Nursing Concepts and Skills Study Guide Questions
Course Introduction
Nursing Concepts and Skills provides students with a comprehensive foundation in the essential principles and techniques underpinning professional nursing practice. This course covers core topics such as patient-centered care, health assessment, infection control, safety, communication, basic pharmacology, and the nursing process. Through interactive lectures, simulations, and practical lab experiences, students develop critical thinking and hands-on skills necessary for delivering effective care across diverse healthcare settings. Emphasis is placed on ethical practice, cultural competence, and interdisciplinary collaboration, preparing students to meet the dynamic challenges of the nursing profession.
Recommended Textbook
deWits Fundamental Concepts and Skills for Nursing 5th Edition by Williams
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41 Chapters
1377 Verified Questions
1377 Flashcards
Source URL: https://quizplus.com/study-set/776 Page 2
Chapter 1: Nursing and the Health Care System
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/15225
Sample Questions
Q1) Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York in 1893 in order to:
A) offer a shelter to injured war veterans.
B) found a nursing apprenticeship.
C) provide health care to poor persons living in tenements.
D) offer better housing to low-income families.
Answer: C
Q2) Characteristics of primary nursing include: (Select all that apply.)
A) elimination of fragmentation of care between shifts.
B) evolved in the mid-1950s.
C) planning and direction performed by one nurse.
D) ancillary workers used to increase productivity.
E) the care plan covering the entire day.
F) associate nurses taking over care and planning when the primary nurse is off duty.
Answer: A, C, D, E, F
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3
Chapter 2: Concepts of Health, Illness, Stress, and Health Promotion
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A patient has been advised by the primary care provider to take medication for high cholesterol and to change eating habits after discharge home. The home health nurse discovered that the patient refused to follow the medical and nutritional directions. The nurse's best initial response to this situation is to:
A) emphasize to the patient how important it is to follow the doctor's advice.
B) determine whether any cultural, socioeconomic, or religious values conflict, thus interfering with the patient's compliance.
C) explain that without diet and medication the condition will worsen and serious problems will develop.
D) inform the primary care provider that the patient is unable to understand the instructions.
Answer: B
Q2) Adequate _____________ is necessary in the communication between nurse and patient in order to meet the higher basic needs of security, love, belonging, and self-esteem.
Answer: feedback
Adequate feedback and clarification are essential in assisting the patient meet the higher level needs.
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Page 4
Chapter 3: Legal and Ethical Aspects of Nursing
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) In 2003, the Patients' Bill of Rights was revised to become the _________: Understanding Expectations, Rights, and Responsibilities.
Answer: Patient Care Partnership
The Patient Care Partnership addresses patient rights and the responsibility of health care facilities.
Q2) When a patient asks a nurse to witness the signing of a will, the nurse should refer the request to the:
A) nurse supervisor.
B) hospital legal department.
C) notary public for the hospital.
D) nurse's attorney.
Answer: C
Q3) If a nurse is reported to a state board of nursing for repeatedly making medication errors, it is most likely that:
A) the nurse will immediately have his or her license revoked.
B) the nurse will have to take the licensing examination again.
C) a course in legal aspects of nursing care will be required.
D) there will be a hearing to determine whether the charges are true.
Answer: D
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Page 5
Chapter 4: The Nursing Process and Critical Thinking
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) When the nurse constructs a nursing approach after careful judgment and sound reasoning, the nurse has used a system of ___________________.
Q2) The effect of using a scientific problem-solving approach in nursing care will cause decision making to be:
A) slowed down considerably by the multiple steps.
B) rigid and nonpatient oriented.
C) improved nursing care outcomes.
D) unrelated to the nursing process.
Q3) When a nurse prioritizes the patient care, consideration is given to:
A) completing assessments before mid-shift.
B) considering situations that may result in an alteration of health.
C) assuming all health care activities for a group of patients.
D) identifying who can assist with the aspect of care.
Q4) Place the steps of the problem-solving approach in the appropriate order:
A) Predict the likelihood of each outcome occurring.
B) Choose the alternative with the best chance of success.
C) Consider all possible alternatives as the solution to the problem.
D) Identify the problem.
E) Examine possible outcomes of each alternative.
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Chapter 5: Assessment, Nursing Diagnosis, and Planning
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A nursing care plan consists of:
A) nursing orders for individualized interventions to assist the patient to meet expected outcomes.
B) orders for diagnostic and therapeutic procedures such as laboratory tests or radiographs.
C) the health care provider's history and physical examination, as well as medical diagnoses.
D) laboratory and radiograph reports, pathology reports, and the medication record.
Q2) Reginald is a nurse caring for a 56-year-old man who is admitted with an acute MI.
As he completes the initial assessment, he knows that concerning the practice of nursing, the purpose of the assessment on admission is to:
A) gather data so that the patient's response to the treatment can be evaluated.
B) gather data for the health care provider, to make decisions based on the condition of the patient.
C) establish rapport with the patient so that he/she can feel safe and secure in the acute health care setting.
D) begin the care plan and set the patient on the road to recovery.
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Chapter 6: Implementation and Evaluation
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse caring for a group of patients would show cultural sensitivity to assign an older male nursing assistant to the care of:
A) a 45-year-old white male patient with uncontrolled diabetes.
B) a 50-year-old Hispanic man with a broken leg.
C) a 55-year-old Japanese man with irritable bowel syndrome.
D) a 60-year-old Muslim woman with pneumonia.
Q2) The agency-wide process that takes into consideration nursing audits and compliance to standards of every department is the ______________________.
Q3) The nurse compares actual nursing outcomes to the expected nursing outcomes in order to:
A) prepare the patient to be discharged from the facility.
B) determine if the patient's health problems have been treated.
C) calculate charges for nursing services during the patient's hospital stay.
D) determine if progress is made or to determine if revisions are needed.
Q4) Nurses design interventions that are appropriate for a patient that are:
A) based on the primary care provider's orders and the medical diagnosis.
B) expected to help the patient meets the goals most quickly.
C) used to evaluate whether the nursing care plan should be revised.
D) based on cost effectiveness and staff availability.
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Chapter 7: Documentation of Nursing Care
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse begins the shift caring for a patient who has just returned from the recovery room after surgery. It is most important to document:
A) at the end of the shift so that the nurse can give his full attention and time to the patient's needs during the shift.
B) a nursing care plan in the medical record before assessing the patient so that the nurse can identify priorities.
C) at least three times during the shift: at the beginning, in the middle, at the end, and as needed.
D) an initial assessment of the patient and a plan based on the needs of the patient as assessed at the beginning of the shift.
Q2) When the nurse documents in narrative or source-oriented format about the patient's condition and the nursing care provided, it is appropriate for him to record:
A) "Patient will go to physical therapy after lunch."
B) "Diabetes in excellent control. Continue with current insulin schedule."
C) "I gave the patient a thorough bath and cut her fingernails."
D) "To x-ray by wheelchair at 10:30 AM IV infusing in left arm."
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Chapter 8: Communication and the Nurse Patient
Relationship
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/15232
Sample Questions
Q1) The communication technique of __________ gives the caregiver the opportunity to ask and respond to questions.
Q2) When interacting with an older adult patient, the nurse would enhance communication by:
A) speaking slowly in order to allow the patient to process the message.
B) addressing him by his first name to encourage a therapeutic relationship.
C) standing in the doorway rather than entering the room to give the older adult patient more privacy.
D) speaking in simple sentences, as if to a child.
Q3) The nurse is caring for a patient with a diagnosis of lung cancer. The nurse states, "If I were you, I would have radiation therapy." The nurse's statement is an example of which type of communication block?
A) Inattentive listening
B) Giving advice
C) Using clichés
D) Defensive response
Q4) Pain is often conveyed through nonverbal communication. Two other common, nonverbally expressed emotions are _________________ and ______________.
Page 10
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Chapter 9: Patient Education and Health Promotion
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/15233
Sample Questions
Q1) The nurse would identify an opportunity for a "teachable moment" in the situation of a patient who:
A) has just been told of the malignancy of his tumor.
B) says, "How will I remember all the things about my new diet?"
C) has just returned from surgery for a deviated septum.
D) is packing belongings in preparation for discharge.
Q2) The nurse designing a patient education plan for a patient admitted to the hospital for treatment of a heart problem after years of treating the ailment at home with herbal remedies and practices common in his cultural group should:
A) help the patient to see that using herbal remedies has not worked in the past.
B) explain that cultural remedies may conflict with conventional medicine.
C) help the patient to identify optimum outcomes that can be achieved through education and compromise.
D) ask family members to intervene for the cessation of the use of cultural remedies.
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11
Chapter 10: Delegation, Leadership, and Management
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/15234
Sample Questions
Q1) The nurse's most appropriate selection of a task to be delegated to an unlicensed assistive personnel (UAP) would be:
A) assessing circulation in the toes of a patient in a cast.
B) changing a patient's wound dressing.
C) taking the blood pressure of a patient who has just returned from surgery.
D) toileting a patient on a bladder training regimen.
Q2) The most effective communication from a nurse leader to a team member that is most likely to have a positive outcome would be:
A) "Jane, be sure to get those vital signs recorded on time today."
B) "Jane, I need those vital signs before breakfast."
C) "Jane, please give me a list of those vital signs before breakfast."
D) "Jane, breakfast trays are being served. You need to get those vital signs."
Q3) A nurse is aware that the medication orders on the MAR should be verified with the medical record orders every _____.
A) shift
B) 12 hours
C) 24 hours
D) 48 hours
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Chapter 11: Growth and Development: Infancy Through
Adolescence
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72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/15235
Sample Questions
Q1) A nurse assessing a 13-year-old girl observes that she has begun her menstruation cycle. The nurse is aware the hormone responsible for this change is:
A) parathyroid hormone (PTH).
B) thyroid-stimulating hormone (TSH).
C) adrenocorticotropic hormone (ACTH).
D) follicle-stimulating hormone (FSH).
Q2) The nurse instructs the parents that emotional intelligence can be supported in a child by the parents:
A) insisting on IQ testing.
B) talking to the child about his or her feelings.
C) allowing the child to bring friends into their home.
D) encouraging the child to read.
Q3) The nurse reminds a parent that a major milestone for a 2- to 3-year-old child is to learn to:
A) play team games with others his age.
B) speak clearly and fluently.
C) use the toilet for bladder and bowel functions.
D) tie shoelaces.
Q4) The sperm and ovum each contain __________ unpaired chromosomes.
Page 13
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Chapter 12: Adulthood and the Family
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15236
Sample Questions
Q1) A nurse is educating a female patient about bone health in middle adults. The nurse would recognize the need for further education if the patient states:
A) "Since I have a family history of osteoporosis, I will begin regular bone density screening at age 45."
B) "Since I have experienced a loss of 2 inches in height since I was 20, I will seek screening for osteoporosis."
C) "I will obtain sufficient vitamin D from sunlight or take a vitamin D supplement as recommended by my primary care provider."
D) "I will take 1500 mg/day of calcium until menopause and then decrease my calcium intake to 1200 mg/day after menopause."
Q2) A 55-year-old is married with two children, ages 15 and 17. He is a supervisor for the local utility company, where he has been employed for 25 years. He is active in his community and serves on the town council. According to Schaie's theory of cognitive development, he is in the ______________ stage, which occurs in the _______________ stage of adulthood.
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Page 14
Chapter 13: Promoting Healthy Adaptation to Aging
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/15237
Sample Questions
Q1) An 84-year-old patient who is hospitalized for pneumonia says to the nurse, "I don't know why I've lived so long. All my friends are gone, my children and grandchildren are all independent and successful-nobody needs me anymore." An appropriate response by the nurse is:
A) "You have a lot to live for. Your children and grandchildren really love you."
B) "You must have inherited good genes. You should be thankful you're still alive."
C) "Tell me about your children and what it was like when you were raising them."
D) "The pneumonia has made you feel morbid. Things will look up!"
Q2) A 70-year-old widower continues to work part time in a demanding business, while traveling in his free time with a 68-year-old widow to visit longtime friends and relatives. He remains an active member of several community organizations. His life is an example of a person who:
A) is acting like a younger person to prove to himself that he is not "old."
B) is adjusting well to the changes of benign senescence.
C) should slow down and enjoy retirement while he is still healthy.
D) is avoiding the psychosocial tasks of aging such as retirement and slowing down.
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Chapter 14: Cultural and Spiritual Aspects of Patient Care
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/15238
Sample Questions
Q1) A young Hindu woman who is part of a traditional Hindu family is in a coma and is going to be transferred to the ICU. The family member whom the nurse should consult about this health matter would be the:
A) eldest woman in the family.
B) family council.
C) patient's husband.
D) the older siblings.
Q2) A woman who is part of a traditional Muslim family is hospitalized after an accident. It is most important for the nurse to include in the care to:
A) provide privacy when the priest comes to administer the sacrament of the sick.
B) respect her need for modesty in keeping her body covered.
C) keep her hair covered at all times.
D) refrain from touching the soles of her feet.
Q3) The term developed to describe care that recognizes cultural diversity and that is sensitive to the cultural needs of the patient is _________.
Q4) Persons of African extraction are predisposed to the three disorders of ____________, _____________, and _______________.
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Chapter 15: Loss, Grief, and End-of-Life Care
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/15239
Sample Questions
Q1) The five stages identified by Dr. Elisabeth Kübler Ross are __________, _________, ___________, ____________, and _____________.
Q2) The nurse discusses the grief theory of Maciejewski, which outlines the stages of grief as including: (Select all that apply.)
A) yearning.
B) bargaining.
C) anger.
D) denial.
E) depression.
Q3) The nurse caring for a terminally ill patient with renal failure would question an order for pain control that prescribed:
A) methadone.
B) oxycodone.
C) meperidine.
D) morphine.
Q4) Individuals move through the stages of grief at their own pace. When a person is "stuck" in a stage and cannot move forward, this is called ___________.
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17
Chapter 16: Infection Prevention and Control: Protective
Mechanisms and Asepsis
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/15240
Sample Questions
Q1) When a patient in the ambulatory clinic is diagnosed as having pneumococcal pneumonia, the nurse is aware that this infection:
A) is viral and will not respond to antibiotics.
B) is bacterial and should respond to treatment with antibiotics. C) is fungal and is caused by the alteration of the normal flora of the lung. D) is resultant from a resistant organism and extreme caution must be taken.
Q2) A young patient became ill with mononucleosis that she contracted from drinking out of the same glass as her boyfriend who also had the disease. The glass, an inanimate object, has caused the indirect transmission. The inanimate transmitter is called:
A) fomite.
B) prions.
C) vector.
D) interferon.
Q3) Fleas, ticks, mosquitoes, and other insects that harbor infection are called _____________.
Q4) Older adults should receive influenza immunization every ______.
Q5) The nurse is aware that gram-negative bacteria are capable of causing hemorrhagic shock by the production of a(n) ___________________.
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Chapter 17: Infection Prevention and Control in the Hospital and Home
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/15241
Sample Questions
Q1) A nurse caring for a ventilator-dependent patient will incorporate which of the following best practices recommended by the IHI into the care plan, to reduce the incidence of health acquired infections (HAIs)?
A) Continue to keep patient sedated to reduce anxiety.
B) Instill eye drops to reduce dryness.
C) Administer medication to reduce the likelihood of peptic ulcer disease.
D) Elevate the head of the bed 15 degrees to prevent pneumonia.
Q2) The nursing intervention most likely to decrease the chance of health care-associated infections (HAIs) for a 76-year-old patient following bowel resection surgery would be to have the patient:
A) turn, cough, and deep breathe every 2 hours.
B) limit ambulation.
C) get blood pressure, pulse, and respirations assessed every 4 hours.
D) keep the room door closed.
Q3) The most contagious stage of infection is the ________________ period.
Q4) A patient had abdominal surgery 3 days ago and now has a temperature of 101.2° F and reports feelings of malaise. The nurse assesses the abdominal incision and observes edema around the incision and some purulent drainage. This patient is in the ____________ stage of infection.
Page 19
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Chapter 18: Safe Lifting, Moving, and Positioning of Patients
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse explains to the unlicensed assistive personnel (UAP) that a shearing force is applied to the patient when:
A) a lifting sheet is used to move the patient to a stretcher.
B) the patient is pulled up in bed without being lifted.
C) the patient is seated in a wheelchair without a pressure cushion.
D) the patient is left in the supine position.
Q2) While the nurse is assisting a patient to ambulate, the patient suddenly says, "I'm dizzy. I can't stand up." As the patient begins to fall, the nurse should:
A) tell the patient, "Look up, take some deep breaths, and stand up straight. You can do it."
B) call for another nurse or aide to get a wheelchair to return the patient to her room via wheelchair.
C) step behind the patient, grasp her around the waist or chest, and slide her down his leg gently to the floor.
D) look for the nearest chair and assist the patient to it.
Q3) There are two main factors in the development of pressure ulcers. One is pressure and the other is __________.
Q4) The primary function of a joint is to provide ______________ to the skeleton.
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Chapter 19: Assisting with Hygiene Personal Care Skin Care
and the Prevention of Pressure Ulcers
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) To perform oral care for an unconscious patient, the nurse takes which action first?
A) Position the patient in an upright sitting position with the bed at a comfortable working height for the nurse.
B) Raise the bed to a comfortable working height and position the patient in a flat side lying position.
C) Move the patient to the far edge of the bed with the head slightly elevated.
D) Lower the bed, lower both side rails, and turn the patient's head to one side.
Q2) The nurse stages a pressure ulcer as a stage II based on the knowledge that such lesions have:
A) mottled skin and induration.
B) full-thickness skin loss and a deep crater.
C) partial thickness skin loss with the appearance of a blister.
D) a deep pink area of unblanchable skin.
Q3) Skin that is frequently wet leads to _______________, the softening of tissue that increases the chance of trauma or infection.
Q4) The buildup of tough necrotic tissue found with a pressure ulcer is called
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Chapter 20: Patient Environment and Safety
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A resident is confused and teary. She is threatening to leave the facility to return home. The nurse should:
A) call her family immediately and notify them of the problem.
B) have the nurse's aide place a vest protective device on the patient.
C) call the doctor immediately and get an order for a protective device.
D) stay with the patient and attempt to determine the cause of the problem.
Q2) The home health nurse assessing the home for safety hazards notes a hazard that should be remedied is:
A) an extension cord lying across the floor.
B) nonskid bath mats on the bathroom floor and in the shower.
C) night lights high on the wall in the bathroom.
D) lack of scatter rugs on the wooden floor.
Q3) A diabetic patient has chronic peripheral vascular disease, which results in edema and poor circulation to her feet. She constantly complains of cold legs. The best nursing action is to provide:
A) a heating pad and place it under the patient's feet.
B) an electric blanket to increase warmth to legs at night.
C) a hot shower to increase circulation to legs.
D) additional blankets and encourage the use of warm bed socks.
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Page 22
Chapter 21: Measuring Vital Signs
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33 Verified Questions
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Sample Questions
Q1) The nurse is aware that the use of an oral glass thermometer would be contraindicated in a:
A) 5-year-old with a facial laceration.
B) 12-year-old patient with a recent seizure.
C) 15-year-old with an abscessed tooth.
D) 20-year-old with severe dehydration.
Q2) The nurse taking an apical pulse would place the stethoscope at:
A) the left of the sternum at the third intercostal space.
B) directly below the sternum.
C) slightly above the left nipple.
D) the left midclavicular line at the fifth intercostal space.
Q3) A nurse educates patients with prehypertension to implement lifestyle changes that would decrease their systolic pressure from 140 to 120 mm Hg. Which of the following is his or her rationale for this?
A) Reduced deaths by 50% in people over age 40.
B) Reduced rates of strokes by 10%.
C) Reduced rates of COPD by 25%.
D) Reduced rates of heart attacks by 30%.
Q4) The nurse clarifies the average cardiac output in the adult is about _____ L/min.
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Chapter 22: Assessing Health Status
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse lightly palpates the abdomen of a patient during a physical examination. On palpation to the right side of the abdomen, the patient cries out and draws the knees to the chest. The nurse should:
A) discontinue the examination and report findings to the primary care provider.
B) palpate the abdominal skin 1.5 to 2 inches to determine the cause of pain.
C) continue the examination and have the patient take deep breaths.
D) proceed to percuss the abdomen with a quick snap of the wrist.
Q2) Prior to preparing a female patient for a pelvic examination, the nurse should:
A) encourage her to void in the bathroom.
B) provide a pillow for the head and the hips.
C) hand the patient a sheet and allow her to drape herself.
D) cleanse the external genitalia with soap and water.
Q3) Percussion is a technique by which the nurse can assess sounds relative to the underlying structures that indicate the presence of: (Select all that apply.)
A) air.
B) infection.
C) fluid.
D) the inflammatory process.
E) a solid organ.
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Page 24
Chapter 23: Admitting Transferring and Discharging Patients
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32 Verified Questions
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Sample Questions
Q1) The nurse appreciates that a routine acute care facility admission differs from an emergency admission in that a routine admission: (Select all that apply.)
A) is scheduled in advance.
B) is not stressful.
C) is completely covered by insurance.
D) has a predictable outcome.
E) allows time to arrange for disruptions in routine.
Q2) When the nurse discovers that the patient's consent form for an invasive procedure was transcribed incorrectly, the nurse should:
A) cross out the incorrect information and write error, and then write in the correct information.
B) destroy the incorrect form and write a new one correctly.
C) cross out the entire form, but leave it in the medical record as a permanent record.
D) notify the primary care provider of the error and clarify what the primary care provider prefers to be done.
Q3) An examination of the remains of a body by a pathologist to determine the cause of death is a(n) ______________.
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Page 25
Chapter 24: Diagnostic Tests and Specimen Collection
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Sample Questions
Q1) The nurse explains to the patient that the significance of the hematocrit is that it:
A) indicates the number of circulating white blood cells.
B) indicates the value of the hemoglobin.
C) refers to the separation of blood cells from plasma.
D) will decrease when the patient is in shock.
Q2) The nurse instructing in the collection of a midstream urine catch would tell the patient to first cleanse the external genitalia and then to:
A) begin voiding into the specimen cup.
B) let a few drops of urine dribble into the specimen cup.
C) void until the bladder is almost empty and then collect the end portion of the voiding in the cup.
D) pass a small amount of urine into the toilet and then collect the specimen.
Q3) A patient asks why the blood glucose meter directions state to wipe away the first drop of blood. The most informative response by the nurse would be:
A) "This eliminates microorganisms from the sample."
B) "The first drop is usually too small."
C) "The first drop is usually contaminated."
D) "The first drop has serous fluid that can dilute the specimen."
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Chapter 25: Fluid, Electrolyte, and Acid-Base Balance
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15249
Sample Questions
Q1) The nurse is determining if I&O are within normal limits. Which of the following is an indication of a fluid imbalance?
A) Twenty-four hour I&O totals show 2 L negative output. Compare daily weight to see if there is a weight gain of 2 kg.
B) Shift I&O totals show a 2 L positive output. Compare the daily weights to see if there is a weight gain of 2 kg.
C) Shift I&O totals show a 4 L negative output. Compare daily weights to see if there is a zero weight loss.
D) Twenty-four hour I&O totals are equal. Compare daily weight to see if there is a negative weight loss.
Q2) The nurse is aware that an infant is more at risk for dehydration because the infant:
A) has kidneys that reabsorb water from the intravascular space.
B) has a larger body surface compared with body weight.
C) urinates more frequently.
D) has fat that absorbs water.
Q3) A patient with a serum potassium value of less than 3.5 mEq/L is _________.
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Chapter 26: Concepts of Basic Nutrition and Cultural
Considerations
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/15250
Sample Questions
Q1) The nurse points out to the newly diagnosed Type 2 diabetic patient that complex carbohydrates:
A) do not affect the blood sugar level.
B) keep the blood sugar at an unsatisfactory high level.
C) lack adequate nutritional potential.
D) maintain a more consistent blood sugar level.
Q2) A patient refuses to eat all types of meat, which has led to a protein deficiency. The nurse recognizes that the only plant source that contains all nine essential amino acids is:
A) bean sprouts.
B) lima beans.
C) kidney beans.
D) soybeans.
Q3) The nurse emphasizes the dietary recommendations made by the American Heart Association is to limit cholesterol intake to:
A) 300 mg/day.
B) 400 mg/day.
C) 425 mg/day.
D) 500 mg/day.
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Chapter 27: Nutritional Therapy and Assisted Feeding
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nutritional documentation that is most informative is:
A) ate all of lunch.
B) ate 50% of lunch without difficulty. Refused all solid food.
C) drank most of liquids without difficulty.
D) assisted feeding liquid diet, choked frequently.
Q2) A nurse caring for a patient diagnosed with AIDS would include in the nutritional plan of care: (Select all that apply.)
A) asking the patient about sexual history.
B) encouraging the patient to eat solid foods that are high in protein.
C) offering the patient supplements such as Ensure.
D) obtaining an order for a dietitian consult.
E) urging the patient to eat three well-balanced meals per day.
F) offering pureed foods when the patient's mouth is painful.
Q3) A nurse is instructing a family member who will be caring for a patient receiving enteral feedings after discharge to home. The nurse would emphasize:
A) taping the gastrostomy tube so that it does not hang lower than the stomach.
B) discarding unused opened refrigerated formula after 3 to 4 days.
C) administering tube feedings while they are still cold from the refrigerator.
D) mixing all medications together for administration at the same time.
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Page 29
Chapter 28: Assisting with Respiration and Oxygen Delivery
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15252
Sample Questions
Q1) The multiple causes for hypoxia include: (Select all that apply.)
A) extreme fright.
B) aspirated vomit.
C) pulmonary fibrosis.
D) hiccoughs.
E) high altitude.
Q2) The nurse instructing the patient to perform forceful exhalation coughing would instruct the patient to take in:
A) one deep breath and quickly exhale.
B) two breaths and force the air out quickly.
C) two deep breaths, then inhale deeply again and force out the air quickly.
D) one breath, hold it for 3 seconds, then forcefully exhale three times with mouth open.
Q3) The nurse performing tracheotomy care will:
A) raise the head of the bed to high Fowler's position.
B) remove the inner cannula with the ungloved hand.
C) suction tracheotomy before beginning care.
D) clean cannula with gauze and replace and lock.
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Chapter 29: Promoting Urinary Elimination
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) An older adult male patient needs to have a condom catheter applied. An appropriate technique is to:
A) shave the perineal area before beginning.
B) apply povidone iodine to the penis before catheter application.
C) apply an adhesive strip in a circle around the base of the penis.
D) leave 1 to 2 inches between the tip of the penis and the drainage part of the catheter.
Q2) Nurses in a long-term care facility are developing a prevention program to eliminate catheter acquired infections (CAUTI). The rationale for this program includes which of the following?
A) Medicaid will no longer reimburse for this complication.
B) CAUTIs are considered an indicator of adequate care.
C) CAUTIs result in 45% of hospital-acquired infections every year.
D) Nursing interventions have been proven to have little or no effect on the number of urinary infections.
Q3) The nurse should provide enough hydration for the patient so that the patient can void at least every _______ hours.
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Chapter 30: Promoting Bowel Elimination
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A nurse is reinforcing education with a patient who will begin a bowel training program. An intervention this program does not include is:
A) regularly scheduled time for toileting.
B) fluid intake of at least 1500 mL daily.
C) use of a suppository.
D) use of an enema.
Q2) The nurse assesses a pale, light gray stool and recognizes that the cause of this abnormal color is due to an obstruction in the _________ duct.
Q3) The nurse points out that age-related changes in the intestinal tract are relatively insignificant. The changes include: (Select all that apply.)
A) atrophy of the villi in the small intestine.
B) increased incidence of hemorrhoids.
C) decreased absorption of fats and vitamin B<sub>12</sub>.
D) creation of excessive flatus.
E) decreased motility in the large intestine.
Q4) The gastrocolic reflex initiates ________.
Q5) The nurse reminds a group of older adults that a colonoscopy is recommended every _______ year(s) after the age of 50.
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Chapter 31: Pain Comfort and Sleep
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient experiencing discomfort because of severe arthritis would be described as having _______ pain.
A) acute
B) chronic
C) phantom
D) episodic
Q2) The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:
A) reduces patient anxiety about pain by giving the patient more control in its management.
B) reduces the workload of the nurse, because it does not have to be checked often.
C) eliminates the risk of adverse drug effects from the medication.
D) completely eliminates any pain the patient is experiencing.
Q3) ___________ is considered to be the fifth vital sign.
Q4) A pain scale FLACC is used in assessing pain in________.
Q5) Travelers can combat "jet lag" by exposure to _______ for several hours.
Q6) A nurse removed a pain medication patch that has a metal clip before the patient goes to have a(n) _________.
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Chapter 32: Complementary and Alternative Therapies
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A branch of traditional Chinese medicine in which very fine needles are used to stimulate certain points on the body along lines called meridians to increase or disperse the flow of energy is known as _____________________.
Q2) A patient is seen by an alternative medicine practitioner for menopausal symptoms. The most popular and effective herbal remedy that the alternative medicine practitioner would suggest is:
A) valerian.
B) ma huang.
C) black cohosh.
D) echinacea.
Q3) The technique in which the practitioner alters body energy fields by passing his or her hands over the patient to determine where tensions exist is the practice of
Q4) Before integrating humor in the care of an Asian patient, the nurse should:
A) develop jokes about the patient's condition.
B) develop jokes about the doctors and nurses.
C) ask the patient whether jokes are understood.
D) ask the patient's feelings about hearing a joke or funny story.
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Page 34
Chapter 33: Pharmacology and Preparation for Drug Administration
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Sample Questions
Q1) The nurse must be aware of how drugs enter the body and how they are metabolized and excreted. The name of this information is _____________.
Q2) A patient with liver disease is beginning medication therapy with a drug that is metabolized in the liver. The nurse anticipates the dose of the medication to be:
A) increased above the normal dose.
B) double the normal dose.
C) unchanged from the normal dose.
D) lower than the normal dose.
Q3) The nurse is aware that for a drug to be effectively eliminated from the body, the patient must have a fluid intake of 50 mL/kg/day. The nurse would provide for a patient who weighs 125 pounds ______ mL of water per day.
A) 1560
B) 899.2
C) 2840.9
D) 3039.1
Q4) A patient is being prepared for surgery. There is an on call order for meperidine hydrochloride (Demerol) 75 mg, with 50 mg/mL available. The patient should receive _________ mL.
Page 35
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Chapter 34: Administering Oral, Topical, and Inhalant Medications
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30 Flashcards
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Sample Questions
Q1) A patient of the Cambodian culture reports that a new medication is not adequate for treatment because it is:
A) colored red.
B) a smaller size than the older medication.
C) offered before a meal.
D) is in liquid form.
Q2) When applying ophthalmic ointments, the nurse should: (Select all that apply.)
A) fill only the center of the conjunctival sac.
B) ask the patient to roll the eye around and from side to side.
C) remove excess ointment from the lid with a cotton ball.
D) ask the patient to close the eyelids tightly to distribute ointment.
E) remove gloves and perform hand hygiene.
Q3) To reduce the systemic absorption of eye drops, the nurse should:
A) use finger pressure to close the eyelid tightly.
B) apply slight finger pressure over the lacrimal duct.
C) request the patient tilt the head slightly to the side of the unaffected eye.
D) instruct the patient to widen the eyes in order to increase access to the lacrimal duct.
Q4) There is an order to give a patient 45 mL of Maalox. The nurse should administer ____ ounces.
Page 36
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Chapter 35: Administering Intradermal, Subcutaneous, and Intramuscular Injections
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Sample Questions
Q1) When administering heparin, the nurse will avoid:
A) using the lower abdomen as an injection site.
B) rotating sites.
C) massaging area for more than 3 seconds.
D) aspirating before injection.
Q2) The nurse is educating a patient who weighs 325 pounds on how to administer a subcutaneous would suggest that the patient would:
A) require a longer needle because of his weight.
B) experience a faster response to the medication.
C) use a 15 degree angle to inject the medication.
D) need extra pressure at the injection site to prevent bleeding.
Q3) A patient has an order to receive a mixture of short- and long-acting insulin. The first step to properly draw them up in the same syringe is to:
A) shake both vials vigorously before use.
B) inject air into the short acting clear insulin.
C) withdraw the short acting clear insulin.
D) inject air into the long acting cloudy insulin.
Q4) The IM injection site recommended for infants under 12 months of age is the
37
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Chapter 36: Administering Intravenous Solutions and Medications
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31 Verified Questions
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Sample Questions
Q1) A patient receiving TPN fluid therapy experiences an air embolus in the central line. The nurse should immediately turn the patient onto the:
A) right side and raise the head of the bed.
B) right side and lower the head of the bed.
C) left side and raise the head of the bed.
D) left side and lower the head of the bed.
Q2) A patient complains of chills, back pain, and shortness of breath a few minutes after the blood infusion is started. The first thing the nurse should do is:
A) slow down the blood infusion.
B) stop the blood infusion and start the saline.
C) monitor vital signs and call the primary care provider.
D) start low flow oxygen as per facility protocol.
Q3) A patient who requires an immediate transfusion of blood has previously signed a consent form to receive it. The nurse confirms that the consent was signed within the last:
A) 8 hours.
B) 12 hours.
C) 24 hours.
D) 48 to 72 hours.
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Chapter 37: Care of the Surgical Patient
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Source URL: https://quizplus.com/quiz/15261
Sample Questions
Q1) The patient informs the admitting nurse that she has been drinking feverfew tea for the herbal treatment of migraine headaches. The nurse reports this to the surgeon because this herb can cause ________________.
Q2) A patient undergoing preadmission testing before same day surgery asks how long he will remain in the recovery area before being allowed to go home. The nurse's most informative response would be:
A) 30 to 60 minutes.
B) 2 to 6 hours.
C) 5 to 6 hours.
D) 6 to 8 hours.
Q3) The nurse discovers that the signed operative permit has misspelled the patient's name. The nurse must:
A) request a corrected consent form to be signed.
B) inform the surgeon of the error.
C) have the new form attached to the old incorrect one and document it.
D) allow the patient to be taken to surgery after notifying the circulating nurse.
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Chapter 38: Providing Wound Care and Treating Pressure
Ulcers
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Sample Questions
Q1) A nurse is ambulating a patient in the hall a few days after abdominal surgery and the patient says, "I think something just let go." The initial intervention by the nurse should be to:
A) seat the patient in a nearby chair.
B) assist the patient in a supine position.
C) ask someone to quickly get an abdominal binder.
D) instruct the patient to pant to reduce abdominal tension.
Q2) A patient has a pooling of blood under unbroken skin of the hip after a fall. The nurse should document that this patient has a(n):
A) abrasion.
B) laceration.
C) hematoma.
D) avulsion.
Q3) The nurse is aware that the only necrotic wound for which debridement is not recommended is a pressure ulcer located on the:
A) scapula.
B) sacrum.
C) heel.
D) femoral head.
Page 40
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Chapter 39: Promoting Musculoskeletal Function
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Sample Questions
Q1) A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:
A) left the brakes of the wheelchair unlocked.
B) placed the patient's feet centered on the footrests.
C) placed slippers on the patient.
D) left the patient with the lap robe tucked underneath.
Q2) The nurse explains that an air-fluidized mattress would not be advocated for the patient with:
A) a spinal cord injury.
B) recurrent pressure ulcers.
C) burns that have been newly grafted.
D) severe arthritis.
Q3) The nurse demonstrates a crutch walking technique by advancing the left crutch and the right foot and then the right crutch and the left foot. This is the _____ gait.
Q4) The nurse is aware that the maximum weight that can be applied with a skin traction is ______ pounds.
Q5) The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______the rough edges with adhesive tape.
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Chapter 40: Common Physical Care Problems of the Older
Adult
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27 Verified Questions
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Source URL: https://quizplus.com/quiz/15264
Sample Questions
Q1) An older adult patient in a skilled nursing facility tells the nurse that he has controlled his incontinence with the herbal remedies of:
A) black cohosh.
B) pumpkin seeds.
C) feverfew.
D) St. John's wort.
Q2) An older adult patient with arthritis is having difficulty using a weekly pillbox as a reminder to take daily medications. The nurse would suggest as the best alternative:
A) a paper and pencil check off system.
B) a colorful calendar.
C) a homemade egg carton container.
D) symbol and color coded medication bottles.
Q3) The nurse lists the most common causes of polypharmacy as: (Select all that apply.)
A) use of mail order sources.
B) being prescribed to by several health care providers.
C) sharing drugs with others.
D) many drugs being prescribed under different names.
E) availability of OTC medications.
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Chapter 41: Common Psychosocial Care Problems of Older
Adults
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Source URL: https://quizplus.com/quiz/15265
Sample Questions
Q1) The family of a retired army veteran diagnosed with Alzheimer disease is concerned about obtaining care for the patient while away on vacation. The home health nurse informs the family that the Department of Veterans Affairs offers in facility care for patients with dementia for up to:
A) 10 days a year.
B) 15 days a year.
C) 20 days a year.
D) 30 days a year.
Q2) The nurse clarifies that the diagnosis of nocturnal delirium refers to a syndrome also called _______________.
Q3) When the nurse determines that an older adult patient has a reasonable risk of being physically abused by family members, it is the nurse's legal obligation to:
A) report the suspected abuse to the proper authority.
B) refer the family for counseling.
C) advise the patient to leave the family home.
D) tell the family to stop or face legal consequences.
Q4) The nurse frequently refers to "The _____________," a medication list that names drugs that are potentially harmful for use in elderly patients.
Page 43
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