Nursing Concepts and Skills
Exam Materials
Course Introduction
This course provides an introduction to foundational nursing concepts and essential clinical skills necessary for safe and effective patient care. Students will explore core principles of professional nursing, including communication, critical thinking, patient assessment, infection control, ethical practice, and cultural sensitivity. Emphasis is placed on developing hands-on skills such as vital sign measurement, hygiene procedures, medication administration, and basic wound care. Through a combination of classroom instruction, laboratory practice, and simulation, students will gain the confidence and competence required for successful clinical placements and future nursing practice.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Berman
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42 Chapters
1234 Verified Questions
1234 Flashcards
Source URL: https://quizplus.com/study-set/3913
Page 2
Chapter 11: Assessing
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77919
Sample Questions
Q1) A nurse has worked in the trauma critical care area for several years.Which noise may become indiscriminate for this particular nurse?
A)A client with audible breathing
B)Moaning of a client in pain
C)Whirring of ventilators
D)Co-orkers discussing their clients' conditions
Q2) During an assessment interview,the client states that an elective surgical procedure will not be done because it does not fit into the client's life goals.Into which of Gordon's functional health patterns should the nurse identify this client's comment?
A)Cognitive/perceptual pattern
B)Coping/stress-tolerance pattern
C)Health-perception/health-management pattern
D)Value/belief pattern
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3
Chapter 12: Diagnosing
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is providing care to a client.Which nursing diagnoses can the nurse apply when providing client care?
Standard Text: Select all that apply.
A)Ineffective Breathing Pattern
B)Risk of Infection
C)Readiness for Enhanced Nutrition
D)Readiness for Enhanced Family Coping
E)Anxiety
Q2) The graduate nurse is struggling with identifying cues from clustered data.What should the nurse use to recognize data patterns and cues?
A)Depend on knowledge gained from peers' experiences.
B)Work with seasoned and experienced nurses and learn from them.
C)Take assessment notes and utilize information from textbooks for comparison.
D)Know that this will take time,and experience is the best teacher.
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Chapter 13: Planning
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/77917
Sample Questions
Q1) The nurse wants to create an intervention to assist a client with ambulation.Which statement is the most appropriate manner for the nurse to write this intervention?
A)Assist client with ambulation.
B)Ambulate with client,using a gait belt,twice daily for 15 minutes.
C)Make sure client understands the rationale for using the gait belt.
D)Client will ambulate in hallway twice daily.
Q2) A nurse is caring for a client who has a diagnosis of Impaired skin integrity,related to immobility,secondary to neurologic dysfunction.Which should the nurse identify as an observation intervention?
A)Turn and reposition client every 2 hours.
B)Cushion bony prominences with soft foam while in bed.
C)Provide ongoing assessment for skin breakdown every shift.
D)Apply lotion to dry skin twice daily.
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5
Chapter 14: Implementing and Evaluating
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/77916
Sample Questions
Q1) The nurse is evaluating care provided to a client.Which nursing actions indicate that the phases of evaluation were completed by the nurse appropriately?
Standard Text: Select all that apply.
A)Client problems updated
B)Data linked to NOC indicators
C)Data compared to desired outcomes
D)Interventions changed on the care plan
E)Physician notified of changes in the care plan
Q2) A client recovering from total knee replacement surgery falls out of bed on the night shift and dies.Which quality improvement actions should the nurse manager expect to complete for this client occurrence?
Standard Text: Select all that apply.
A)A root cause analysis
B)Paperwork about a sentinel event
C)Analysis of the nurse assigned to the client
D)Number of times the client was observed on the night shift
E)Number of hours since the client last received pain medication
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6
Chapter 15: Documenting and Reporting
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A client in long-term care is scheduled for a review of the assessment and care screening process.Where should the nurse document this information?
A)MDS
B)OBRA
C)CBE
D)Kardex
Q2) The nurse is documenting care provided to a client.Which action should the nurse take to demonstrate the avoidance of potentially confusing abbreviations when documenting?
Standard Text: Select all that apply.
A)Documenting vital signs as "TPR."
B)Charting that the "drsg was dry and intact."
C)Transcribing a verbal order as "Carbamazepine 12 mcg/ml IV push daily."
D)Documenting "Client consistently requesting IM MS for pain well before prescribed time."
E)Charting,"Client to be ambulated q.i.d."
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Chapter 16: Health Promotion
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A client with diabetes wants to have better control over her blood sugar levels.She has set a goal that she will have laboratory values that reflect this,and she has been monitoring her blood sugar twice a day for the past month.Along with regular checks,she has kept all appointments with her nutritionist.This client is modeling which stage of health behavior change?
A)Termination stage
B)Maintenance stage
C)Contemplation stage
D)Action stage
Q2) 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
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8
Chapter 17: Health, Wellness, and Illness
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A nurse educator is explaining the concept of health and parallels this with interruption of body systems and symptoms of disease or injury.This educator is interpreting health according to which model?
A)Health-illness continua
B)Eudemonistic
C)Adaptive
D)Clinical
Q2) A community health nurse is testing the theory of locus of control (LOC).Which client demonstrates the internal control concept of this theory?
A)A client who takes an active role in all health decisions
B)A client who allows the primary care provider to make all the decisions
C)A client who does not make any decisions without his or her spouse's input
D)A client who relies on information from the local hospital for his or her health needs
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Chapter 18: Culture and Heritage
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/77912
Sample Questions
Q1) A home health client participates in cultural health practices that the nurse feels may be detrimental to his health.In order to remain attentive to cultural sensitivity and provide appropriate cultural nursing care,the nurse should take which action?
A)Explain the right and wrong of the client's treatment and try to persuade him to follow the scientific perspective.
B)Have the client's physician explain the care to the client in a firm but gentle manner.
C)Validate the client's practices and understand that for this client,it may be beneficial to continue with his preferences.
D)Try to negotiate with the client by exploring his views and then provide relevant scientific information.
Q2) Before a client goes to surgery,he requests to have his spiritual leader present and pray over him.According to the HEALTH traditions model,which traditional method is the client invoking?
A)Maintaining HEALTH
B)Protecting HEALTH
C)Restoring HEALTH
D)Changing HEALTH
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Page 10
Chapter 19: Complementary and Alternative Healing
Modalities
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77911
Sample Questions
Q1) A client who has a long-standing history of depression has been on a prescribed antidepressant for several months and states that he has also been trying St.John's wort.Which vital sign should the nurse assess for possible adverse effects?
A)Temperature
B)Respiratory rate
C)Oxygen saturation
D)Pulse rate
Q2) The nurse is instructing a client on meditation and relaxation.Which information should the nurse include in this teaching?
Standard Text: Select all that apply.
A)"Perform these techniques at least 2 hours after eating so as to concentrate all your body's energies."
B)"Practice these techniques in a comfortable,upright position."
C)"Remember to relax your muscles after you have successfully tightened a muscle group."
D)"Find a quiet,peaceful place to meditate."
E)"Set aside 60 minutes daily for meditation and relaxation."
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11
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 is plotting the height and weight of children during a school assessment clinic.Which aspect of the children's health is the nurse assessing?
A)Development
B)Health
C)Growth
D)Bone size
Q2) The nurse is assessing a child's growth and development.What questions should the nurse ask the parents that demonstrate an understanding of the factors that affect growth and development processes?
Standard Text: Select all that apply.
A)How tall the parents are
B)Whether noises seem to bother their child
C)How many ounces of formula their child drinks daily
D)What their yearly income is
E)Whether their child will receive day-care services
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Chapter 21: Promoting Health From Conception Through Adolescence
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/77909
Sample Questions
Q1) The nurse is preparing to instruct a client about nutritional needs before and during pregnancy.What should the nurse encourage the patient to consume in order to meet the requirements for folic acid?
A)Meats,fish,and poultry
B)A mix of vegetables and fiber
C)Oranges and green leafy vegetables
D)Low-fat and high-protein foods
Q2) The nurse is completing a health history with a client who is 10 weeks pregnant.Which factor should the nurse identify as increasing this client's risk for a spontaneous abortion?
A)Having taken a medication that is a known teratogen
B)Smoking
C)Having low levels of folic acid
D)Genetic history
Q3) At birth a baby weighed 8 lb.What should the nurse expect this baby to weight at the age of 1?
A)32 lb
B)16 lb
C)20 lb
D)24 lb
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Chapter 22: Promoting Health in Young and Middle-Aged Adults
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/77908
Sample Questions
Q1) The nurse is confident that a young adult has successfully achieved psychosocial development.What observations about the client did the nurse make to come to this conclusion?
Standard Text: Select all that apply.
A)Discusses plans to expand his exercise routine to include running
B)Is optimistic about finding a new job
C)Volunteers weekly at the local senior center
D)Recognizes that professional sports may be enjoyed but does not aspire to participating E)May be "too bald" to play Santa Claus
Q2) A middle-aged client is struggling with life changes,including menopause.What is the best response by the nurse to this client?
A)"Don't worry-menopause can't last forever."
B)"There are some very good antidepressants you can take."
C)"What did your mother do to get through menopause?"
D)"There is a menopause support group that meets every 2 weeks."
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Chapter 23: Promoting Health in Elders
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/77907
Sample Questions
Q1) Some nursing students are doing their first clinical rotation in a long-term care facility.What should the nurse educator remind the students to do to meet the needs of this particular client group?
A)Do all care for the clients,as they're unable to do it independently.
B)Always remember that the clients' self-respect must be maintained in all interactions of the students.
C)Make sure the clients' care is done in a timely manner,and sometimes that means doing things for the client.
D)Treat this group of clients with a greater level of respect than younger clients.
Q2) In planning any health program for elderly adults,the nurse will implement Erikson's theory of task development.The nurse realizes that in this stage of life,the successful completion of the task allows the person to
A)have a feeling of satisfaction from past accomplishments.
B)make connections with the younger generation.
C)wish he or she could live life over again.
D)live out his or her last years in physical health.
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15
Chapter 24: Promoting Family Health
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/77906
Sample Questions
Q1) A father of a family was killed in a motor vehicle crash.What should the nurse consider a "normal" reaction to this event?
A)Family disorganization may occur.
B)Family members become detached from extended family.
C)The family feels that their place in the community has been eliminated.
D)The family withdraws into seclusion during the grief process.
Q2) The nurse has identified a coping problem in a family that recently lost their house and all of their belongings in a fire.What should the nurse identify as this family's external support systems?
Standard Text: Select all that apply.
A)Grandparents
B)The parent's siblings
C)Local social services agencies
D)The family's religious leader
E)The family's communication skills
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Chapter 25: Caring
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77905
Sample Questions
Q1) The nurse is reviewing Mayeroff's philosophy of caring prior to providing care to a client.What should the nurse include to demonstrate caring to the client?
A)Honesty
B)Trust
C)Humility
D)Professionalism
E)Courtesy
Q2) The nurse working on an acute psychiatric unit learns that a client with bipolar disorder is being admitted and says to a coworker,"We better be ready for a busy night."
This nurse is exemplifying which process of Swanson's theory of caring?
A)Knowing
B)Being with
C)Doing for
D)Enabling
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Chapter 26: Communicating
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/77904
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) A nurse is working with an elderly male client on a medical unit.Which statement demonstrates elderspeak by the nurse?
A)"It's time for us to go to physical therapy."
B)"I think it would be better if you were planning to go to a nursing home after discharge."
C)"Your children must really love their dad."
D)"Your wife must be having trouble adjusting to your illness."
Q3) 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?"
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Chapter 27: Teaching
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/77903
Sample Questions
Q1) At the completion of a teaching session,the nurse wants to evaluate the effectiveness of instruction.In a situation where the client was learning a bandaging technique,which would be the most effective evaluation?
A)Shared by the nurse and client
B)A return demonstration by the client
C)When the nurse is satisfied that the client can complete the technique
D)If the wound heals
Q2) The nurse is creating a teaching plan for a client recovering from total hip replacement surgery.What should the nurse include in this client's plan?
Standard Text: Select all that apply.
A)The content to be included
B)The outcome for the teaching
C)The approaches used to teach the content
D)The evaluation of the effectiveness of teaching
E)The amount of time needed to cover the content
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Chapter 28: Delegating, Managing, and Leading
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/77902
Sample Questions
Q1) A nurse is identified as being an effective leader.With this designation,the nurse will most likely demonstrate which characteristics?
Standard Text: Select all that apply.
A)Self-aware
B)Focus on people
C)Excellent communicator
D)Mentor to others
E)Focus on systems
Q2) A staff nurse has been identified by others as being an effective leader.With this designation,the nurse implements which principles?
Standard Text: Select all that apply.
A)Vision
B)Influence
C)Serve as a role model
D)Planning
E)Organizing
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20
Chapter 29: Vital Signs
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is preparing to measure a client's temperature.What is the first thing that the nurse should do to ensure an accurate temperature reading?
A)Assess that the equipment used is working properly.
B)Place the client in a position that is most comfortable for the health care provider.
C)Take the temperature with a chemical disposable thermometer when the client is perspiring.
D)Wait at least 10 minutes before taking the temperature after a client has been smoking.
Q2) The RN needs vital signs assessed for four clients.Which client should the nurse address and not assign to the UAP?
A)Cardiac catheterization client returning to the nursing unit
B)COPD client on 2 Lpm oxygen via nasal cannula
C)Pneumonia client nearing discharge
D)Post-op client of 2 days from gallbladder surgery
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21
Chapter 30: Health Assessment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/77900
Sample Questions
Q1) The nurse is assisting the physician who is preparing to test a sexually active female client for cervical cancer.What should the nurse expect the health care provider to perform?
A)Pap test
B)Breast exam
C)Rectal exam
D)Abdominal exam
Q2) The nurse is preparing a client for an abdominal examination.What should the nurse done before beginning the examination?
A)Ask the client to urinate.
B)Ask the client to drink 8 ounces of water.
C)Assess vital signs.
D)Assess heart rate.
Q3) 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
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Page 22
Chapter 31: Asepsis
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/77899
Sample Questions
Q1) 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.
Q2) The nurse needs to apply personal protective equipment before entering a client's room.In which order should the nurse perform the following actions?
Standard Text: Place the steps in the order in which they should be performed.
A)Apply gloves.
B)Apply eyewear.
C)Apply the gown.
D)Apply the face mask.
E)Perform hand hygiene.
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23
Chapter 32: Safety
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/77898
Sample Questions
Q1) The nurse is planning care for a client who is prone to falling.Which nursing diagnoses should the nurse use for this client?
A)Deficient Knowledge
B)Risk for Injury
C)Risk for Disuse Syndrome
D)Risk for Suffocation
Q2) A client is prescribed to have wrist restraints applied.Place in order the steps the nurse will take to apply these restraints.
Standard Text: Click and drag the options below to move them up or down.
A)Pad bony prominences on the wrist.
B)Apply the padded portion of the restraint around the wrist.
C)Pull the tie of the restraint through the slit in the wrist restraint and ensure that it is not too tight.
D)Attach the other end of the restraint to the movable portion of the bed frame using a half-bow knot.
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24
Chapter 33: Hygiene
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77897
Sample Questions
Q1) A connection on a client's intravenous solution was dislodged and solution saturated the client's gown and bed linens.The nurse will provide which type of hygienic care to the client?
A)Hour-of-sleep care
B)As-needed care
C)Early morning care
D)Morning care
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?
Standard Text: Select all that apply.
A)Pulse
B)Respirations
C)Urine output
D)Blood pressure
E)Mobility status
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Chapter 34: Diagnostic Testing
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/77896
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 collect a specimen from a client;however,the nurse has never collected this type of specimen in the past.What should the nurse do?
A)Notify the physician.
B)Ask another nurse to collect the specimen.
C)Consult the nursing procedure manual.
D)Delegate the collection of the specimen to unlicensed assistive personnel.
Q3) A client is having a lumbar puncture.In which position should the nurse place the client?
A)Lateral with head bent toward the chest and knees flexed onto the abdomen
B)Lying prone,with the knees drawn up toward the abdomen
C)Sitting bent over from the waist with legs extended
D)Supine with knees pulled toward the chest
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Page 26
Chapter 35: Medications
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The nurse is concerned that an older client is experiencing an adverse effect from a prescribed medication.What did the nurse assess to make this clinical decision?
A)Altered memory
B)Altered organ responsiveness
C)Decreased manual dexterity
D)Decreased visual acuity
Q2) The nurse is preparing a small amount of medication for oral administration.Which nursing action is essential?
A)Draw up the medication in a syringe with a large-gauge needle.
B)Measure the medication at the top of the meniscus.
C)Label the syringe with the medication name,amount,and route.
D)Dilute the medication with water before measuring.
Q3) Why is the nurse writing out the name of the drug morphine sulfate instead of using the abbreviation MS?
A)The hospital has placed MS on its list of do-not-use abbreviations.
B)The Joint Commission requires that the abbreviation MS not be used.
C)Using the abbreviation MS puts the client at risk of medication error.
D)Computerized charting systems will not accept the abbreviation MS.
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Chapter 36: Skin Integrity and Wound Care
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77894
Sample Questions
Q1) The nurse is selecting dressings for a clean abdominal incision that will be allowed to heal by secondary intention.What principles should the nurse use in choosing this dressing?
A)Materials used in dressing this wound should keep the wound bed moist.
B)The dressing should allow good air circulation through the wound.
C)Dressings should be simple as they will be changed at least every 4 hours.
D)Absorbent material to wick exudates away and support drying should be used.
Q2) A client has several dark,thick scars on body locations from previous surgeries and injuries.The nurse realizes this occurs during which phase of wound healing?
A)Exudative
B)Proliferative
C)Inflammatory
D)Maturation
Q3) The nurse is assessing a client's pressure ulcer.To determine the depth of the ulcer,the nurse should take which action?
A)Measure the width.
B)Measure the length.
C)Insert a sterile swab into the deepest part of the wound.
D)Identify where on the face of a clock the ulcer is located.
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Page 28
Chapter 37: Perioperative Nursing
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77893
Sample Questions
Q1) The nurse has removed the sutures from a client's surgical wound.What should the nurse document about this procedure?
Standard Text: Select all that apply.
A)Number of sutures removed
B)Appearance of the incision
C)Client teaching
D)Client tolerance of the procedure
E)Name of the surgeon.
Q2) The nurse is caring for a postoperative client with an abdominal wound and a drain.What can the nurse delegate to unlicensed assistive personnel?
Standard Text: Select all that apply.
A)Clean the wound.
B)Assess the skin around the wound.
C)Determine the effectiveness of pain medication.
D)Report if the dressing is soiled.
E)Report if the dressing is loose.
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Chapter 38: Sensory Perception
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/77892
Sample Questions
Q1) The family of a client in the hospital is concerned about the constant noise in the care area.Which health care professionals have the greatest control over the level of sensory input in the hospital?
A)Physicians
B)Administrators
C)Nurses
D)Planners
Q2) A client is hospitalized for treatment of a new disorder.While admitted,the client receives no telephone calls or visitors.The nurse should assess which aspect of the client's sensory-perception function?
A)Risk for sensory overload
B)Social support network
C)Mental status
D)Environment
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Chapter 39: Self-Concept
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/77891
Sample Questions
Q1) Which statement,made by the client,would indicate a "me-centered" self-concept?
A)"I couldn't stand to disappoint my parents."
B)"My sister is so much smarter than I am."
C)"My future is based on the decisions I make today."
D)"The world has always been against people like me."
Q2) A client recovering from a lumpectomy for breast cancer tells the nurse that she "feels ugly." For which nursing diagnosis should the nurse plan interventions?
A)Powerlessness
B)Social Isolation
C)Grieving
D)Hopelessness
Q3) 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.
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Chapter 40: Sexuality
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/77890
Sample Questions
Q1) A nurse colleague learns that a grandchild's day-care center is planning a class on sexuality for 3- and 4-year-olds.Discussion of this plan should include what concept?
A)At this age,education regarding sexuality should come from parents.
B)Children are sexual beings from before birth.
C)Understanding the body and sexuality are a part of growth and development.
D)Sexual activity is beginning at earlier and earlier ages.
Q2) The nurse is preparing an educational session on the sexual response cycle.What should be included when discussing the physiological changes in females during the excitement phase?
Standard Text: Select all that apply.
A)The vagina dries.
B)The length of the vagina narrows and swells.
C)Erection of the clitoris occurs.
D)The breasts enlarge.
E)The uterus elevates.
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Chapter 41: Spirituality
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) During the morning bath,the client asks if the nurse is religious and believes in God.What would be most helpful for the nurse to consider in formulating a response to this question?
A)The nurse's personal life is none of the client's business.
B)Religion and politics are two subjects not discussed in polite interactions.
C)Will sharing this information positively contribute to the relationship?
D)What is the culture of the facility regarding self-disclosure?
Q2) The 70-year-old client with terminal lung cancer tells the nurse,"I am dying because I sinned by smoking cigarettes." What is the nurse's best response to this dying client?
A)"You are correct,but it is too late to do anything about it now."
B)"When you started smoking cigarettes we didn't know about the problems they cause.It is not your fault."
C)"Why don't we call the hospital chaplain and you can pray about your sins."
D)"Smoking cigarettes isn't a sin.There are many worse habits you could have."
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Chapter 42: Stress and Coping
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Sample Questions
Q1) A client asks what changes can be made to dietary intake to reduce the effects of stress.What changes should the nurse encourage the client to make?
Standard Text: Select all that apply.
A)Reduce sugar intake.
B)Eliminate excess salt.
C)Reduce caffeine intake.
D)Avoid vitamin supplements.
E)Follow a low-fat eating plan.
Q2) A client diagnosed with a chronic illness tells the nurse that the spouse is not helping the client with household activities,which is causing stress.Which diagnosis should the nurse identify as being appropriate for the client at this time?
A)Defensive Coping
B)Disabled Family Coping
C)Compromised Family Coping
D)Ineffective Coping
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34
Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) A terminally ill client is demonstrating gurgling respirations.The nurse realizes that this client is
A)improving.
B)experiencing pain.
C)trying to talk.
D)nearing death.
Q2) The spouse of a deceased client is working through the stages of grief.If the nurse applies Martocchio's five clusters of grief to this situation,the spouse would progress through the clusters in which order?
Standard Text: Click and drag the options below to move them up or down.
A)Reorganization and restitution
B)Yearning and protest
C)Identification in bereavement
D)Shock and disbelief
E)Anguish,disorganization,and despair
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35
Chapter 44: Rest
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Sample Questions
Q1) The client who is bed-bound complains of abdominal pain.Bowel sounds are present.What action should be taken by the nurse?
A)Percuss for flatness over the liver.
B)Palpate for bladder fullness.
C)Use the p.r.n.order to medicate the client with an antacid.
D)Inspect the sacral area for edema.
Q2) The client has a history of postural hypotension.Which activities should the nurse advise this client as likely to cause postural hypotension?
Standard Text: Select all that apply.
A)Hot baths
B)Heavy meals
C)Use of a rocking chair
D)Moving in bed
E)Bending down to the floor
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36
Chapter 45: Activity and Exercise
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Sample Questions
Q1) The nurse is assessing a client in the intensive care unit who is asleep.What physiological changes will the nurse observe in this client?
Standard Text: Select all that apply.
A)Lower respiratory rate
B)Increased muscle tension
C)Increased lower extremity edema
D)Lower blood pressure
E)Lower heart rate
Q2) The client is being treated with a nasal continuous positive airway pressure device (CPAP)for sleep apnea.What finding indicates that this treatment has been helpful to the client?
A)The client has lost 7 pounds since treatment began.
B)The client sleeps so soundly that he snores.
C)The client's diabetes is now under control.
D)The client reports a decrease in morning headache.
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Chapter 46: Pain Management
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Sample Questions
Q1) A client is complaining of having the same type of pain that he experienced prior to being diagnosed with cancer.The nurse realizes that which process will influence this client's perception of pain?
A)Transmission
B)Modulation
C)Perception
D)Transduction
Q2) The nurse is caring for a client receiving pain medication through an epidural catheter.What should the nurse include to ensure safety when caring for this client?
Standard Text: Select all that apply.
A)Secure all tubing connections with gauze.
B)Apply tape over all injection ports on the tubing.
C)Cleanse the insertion site with alcohol swabs once a day.
D)Label the tubing,infusion bag,and pump with the word "epidural."
E)Post a sign above the client's bed indicating that an epidural is being used.
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Chapter 47: Nutrition
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Sample Questions
Q1) The nurse is planning interventions for a client to improve the appetite.What actions would be appropriate for this client?
Standard Text: Select all that apply.
A)Select small portions.
B)Avoid unpleasant treatments immediately before or after a meal.
C)Ensure a clean environment free of unpleasant sights and odors.
D)Encourage oral hygiene before a meal.
E)Provide medication for pain or other symptoms after a meal.
Q2) The nurse is planning instruction for a client who is underweight.What should be included in this teaching?
Standard Text: Select all that apply.
A)Discuss factors contributing to inadequate nutrition and weight loss.
B)Discuss ways to manage,minimize,or alter the factors contributing to malnourishment.
C)Discuss principles of a well-balanced diet and high- and low-calorie foods.
D)Provide information about community agencies that can assist in providing food.
E)Provide information about ways to increase calorie intake.
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Chapter 48: Urinary Elimination
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Sample Questions
Q1) A client is complaining of pain with urination.The nurse realizes that the client needs to be assessed for which health problems?
Standard Text: Select all that apply.
A)Urethral stricture
B)Renal failure
C)Urethral injury
D)Bladder injury
E)Urinary infection
Q2) The nurse realizes that which client is at risk for difficulty in urinary elimination?
A)A client who had bladder cancer and now has a newly created ileal conduit
B)A 25-year-old female client with low self-esteem
C)An 80-year-old male reporting frequent urination at night
D)The client with hypertension who takes a diuretic every day for blood pressure
Q3) Which nursing intervention is appropriate when caring for a client with a retention catheter?
A)Don sterile gloves.
B)Gently retract the labia majora away from the urinary meatus.
C)Observe urine in the drainage bag.
D)Retape the catheter to the thigh.
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Page 40
Chapter 49: Fecal Elimination
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Sample Questions
Q1) The nurse is discussing different types of ostomy appliances with a client with a new ostomy.During this discussion,the nurse should keep in mind that an ostomy appliance should
Standard Text: Select all that apply.
A)be changed daily.
B)protect the skin.
C)collect stool.
D)control odor.
E)be open,so the client can empty it sporadically throughout the day.
Q2) A hospitalized client tells the nurse of the inability to have a bowel movement because "too many people are around." What should the nurse do to promote normal fecal elimination for this client?
A)Provide a laxative.
B)Assist the client to the bathroom to ensure privacy.
C)Restrict fluids.
D)Assist the client with ambulation.
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Chapter 50: Oxygenation
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Sample Questions
Q1) A client who was a victim of a house fire is coughing.The nurse realizes that the purpose of the cough is to
A)improve oxygenation.
B)remove irritants from the nasal passages.
C)remove irritants from the trachea or bronchi.
D)close the glottis.
Q2) The nurse who is performing care for a client with a new tracheostomy needs to change the ties.What is the best method for changing these ties?
A)Remove the old ties,clean the area well,and then put on new ties.
B)Attach the new tape and tie with a square knot behind the client's neck.
C)Have an assistant hold the tracheostomy tube in place,remove the soiled ties,and replace the ties.
D)Remove the outer cannula,replace the soiled ties,and reinsert.
Q3) The nurse documents that a prescribed expectorant has been effective for a client.What did the nurse evaluate in this client?
A)Respiratory rate 24 and labored
B)Audible wheeze upon auscultation
C)High-pitched cough present
D)Presence of a productive cough
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Page 42
Chapter 51: Circulation
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Sample Questions
Q1) A client asks why sequential compression devices have been prescribed.How should the nurse respond to the client?
A)"They stimulate the blood return that would occur with walking."
B)"They prevent lymph drainage buildup in the tissues."
C)"They exercise the muscles of the leg."
D)"They are used instead of walking out of bed."
Q2) A client has a heart rate of 170 beats per minute.For what will the nurse assess next in this client?
A)Increased cardiac output
B)Increased preload
C)Decreased afterload
D)Decreased cardiac output
Q3) The nurse assessing a 1-day-old infant discovers the heart rate is 140 and irregular.What action should the nurse take?
A)Immediately contact the infant's physician.
B)Prepare to resuscitate the infant.
C)Note this normal finding in the infant's medical record.
D)Stimulate the infant gently.
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Chapter 52: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) The nurse is providing discharge instructions to a client who has been started on furosemide (Lasix)once daily.What information is essential to include in this information?
A)Take the medication at bedtime.
B)Avoid high-potassium foods.
C)Stand up slowly from a sitting position.
D)Do not take this medication on the days you take digitalis (Lanoxin).
Q2) The nurse initiates a blood transfusion for a client.What action should the nurse take next?
A)Stay with the client and closely observe him for the first 5 to 10 minutes of the transfusion.
B)Assign the UAP to sit with the client for 15 minutes.
C)Advise the client to notify the nurse if he experiences any chilling,nausea,flushing,or rapid heart rate.
D)Return to the room and take a set of vital signs in 15 minutes.
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