Nursing Care of Adults
Final Test Solutions
Course Introduction
This course covers the foundational principles and practices essential to providing holistic nursing care for adult clients across various healthcare settings. Emphasizing critical thinking, patient-centered approaches, and evidence-based practice, students will learn to assess, plan, implement, and evaluate care for adults experiencing acute and chronic health conditions. Topics include health promotion, disease prevention, medical-surgical interventions, pharmacological considerations, and interdisciplinary collaboration. The course also addresses ethical and cultural considerations in adult nursing, preparing students to support patients and their families through complex health-related experiences.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman
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52 Chapters
1464 Verified Questions
1464 Flashcards
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Chapter 1: Historical and Contemporary Nursing Practice
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A staff nurse is serving as a preceptor for nursing students.In which level of Benner's proficiency is this nurse practicing?
A)Stage II
B)Stage III
C)Stage IV
D)Stage V
Answer: C
Q2) The nurse is consulting other professionals as well as educating,supporting,and managing a client's chemotherapy regimen.In which role is this nurse functioning?
A)Nurse practitioner
B)Clinical nurse specialist
C)Nurse educator
D)Nurse entrepreneur
Answer: B
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Page 3
Chapter 2: Evidence-Based Practice and Research in Nursing
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse has defined a research problem.What action should the nurse take next?
A)Formulate a hypothesis.
B)Define variables.
C)Review the literature.
D)Select a design.
Answer: C
Q2) A client has agreed to participate in a research study.Which action would constitute risk of harm to this client?
A)Withholding information about the study
B)Suggesting that participation would greatly benefit the client's financial situation
C)Giving the client false information about his or her participation
D)Providing the client's name as a participant in the study
Answer: D
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4
Chapter 3: Nursing Theories and Conceptual Frameworks
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse has implemented the use of noncontact therapeutic touch.Which theorist is the nurse using as a basis for this intervention?
A)Florence Nightingale
B)Martha Rogers
C)Virginia Henderson
D)Rosemarie Parse
Answer: B
Q2) The nurse is using the central concepts of nursing when providing client care.What actions is this nurse performing?
(Select all that apply)
A)Including a client's family in discussions regarding the client's discharge health needs
B)Assessing a physically dependent client's spouse for indications of caregiver stress
C)Asking clients to define what "healthy and well" means to them
D)Suggesting wound care supplies with the priority of cost
E)Advocating for a client who is not responding to current pain control treatment
Answer: A,B,C,E
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Chapter 4: Legal Aspects of Nursing
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse manager learns that vital signs delegated to unlicensed assistive personnel (UAP)were not recorded accurately.With which care provider should the manager discuss this finding?
A)The UAP
B)The nurse
C)Both the UAP and the nurse
D)The team leader
Q2) The client presents her hand when the nurse makes this statement: "I need to start an IV so you can get your antibiotics." Which behavior did the client demonstrate?
A)Informed consent
B)Express consent
C)Implied consent
D)Compliance
Q3) A nurse on the unit notices that a co-worker exhibits a pattern of behavior suggestive of drug abuse.What should the nurse do?
A)Report the situation to the unit charge nurse.
B)Send an anonymous letter to the director of nursing.
C)Let other co-workers know about the situation.
D)Report the situation,then let management take care of it.
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Page 6
Chapter 5: Values, Ethics, and Advocacy
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A client with terminal cancer is refusing food and fluids,and pushes the caregiver's hands away when attempts are made to feed the client or offer any kind of fluid.The family is considering placing a gastrostomy tube because they feel the client is "starving to death." What should the nurse do?
A)Honor the family's wishes and have them sign a consent form.
B)Talk to the physician so he or she can move forward with the family's wishes.
C)Honor the client's refusal and help the family come to terms with the situation.
D)Take the case to the hospital's ethics committee.
Q2) A client with a sexually transmitted illness (STI)asks the nurse to not tell anyone about the diagnosis.According to the Health Insurance Portability and Accountability Act (HIPAA)of 1996,what must the nurse do?
A)Honor the client's wishes.
B)Not disclose any information to anyone.
C)Respect the client's privacy and confidentiality.
D)Communicate only necessary information.
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Chapter 6: Health Care Delivery Systems
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A client being discharged from an acute care hospital requires IV antibiotics,is not able to complete activities of daily living without assistance,and has no family available to assist in the recovery phase.Which type of recommendation should the nurse make for this client?
A)Stay in the hospital until the client is fully capable of self-care.
B)Remain in the hospital until the antibiotic course is completed.
C)Be discharged to an extended care facility.
D)Go to a nursing home.
Q2) A clinic in a rural area depends primarily on the services of a nurse practitioner.Which legislation provided the opportunity for the nurse practitioner to have this position?
A)Medicare
B)Medicaid
C)Rural Health Clinics Act
D)National Health Planning and Resources Development Act
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Chapter 7: Community Nursing and Care Continuity
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A multi-organization medical system is designing a community-based facility to support the health care needs of members who live in an urban area.What should the medical system keep in mind when designing the new facility?
(Select all that apply)
A)Affordable
B)Easy to travel to the facility
C)A focus on the needs of mothers and children
D)Many services available to meet community members' needs
E)Communication of care needs to the community members' other health care providers
Q2) After a community was hit by a tornado,the nurses of the local Red Cross Chapter helped to make sure people had adequate food and clothing.Which function of community were these nurses focused on restoring?
A)Social control
B)Social interparticipation
C)Mutual support
D)Distribution of goods and services
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Chapter 8: Home Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A client being discharged needs physical therapy for progressive ambulation,wound care to treat a postoperative wound,and assistance with the payment of hospital bills.Before the nurse contacts a home care agency,who should write the order for the client to receive home care?
A)Physician
B)Nurse
C)Social worker
D)Physical therapist
Q2) A home health client lives alone in a small apartment and has only one phone,which is a land line.What safety recommendation should the visiting home health nurse make for this particular client?
A)Suggest that the client move to a nursing home or assisted living dwelling.
B)Recommend that the client be enrolled in an emergency response system.
C)Enroll the client in a program that places all of the client's vital medical information in one place for emergency personnel.
D)Have the client post a list of emergency numbers (fire,police,ambulance)near the phone.
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Chapter 9: Electronic Health Records and Information Technology
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A client tells the nurse about researching on the Internet for information about a newly prescribed medication.What should the nurse respond to the client?
A)"I'm glad you're interested in your therapy."
B)"Information on the Internet cannot be trusted.You should check with your pharmacist."
C)"Your physician is the one you should be asking these kinds of questions."
D)"Let's look at some of the sites you've been visiting."
Q2) A nurse manager is responsible for scheduling the staff of all units in a critical care hospital.Which program should the manager use for computerized scheduling?
A)Database
B)Word processing
C)Graphics program
D)Spreadsheet
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11
Chapter 10: Critical Thinking and Clinical Reasoning
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) While listening to a client describe current symptoms,the nurse considers the client's entire situation.Which attribute of critical thinking is the nurse practicing?
A)Reflection
B)Context
C)Dialogue
D)Time
Q2) While caring for a client of a different culture,the nurse becomes disturbed when the client's spouse makes all the decisions about care and treatments.What behavior is this nurse demonstrating?
A)Inference
B)Judgment
C)Opinion
D)Evaluation
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Page 12
Chapter 11: Assessing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse decides to seek wound care alternatives for a client's stasis ulcer that is not healing after treatment for 2 weeks.In which phase of the nursing process is the nurse functioning?
A)Diagnosis
B)Implementation
C)Evaluation
D)Assessment
Q2) Family of a client demonstrating confusion state that this is not the client's usual behavior.How should the nurse document this data?
A)Inference
B)Subjective data
C)Objective data
D)Secondary subjective data
Q3) The nurse is assessing a client's level of pain.Which open-ended should the nurse use for this situation?
A)"Is your pain worse at night?"
B)"What brought you to the clinic?"
C)"How has the pain impacted your life?"
D)"You're feeling down about having pain,aren't you?"
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Page 13
Chapter 12: Diagnosing
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse selects the nursing diagnosis of Enhanced readiness for spiritual well-being for a family.Which data cluster did the nurse use to support this diagnosis?
A)The family visits different congregations,the parents have been reflecting on their own spiritual upbringings,and the children are questioning rituals of their friends and friends' families.
B)The children attend Sunday school classes,one parent always attends services with the children,and the parents attempt interaction with congregational activities.
C)The grandparents go to weekly services and have formal interaction with clergy.
D)The children have attended private,religious schools,and the parents are involved in the school's activities.
Q2) The nurse is preparing to write nursing diagnoses for a client.What should the nurse recall about the NANDA label?
A)Must contain three components
B)Describes the health problem for which nursing therapy is given
C)Helps define medical diagnoses for nursing
D)Promotes a taxonomy of nursing
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Chapter 13: Planning
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse in the intensive care unit consults unit policy and administers a routinely used medication to a client admitted to the unit with severe hypotension.What did the nurse implement in this situation?
A)A STAT order
B)A one-time order
C)A prn order
D)A standing order
Q2) The nurse is caring for a client with Parkinson's disease who desires to improve fine motor skills.Which statement should the nurse identify as an appropriate collaborative intervention for this client?
A)Provide assistance as needed with dressing and grooming.
B)Provide assistive devices and educate client to use grab bar and large handled utensils.
C)Make sure lighting and space are adequate for client.
D)Administer medications to improve muscle tone.
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15
Chapter 14: Implementing and Evaluating
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29 Flashcards
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Sample Questions
Q1) During teaching,the nurse makes sure the client understands how to activate the safety mechanism on the syringe to prevent needlestick injuries when self-administering insulin.Which guideline of implementing interventions is the nurse using?
A)Adapt activities to the individual client.
B)Encourage clients to participate actively in implementing nursing interventions.
C)Base nursing interventions on scientific knowledge,research,and standards of care.
D)Implement safe care.
Q2) A home care client must correctly self-administer insulin injections before being discharged from the agency.On what skill is this client being evaluated?
A)Technical
B)Cognitive
C)Interpersonal
D)Academic
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16
Chapter 15: Documenting and Reporting
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A client has specific cultural needs that affect the plan of care.In which part of the client's problem-oriented medical record should the nurse document this information?
A)Database
B)Problem list
C)Plan of care
D)Progress notes
Q2) A hospital is not able to be reimbursed for care a particular client received while in the emergency department.The client came in with chest pain,which was later diagnosed as gastric reflux.Which problem with documentation might have caused the lack of reimbursement?
A)The client's record contained an incorrect DRG.
B)The client was charged for an ECG.
C)A code cart was opened and the client was charged for medications opened but not used.
D)The physician made a diagnostic mistake.
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Chapter 16: Health Promotion
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Several nursing students have been discussing the benefits of joining a study group.They realize the importance of applying nursing knowledge to the clinical area and determine that together they may be more effective in retaining this information than if they continued in their individual settings.Which stage of behavior change are they exemplifying?
A)Termination stage
B)Preparation stage
C)Contemplation stage
D)Action stage
Q2) A client has had a severe brain injury and has been in a rehabilitation hospital for several months.Recently,the client developed pneumonia and is currently on intravenous antibiotic therapy.Which level of prevention should the nurse use to address the health problem of pneumonia?
A)Primary
B)Secondary
C)Tertiary
D)Acute
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Chapter 17: Health, Wellness, and Illness
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse determines that an older client is in the medical care contact stage of an illness.What did the client demonstrate to cause the nurse to make this decision?
(Select all that apply)
A)The client asked if the illness can be treated or recovery is possible.
B)The client asked if the symptoms experienced are a part of an illness.
C)The client asked if the symptoms can be explained in plain language.
D)The client stated that the illness is not acceptable and wants a second opinion.
E)The client stated that treatment is accepted and will be completed as identified.
Q2) The nurse is assisting a client and his family after the client had a stroke and is no longer able to return to his previous employment.The nurse has made a referral to vocational rehabilitation for assistance in retraining the client in a different occupation.With which component of wellness is the nurse assisting this client?
A)Intellectual
B)Environmental
C)Occupational
D)Emotional
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19
Chapter 18: Culturally Responsive Nursing Care
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A client is the child of an African American father and Asian American mother.The client has been exposed to cultural foods,traditions,and customs from both parents throughout life.What term should the nurse use to describe this client's cultural development?
A)Diversity
B)Subculture
C)Multicultural
D)Cultural sensitivity
Q2) A new graduate nurse is working in a busy emergency department of a hospital,situated in a culturally diverse area of the city.In striving to be culturally sensitive,what should the nurse do?
A)Try to learn about the attitudes toward health care and traditions of the different cultures in that area.
B)Understand and attend to the total context of the client's situation,using knowledge,attitudes,and skills.
C)Possess the underlying background knowledge that will provide these clients with the best possible health care.
D)Continuously strive to be culturally competent.
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Chapter 19: Complementary and Alternative Healing Modalities
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) During an interview assessment,the client states a belief in nutritional lifestyle counseling and that the body's vital energy circulates through the body,which can be manipulated through specific anatomical points.Which type of healing practice should the nurse identify that this patient is following?
A)Traditional Chinese medicine
B)Native American healing
C)Ayurveda
D)Curanderismo
Q2) A client who resides in a long-term care facility has no family or visitors.Her only social contacts are with the staff.The client is confined to bed and is not able to communicate verbally.As part of the client's care plan,the nurses provide massage therapy three times a week.What is the main benefit of this intervention for this client?
A)Stretch and loosen the muscles
B)Speed the removal of metabolic waste products
C)Help satisfy the need for caring and nurturing touch
D)Relieve pain
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21
Chapter 20: Concepts of Growth and Development
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse concludes that a young adult client is completing developmental tasks within Havighurst's early adulthood age period.What did the nurse assess to come to this conclusion?
(Select all that apply)
A)Taking on civic responsibility
B)Developing adult leisure-time activities
C)Getting started in an occupation
D)Relating oneself to one's spouse as a person
E)Managing a home
Q2) A parent is concerned that her child is unable to sit alone.The nurse explains that development is based on in-born timetables and the child will be most likely able to meet this milestone at a specific time.Upon which theory did the nurse base the response to the client?
A)Havighurst's theory
B)Task theory
C)Psychosocial theory
D)Maturational theory
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Chapter 21: Promoting Health From Conception Through
Adolescence
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is confident that a client has met the developmental guidelines for a preschooler.What did the nurse assess to make this clinical decision?
(Select all that apply)
A)Can print her own name.
B)Proudly announces,"I put my own toys away."
C)Shares that,"I know I shouldn't hit,even when I'm mad."
D)Effectively brushes her own teeth.
E)Washes her hands after toileting without prompting.
Q2) New parents ask if their 8-month-old baby is performing activities that are expected at this age.What should the nurse suggest to screen this baby's developmental level?
A)The Denver Developmental Screening Test (DDST-II)
B)Growth and development charts from the Centers for Disease Control and Prevention (CDC)
C)Assessment tools utilized by the state education department
D)The Apgar scoring system
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Chapter 22: Promoting Health in Young and Middle-Aged Adults
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse working in a community health office that is often frequented by young adults is assessing clients for suicide.Which factors should the nurse identify as indicating a problem in this area?
A)Decreased interest in work
B)Weight loss
C)Depression
D)Brain dysfunction,including tumors
E)Sleep disturbances
Q2) A client comes to the clinic with a history of pain in his testicle.During the interview assessment,what information should be of concern to the nurse?
A)The client works as an auto-detailer.
B)He smokes half a pack of cigarettes per week.
C)He has not had a yearly exam for 5 years.
D)He does not perform testicular self-exams.
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24
Chapter 23: Promoting Health in Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse is preparing an education program on safety concerns for elderly adults living in their own homes.To address the sensory changes in this age group,what should the nurse recommend to this group?
A)Have carbon monoxide detectors that are checked on a scheduled basis.
B)Place a list of emergency numbers near the phone.
C)Install telephones that use a blinking light instead of a ringer.
D)Ask someone to do their cooking for them.
Q2) The elderly client comes to the clinic reporting gastrointestinal problems,including frequent constipation and indigestion,but denies any recent weight loss.The nurse initially recognizes that these symptoms
A)indicate a concern and could be caused by cancer.
B)indicate the need for an upper and lower GI x-ray series.
C)could be related to normal changes in muscle tone and activity.
D)are probably indicative of a gastric ulcer or colitis.
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Chapter 24: Promoting Family Health
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Sample Questions
Q1) The nurse is planning to use the structural-functional theory when assessing a family new to a community.What should the nurse include when conducting this assessment?
(Select all that apply)
A)Individuals in the family
B)The family's sense of purpose
C)Relationships among family members
D)Strategies to restrict outside influences on the family
E)The approach the family uses to socialize new family members
Q2) A nurse is conducting a family assessment as part of the process for services provided through the community.Which part of the assessment should provide the nurse with the best information in identifying existing or potential health problems?
A)Ecomap
B)Genogram
C)Cultural assessment
D)Family communication patterns
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26
Chapter 25: Caring
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Sample Questions
Q1) The nurse is planning to provide care according to Leininger's theory of culturally congruent care.What should the nurse include when providing care to the client?
A)Care should be influenced by the organizational structure.
B)The client's familiar lifeways are preserved.
C)Accommodations should be satisfying to clients.
D)Nursing care must be repatterned to help the client move toward wellness.
E)Care should be structured to fit the nurse's needs
Q2) A labor and delivery nurse wants to conduct research focused on the response of new parents toward their babies.The approach the nurse would like to use suggests that caring is a nurturing process.The nurse should review the ideas of which theorist because they are best in line with this research?
A)Swanson
B)Watson
C)Roach
D)Benner
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Chapter 26: Communicating
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Sample Questions
Q1) A nurse is giving a demonstration of new equipment to the rest of the nursing unit.Which level of proxemics should the nurse use?
A)Intimate
B)Personal
C)Social
D)Public
Q2) The nurse wants to gain information about a client's situation.Which should the nurse use to maximize communication with this patient?
A)"What brings you to the hospital?"
B)"Are you having pain?"
C)"Does your pain feel better or worse today?"
D)"Is there anything I can do for you?"
Q3) A client has been sullen and withdrawn since receiving the news of her cancer diagnosis.As the nurse enters the room,the client asks for assistance with a shower.Which comment by the nurse is the most appropriate?
A)"If you look better,you might feel better."
B)"Taking a shower might wash away some of that gloom and doom."
C)"This is a positive sign.I'll be right back with your supplies."
D)"Your spouse will be glad to see that you're feeling better."
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Page 28
Chapter 27: Teaching
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39 Flashcards
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Sample Questions
Q1) The nurse suspects a client has low literacy.What did the nurse assess to come to this conclusion?
(Select all that apply)
A)Incorrect completion of previous hospitalizations form
B)Client refusing to sign forms because eyeglasses are at home
C)Client saying he forgot to report for laboratory testing
D)Score of 6 on the Newest Vital Sign assessment tool
E)Questioning the dosage pattern on a newly prescribed medication
Q2) A nurse is planning a community health education project that deals with organ donation,and the target audience is a group of adults.When following andragogy concepts,the nurse should make sure that the teaching includes which information?
A)Past statistics about organ donors
B)Written pamphlets
C)Directions about how to become an organ donor
D)Information on how this group can influence their children
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29
Chapter 28: Leading, Managing, and Delegating
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Sample Questions
Q1) The nurse has been promoted to a position that includes the supervision of first-level management and responsibility for activities in a specific department.This nurse will most likely have which title?
(Select all that apply)
A)Supervisor
B)Nurse manager
C)Head nurse
D)Primary care nurse
E)Vice president
Q2) An RN delegates the task of taking a newly admitted client's vital signs to a nurse's aide.The client's blood pressure was 182/98,but did not get reported to the physician for several hours.Who is responsible for the lapse in time between discovery and action?
A)Nurse manager
B)Aide
C)Client
D)RN
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Chapter 29: Vital Signs
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Sample Questions
Q1) The nurse is going to assess the apical-radial pulse of a client with a cardiovascular disorder.Which rationale did the RN use to make this decision?
A)A forceful radial pulse is much too difficult to count correctly.
B)Both arteriole and venous sounds were heard simultaneously.
C)The pulse was bounding and easily obliterated.
D)The thrust of blood from the heart is too feeble for the wave to be felt at the peripheral pulse site.
Q2) The nurse is planning to assess a client's pulse.What characteristics should the nurse include in this assessment?
(Select all that apply)
A)Rate
B)Rhythm
C)Volume
D)Tone
E)Viscosity
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31
Chapter 30: Health Assessment Preview As Pdf
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Sample Questions
Q1) The nurse is preparing to assess a client's reflexes.What equipment should the nurse gather before entering the room?
A)Sterile gloves
B)Clean gloves
C)Percussion hammer
D)Penlight
Q2) The nurse is preparing to perform an eye assessment.What equipment should the nurse have available to complete this assessment?
(Select all that apply)
A)Penlight
B)Snellen's chart
C)Sterile gloves
D)Gauze square
E)Millimeter ruler
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Chapter 31: Asepsis
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is reviewing the care needs for a group of assigned clients.Which client should the nurse recognize as being most at risk for a nosocomial infection?
A)A client in the emergency department with abdominal pain
B)A 19-year-old woman in her first trimester of pregnancy
C)A 72-year-old male client with COPD
D)An 86-year-old female client on steroid therapy
Q2) A client tells the nurse that the newly diagnosed communicable disease is negatively impacting employment and causing a stressful situation at home.What diagnosis should the nurse select as a priority for this client?
A)Anxiety
B)Acute Pain
C)Social Isolation
D)Low Self-Esteem
Q3) The nurse is preparing to remove soiled gloves.What action should the nurse take first?
A)Drop the gloves into the appropriate waste receptacle.
B)Ease the fingers into the gloves.
C)Grasp the outside of the nondominant glove.
D)Hook the bare thumb inside the other glove.
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Page 33
Chapter 32: Safety
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32 Flashcards
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Sample Questions
Q1) The nurse is appointed to be a member of committee whose focus is to identify and address workplace safety issues.Which issues should the nurse recommend for analysis by this committee?
(Select all that apply)
A)Lifting clients
B)Inadequate lighting
C)Bending and walking
D)Exposure to infectious agents
E)Exposure to hazardous medications
Q2) The nurse is applying restraints to a client.After securing a health care provider's order,what should the nurse do?
A)Assess the restraints every 10 minutes.
B)Pad bony prominences.
C)Secure the restraint to the side rail.
D)Tie the restraint with a square knot.
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34
Chapter 33: Hygiene
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33 Flashcards
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Sample Questions
Q1) A client's hearing aid needs to be removed.What action should the nurse perform?
A)Assist the client with removal when necessary.
B)Instruct the client to remove the aid in the sunroom.
C)Leave the aid in place when bathing.
D)Send the aid home with the family.
Q2) A client who is ambulatory is able to get out of bed for morning care.What should the nurse assess before assisting the client out of the bed to change the linen?
(Select all that apply)
A)Pulse
B)Respirations
C)Urine output
D)Blood pressure
E)Mobility status
Q3) The nurse has completed foot care for a client as part of routine morning care.What should the nurse document about the procedure?
A)The condition of the skin and nails
B)Nothing unless a problem is noted
C)The amount of time taken on foot care
D)The client's comments about the foot care
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Page 35
Chapter 34: Diagnostic Testing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A client is scheduled for a nuclear imaging test.What should the nurse instruct the client about this test?
A)It is the use of a magnetic field to produce an image of a body part or organ.
B)A radioisotope will be injected to determine organ functioning as being either hot or cold.
C)It produces a three-dimensional image of an organ.
D)It is more sensitive than an x-ray image.
Q2) The nurse needs to obtain a urine specimen from a client with an indwelling urinary catheter.What should the nurse do when collecting this specimen?
(Select all that apply)
A)Withdraw 30 mL of urine for a routine urinalysis.
B)Perform catheter care before obtaining the specimen.
C)Apply sterile gloves before retrieving the urine specimen.
D)Send the specimen immediately or refrigerate it for later pickup.
E)Clamp the drainage tubing for 30 minutes if there is no urine in the catheter.
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Chapter 35: Medications
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47 Flashcards
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Sample Questions
Q1) The nurse is to administer four oral medications to the client via a nasogastric tube.One of the medications is a tablet that has been crushed,one is a capsule that has been opened and the powder removed,and two are supplied in liquid form.How should the nurse administer these medications?
A)Flush the tube,mix the crushed tablet and the capsule powder into the two liquids for administration,and follow by flushing the tube.
B)Mix the crushed tablet and capsule powder in warm water and administer.Flush the tube and administer the mixed liquids.
C)Flush the tube with the mixed liquids first,then administer the crushed tablet and capsule powder mixed in cold water.
D)Mix the crushed tablet and capsule powder individually in warm water.Administer each medication separately,flushing the tube before and after each administration.
Q2) A client weighing 220 lbs.is prescribed to receive 25 mg/kg of a medication,divided over 4 equal doses.How many mg of the medication should the nurse provide for each dose?
Round to the nearest whole number.
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Chapter 36: Skin Integrity and Wound Care
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34 Flashcards
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Sample Questions
Q1) The client has a documented stage III pressure ulcer on the right hip.What NANDA nursing diagnosis problem statement is most appropriate for use with this client?
A)Altered Tissue Perfusion
B)Impaired Skin Integrity
C)Impaired Tissue Integrity
D)Risk for Injury
Q2) The continuous quality improvement team is monitoring the nursing care of clean-contaminated wounds.Which operative wound would be excluded from this study?
A)Gastric resection
B)Uncomplicated abdominal hysterectomy
C)Breast biopsy
D)Lung resection
Q3) The UAP reports a small skin tear on the client's forearm that occurred during a routine turn.After assessing the wound the nurse should take which action?
A)Obtain a transparent dressing for the UAP to place on the wound.
B)Request a consult with the wound care nurse.
C)Cleanse the wound and apply a dressing.
D)Tell the UAP to reevaluate the wound in 20 minutes.
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Page 38
Chapter 37: Perioperative Nursing
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34 Flashcards
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Sample Questions
Q1) The nurse is completing a preoperative assessment with a client.What should this assessment include?
(Select all that apply)
A)Current health status
B)Allergies
C)Current medications
D)Mental status
E)Respiratory rate
Q2) The nurse is caring for a client in the recovery area.In which position should the nurse place the unconscious client during the immediate postanesthesia phase?
A)Supine
B)Prone
C)Side-lying
D)Supine with a pillow under the head
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Chapter 38: Sensory Perception
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26 Verified Questions
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Sample Questions
Q1) A client asks the nurse to please close the door when entering or exiting the room because the noise is more than the client is used to because he lives alone.The nurse identifies the reason for this client's response to sensory stimuli as being due to which factor?
A)Lifestyle
B)Developmental stage
C)Culture
D)Illness
Q2) The odor from a hospitalized client's draining wound permeates the room and is very overwhelming and distracting to the client and the staff.What intervention would be most helpful?
A)Spray the room routinely with a floral room spray.
B)Instill a vinegar solution into the wound.
C)Keep the wound dressing dry and clean.
D)Burn a candle in the room.
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40
Chapter 39: Self-Concept
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26 Flashcards
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Sample Questions
Q1) The nurse is assisting a client in setting goals as a strategy to reinforce strengths.What intervention should the nurse employ?
A)Encourage the client to set attainable goals,even if small.
B)Help the client choose a significant goal,even if it is time consuming.
C)Devise a set of goals from which the client can pick.
D)Advise the client to avoid goals that will require too much effort.
Q2) The nurse is conducting a thorough psychosocial assessment of a client who presents with complaints of fatigue,tearfulness,and relationship difficulties.What action by the nurse would support accurate assessment?
A)Take detailed notes to record client responses.
B)Ask as many questions as possible to explore all areas of concern.
C)Start the interview by asking a series of yes/no questions.
D)Investigate the client's culture prior to the interview.
Q3) Which characteristic of self-esteem will make it difficult for the nurse to plan interventions for a client?
A)Low motivation to improve
B)A focus on problems
C)Expressed disinterest in working on improvement
D)Not satisfied with personal situation
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Page 41
Chapter 40: Sexuality
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37 Flashcards
Source URL: https://quizplus.com/quiz/79281
Sample Questions
Q1) After reviewing a list of prescribed medications,the nurse plans to complete a sexual history with the client.Which medications in the client's list caused the nurse to make this clinical decision?
(Select all that apply)
A)Antibiotics
B)Antipyretics
C)Cardiotonics
D)Beta-blockers
E)Anticoagulants
Q2) After an assessment,the nurse determines that a client has strong sexual health.What did the nurse assess in the client?
(Select all that apply)
A)Knowledge about sexual behavior
B)Reluctance to discuss sexual history
C)Utilization of birth control method that fits lifestyle
D)Statement that there are no issues with sexuality
E)Discussing sexual problems with healthcare provider
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Chapter 41: Spirituality
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The client diagnosed with diabetes mellitus develops diabetic ketoacidosis after a religious fast.The client tells the nurse,"I have fasted during this season every year since I became an adult.I am not going to stop now." The nurse is not knowledgeable about this particular religion.What is the best action for this nurse?
A)Tell the client that it is different now because of the diabetes.
B)Do some research into the meaning of fasting in this religion.
C)Ask family members of the same religion to discuss fasting with the client.
D)Request a consult from a diabetes educator.
Q2) During labor,it becomes apparent that the male infant will survive only a short time after birth.Because this baby's parents are Catholic,what planning should the nurse consider?
A)Arrange to have the baby circumcised immediately after birth.
B)Ask the hospital chaplain to be present in the delivery room.
C)Ask the nursing supervisor to find a Catholic nurse to attend the birth.
D)Consider emergency transport of the mother to a Catholic hospital.
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43
Chapter 42: Stress and Coping
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36 Flashcards
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Sample Questions
Q1) A client repeatedly tells the nurse that "all will be well" and "I'm fine" in response to learning of a health problem that requires immediate surgery.The nurse realizes that which diagnosis is appropriate for the client at this time?
A)Compromised Family Coping
B)Ineffective Coping
C)Disabled Family Coping
D)Defensive Coping
Q2) During a health interview,the nurse decides to focus the assessment s on the middle-aged client's amount of stress.What information did the nurse use to make this clinical decision?
(Select all that apply)
A)Caring for aging parents
B)Needing to wear glasses to read
C)Newly married
D)Choosing a career
E)Not having the same amount of stamina and energy
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44
Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) The client has a documented advance health care directive that indicates that no resuscitative measures should be employed in the event of a respiratory or cardiac arrest.The client begins to exhibit severe dyspnea and air hunger and says,"Please do something,I can't breathe." What action should be taken by the nurse?
A)Offer the client comfort measures until death occurs.
B)Call the client's physician for direction.
C)Initiate resuscitative measures.
D)Check the medical record to ascertain the terms of the directive.
Q2) A client with end-stage renal disease knows that he is dying but refuses to talk about it with his spouse.At times the spouse talks with the nursing staff about the client's condition but adamantly refuses to discuss death with the client.What will be the outcomes of this situation?
(Select all that apply)
A)Client has dignity
B)Client has privacy
C)Client can finalize affairs
D)Client can plan own funeral
E)Client burdened with no one to confide in
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45
Chapter 44: Activity and Exercise
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24 Flashcards
Source URL: https://quizplus.com/quiz/79277
Sample Questions
Q1) The nurse is assisting in logrolling a client recovering from spinal surgery.Why should the nurse place a pillow between the client's legs when turning?
(Select all that apply)
A)Stabilizes the spine
B)Prevents hip contractures
C)Supports the upper leg
D)Keeps the legs parallel and aligned
E)Prevents adduction of the upper leg
Q2) The nurse has documented that the client has orthostatic hypotension.Which assessment finding would support this assessment?
A)Decrease in blood pressure when moving from supine to standing
B)Decrease in heart rate when moving from supine to sitting
C)Pale color in the legs when lying in bed
D)Complaints of dizziness when first sitting up
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Chapter 45: Sleep
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32 Flashcards
Source URL: https://quizplus.com/quiz/79276
Sample Questions
Q1) A client reports the need to urinate during the night and then not being able to fall back asleep.The nurse should document this assessment finding as which factor that influences sleep?
A)Illness
B)Stimulant
C)Diet
D)Lifestyle
Q2) The nurse,seeing a client asleep,turns off the television in the room.The client opens her eyes and says "I was watching that.I wasn't sleeping." The nurse realizes that the client was demonstrating which stage of NREM sleep?
A)IV
B)III
C)II
D)I
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Chapter 46: Pain Management
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) The nurse provides an oral opiate to a client with pain.In how many hours should the nurse expect the client to need another dose of the medication?
A)2 hours
B)4 hours
C)6 hours
D)8 hours
Q2) A client states that a cramping pain started 2 hours ago and is not accompanied by any nausea or vomiting.Which type of pain is this client most likely experiencing?
A)Chronic pain
B)Phantom pain
C)Visceral pain
D)Acute pain
Q3) A client's pain level is assessed as being severe.Which intervention would be the most applicable for the client at this time?
A)Provide NSAID medication as prescribed.
B)Coach the client with guided imagery.
C)Suggest the client read or watch television until the pain subsides.
D)Provide opioid analgesic as prescribed.
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Chapter 47: Nutrition
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32 Flashcards
Source URL: https://quizplus.com/quiz/79274
Sample Questions
Q1) The nurse completes triceps skinfold measurement on a client.In order to obtain the most meaningful data,how soon should the nurse repeat this measurement?
A)2 days
B)10 days to 2 weeks
C)1 month
D)1 year
Q2) The parent of a newborn infant reports that the baby wakes up every 2 hours and only takes about 2 ounces of formula before going back to sleep.What instruction should the nurse give this parent?
A)Make the baby wait at least 3 hours between feedings.
B)Continue to feed the baby with this on-demand schedule.
C)When the baby gets sleepy during feeding,use techniques such as moving around and tickling to encourage wakefulness.
D)Offer the baby less formula to prevent waste.
Q3) A client is prescribed a 1600-calorie diet.Of this diet,30% of the intake should be protein,20% fat,and 50% carbohydrates.How many grams of carbohydrates should the client ingest every day?
Calculate to the nearest whole number.
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Chapter 48: Urinary Elimination
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/79273
Sample Questions
Q1) The nurse has completed closed irrigation of a client's retention catheter.What specific information should the nurse document about this procedure?
A)Number of ml of solution used to inflate the balloon of the catheter
B)Abnormal drainage,such as blood clots,pus,or mucous shreds
C)Location of the draining bag
D)Technique used to conduct the irrigation
Q2) A client with an indwelling urinary catheter is prescribed to receive sterile normal saline bladder irrigation at 100 mL/hr.After an 8-hour shift the nurse measures the client's output as being 1425 mL.What is the client's urine output for the 8-hour shift?
Calculate to the nearest whole number.
Q3) The nurse is concerned that a client is at risk for the development of urinary tract infections.What did the nurse assess to come to this conclusion?
A)The client is wearing tight clothing.
B)The client is employed as a computer operator.
C)The client drinks 8-10 8-ounce glasses of water and low-calorie beverages each day.
D)The client exercises for 30-60 minutes most days of the week.
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Chapter 49: Fecal Elimination
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse determines that a client's fecal elimination is pale in color.This finding supports which client behavior obtained during the health history?
A)The client rarely eats animal protein,and ingests milk and cheese at several meals each day.
B)The client rarely eats fruits or vegetables.
C)The client uses laxatives routinely.
D)The client drinks 8 to 10 8-ounce glasses of water each day.
Q2) The nurse is instructing a client on ostomy care.What should be included in this teaching?
A)Change the drainage pouch daily.
B)Clothing of a special style will be needed now that a pouch is worn.
C)Stick a pin into the drainage pouch to relieve any gas buildup.
D)Secure the faceplate to the drainage pouch so no skin around the stoma is exposed.
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Chapter 50: Oxygenation
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Sample Questions
Q1) The nurse wants to delegate the Yankauer suctioning of a client to UAP.What will the nurse ensure that UAP know before delegating this activity?
A)How to apply suction during the insertion of the catheter
B)Not to apply suction during the insertion of the catheter
C)How to maintain sterile technique
D)How to listen for lung sounds
Q2) The nurse is conducting a health history for a client with a respiratory disorder.What should the nurse include in this assessment?
(Select all that apply)
A)Lifestyle
B)Presence of cough
C)Sputum production
D)Pain
E)Diet
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Chapter 51: Circulation
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Sample Questions
Q1) A client has a long history of hypertension and has developed heart failure.The nurse should anticipate giving medications for which purpose?
A)To increase preload
B)To decrease afterload
C)To decrease contractility
D)To decrease cardiac output
Q2) The nurse determines that UAP can apply sequential compression devices to a client when what is observed?
A)The devices are left off for 1 hour after morning care.
B)The alarm is turned off.
C)The tubing is not kinked.
D)Ankle pressure is set at 100 mm Hg.
Q3) A client is on strict bed rest following hip surgery.What nursing intervention would support vascular health?
A)Place pillows under the unaffected knee for support.
B)Position the bed to flex the knees at least 20 degrees.
C)Have the client alternately flex and extend the feet several times a day.
D)Keep the client in a prone position for at least 20 minutes twice a day.
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Chapter 52: Fluid, Electrolyte, and Acidbase Balance
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28 Flashcards
Source URL: https://quizplus.com/quiz/79269
Sample Questions
Q1) A client has experienced a narcotic overdose.What acid-base imbalance should the nurse expect to observe in this client?
A)Respiratory acidosis
B)Respiratory alkalosis
C)Metabolic acidosis
D)Metabolic alkalosis
Q2) The nurse wants to assess a client for orthostatic hypotension.What action should the nurse take?
A)Assess the client for dependent edema and then raise the legs to the level of the heart and reassess for edema.
B)Measure the client's heart rate and blood pressure in both the sitting and standing position.
C)Measure the client's blood pressure before,during,and after administration of a normal saline fluid challenge.
D)Raise the client's legs above heart level and measure the blood pressure.
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