Nursing Concepts and Skills Exam Review
Course Introduction
Nursing Concepts and Skills introduces students to the foundational theories, principles, and hands-on techniques essential for professional nursing practice. The course emphasizes critical thinking, patient-centered care, and the development of core competencies such as communication, assessment, and basic clinical procedures. Through a combination of classroom instruction, simulations, and supervised laboratory experiences, students gain the knowledge and confidence needed to perform fundamental nursing interventions, ensure patient safety, and collaborate effectively within healthcare teams.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman
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52 Chapters
1464 Verified Questions
1464 Flashcards
Source URL: https://quizplus.com/study-set/3958
Page 2
Chapter 1: Historical and Contemporary Nursing Practice
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/79320
Sample Questions
Q1) The nurse is reviewing public health and health promotion roles for available for nurses.To which leader should the nurse attribute the development of these roles?
A)Clara Barton
B)Lillian Wald
C)Mary Brewster
D)Florence Nightingale
Answer: D
Q2) The student nurse is reviewing the code of ethics prior to beginning a clinical assignment.On what areas should the nurse focus when providing client care?
(Select all that apply)
A)Support lifelong learning.
B)Ensure the safety of all clients.
C)Maintain client confidentiality.
D)Provide care in a professional manner.
E)Collaborate with students and faculty.
Answer: B,C,D
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Chapter 2: Evidence-Based Practice and Research in Nursing
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A nursing instructor is researching the implementation of assigning study guides for homework points and the effect this has on the students' test grades.The instructor reports group data for published research.Which research right did the instructor implement?
A)Right of full disclosure
B)Right of privacy
C)Right of self-determination
D)Risk of harm
Answer: B
Q2) The student nurse is examining the dispersion of data in a research study.Which measurements should this student expect to review?
A)Mean,median,and mode
B)Range,variance,and standard deviation
C)Mean,range,and standard deviation
D)Measures of central tendency
Answer: B
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Chapter 3: Nursing Theories and Conceptual Frameworks
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse struggling with a demanding client focuses on experiencing a sense of true empathy for the client's situation.Which assumption of Parse's human becoming theory is the nurse using?
A)Meaning
B)Rhythmicity
C)Intersubjectivity
D)Cotranscendence
Answer: D
Q2) Grounding nursing research in theories from other disciplines is argued to be undesirable by some scholars.What should the nurse identify as reasons why grounding theory is not desired?
(Select all that apply)
A)It detracts from developing nursing as a separate discipline.
B)It makes nursing less relevant.
C)It helps bring a broader perspective and insight to nursing.
D)Other disciplines are not unique to the human condition.
E)Other disciplines get the benefit of nursing's research.
Answer: A,B,E
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5
Chapter 4: Legal Aspects of Nursing
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse is caring for a client in the emergency department (ED)who was brought in by her adult child for vague,flu-like symptoms.While helping the client to change into a gown,the nurse notices numerous bruises on the client's back and arms.When ed,the client is distracted and ambiguous with her answers.Which action should the nurse take?
A)Report the situation to law enforcement.
B)Report the situation to social services.
C)Question the adult child who brought the client to the ED.
D)File a written report in the client's chart.
Q2) The nurse manager learns that vital signs delegated to unlicensed assistive personnel (UAP)were not recorded accurately.With which care provider should the manager discuss this finding?
A)The UAP
B)The nurse
C)Both the UAP and the nurse
D)The team leader
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Chapter 5: Values, Ethics, and Advocacy
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse is reviewing the ANA (American Nurses Association)Code of Ethics for Nurses.What should the nurse identify as a characteristic of this code?
A)It is a formal statement.
B)It contains the same standards as legal standards.
C)It is shared by group members.
D)It reflects legal judgments.
E)It serves as a standard for professional actions.
Q2) A nurse is working with a local agency to provide care to the inadequately insured by helping to staff an after-hours clinic.Which professional value is the nurse demonstrating?
A)Human dignity
B)Altruism
C)Social justice
D)Integrity
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Chapter 6: Health Care Delivery Systems
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse is interviewing a client at a clinic near a shelter for the homeless.Understanding the increased risk a poor physical environment creates for this client,on what should the nurse focus during the intake phase of the interview?
A)Lack of social support
B)Recent history of chills and body aches
C)Improper nutrition
D)Few personal resources
Q2) The manager of a small clinic has cross-trained the nurses to provide basic nursing care,and perform ECG testing,phlebotomy,and some respiratory therapy interventions.Which type of care delivery model has the manager implemented?
A)Managed care
B)Case management
C)Patient-focused care
D)Critical pathways
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Chapter 7: Community Nursing and Care Continuity
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) While completing a community assessment,the nurse needs to learn the location of main health facilities and the number of who receive welfare.Where should the nurse access this information?
A)Police department
B)City health planning board
C)County health department
D)State census data
Q2) The community health nurse is identifying approaches to support a community's health care needs.Which programs should the nurse select to support community-based health care?
(Select all that apply)
A)Smoking cessation classes
B)Personal safety classes for women
C)Blood pressure measurement clinic
D)Outpatient clinic for minor ailments
E)Allergy injection clinic on weekends
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Chapter 8: Home Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse would like to admit a client to home health care,but is worried about insurance reimbursement.What client action is causing the nurse to if home care can be prescribed for this client?
A)Lives with a spouse
B)Needs skilled care
C)Needs intermittent care
D)Drives a car for trips to the barber
Q2) The nurse is concerned that the spouse of a home care client with multiple sclerosis is experiencing caregiver role strain.What did the nurse observe to come to this conclusion?
A)The home appears cluttered.
B)The spouse expresses feelings of anger.
C)The spouse reports decreased energy.
D)The spouse reports that she is learning how to manage finances.
E)The client asks when the nurse will return for the next visit.
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Chapter 9: Electronic Health Records and Information Technology
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A nurse manager is responsible for scheduling the staff of all units in a critical care hospital.Which program should the manager use for computerized scheduling?
A)Database
B)Word processing
C)Graphics program
D)Spreadsheet
Q2) A small nursing program has limited access to clinical sites,especially those with specialty areas.What should the nurse educators consider as an option to allow students "hands-on" simulated clinical experience in these areas?
A)A field trip to a larger nursing institution
B)Videos
C)CAI
D)Workbook with written study guides
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11
Chapter 10: Critical Thinking and Clinical Reasoning
Preview As Pdf
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A client with unstable cardiac dysrhythmias has orders for medications,one of which is by oral route,the other by IV delivery.The nurse realizes that the IV route would be fastest,but is also concerned about the side effects that this drug may produce and the fact that the client has never taken the drug,so any adverse effect is unknown.Which part of the decision-making process is the nurse using?
A)Identify the purpose
B)Seek alternatives
C)Project
D)Implement
Q2) While caring for a client of a different culture,the nurse becomes disturbed when the client's spouse makes all the decisions about care and treatments.What behavior is this nurse demonstrating?
A)Inference
B)Judgment
C)Opinion
D)Evaluation
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Chapter 11: Assessing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is conducting an interview with a new client.Which actions indicate that the nurse is implementing effective communication guidelines?
(Select all that apply)
A)Looking directly at the client to ensure good eye contact
B)Managing the conversation to avoid periods of silence
C)Providing personal experiences to help the client focus
D)Sitting in a chair next to the client who is in bed
E)Keeping arms unfolded and in a relaxed position
Q2) A new client has been admitted to the care area.How soon should the nurse plan to complete a physical assessment on this patient?
A)1 hour
B)12 hours
C)48 hours
D)24 hours
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Chapter 12: Diagnosing
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse formulates nursing diagnoses for a client with chronic renal failure.Which statements indicate the nurse appropriately used a two-part format?
(Select all that apply)
A)Pruritis related to toxin build-up in the blood
B)Hypertension related to fluid volume overload
C)Deficient fluid volume related to fluid restriction
D)Personal care challenges related to fistula in left arm
E)Acute confusion related to delayed hemodialysis treatment
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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14
Chapter 13: Planning
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A client is admitted to a comprehensive rehabilitation center for continuing care following a motor vehicle crash.The admitting nurse will develop the initial plan of care,but who will be involved with the ongoing planning of this client's care?
A)The admitting nurse
B)All nurses who work with the client
C)Everybody involved in this client's care
D)The client and the client's support system
Q2) The nurse is reviewing a client's plan of care.Which statements indicate that this care plan has been completed accurately and appropriately?
(Select all that apply)
A)Ineffective coping related to drug abuse as evidenced by drug overdose.
B)The client will identify two healthy coping mechanisms by time of discharge.
C)The client has identified two health coping mechanisms to replace inappropriate drug use.
D)The client will be provided with guidance in identifying healthy coping mechanisms.
E)The client has apologized to his family for drug abuse behaviors.
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Chapter 14: Implementing and Evaluating
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is providing care to an assigned client.Which action indicates that the nurse supports the client's respect for dignity?
A)Allowing the client to complete hygienic care when possible
B)Providing all care to the client whenever possible
C)Telling the other staff that the client is demanding,so they are able to meet the client's needs
D)Presenting information to the client's family about the client's condition
Q2) A client has the goal statement "Client will have clear lung sounds bilaterally within 3 days." One intervention to meet this goal is for the nurse to teach the client to cough and deep breathe and have the client do this several times every 2 hours.At the end of the third day,the client's lungs are indeed clear.What should the nurse do to relate the intervention to the outcome?
A)Ask how many times per day the client practiced the coughing and deep breathing exercises.
B)Tell the client that the lungs are clear.
C)Document the assessment findings to show the effectiveness of the intervention.
D)Write this evaluation statement: Goal met,lung sounds clear by third day.
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Page 16
Chapter 15: Documenting and Reporting
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is teaching medication administration to a client being discharged.Which instruction should the nurse rewrite for this client?
A)Lasix,20 mg,po bid
B)Lasix,20 mg tablet,twice daily
C)Lasix,20 mg by mouth,two times a day a day
D)Lasix,20 mg by mouth 8 AM and 2 PM
Q2) 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
Q3) A client has specific cultural needs that affect the plan of care.In which part of the client's problem-oriented medical record should the nurse document this information?
A)Database
B)Problem list
C)Plan of care
D)Progress notes
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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 has had a severe brain injury and has been in a rehabilitation hospital for several months.Recently,the client developed pneumonia and is currently on intravenous antibiotic therapy.Which level of prevention should the nurse use to address the health problem of pneumonia?
A)Primary
B)Secondary
C)Tertiary
D)Acute
Q2) A client has been working hard in rehabilitation following a traumatic brain injury.She has a weak support system in that her family lives a far distance away and her coworkers are not involved.On which behavior-specific cognitions should the nurse focus to assist this client with success in the rehabilitation program?
A)Situational influences
B)Perceived benefits of action
C)Perceived barriers to action
D)Interpersonal influences
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18
Chapter 17: Health, Wellness, and Illness
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A nurse has volunteered to go on a health mission to rural Haiti,where the majority of the people do not have access to health care and live in poverty.According to Dunn's high-level wellness grid,the nurse will be working with clients in which quadrant?
A)Emergent high-level wellness in an unfavorable environment
B)Protected poor health in a favorable environment
C)Poor health in an unfavorable environment
D)Protected poor health in an unfavorable environment
Q2) 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
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Chapter 18: Culturally Responsive Nursing Care
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29 Verified Questions
29 Flashcards
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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) The school nurse is conducting head lice screenings.Before checking the head of an Asian child,the nurse should first take which action?
A)Ask permission.
B)Make sure the child understands the reason for the contact.
C)Put gloves on.
D)Ask the child to wait until last,to avoid embarrassing the child.
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Page 20
Chapter 19: Complementary and Alternative Healing Modalities
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is working with a client who,during her interview,expresses feelings of groundedness.The nurse interprets this to mean that the client
A)is full of energy.
B)feels connected to her reality.
C)is focused on her center of energy.
D)feels "down in the dumps."
Q2) A nurse working on an Alzheimer's unit notes that just before the supper hour,many of the residents become more anxious and confused-exhibiting typical "sundowner's syndrome"-making the evening meal an unpleasant ordeal.As a method to try to decrease their turmoil during this time,which therapy should the nurse introduce into the daily routine?
A)Biofeedback
B)Music therapy
C)Pilates
D)Spiritual therapy
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Chapter 20: Concepts of Growth and Development
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A child is starting school and is being screened for certain developmental milestones.What is the nurse assessing when determining how the child interacts with other children?
A)Temperament
B)Physical characteristics
C)Environment
D)Culture
Q2) A parent brings a 16-month-old child to the clinic for a well-child checkup.During the assessment,the nurse finds that the child cannot stand next to furniture and does not try to pull himself up from a sitting position.In which process should the nurse identify that this child is lagging?
A)Growth
B)Development
C)Height
D)Behavior
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Chapter 21: Promoting Health From Conception Through
Adolescence
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The school nurse determines that a 14-year-old student has reached an expected level of cognitive development.What did the nurse assess to come to this conclusion?
(Select all that apply)
A)Thinks logically
B)Thinks about the future
C)Makes rational statements
D)Uses a trial-and-error process
E)States things as they could be
Q2) The nurse is preparing a teaching session for pregnant clients that reviews the fetal growth and development that occurs in the first 3 weeks post-conception.What should the nurse include in this teaching?
(Select all that apply)
A)How the embryo has attached to the wall of the uterus
B)Development of the fetal membranes and the amniotic sac
C)How the embryo will be covered with a protective substance called vernix caseosa
D)How development of the fetal placenta has begun
E)How the embryo is covered with a soft,downy hair
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Chapter 22: Promoting Health in Young and Middle-Aged
Adults
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A community health nurse is doing a screening for cervical cancer at a women's health fair.Which client should the nurse identify as having the highest risk factor for cervical cancer?
A)The client who had a difficult vaginal delivery 2 years ago
B)The client who has a history of genital herpes
C)The client who was married at age 27
D)The client who has a sister with breast cancer
Q2) The nurse is completing a spiritual assessment with a middle-aged client.What should the nurse recognize as expected characteristics of moral development in this client?
(Select all that apply)
A)Uses religion for comfort
B)Seeks religious explanations for death
C)Compares characteristics of various religions
D)Questions the purpose of religion in one's life
E)Relies upon spiritual beliefs to help with illness
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Chapter 23: Promoting Health in Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A gerontological nurse is helping a potential home health client acquire the supplies that will be needed once the client is discharged from acute care.When considering these supplies,what should the nurse recall?
A)Medicare will cover supplies,but only with a physician's written order.
B)Between insurance supplements and Medicare,the older client shouldn't have any difficulty with coverage.
C)Most clients in this age group live on a fixed income,and supplies used should be as economical as possible.
D)Clients have to be responsible for their own supplies.
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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Chapter 24: Promoting Family Health
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Sample Questions
Q1) A nurse is working with a particular cultural group in which it is not uncommon for grandparents to live with their married children and to assist with child-rearing and discipline issues.For which type of family should the nurse plan care for these clients?
A)Two-career family
B)Blended family
C)Intragenerational family
D)Traditional family
Q2) The nurse is planning to use the structural-functional theory when assessing a family new to a community.What should the nurse include when conducting this assessment?
(Select all that apply)
A)Individuals in the family
B)The family's sense of purpose
C)Relationships among family members
D)Strategies to restrict outside influences on the family
E)The approach the family uses to socialize new family members
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Chapter 25: Caring
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Sample Questions
Q1) The nurse suspects that an older client has no living family members and observes the client sitting quietly in the room,crying.What actions should the nurse take to intentionally know this client?
(Select all that apply)
A)Seek cues from the client.
B)Assess the client thoroughly.
C)Avoid assumptions about the client.
D)Center actions on the client's needs.
E)Assume the client wants to be alone.
Q2) A labor and delivery nurse wants to conduct research focused on the response of new parents toward their babies.The approach the nurse would like to use suggests that caring is a nurturing process.The nurse should review the ideas of which theorist because they are best in line with this research?
A)Swanson
B)Watson
C)Roach
D)Benner
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Chapter 26: Communicating
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Sample Questions
Q1) A client has been sullen and withdrawn since receiving the news of her cancer diagnosis.As the nurse enters the room,the client asks for assistance with a shower.Which comment by the nurse is the most appropriate?
A)"If you look better,you might feel better."
B)"Taking a shower might wash away some of that gloom and doom."
C)"This is a positive sign.I'll be right back with your supplies."
D)"Your spouse will be glad to see that you're feeling better."
Q2) A nurse explains to a client that he will need to have a bowel prep before going to his esophagogastroscopy.On what should the nurse focus to improve communication skills?
A)Pace
B)Intonation
C)Simplicity
D)Clarity
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Chapter 27: Teaching
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Sample Questions
Q1) The nurse instructs a client on self-care for a new ostomy.Which client behaviors demonstrate that instruction has been effective?
(Select all that apply)
A)Client provides skin care and changes ostomy device.
B)Client states what items are needed to perform ostomy care.
C)Client is unable to identify changes in skin around the stoma.
D)Client tells the nurse that he does not want to do the care.
E)Client asks his wife to learn how to perform the care so he will not have to do it.
Q2) The nurse is instructing a client on self-administration of a subcutaneous injection.The nurse is using which theoretical construct of learning?
A)Thorndike's behaviorism
B)Skinner's positive reinforcement
C)Pavlov's conditioning response
D)Bandura's imitation
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Chapter 28: Leading, Managing, and Delegating
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Sample Questions
Q1) During a particularly heated staff meeting regarding staff assignments,the nurse manager makes this comment: "When you all can come to a decision,let me know and we'll move on from there." This leader is best identified as which of the following?
A)Democratic leader
B)Permissive leader
C)Bureaucratic leader
D)Situational leader
Q2) The nursing staff is informed that the current system of record keeping is going to be changed to make it more efficient.In which stage of change is the nursing staff?
A)Refreezing
B)Unfreezing
C)Moving
D)Drift
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Chapter 29: Vital Signs
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Sample Questions
Q1) When documenting a client's axillary temperature on the graphic sheet,how should the nurse identify the method of assessing the temperature?
A)AX
B)O
C)R
D)SL
Q2) The nurse determines that unlicensed assistive personnel (UAP)are not to be delegated client blood pressure measurements.What did the nurse observe to make this clinical decision?
(Select all that apply)
A)The valve on the bulb was closed.
B)The client was sitting with the legs crossed.
C)The arm was below the level of the heart.
D)The UAP waited 2 minutes before re-measuring.
E)The cuff bladder was placed over the brachial artery.
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Chapter 30: Health Assessment Preview As Pdf
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is preparing to perform a health assessment of the abdomen.In which order should the nurse perform the assessment?
A)Auscultate,percuss,palpate,inspect
B)Inspect,auscultate,palpate,percuss
C)Inspect,auscultate,percuss,palpate
D)Palpate,percuss,auscultate,inspect
Q2) The nurse is preparing for morning rounds.What should the nurse avoid delegating to unlicensed assistive personnel?
A)Vital signs
B)Filling of water pitchers
C)Skull and face assessment
D)Ambulation of surgical clients
Q3) The nurse is preparing to conduct a mental status assessment.What should the nurse include in this assessment?
A)Cognitive and affective functions
B)Cognitive and effective functions
C)Affective and memory functions
D)Affective and knowledge functions
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Chapter 31: Asepsis
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) An older client with gallbladder disease has had a cholecystectomy.Which factor should the nurse realize would influence the development of an infection in this client?
A)Active bowel sounds
B)Dry intact skin
C)Intact mucous membranes
D)Susceptibility of the client
Q2) A client in isolation ambulates with assistance to the bathroom.After toileting,what should the unlicensed assistive personnel do?
A)Assist the client with hand washing.
B)Assist the client back to bed.
C)Change the client's bed.
D)Leave the client's room.
Q3) The nurse is planning care for a client.Which intervention would be appropriate to reduce the risk of infection?
A)Assess vital signs only once daily.
B)Raise the temperature in the client's room.
C)Wash hands.
D)Wear a mask for all client care.
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33
Chapter 32: Safety
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/79289
Sample Questions
Q1) While eating in a restaurant,a nurse notices that a customer at the next table begins to clutch his throat while eating a steak.What should the nurse do first?
A)Ask the customer if he is choking.
B)Attempt to give five back blows.
C)Perform the Heimlich maneuver.
D)Start chest compressions.
Q2) After ambulating a client to the bathroom,the unlicensed assistive personnel did not reattach the client's bed safety-monitoring device,and the client fell out of bed.What should the nurse document?
A)Client fell out of bed;bed safety-monitoring device malfunctioning.
B)Client fell out of bed;client removed leg band of bed safety-monitoring device.
C)Client fell out of bed;no observable injuries.
D)Client fell out of bed;bed safety-monitoring device not activated.
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Chapter 33: Hygiene
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/79288
Sample Questions
Q1) The nurse has delegated the making of unoccupied beds to unlicensed assistive personnel.What should the nurse assess regarding client safety once the beds are completed?
A)Folding of the top sheet
B)Direction of the pillow
C)Call light being readily available
D)Presence of mitered corners
Q2) The nurse is making a client's bed.What safety measure should the nurse implement at this time?
A)Begin at the head and move toward the foot,loosening bottom linens.
B)Miter corners at the head of the bed.
C)Place the soiled sheet in a laundry bag.
D)Prepare the client.
Q3) The nurse is preparing to shave a client.Which action step should the nurse consider when providing this care?
A)Assist the client to a prone position.
B)Pull the skin taut with the dominant hand.
C)Rinse the razor after each stroke.
D)Use long strokes.
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Page 35
Chapter 34: Diagnostic Testing
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30 Flashcards
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Sample Questions
Q1) Which return demonstration by a client indicates that teaching about performing a blood glucose monitoring test has been effective?
A)The client punctures the fingertip.
B)The client puts on gloves.
C)The client smears the blood on the reagent strip.
D)The client washes the hands.
Q2) An older client is having difficulty handling the specimen cup for a clean catch urine specimen.What can the nurse do to help this client?
A)Provide a clean funnel to pour the urine into the specimen cup.
B)Document that the specimen could not be obtained.
C)Catheterize the client for the specimen.
D)Ask the physician to obtain the specimen.
Q3) The nurse is preparing to collect a throat culture from a client.What client response indicates to the nurse that teaching about this test has not been effective?
A)"I need to hyperextend my neck."
B)"I need to say 'ah.'"
C)"I will need to sit up."
D)"The nurse will use a light."
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36
Chapter 35: Medications
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47 Flashcards
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Sample Questions
Q1) The nurse is administering a medication to a client as prescribed in order to maintain a specific amount of the medication in the client's bloodstream at all times.The nurse is ensuring that which action is being maintained for this client?
A)Peak plasma level
B)Drug half-life
C)Onset of action
D)Plateau
Q2) A client is prescribed a medication to be administered through the parenteral route.The nurse would expect that this medication will be provided through which method?
(Select all that apply)
A)Subcutaneous injection
B)Intramuscular injection
C)The oral route
D)Intradermal injection
E)Intravenous infusion
Q3) The client has required 2 sublingual nitroglycerine tablets that are gr 1/150 per tablet.How many mg of nitroglycerine did the client receive?
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Chapter 36: Skin Integrity and Wound Care
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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) Multiple severely injured clients have arrived in the emergency department.On rapid assessment,the nurse notes that a leg wound dressing has a 4-cm by 6-cm blood spot that has soaked through the bandage.The client is otherwise stable.What action should the nurse take?
A)Place a tourniquet above the wound.
B)Remove the dressing and place direct pressure on the wound.
C)Add an additional dressing to the wound without removing the original.
D)Remove the dressing and replace it with a new sterile dressing.
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38
Chapter 37: Perioperative Nursing
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34 Flashcards
Source URL: https://quizplus.com/quiz/79284
Sample Questions
Q1) The nurse is preparing a 6-year-old child for a tonsillectomy.Which strategy should the nurse use for teaching this client?
A)Pamphlets
B)Play
C)Books
D)Videotapes
Q2) The nurse has identified the goals of maintaining client safety and homeostasis during the intraoperative phase of client care.What nursing activities would support these goals?
(Select all that apply)
A)Maintain the sterile field.
B)Perform instrument counts.
C)Instruct in postoperative exercises.
D)Position the client appropriately for surgery.
E)Perform preoperative skin preparation.
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Chapter 38: Sensory Perception
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/79283
Sample Questions
Q1) The nurse is planning care for a client who is experiencing dementia.What essential concept should the nurse consider for this planning?
A)Background noise such as music will keep this client calm.
B)Activities should be scheduled at the same time each day.
C)Pain mediation will increase dementia.
D)It is important to talk with the client throughout procedures.
Q2) The nurse is concerned that a hospitalized client is experiencing sensory overload.What did the nurse assess to come to this conclusion?
(Select all that apply)
A)Sleeplessness
B)Anxiety
C)Apathy
D)Racing thoughts
E)Somatic complaints
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Chapter 39: Self-Concept
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26 Flashcards
Source URL: https://quizplus.com/quiz/79282
Sample Questions
Q1) The nurse and client had set the following expected outcome: "At the next clinic visit,the client will report participation in three activities to increase self-esteem." At today's visit,the client is unable to meet the stated outcome.What should be the nurse's next action?
A)Explore the possible reasons for not meeting the outcome.
B)Reevaluate the accuracy of the outcome statement.
C)Collaborate with the client to write a new expected outcome.
D)Identify new interventions to help the client achieve the outcome.
Q2) The adolescent male client who weighs 100 is considering taking "some herbal stuff" to increase muscle mass and strength.The nurse should interpret this statement as an indication that this client has
A)a strong need for admiration.
B)serious problems with logical thinking.
C)incongruence between reality and ideal self.
D)the need for referral to a psychologist.
Q3) 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."
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Chapter 40: Sexuality
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/79281
Sample Questions
Q1) The nurse is conducting a health history with an older client with arthritis and heart disease.When gathering the sexual history for this client,what should the nurse ask?
A)"Do you have any difficulty with sexual desire and orgasm?"
B)"How often do you have sexual relations?"
C)"What type of contraception do you use?"
D)"Have there been any changes in your sexual functioning that might be related to your illness or the medications you take?"
Q2) The nurse is discussing the resolution phase of the sexual response cycle with a group of students in a health education class.What should be included as a physiological change that affects males only?
A)Genitalia and breasts return to pre-excitement states.
B)There is a refractory period during which the body will not respond to sexual stimulation.
C)The heart rate returns to normal.
D)Possible sleepiness or intense relaxation may occur.
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Chapter 41: Spirituality
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/79280
Sample Questions
Q1) The client being prepared for a procedure asks to be allowed to wear a religious medal.The client states,"I have worn this medal and have not removed it since I was a teenager." What action should the nurse take?
A)Tell the client that the medal must be removed,as it is policy to remove all jewelry for these procedures.
B)Tell the client that the medal can be worn.
C)Tell the client that the nurse will explain to the procedure staff about the medal and will request that they allow the client to wear it.
D)Remove the medal and place it on the head of the bed where the client will be able to see it during the procedure.
Q2) The client states,"I don't know what all this fuss is about religion.God died years ago." The nurse does believe in God and has a strong inclination to share reasons for that belief with the client.What is the best for the nurse to consider before responding to the client's remark?
A)"Will I get into trouble if I say anything?"
B)"How much longer will I be caring for this client?"
C)"Am I meeting my needs or the client's?"
D)"How can I best make this client understand?"
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Chapter 42: Stress and Coping
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/79279
Sample Questions
Q1) During a health interview,the nurse decides to focus the assessment s on the middle-aged client's amount of stress.What information did the nurse use to make this clinical decision?
(Select all that apply)
A)Caring for aging parents
B)Needing to wear glasses to read
C)Newly married
D)Choosing a career
E)Not having the same amount of stamina and energy
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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Chapter 43: Loss, Grieving, and Death
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse determines that a client,after learning of the death of a close family member,is demonstrating normal signs of grief.What did the nurse assess in this client?
(Select all that apply)
A)Crying
B)Weakness
C)Inability to sleep
D)No appetite
E)Inability to concentrate on conversations
Q2) The nurse who is providing postmortem care for a client sees that the client is wearing a ring.What is the most important action regarding this observation?
A)Remove the ring and give it to the family.
B)Call the presence of the ring to the attention of the funeral director.
C)Tape the ring to the client's finger.
D)Document fully whatever action is taken.
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Chapter 44: Activity and Exercise
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24 Flashcards
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Sample Questions
Q1) The nurse is preparing to assist a client to a lateral position to position a bedpan.What action should the nurse take first?
A)Perform hand hygiene.
B)Move the client to the side of the bed.
C)Place the client's arm over the chest.
D)Raise the opposite side rail.
Q2) The nurse is assisting the client to dangle on the bedside.After raising the head of the bed,in which position should the nurse face?
A)Toward the nearest corner of the head of the bed
B)Toward the side of the bed
C)Toward the far corner of the foot of the bed
D)Directly toward the client
Q3) The bed-bound client complains of pain and burning in the right calf area.What action should be taken by the nurse?
A)Deeply palpate the area for rebound tenderness.
B)Percuss over the area for change in tone.
C)Measure the calf and compare to the opposite calf.
D)Medicate the client for pain and reassess in 30 minutes.
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Chapter 45: Sleep
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32 Flashcards
Source URL: https://quizplus.com/quiz/79276
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?
(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 hospitalized client requests a bedtime snack.Which food should the nurse offer this client?
A)Hot chocolate
B)Tea and crackers
C)Cereal with milk
D)Chips and salsa
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Chapter 46: Pain Management
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) The nurse is preparing to instruct a client on nonpharmacologic interventions that target the body for pain control.What should the nurse include in these instructions? (Select all that apply)
A)Massage
B)Acupressure
C)Self-hypnosis
D)Exercise
E)Nutritional supplements
Q2) A client recovering from a left below-the-knee amputation is experiencing left foot pain.The nurse realizes the client is experiencing which type of pain?
A)Phantom limb pain
B)Acute pain
C)Chronic pain
D)Narcotic-induced pain
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Chapter 47: Nutrition
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32 Flashcards
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Sample
Questions
Q1) A client reports following the "food pyramid" to guide nutritional intake.How should the nurse evaluate this information?
A)Because this food pyramid is produced by the U.S.Department of Agriculture,the client is likely consuming necessary levels of all essential nutrients.
B)The food pyramid is most useful when applied to the nutritional intake of children.
C)The food pyramid is not very useful because it does not take fluid intake and combination foods into consideration.
D)Following the appropriate food pyramid is helpful,but there are additional factors to consider in a balanced diet.
Q2) The nurse has advised the client to consume alcohol only in moderation.What guideline should the nurse provide as a "moderate" alcohol intake?
A)Two drinks per week for women,three for men
B)Two drinks per day for women,three for men
C)One drink per day for women,two for men
D)One drink per week for women,two for men
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Chapter 48: Urinary Elimination
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/79273
Sample Questions
Q1) A client is rushed to the emergency department with what the physicians suspect to be necrosis of the urinary diversion stoma.What evidence presented by the client leads to this conclusion?
A)Black with sloughing
B)Moist stoma
C)Pink and shiny
D)Slight bleeding from stoma
Q2) The nurse should incorporate which instructions into the teaching plan for a client with a urinary diversion?
A)Change the appliance several times a day.
B)Increase fluid intake.
C)Notify the physician if the stoma is deep pink and shiny.
D)Strands of blood may appear in the urine.
Q3) A client has been admitted with incontinence.What should the nurse expect to assess in this client?
A)Client is wearing cotton undergarments.
B)Leakage of urine occurs when client laughs.
C)Leakage of urine occurs when talking with the client.
D)The skin of the client is clear without discoloration.
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Page 50
Chapter 49: Fecal Elimination
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) What nursing diagnosis should the nurse select as appropriate to address bowel evacuation for a client who is on bed rest?
A)Bowel Incontinence
B)Constipation
C)Diarrhea
D)Disturbed Body Image
Q2) The nurse is instructing a client on ostomy care.What should be included in this teaching?
A)Change the drainage pouch daily.
B)Clothing of a special style will be needed now that a pouch is worn.
C)Stick a pin into the drainage pouch to relieve any gas buildup.
D)Secure the faceplate to the drainage pouch so no skin around the stoma is exposed.
Q3) A client has a history of an inconsistent fecal elimination pattern.What should the nurse instruct this client to improve this health problem?
A)Drink two to four glasses of water daily.
B)Include more spicy foods and sugar in the diet.
C)Include more whole grains in the diet.
D)Use enemas as desired.
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Chapter 50: Oxygenation
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44 Flashcards
Source URL: https://quizplus.com/quiz/79271
Sample Questions
Q1) A client complains of difficulty breathing.What will the nurse most likely assess in this client?
(Select all that apply)
A)Use of accessory muscles
B)Increased respiratory depth
C)Increased respiratory rate
D)Decreased respiratory depth
E)Decreased respiratory rate
Q2) The nurse has placed an oropharyngeal airway in a client.What action should the nurse take at this time?
A)Tape the airway in place.
B)Suction the client.
C)Turn the client's head to the side.
D)Insert a nasal trumpet.
Q3) Which client statement indicates to the nurse that instruction about the use of a humidifier has been effective?
A)"A humidifier takes moisture out of the air."
B)"A humidifier tightens secretions."
C)"A humidifier prevents my lungs from getting too dry."
D)"A humidifier replaces the use of oxygen."
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Chapter 51: Circulation
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/79270
Sample Questions
Q1) The nurse finds a client pulseless and breathless.The client's skin is pale and cool,but not cyanotic.Because of this finding,what should the nurse suspect?
A)Respiratory arrest occurred prior to cardiac arrest.
B)Cardiac arrest occurred prior to respiratory arrest.
C)The client cannot be resuscitated.
D)Arrest was caused by airway obstruction.
Q2) The nurse seeing a client stop breathing realizes that there is how much time before the onset of permanent damage?
A)3 minutes
B)2 minutes
C)4 to 6 minutes
D)20 to 40 minutes
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 Acidbase Balance
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/79269
Sample Questions
Q1) The 154-pound adult client has had vomiting and diarrhea for 4 days secondary to a viral infection.What hourly urine measurement would indicate that efforts to rehydrate this client have not yet been successful and should continue?
A)35 mL per hour
B)80 mL per hour
C)50 mL per hour
D)30 mL per hour
Q2) A client has had a subclavian central venous catheter inserted.What should the nurse assess as a priority for this client's care?
A)Presence of bibasilar crackles
B)Tachycardia
C)Decreased pedal pulses
D)Headache
Q3) The nurse is reviewing orders for parenteral potassium.Which order is safe for the nurse to implement?
A)Add 20 mEq of KCL to 1,000 mL of IV fluid
B)10 mEq KCL IV over 1-2 minutes
C)Dilute 20 mEq KCL in 3 mL of NS and give IV push
D)10 mEq KCL SQ
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Page 54