Nursing Care of Adults Solved Exam Questions
Course Introduction
Nursing Care of Adults provides students with foundational knowledge and skills necessary to deliver holistic, evidence-based care to adult patients across a variety of healthcare settings. The course emphasizes the assessment, planning, implementation, and evaluation of patient-centered nursing interventions for adults experiencing acute and chronic health issues. Key topics include physiological and psychosocial health challenges, pharmacological therapies, patient education, safety, and collaboration with the interprofessional healthcare team. Through lectures, case studies, and clinical experiences, students develop critical thinking and clinical reasoning abilities essential for promoting optimal health outcomes in adult populations.
Recommended Textbook Essentials for Nursing Practice 8th Edition by Potter
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39 Chapters
1000 Verified Questions
1000 Flashcards
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Page 2
Chapter 1: The Nursing Profession
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A nurse is teaching the staff about the characteristics of a profession.Which information should the nurse include? (Select all that apply.)
A) Extended education
B) Theoretical body of knowledge
C) Code of ethics for practice
D) Practice developments
E) Provision of a specific service
Answer: A,B,C,E
Q2) A nurse wants to become an advanced practice registered nurse (APRN)and have a higher degree of independence.Which advanced roles could the nurse pursue? (Select all that apply.)
A) Clinical nurse specialist
B) Nurse manager
C) Nurse practitioner
D) Nurse midwife
E) Nurse anesthetist
Answer: A,C,D,E
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Chapter 2: Health and Wellness
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A nurse is assessing a patient's risk factors for heart disease and finds that the patient has several risk factors.How should the nurse interpret this finding?
A) The patient needs surgery for heart disease.
B) The patient has a genetic disease.
C) The patient will develop the disease.
D) The patient has an increased chance to develop the disease.
Answer: D
Q2) Which nursing action best represents primary prevention?
A) Instructing a healthy individual to get a flu shot on a yearly basis
B) Instructing a patient to take blood pressure medication every day
C) Instructing a patient to live with a known disability
D) Instructing a patient to undergo physical therapy following a cerebrovascular accident
Answer: A
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4
Chapter 3: The Health Care Delivery System
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A registered nurse working as a school nurse for a small poor rural school district has noticed an increase in children arriving at school without having eaten breakfast.The nurse has discussed this issue with the school principal and is working on a proposal to ask the school district to explore a school breakfast program.Which level of care did the nurse use?
A) Primary care
B) Continuing care
C) Restorative care
D) Tertiary care
Answer: A
Q2) A 78-year-old widow needs assistance with medications,housekeeping,and laundry,and would like to maintain independence.Which is the best option for the nurse to suggest?
A) Assisted living
B) Respite care
C) Nursing center
D) Rehabilitation center
Answer: A
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Chapter 4: Community-Based Nursing Practice
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Sample Questions
Q1) A nurse notices that a particular area of the community had food poisoning.The nurse collected data from the people who were affected,identified a local restaurant that served all the people,and determined it was the chicken dish that caused the poisoning.Which community health nurse competency did the nurse demonstrate?
A) Public health
B) Educator
C) Epidemiologist
D) Case manager
Q2) Upon assessment the nurse finds the following: a 46-year-old immigrant patient from the Czech Republic has diabetes and hypertension and just recently moved in to live with a family member who must travel frequently.The patient speaks English very well.The community health nurse knows that this patient may be vulnerable because of which assessment finding?
A) Age
B) Immigration status
C) Diabetes
D) Language
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Chapter 5: Legal Principles in Nursing
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Sample Questions
Q1) A nurse wants to follow the American Nurses Association's Social Media Policy (2011).Which actions should the nurse take? (Select all that apply.)
A) Never name or describe a patient.
B) Never have a blog.
C) Never post an image of the patient.
D) Never disparage a fellow employee.
E) Never report breaches of privacy.
Q2) A nurse must ask a family member to consider an organ donation.In which order should the nurse contact the individuals
A-Spouse
B-Parent
C-Guardian
D-Grandparent
E-Adult son or daughter
F-Adult brother or sister
A) a, c, e, f, b, d
B) a, e, f, b, d, c
C) a, e, b, f, d, c
D) a, b, e, f, d, c
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Chapter 6: Ethics
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Sample Questions
Q1) A registered nurse knows that an oncology patient undergoing a bone marrow transplant will spend weeks in isolation in the hospital.During that time the patient will be at an increased risk for infection and other complications and may not recover.The nurse ensures that the patient has been given information regarding the risks and potential benefits of the procedure.The nurse is following which ethical principle?
A) Autonomy
B) Justice
C) Fidelity
D) Nonmaleficence
Q2) A registered nurse has recently been reassigned to the gynecology unit at the hospital.The nurse is strongly against abortion because of religious beliefs and contacts the nursing supervisor regarding the assignment because the unit cares for women who are undergoing abortions.The nurse is having a conflict in which area?
A) Confidentiality
B) Values
C) Social networking
D) Culture
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Chapter 7: Evidence-Based Practice
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Sample Questions
Q1) Which organization is preparing future nurses to have the knowledge,skills,and attitudes (KSAs)of evidence-based practices necessary to continuously improve the quality and safety of the health care systems within which they work?
A) The Joint Commission
B) Quality and Safety Education for Nurses' (QSEN)
C) The National Database of Nursing Quality Improvement (NDNQI)
D) The Agency for Health care Research and Quality (AHRQ)
Q2) A registered nurse wants to review the latest information regarding prevention of a health care acquired infection.Where is the best place for the nurse to obtain this information?
A) Online information
B) Peer-reviewed nursing journal
C) Latest edition of a nursing textbook
D) Most recent edition of a popular magazine
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Chapter 8: Critical Thinking
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Sample Questions
Q1) A student nurse in the last semester of nursing school found that keeping a journal of clinical experiences helped the student nurse understand why certain actions were taken and to evaluate whether there was a better way of approaching the task.The student nurse has found that this has helped strengthen critical thinking skills.Which skill for developing critical thinking did the student nurse use?
A) Professional standards
B) Nursing process
C) Concept mapping
D) Purposeful reflection
Q2) A registered nurse is caring for a postoperative patient whose systolic blood pressure has dropped 10 points during the shift.The nurse remembers that this was similar to a situation that happened in the past when a patient developed an internal bleed.Based upon the nurse's thoughts,which skill did the nurse use?
A) Intuition
B) Critical thinking
C) Nursing process
D) Reflection
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Chapter 9: Nursing Process
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Sample Questions
Q1) A nurse is evaluating care for a patient.Which action should the nurse take?
A) Compares patient findings with the goals and outcomes
B) Determines if interventions were completed
C) Develops a nursing diagnosis
D) Writes a care plan
Q2) A nurse is writing a care plan for a newly admitted patient.Which outcome statement did the nurse correctly write?
A) "The patient will eat 80% of all meals."
B) "The nursing assistant will set up the patient for a bath every day."
C) "The nursing assistant will ambulate the patient three times a day by May 30."
D) "The patient will identify the need to increase dietary intake of fiber by July 4."
Q3) A home health nurse is providing care to a patient.Which action by the nurse is a physical care technique?
A) Dressing a patient
B) Assisting a patient to learn how to shop
C) Performing range-of-motion exercises
D) Administering cardiopulmonary resuscitation
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Chapter 10: Informatics and Documentation
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Sample Questions
Q1) Which benchmarks will indicate to the nurse that the agency has computerized information systems that demonstrate "meaningful use"? (Select all that apply.)
A) Improves quality and safety
B) Improves patient compliance
C) Improves care coordination
D) Improves public health
E) Improves hospital's reputation
Q2) A nurse began working at a local hospital and learned that the hospital had just instituted a "hand-off" protocol.What will the nurse be doing?
A) Performing transfer reports
B) Completing IV fluid flow sheets
C) Using standardized care plans
D) Reviewing laboratory reports
Q3) Which entry by the nurse demonstrates the most accurate and safe documentation of patient care?
A) "Sm. amt. of emesis."
B) "150 mL of cloudy dark yellow urine."
C) "Had a good day."
D) "Looks bad."
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Page 12
Chapter 11: Communication
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) When caring for a patient from another culture,what is the best strategy for the nurse to use in communicating with the patient?
A) Using a cultural joke to break the ice
B) Stereotyping the patient within his or her culture
C) Considering the context of the patient's background
D) Assuming the patient or the family member speaks English
Q2) A nurse is spending time with a patient,who has recently been diagnosed with breast cancer.The patient states that he or she is frightened about the diagnosis and feels overwhelmed.The nurse responds,"It sounds to me like you are feeling very scared right now." Which communication technique did the nurse use?
A) Sympathy
B) Empathy
C) Focusing
D) Self-disclosure
Q3) Which behavior by the nurse would be considered most professional?
A) Addressing a patient by "dear"
B) Wearing small earrings
C) Being task oriented
D) Avoiding troublesome patients
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Page 13
Chapter 12: Patient Education
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Sample Questions
Q1) A 75-year-old patient who is being discharged home after a stroke has no use of the right hand.Which teaching strategy is best for the nurse to use for this patient?
A) Provide all the teaching at once, immediately before going home so the patient will remember it.
B) Teach the patient with the aid of a computer to demonstrate that the discharge instructions are on the hospital webpage.
C) Teach the patient using generic patient discharge information about strokes.
D) Provide information based on the patient's needs in frequent sessions.
Q2) A nurse is preparing to teach a patient about ostomy care.The patient appears anxious and is crying.What should the nurse do?
A) Let the patient know it is time to learn about ostomy care.
B) Postpone the teaching session about ostomy care.
C) Show a video about ostomy care.
D) Implement role-play.
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14
Chapter 13: Managing Patient Care
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Sample Questions
Q1) Competencies needed for effective interprofessional collaboration include:
1. Work with individuals of other professions to maintain a climate of mutual respect and shared values.
2. Use the knowledge of ones own role and those of other professions to appropriately assess and address the health care needs of patients and populations served.
3. Communicate with patients, families, communities and other health care professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and treatment of disease.
4. Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient- and population-centered care that is safe, timely, efficient, effective, and equitable. Using a top-down communication strategy does not apply as a team approach, but is needed for interprofessional collaboration.
Q2) Use the knowledge of one's own role and those of other professions to appropriately assess and address the health care needs of patients and populations served.
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Chapter 14: Infection Prevention and Control
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The student nurse who is developing a plan of care for a postoperative patient who underwent abdominal surgery to remove a tumor.The student has chosen Risk for Infection as a nursing diagnosis.Which of the following is the most appropriate goal for this diagnosis?
A) The patient's wound drainage will decrease in 2 days.
B) The patient will report decrease in incisional pain by discharge.
C) The progression of infection will be controlled or decreased.
D) The patient will describe signs/symptoms of wound infection.
Q2) A nursing student is working on a surgical unit in the hospital.Included in her job description is to assist in the cleaning and disinfection of equipment stored on the unit.Which of the following is the best explanation of disinfection?
A) Removing organic material
B) Removing inorganic material
C) Eliminating almost all pathogenic organisms
D) Destroying all forms of microbial life
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Chapter 15: Vital Signs
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50 Verified Questions
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Sample Questions
Q1) The young mother of an 8-month-old patient brought her daughter to the clinic after taking the little girl's temperature rectally and obtaining a reading of 100.4° F.The mother was concerned that her daughter might be ill.Which of the following is the best response?
A) "Children usually run lower rather than higher temperatures when ill."
B) "Because of her age, it is probably a bacterial infection."
C) "Rectal temperatures are higher than temperatures obtained orally."
D) "When taking multiple temperatures, the sites should be rotated."
Q2) Blood pressure depends on the interrelationships of which of the following? (Select all that apply.)
A) Cardiac output
B) Peripheral vascular resistance
C) Blood volume
D) Blood viscosity
E) Pulse pressure
Q3) One of the ways the body increases heat production is through:
A) convection.
B) radiation.
C) shivering.
D) evaporation.
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Chapter 16: Health Assessment and Physical Examination
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Sample Questions
Q1) An RN is assessing an 87-year-old patient who has gone to the clinic to see the health care provider for a follow-up appointment.The nurse notes that the patient looks tired and has dark circles under her eyes.She assesses her skin turgor,which is poor.She is concerned because she knows that poor skin turgor can predispose the patient to which of the following?
A) Dehydration
B) Edema
C) Skin breakdown
D) Direct trauma
Q2) A 17 year old was taken to the emergency department when his mother found him unresponsive.Upon examination,his pupils were found to be pinpoints.This is a common sign of which of the following?
A) Opioid intoxication
B) Arcus senilis
C) Cataracts
D) Opioid withdrawal
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18
Chapter 17: Administering Medications
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Sample Questions
Q1) The nurse is preparing oral medications for a patient.In preparing these medications the nurse is aware of which of the following?
A) Acidic medications are absorbed slowly by the gastric mucosa.
B) Alkaline medications are absorbed rapidly by the gastric mucosa.
C) Solutions and suspensions are more difficult to absorb than capsules.
D) Alkaline medications are absorbed in the small intestine.
Q2) When a patient's immune system causes abnormal reactions to a medication,the patient has a(n):
A) medication allergy.
B) anaphylactic reaction.
C) medication interaction.
D) idiosyncratic reaction.
Q3) Allergic symptoms vary,depending on an individual and the medication; they range from mild to severe.Sudden constriction of bronchiolar muscles,edema of the pharynx and larynx,and severe wheezing and shortness of breath are characteristics of a(n):
A) medication allergy.
B) anaphylactic reaction.
C) medication interaction.
D) idiosyncratic reaction.
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Page 19
Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The patient is taking furosemide (Lasix)and has been complaining of muscle weakness.The nurse should be most concerned about which imbalance?
A) Hyponatremia
B) Hypokalemia
C) Hypochloremia
D) Hyperchloremia
Q2) During a clinical rotation at an orthopedic unit,a nursing student is caring for a 67-year-old patient who has undergone a knee replacement.The patient is complaining of pain at the IV site.The nursing student assesses the site and finds that the site is cool and pale.The student stops the IV and reports the situation to the nurse.What does the nursing student suspect?
A) Phlebitis
B) Infiltration
C) Thrombophlebitis
D) Local inflammation
Q3) A patient is diagnosed with renal insufficiency.The results of an ABG analysis indicate metabolic acidosis.In metabolic acidosis,the nurse would expect the pH to decrease to less than _____ and the bicarbonate level to decrease to less than _____.
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Page 20
Chapter 19: Caring in Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A nurse is working in a health care clinic.She loves her work because of all the different people she meets.She professes to care for all of them and states that she understands them because she realizes which of the following is true?
A) Basically all patients are the same.
B) Each person has a unique background.
C) Caring for people requires very little experience.
D) There are standard solutions to most health care problems.
Q2) A registered nurse who worked in an extended care facility could see that a patient was in the process of dying.The lab technician came to draw his blood.The nurse requested that the blood draw be postponed for a while so that the patient's wife,who was at his bedside,could spend some quiet time with her husband.This is an example of which caring behavior?
A) Providing presence
B) Encouraging manner
C) Healing environment
D) Affiliation needs
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Chapter 20: Cultural Awareness
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Sample Questions
Q1) The nurse is performing a cultural assessment on a patient.What does the nurse know about cultural assessments?
A) They are intrusive and time consuming.
B) They are not dependent on a trusting relationship.
C) They are rarely plagued by miscommunication.
D) They are based in similarities of behavior.
Q2) The current focus on promoting a culturally competent health care environment is on which of the following?
A) The health care provider's efforts to become self-aware
B) The health care provider learning about other cultures
C) Avoiding the systematic provision of care
D) Ensuring that cultural competence is integrated into administrative processes
Q3) A student nurse is caring for a patient of Mexican descent.In an attempt to become culturally aware,the student should consciously think about which of the following?
A) What people of Mexican descent believe
B) The relationship between culture and ethnicity
C) The fact that the patient belongs to an isolated social group
D) Where the person is in the intersections of socially constructed categories
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Chapter 21: Spiritual Health
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Sample Questions
Q1) When caring for patients,a nurse must understand the difference between religion and spirituality.Religious care helps patients maintain their faithfulness to:
A) their belief systems and worship practices.
B) a relationship to a higher being or life force.
C) a sense of connectedness.
D) the awareness of one's inner self.
Q2) A patient who has been diagnosed with terminal liver cancer states that he does not believe in God,but he has had a meaningful life by contributing to the lives of those around him.This person is most likely which of the following?
A) Buddhist
B) Christian
C) Agnostic
D) Atheist
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Chapter 22: Growth and Development
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Sample Questions
Q1) A pregnant teenager asks the clinic nurse why she cannot smoke during the first trimester.Remembering growth and development,what is the nurse's best response?
A) "Smoking is a bad habit, but it probably won't affect the baby."
B) "Smoking may affect organ systems that are beginning to develop."
C) "Smoking will only affect the baby in the third trimester."
D) "Smoking mothers usually produce overweight babies"
Q2) A recent graduate nurse has been assigned to be a primary nurse on a geriatric unit.After completing a review of development and aging,the nurse recalls that changes during the climacteric signify which of the following?
A) A characteristic of young adulthood
B) The increased reproductive ability of the older adult
C) A time of significant change in cognitive performance in middle age
D) A decline of reproductive capacity caused by a decrease in sexual hormones
Q3) Polypharmacy is:
A) the use of unprescribed medication for recreational use.
B) the prescription, use, or administration of more medications than are needed.
C) very rare in older adults.
D) rarely a problem as long as the medications are taken together.
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24
Chapter 23: Self-Concept and Sexuality
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Sample Questions
Q1) A middle-age female model is admitted for a double mastectomy.On admission the nurse notes that she is depressed and withdrawn.The most appropriate patient-centered nursing intervention(s)might be which of the following? (Select all that apply.)
A) Use a positive and matter-of-fact approach to care.
B) Include the patient in decision making about her care.
C) Be aware of nonverbal behaviors when providing care.
D) Focus on the task when an unpleasant task must be done.
E) Focus matter-of-fact statements on positive aspects of patient healing.
Q2) A 35-year-old new mother returns to the clinic for her 6-week postpartum check.When discussing questions regarding the patient's sexual health the nurse should do which of the following?
A) Assume that permission to discuss sexuality issues is implied.
B) Seek knowledge about sexual health in general.
C) Make therapeutic suggestions early and adjust as needed.
D) Refer the patient to a professional with advanced training if necessary.
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25
Chapter 24: Family Context in Nursing
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Sample Questions
Q1) The nurse is admitting a Hispanic patient to the oncology unit of the hospital.To provide culturally competent care,the nurse needs to determine the influence of culture on the patient's family.Which of the following questions would best accomplish this?
A) "What types of foods do you eat?"
B) "Since you're Hispanic, would you like to order beans for supper?"
C) "I am assuming that you're Catholic. Do you want to see the priest?"
D) "Hispanics have large families. Do you have questions about visitation policies?"
Q2) The nurse is caring for a patient who gives indications of being a victim of abuse.The nurse understands that abuse is which of the following? (Select all that apply.)
A) Can be physical battering
B) Is sometimes manifested as sexual assault
C) Generally declines over a period of time
D) Is sometimes classified as emotional abuse
E) Can be psychological in nature
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Chapter 25: Stress and Coping
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Sample Questions
Q1) An older adult patient in a long-term care facility recently had a stroke after experiencing a myocardial infarction.The patient is not speaking or eating.The nurse notices an adverse change in vital signs.When a patient is unable to resist the effects of a stressor,the nurse can identify this stage of the general adaptation system as:
A) an alarm reaction.
B) the resistance stage.
C) the exhaustion stage.
D) a fight-or-flight response.
Q2) The nurse is interviewing a patient who claims to be in the middle of a crisis situation.The nurse should: (Select all that apply.)
A) determine the patient's view of the situation.
B) be aware that denial is never a coping mechanism for people in crisis.
C) point out that the patient is repeating information and ask him to stop.
D) assess for the potential for suicide/homicide.
E) assess coping mechanisms and support systems.
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Chapter 26: Loss and Grief
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Sample Questions
Q1) What should the nurse caring for a dying patient understand about the patient? (Select all that apply.)
A) The patient has the right to be in control.
B) The patient must be compliant with his medical regimen.
C) The patient should expect to be free from pain.
D) The patient should be lied to so as to maintain his sense of hope.
E) The patient has the right to die in peace and dignity.
Q2) Which of the following would not be appropriate for a patient undergoing palliative care?
A) Insertion of a peripherally inserted central line
B) Chemotherapy
C) Radiation treatment
D) Knee replacement surgery
Q3) The nurse is caring for a terminally ill patient.In order to provide optimal care,the nurse tries to anticipate patient needs.What does the nurse understand about this patient?
A) As patients approach death, they breathe more through their nose.
B) Eye blinking may increase as well as tear production.
C) Immobility and opioid medications can lead to diarrhea.
D) Anxiety in the dying may have a physical cause.
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Chapter 27: Exercise and Activity
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Sample Questions
Q1) The nurse is assigned to take care of a 56-year-old patient with COPD.The patient does not tolerate a supine position for sleeping.In what position should the nurse place the patient?
A) Lateral
B) Prone
C) Semi-Fowler's
D) Sims'
Q2) The nurse is assigned to a 67-year-old comatose patient.To minimize the risk for aspiration,the nurse should avoid placing the patient in what position?
A) Semi-Fowler's
B) Sims'
C) Supine
D) Lateral
Q3) A nurse is caring for a patient who has pneumonia.To facilitate respiration and lung drainage this patient should be placed in what position?
A) Sims'
B) Prone
C) Lateral
D) Supine
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Page 29
Chapter 28: Safety
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Sample Questions
Q1) A student nurse has been asked by the registered nurse with whom the student nurse is working to apply wrist restraints to a patient who is confused and is trying to remove the endotracheal tube.The student nurse knows that it is important to tie the restraints to which part of the bed?
A) Side rails
B) Part of bed frame that moves up and down with the patient
C) Footboard
D) Headboard
Q2) A pediatric nurse is assessing a patient for a routine physical.The nurse identifies that the parents need additional safety teaching when the parents mentions which of the following?
A) A 2-year-old child can safely sit in the front seat of a car.
B) Teenagers need to practice safe sex.
C) Children need to wear a helmet and safety pads when in-line skating.
D) Children need to learn to swim even if parents do not have a swimming pool.
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Chapter 29: Hygiene
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Sample Questions
Q1) A 25-year-old patient was admitted to the surgical floor wearing contact lenses.Assistive personnel ask the nurse if contact lenses need special attention.The nurse informs the assistive personnel that non-extended-wear contacts left in the eyes for an extended period of time can cause which of the following?
A) Blindness
B) Corneal injury
C) Otitis externa
D) Otitis media
Q2) The nurse is working on a long-term rehabilitation unit,is providing care for a 46-year-old woman who was the victim of a violent crime and suffered a head injury.The patient has an endotracheal tube,which is secured with tape.The tape is crusted with dried secretions.The nurse is providing personal hygiene for the patient and needs to replace the tape.What is the best way for the nurse to remove the tape?
A) Soak it with warm moist washcloths.
B) Pull it gently away from the skin.
C) Saturate it with denatured alcohol.
D) Soak it with adhesive remover.
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Chapter 30: Oxygenation
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Q1) The home care nurse is admitting a patient with COPD.The primary healthcare provider has ordered O? /nasal cannula at 3 L/min.To promote safety,the nurse would instruct the patient on which of the following safety measures? (Select all that apply.)
A) Place "No smoking" signs in all areas where oxygen will be used.
B) Instruct family and visitors who smoke that they must smoke a minimum of 10 feet from the patient.
C) Store tanks in a small closet, trunk of a car, or near the hot water heater.
D) Oxygen tanks should stay a minimum of 6 feet from space heaters, fireplaces, and appliances with an electric motor.
E) Know the exit routes and where the fire extinguisher are located in the home.
Q2) The exchange of oxygen and carbon dioxide during cellular metabolism is best described as which of the following?
A) Ventilation
B) Diffusion
C) Respiration
D) Perfusion
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Chapter 31: Sleep
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Sample Questions
Q1) Which of the following bedtime snack(s)helps to promote sleep in a patient?
A) Cereal and milk
B) A full meal
C) Chips and cola
D) Coffee and toast
Q2) A new mother has brought in her week-old infant to the health care provider for a 1-week well-baby checkup.She is breastfeeding and has only been sleeping a couple of hours at a time during the night between feedings.She asks the nurse,"When can I expect the baby to sleep through the night?" What is the nurse's best response?
A) "Are you feeling tired, maybe you are experiencing depression."
B) "Most children begin to sleep through the night around 3 months."
C) "Most children begin to sleep through the night around 6 months."
D) "Are you feeling tired? Maybe you are anemic?"
Q3) A 2-year-old child in the pediatric unit resists going to sleep.To promote sleep,which is the best action for the nurse to take?
A) Eliminate a daytime nap.
B) Offer the child warm chocolate milk.
C) Maintain the child's home bedtime routine.
D) Allow the child to sleep longer in the morning.
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Page 33
Chapter 32: Pain Management
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Q1) Pain impulses are sent to the brain,where the central nervous extracts information regarding location,duration and quality of the pain impulse.What is this process?
A) Transduction
B) Transmission
C) Perception
D) Modulation
Q2) When a person accidentally touches a hot pan,their protective reflex causes them to immediately withdraw their hand from the hot pan.This protective reflex is known as which of the following?
A) Transduction
B) Transmission
C) Perception
D) Modulation
Q3) Aspirin and ibuprofen are classified as:
A) narcotics.
B) nonopioids.
C) opioids.
D) nonsteroidal antiinflammatory analgesics.
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Chapter 33: Nutrition
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Q1) The patient was admitted with the diagnosis of a stroke.The patient experiences dysphagia and right side paralysis and needs assistance with activities of daily living (ADLs).The nurse caring for the patient has assigned the task of feeding the patient to the new nursing assistant personnel (NAP),and is concerned about aspiration.The nurse knows additional teaching is necessary when NAP states which of the following?
A) "I will remind the patient to tilt the head backward when drinking fluids."
B) "Thin fluids like water and fruit juice will need to be thickened."
C) "I need to watch for pocketing food as I feed the patient."
D) "It will take much longer to feed the patient than it did before the stroke."
Q2) A 14-year old patient with cancer is concerned about diet,and questions the need for vitamins to supplement the diet.The patient states,"I don't think my diet alone is providing the upper intake levels (ULs)of vitamins that I need." What is the best response from the nurse?
A) "You should try to get your vitamins from food, rather than a supplement."
B) "You should be trying to achieve the recommended dietary allowances (RDA)."
C) "You should compare your diet to the UL for children, not the UL for adults."
D) "You shouldn't worry about vitamins as long as you are getting enough calories."
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Chapter 34: Urinary Elimination
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Sample Questions
Q1) A patient calls the office to tell you that his or her urine has changed to an orange color.The best response of the nurse is which of the following?
A) "Did you recently start a new prescription for Pyridium?"
B) "Did you recently drink a lot of cranberry juice?"
C) "Have you noticed any blood on the tissue when you wipe yourself?"
D) "Please make an appointment with the office right away."
Q2) The nurse is caring for a 45-year-old patient with a suspicious tumor in the bladder.The health care provider has ordered a procedure to identify the tumor tissue.Which test is done to collect tissue specimens?
A) Abdominal radiograph
B) Intravenous pyelogram
C) Endoscopy/cystoscopy
D) Ultrasound renal bladder
Q3) A patient is scheduled for an intravenous pyelogram (IVP).What should the nurse do for this diagnostic examination?
A) Make no special preparations before the examination.
B) Push oral fluids before the examination.
C) Have the patient fast after the procedure.
D) Assess the patient for an allergy to iodine before the examination.
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Page 36
Chapter 35: Bowel Elimination
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Q1) A patient will be undergoing abdominal surgeries,which will most likely result in an ostomy.The patient asks the nurse,"What will the stool from my ostomy look like?" What is the best answer?
A) "Your stools won't change from what they currently are."
B) "The consistency of your stools will be very soft."
C) "The consistency of your stools will be liquid."
D) "The consistency of your stools will depend on the location of stoma (ostomy)."
Q2) The nurse is caring for a patient with abdominal pain.While obtaining a stool specimen for occult blood,the nurse notices that the specimen is black.The nurse recognizes that the color change may be the result of which of the following?
A) Absence of bile
B) Malabsorption of fat
C) Diarrhea
D) Iron supplements or GI bleeding
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Chapter 36: Immobility
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Q1) A nurse is caring for an immobile patient.What is the most appropriate nursing intervention to implement?
A) Turn the patient every 4 hours.
B) Apply an abdominal binder while the patient is lying in bed.
C) Encourage the regular use of incentive spirometry while awake.
D) Maintain the patient's maximum fluid intake of 1000 mL daily.
Q2) A young adult was involved in a motor vehicle accident and suffers from brain trauma.The patient has decrease mobility in all joints.The nurse should assess for which common,debilitating contracture?
A) Lordosis
B) Bowlegs
C) Footdrop
D) Kyphosis
Q3) A patient is recovering from an abdominal aortic bypass graft.To reduce the effects of orthostatic hypotension,what is the most appropriate action for the nurse to take?
A) Encourage moving positions slowly.
B) Perform isometric exercises.
C) Decrease the number of ankle pumps.
D) Participate in chest physiotherapy.
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Page 38
Chapter 37: Skin Integrity and Wound Care
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Q1) Assistive personnel ask the nurse the differences between wound healing by primary and secondary intention.The nurse's best response is that healing by primary intention occurs when the skin edges:
A) are approximated.
B) overlap each other.
C) appear slightly red and moist.
D) cannot come together.
Q2) A patient is wearing an abdominal binder after abdominal surgery.What does the nurse need to assess and document about the patient?
A) Neurological response
B) Respiratory status
C) Lymphatic status
D) Genitourinary response
Q3) Which patient is best suited for heat therapy?
A) A patient with low back pain
B) A patient with suspected appendicitis
C) A patient with first-degree burn
D) A patient with active bleeding
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Chapter 38: Sensory Alterations
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Q1) The student nurse is assisting an elderly patient to get ready for bed.The patient states,"Please make sure you clean my hearing aids." The student nurse knows it is important to keep in mind which of the following when cleaning a hearing aid?
A) Keep the battery in the machine when turned off.
B) Store the hearing aid on the overnight table for easy access at night.
C) Clean the hearing aid with hot water.
D) Use a soft dry cloth to wipe the hearing aid.
Q2) An elderly patient with diabetes is seeing the health care provider for complaints of visual changes.The patient explains to the nurse that visual changes include distortion that makes the edges of objects appear wavy.The nurse knows that this is an early sign of which of the following?
A) Cataracts
B) Glaucoma
C) Diabetic retinopathy
D) Age-related macular degeneration
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Chapter 39: Surgical Patient
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Sample Questions
Q1) A patient is awaiting surgery.The nurse's best rationale for assessing vital signs is to do which of the following?
A) Assess the patient's anxiety level.
B) Determine the patient's basal temperature.
C) Establish a baseline for vital signs comparisons.
D) Assess for any changes that may indicate infection.
Q2) A student nurse has been assigned to a 67-year-old patient who is undergoing thoracic surgery to remove a tumor.As part of the preoperative teaching,the student nurse discusses the importance of coughing.Which of the following statements is true regarding why postoperative coughing is important? (Select all that apply.)
A) "Coughing assists in removing retained mucus in the airways."
B) "It won't hurt to cough with adequate pain control."
C) "You can splint your incision when coughing to minimize pain."
D) "Deep breathing and coughing will remove anesthesia gases from your lungs."
E)"Deep breathing involves fast, shallow, breaths and then one big breath."
F) "Coughing is not encouraged because of the potential or dehiscence at the surgical site."
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