Nursing Concepts and Skills Exam Preparation Guide
Course Introduction
Nursing Concepts and Skills introduces students to the foundational principles and essential techniques required for effective nursing practice. The course covers core topics such as patient assessment, basic care procedures, infection control, communication, documentation, and safety measures. Students develop knowledge and hands-on proficiency in providing holistic care to individuals across the lifespan, emphasizing critical thinking, ethical considerations, and teamwork. Through a combination of lectures, demonstrations, and supervised clinical experiences, learners gain the confidence and skills necessary to deliver patient-centered care in diverse healthcare settings.
Recommended Textbook
Fundamentals of Nursing Active Learning for Collaborative Practice 1st Edition by Yoost
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42 Chapters
1050 Verified Questions
1050 Flashcards
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Page 2
Chapter 1: Nursing, Theory, and Professional Practice
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2176
Sample Questions
Q1) The nurse is caring for a patient who refuses two units of packed red blood cells. The nurse notifies the health care provider of the patient's decision. The nurse is acting in the role of the:
A) Manager.
B) Change agent.
C) Advocate.
D) Educator.
Answer: C
Q2) The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When hiring graduate nurses, the nurse manager realizes that they will probably not be considered "competent" until:
A) They graduate and pass NCLEX.
B) They have worked 2 to 3 years.
C) Their last year of nursing school.
D) They are actually hired.
Answer: B
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Chapter 2: Values, Beliefs, and Caring
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Sample Questions
Q1) Nurses must collaborate effectively with patients to find treatment methods that are congruent with the patients' belief systems and that promote healthy outcomes. This approach requires:
A) focusing on patient values only and disregard family desires in setting goals.
B) relying more and more on their scientific background.
C) listening carefully to how the patient's beliefs impact their health beliefs.
D) Understanding that the nurse's beliefs are the most important.
Answer: C
Q2) The nurse is caring for a patient scheduled for heart surgery. Which statement made by the patient requires further discussion?
A) "My friend died on the operating table several months ago."
B) "The surgeon has a great reputation in the community."
C) "I believe that this surgery is going to make me better."
D) "Yesterday I asked my pastor to visit me after the procedure."
Answer: A
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4
Chapter 3: Communication
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Sample Questions
Q1) A female patient is admitted to the emergency department after being raped by a neighbor. The patient refuses to discuss the circumstances surrounding the event with the sexual assault nurse examiner. This patient is most likely using the defense mechanism of:
A) suppression
B) sublimation
C) displacement
D) rationalization
Answer: A
Q2) The nurse is administering a bath to a hearing-impaired patient. The nurse should: (Select all that apply.)
A) speak very loudly into the patient's right ear.
B) control background noise as much as possible.
C) turn away when responding to a question.
D) adjust the lighting in the room.
E) be wary of consistent affirmative answers.
Answer: B, D, E
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Chapter 4: Critical Thinking in Nursing
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Sample Questions
Q1) The nursing student is admitting a patient with abdominal distention and severe nausea. The physician orders the insertion of a nasogastric tube. The student reviews the procedure, gathers the supplies, and tells the instructor, "I'm ready to begin." Which of the following critical thinking traits suggest that the student is prepared for the task?
A) Risk taking
B) Curiosity
C) Confidence
D) Perseverance
Q2) The nurse has received advanced orders for a patient that she is expecting to be admitted from the emergency room (ER). The patient's name is Mr. Herman Goldstein. Trying to get ahead on her task, the nurse changes the patient's diet from "Regular" to "Kosher." When the patient reaches the unit, the nurse discovers that the patient is Catholic even though his father is Jewish. The nurse is guilty of giving in to:
A) illogical thinking.
B) a bias.
C) closed-mindedness.
D) an erroneous assumption.
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Chapter 5: Introduction to the Nursing Process
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Sample Questions
Q1) All nursing interventions that are implemented for patients must be documented or charted. Proper documentation of interventions:
A) facilitates communication with all members of the health care team.
B) are only considered "legal" if documented in the paper chart.
C) leads to errors of omission and repetition of care.
D) does not directly measure goal achievement or outcomes.
Q2) Which of the following is a correctly written nursing diagnosis appropriate for a patient's plan of care?
A) Ineffective airway clearance related to excessive secretions as evidenced by diminished breath sounds.
B) Imbalanced nutrition: less than body requirements.
C) Impaired physical mobility related to contractures.
D) Risk for suffocation related to smoking in bed as evidenced by absent breath sounds.
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Chapter 6: Assessment
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Q1) An in-depth health history: (Select all that apply.)
A) includes demographic data.
B) lists the patient's allergies.
C) contains the family history of diseases.
D) explains the patient's health promotion practices.
E) is completed only once and can be recalled electronically.
Q2) A patient with moderate lower back pain tells the nurse, "My urine smells awful and is as dark as my glass of tea." Which action will assist in validating the patient's concern?
A) Ask the patient to describe the back pain.
B) Review the lab results of the most recent urinalysis.
C) Request the nursing assistant to obtain a set of vital signs.
D) Check the patient's history for urinary tract infections.
Q3) The wound care nurse is assessing a non-healing leg wound on a patient recently admitted for uncontrolled diabetes. The nurse organizes the data using Gordon's Functional Health Pattern of:
A) nutrition and metabolism.
B) activity and exercise.
C) sleep and rest.
D) elimination.
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Page 8
Chapter 7: Nursing Diagnosis
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Sample Questions
Q1) The nurse in an outpatient clinic obtains a blood pressure of 190/88 mm Hg on a patient diagnosed with high blood pressure. The patient tells the nurse, "My blood pressure medicine is really expensive. Do you think I really need it?" The nurse assumes the patient is not taking the medication based on the blood pressure result and the patient's statement and chooses noncompliance as a diagnostic label. The action by the nurse is an example of:
A) clustering unrelated data in the diagnostic statement.
B) selecting erroneous data for use in the diagnostic statement.
C) using medical diagnoses in the diagnostic statement.
D) identifying multiple problems within one diagnostic statement.
Q2) The nurse has requested an order to place a patient on suicide watch. Which data noted in the health assessment led the nurse to this conclusion? (Select all that apply.)
A) Threats of killing oneself
B) Chronic pain
C) History of prior suicide attempt
D) Loneliness
E) Stable heart rhythm
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Chapter 8: Planning
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Sample Questions
Q1) Which of the following is a correctly written example of a short-term goal?
A) By attending the gym, the patient will lose 50 lb in 1 year.
B) In 6 months, patient will be able to ambulate 1 mile without shortness of breath.
C) Patient will be able to change his colostomy bag within 6 weeks of surgery.
D) With diet and exercise, the patient will lose 1 lb this week.
Q2) The nurse has a thorough understanding of the planning phase of the nursing process when stating:
A) "Patients should be included in the planning process."
B) "Patient families should not interfere in the planning process."
C) "The planning process should focus on short-term goals only."
D) "Planning is the first phase of the nursing process."
Q3) Nursing interventions that originate from the physician or primary care provider orders are:
A) dependent
B) independent
C) collaborative
D) Nursing Interventions Classifications
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Chapter 9: Implementation and Evaluation
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Sample Questions
Q1) The nurse correctly identifies which one of the following referrals as an inappropriate nursing referral?
A) Music therapist
B) Community agencies
C) Adaptive care services
D) Dermatologist
Q2) The final phase of the nursing process is evaluation, which focuses on:
A) recording the care that was implemented.
B) medical and nursing goals for the welfare of the patient.
C) long-term goals only.
D) the patient responses to interventions and outcomes.
Q3) In implementing research-based interventions, the nurse realizes that:
A) implementation of evidence-based care is unique to the nursing profession.
B) evidence-based practice is based entirely in nursing research.
C) evidence-based care is focused on practices and not outcomes.
D) nurses must read recent literature and remain current in practice
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11
Chapter 10: Documentation, Electronic Health Records, and Reporting
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Sample Questions
Q1) If a verbal or phone order is necessary in an emergency, the order:
A) must be taken by an RN or LPN.
B) must be repeated verbatim to confirm accuracy.
C) documented as a written order.
D) does not need further verification by the provider.
Q2) The patient has fallen when trying to climb out of bed. The nurse:
A) needs to complete an incident report as a risk management document.
B) completes an incident report since it is a permanent part of the medical record.
C) must document that an incident report was completed in the medical record.
D) should say nothing about the incident in the medical record.
Q3) Expected nursing documentation includes: (Select all that apply.)
A) nursing assessment.
B) the care plan.
C) critique of the physician's care.
D) interventions.
E) patient responses to care.
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Chapter 11: Ethical and Legal Considerations
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29 Flashcards
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Sample Questions
Q1) Which of the following statements indicates an appropriate understanding by the student nurse (SN)?
A) "I will be held to the same ethical standards as professional nurses."
B) "I will not be held ethically accountable until I graduate."
C) "My nurse educators are responsible for my ethical standards."
D) "Ethics are not important as a student."
Q2) Starting an intravenous (IV) infusion line on a patient against his will may be classified as:
A) assault.
B) battery.
C) a felony.
D) a misdemeanor.
Q3) "First, do no harm" defines what ethical principle?
A) Beneficence
B) Justice
C) Fidelity
D) Nonmaleficence
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13
Chapter 12: Leadership and Management
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Sample Questions
Q1) A patient is found unresponsive and pulseless. The nurse begins cardiopulmonary resuscitation (CPR) and calls for help. When help arrives, the nurse should take on the role of:
A) autocratic leader.
B) democratic leader.
C) laissez-faire leader.
D) bureaucratic leader.
Q2) The manager of the intensive care unit is accepting an award for excellence and efficiency in the provision of patient care. The manager accepts the award for the unit and cites the contributions of her staff since, without their expertise and dedication, the award may not have been achieved. The manager is demonstrating the quality of:
A) dedication.
B) openness.
C) magnanimity.
D) creativity.
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14
Chapter 13: Evidence-Based Practice and Nursing Research
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Sample Questions
Q1) The acronym PICO assists in remembering the steps to constructing a good research question. The "O" in the acronym stands for:
A) objectivity.
B) ordinal approach.
C) outcome.
D) observer.
Q2) The nurse is preparing to conduct a research study and is interested in exploring the lived experiences of nurses responsible for approaching patients and family members about the donation of organs. This type of research would be considered:
A) grounded theory.
B) ethnography.
C) historical.
D) phenomenologic.
Q3) An institutional review board (IRB) is a review committee established to:
A) approve research involving animal subjects.
B) approve research that is not government funded.
C) function differently than scholarly journals do.
D) protect the rights of human research subjects.
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15
Chapter 14: Health Literacy and Patient Education
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Sample Questions
Q1) To teach effectively, nurses must recognize that:
A) age and socioeconomic status play a large role in understanding.
B) 90% of Americans possess rudimentary literary skills.
C) the ability to comprehend is a very new concept in health care.
D) most health care teaching is effective and understood.
Q2) The nurse must provide patient education to a patient who has just been told by the patient that he has stage III lung cancer. The patient is complaining of chest and bone discomfort. Before providing the needed education, the nurse should: (Select all that apply.)
A) draw the curtain in the semi-private room.
B) medicate the patient to ease his pain.
C) place the patient in a private room if possible.
D) perhaps wait until later in the day.
E) keep the room dark to provide solitude.
Q3) Ongoing evaluation of patient education occurs by:
A) each member of the health care team who provides teaching.
B) the nurse who evaluates the patient's physical abilities.
C) the patient stating that he understands the instruction.
D) not allowing review so the focus remains forward.
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Page 16
Chapter 15: Nursing Informatics
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Computerized provider order entry (CPOE):
A) allows orders to be communicated to the appropriate department.
B) creates an intermediary for order transcription.
C) slows documentation and provider communication.
D) may lead to increased ordering and transcription errors.
Q2) Patients frequently seek sources for health information online, and nurses, as advocates, need to be prepared to help patients evaluate online sources. To do this, the nurse asks who sponsors the site, is the author listed, and the author's credentials. The nurse is evaluating what?
A) Purpose
B) Coverage
C) Currency
D) Authority
Q3) One classification system for nursing informatics competencies uses technical, utility, and leadership categories. Leadership competencies involve:
A) maintaining privacy and confidentiality.
B) using computers and other technological equipment.
C) using a variety of software programs.
D) addressing critical thinking applications.
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Page 17
Chapter 16: Health and Wellness
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Sample Questions
Q1) A patient is diagnosed with pneumonia after an abrupt onset of fever, cough, and malaise. The patient is started on antibiotic therapy and is expected to improve in 2 to 3 weeks. The nurse correctly identifies this illness as:
A) acute.
B) chronic.
C) remission.
D) exacerbation.
Q2) The nurse correctly recognizes which one of the following illnesses to trigger the broadest range of emotional and behavioral responses?
A) Ear infection
B) Mild concussion
C) Rheumatoid arthritis
D) Influenza
Q3) When caring for patients with chronic illness, the nurse needs to:
A) help the patient face the reality that he will not get better.
B) emphasize to the patient that the illness is not his fault.
C) emphasize improving quality of life through preventive behaviors.
D) acknowledge the limitations placed on the patient by his suffering.
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18
Chapter 17: Human Development: Conception through Adolescence
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Sample Questions
Q1) A high-school nurse is planning an educational presentation for juniors. What activities are most appropriate for the nurse plan to include? (Select all that apply.)
A) Video showing the aftermath of a drunk driving car crash
B) Confidential depression and suicide risk assessment
C) Same-age speaker sharing her story about the impact of HIV disease
D) Charts and graphs showing the physical changes of puberty
E) Bicycle helmet fitting station to see if child has outgrown the helmet
Q2) A preschool-aged child got into the cookie jar and ate several cookies before dinner. When confronted by the parent, the child responds, "My pet horse ate them." What does the nurse teach the parents about this response?
A) It is normal for children to have imaginary friends at this age.
B) This vivid imagination will lead the child to misbehave later on.
C) Lying is disobedient and should be punished consistently.
D) The child is obviously afraid of the parents' response.
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Chapter 18: Human Development Young Adult to Older Adult
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Sample Questions
Q1) A young adult asks the nurse why she should participate in health screening and educational events. What response by the nurse is best?
A) "Your choices now affect your future health."
B) "It's free and full of good information."
C) "Wouldn't you want to know if you had a problem?"
D) "You can change bad habits now if you know about them."
Q2) A young nursing student is assessing an older patient. The nurse questions whether or not to take a sexual history. What response by the faculty is best?
A) Since procreation is not an issue, you do not need to discuss this.
B) Only discuss this topic if you are comfortable in doing so.
C) Ask the patient if he or she wants to talk about sexuality.
D) Sexuality is a basic human need and needs to be assessed.
Q3) The nurse working with older adults encourages them to stay healthy. What instruction by the nurse takes priority?
A) Eat at least seven servings of produce a day.
B) Get at least 8 hours of sleep a night.
C) Get some exercise at least most days of the week.
D) Stay away from people who are ill.
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Chapter 19: Vital Signs
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Sample Questions
Q1) The nursing student learns that the purpose of measuring vital signs includes which rationale? (Select all that apply.)
A) Monitor body systems functioning.
B) Identify early signs of problems.
C) Evaluate effectiveness of interventions.
D) Determine if a cure has been obtained.
E) Provide a baseline to compare against.
Q2) A nurse is caring for a patient who has orthopnea. What action by the nurse is most appropriate?
A) Encourage deep breathing and coughing.
B) Medicate the patient for pain as needed.
C) Keep the head of the bed elevated.
D) Monitor the length of time the patient doesn't breathe.
Q3) The nurse understands that which factors can increase blood pressure? (Select all that apply.)
A) Head injury
B) Decreased fluid volume
C) Increasing age
D) Recent food intake
E) Pain
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Chapter 20: Health History and Physical Assessment
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Q1) A nurse is conducting a physical assessment in a clinic with a partly undressed patient. What action by the nurse is most appropriate?
A) Offer the patient a small pillow for under his/her head.
B) Provide a method for ensuring the patient stays warm.
C) Raise the head of the bed to about 30 degrees.
D) Ensure there is enough lighting for an adequate examination.
Q2) A nurse is educating women on breast cancer risk reduction. What topics does the nurse include in the presentation? (Select all that apply.)
A) Exercise
B) Limiting alcohol
C) Low-fat diet
D) Breast self exams
E) Milk intake
Q3) A nurse has conducted an Allen's test on a patient and the result was 8 seconds. What action by the nurse is best?
A) Document the findings and continue the assessment.
B) Notify the health care provider immediately.
C) Elevate the patient's arm above the level of the heart.
D) Assess the patient for other signs of circulatory problems.
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Page 22
Chapter 21: Ethnicity and Cultural Assessment
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Sample Questions
Q1) What does the nursing student learn about race?
A) It is biologically based.
B) It is a social construct.
C) It is chosen by the person.
D) It helps establish superiority.
Q2) A patient refuses to take his blood pressure medication because "I feel totally fine and don't need it." What action by the nurse is best?
A) Assess the patient's time orientation.
B) Document the patient's non-compliance.
C) Educate the patient about the medication.
D) Warn the patient about possible complications.
Q3) A faculty member is contrasting culture and ethnicity to students. Which statement is most accurate?
A) Culture is biologically determined; ethnicity is chosen.
B) Culture is socially transmitted; ethnicity is identification with a group.
C) Culture is a chosen identity whereas ethnicity is biologically based.
D) Culture and ethnicity are similar constructs used interchangeably.
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Chapter 22: Spiritual Health
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Q1) The student nurse asks why he needs to assess a patient's spirituality when he can call the chaplain. What response by the nurse is best?
A) "This way you learn what is involved in a spiritual assessment."
B) "Students need to perform all aspects of patient care."
C) "Regulatory organizations list this as a required BSN competence."
D) "All patients should have a spirituality assessment."
Q2) When does the nurse assess patients' spirituality? (Select all that apply.)
A) Upon admission
B) New diagnosis
C) Life-changing diagnosis
D) When the chaplain makes rounds
E) When facing treatment decisions
Q3) The nurse who incorporates the HOPE framework assesses a Native-American patient for which of the following? (Select all that apply.)
A) Desire for shaman to be present
B) Personal use of herbs and prayers
C) Desire to create a living will
D) Power of storytelling for healing
E) Involvement in church activities
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Page 24
Chapter 23: Public Health, Community Base, and Home
Health Care
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Q1) A nurse is completing an OASIS assessment on a patient. What data would be most important for the nurse to assess?
A) Presence of grocery stores nearby
B) Safety concerns within the home
C) Number and kind of pets
D) Proximity to a health care facility
Q2) The public health nurse volunteers for a missionary group caring for Ebola patients in Africa. The nurse is reviewing the data using analytic epidemiology methods. What information does the nurse collect as the priority?
A) Cultural norms in burial practices
B) Genetic variables in disease acquisition
C) Statistics related to incidence and prevalence
D) Autopsy data on direct cause of death
Q3) A community was devastated by a tornado several months ago. What nursing diagnosis would be most appropriate for the nurse to consider?
A) Social isolation
B) Deficient community resources
C) Ineffective community coping
D) Deficient community health
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Chapter 24: Human Sexuality
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Sample Questions
Q1) The nurse learns that spermatozoa are produced in which sexual organ?
A) Scrotum
B) Testes
C) Glans
D) Prostate
Q2) A nurse is working with a patient after the patient had a heart attack and is using the PLISSIT model to address sexuality needs. For the SS phase, what action by the nurse is best?
A) Ask the patient if he wants to discuss sexuality.
B) Teach the patient positions that require less stress.
C) Offer the patient a referral to a sex therapist.
D) Direct the patient to speak with the doctor about sex.
Q3) The nurse has assessed a patient and determined that the patient has a sexual issue that needs to be addressed. What actions by the nurse are most appropriate?
(Select all that apply.)
A) Use information from multiple sources to help plan care.
B) Collaborate with other health professionals to develop the plan.
C) Involve the patient and significant other in the process.
D) Use standard care plans to limit patient embarrassment.
E) Examine one's own biases before implementing the plan.
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Chapter 25: Safety
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Q1) Which collaborative team member would be most effective in assisting the nurse to identify medication alternatives that are less likely to cause drowsiness and dizziness to reduce the risk of falls in the elderly patient?
A) Nursing house manager
B) Charge nurse
C) Physical therapist
D) Pharmacist
Q2) The nurse is visiting a patient with cardiac disease who has been experiencing increased episodes of shortness of breath when she tries to exercise. The nurse is concerned that her decrease in activity may lead to:
A) orthostatic hypotension.
B) increase risk of heart disease.
C) loss of short-term memory.
D) worsening shortness of breath.
Q3) The nurse knows that which of the following is not used to assess fall risk?
A) Glasgow Falls Scale
B) Johns Hopkins Hospital Fall Assessment Tool
C) Morse Fall Scale
D) Hendrich II Fall Risk Model
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Page 27
Chapter 26: Asepsis and Infection Control
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Sample Questions
Q1) The patient is on protective precautions. Which is true regarding these precautions? (Select all that apply.)
A) A positive-pressure room with a HEPA filtration system is required.
B) Special respirator masks should be available and one size fits all.
C) No live plants are allowed in the room.
D) The patient may eat any foods desired.
Q2) The nurse has placed her sterile gloved hands below her waist. Her hands are now considered:
A) sterile.
B) aseptic.
C) non-sterile.
D) free of disease-causing organisms.
Q3) The nurse administers an immunization consisting of antibodies against hepatitis B. The nurse knows this is a form of what type of immunity?
A) Naturally acquired passive
B) Naturally acquired active
C) Artificially acquired passive
D) Innate
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Chapter 27: Hygiene and Personal Care
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Sample Questions
Q1) The nurse is demonstrating cultural sensitivity in performing perineal care when he/she does the following: (Select all that apply.)
A) The male nurse delegates perineal care of a female patient to the female UAP.
B) The male nurse asks a female patient if she would prefer a female to perform care.
C) The nurse approaches the care in a sensitive, professional manner.
D) The nurse assesses cultural preferences of the patient prior to care.
Q2) The nurse knows that which areas are at increased risk of excoriation? (Select all that apply.)
A) Exposed areas such as the face
B) Areas exposed to stool
C) Skin on skin areas
D) Area under pendulous breasts
Q3) The nurse is assisting a patient to insert contacts and a contact is dropped. What action should occur next?
A) Moisten the finger with lens solution and gently touch it to pick it up.
B) Moisten the contact lens with tap water and pick it up.
C) Pick it up and insert the contact lens.
D) Discard the contact lens.
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Chapter 28: Activity, Immobility, and Safe Movement
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Sample Questions
Q1) The nurse is teaching a patient about ways to decrease her risk of bone fractures. The following statements by the patient indicate a good understanding. (Select all that apply.)
A) "I should do weight-bearing exercises."
B) "I should get adequate intake of calcium and vitamin D."
C) "I should exercise regularly."
D) "I need to do yoga exercises."
Q2) The nurse knows active assistive range of motion is:
A) when the patient is able to independently move all joints.
B) when the patient is able to partially move all joints.
C) when the caregiver must move the patient's joints.
D) when the patient is performing isotonic exercises.
Q3) The nurse is preparing to reposition the patient in bed. What is the first step in this process?
A) Position the patient's arms across his/her chest.
B) Lower the side rails.
C) Grasp the draw sheet.
D) Raise the bed to a working height.
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Chapter 29: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse knows that the following factors contribute to the development of wounds and lead to delays in wound healing: (Select all that apply.)
A) A patient who has diabetes
B) A patient with COPD on long-term steroid therapy
C) A patient with on bed rest who is repositioned
D) A patient who is obese and sweats excessively
E) None of the above
Q2) The nurse is caring for a postoperative patient who has had abdominal surgery and whose wound has completely eviscerated when she walks into the room. In addition to notifying the physician, what should the nurse do?
A) Cover the wound with a sterile gauze pad.
B) Cover the wound with a transparent dressing.
C) Put pressure on the wound with a sterile gauze pad.
D) Cover the wound with gauze soaked with normal saline.
Q3) The nurse knows the following wound would be classified as a closed wound:
A) A large bruise on the side of the face
B) A surgical incision that is sutured closed
C) A puncture wound that is healing
D) An abrasion on the leg
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Page 31
Chapter 30: Nutrition
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Sample Questions
Q1) The nurse is explaining to the UAP that the patient is on a full-liquid diet. Which statement by the UAP indicates a need for reorientation?
A) "I can give the patient orange juice."
B) "I can give the patient yogurt."
C) "I can give the patient oatmeal."
D) "I can give the patient milk."
Q2) The nurse is educating her patient about who has just been placed on a renal diet. Which statement by the patient indicates a need for further education?
A) "I need to eat a low-sodium diet."
B) "I can have limited amounts of meat."
C) "I can drink unlimited cola if it is diet."
D) "I should avoid or limit bananas."
Q3) The nurse knows that patients should consume the following amounts of fiber every day:
A) 25-35 g
B) 20-35 g
C) 25-40 g
D) 20-40 g
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Chapter 31: Cognitive and Sensory Alterations
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Q1) The nurse is caring for a patient who suffered a stroke on the right side of the brain. The nurse is careful to implement what safety measures? (Select all that apply.)
A) "Make sure to put a picture board in the room to communicate with the patient."
B) "Place the call light on the patient's left side."
C) "Leave on a light in the bathroom at night for good visibility."
D) "Place the call light on the patient's right side."
E) "Make sure there are no trip hazards in the patient's room."
Q2) The nurse is educating the family of a patient in the intensive care unit about the patient's cognitive status, including her current problem of delirium. Which statement by the family indicates a need for further education?
A) "The delirium can be caused by sensory overload."
B) "The delirium is reversible."
C) "The delirium is a mood disorder."
D) "The delirium is a state of confusion."
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33
Chapter 32: Stress and Coping
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Q1) The nurse is educating the patient about alternative therapies. Which statement by the patient indicates a need for more information?
A) Alternative therapies can include relaxation techniques.
B) Alternative therapies are used in conjunction with medical therapies.
C) Alternative therapies can be used when patients are experiencing stress.
D) Some alternative therapists require certification.
Q2) The nurse is measuring her patient's blood glucose levels after an acute myocardial infarction (MI). She knows the rationale for doing this is:
A) damaged muscle tissue releases glucose.
B) corticosteroids increase glucose.
C) myocardial infarctions are often seen in diabetics.
D) all patients should have their blood glucose checked.
Q3) The nurse knows that childhood stress related to the school experience centers on: (Select all that apply.)
A) goal achievement.
B) family dissolution.
C) life changes.
D) test anxiety.
E) competition.
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Page 34
Chapter 33: Sleep
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Sample Questions
Q1) The nurse knows that cataplexy includes:
A) an uncontrolled desire to sleep.
B) falling asleep for several minutes.
C) loss of voluntary muscle tone.
D) a sleep cycle that begins with NREM.
Q2) The nurse is performing an assessment of the patient's sleep patterns. Which question will elicit the best response?
A) "Do you feel rested when you awaken?"
B) "What is your normal eating pattern?"
C) "Do you awaken during the night?"
D) "Do you drink beverages with caffeine?"
Q3) The nurse knows that with the onset of darkness and in preparation for sleep:
A) cortisol levels peak.
B) cortisol levels increase.
C) core body temperature increases.
D) melatonin levels increase.
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Chapter 34: Diagnostic Testing
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Q1) The nurse is caring for a patient who has been having abdominal pain. The doctor suspects that the patient may have an abdominal aortic aneurysm. Which tests would confirm the doctor's suspicion? (Select all that apply.)
A) Magnetic resonance imaging (MRI) scan
B) Needle aspiration with biopsy
C) Fiberoptic endoscopy
D) Computed tomography (CT) scan
E) Flexible sigmoidoscopy
F) Thoracentesis
Q2) The nurse is caring for a woman who has a cyst in her breast that was found at her recent mammogram. The physician wants to make sure that the cyst is not malignant. Which test will be used to determine this?
A) Needle aspiration with biopsy
B) Paracentesis
C) Thoracentesis
D) Fiberoptic endoscopy
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Chapter 35: Medication Administration
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Q1) The nurse carefully reviews the patient's medication list. Which observation about the list indicates the highest risk for serious drug-drug interactions?
A) The patient has been taking the same medications for a long time.
B) The patient is taking a large number of medications.
C) Most of the drugs on the list are prescribed at high doses.
D) The patient takes oral, injected, and inhaled medications.
Q2) The nurse administers a medication to the patient. Which symptoms indicate that the patient is having an allergic reaction rather than a side effect?
A) Hair loss and sweaty skin
B) Nausea and constipation
C) Heartburn and nasty taste in the mouth
D) Itchy rash and difficulty breathing
Q3) Which of the following medication orders is to be administered PRN?
A) Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep
B) Prednisone 10 mg PO today, then taper down 1 mg each day for the next 10 days
C) Humulin R 10 units subcutaneously before each meal and at bedtime
D) Kefzol (Ancef) 1 g IVPB 30 minutes prior to surgery
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Page 37
Chapter 36: Pain Management
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Questions
Q1) The nurse is caring for a diabetic patient who has painful neuropathy in her feet. The patient asks why the nurse is administering gabapentin (Neurontin) when she does not have a history of seizure disorder. What is the nurse's best response?
A) "Neurontin will help you sleep at night so you can deal with the pain more effectively."
B) "Long-term diabetes can put patients at risk for certain type of seizures."
C) "Neurontin can help relieve your anxiety from being admitted to the hospital."
D) "Neurontin works on the nervous system to help relieve the burning pain in your feet."
Q2) The nurse is checking on the patient after administering pain medication 30 minutes previously. Which assessment finding best indicates to the nurse that the pain medication was effective?
A) The patient is sleeping quietly.
B) The patient states that she has no pain.
C) The patient's respirations are slow and regular.
D) The patient's blood pressure has returned to baseline.
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Chapter 37: Perioperative Nursing Care
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Sample Questions
Q1) The nurse is caring for a patient who has a family history of reactions to general anesthesia. Which medication will the anesthesiologist have ready as a precautionary measure before the patient's surgery is started?
A) Protamine sulfate
B) Dantrolene sodium (Dantrium)
C) Activated charcoal with sorbitol
D) Folinic acid (Leucovorin)
Q2) The nurse is caring for a patient who has just been brought to the postoperative unit following major surgery. The patient has many tubes and monitors in place. Which will the nurse assess first?
A) The patient's intravenous lines
B) The patient's urinary catheter
C) The patient's nasogastric tube
D) The patient's endotracheal tube
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Chapter 38: Oxygenation and Tissue Perfusion
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Sample Questions
Q1) The nurse is caring for a patient who has just had a massive myocardial infarction. Which is the priority nursing diagnosis for this patient?
A) Impaired comfort r/t noisy ICU environment and need for frequent monitoring
B) Interrupted family processes r/t hospitalization of primary wage earner
C) Readiness for enhanced knowledge r/t cardiac rehabilitation options
D) Decreased cardiac output r/t weakened cardiac muscle and irregular heartbeat
Q2) The nurse is caring for a postoperative patient who has just been diagnosed with a deep vein thrombosis (DVT) in the right leg. Which focused assessment question has the highest priority for this patient?
A) "Do you have a headache or any dizziness?"
B) "Do you have any chest pain or shortness of breath?"
C) "When did you first notice the swelling and redness in your leg?"
D) "Do you have any cramping or muscle spasms in your leg?"
Q3) The nurse is caring for a patient who is hospitalized for pneumonia. Which nursing diagnosis has the highest priority?
A) Activity intolerance r/t generalized weakness and hypoxemia
B) Imbalanced nutrition r/t poor appetite and increased metabolic needs
C) Ineffective airway clearance r/t thick secretions in trachea and bronchi
D) Knowledge deficit r/t use of nebulizer and inhaled bronchodilators
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Page 40
Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
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Q1) The nurse is caring for a patient who has a history of congestive heart failure. The nurse includes the diagnosis fluid volume excess in the patient's care plan. Which goal statement has the highest priority for the patient and nurse?
A) The patient's lung sounds will remain clear.
B) The patient will have urine output of at least 30 mL/hr.
C) The patient will verbalize understanding of fluid restrictions.
D) The patient's pitting pedal edema will resolve within 72 hours.
Q2) The nurse is caring for a patient with a history of hyperparathyroidism who presents with a serum calcium level of 14.5 mg/dL. What is the highest priority nursing diagnosis for this patient?
A) Risk for injury related to weakened bones that may easily fracture
B) Deficient knowledge related to need for supplemental calcium in diet
C) Risk for constipation caused by decreased gastrointestinal motility
D) Activity intolerance related to muscle cramping and spasms
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Chapter 40: Bowel Elimination
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Sample Questions
Q1) The nurse is caring for a postoperative patient who underwent bowel resection surgery that morning. The nurse assesses the patient's abdomen and notes that there are hypoactive bowel sounds. The patient is resting quietly without nausea or vomiting. What is the appropriate action of the nurse?
A) Keep the patient NPO and document the findings in the chart.
B) Administer a laxative suppository to stimulate peristalsis.
C) Insert a Salem sump nasogastric tube to low continuous suction.
D) Notify the surgeon and prepare the patient to return to surgery.
Q2) The nurse is caring for a patient who had a colonoscopy earlier that day. The patient states that he still feels very bloated after the procedure. What is the best action of the nurse?
A) Assist the patient to ambulate in the hall.
B) Insert a rectal tube to remove retained flatus.
C) Administer an enema to stimulate peristalsis.
D) Encourage oral intake of fluids and high-fiber foods.
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42
Chapter 41: Urinary Elimination
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Sample Questions
Q1) The nurse is caring for a patient who is recovering from septic shock. While in the ICU, the patient developed renal failure. Which type of renal failure did the patient most likely develop?
A) Prerenal
B) Renal
C) Post-renal
D) Mixed
Q2) The nurse is caring for a patient who has urinary frequency. Which nursing diagnosis is the highest priority for this patient?
A) Risk for compromised human dignity r/t occasional incontinence
B) Risk-prone health behavior r/t living alone at home with nocturia
C) Risk for contamination r/t urine contact with perineal area skin
D) Risk for falls r/t hurried trips to the bathroom during the day and night
Q3) The nurse is caring for a patient who recently underwent ileal conduit surgery. Which nursing diagnosis is the highest priority for this patient?
A) Ineffective sexuality pattern related to changed body structure
B) Social isolation related to potential for accidental leakage of urine
C) Knowledge deficit related to care and maintenance of ostomy appliance
D) Disturbed body image related to presence of stoma and appliance
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Page 43
Chapter 42: Death and Loss
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Q1) The nurse is caring for a patient who has just died. Which assessment findings by the physician and nurse are used to confirm that death has occurred? (Select all that apply.)
A) The patient was incontinent of bowel and bladder.
B) The patient's pupils are fixed and dilated.
C) The physician does not hear a heartbeat.
D) The patient's extremities are cool and mottled.
E) The patient has no palpable peripheral pulses.
F) The patient's face is relaxed and the mouth is open.
Q2) The hospice nurse is caring for a terminally ill patient. The patient's son is distraught because the patient will probably die within the next few days and there is nothing he can do about it. What is the most appropriate nursing diagnosis for the patient's son at this time?
A) Chronic sorrow r/t impending death of mother
B) Impaired religiosity r/t difficulty adhering to religious beliefs
C) Powerlessness r/t progression of mother's terminal illness
D) Complicated grieving r/t desired avoidance of mourning
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