Nursing Concepts and Skills
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Course Introduction
Nursing Concepts and Skills provides students with foundational knowledge and hands-on experience in the principles and techniques essential to the nursing profession. The course covers core concepts such as patient-centered care, safety, communication, ethics, and critical thinking, alongside practical skills including vital signs assessment, hygiene, mobility assistance, infection control, wound care, and medication administration. Through a combination of lectures, simulations, and laboratory practice, students develop the confidence and competence required to deliver holistic nursing care across diverse healthcare settings, preparing them for clinical placements and future professional responsibilities.
Recommended Textbook Essentials for Nursing Practice 9th Edition by Potter FAAN
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40 Chapters
977 Verified Questions
977 Flashcards
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Chapter 1: Professional Nursing
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse feels that an assigned duty is outside the scope of nursing practice.Which document is the best source to answer the nurse's concern?
A) ANA Code of Ethics
B) State Nurse Practice Act
C) QSEN Initiative Act
D) Nurse's Bill of Rights
Answer: B
Q2) Which type of program is appropriate to educate staff about new fall prevention protocols that are to be implemented on the nursing unit?
A) In-service education
B) Advanced education
C) Continuing education
D) Certification education
Answer: A
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Page 3
Chapter 2: Health and Wellness
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21 Flashcards
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Sample Questions
Q1) The diabetic patient sees the podiatrist regularly to prevent development of ulcers in the feet.Which term best describes this action of the patient?
A) Health promotion
B) Primary prevention
C) Secondary prevention
D) Tertiary prevention
Answer: C
Q2) Which assessment finding is a modifiable risk factor for disease?
A) The patient has a family history of breast cancer.
B) The patient smokes two packs of cigarettes every day.
C) The patient was born with a congenital heart defect.
D) The patient's childhood home contained high levels of radon.
Answer: B
Q3) Which patient action demonstrates the concept of health promotion?
A) The patient receives the influenza vaccination every year.
B) The patient participates in cardiac rehabilitation after a heart attack.
C) The patient has yearly mammograms to screen for breast cancer.
D) The patient follows a macrobiotic,vegetarian diet with organic foods.
Answer: D
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Page 4
Chapter 3: The Health Care Delivery System
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28 Flashcards
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Sample Questions
Q1) How will the hospital be reimbursed by Medicare for an elderly patient admitted with pneumonia?
A) Based upon the DRG for pneumonia
B) Based upon the cost of the patient's care
C) Based upon the patient's length of stay
D) Based upon the types of therapies required
Answer: A
Q2) Which is a responsibility of the Centers for Medicare and Medicaid (CMS)?
A) Create teaching materials to educate health care professionals.
B) Research evidenced-based practices to improve health care for patients.
C) Accredit and certify hospitals in order to ensure safe health care for patients.
D) Manage health insurance coverage for elderly,disabled,and low-income patients.
Answer: D
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Chapter 4: Community-Based Nursing Practice
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Sample Questions
Q1) Which patients are considered to belong to vulnerable populations?
A) An HIV-positive young adult working as a finance expert
B) A college graduate living in his parents' basement
C) A registered nurse who works at two different clinics
D) An unemployed single mother with four small children
E) A family that just moved to Florida and speaks no English
Q2) The nurse identified the source of food poisoning as a local restaurant and ensured that no further patrons became ill.Which community health nursing role was demonstrated by these actions?
A) Caregiver
B) Educator
C) Epidemiologist
D) Case manager
Q3) Which is an example of an incidence rate?
A) The patient was able to ambulate 50 feet in 10 minutes.
B) 65% of the hospital's registered nurses are bachelor-prepared.
C) The hospital has a 12% ventilator-associated pneumonia rate.
D) The patient's hemoglobin rate is 50% lower than the previous day.
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Chapter 5: Legal Principles in Nursing
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31 Flashcards
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Sample Questions
Q1) While at the grocery store,the nurse witnesses another shopper collapse near the checkout.The nurse performs CPR and the patient survives after being treated at the hospital.The patient later attempts to sue the nurse for malpractice because several ribs were broken as a result of chest compressions.Why will the patient's lawsuit be thrown out of court?
A) The patient should not have been at the grocery store with a history of heart disease.
B) The patient needed to disclose her history of heart disease to the nurse before she collapsed.
C) The patient's rib fractures occurred as a result of properly performed CPR by the nurse.
D) The nurse's personal liability insurance company decided to settle rather than face a jury.
Q2) What is the primary difference between negligence and malpractice?
A) Malpractice is intentional while negligence is unintended.
B) Malpractice is a felony while negligence is a misdemeanor.
C) Malpractice leads to more serious patient injury than negligence.
D) Malpractice is committed by a licensed professional while negligence is not.
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Page 7
Chapter 6: Ethics
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Sample Questions
Q1) Which action by the nurse is an example of a legal issue rather than an ethical principle?
A) Failing to shut the door completely when bathing the patient
B) Providing lower doses of pain medications to patients with red hair
C) Working as a registered nurse without a current nursing license
D) Deciding not to stop and provide medical care at an accident scene
Q2) After a massive earthquake,the emergency room staff focuses to provide care to the patients who are likely to survive rather than expending maximum effort on a few critically injured patients.Which ethical theory is demonstrated in this situation?
A) Deontology
B) Feminist ethics
C) Utilitarianism
D) Ethics of care
Q3) Which ethical principle is upheld when the nurse refuses to administer a placebo pill to the patient?
A) Justice
B) Culture
C) Veracity
D) Competency
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Page 8
Chapter 7: Evidence-Based Practice
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Sample Questions
Q1) Researchers conduct a study to determine if the use of chlorhexidine mouthwash is more effective than the use of normal saline for oral care to reduce the incidence of ventilator-associated pneumonia.Which action by the researchers makes the study a randomized controlled trial?
A) The researchers do not know which patients will be treated with saline and which patients will be treated with chlorhexidine.
B) The researchers do not know which treatment will be more effective before the interventions are tested.
C) The researchers randomly select nurses at several local health care facilities to implement the mouth-care protocols.
D) The researchers do not know which statistical tests will be used to evaluate the effectiveness of the oral care protocols.
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9
Chapter 8: Critical Thinking
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Sample Questions
Q1) The nurse becomes very skilled at feeding patients with dysphagia after working on a rehabilitation unit for many years.Which component of critical thinking allows the nurse to function at this high level of practice?
A) Integrity
B) Experience
C) Risk taking
D) Responsibility
Q2) A nurse uses personal experience as well as knowledge of body mechanics and medical equipment in order to determine the safest way to transfer the paraplegic patient from the bed to the wheelchair.Which critical thinking concept is demonstrated by the nurse?
A) Evaluation
B) Explanation
C) Development
D) Self-regulation
Q3) Which action by the nurse best demonstrates independent thinking?
A) Removing and carefully cleaning the patient's dentures every night
B) Initiating swallow precautions when the patient shows signs of aspiration
C) Teaching the diabetic patient how to self-administer insulin injections
D) Actively listening to the patient when recording the patient's health history
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Chapter 9: Nursing Process
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34 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with the nursing diagnosis constipation related to side effects of medications.Which is an appropriate goal for this patient?
A) "The patient will have a soft formed bowel movement by the end of the shift."
B) "The nursing assistant will ambulate the patient to the toilet as needed."
C) "The patient will not have any nausea,vomiting,or feeling of abdominal fullness."
D) "The nurse will palpate for abdominal distention and encourage oral fluid intake."
Q2) The nurse observed a postoperative patient trying to take her friend's narcotic pain pills in addition to the pain medication administered by the nurse.Which nursing diagnosis is the highest priority for this patient?
A) Health-seeking behaviors
B) Risk-prone health behavior
C) Readiness for enhanced comfort
D) Situational low self-esteem
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Chapter 10: Informatics and Documentation
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Sample Questions
Q1) The patient requests that her chart be destroyed as soon as she is discharged.What is the best response of the nurse?
A) "The hospital can give you the chart after you are discharged."
B) "Your chart will be kept secure and confidential."
C) "The information must be reported to the health department first."
D) "Your chart can be shredded if you give consent."
Q2) Which patient information may be included in the nursing student's assignment that will be turned in to the instructor after the clinical shift has ended?
A) Room number
B) Date of birth
C) Medical record number
D) Nursing diagnosis
Q3) Which is the correct military time entry for a medication that was administered at 8:30 p.m.?
A) 0830
B) 140
C) 2030
D) 2230
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Chapter 11: Communication
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which technique by the nurse will facilitate communication with an older adult?
A) Allow reminiscing.
B) Use long sentences.
C) Ask several questions in a row.
D) Play soft music in the background.
Q2) Which technique should the nurse use when providing information to a patient with a health literacy level of fifth grade?
A) Use the passive voice of language.
B) Present the most important information first.
C) Use medical terminology to explain the concepts.
D) Shift from subject to subject until the patient responds.
Q3) The emergency room nurse obtains report from the paramedics as the patient is on the way to the hospital.The nurse is in which phase of the therapeutic relationship?
A) Working
B) Orientation
C) Termination
D) Preinteraction
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Chapter 12: Patient Education
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Sample Questions
Q1) Which is the highest priority concern for the nurse who is educating the homeless patient about medications,appointments,and therapies for management of diabetes?
A) Motivation
B) Health literacy
C) Developmental stage
D) Psychomotor learning
Q2) Which teaching approach is demonstrated when the nurse provides guidance while the patient performs the sterile dressing change?
A) Telling
B) Entrusting
C) Reinforcing
D) Participating
Q3) Which is the best method to begin teaching the adult patient how to self-administer tube feeding through a new gastrostomy tube?
A) Analogies
B) Detachment
C) Role play
D) Demonstration
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Chapter 13: Managing Patient Care
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21 Flashcards
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Sample Questions
Q1) Which nursing care concept is demonstrated when the nurse takes the time to correct assessment information that was entered for the wrong patient?
A) Delegation
B) Empowerment
C) Accountability
D) Responsibility
Q2) Which nursing leadership approach demonstrates decentralized management?
A) The nurse manager sets unit policies,conducts annual reviews,and disciplines the staff as needed.
B) The staff nurses work with the manager to review care options to prevent surgical site infections.
C) The nurse manager conducts regular staff meetings to provide updates about new equipment and agency policies.
D) The nurse manager makes rounds on the unit every day to monitor for problems with patient care.
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Chapter 14: Infection Prevention and Control
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24 Verified Questions
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Sample Questions
Q1) The nurse is caring for a patient with pneumonia with a congested cough,fever,and wheezing.Which is the priority nursing diagnosis for the patient?
A) Risk for infection related to congested cough and wheezing
B) Deficient diversional activity related to boredom due to hospitalization
C) Risk for imbalanced body temperature related to increased metabolic rate
D) Ineffective airway clearance related to inability to clear secretions from airway
Q2) Which assessment findings indicate to the nurse that the patient's incision has become infected?
A) The incision site is red and warm to the touch.
B) Thick yellow-green drainage is noted at the site.
C) The patient's white blood cell count is 5300/mm<sup>3</sup>.
D) The wound edges are well approximated with sutures.
E) The patient received prophylactic antibiotics before surgery.
Q3) Which action of the nurse will minimize the onset and spread of infection?
A) Insert indwelling urinary catheters to prevent incontinence.
B) Use aseptic technique when providing mouth care to the patient.
C) Keep the patient's mucus membranes dry to prevent maceration.
D) Use masks and gowns sparingly to reduce the patient's sense of isolation.
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Chapter 15: Vital Signs
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Sample Questions
Q1) The nurse is caring for an adult patient with a temperature of 101.2° F.Which statement will the nurse make to the patient's family member who verbalizes concern over the patient's fever?
A) "Fevers this high can cause permanent neurological damage."
B) "Fevers under 102° F help the body's immune system fight infections."
C) "The fever may cause the patient to have a febrile seizure."
D) "I will call the physician now to obtain an order for antibiotics."
Q2) The nurse is unable to hear the blood pressure for a patient who is in septic shock.What is the best option of the nurse?
A) Determine the diastolic blood pressure by palpation and notify the health care provider immediately.
B) Elevate the head of the patient's bed and obtain the patient's blood pressure with an electronic vital sign machine.
C) Assess the patient's blood pressure using a lower extremity and a thigh-sized blood pressure cuff.
D) Raise the patient's arm above the level of the heart and apply the stethoscope more firmly against the antecubital fossa.
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Page 17
Chapter 16: Health Assessment and Physical Examination
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Sample Questions
Q1) The nurse is caring for a patient who was pulled unconscious from the pool after a near drowning.Which lung sounds will the nurse expect to hear upon auscultation?
A) Moist crackles
B) Expiratory wheezes
C) Friction rub
D) Coarse rhonchi
Q2) Which characteristics helped promote the development of the patient's tortuous varicose veins
A) Smoking 2 packs of cigarettes daily for the last 15 years
B) Frequently sitting with the legs crossed
C) Taking naproxen sodium daily for arthritis pain
D) Standing for long periods of time at work
E) Eating a gluten-free,low-sodium diet for the last 10 years
Q3) How can the nurse most accurately assess the skin tone for an older adult African American patient with deeply pigmented skin?
A) Utilize fluorescent lighting.
B) Turn up the heat in the room.
C) Utilize natural sunlight.
D) Turn down the temperature in the room.
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Page 18
Chapter 17: Administering Medications
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) Which medication is to be administered immediately to the patient?
A) Acetaminophen 325 mg PO prn
B) Insulin aspart 12 units subQ AC
C) Metronidazole 500 mg PO BID
D) Nitroglycerin 0.4 mg sublingual STAT
Q2) Which medication may be injected into the deltoid?
A) Lorazepam 2 mg in 2-mL saline IM
B) Insulin aspart 2 units subcut AC meals
C) Lidocaine 2 mg of 2% solution ID
D) Cyanocobalamin (vitamin B12)500 mcg in 0.5 mL IM
Q3) Which medication order is written appropriately?
A) Morphine 2.5 mg PO
B) Methotrexate 15.0 mg PO
C) Meropenem 1.0 g IV
D) Metformin .5 g PO
Q4) Which is an IV bolus order?
A) 1 L 0.9% normal saline IV infuse over 4 hours
B) Primaxin 750 mg IVPB infuse over 30 minutes Q 12 hours
C) Naloxone 300 mcg IV push over 2 minutes STAT
D) 0.9% normal saline IV infusion at 125 mL/hour
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Chapter 18: Fluid, Electrolyte, and Acid-Base Balances
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Sample Questions
Q1) Lactated Ringer's solution is administered to the patient during surgery.What is the purpose of this infusion?
A) Cause cells to shrink and reduce swelling.
B) Expand the body's intravascular fluid volume.
C) Move fluid from intravascular space into cells.
D) Pull fluid from cells into the intravascular space.
Q2) The nurse is caring for a patient with a serum potassium level of 7.1 mEq/L.Which is the highest priority nursing diagnosis for this patient?
A) Risk for spiritual distress related to chronic illness despair
B) Powerlessness related to illness-related physical limitations
C) Impaired social interaction related to limited physical activity
D) Risk for decreased cardiac output related to altered heart rhythm
Q3) Order: 500 mL D W to infuse at 50 mL/hour
IV tubing: 10 drops/mL
How many mL will infuse over the nurse's 12 hour shift? _____
Q4) Order: IV 500 mL 0.9% NS to infuse over 10 hours
IV tubing: 10 drops/mL
What will the infusion pump rate be set at-how many mL/hour? ____
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Chapter 19: Complementary and Alternative Therapies
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Sample Questions
Q1) The nurse is caring for a patient who is taking garlic for high cholesterol.Which assessment finding puts the patient at high risk for an adverse reaction?
A) The patient is training for a marathon.
B) The patient is severely allergic to beestings.
C) The patient takes enoxaparin daily.
D) The patient has a history of hypothyroid disease.
Q2) The patient reports taking valerian root capsules regularly.What is the patient's rationale for taking the supplement?
A) Relief of constipation
B) Relief of nausea and vomiting
C) Relief of arthritis pain
D) Inability to fall asleep at night
Q3) Which herbal supplement is likely to worsen symptoms for a patient with rheumatoid arthritis?
A) Echinacea
B) Ginger
C) Turmeric
D) Valerian
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Chapter 20: Caring in Nursing Practice
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Sample Questions
Q1) Which action by the nurse facilitates mutual problem solving?
A) The nurse refers the newly widowed patient to a local bereavement support group.
B) The nurse elevates the head of the bed and administers oxygen when the patient becomes short of breath.
C) The nurse asks the patient which high-fiber foods are preferred to prevent constipation.
D) The nurse assesses the patient's oral mucus membranes for ulcerations,bleeding,or dryness.
Q2) Which activity best demonstrates the caring role of a nurse?
A) Assessing the patient's entire health history
B) Administering antibiotic medications on time
C) Inserting a urinary catheter using aseptic technique
D) Maintaining privacy when conversing with the patient
Q3) Which statement is part of Leininger's Transcultural View of Caring?
A) Caring and curing are basically synonymous.
B) Caring acts are independent of patient values.
C) Care uses a standardized approach for all patients.
D) Care is tailored to meet the needs of the individual patient.
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Chapter 21: Cultural Awareness
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Sample Questions
Q1) Which situations demonstrate oppression in health care?
A) A pediatrician who refuses to treat children of parents in same-sex marriages
B) A medical practice refuses to interpret for patients who do not speak English
C) An emergency room physician refuses to administer opiates for minor pain
D) A pediatrician who refuses to treat children whose parents refuse vaccinations
E) A social services agency refuses to allow any Asian couples to adopt children
Q2) Which patient populations are at risk for being marginalized?
A) Recent immigrants to the United States
B) Individuals with type AB positive blood
C) Professionals with a master's or doctoral degree
D) Individuals who speak at least three different languages
E) Individuals who have undergone sexual reassignment surgery
Q3) Which assessment findings are social determinants of health?
A) Living in a house containing lead paint
B) Genetic predisposition to spinal osteoarthritis
C) Growing up in a neighborhood without grocery stores
D) Annual income 125% above the federal poverty level
E) Completed high school and 1 year of community college
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Chapter 22: Spiritual Health
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Sample Questions
Q1) A patient who survived a near-death experience tells the nurse about feeling a deep sense of peace,light,and unconditional love while watching the health care providers perform resuscitation procedures.Which is the best response of the nurse?
A) "Your experiences were probably due to side effects of the medications."
B) "I will ask the doctor for a psychiatric evaluation since you are hallucinating."
C) "It sounds like you are fearful of suffering associated with the dying process."
D) "Your experience is similar to others who have survived near-death experiences."
Q2) Which term is used to describe a person who does not believe in the existence of a higher power but has had a meaningful life by contributing to the lives of others?
A) Deist
B) Atheist
C) Fatalist
D) Humanist
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24
Chapter 23: Growth and Development
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Sample Questions
Q1) Which abilities are required for moral development of the child?
A) Accept social responsibility.
B) Perform repetitive motion responses.
C) Respect the integrity and rights of others.
D) Integrate principles of justice and fairness.
E) Use symbols and objects for abstract thinking.
Q2) The nurse is caring for an elderly patient who has become withdrawn and refuses to eat after being admitted to a long-term nursing facility.Which is the highest priority goal for the patient?
A) The patient will participate in social activities with other residents.
B) The patient will ask questions about the prescribed care and treatment.
C) The patient will develop meaningful relationships with the nursing staff.
D) The patient will maintain usual weight and show no signs of dehydration.
Q3) Which assessment finding leads the nurse to include the risk for delayed development nursing diagnosis in the care plan for an infant?
A) The baby's father works from home
B) The baby has three older sisters at home
C) The baby was born at only 30 weeks' gestation
D) The baby cannot tolerate formula that contains lactose
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Page 25
Chapter 24: Self-Concept and Sexuality
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Sample Questions
Q1) The nurse is caring for a patient with the nursing diagnosis self-mutilation related to inability to cope with ongoing sexual abuse.Which interventions will the nurse include in the patient's plan of care?
A) Teach the patient appropriate alternative outlets for anger and pain.
B) Assess and treat injuries using careful aseptic technique for wounds.
C) Report the patient's situation to the state protective services department.
D) Encourage the patient to forgive and forget in order to move on with life.
E) Perform a physical examination to check for sexually transmitted infection.
Q2) Which educational topic is the highest priority for a patient who has received a new prescription for sildenafil?
A) Condoms must be used to prevent spread of STIs even though contraception is not needed.
B) The sildenafil tablet may be split into two pieces if the patient has difficulty swallowing the tablet whole.
C) Sildenafil is most effective when the tablet is taken approximately 1 hour before sexual activity.
D) Eating a high-fat meal before taking sildenafil may reduce effectiveness of the medication.
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26
Chapter 25: Family Dynamics
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Sample Questions
Q1) Which is the appropriate action of the nurse when the patient's daughter offers to assist with the morning bath?
A) Accept the daughter's offer if the patient agrees.
B) Accept the daughter's offer and encourage her to assist.
C) Politely decline the daughter's offer of assistance.
D) Decline the daughter's offer as it will not be needed.
Q2) Which interventions are appropriate for the nursing diagnosis risk for caregiver role strain related to inadequate support for caregiver?
A) Monitor the caregiver for signs of physical and/or emotional fatigue.
B) Observe both the patient and caregiver for any signs of neglect or abuse.
C) Encourage placement of the patient in a residential skilled nursing facility.
D) Help the caregiver to schedule time to meet needs for rest and personal care.
E) Identify resources for the caregiver in the family,church,and local community.
Q3) Which is the priority nursing diagnosis for a family without health insurance?
A) Ineffective health maintenance related to lack of access to medical care
B) Risk-prone health behavior related to nonacceptance of health status
C) Readiness for enhanced immunization status related to annual flu shots
D) Health-seeking behavior related to use of emergency room for medical care
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Chapter 26: Stress and Coping
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Sample Questions
Q1) Which hormone is the most important factor for the physiological response to stress?
A) Cortisol
B) Glucagon
C) Histamine
D) Vasopressin
Q2) Which situation demonstrates an allostatic stress load?
A) The nursing student uses meditation to cope with mild test anxiety.
B) The patient develops anaphylactic shock after being stung by a bee.
C) The nurse develops hypertension after working too many double shifts.
D) The patient's heart rate returns to normal after a painful procedure is completed.
Q3) A young child begins wetting the bed again after the parents bring home a new baby sister.Which ego-defense mechanism is used by the child?
A) Regression
B) Conversion
C) Identification
D) Compensation
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Chapter 27: Loss and Grief
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Sample Questions
Q1) The patient is the caregiver to the spouse with advanced dementia.The patient mourns the loss of the spouse's mind and personality even though the body is still physically functioning.Which type of grief is being experienced by the patient?
A) Normal
B) Anticipatory
C) Complicated
D) Disenfranchised
Q2) Which assessment findings lead the nurse to inform the family that the patient's death is imminent?
A) The patient's pupils are fixed and dilated bilaterally.
B) The patient is lethargic,drifting in and out of consciousness.
C) The patient's breathing is harsh and congested with periods of apnea.
D) The patient had only 40 mL in the urinary catheter bag for the last 8 hours.
E) The patient's temperature is 102.6° F (39.2° C)but the hands and feet are cool and mottled.
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Chapter 28: Exercise and Activity
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Q1) The nurse is caring for a patient with a traumatic injury to the cerebellum.Which assessment finding will be expected as a result?
A) The patient sways from side to side when walking.
B) The patient's ligaments are weak and easily ruptured.
C) The patient has fine tremors with purposeful movement.
D) The patient's joints are reddened,swollen,and warm to touch.
Q2) How does the nurse maintain a low center of gravity while transferring the patient from the bed to the chair?
A) The nurse ties the gait belt loosely around the patient's waist.
B) The nurse stands with the knees slightly bent and legs spread apart.
C) The nurse bends at the waist when setting the patient's feet on the floor.
D) The nurse leans backward slightly when helping the patient to stand.
Q3) Which nursing goals are appropriate for a patient with the nursing diagnosis of impaired walking related to neuromuscular weakness and deconditioning?
A) The patient will be able to ambulate 25 feet in the hallway.
B) The patient will demonstrate correct use of a rollator walker.
C) The nurse will keep the patient's heels elevated off the mattress.
D) The patient will use the over-bed trapeze to reposition self every 2 hours.
E) The nurse will ensure that the floors are kept free of clutter or spills.
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Page 30
Chapter 29: Immobility
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Q1) Which outcome is most appropriate for a patient with the diagnosis impaired wheelchair mobility related to neuromuscular impairment and fatigue?
A) The patient will feel comfortable navigating the motorized wheelchair.
B) The patient will demonstrate ability to safely operate the motorized wheelchair.
C) The patient will understand the need to use a motorized wheelchair for mobility.
D) The patient will demonstrate correct use of the trapeze bar for repositioning self.
Q2) The nurse is caring for a patient who suffered a fractured arm.Which assessment finding is expected after the patient's cast is removed after 6 weeks?
A) The skin is thin with no hair growth.
B) The radial pulse is weak and thready.
C) The arm muscles are atrophied and weak.
D) The fingernail beds are thick and clubbed.
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Chapter 30: Safety
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Q1) Which is an example of a procedure-inherent accident?
A) The patient suffered a burn due to a malfunctioning heating pad.
B) The patient suffered a tongue laceration during a grand mal seizure.
C) The nurse suffered a back injury when repositioning a heavy patient in bed.
D) The physician suffered a broken wrist after it was caught in the elevator door.
Q2) A patient has just undergone an abdominal aortic aneurysm repair.The patient is pulling at the Foley catheter,nasogastric tube,central line,and abdominal dressing,and a wrist restraint is applied after an order is received.Later,the patient reports tingling and numbness in the fingers and hand.Which actions should the nurse take?
A) Stay with the patient.
B) Medicate the patient for pain.
C) Notify the health care provider.
D) Remove the restraint immediately.
E) Tell the patient to relax and it will feel better shortly.
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Chapter 31: Hygiene
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Q1) Which is the priority nursing intervention for a patient with confusion and the diagnosis impaired dentition related to inability to perform oral care?
A) Assess the patient's preferred methods for oral hygiene.
B) Brush the patient's teeth twice daily with a soft toothbrush.
C) Use foam swab sticks to clean the oral cavity every morning.
D) Encourage the patient to chew sugarless gum during the day.
Q2) Which nursing intervention is appropriate when bathing older adult patients?
A) Use warm water,mild skin cleanser,and moisturizing lotion.
B) Apply a topical steroid cream to dry skin areas after bathing.
C) Assist the patient to take relaxing,long hot showers twice weekly.
D) Wash the patient's skin using plain water and dry with a soft towel.
Q3) What will the nurse do with extra clean linens that were left over after the patient's bath?
A) Place them back in the linen closet.
B) Place them on the patient's bedside table.
C) Use them to bathe the patient's roommate.
D) Place them in a laundry bag to be laundered.
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Chapter 32: Oxygenation
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Q1) Which assessment finding explains the patient's tachycardia?
A) The patient drinks at least eight cans of diet cola every day.
B) The patient takes digoxin 0.125 mg PO daily.
C) The patient has a history of untreated hypothyroid disease.
D) The patient takes metoprolol 50 mg PO daily.
Q2) The nurse is caring for a patient a serum potassium level of 7.4 mEq/L.Which is the highest priority nursing diagnosis for this patient?
A) Nausea related to side effects from medications
B) Ineffective tissue perfusion related to altered mental status
C) Fluid volume excess related to increased isotonic fluid retention
D) Risk for decreased cardiac output related to altered heart rhythm
Q3) Which assessment finding indicates that the sinoatrial node was damaged as a result of the patient's heart attack?
A) The patient's jugular vein is distended.
B) The patient's heart rate is 34 beats/minute.
C) Faint wheezes are heard in the patient's lungs.
D) The patient has developed a new heart murmur.
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Page 34
Chapter 33: Sleep
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Q1) Which nursing intervention can cause an unsafe sleeping environment for the hospitalized patient?
A) A small night-light left on in the bedroom.
B) The patient's bed is in high position with side rails up.
C) All clutter is removed between the bed and the bathroom.
D) Call bell at the bedside for the patient to contact the nurse.
Q2) A nurse is caring for a patient who suffers from a sleep pattern disturbance.To promote adequate sleep,what are the most appropriate nursing interventions?
A) Provide personal hygiene before bedtime.
B) Straighten and change any soiled bed linens.
C) Assist the patient to use the toilet before bed.
D) Administer sleep aids every night at the same time.
E) Synchronize the schedule for medications and vital signs.
Q3) Which nighttime activity will keep the patient from being able to fall asleep easily?
A) Doing crossword puzzles on a tablet computer
B) Turning down the temperature in the bedroom
C) Listening to recordings of soothing classical music
D) Always going to bed at approximately the same time
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Chapter 34: Pain Management
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Q1) The patient takes morphine sulfate controlled release every 12 hours for chronic severe cancer pain.The last dose was 8 hours ago.The patient is presently moaning and states that the pain is very bad.Which is the best action of the nurse?
A) Give the next scheduled dose of morphine sulfate controlled release now.
B) Wait for the last dose of morphine sulfate controlled release to start taking effect.
C) Carefully reposition the patient and reassess the pain in 1 hour.
D) Contact the physician for a breakthrough pain medication order.
Q2) The nurse is caring for a patient who just underwent knee-replacement surgery.The patient complains of pain at the operative site but it is too soon for the nurse to administer the next dose of pain medication.What is the appropriate action of the nurse?
A) Give the next dose of prescribed pain medication early.
B) Contact the surgeon immediately to assess the patient's knee.
C) Caution the patient about the risk of addiction to pain medications.
D) Apply an ice pack to the knee and elevate the patient's knee on pillows.
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Chapter 35: Nutrition
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Q1) Which soup is appropriate for a patient who follows a vegan diet?
A) Cream of broccoli and cheddar cheese soup
B) Moroccan carrot,apple,and cauliflower soup
C) Minestrone soup with lamb,vegetables,and pasta
D) Egg drop soup with chow mein noodles and scallions
Q2) Which intervention is most appropriate for the nursing diagnosis ineffective breastfeeding related to maternal malnutrition?
A) Encourage the mother to eat a diet rich in nutrients and protein.
B) Provide a quiet nursing environment to reduce maternal anxiety.
C) Allow the infant to room with the mother and breastfeed on demand.
D) Avoid supplemental feedings for the infant to promote breastfeeding.
Q3) Which action of the patient will facilitate aspiration of food and fluids into the airway?
A) The patient avoids talking when eating or swallowing.
B) The patient tilts the head backward when swallowing.
C) The patient thickens liquids to the consistency of honey.
D) The patient clears the throat after every few bites of food.
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Chapter 36: Urinary Elimination
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Q1) The nurse is discontinuing the patient's indwelling urinary catheter.The catheter is not easily withdrawn after the balloon is deflated.Which is the appropriate nursing action?
A) Reattach the syringe and attempt to withdraw more water from the balloon.
B) Ask the patient to bear down as the catheter is withdrawn with gentle pressure.
C) Review the patient's chart to see how much water was inserted into the balloon.
D) Explain to the patient that removal of the catheter may cause significant discomfort.
Q2) A patient with a Foley catheter needs a urine sample for culture and sensitivity.What is the appropriate action for the nurse to take?
A) Disconnect the drainage tube from the catheter.
B) Withdraw urine from the closed system drainage bag.
C) Empty contents of the drainage bag into the specimen cup.
D) Attach a sterile syringe to the catheter port to withdraw urine.
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Chapter 37: Bowel Elimination
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Q1) The nurse is caring for a patient who had surgery to remove most of the large intestine.Which finding will the nurse expect to note when assessing the patient?
A) Soft formed stools
B) Chronic loose stools
C) Frequent stool impaction
D) Intermittent constipation
Q2) The nurse is caring for a patient with painful hemorrhoids.Which is the appropriate recommendation of the nurse to prevent their recurrence?
A) Stool softener daily at bedtime
B) Low-carbohydrate ketogenic diet
C) Periodic bowel cleansing programs
D) High-fiber diet with plenty of liquids
Q3) Which is the appropriate nursing action after the patient's fecal occult blood test is positive?
A) Educate the patient about colonoscopy preparation.
B) Obtain an order for a STAT complete blood count (CBC).
C) Check the patient's rectum for the presence of impacted stool.
D) Draw blood for type and cross-match testing by the blood bank.
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Chapter 38: Skin Integrity and Wound Care
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Q1) The patient just sustained a deep laceration that is bleeding profusely.Which stage of healing describes the current state of the patient's wound?
A) Hemostasis phase
B) Proliferative phase
C) Inflammation phase
D) Remodeling phase
Q2) The patient's sacral pressure injury is open with exposed bone.Which pressure injury stage will be recorded in the patient's chart?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
Q3) Which patient would benefit from soaking in a sitz bath?
A) A patient with an abscessed tooth
B) A patient with a fractured right arm
C) A patient with painful back muscle spasms
D) A patient who just had hemorrhoid surgery
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Chapter 39: Sensory Alterations
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Q1) Which assessment finding indicates that the patient has developed diabetes-induced peripheral neuropathy?
A) The nurse must speak louder than usual to be understood by the patient.
B) Fine tremors of the hands that worsen when the patient tries to eat or write.
C) Painful muscle spasms with hyperreactive Achilles and quadriceps reflexes.
D) No pain is felt when the patient's feet are burned after walking on hot pavement.
Q2) The nurse is caring for a patient who becomes agitated when visitors stay for extended periods or the hospital unit becomes noisy.The nurse identifies this as sensory overload.Which interventions will be of benefit to the patient?
A) Reduce the number of visitors to the patient's room.
B) Provide a dedicated period of rest time each afternoon.
C) Institute a unit-wide quiet time at 10:00 p.m.each night.
D) Turn on the television to drown out noise from other patients.
E) Coordinate therapies and tests with other departments and providers.
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Chapter 40: Surgical Patient
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Q1) Which is the most appropriate outcome for the postoperative patient with the nursing diagnosis ineffective breathing pattern related to side effects of pain medication?
A) The patient will correctly demonstrate how to use pursed-lip breathing.
B) The patient will report the ability to breathe comfortably without anxiety.
C) The patient's pulse oximetry will stay greater than 94% with at least 12 breaths/minute.
D) The patient will rest comfortably and rate pain no higher than 4 on 0-to-10 scale.
Q2) Which surgical procedure may be performed using conscious sedation?
A) Knee-replacement surgery
B) Coronary artery bypass surgery
C) Cataract removal with lens implant
D) Modified radical mastectomy surgery
Q3) The postanesthesia care unit nurse receives a patient from the operating room.Which assessment will the nurse perform first?
A) Foley catheter and surgical fluid intake
B) Intravenous lines for patency or redness
C) Airway,lung sounds,and pulse oximetry
D) Nasogastric tube and presence of bowel sounds
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