Nursing Concepts and Theories Practice Exam
Course Introduction
Nursing Concepts and Theories introduces students to the foundational ideas that guide nursing practice, education, and research. This course explores key nursing theories, conceptual frameworks, and models essential for understanding the roles and responsibilities of nurses in diverse healthcare settings. Emphasis is placed on the application of theoretical knowledge to clinical practice, the development of critical thinking skills, and the integration of holistic, ethical, and culturally competent care. Through case studies and reflective learning, students will evaluate how nursing concepts and theories shape decision-making, patient outcomes, and the advancement of the nursing profession.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman
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52 Chapters
1464 Verified Questions
1464 Flashcards
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Chapter 1: Historical and Contemporary Nursing Practice
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is interested in specializing in forensics.What should the nurse expect to learn prior to assuming the role of a forensics nurse?
(Select all that apply)
A)Knowledge about the legal system
B)Approaches to collecting evidence
C)Budgeting,staffing,and planning programs
D)Information necessary when providing testimony in court
E)Training in identification,evaluation,and documentation of injuries
Answer: A,B,D,E
Q2) The nurse is scheduled to attend a continuing education program to learn about the latest urinary catheterization care.Which type of credential should the nurse expect to earn after attending this program?
A)None because this program is designed to enhance a skill
B)Advanced degree
C)Certification as a renal nurse
D)Credit hours toward an advanced degree
Answer: A
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Chapter 2: Evidence-Based Practice and Research in Nursing
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A nursing student is assigned to develop a research using a quantitative approach.Which should the student write that demonstrates this approach?
A)How do siblings react to a new baby of a second marriage after divorce of their parents?
B)What dressing selections work best for a wound dehiscence?
C)What support do terminal cancer clients find least beneficial in hospice care?
D)Does expression of client spirituality affect recovery time?
Answer: B
Q2) The nurse researcher is using an instrument that provides similar results each time it's implemented.Which term should the researcher use to describe the quality of this instrument?
A)Validity
B)Reliability
C)Consistency
D)Variability
Answer: B
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4
Chapter 3: Nursing Theories and Conceptual Frameworks
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse is caring for a client with a severe head trauma.Each shift,the nurse pays attention to the lighting,atmosphere,and surroundings the client is exposed to.The nurse is functioning according to the assumptions of which nursing theorist?
A)Dorothea Orem
B)Martha Rogers
C)Florence Nightingale
D)Jean Watson
Answer: C
Q2) Grounding nursing research in theories from other disciplines is argued to be undesirable by some scholars.What should the nurse identify as reasons why grounding theory is not desired?
(Select all that apply)
A)It detracts from developing nursing as a separate discipline.
B)It makes nursing less relevant.
C)It helps bring a broader perspective and insight to nursing.
D)Other disciplines are not unique to the human condition.
E)Other disciplines get the benefit of nursing's research.
Answer: A,B,E
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5
Chapter 4: Legal Aspects of Nursing
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Sample Questions
Q1) A nurse who has been a longtime employee of a hospital,providing bedside care to clients,was seriously injured and is paralyzed from the shoulders down,with limited use of the upper arms.Through rehabilitation,the nurse is able to mobilize with a wheelchair and has no cognitive or psychological deficits.The nurse wants to return to the same position held prior to the injury.Under the guidelines of the ADA,what should the hospital do?
A)The hospital is required to accommodate the nurse.
B)The hospital must find another job for the nurse.
C)The hospital should claim undue hardship to accommodate this nurse.
D)The hospital terminate the nurse's employment.
Q2) The nurse forgets to put the call light within the client's reach and then leaves the room.The client reaches for it and falls out of bed.With what should the nurse expect to be charged?
A)Assault
B)Battery
C)Negligence
D)Criminal intent
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Chapter 5: Values, Ethics, and Advocacy
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A client has been complaining of pain,even though the nurse has given the client the maximum amount of medication as ordered by the physician.Which action demonstrates the nurse's respect for the client's autonomy?
A)Telling the client that he will have to "tough it out"
B)Calling the physician for further orders
C)Telling co-workers that this client has no pain tolerance
D)Believing the client is drug seeking
Q2) A 20-year-old client with Down syndrome is diagnosed with an illness.Even though the client is able to live in an assisted environment and work part-time for a local bookstore,the parents of the client are adamant about not initiating a course of treatment whose side effects are unknown with Down syndrome clients.According to the nursing code of ethics,to whom is the nurse's first loyalty?
A)The client
B)The parent
C)The physician
D)The nurse
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Chapter 6: Health Care Delivery Systems
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24 Flashcards
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Sample Questions
Q1) A client being discharged from an acute care hospital requires IV antibiotics,is not able to complete activities of daily living without assistance,and has no family available to assist in the recovery phase.Which type of recommendation should the nurse make for this client?
A)Stay in the hospital until the client is fully capable of self-care.
B)Remain in the hospital until the antibiotic course is completed.
C)Be discharged to an extended care facility.
D)Go to a nursing home.
Q2) A nurse is interviewing a client at a clinic near a shelter for the homeless.Understanding the increased risk a poor physical environment creates for this client,on what should the nurse focus during the intake phase of the interview?
A)Lack of social support
B)Recent history of chills and body aches
C)Improper nutrition
D)Few personal resources
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8
Chapter 7: Community Nursing and Care Continuity
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) When completing a community assessment,the community health nurse will take several aspects into account.What is the first stage of this assessment that the nurse will complete?
A)Learn about the people in the community.
B)Understand the major illnesses present in the community.
C)Identify the boundaries of the community.
D)Make sure resources are available in the community.
Q2) The community health nurse is identifying approaches to support a community's health care needs.Which programs should the nurse select to support community-based health care?
(Select all that apply)
A)Smoking cessation classes
B)Personal safety classes for women
C)Blood pressure measurement clinic
D)Outpatient clinic for minor ailments
E)Allergy injection clinic on weekends
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9
Chapter 8: Home Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) During the first home care visit,the nurse determines that the client needs speech therapy,physical therapy,and custodial care several times a week.When should the nurse schedule the client's care to begin?
A)As soon as the nurse completes the initial assessment
B)As soon as the client agrees to the care
C)When the physician signs the plan of care the nurse develops
D)Within 48 hours of the nurse's visit
Q2) A client has been receiving home care for several weeks.Which individual should the nurse realize is responsible for ensuring that the client is receiving care at the appropriate times and in the appropriate amounts?
A)Client
B)Nurse
C)Physician
D)Client's spouse
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Chapter 9: Electronic Health Records and Information Technology
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse is beginning a physical assessment of a client who is freelance computer information technologist.On which areas should the nurse place particular emphasis during this assessment?
(Select all that apply)
A)Vision
B)Hearing
C)Back flexibility
D)Hand range of motion
E)Range of motion of arms
Q2) A client asks what is done to keep computerized personal health information confidential.How should the nurse respond?
A)"Don't worry;your information is always safe."
B)"Information in our system requires a password to retrieve."
C)"Our system was designed with a lot of input from nursing staff."
D)"I can see why you're worried,with all the computer hackers out there these days."
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11
Chapter 10: Critical Thinking and Clinical Reasoning
Preview As Pdf
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26 Flashcards
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Sample Questions
Q1) The nurse enters the room of a critically ill child after sensing that "something" isn't right.Once the nurse determines the child is stable,the nurse continues to perform a check of all the lines and equipment in the room and finds that the last IV solution hung by the previous nurse was not the correct solution.Which problem-solving method did this nurse use?
A)Trial and error
B)Intuition
C)Judgment
D)Scientific method
Q2) A clinical instructor senses that a student has been struggling with clinical skills learned in lab.To combat this,the educator pairs the student with a staff nurse who has clients with a variety of treatments and cares.Which type of problem solving is the instructor using?
A)Trial and error
B)Intuition
C)Research process
D)Experience
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12
Chapter 11: Assessing
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Sample Questions
Q1) A nurse has been assigned a new client who cannot speak English.How should the nurse facilitate communication with this client?
A)Have a member of the housekeeping staff who speaks the same language translate.
B)Use the translation services supplied by the hospital.
C)Make sure a family member who does speak English is available.
D)Conduct the interview using hand gestures.
Q2) The nurse is assessing a client's level of pain.Which open-ended should the nurse use for this situation?
A)"Is your pain worse at night?"
B)"What brought you to the clinic?"
C)"How has the pain impacted your life?"
D)"You're feeling down about having pain,aren't you?"
Q3) The nurse has just completed an admission interview with a new client.Which nursing statement indicates that the interview is in the closing phase?
A)"I'm going to set up your physical assessment now.Do you have any questions?"
B)"Tell me more about how you feel."
C)"Could you give examples of what types of other treatments you've had?"
D)"Is there anything you're worried about?"
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Page 13
Chapter 12: Diagnosing
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24 Flashcards
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Sample Questions
Q1) The nurse formulates the nursing diagnosis: Acute pain,related to tissue damage,secondary to infarction,manifested by pallor,client report,and shallow,rapid breathing for a client experiencing an acute myocardial infarction.Which collaborative action would be appropriate for this client?
A)Provide a calm,quiet atmosphere in the client's room.
B)Administer pain medication.
C)Educate the client and family regarding treatment and therapies.
D)Monitor for changes in the client's condition.
Q2) The nurse is providing care to a client.Which nursing diagnoses can the nurse apply when providing client care?
(Select all that apply)
A)Ineffective Breathing Pattern
B)Risk of Infection
C)Readiness for Enhanced Nutrition
D)Readiness for Enhanced Family Coping
E)Anxiety
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Chapter 13: Planning
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Sample Questions
Q1) The nurse is devising a care plan for a client with complex health issues and current acute health problems.Which criteria should the nurse ensure is used when planning interventions for this client?
(Select all that apply)
A)Congruent with the client's values,beliefs,and culture
B)Are within established standards of care
C)Based on scientific and medical knowledge
D)Achievable with the resources available
E)Must be safe and appropriate for the client's age
Q2) A client is scheduled for elective hip replacement and will be admitted postoperatively to the orthopedic unit for care.What should the nurses use to help plan this client's care?
A)Informal nursing care plan
B)Formal nursing care plan
C)Standardized care plan
D)Individualized care plan
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15
Chapter 14: Implementing and Evaluating
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Sample Questions
Q1) The home health nurse uses creativity and critical thinking to devise a way for a client to receive intravenous medication while sitting outside on the porch.Which skill did the nurse use for this situation?
A)Technical
B)Interpersonal
C)Creativity
D)Cognitive
Q2) The nurse is preparing to evaluate care provided to a client.What behaviors should the nurse demonstrate that show an understanding of the relationship of evaluation to the other phases of the nursing process?
(Select all that apply)
A)Effectively assessing the client's needs
B)Selecting the appropriate nursing diagnosis related to the client's needs
C)Collecting client-focused data with a specific need in mind
D)Evaluating by using assessment data to determine effective achievement of goals and outcomes
E)Basing evaluation on assessment data collected during the admission phase
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Chapter 15: Documenting and Reporting
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Sample Questions
Q1) A client in long-term care is scheduled for a review of the assessment and care screening process.Where should the nurse document this information?
A)MDS
B)OBRA
C)CBE
D)Kardex
Q2) After completing the client care and documenting it in the progress notes,the nurse realizes that documentation was placed on the wrong medical record.What should the nurse do?
A)Use white-out over the mistake.
B)Take a wide permanent marker and blacken out all the documentation.
C)Put an "X" through the entire page,identify it as an "error," initial,and move on to the correct chart.
D)Draw a single line through the documentation,write "mistaken entry" next to the original entry,and initial it.
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17
Chapter 16: Health Promotion
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Sample Questions
Q1) The nurse is reviewing information collected while providing client care.Which findings should the nurse identify as being a homeostatic mechanism?
(Select all that apply)
A)The client's heart rate increases when walking up a flight of stairs.
B)The client shivers when core body temperature drops.
C)A child's bone growth occurs in spurts.
D)Decreased secretion of insulin occurs when food is not ingested.
E)Lactation occurs in a pregnant woman.
Q2) A nurse is delivering a workshop regarding health promotion to a group of elderly clients.In describing Healthy People 2010,which goal should the nurse emphasize for this group?
A)Eliminating health disparities
B)Believing that individual health is closely related to community health
C)Increasing quality and years of life
D)Developing partnerships between individual and community health
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18
Chapter 17: Health, Wellness, and Illness
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Sample Questions
Q1) An occupational health nurse is surveying employees.Which employee should the nurse identify as being predisposed to an illness?
A)An employee who is in a middle-management position and takes stress from administration as well as the employees
B)An employee who works in the janitorial department
C)An employee who works 12-hour days,3 days a week
D)An employee who works 4 days on and 3 days off
Q2) A nurse is conducting a community assessment to determine which diseases are prevalent and most likely to occur.The nurse is basing the assessment on which model of health?
A)Role performance
B)Eudemonistic
C)Ecological
D)Adaptive
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Chapter 18: Culturally Responsive Nursing Care
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Sample Questions
Q1) The nurse is teaching a client from a culture that is "present oriented" about a dressing change that should be performed twice a day.How should the nurse address the cultural issue?
A)Allow the client to select the times the dressing will be changed.
B)Instruct the client to change the dressing after breakfast and before going to bed.
C)Explain that the client should complete the dressing change at 10 AM and 4 PM.
D)Suggest that the dressing change can be performed whenever the client chooses,as long as it gets done twice daily.
Q2) A nurse educator uses Madeleine Leininger's model and describes a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs,values,and patterned lifeways of cultures to provide culturally congruent,meaningful,and beneficial health care to people.What type of nursing is the educator practicing?
A)Transcultural nursing
B)Cultural competence
C)Cultural knowledge
D)Competent nursing
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Page 20
Chapter 19: Complementary and Alternative Healing
Modalities
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Sample Questions
Q1) A client with degenerative joint disease comes to the clinic and states that he has been reading a lot about essential oils that are helpful for "stomach problems." The nurse should offer the client information about the use of which oil?
A)Chamomile
B)Eucalyptus
C)Lavender
D)Tea tree
Q2) A nurse who works in a busy neonatal intensive care unit has been having difficulty with concentration after a long day's work.Which therapy should the nurse consider doing to help with this problem?
A)Guided imagery
B)Hypnotherapy
C)Qigong
D)Aromatherapy
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21
Chapter 20: Concepts of Growth and Development
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Sample Questions
Q1) A parent is concerned that her 5-year-old is beginning to masturbate.How should the nurse,familiar with Freud's stages of development,respond?
A)"All children are curious,but make sure the child knows that this behavior might be offensive to others."
B)"You should probably consult a child psychologist if you're this concerned."
C)"Let's make sure to ask your physician at the next appointment."
D)"This behavior is a normal part of your child's development."
Q2) The nurse concludes that a young adult client is completing developmental tasks within Havighurst's early adulthood age period.What did the nurse assess to come to this conclusion?
(Select all that apply)
A)Taking on civic responsibility
B)Developing adult leisure-time activities
C)Getting started in an occupation
D)Relating oneself to one's spouse as a person
E)Managing a home
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Chapter 21: Promoting Health From Conception Through
Adolescence
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Sample Questions
Q1) While the nurse is teaching a group of parents and their teenage sons about puberty and sexual growth,a parent asks if fertility coincides with ejaculation.What should the nurse respond to this ?
A)"Yes,if your son is ejaculating,he also possesses fertility."
B)"Sexual maturity does not occur until age 18,so don't worry about anything until then."
C)"Fertility follows several months after the first ejaculation."
D)"You'll have to ask your physician about this because it is a sensitive subject."
Q2) New parents ask if their 8-month-old baby is performing activities that are expected at this age.What should the nurse suggest to screen this baby's developmental level?
A)The Denver Developmental Screening Test (DDST-II)
B)Growth and development charts from the Centers for Disease Control and Prevention (CDC)
C)Assessment tools utilized by the state education department
D)The Apgar scoring system
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Chapter 22: Promoting Health in Young and Middle-Aged Adults
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Sample Questions
Q1) The nurse working in a community health office that is often frequented by young adults is assessing clients for suicide.Which factors should the nurse identify as indicating a problem in this area?
A)Decreased interest in work
B)Weight loss
C)Depression
D)Brain dysfunction,including tumors
E)Sleep disturbances
Q2) While assisting in a community health project for middle-aged adults,the nurse attempts to identify members of the community who have been successful in the tasks identified by Erikson.What characteristic should the nurse identify in the community members?
A)Ability to have satisfaction in their volunteer activities
B)Ability to find an acceptable social group
C)Satisfaction with rearing children
D)Ability to manage a home
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Chapter 23: Promoting Health in Older Adults
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Sample Questions
Q1) A hospitalized older client is recovering from an acute illness.As the client nears the end of his hospitalization,he s the nurse about medications and care after discharge.The gerontological nurse should
A)inform the physician that the client needs to go to a nursing home.
B)assess the client's independence and ability to function in his own home before discharge.
C)tell the client not to worry about going home.
D)invite the client's family to come to the hospital so the nurse can explain the client's care to them.
Q2) A client has had Alzheimer's dementia for a period of time and continues to live at home with his spouse.What would be one of the gerontological nurse's responsibilities?
A)Make sure the client is being prescribed appropriate medication.
B)Provide support for the spouse.
C)Assess the client early to ensure proper care.
D)Find a suitable long-term care facility for the client.
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25
Chapter 24: Promoting Family Health
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Sample Questions
Q1) A father of a family was killed in a motor vehicle crash.What should the nurse consider a "normal" reaction to this event?
A)Family disorganization may occur.
B)Family members become detached from extended family.
C)The family feels that their place in the community has been eliminated.
D)The family withdraws into seclusion during the grief process.
Q2) Two nursing students,both single parents,have decided to move into a larger house.Part of their rationale includes providing support for studying and sharing the responsibilities of parenting.Which type of living arrangement are these students implementing?
A)Cohabiting family
B)Blended family
C)Foster family
D)Intragenerational family
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Chapter 25: Caring
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Q1) The graduate nurse learns of failing the NCLEX-RN examination but realizes that passing the examination is a challenge worth achieving.To improve her outlook,the graduate nurse writes positive affirmations that are reviewed daily before studying for the examination.Which affirmations would be the most beneficial for the graduate nurse to use?
(Select all that apply)
A)I will focus on a new career.
B)I should have studied harder .
C)I am doing what brings me joy.
D)This is an opportunity to grow.
E)I cannot remember everything.
Q2) The nurse is planning to provide care according to Leininger's theory of culturally congruent care.What should the nurse include when providing care to the client?
A)Care should be influenced by the organizational structure.
B)The client's familiar lifeways are preserved.
C)Accommodations should be satisfying to clients.
D)Nursing care must be repatterned to help the client move toward wellness.
E)Care should be structured to fit the nurse's needs
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Chapter 26: Communicating
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Q1) The graduate nurse is thinking about leaving a new job because of actions demonstrated by the nurse manager.Which actions should the graduate nurse identify as bullying?
(Select all that apply)
A)Pairing the graduate with a seasoned nurse to assist with learning new skills
B)Asking the graduate to participate in client rounds with the new interns on the care area
C)Confronting the graduate by stating that refusing an assignment is grounds for dismissal
D)Stating that requests for vacation time will be denied because the nurse asks too many questions
E)Assigning the graduate nurse a complicated client with needs that the graduate is not comfortable performing
Q2) A nurse needs to evaluate the effectiveness of a teaching session with a client.Which approach would provide the best feedback?
A)Client communication
B)Process recording
C)Therapeutic communication
D)Verbal communication
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Chapter 27: Teaching
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Sample Questions
Q1) A school nurse is putting together a program for adolescents about positive lifestyle choices.What should the nurse keep in mind when preparing content to present to this age group?
(Select all that apply)
A)Based on learning outcomes
B)Current
C)Adjusted to the adolescent client
D)Based on sources available within the school system
E)Consistent with the teaching topics
Q2) A client is practicing using an incentive spirometer after surgery.The nurse has explained the use,demonstrated how it works,and also given the rationale for the client to continue to use this device.When mastering the use of this device,the client will demonstrate learning in which of Bloom's domains?
A)Cognitive
B)Psychomotor
C)Affective
D)Imitation
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Chapter 28: Leading, Managing, and Delegating
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Q1) The manager identifies a staff nurse to serve as a change agent for the implementation of a computerized documentation system.What attributes did the manager observe to designate the staff nurse to have this role?
(Select all that apply)
A)Self-confident
B)Skilled in teaching
C)Hesitant with decision making
D)Excellent communication skills
E)Effective utilization of resources
Q2) A nurse manager has had to handle a particularly difficult physician who is demanding as well as demeaning.Through this situation,the nurse manager has learned that accuracy and honesty are attributes of which skill necessary for managers?
A)Critical thinking
B)Communication
C)Networking
D)Responsibility
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Chapter 29: Vital Signs
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Q1) Which determinant of blood pressure would explain a client's blood pressure reading of 120/100?
A)Blood viscosity
B)Blood volume
C)Pumping action of the heart
D)Peripheral vascular resistance
Q2) The nurse needs to assess a client's respiratory status.Which client position would be the best for this assessment?
A)Prone
B)Semi-Fowler's
C)Side-lying
D)Supine
Q3) The nurse is preparing to assess a client's blood pressure.Which artery will the nurse use for this assessment?
A)Brachial
B)Femoral
C)Radial
D)Ulnar
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Chapter 30: Health Assessment Preview As Pdf
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Sample Questions
Q1) The nurse is preparing to assess a client's reflexes.What equipment should the nurse gather before entering the room?
A)Sterile gloves
B)Clean gloves
C)Percussion hammer
D)Penlight
Q2) The nurse is preparing to assess a client with the Glasgow Coma Scale.Which areas is the nurse assessing in this patient?
(Select all that apply)
A)Eye response
B)Motor response
C)Verbal response
D)Orientation
E)Musculoskeletal response
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Chapter 31: Asepsis
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30 Flashcards
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Sample Questions
Q1) A client is diagnosed with a communicable disease,and must be placed in isolation.The nurse should identify which diagnosis as a priority for this client?
A)Social Isolation
B)Anxiety
C)Acute Pain
D)Imbalanced Nutrition: Less Than Body Requirements
Q2) A client tells the nurse that the newly diagnosed communicable disease is negatively impacting employment and causing a stressful situation at home.What diagnosis should the nurse select as a priority for this client?
A)Anxiety
B)Acute Pain
C)Social Isolation
D)Low Self-Esteem
Q3) The nurse is using medical asepsis when providing client care.Which action did the nurse demonstrate?
A)Administering parenteral medications
B)Changing a dressing
C)Performing a urinary catheterization
D)Using personal protective equipment
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Chapter 32: Safety
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32 Flashcards
Source URL: https://quizplus.com/quiz/79289
Sample Questions
Q1) The nurse is determining a client's risk for injury.What should the nurse assess in this client?
(Select all that apply)
A)Age
B)Mobility
C)Hearing
D)Vision
E)Dietary intake
Q2) The nurse would like to improve communication among caregivers.How should the nurse use the Joint Commission 2013 National Patient Safety Goals to achieve this objective?
A)Review a list of look-alike/sound-alike drugs used in the organization.
B)Use a verification process to confirm the correct procedure.
C)Report critical results of tests and diagnostic procedures on a timely basis..
D)Use the client's room number as an identifier.
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Chapter 33: Hygiene
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33 Flashcards
Source URL: https://quizplus.com/quiz/79288
Sample Questions
Q1) The nurse is preparing to bath a client on the first postoperative day.Which nursing intervention should take priority?
A)Apply lotion to the extremities.
B)Change the water when it becomes cold.
C)Raise side rails when gathering supplies.
D)Remove the soiled dressing during the bath.
Q2) The nurse is shampooing a client's hair.Which assessment finding should the nurse consider as expected?
A)Dry,dark,thin
B)Smooth,taut,shiny
C)Smooth texture and not oily or dry
D)Tender,warm scalp
Q3) A client tells the nurse that she does not want to get into the tub for a morning bath.The client has not been bathed for several days.What should the nurse do?
A)Assign UAP the task of giving the client a bath.
B)Skip the client's bath and document "refused" in the medical record.
C)Ask the client the usual way bathing occurs at home.
D)Tell the client that a bath is needed and ignore the client's comment.
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Chapter 34: Diagnostic Testing
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30 Flashcards
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Sample Questions
Q1) The nurse is teaching a client with heart failure about diagnostic tests.Which test should the nurse emphasize in this teaching?
A)BNP
B)CBC
C)LDH
D)PKU
Q2) A client is to have an echocardiogram.Which statement by the client indicates the teaching about the test has been effective?
A)"I'm told this test causes no discomfort."
B)"I will have to walk on a treadmill."
C)"I will need to remain NPO."
D)"I will need to take my pulse prior to the test."
Q3) A client is having a lumbar puncture.In which position should the nurse place the client?
A)Lateral with head bent toward the chest and knees flexed onto the abdomen
B)Lying prone,with the knees drawn up toward the abdomen
C)Sitting bent over from the waist with legs extended
D)Supine with knees pulled toward the chest
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Chapter 35: Medications
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47 Flashcards
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Sample Questions
Q1) The hospitalized client has an order for Tylenol 325 mg 2 tablets every 4 hours prn temperature over 101°F.The client complains of a headache.Can the nurse legally administer Tylenol to treat the headache?
A)Yes,as Tylenol is used both for fever and headache.
B)No,not unless the client also has a temperature over 101°F.
C)Yes,but the nurse should document the reason why the medication was administered as a temperature elevation.
D)Yes,because the medication is available over the counter,an order is not required.
Q2) The nurse is planning to administer a bitter-tasting oral medication to a 4-year-old client.What strategy should this nurse plan?
A)Give the medication in orange juice or milk to mask the taste.
B)Tell the child that the medication tastes good.
C)Ask the parents how they give medications at home.
D)Get another nurse to assist by holding the client down.
Q3) A client weighing 220 lbs.is prescribed to receive 25 mg/kg of a medication,divided over 4 equal doses.How many mg of the medication should the nurse provide for each dose?
Round to the nearest whole number.
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Chapter 36: Skin Integrity and Wound Care
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34 Flashcards
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Sample Questions
Q1) A client is prescribed antiembolic stockings.How should the nurse assess the skin on the client's legs?
A)Defer the assessment because the stockings are in place.
B)Remove the stockings for this assessment.
C)Review the morning assessment,but don't repeat it unless a problem occurs.
D)Assess the skin when the client removes the stockings at bedtime.
Q2) The nurse documents that a client's postoperative wound is purosanguinous.What did the nurse assess in this client's wound?
A)Water and red blood cells
B)Pus and red blood cells
C)Watery drainage
D)Pus
Q3) The UAP reports a small skin tear on the client's forearm that occurred during a routine turn.After assessing the wound the nurse should take which action?
A)Obtain a transparent dressing for the UAP to place on the wound.
B)Request a consult with the wound care nurse.
C)Cleanse the wound and apply a dressing.
D)Tell the UAP to reevaluate the wound in 20 minutes.
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Chapter 37: Perioperative Nursing
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34 Flashcards
Source URL: https://quizplus.com/quiz/79284
Sample Questions
Q1) The nurse is preparing to complete a physical assessment before surgery.Which assessments should the nurse obtain?
(Select all that apply)
A)Mini mental status
B)Assessment of hearing
C)Assessment of the respiratory system
D)Gastrointestinal assessment
E)Maintain NPO status
Q2) A client is scheduled for a cholecystectomy.The nurse realizes that the purpose for this surgery is
A)diagnostic.
B)palliative.
C)ablative.
D)constructive.
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Page 39
Chapter 38: Sensory Perception
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Sample Questions
Q1) The family of a client in the hospital is concerned about the constant noise in the care area.Which health care professionals have the greatest control over the level of sensory input in the hospital?
A)Physicians
B)Administrators
C)Nurses
D)Planners
Q2) During review of admission data,the nurse learns that the new client has impairment of kinesthetic sensation.Which nursing intervention should be planned for this client?
A)Use the clock face as a format for describing the position of food on meal trays.
B)Provide all teaching materials in very large font.
C)Ensure that the client has assistance when ambulating.
D)Use only nonirritating soaps for bathing.
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Chapter 39: Self-Concept
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Sample Questions
Q1) The nurse suspects that a client is having difficulty with specific self-esteem.Which client statements caused the nurse to have this concern?
(Select all that apply)
A)"I hate my hair."
B)"Life is wonderful!"
C)"My hips are too big."
D)"I wish I had that nose job 2 years ago."
E)"It is awesome that I got that promotion at work."
Q2) The nurse is conducting a thorough psychosocial assessment of a client who presents with complaints of fatigue,tearfulness,and relationship difficulties.What action by the nurse would support accurate assessment?
A)Take detailed notes to record client responses.
B)Ask as many questions as possible to explore all areas of concern.
C)Start the interview by asking a series of yes/no questions.
D)Investigate the client's culture prior to the interview.
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Chapter 40: Sexuality
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37 Flashcards
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Sample Questions
Q1) The nurse is preparing to assess a client's sexual health.What will the nurse include in this assessment?
(Select all that apply)
A)Sexual self-concept
B)Body image
C)Gender identity
D)Contraceptive choices
E)Employment
Q2) The nurse is teaching a class of young adult men and women.What self-examination schedules should the nurse instruct these participants to follow?
(Select all that apply)
A)Monthly breast self-exams for women
B)Yearly breast self-exams for men
C)Weekly testicular self-exams for men
D)Monthly breast self-exams for men
E)Yearly vulvar self-exams for women
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42
Chapter 41: Spirituality
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31 Flashcards
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Sample Questions
Q1) The nurse assesses that a client is experiencing spiritual distress.What should be the nurse's primary intervention?
A)Establish a trusting nurse-client relationship.
B)Have the client describe the basic problem.
C)Ask the client what religion is practiced in the home.
D)Identify the client's belief in a Supreme Being.
Q2) The nurse is caring for a 5-year-old child.How can the nurse best support the spiritual development of this client?
A)Ask the child who God is.
B)Listen to the child's routine bedtime prayer.
C)Encourage the child to pray before each meal.
D)Bring a Bible storybook in to read to the child at bedtime.
Q3) During the morning bath,the client asks if the nurse is religious and believes in God.What would be most helpful for the nurse to consider in formulating a response to this ?
A)The nurse's personal life is none of the client's business.
B)Religion and politics are two subjects not discussed in polite interactions.
C)Will sharing this information positively contribute to the relationship?
D)What is the culture of the facility regarding self-disclosure?
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Page 43
Chapter 42: Stress and Coping
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36 Flashcards
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Sample Questions
Q1) The parents of a school-age client who was sexually abused by a minister want to know why someone who is sexually attracted to children would choose to go into the ministry.The nurse explains that the displacement of sexual drives into socially acceptable activities is which type of defense mechanism?
A)Repression
B)Sublimation
C)Substitution
D)Undoing
Q2) The nurse is caring for a critically ill child.While the nurse is preparing to administer a treatment to the child,the child's mother becomes distraught and begins to cry loudly while stroking the child's face.What is the nurse's best response to this occurrence?
A)Tell the mother that she needs to control herself for the benefit of her child.
B)Distract the mother by having her straighten the linens on the bed.
C)Explain the procedure that will occur with the treatment.
D)Take the mother out of the room and comfort her.
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Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) The client tells the nurse that she has been having problems sleeping since her boss died unexpectedly 3 weeks ago.She confides that she and the boss had been having a secret extramarital affair for years.The nurse recognizes that the sleeping difficulty is most likely a result of which type of grief?
A)Abbreviated
B)Chronic
C)Disenfranchised
D)External
Q2) The nurse is caring for the family of a terminally ill client.The family members have been tearful and sad since the diagnosis was given.What is the best nursing diagnosis problem statement for this family?
A)Anticipatory Grieving
B)Dysfunctional Grieving
C)Hopelessness
D)Caregiver Role Strain
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45
Chapter 44: Activity and Exercise
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Sample Questions
Q1) The nurse is assisting in logrolling a client recovering from spinal surgery.Why should the nurse place a pillow between the client's legs when turning?
(Select all that apply)
A)Stabilizes the spine
B)Prevents hip contractures
C)Supports the upper leg
D)Keeps the legs parallel and aligned
E)Prevents adduction of the upper leg
Q2) The postoperative client is ambulating for the first time since surgery.The client has been able to tolerate sitting up on the side of the bed and has stood at the bedside without difficulty on two occasions.Which staff member should ambulate this client?
A)The UAP
B)A licensed practical (vocational)nurse
C)A registered nurse
D)It makes no difference
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Chapter 45: Sleep
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32 Flashcards
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Sample Questions
Q1) The nurse is working with a client to develop an expected outcome for the nursing diagnosis Disturbed Sleep Pattern,difficulty staying asleep related to anxiety secondary to multiple life stressors.Which expected outcome would be most applicable to this client's situation?
A)The client will sleep at least 8 hours each night.
B)The client will list three positive coping mechanisms for anxiety relief.
C)The client will report getting sufficient sleep to provide energy for daily activities.
D)The client will manifest less anxiety after taking prescribed medications.
Q2) The nurse,seeing a client asleep,turns off the television in the room.The client opens her eyes and says "I was watching that.I wasn't sleeping." The nurse realizes that the client was demonstrating which stage of NREM sleep?
A)IV
B)III
C)II D)I
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Chapter 46: Pain Management
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Sample Questions
Q1) The nurse is to administer acetaminophen (Tylenol)prn to a client for a headache;however,the client has been vomiting all day.Which route should the nurse use to administer the medication?
A)Oral
B)Vaginal
C)Rectal
D)Intravenous
Q2) A client states that a cramping pain started 2 hours ago and is not accompanied by any nausea or vomiting.Which type of pain is this client most likely experiencing?
A)Chronic pain
B)Phantom pain
C)Visceral pain
D)Acute pain
Q3) The nurse is caring for an 8-month-old infant.What is the best tool the nurse should use for evaluating pain in this infant?
A)FLACC scale
B)Wong-Baker FACES
C)Visual analog scale
D)Numeric rating scale
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Chapter 47: Nutrition
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32 Flashcards
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Sample Questions
Q1) The client is weighed each month while residing in the long-term care facility.This month the client weighs 110 lb (50 kg).The nurse compares this weight to the last 3 months' results and discovers the client has lost 22 lb (10 kg).There has been no attempt to lose this weight.How should the nurse interpret this weight loss?
A)No malnutrition
B)Mild malnutrition
C)Moderate malnutrition
D)Severe malnutrition
Q2) A client is diagnosed with an elevated cholesterol level.What should the nurse instruct the client regarding foods to avoid?
(Select all that apply)
A)Fish
B)Milk
C)Liver
D)Chicken
E)Egg yolk
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Chapter 48: Urinary Elimination
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33 Flashcards
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Sample Questions
Q1) A client is prescribed propranolol (Inderal).What should the nurse instruct the client about this medication?
A)The medication should be discontinued abruptly.
B)Notify the physician if you experience urinary retention.
C)Take a laxative every day.
D)Take the medication on an empty stomach.
Q2) The nurse realizes that which client is at risk for difficulty in urinary elimination?
A)A client who had bladder cancer and now has a newly created ileal conduit
B)A 25-year-old female client with low self-esteem
C)An 80-year-old male reporting frequent urination at night
D)The client with hypertension who takes a diuretic every day for blood pressure
Q3) The nurse is applying an external urinary device to a client.Before attaching the device to the drainage bag,what should the nurse do?
A)Wash his or her hands.
B)Document the client's tolerance of the procedure.
C)Instruct the client about the drainage system.
D)Ensure that the condom is not twisted.
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Chapter 49: Fecal Elimination
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35 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who experiences frequent bouts of diarrhea.What should the nurse instruct the client to do?
A)Change the daily routine.
B)Decrease fluid consumption.
C)Increase fiber in the diet.
D)Note the precipitating event.
Q2) A client experiencing hard,dry feces is scheduled for an enema.The nurse recognizes that what type of solution would be best for the client?
(Select all that apply)
A)Hypertonic
B)Hypotonic
C)Soapsuds
D)Oil retention
E)Isotonic
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Chapter 50: Oxygenation
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Sample Questions
Q1) The nurse is planning care for a client with an oral endotracheal tube.Which interventions should be included in this client's plan of care?
(Select all that apply)
A)Insert an oropharyngeal airway.
B)Provide nasal care every 2 to 4 hours.
C)Provide oral hygiene every 2 to 4 hours.
D)Adjust non-humidified airflow as prescribed.
E)Move the tube to opposite sides of the mouth every 8 hours.
Q2) The nurse is documenting the completion of tracheostomy suctioning and tracheostomy care in a client's medical record.What should this documentation include? (Select all that apply)
A)Lung sounds before and after suctioning
B)Characteristics of suctioned sputum
C)Integrity of the skin around the stoma
D)Side on which the tracheostomy tie knot is located
E)Flow rate of oxygen
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Chapter 51: Circulation
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Sample Questions
Q1) The 50-year-old who is postmenopausal asks the nurse about the use of estrogen replacement therapy to protect the heart.How should the nurse respond?
A)"This therapy is well proven to protect the heart in postmenopausal women."
B)"Estrogen replacement therapy is helpful to reduce the sleep disturbances and hot flashes associated with menopause,but does not protect the heart."
C)"Estrogen replacement therapy has been proven to have no effect on any postmenopausal symptoms and is not protective of the heart."
D)"The use of estrogen replacement therapy is complex and requires a thoughtful review of the balance between possible benefits and possible risks."
Q2) The nurse is preparing to apply sequential compression devices to a client.In which order should the nurse apply these devices?
Click and drag the options below to move them up or down.
A)Place in the dorsal recumbent or semi-Fowler's position.
B)Place a sleeve under each leg with the opening at the knee.
C)Wrap the sleeve securely around the leg,securing the Velcro tabs.
D)Turn on the control unit and adjust the alarms and pressures as needed.
E)Connect the sleeves to the control unit and adjust the pressure as needed.
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Chapter 52: Fluid, Electrolyte, and Acidbase Balance
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28 Flashcards
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Sample Questions
Q1) A client tells the nurse about rarely feeling thirsty.The nurse realizes that further assessment is needed to evaluate (Select all that apply)
A)status of osmotic pressure.
B)vascular volume.
C)presence of angiotensin.
D)urine output.
E)body weight.
Q2) The client who has an IV with an intermittent infusion lock in place wishes to shower.What action should be taken by the nurse?
A)Have the UAP discontinue the lock.
B)Cover the lock with an occlusive dressing.
C)Place a piece of cloth tape under the lock,wrapping the top in a U shape.
D)Tell the client that a bed bath is necessary until the IV is discontinued.
Q3) The physician has ordered 50 mL of an IV solution to infuse over the next 20 minutes.In order to accurately infuse this solution,the nurse should set the electronic controller to deliver how many mL/hr? rounding to the nearest whole number.
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