Nursing Concepts Exam Preparation Guide
Course Introduction
Nursing Concepts introduces students to the foundational principles, theories, and frameworks that guide nursing practice. This course explores the core concepts of patient-centered care, safety, professionalism, ethical and legal responsibilities, and the holistic approach to treating individuals across the lifespan. Emphasis is placed on critical thinking, communication, and the nursing process as essential tools for effective clinical decision-making and quality patient outcomes. Through case studies and practical examples, students gain an understanding of how these concepts integrate to form the basis of contemporary nursing care in diverse healthcare settings.
Recommended Textbook
Fundamentals of Nursing Active Learning for Collaborative Practice 1st Edition by Yoost
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42 Chapters
1050 Verified Questions
1050 Flashcards
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Page 2
Chapter 1: Nursing, Theory, and Professional Practice
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which nursing theorist described the relationship between the nurse and the patient as an interpersonal and therapeutic process?
A) Virginia Henderson
B) Betty Neuman
C) Imogene King
D) Hildegard Peplau
Answer: D
Q2) A group of students are discussing the impact of non-nursing theories in clinical practice. The students would be correct if they chose which theory to prioritize patient care?
A) Erikson's Psychosocial Theory
B) Paul's Critical Thinking Theory
C) Maslow's Hierarchy of Needs
D) Rosenstock's Health Belief Model
Answer: C
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Chapter 2: Values, Beliefs, and Caring
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Sample Questions
Q1) Nurses must collaborate effectively with patients to find treatment methods that are congruent with the patients' belief systems and that promote healthy outcomes. This approach requires:
A) focusing on patient values only and disregard family desires in setting goals.
B) relying more and more on their scientific background.
C) listening carefully to how the patient's beliefs impact their health beliefs.
D) Understanding that the nurse's beliefs are the most important.
Answer: C
Q2) A group of students are discussing the history of nursing. A student states, "Yea, nurses used to be called the doctor's handmaiden." This type of comment is known as a: A) prejudice.
B) generalization.
C) stereotype.
D) belief.
Answer: C
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Chapter 3: Communication
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Sample Questions
Q1) The nurse is caring for a patient who is unable to take oral medications because of persistent nausea and vomiting. The nurse decides to call the primary care physician and ask for a different medication administration route. This demonstrates the act of:
A) collaboration.
B) delegation.
C) assertiveness.
D) advocacy.
Answer: D
Q2) The nurse is collaborating with a patient to determine interventions to ensure compliance with medication administration after his pending discharge. The goals and nursing interventions would be agreed upon in the:
A) Preinteraction phase.
B) Orientation phase.
C) Working phase.
D) Termination phase.
Answer: D
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Chapter 4: Critical Thinking in Nursing
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Sample Questions
Q1) The nurse has been practicing for several years and has become the unofficial leader, with newer nurses going to her for advice about patient care. They are amazed at how much the older nurse "thinks like a nurse." In order to "think like a nurse," the nurse must: (Select all that apply.)
A) be a nurse for several years.
B) be able to apply knowledge in making clinical decisions.
C) actively participate in the process.
D) accept procedures that have been in place for years as right.
E) develop a questioning attitude.
Q2) The nurse is preparing to administer an anticoagulant when the patient says, "Why do I have these bruises on my arms?" The nurse reviews the patient's blood tests and notes an abnormal bleeding time. Based on the findings, the nurse decides to hold the medication and notifies the health care provider. This action, by the nurse, is an example of:
A) thinking aloud.
B) reviewing the literature.
C) applying knowledge .
D) role playing.
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Chapter 5: Introduction to the Nursing Process
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Sample Questions
Q1) The nurse is caring for a patient who will be discharged home following surgical repair of a broken shoulder. The patient tells the nurse, "I don't have anyone at home who can help me cook my meals. Is there something you can do?" Demonstrating the adaptability of the nursing process, the nurse should:
A) adjust the patient's care plan so that nursing goals can be met.
B) consult the care provider about extending the patient's hospitalization.
C) abandon the plan of care as not able to be done.
D) contact the social worker about community services.
Q2) The nurse is assisting a patient to bed when the patient says, "My chest hurts and my left arm feels numb. What's wrong with me?" What is the type and source of data obtained from the patient's complaint?
A) Objective data from a primary source
B) Objective data from a secondary source
C) Subjective data from a primary source
D) Subjective data from a secondary source
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Chapter 6: Assessment
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Q1) The wound care nurse is assessing a non-healing leg wound on a patient recently admitted for uncontrolled diabetes. The nurse organizes the data using Gordon's Functional Health Pattern of:
A) nutrition and metabolism.
B) activity and exercise.
C) sleep and rest.
D) elimination.
Q2) Which of the following examples given indicate objective data? (Select all that apply.)
A) Respirations - 24 breaths per minute
B) Platelet count - 350,000 mmS1U1P13S1S1P0
C) Wound size - 3 cm X 2 cm
D) Temperature - 98.4° F (36.8° C)
E) Complaints of severe abdominal pain.
Q3) The nurse is documenting data collected during a health assessment interview. Which statement indicates subjective data?
A) "My last bowel movement was 4 days ago."
B) Abdomen distended; firm and tender.
C) Dark colored; hard pellet-shaped stool.
D) Color pink. Skin warm and dry. No sign of discomfort.
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Chapter 7: Nursing Diagnosis
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Sample Questions
Q1) North American Nursing Diagnosis Association International (NANDA-I) is an organization focusing on revising nursing diagnosis taxonomy and evaluates nursing research to validate the diagnostic labels. The NANDA-I taxonomy and new nursing diagnoses are published every:
A) 2 years.
B) 3 years.
C) 4 years.
D) 5 years.
Q2) The nurse completes a health and physical assessment on a patient admitted with a fractured pelvis. Which of the following tasks should the nurse do next?
A) Analyze and cluster the assessment information.
B) Formulate a nursing diagnosis addressing actual issues.
C) Determine the need for potential nursing diagnoses.
D) Create health promotion diagnoses for the patient.
Q3) When creating a nursing diagnosis, the related factor:
A) should be based on the medical diagnosis.
B) in unrelated to the pathophysiology with which the patient is dealing.
C) is the underlying etiology of the patient's situation.
D) does not reflect the nurse's understanding of pathophysiology.
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Page 9
Chapter 8: Planning
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Sample Questions
Q1) The nurse is accurate when stating that adequate discharge planning:
A) "May decrease the incidence of patients required to return to the hospital."
B) "Increases complications and readmissions in most cases."
C) "Adapts to the situation as the patient's conditions changes."
D) "Should begin as soon as the patient is discharged home."
Q2) Which should the nurse address first?
A) Pain
B) Hunger
C) Decreased self-esteem
D) Absence of pulse
Q3) Patients should be included in the planning process. Involving patients in planning their care helps them to: (Select all that apply.)
A) be aware of identified needs.
B) accept that not all goals are measurable.
C) embrace mutually agreed-on goals.
D) feel a sense of empowerment.
E) overcome unrealistic goals.
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Chapter 9: Implementation and Evaluation
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Sample Questions
Q1) Of the following skills, which is considered an invasive procedure? (Select all that apply.)
A) Administering oral medications
B) Starting an intravenous (IV) line
C) Repositioning the patient.
D) Inserting a urinary catheter.
Q2) The nurse is caring for a patient with blindness. When reviewing the care plan, the nurse notes which of the following goals need to be modified?
A) The patient will report any drainage from the wound with a foul odor to the primary care provider after discharge.
B) The patient will agree to report pain promptly while hospitalized.
C) The patient will obtain no injuries while in the hospital.
D) The patient will report any wound drainage with a purulent appearance to the primary care provider after discharge.
Q3) The final phase of the nursing process is evaluation, which focuses on:
A) recording the care that was implemented.
B) medical and nursing goals for the welfare of the patient.
C) long-term goals only.
D) the patient responses to interventions and outcomes.
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Page 11
Chapter 10: Documentation, Electronic Health Records, and Reporting
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Sample Questions
Q1) Accurate documentation by the nurse is necessary since proper documentation: A) is needed for proper reimbursement.
B) must be electronically generated.
C) does not involve e-mails or faxes.
D) is only legal if written by hand.
Q2) Nurses must be aware of the danger of using abbreviations that may be misunderstood and compromise patient safety. The Joint Commission has compiled a list of do-not-use abbreviations, acronyms, and symbols to avoid the possibility of errors that may be life threatening. Of the following, which are acceptable? (Select all that apply.)
A) Daily
B) QD
C) qod
D)0.X mg
E) X mg
Q3) A type of charting that records only abnormal or significant data is:
A) PIE.
B) SOAP.
C) narrative.
D) charting by exception.
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Chapter 11: Ethical and Legal Considerations
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29 Flashcards
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Sample Questions
Q1) The nurse is providing care for a patient who demands discharge from the hospital against the physician's orders. In order to remove liability from the institution and the physician, the nurse has the patient review and sign the:
A) Against Medical Advice form.
B) Code of Academic and Clinical Conduct.
C) Nursing Code of Ethics.
D) Informed consent form.
Q2) Practicing nursing without a license is a: A) misdemeanor.
B) statute.
C) felony.
D) tort.
Q3) The nurse has been involved sexually with a patient. This is considered an act of: A) malpractice.
B) libel.
C) slander.
D) battery.
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13
Chapter 12: Leadership and Management
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Sample Questions
Q1) The nurse is acting as a leader in the role of charge nurse and notes that the unlicensed assistive personnel (UAP) on the floor are stressed related to their increased workload. The nurse changes the original planned approach based on the presenting situation. What theory of leadership is being implemented?
A) Situational
B) Transactional
C) Transformational
D) Autocratic
Q2) The manager of the intensive care unit is accepting an award for excellence and efficiency in the provision of patient care. The manager accepts the award for the unit and cites the contributions of her staff since, without their expertise and dedication, the award may not have been achieved. The manager is demonstrating the quality of:
A) dedication.
B) openness.
C) magnanimity.
D) creativity.
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Chapter 13: Evidence-Based Practice and Nursing Research
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25 Flashcards
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Sample Questions
Q1) When applying research to practice, the nurse finds that:
A) it is usually easy to access information at the bedside.
B) research articles are clear in defining nursing practice.
C) bedside care is not directly related to research.
D) nursing research should be used to improve care.
Q2) The nurse correctly devises a dissemination plan at what point during the research process?
A) Conclusion of the study
B) After the literature review
C) The beginning of the research process
D) While conducting research
Q3) The nurse is reviewing a research study that includes data in the form of numbers. This study is likely what type of study?
A) Qualitative
B) Experimental
C) Quasi-experimental
D) Quantitative
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Chapter 14: Health Literacy and Patient Education
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Sample Questions
Q1) The nurse is preparing to teach a 5-year-old child postoperative care that will be anticipated after a tonsillectomy. The nurse should:
A) use pictures and simple words to describe care to the patient.
B) teach the parents alone to reduce fear in the patient.
C) exclude the parents to reduce parental anxiety.
D) use clear simple explanations to convey information.
Q2) In preparing to teach the patient, the nurse must consider: (Select all that apply.)
A) background.
B) race.
C) pain level.
D) emotional status.
E) readiness to learn.
Q3) The unique ability of the patient to understand and integrate health-related knowledge is known as:
A) health literacy.
B) formal patient education.
C) informal patient education.
D) primary education.
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16
Chapter 15: Nursing Informatics
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) While adopting new technology to enhance patient care and safety, nurses can continue to provide:
A) compassionate care.
B) consumer empowerment.
C) self-management of wellness.
D) education about health care.
Q2) Nurses working surrounded by computers and mobile IT must develop skills in the use of all available technology. At the same time, it is important to recognize that:
A) the technology in use today will be the same tomorrow.
B) cell phones are not usually allowed in the acute care setting.
C) most forms of mobile technology are in violation of HIPAA guidelines.
D) the technology supports bedside and remote charting.
Q3) The patient asks the nurse about how to evaluate websites and standards used to evaluate Internet health sites. The nurse appropriately refers the patient to:
A) World Health Organization.
B) the U.S. Food and Drug Administration.
C) the Internet Healthcare Coalition.
D) the U.S. Federal Trade Commission.
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Chapter 16: Health and Wellness
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Sample Questions
Q1) A 40-year-old patient presents to her provider for a yearly physical. The provider notes a family history of breast cancer in the patient's mother. The provider schedules the patient for a mammogram. The nurse recognizes this as what level of prevention?
A) Tertiary
B) Primary
C) Secondary
D) Holistic
Q2) The nurse is developing a plan of care for a patient with a hip fracture. In order to prioritize the patient's care, the nurse should use:
A) the Health Belief Model.
B) Pender's Health Promotion Model.
C) Maslow's hierarchy of needs.
D) the Holistic Health Model.
Q3) When caring for patients with chronic illness, the nurse needs to:
A) help the patient face the reality that he will not get better.
B) emphasize to the patient that the illness is not his fault.
C) emphasize improving quality of life through preventive behaviors.
D) acknowledge the limitations placed on the patient by his suffering.
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Chapter 17: Human Development: Conception through Adolescence
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Sample Questions
Q1) The nurse is caring for a patient that is actively trying to conceive a child but continues to drink alcohol. The patient states that she'll stop drinking once she is pregnant. What is the most appropriate response by the nurse?
A) "Abstaining is best since most fetal development occurs before you realize you are pregnant."
B) "Small amounts of alcohol are safe at any time during pregnancy."
C) "Things will be okay if you quit drinking alcohol once you know you are pregnant."
D) "Alcohol use should be avoided early in pregnancy but is acceptable past week 20."
Q2) A nurse is planning a community education event for parents on the topic of school-aged children and the risks of too much social media time. What topics should the nurse plan to include? (Select all that apply.)
A) Increased bullying
B) Decreased physical activity
C) Decreased understanding of spatial relationships
D) Weight loss and malnutrition
E) Increased aggressiveness
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Chapter 18: Human Development Young Adult to Older Adult
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Sample Questions
Q1) The nurse is assessing hospitalized older adults for risk factors that could lead to delirium. For which patients does the nurse plan extra care to prevent delirium? (Select all that apply.)
A) A 95-year-old
B) On multiple pain medications
C) Is blind
D) Two days post operative
E) Intractable pain
Q2) The nurse is performing wellness checks at a community center for older adults. Which person would the nurse evaluate as having the highest risk of stroke?
A) White, 55 years of age, BP 148/92 mm Hg
B) African-American, 70 years of age, BP 150/100 mm Hg
C) Asian-American, 40 years of age, BP 146/78 mm Hg
D) White, 74 years of age, BP 150/82 mm Hg
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Chapter 19: Vital Signs
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Q1) The nurse understands that which factors can increase blood pressure? (Select all that apply.)
A) Head injury
B) Decreased fluid volume
C) Increasing age
D) Recent food intake
E) Pain
Q2) The nurse has applied a pulse oximeter to the finger of a patient who is hypothermic. The pulse oximeter does not provide a good reading. What action by the nurse is best?
A) Move the oximeter probe to another finger.
B) Assess the fingers for good circulation.
C) Document that the reading cannot be obtained.
D) Remove any fingernail polish present on the fingernail.
Q3) A nurse is told in the hand-off report that a patient is afebrile. What assessment finding correlates with this statement?
A) Blood pressure 152/98 mm Hg
B) Temperature 98.4° F (36.8° C)
C) Pulse 82 beats/min
D) Respirations 16 breaths/min
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Page 21
Chapter 20: Health History and Physical Assessment
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Q1) A nurse observes a patient sitting up in bed, leaning forward with the arms braced against the over-the-bed table. What action by the nurse is best?
A) Assess the patient for a barrel-chest appearance.
B) Palpate the patient's abdomen for tenderness.
C) Inspect the patient's spine for deformities.
D) Ask the patient if he/she is experiencing dizziness.
Q2) A nurse is educating women on breast cancer risk reduction. What topics does the nurse include in the presentation? (Select all that apply.)
A) Exercise
B) Limiting alcohol
C) Low-fat diet
D) Breast self exams
E) Milk intake
Q3) A patient wishes to review his medical record. What response by the nurse is best?
A) "I'm sorry, we don't allow you to look at your chart."
B) "Let me check to see if we can allow you to do that."
C) "Yes, I can sit with you while you look at it so you can ask questions."
D) "Yes, all patients can review their charts at any time they wish."
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Chapter 21: Ethnicity and Cultural Assessment
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Q1) A patient has hypertension and is on a very-low-sodium diet. However, the patient is going to celebrate an important religious holiday soon that includes many food items high in sodium. What action by the nurse is best?
A) Tell the patient you are so sorry she can't have any of these foods.
B) Consult with the prescriber about increasing the blood pressure medications.
C) Collaborate with the patient and dietitian to include some of these foods.
D) Tell the patient eating these foods once won't hurt her condition.
Q2) A nurse is working with a patient who has limited English proficiency. What action by the nurse is best?
A) Use a qualified interpreter.
B) Ask family members to translate.
C) Use drawings and pictures.
D) Speak in simple sentences.
Q3) A home health care nurse is visiting the home of a patient whose culture is totally unfamiliar to the nurse. What action by the nurse is best?
A) Perform nursing care with a high degree of professionalism.
B) Watch family interaction patterns closely and try to copy them.
C) Tell the family you need to learn about their culture.
D) Apologize after performing tasks that make the patient uncomfortable.
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Page 23
Chapter 22: Spiritual Health
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Sample Questions
Q1) The nurse is caring for four patients. Which one should the nurse assess for spirituality needs as a priority?
A) New mother, older child at home
B) Faces terminal diagnosis
C) Needs to change medications
D) Pleasant but quiet
Q2) The student using the FICA Spiritual Health Assessment will consider which factors? (Select all that apply.)
A) Faith and belief
B) Focused practices
C) Importance of faith
D) Faith community involvement
E) Address spirituality in care
Q3) The nursing student learns which facts about religion and spirituality? (Select all that apply.)
A) Spirituality focuses on the meaning of life to people.
B) Religion and spirituality are mutually exclusive.
C) Religion implies an organized way of worship.
D) Religion provides the structure by which to understand spirituality.
E) Spirituality is an individual practice that does not include others.
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Chapter 23: Public Health, Community Base, and Home
Health Care
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Q1) A nurse is completing an OASIS assessment on a patient. What data would be most important for the nurse to assess?
A) Presence of grocery stores nearby
B) Safety concerns within the home
C) Number and kind of pets
D) Proximity to a health care facility
Q2) A nurse is discharging a patient and is planning on what material to give the patient to take home. What action by the nurse is best?
A) Assess the patient's ability to read and understand.
B) Determine if the patient wants to take written material home.
C) Give the patient the same material as other patients get.
D) Ask the patient if he/she has a need for written material.
Q3) A nurse is assessing social determinants of health. Which does the nurse include in the assessment? (Select all that apply.)
A) Vaccination compliance
B) Family structure
C) Communication patterns
D) Roles for women
E) Education
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Chapter 24: Human Sexuality
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Q1) A nurse is teaching patients about their medications and implications for sexuality. Which combinations are correct? (Select all that apply.)
A) Antipsychotics: Erectile dysfunction
B) Phenytoin: Decreased desire
C) Antihistamines: Increased vaginal lubrication
D) SSRIs: Prolonged orgasm
E) Marijuana: Chronic use-reduced inhibitions
Q2) The nurse is working with a patient who has a sexual dysfunction. What statement by the patient indicates progress toward an important goal?
A) "I am beginning to enjoy sex more these days."
B) "I'm glad my partner is understanding of the lack of sex."
C) "I wish I didn't need these pills but I know they are important."
D) "I hope one day to have a sexual partner again."
Q3) A patient asks the nurse to recommend a non-prescription contraceptive. What options does the nurse discuss?
A) Diaphragm
B) Cervical cap
C) Condom
D) Intrauterine device
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Page 26
Chapter 25: Safety
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Q1) The nurse knows that which of the following patients has a teaching need based on statements by the patient or the patient's parents?
A) "My 6-month-old daughter only sleeps with me when she's ill."
B) "I do not put pillows in the bed with my 3-month-old son."
C) "I do not feed popcorn to my 2-year-old."
D) "I have discussed the risks of the 'choking game' with my 16-year-old."
Q2) Individual factors affecting safety include those that are related to the functioning of body systems and those that are directly associated with a person's particular lifestyle. Changes in which body system affect overall mobility increasing the propensity of falling?
A) Neurologic
B) Hepatic
C) Cardiopulmonary
D) Musculoskeletal
Q3) The nurse knows that which of the following is not used to assess fall risk?
A) Glasgow Falls Scale
B) Johns Hopkins Hospital Fall Assessment Tool
C) Morse Fall Scale
D) Hendrich II Fall Risk Model
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Page 27
Chapter 26: Asepsis and Infection Control
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Q1) The antigen-antibody reaction is an example of what type of immunity?
A) Humoral
B) Cellular
C) Innate
D) Passive
Q2) The nurse knows that which of the following skills does not require the use of sterile technique?
A) NG tube insertion
B) Foley catheterization
C) Tracheostomy care
D) PICC line insertion
Q3) The nurse notes that a patient's albumin is low and is concerned about the patient's ability to fight infection related to antibodies being made from what?
A) Protein
B) Carbohydrates
C) Fats
D) Vitamins
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Chapter 27: Hygiene and Personal Care
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Sample Questions
Q1) The nurse and UAP are making an occupied bed together. Which action by the nurse is incorrect?
A) The nurse asks and assists the patient to turn toward the UAP and loosens the fitted sheet and rolls it in toward the patient.
B) The nurse rolls dirty linens to the side then places the linens on the floor while finishing.
C) The nurse tucks the clean bottom sheet under the cleaner underside of the dirty linens.
D) The nurse wears gloves to remove dirty linens.
Q2) The nurse notes that a trauma patient has multiple tangles in the hair. Which of the following actions taken by the nurse is appropriate? (Select all that apply.)
A) Work the tangles to the ends of the hair, then trim with scissors.
B) Apply warm water and conditioner.
C) Apply detangler as available.
D) Use a comb or fingers to work through tangles.
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Chapter 28: Activity, Immobility, and Safe Movement
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Sample Questions
Q1) The nurse knows active assistive range of motion is:
A) when the patient is able to independently move all joints.
B) when the patient is able to partially move all joints.
C) when the caregiver must move the patient's joints.
D) when the patient is performing isotonic exercises.
Q2) The nurse is performing passive range-of-motion exercises on his patient when the patient begins to complain of pain. What is the first thing the nurse should do?
A) Notify the health care provider.
B) Hyperextend the joint.
C) Stop the range of motion.
D) Switch to active range of motion.
Q3) The nurse knows rheumatoid arthritis affects the musculoskeletal system by causing:
A) muscle weakness.
B) muscle wasting.
C) muscle inflammation.
D) muscle mobility.
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Chapter 29: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse knows the following types of wounds heal by tertiary intention:
A) An acute wound in which the patient has sutures placed when it happened
B) A pressure ulcer that was treated with dressing changes and healed
C) An acute wound in which surgical glue was used to close the wound
D) A wound that was left open initially and closed later with sutures
Q2) The nurse is caring for a patient who is postoperative day one from an abdominal surgery. The patient complains of a "popping sensation" and a wetness in her dressing. The nurse immediately suspects:
A) a wound infection.
B) the stitches came loose.
C) wound dehiscence.
D) wound crepitus.
Q3) The nurse knows that the following factors contribute to the development of wounds and lead to delays in wound healing: (Select all that apply.)
A) A patient who has diabetes
B) A patient with COPD on long-term steroid therapy
C) A patient with on bed rest who is repositioned
D) A patient who is obese and sweats excessively
E) None of the above
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Page 31
Chapter 30: Nutrition
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Sample Questions
Q1) The nurse is planning dietary education for her patient. What food labeling consideration should she be aware of when planning her education? (Select all that apply.)
A) Ask patients if they read food labels.
B) Assess their level of understanding of food labels.
C) Encourage them to read the food labels.
D) Explain to them all food labels are different.
Q2) The nurse knows that initial verification of a nasogastric placement is important. Which method is considered the only reliable method to determine enteral tube placement?
A) Auscultation of air bolus
B) Measurement of pH of the aspirate
C) Radiographic image
D) Aspirate contents to visually inspect appearance
Q3) The nurse knows that patients should consume the following amounts of fiber every day:
A) 25-35 g
B) 20-35 g
C) 25-40 g
D) 20-40 g
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Chapter 31: Cognitive and Sensory Alterations
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Sample Questions
Q1) A nurse is caring for a patient with a stroke that has impacted her ability to see. Which area of the brain was likely impacted by the stroke that is responsible for visual function?
A) Parietal lobes
B) Frontal lobes
C) Occipital lobes
D) Temporal lobes
Q2) An appropriate goal for a patient with a diagnosis of social isolation is:
A) the patient will participate in cognitive exercises.
B) the patient will interact with other residents during activities.
C) the patient will communicate basic needs through use of photos.
D) the patient will remain within the unit while in long-term care.
Q3) The nurse is providing discharge education to her patient with diabetes regarding foot care. Which of the following statements by the patient indicates a need for further education?
A) "I can go barefoot outside only in the summer."
B) "I should wear good fitting shoes."
C) "I cannot soak my feet in a hot tub."
D) "I can use lotion on my feet."
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Page 33
Chapter 32: Stress and Coping
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Sample Questions
Q1) The nurse is caring for a patient who is undergoing a major cardiac procedure. The patient tells you her heart is racing and she feels nauseated. You know this is part of hormone response known as:
A) sense of coherence.
B) stress appraisal.
C) fight or flight.
D) sympathoadrenal response.
Q2) The nurse is assessing level of stress in a patient from another culture. Which question is the most appropriate in helping the nurse understand the impact of the patient's belief system?
A) "Do you engage in prayer to help you during times of stress?"
B) "Do you go to church or other form of organized worship?"
C) "Do you have certain beliefs that are helpful during times of stress?"
D) "Do you want spiritual counseling while you are here?"
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34
Chapter 33: Sleep
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Sample Questions
Q1) The nurse knows the following interventions will help improve sleep quality during hospitalization: (Select all that apply.)
A) Maintaining sleep routines
B) Minimizing disruptions
C) Providing light snacks
D) Using sleep medications
E) Using relaxation measures
Q2) The nurse is admitting a patient to the general medical-surgical unit. What should the nurse assess as part of a routine sleep assessment? (Select all that apply.)
A) Usual sleeping and waking times
B) Bedtime routines
C) Sleeping environment preferences
D) Medications used for sleep
E) Any current life events
F) None of the above
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35
Chapter 34: Diagnostic Testing
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Sample Questions
Q1) The nurse is caring for a patient who is having blood drawn as part of preoperative testing. Which step is the most important to ensure the safety of the patient and the nurse?
A) Ensuring that the tourniquet is not left in place for too long
B) Using the smallest possible needle for venipuncture
C) Properly disposing of the needle after the specimen is obtained
D) Making sure that all of the collection tubes are filled completely
Q2) The nurse is caring for a patient who is to have a noncontrast MRI scan performed. Which assessment finding leads the nurse to report that the patient may not be able to have the test?
A) The patient has an implanted insulin pump.
B) The patient is breastfeeding her newborn infant.
C) The patient is severely allergic to iodine and latex.
D) The patient has profound hearing loss.
Q3) The nurse is caring for a patient who is sedated following a colonoscopy. Which is the priority action of the nurse?
A) Provide a quiet, dark environment so that the patient can rest comfortably.
B) Monitor the patient's pulse oximetry and respirations closely.
C) Inform the patient that the procedure has been completed.
D) Assess the patient's bowel sounds and passage of flatus.
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Chapter 35: Medication Administration
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Sample Questions
Q1) During discharge teaching, the nurse is to give the patient a signed, dated, and timed prescription from the physician for medications to be taken at home. Which prescription drug order needs to be corrected before it is given to the patient?
A) Warfarin (Coumadin) 5 mg PO daily before dinner
B) Methotrexate (Trexall) 8 tablets PO once weekly on Saturdays
C) Levothyroxine (Synthroid) 137 mcg PO daily before breakfast
D) Zolpidem (Ambien) 5 mg PO at bedtime as needed for sleep
Q2) The nurse is caring for a patient who was just made NPO. The nurse is to administer carvedilol (Coreg) 25 mg PO to the patient for control of high blood pressure. What is the best action of the nurse?
A) Crush the medication and administer it to the patient mixed with applesauce.
B) Administer the medication to the patient with a small sip of water.
C) Contact the patient's physician to clarify the order.
D) Administer the equivalent medication dose through the patient's IV.
Q3) Which of the following medication orders is to be administered PRN?
A) Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep
B) Prednisone 10 mg PO today, then taper down 1 mg each day for the next 10 days
C) Humulin R 10 units subcutaneously before each meal and at bedtime
D) Kefzol (Ancef) 1 g IVPB 30 minutes prior to surgery
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Page 37
Chapter 36: Pain Management
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Sample Questions
Q1) Which patient is best suited for PCA analgesia?
A) A patient who is confused after a head injury
B) A patient recovering from total hysterectomy surgery
C) A patient who has severe psychogenic pain
D) A patient with arthritis who is unable to push the nurse call button
Q2) The nurse is caring for a patient who has severe abdominal pain caused by acute cholecystitis. What type of pain is this patient experiencing?
A) Visceral pain
B) Somatic pain
C) Radiating pain
D) Referred pain
Q3) The nurse is checking on the patient after administering pain medication 30 minutes previously. Which assessment finding best indicates to the nurse that the pain medication was effective?
A) The patient is sleeping quietly.
B) The patient states that she has no pain.
C) The patient's respirations are slow and regular.
D) The patient's blood pressure has returned to baseline.
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Chapter 37: Perioperative Nursing Care
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Sample Questions
Q1) After general anesthesia is administered, the patient is carefully placed in the prone position. What is the primary consideration of the nursing staff as the patient is positioned?
A) Making sure that the patient's endotracheal tube does not become kinked
B) Ensuring that the patient's head is positioned to prevent cervical nerve injury
C) Carefully taping the patient's eyes shut to avoid corneal abrasions
D) Padding the operating table carefully and keeping linens free of wrinkles
Q2) The nurse is caring for a patient who is headed to the operating room for abdominal surgery. Which goal is appropriate for the nursing diagnosis risk for Perioperative positioning injury?
A) Patient will deny numbness or tingling in extremities after surgical procedure.
B) Patient will maintain urine output of at least 30 mL/hour during and after surgery.
C) Patient will maintain elastic skin turgor as well as moist tongue and mucus membranes.
D) Patient will have no emesis and deny nausea following arousal from general anesthesia.
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Chapter 38: Oxygenation and Tissue Perfusion
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Sample Questions
Q1) The nurse is caring for a patient with a chest tube who was transported to radiology for testing. When the patient returns to the nursing unit, the transporter shows the nurse the patient's chest tube collection device, which was badly damaged after being caught in the elevator door. What is the priority action of the nurse?
A) Clamp the chest tube until the collection device is replaced.
B) Cover the insertion site with a new occlusive dressing.
C) Ensure that there is gentle bubbling in the water seal chamber.
D) Check the patient's lung sounds and pulse oximetry.
Q2) The nurse is performing a respiratory assessment on a patient. Which assessment findings indicate to the nurse that the patient has a history of long-standing chronic respiratory disease? (Select all that apply.)
A) All of the patient's fingernails are noticeably clubbed.
B) The patient needs to sleep on at least four to five pillows at night.
C) The patient's chest has equal antero-posterior and transverse diameters.
D) The patient's lower legs have large areas of brownish spotted discoloration.
E) The patient reports puffiness of both feet when standing for long periods.
F) The patient's forced vital capacity test result is 3.8 L of air.
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Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
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Sample Questions
Q1) The nurse is caring for a patient who is admitted to the hospital with dehydration and gastroenteritis. The patient attempted to walk to the bathroom and fainted right after getting out of bed. Which is the most likely cause of the patient's collapse?
A) Orthostatic hypotension
B) Circulatory overload
C) Hemolytic reaction
D) Catheter embolism
Q2) The nurse is caring for a patient who has a serum magnesium level of 0.8 mEq/L. Which is the highest priority goal to include in the patient's plan of care?
A) The patient will maintain urine output of at least 30 mL/hr.
B) The patient will verbalize the importance of sufficient dietary intake of magnesium.
C) The patient's oral mucous membranes will remain free of ulceration and pain.
D) The patient will remain alert and oriented x3 with no confusion or seizure activity.
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Chapter 40: Bowel Elimination
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Sample Questions
Q1) The nurse is caring for a patient who will undergo colonoscopy testing. Which intervention will the nurse include in the patient's plan of care for the day before the test?
A) Provide the patient with zinc oxide skin barrier cream for the perineal area.
B) Obtain an order for a gentle laxative to be given once the test is completed.
C) Carefully assess the patient's ability to swallow liquids through a straw.
D) Check the patient for allergies to shellfish and iodine-based contrast dyes.
Q2) The nurse is caring for a patient who periodically has small streaks of fresh red blood in his stool. The patient denies abdominal pain or loss of appetite. What is the most likely cause of this patient's bleeding?
A) Hemorrhoids
B) Bleeding gastric ulcer
C) Colon polyps
D) Perforated colon
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Chapter 41: Urinary Elimination
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Sample Questions
Q1) The nurse is caring for a patient with an indwelling urinary catheter caused by severe prostate enlargement. Which is the priority nursing diagnosis for this patient?
A) Risk for infection r/t indwelling urinary catheter
B) Disturbed body image r/t presence of catheter
C) Risk for contamination r/t potential leakage of urine on clothing
D) Urinary retention r/t blockage of bladder outlet
Q2) The nurse is caring for a patient who is to complete a 24-hour urine collection to measure creatinine clearance. Which tasks related to this test may be delegated to the nursing assistant? (Select all that apply.)
A) Teaching the patient about sterile specimen collection
B) Keeping the urine collection container cool on ice
C) Dumping the urine from the patient's first void
D) Restricting the patient's oral fluid intake during the test
E) Transporting the specimen to the laboratory for testing
F) Reminding the patient not to put toilet paper in the urine
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43
Chapter 42: Death and Loss
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Sample Questions
Q1) The nurse is caring for a female patient who died a few minutes previously. The patient's family comes in to the room and immediately starts to wash the body in preparation for burial. What is the most appropriate action of the nurse at this time?
A) Inform the patient's family that the body must be transported to the morgue.
B) Instruct the patient's family that hospital staff will provide post-mortem care.
C) Obtain needed signatures for organ donation and autopsy.
D) Offer to provide any needed supplies and provide privacy for the family.
Q2) The nurse is caring for a terminally ill patient whose family is insistent that additional chemotherapy be administered even though the patient will most likely die within the next few days. What is the best response of the nurse?
A) "The insurance company will not pay for chemotherapy at this stage."
B) "The focus right now needs to be on keeping your loved one comfortable."
C) "I will call the physician and let him know that you would like to restart chemotherapy."
D) "The patient needs to get stronger first before chemotherapy can be administered."
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