Nursing Concepts and Skills Practice Exam
Course Introduction
This course provides an in-depth exploration of foundational nursing concepts and essential clinical skills necessary for safe, patient-centered care. Through a combination of theoretical instruction and hands-on practice, students will learn principles related to the nursing process, health assessment, infection control, medication administration, and basic patient care procedures. Emphasis is placed on critical thinking, effective communication, and ethical decision-making within diverse healthcare environments. By the end of the course, students will be able to demonstrate competence in fundamental nursing interventions and begin to develop their professional identity as members of the healthcare team.
Recommended Textbook
Adult Health Nursing 6th Edition by Barbara Christensen
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17 Chapters
676 Verified Questions
676 Flashcards
Source URL: https://quizplus.com/study-set/1169 Page 2
Chapter 1: Introduction to Anatomy and Physiology
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/23140
Sample Questions
Q1) Which are among the 11 body systems? (Select all that apply.)
A) Lymphatic
B) Cellular
C) Digestive
D) Reproductive
E) Accessory
F) Spinal cord
Answer: A, C, D
Q2) A muscle that separates the ventral cavity into the thoracic and abdominal cavity is called the ________________________.
Answer: diaphragm
Q3) Cardiac tissue is striated, involuntary tissue that branches out to form networks found only in the wall of the heart. This type of tissue is
A) epithelial.
B) connective.
C) muscle.
D) nervous.
Answer: C
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Chapter 2: Care of the Surgical Patient
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/23141
Sample Questions
Q1) When should the nurse offer prescribed analgesics to a patient who is 24 hours postoperative?
A) Only when the patient asks.
B) Regularly every three to four hours before pain gets severe.
C) Only when the physician orders.
D) Only when the patient is in severe pain.
Answer: B
Q2) Although informed about the proposed surgical procedure, the patient has only vague responses about the postoperative period. A nursing diagnosis at this time would be
A) Impaired verbal communication.
B) Impaired gas exchange.
C) Deficient knowledge, postoperative.
D) Acute pain.
Answer: C
Q3) ______________ therapy is performed to alleviate or decrease uncomfortable symptoms without curing the problem.
Answer: Palliative
Palliative therapy is designed to relieve or reduce intensity of uncomfortable symptoms without cure.
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Chapter 3: Care of the Patient With an Integumentary Disorder
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/23142
Sample Questions
Q1) A patient, age 37, sustained partial- and full-thickness burns to 26% of her body surface area. The greatest fluid loss resulting from her burns will usually occur
A) within 12 hours after burn trauma.
B) 24 to 36 hours after burn trauma.
C) 24 to 48 hours after burn trauma.
D) 48 to 72 hours after burn trauma.
Answer: A
Q2) A patient has been admitted to the hospital with burns to his upper chest. The nurse notes singed nasal hairs. It would be important for the nurse to assess this patient frequently for
A) decreased activity.
B) bradycardia.
C) respiratory complications.
D) hypertension.
Answer: C
Q3) The most deadly skin cancer is ________________.
Answer: melanoma
Malignant melanoma is a cancerous neoplasm that invades the epidermis, dermis, and sometimes the subcutaneous tissue.
Page 5
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Chapter 4: Care of the Patient With a Musculoskeletal Disorder
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/23143
Sample Questions
Q1) The main purpose of traction is to (Select all that are correct)
A) Align and stabilize a fracture
B) Prevent deformities
C) Relieve muscle spasms
D) Promote bed rest
E) Increase circulation to the rest of the body
Q2) The patient, age 58, is diagnosed with osteoporosis after densitometry testing. She has been menopausal for 5 years and has been concerned about her risk for osteoporosis because her mother has osteoporosis. In teaching her about her osteoporosis, which information does the nurse include?
A) Even with a family history of osteoporosis, the calcium loss from bones can be slowed by increased calcium intake and exercise.
B) Estrogen replacement therapy must be started to prevent rapid progression of her osteoporosis.
C) With a family history of osteoporosis, there is no way to prevent or slow bone reabsorption.
D) Continuous, low-dose corticosteroid treatment is effective in stopping the course of osteoporosis.
Q3) Among the most common fractures in older women are _______fractures.
Page 6
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Chapter 5: Care of the Patient With a Gastrointestinal Disorder
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/23144
Sample Questions
Q1) A patient is admitted with a diagnosis of Crohn's disease. What nursing interventions would be appropriate when caring for this patient? (Select all that apply.)
A) Daily weight
B) Monitor I & O every shift
C) Fluid restriction
D) Accessibility to bedside commode
Q2) The patient complains that he will never adjust to his colostomy. In this situation, it would be best for the nurse to
A) encourage him to express his concern.
B) suggest that he discuss his concerns with his physician.
C) counsel him that everything will be all right.
D) explain that his concerns will be dealt with when he is taught how to care for his colostomy.
Q3) Decompression
A) Internal application of pressure by means of inflated balloon to prevent GI bleeding
B) Irrigation of stomach to remove secretions
C) Relieve abdominal distention
D) Instillation of liquid nutritional supplements into stomach
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Chapter 6: Care of the Patient With a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/23145
Sample Questions
Q1) An essential nursing measure to prevent peritonitis after a paracentesis is
A) thoroughly cleansing the skin of the abdominal wall.
B) examining ascites for bacteria.
C) providing oral or intravenous fluids.
D) maintaining sterile technique during the procedure.
Q2) The nurse can prevent the transmission of hepatitis A by avoiding A) direct contact through fecal matter, contaminated food, or contaminated water.
B) contaminated blood transfusion.
C) sexual contact and contaminated needles.
D) droplet inhalation.
Q3) Which assessment would indicate possible gallbladder disease in an older adult?
A) Dull pain in the right upper quadrant region
B) Changes in color of urine or stool
C) Distention of veins in upper part of body
D) Aching muscles and tenderness in the liver
Q4) ___________ is a condition characterized by yellowing of the sclera and the skin.
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Page 8
Chapter 7: Care of the Patient With a Blood or Lymphatic Disorder
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/23146
Sample Questions
Q1) The nurse is caring for a 34-year-old obstetric patient who has disseminated intravascular coagulation (DIC). The nurse is aware that DIC is
A) an acquired hemorrhagic syndrome of clotting cascade overstimulation and anticlotting processes.
B) a hereditary coagulation disorder in which factor VIII is absent.
C) a deficiency of the number of circulating platelets with thrombocytopenia present.
D) a malignant disorder characterized by painless, progressive enlargement of lymphoid tissue.
Q2) Needed for erythropoiesis
A) Folic acid
B) Ferrous sulfate
C) Vitamin B<sub>12</sub>
D) Neupogen
Q3) Which is a normal blood value for eosinophils?
A) 0%
B) 3%
C) 6%
D) 12%
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Chapter 8: Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/23147
Sample Questions
Q1) Which are signs of digoxin (Lanoxin) toxicity?
A) Nausea
B) Bradycardia
C) Headache
D) Visual disturbance
E) Heart rate >60
F) Gastrointestinal complaints
Q2) Which patient teaching would help to prevent venous stasis? (Select all that apply.)
A) Dangle legs when sitting.
B) Avoid crossing legs at the knee.
C) Elevate legs when lying in bed or sitting.
D) Massage extremities to help maintain blood flow.
E) Wear elastic stockings when ambulating.
Q3) A type of medication useful for preventing venous thrombus is
A) anticoagulant.
B) low-molecular-weight heparin.
C) intravenous thrombolytics.
D) percutaneous angiography.
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Chapter 9: Care of the Patient With a Respiratory Disorder
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/23148
Sample Questions
Q1) Interventions that contribute to comfort in patients experiencing dyspnea include: (Select all that apply)
A) Breathing exercises
B) Bed rest
C) Acupuncture
D) Visualization
E) Limiting the amount of oxygen usage
F) Massage
Q2) A 68-year-old male patient has chronic obstructive pulmonary disease (COPD). He has a markedly increased need for protein and calories to maintain an adequate nutritional status. To help him get the nutrition he needs, the nurse would encourage him to
A) eat three meals a day.
B) rest 30 minutes before eating.
C) drink fluids only with meals.
D) perform bronchial drainage 30 minutes after eating.
Q3) The nurse is caring for a patient with a diagnosis of pleural effusion. The physician is most likely to order a ______________ to remove fluid from around the lungs so that the patient may breathe more easily.
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Page 11
Chapter 10: Care of the Patient With a Urinary Disorder
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/23149
Sample Questions
Q1) The physician orders a urinalysis and urine culture. To obtain the urine specimen, the nurse would first instruct the patient about
A) collecting the urine for a 24 hour period.
B) obtaining a clean-catch specimen.
C) bringing in an early morning specimen.
D) limiting fluid intake to concentrate the urine.
Q2) The patient has end-stage renal disease (ESRD) and is admitted with a blood urea nitrogen (BUN) level of 93 mg/dL. An excessive elevation of BUN could result in
A) dehydration.
B) disorientation.
C) edema.
D) catabolism.
Q3) For a patient who is recovering from acute glomerulonephritis, which symptoms may exist even when other symptoms have subsided? (Select all that apply.)
A) Proteinuria
B) Oliguria
C) Hematuria
D) Anasarca
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12
Chapter 11: Care of the Patient With an Endocrine Disorder
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/23150
Sample Questions
Q1) The human insulin whose onset of action occurs within ____ minutes is Humalog (Lispro).
A) 30
B) 60
C) 15
D) 45
Q2) Pregnant women should not be exposed to iodine-131 because of
A) danger to the cardiac system.
B) danger to metabolism.
C) danger to the fetus.
D) danger to the reproductive system.
Q3) A patient has asked why she needs to exercise. The nurse tells her that if the diabetic patient exercises, then the insulin requirement
A) increases.
B) decreases.
C) remains unchanged.
D) is changed to regular insulin.
Q4) The nurse is administering long-acting insulin once a day that provides insulin coverage for 24 hours. This insulin is _________________.
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Chapter 12: Care of the Patient With a Reproductive Disorder
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/23151
Sample Questions
Q1) The American Cancer Society recommends that baseline mammograms be performed on women
A) between the ages of 15 and 21.
B) between the ages of 35 and 39.
C) over 40 years of age.
D) over 18 years of age.
Q2) A Gram-stain smear of the patient's discharge reveals the presence of N. gonorrhoeae. He tells the nurse that he had sexual contact with a new girlfriend but does not think he was exposed to gonorrhea because she did not appear to have any disease. Which information should the nurse include in response to his comment?
A) "Women do not develop gonorrhea infections but can serve as carriers to spread the disease to males."
B) "When gonorrhea infections occur in women, the disease affects only the ovaries and not the other genital organs."
C) "Many women are not aware that they have gonorrhea because they often do not have symptoms of infection."
D) "Woman develop subclinical cases of gonorrhea that do not cause tissue damage or symptoms."
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Chapter 13: Care of the Patient With a Visual or Auditory Disorder
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/23152
Sample Questions
Q1) A patient is prescribed eyedrops that constrict the pupil, permitting aqueous humor to flow. The nurse would reinforce the teaching by referring to the drops as A) mydriatics.
B) miotics.
C) osmotics.
D) inhibitors.
Q2) A patient is cleaning the garage and splashes a chemical in his eyes. The initial priority after the chemical burn is to A) transport to a physician immediately.
B) cover the eyes with a sterile gauze.
C) irrigate with H2O for 15 minutes or longer.
D) irrigate with normal saline solution for 1 to 5 minutes.
Q3) Sjögren's syndrome is associated with which eye disorder?
A) Keratoconjunctivitis sicca
B) Conjunctivitis
C) Blepharitis
D) Opaque lens disorder
Q4) _____________ is a medical term for blurred vision.
Q5) Schiötz tonometry is a diagnostic test for __________.
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Chapter 14: Care of the Patient With a Neurologic Disorder
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/23153
Sample Questions
Q1) The patient, injured in an automobile accident, is being evaluated in the emergency department for possible head injury. Which test should not be done if there is an indication of increased intracranial pressure?
A) CT scan
B) MRI scan
C) Lumbar puncture
D) Electroencephalogram
Q2) A patient's neurological status deteriorates over hours, and a craniotomy is performed to evacuate the hematoma. Which nursing intervention is indicated to help decrease the threat of increased intracranial pressure?
A) Elevate the head of the bed 30 degrees.
B) Cluster nursing interventions to provide uninterrupted periods of rest.
C) Teach him to cough and deep breathe to prevent the necessity for suctioning.
D) Teach him to hold his breath and bear down while repositioning in bed.
Q3) In the aging process, older adults are able to
A) react to events immediately.
B) master new material quickly.
C) remember information from the immediate present (short-term memory).
D) learn new skills.
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Page 16
Chapter 15: Care of the Patient With an Immune Disorder
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23154
Sample Questions
Q1) The nurse has held a unit conference on the specific immune response. Which statement by a colleague indicates an understanding of cell-mediated immune response? "Cell-mediated responses are
A) directed from humorally mediated B cells."
B) the direct attack of activated T-cell lymphocytes."
C) from cells matured in the bone marrow."
D) characterized by antigen-specific immunoglobulins."
Q2) What precautionary safety measure should the nurse take for a patient who is receiving first-time intradermal injections for allergy testing?
A) Take vital signs every 15 minutes for 1 hour after the patient receives the injection.
B) Remind the patient to call the physician if a rash develops.
C) Have the patient remain for 20 minutes after the injection.
D) Instruct the patient to take epinephrine if an allergic reaction occurs.
Q3) The purpose of immunotherapy is _____________.
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17
Chapter 16: Care of the Patient With HIV-Aids
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23155
Sample Questions
Q1) Which are signs and symptoms of HIV infection? (Select all that apply.)
A) Dry mouth
B) Weight loss
C) Sore throat
D) Vaginal dryness
E) Nausea
F) Dyspnea
Q2) While teaching community groups about AIDS, the nurse informs people that the most common method of transmission of the HIV virus currently is
A) sexual contact with an HIV-infected partner.
B) perinatal transmission.
C) exposure to contaminated blood.
D) nonsexual exposure to saliva and tears.
Q3) In addition to handwashing, what important precaution must the nurse take when changing the dressing of an AIDS patient?
A) Wearing mask
B) Wearing gown and gloves
C) Wearing gloves
D) Strict isolation
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Page 18
Chapter 17: Care of the Patient With Cancer
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/23156
Sample Questions
Q1) A patient is undergoing external radiation therapy on an outpatient basis for treatment of Hodgkin's disease. After 2 weeks of treatment, he tells the nurse that he is so tired he can hardly get out of bed in the morning. Which is an appropriate goal for him?
A) Frequent rest periods are helpful.
B) Exercise vigorously when fatigue is not as noticeable.
C) Maintain bed rest until the radiation treatment is completed.
D) Consult with a psychiatrist for treatment of depression.
Q2) The American Cancer Society recommends a clinical breast examination by a health care professional for women between the ages of 20 and 39 years every ________ years.
Q3) The only definitive way to determine the presence of malignant cells is to perform
A) laboratory tests.
B) a tissue biopsy.
C) an MRI.
D) a CT scan.
Q4) _________ is the term for uncontrolled or abnormal growth of cells. They may be benign or malignant.
Q5) Men over age 50 should have annual _________ tests and rectal examinations.
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