mouth.
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Page 43
Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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51 Flashcards
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Sample Questions
Q1) The nurse observes that the patient's calcium is elevated. When checking the phosphate level, what does the nurse expect to see?
A) Increased
B) Decreased
C) Equal to calcium
D) No change in phosphate
Q2) A patient has an acute intravascular hemolytic reaction to a blood transfusion. After discontinuing the blood transfusion, which is the nurse's next action?
A) Discontinue the IV catheter.
B) Return the blood to the blood bank.
C) Run normal saline through the existing tubing.
D) Start normal saline at TKO rate using new tubing.
Q3) A patient has dehydration. While planning care, the nurse considers that the majority of the patient's total water volume exists in with compartment?
A) Intracellular
B) Extracellular
C) Intravascular
D) Transcellular
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Chapter 43: Sleep
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/2422
Sample Questions
Q1) The nurse is caring for a postpartum patient. The patient's labor has lasted over 28 hours within the hospital; the patient has not slept and is disoriented to date and time. Which nursing diagnosis will the nurse document in the patient's care plan?
A) Insomnia
B) Impaired parenting
C) Ineffective coping
D) Sleep deprivation
Q2) A patient has obstructive sleep apnea. Which assessment is the \(\bold{priority}\)?
A) Gastrointestinal function
B) Neurological function
C) Respiratory status
D) Circulatory status
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) The nurse is teaching a student nurse about pain assessment scales. Which statement by the student indicates effective teaching?
A) "You cannot use a pain scale to compare the pain of my patient with the pain of your patient."
B) "When patients say they don't need pain medication, they aren't in pain."
C) "A patient's behavior is more reliable than the patient's report of pain."
D) "Pain assessment scales determine the quality of a patient's pain."
Q2) A nurse is caring for a patient with chronic pain. Which statement by the nurse indicates an understanding of pain management?
A) "This patient says the pain is a 5 but is not acting like it. I am not going to give any pain medication."
B) "I need to reassess the patient's pain 1 hour after administering oral pain medication."
C) "It wasn't time for the patient's medication, so when it was requested, I gave a placebo."
D) "The patient is sleeping, so I pushed the PCA button."
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Chapter 45: Nutrition
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Sample
Questions
Q1) The nurse is preparing to insert a nasogastric tube in a patient who is semiconscious. To determine the length of the tube needed to be inserted, how should the nurse measure the tube?
A) From the tip of the nose to the earlobe
B) From the tip of the earlobe to the xiphoid process
C) From the tip of the earlobe to the nose to the xiphoid process
D) From the tip of the nose to the earlobe to the xiphoid process
Q2) The patient is asking the nurse about the best way to stay healthy. The nurse explains to the patient which teaching points? (Select all that apply.)
A) Increase physical activity.
B) Keep total fat intake to 10% or less.
C) Maintain body weight in a healthy range.
D) Choose and prepare foods with little salt.
E) Increase intake of meat and other high-protein foods.
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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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2425
Sample Questions
Q1) A nurse is watching a nursing assistive personnel (NAP) perform a postvoid bladder scan on a female with a previous hysterectomy. Which action will require the nurse to follow up?
A) Palpates the patient's symphysis pubis
B) Wipes scanner head with alcohol pad
C) Applies a generous amount of gel
D) Sets the scanner to female
Q2) The nurse is preparing to test a patient for postvoid residual with a bladder scan. Which action will the nurse take?
A) Measure bladder before the patient voids.
B) Measure bladder within 10 minutes after the patient voids.
C) Measure bladder with head of bed raised to 60 degrees.
D) Measure bladder with head of bed raised to 90 degrees.
Q3) A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?
A) Perform pelvic floor exercises.
B) Avoid voiding frequently.
C) Drink cranberry juice.
D) Wear an adult diaper.
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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 teaching a patient about the large intestine in elimination. In which order will the nurse list the structures, starting with the first portion?
A) Cecum, ascending, transverse, descending, sigmoid, and rectum
B) Ascending, transverse, descending, sigmoid, rectum, and cecum
C) Cecum, sigmoid, ascending, transverse, descending, and rectum
D) Ascending, transverse, descending, rectum, sigmoid, and cecum
Q2) A nurse is performing an assessment on a patient who has not had a bowel movement in 3 days. The nurse will expect which other assessment finding?
A) Hypoactive bowel sounds
B) Increased fluid intake
C) Soft tender abdomen
D) Jaundice in sclera
Q3) Before administering a cleansing enema to an 80-year-old patient, the patient says "I don't think I will be able to hold the enema." Which is the next priority nursing action?
A) Rolling the patient into right-lying Sims' position
B) Positioning the patient in the dorsal recumbent position on a bedpan
C) Inserting a rectal plug to contain the enema solution after administering
D) Assisting the patient to the bedside commode and administering the enema
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49
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 caring for a patient who has experienced a laparoscopic appendectomy. For which type of healing will the nurse focus the care plan?
A) Partial-thickness repair
B) Secondary intention
C) Tertiary intention
D) Primary intention
Q2) The nurse is caring for a patient who is at risk for skin impairment. The patient is able to sit up in a chair. The nurse includes this intervention in the plan of care. How long should the nurse schedule the patient to sit in the chair?
A) At least 3 hours
B) Less than 2 hours
C) No longer than 30 minutes
D) As long as the patient remains comfortable
Q3) The nurse is caring for a group of patients. Which patient will the nurse see \(\bold{first}\)?
A) A patient with a Stage IV pressure ulcer
B) A patient with a Braden Scale score of 18
C) A patient with appendicitis using a heating pad
D) A patient with an incision that is approximated
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Page 50
Chapter 49: Sensory Alterations
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30 Flashcards
Source URL: https://quizplus.com/quiz/2428
Sample Questions
Q1) The nurse is caring for a patient in acute respiratory distress. The patient has multiple monitoring systems on that constantly beep and make noise. The patient is becoming agitated and frustrated over the inability to sleep. Which action by the nurse is most appropriate for this patient?
A) Administer an opioid medication to help the patient sleep.
B) Keep the door open during the night.
C) Open the shades at night.
D) Provide the patient with earplugs.
Q2) The nurse is creating a plan of care for a patient with glaucoma. Which nursing diagnosis will the nurse include in the care plan to address a safety complication of the sensory deficit?
A) Body image disturbance
B) Social isolation
C) Risk for falls
D) Fear
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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 patient in the postanesthesia care unit. The patient asks for a bedpan and states to the nurse, "I feel like I need to go to the bathroom, but I can't." Which nursing intervention will be \(\bold{most}\) appropriate initially?
A) Assess the patient for bladder distention.
B) Encourage the patient to wait a minute and try again.
C) Inform the patient that everyone feels this way after surgery.
D) Call the health care provider to obtain an order for catheterization.
Q2) The nurse is caring for a surgical patient, when the family member asks what perioperative nursing means. How should the nurse respond?
A) Perioperative nursing occurs in preadmission testing.
B) Perioperative nursing occurs primarily in the postanesthesia care unit.
C) Perioperative nursing includes activities before, during, and after surgery.
D) Perioperative nursing includes activities only during the surgical procedure.
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