Nursing Concepts Review Questions
Course Introduction
Nursing Concepts provides an introduction to the foundational principles and theories that guide nursing practice. This course explores key concepts such as patient-centered care, professional communication, health promotion, safety, ethics, and evidence-based practice. Students will learn how these concepts are applied within various healthcare settings to support holistic and culturally competent care. Emphasis is placed on critical thinking, the nursing process, and the development of clinical judgment necessary for safe and effective patient outcomes.
Recommended Textbook
Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
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2
Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2380
Sample Questions
Q1) The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity is appropriate for a CRNA?
A) Manages gynecological services such as PAP smears
B) Works under the guidance of an anesthesiologist
C) Obtains a PhD degree in anesthesiology
D) Coordinates acute medical conditions
Answer: B
Q2) A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse implementing?
A) Educator
B) Manager
C) Advocate
D) Caregiver
Answer: B
Q3) A nurse has compassion fatigue. What is the nurse experiencing?
A) Lateral violence and intrapersonal conflict
B) Burnout and secondary traumatic stress
C) Short-term grief and single stressor
D) Physical and mental exhaustion
Answer: B
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Chapter 2: The Health Care Delivery System
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?
A) Capitation provides the hospital with a means of recovering variable charges.
B) The hospital will be paid for the full cost of the patient's hospitalization.
C) Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
D) Medicare will pay the national average for the patient's condition.
Answer: C
Q2) A nurse is teaching the staff about managed care. Which information should the nurse include in the teaching session?
A) Managed care insures full coverage of health care costs.
B) Managed care only assumes the financial risk involved.
C) Managed care allows providers to focus on illness care.
D) Managed care causes providers to focus on prevention.
Answer: D
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4
Chapter 3: Community-Based Nursing Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The instructor is teaching student nurses about identifying members of vulnerable populations when the nursing student asks, "Why is it that not all poor people are considered members of vulnerable populations?" How should the nurse respond?
A) "All poor people are members of a vulnerable population."
B) "Poor people are members of a vulnerable population only if they take drugs."
C) "Poor people are members of a vulnerable population only if they are homeless."
D) "Members of vulnerable groups frequently have a combination of risk factors."
Answer: D
Q2) A nurse is focusing on acute and chronic care of individuals and families within a community while enhancing patient autonomy. Which type of nursing care is the nurse providing?
A) Public health
B) Community health
C) Community-based
D) Community assessment
Answer: C
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Chapter 4: Theoretical Foundations of Nursing Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The patient is newly diagnosed with diabetes and will be discharged in the next day or so. The nurse is teaching the patient how to draw up and self-administer insulin. Which nursing theory is the nurse utilizing?
A) Watson's theory
B) Orem's theory
C) Roger's theory
D) Henderson's theory
Q2) Which action indicates the nurse is using the nursing process in patient care?
A) Generates nursing knowledge for use in nursing practice.
B) Conceptualizes an aspect of nursing to predict nursing care.
C) Develops nursing care as a specific, distinct phenomenon.
D) Delivers nursing care using a systematic approach.
Q3) A nurse is caring for pediatric patients and using the developmental theory to plan nursing care. What is the focus of this nurse's care?
A) Humans have an orderly, predictive process of growth and development.
B) Humans respond to threats by adapting with growth and development.
C) Humans respond with cognitive principles for growth and development.
D) Humans have psychosocial domains to growth and development.
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6
Chapter 5: Evidence-Based Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse is implementing an evidence-based practice project regarding infection rates. After reviewing research literature, which other evidence should the nurse review?
A) Quality improvement data
B) Inductive reasoning data
C) Informed consent data
D) Biased data
Q2) A nurse is reviewing literature for an evidence-based practice study. Which study should the nurse use for the \(\bold{most}\) reliable level of evidence that uses statistics to show effectiveness?
A) Meta-analysis
B) Systematic review
C) Single random controlled trial
D) Control trial without randomization
Q3) A nurse is developing a care delivery outcomes research project. Which population will the nurse study?
A) Nurses
B) Patients
C) Administrators
D) Health care providers
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Chapter 6: Health and Wellness
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which areas should the nurse assess to determine the effects of external variables on a patient's illness? (Select all that apply.)
A) Patient's perception of the illness
B) Patient's coping skills
C) Socioeconomic status
D) Cultural background
E) Social support
Q2) A nurse is using the World Health Organization definition of health to provide care. Which area will the nurse focus on while providing care?
A) Making sure the patients are disease free
B) Making sure to involve the whole person
C) Making sure care is strictly personal in nature
D) Making sure to focus only on the pathological state
Q3) A nurse is assessing internal variables that are affecting the patient's health status. Which area should the nurse assess?
A) Perception of functioning
B) Socioeconomic factors
C) Cultural background
D) Family practices
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Page 8
Chapter 7: Caring in Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse cares for patients. Which areas does caring influence? (Select all that apply.)
A) The way in which patients feel
B) The way in which patients learn
C) The way in which patients think
D) The way in which patients study
E) The way in which patients behave
Q2) A nurse is providing pain medication to patients after surgery. Which component is key for the nurse's personal philosophy of nursing?
A) Caring
B) Technology
C) Informatics
D) Therapeutics
Q3) A nurse is caring for a patient in pain. Which nursing approach is priority?
A) Relationship-centered
B) Technology-centered
C) High tech-centered
D) Family-centered
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Chapter 8: Caring for the Cancer Survivor
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The self-caregiving pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
Q2) A nurse is assessing a cancer survivor for chemotherapy-induced peripheral neurotoxicity (CPIN). Which assessment finding is consistent with CPIN?
A) Hearing loss
B) Devastating depression
C) Extreme loss of motor functioning
D) Numbness and tingling in hands and feet
Q3) A nurse is working on a cancer unit. The unit uses the National Coalition for Cancer Survivorship definition for a cancer survivor. Which definition will the nurse use?
A) Been cancer free for 5 years after diagnosis
B) Been cancer free for 3 years after diagnosis
C) Had cancer and is declared cancer free
D) Had cancer and extends until death
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Chapter 9: Cultural Awareness
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Cultural knowledge
A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills
Q2) A nurse is beginning to use patient-centered care and cultural competence to improve nursing care. Which step should the nurse take \(\bold{first}\)?
A) Assessing own biases and attitude
B) Learning about the world view of others
C) Understanding organizational forces
D) Developing cultural skills
Q3) A nurse is teaching patients about health care information. Which patient will the nurse assess closely for health literacy?
A) A patient 35 years old
B) A patient 68 years old
C) A patient with a college degree
D) A patient with a high-school diploma
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Chapter 10: Caring for Families
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient who needs constant care in the home setting and for whom most of the care is provided by the patient's family. Which action should the nurse take to help relieve stress?
A) Encourage caregiver to do as much as possible.
B) Focus primarily on the patient.
C) Point out weaknesses.
D) Provide education.
Q2) A nurse cares for the family's as well as the patient's needs using available resources. Which approach is the nurse using?
A) Family as context
B) Family as patient
C) Family as system
D) Family as caregivers
Q3) How are house rules established?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
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12
Chapter 11: Developmental Theories
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which action should the nurse take when teaching a 5-year-old patient about a scheduled surgery?
A) Do not discuss the procedure with the child to decrease anxiety.
B) Let the child know the surgery will be at 9:00 AM in the morning.
C) Insist that the parents wait outside the room to ensure privacy of the child.
D) Allow the child to touch and hold medical equipment such as thermometers.
Q2) A nurse is developing a plan of care concerning growth and development for a hospitalized adolescent. What should the nurse do? (Select all that apply.)
A) Apply developmental theories when making observations of the adolescent's patterns of growth and development.
B) Compare the adolescent's assessment findings versus normal findings.
C) Recognize her own (the nurse's) moral developmental level.
D) Stick with one developmental theory for consistency.
E) Apply a unidimensional life span perspective.
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Chapter 12: Conception Through Adolescence
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse is communicating with a newly admitted teenaged patient. Which action should the nurse take?
A) Avoid questioning the patient about cigarette use when the nurse observes a cigarette lighter lying on the bedside table.
B) Complete the admission database as quickly as possible by asking yes and no questions.
C) Look for meaning behind the patient's words and actions.
D) Ignore the patient's withdrawn behavior.
Q2) A nurse is caring for a preschooler. Which fear should the nurse \(\bold{most}\) plan to minimize?
A) Fear of bodily harm
B) Fear of weight gain
C) Fear of separation
D) Fear of strangers
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Chapter 13: Young and Middle Adults
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Dry cleaners
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
Q2) A nurse is planning care for a 30 year old. Which goal is priority?
A) Refine self-perception.
B) Master career plans.
C) Examine life goals.
D) Achieve intimacy.
Q3) A nurse is caring for a young adult. Which goal is priority?
A) Maintain peer relationships.
B) Maintain family relationships.
C) Maintain parenteral relationships.
D) Maintain recreational relationships.
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Chapter 14: Older Adult
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A nurse's goal for an older adult is to reduce the risk of adverse medication effects. Which action will the nurse take?
A) Review the patient's list of medications at each visit.
B) Teach that polypharmacy is to be avoided at all cost.
C) Avoid information about adverse effects.
D) Focus only on prescribed medications.
Q2) A nurse is observing for the universal loss in an older-adult patient. What is the nurse assessing?
A) Loss of finances through changes in income
B) Loss of relationships through death
C) Loss of career through retirement
D) Loss of home through relocation
Q3) A patient asks the nurse what the term polypharmacy means. Which information should the nurse share with the patient?
A) This is multiple side effects experienced when taking medications.
B) This is many adverse drug effects reported to the pharmacy.
C) This is the multiple risks of medication effects due to aging.
D) This is concurrent use of many medications.
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Chapter 15: Critical Thinking in Nursing Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates the charge nurse needs to intervene?
A) Making an ethical clinical decision
B) Making an informed clinical decision
C) Making a clinical decision in the patient's best interest
D) Making a clinical decision based on previous shift assessments
Q2) A patient is having trouble reaching the water fountain while holding on to crutches. The nurse suggests that the patient place the crutches against the wall while stabilizing him or herself with two hands on the water fountain. Which critical thinking attitude did the nurse use in this situation?
A) Humility
B) Creativity
C) Risk taking
D) Confidence
Q3) Which action should the nurse take to best develop critical thinking skills?
A) Study 3 hours more each night.
B) Attend all inservice opportunities.
C) Actively participate in clinical experiences.
D) Interview staff nurses about their nursing experiences.
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Page 17
Chapter 16: Nursing Assessment
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2395
Sample Questions
Q1) While interviewing an older female patient of Asian descent, the nurse notices that the patient looks at the ground when answering questions. What should the nurse do?
A) Consider cultural differences during this assessment.
B) Ask the patient to make eye contact to determine her affect.
C) Continue with the interview and document that the patient is depressed.
D) Notify the health care provider to recommend a psychological evaluation.
Q2) Quality
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
Q3) A nurse is using the problem-oriented approach to data collection. Which action will the nurse take first?
A) Complete the questions in chronological order.
B) Focus on the patient's presenting situation.
C) Make accurate interpretations of the data.
D) Conduct an observational overview.
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18
Chapter 17: Nursing Diagnosis
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A patient has a bacterial infection in left lower leg. Which nursing diagnosis will the nurse add to the patient's care plan?
A) Infection
B) Risk for infection
C) Impaired skin integrity
D) Staphylococcal leg infection
Q2) Which question would be \(\bold{most}\) appropriate for a nurse to ask a patient to assist in establishing a nursing diagnosis of Diarrhea?
A) "What types of foods do you think caused your upset stomach?"
B) "How many bowel movements a day have you had?"
C) "Are you able to get to the bathroom in time?"
D) "What medications are you currently taking?"
Q3) A nurse is using assessment data gathered about a patient and combining critical thinking to develop a nursing diagnosis. What is the nurse doing?
A) Assigning clinical cues
B) Defining characteristics
C) Diagnostic reasoning
D) Diagnostic labeling
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Chapter 18: Planning Nursing Care
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Sample Questions
Q1) A nurse is developing a care plan. Which intervention is most appropriate for the nursing diagnostic statement Risk for loneliness related to impaired verbal communication?
A) Provide the patient with a writing board each shift.
B) Obtain an interpreter for the patient as soon as possible.
C) Assist the patient in performing swallowing exercises each shift.
D) Ask the family to provide a sitter to remain with the patient at all times.
Q2) A nurse is preparing to make a consult. In which order, beginning with the first step, will the nurse take?
1) Identify the problem.
2) Discuss the findings and recommendation.
3) Provide the consultant with relevant information about the problem.
4) Contact the right professional, with the appropriate knowledge and expertise.
5) Avoid bias by not providing a lot of information based on opinion to the consultant
A) 1, 4, 3, 5, 2
B) 4, 1, 3, 2, 5
C) 1, 4, 5, 3, 2
D) 4, 3, 1, 5, 2
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Chapter 19: Implementing Nursing Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse establishes trust and talks with a school-aged patient before administering an injection. Which type of implementation skill is the nurse using?
A) Cognitive
B) Interpersonal
C) Psychomotor
D) Judgmental
Q2) The nurse is intervening for a patient that has a risk for a urinary infection. Which direct care nursing intervention is most appropriate?
A) Teaches proper handwashing technique
B) Properly cleans the patient's toilet
C) Transports urine specimen to the lab
D) Informs the oncoming nurse during hand-off
Q3) A newly admitted patient who is morbidly obese asks the nurse for assistance to the bathroom for the first time. Which action should the nurse take initially?
A) Ask for at least two other assistive personnel to come to the room.
B) Medicate the patient to alleviate discomfort while ambulating.
C) Review the patient's activity orders.
D) Offer the patient a walker.
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Chapter 20: Evaluation
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21 Verified Questions
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Sample Questions
Q1) The nurse is caring for a patient who has an order to change a dressing twice a day, at 0600 and 1800. At 1400, the nurse notices that the dressing is saturated and leaking. What is the nurse's next action?
A) Wait and change the dressing at 1800 as ordered.
B) Revise the plan of care and change the dressing now.
C) Reassess the dressing and the wound in 2 hours.
D) Discontinue the plan of care for wound care.
Q2) A goal for a patient with diabetes is to demonstrate effective coping skills. Which patient behavior will indicate to the nurse achievement of this outcome?
A) States feels better after talking with family and friends
B) Consumes high-carbohydrate foods when stressed
C) Dislikes the support group meetings
D) Spends most of the day in bed
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) High priority
A)Patient that needs to be turned to prevent pneumonia
B)Patient with acute asthma attack
C)Patient who will be discharged in 2 days who needs teaching
Q2) Which assessment of a patient who is 1 day postsurgery to repair a hip fracture requires immediate nursing intervention?
A) Patient ate 40% of clear liquid breakfast.
B) Patient's oral temperature is 98.9° F.
C) Patient states, "I did not realize I would be so tired after this surgery."
D) Patient reports severe pain 30 minutes after receiving pain medication.
Q3) A nurse is prioritizing care for four patients. Which patient should the nurse see first?
A) A patient needing teaching about medications
B) A patient with a healed abdominal incision
C) A patient with a slight temperature
D) A patient with difficulty breathing
Q4) Intermediate priority
A)Patient that needs to be turned to prevent pneumonia
B)Patient with acute asthma attack
C)Patient who will be discharged in 2 days who needs teaching
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Chapter 22: Ethics and Values
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Sample Questions
Q1) The nurse is caring for a patient supported with a ventilator who has been unresponsive since arrival via ambulance 8 days ago. The patient has not been identified, and no family members have been found. The nurse is concerned about the plan of care regarding maintenance or withdrawal of life support measures. Place the steps the nurse will use to resolve this ethical dilemma in the correct order.
1) The nurse identifies possible solutions or actions to resolve the dilemma.
2) The nurse reviews the medical record, including entries by all health care disciplines, to gather information relevant to this patient's situation.
3) Health care providers use negotiation to redefine the patient's plan of care.
4) The nurse evaluates the plan and revises it with input from other health care providers as necessary.
5) The nurse examines the issue to clarify opinions, values, and facts.
6) The nurse states the problem.
A) 6, 1, 2, 5, 4, 3
B) 5, 6, 2, 3, 4, 1
C) 1, 2, 5, 4, 3, 6
D) 2, 5, 6, 1, 3, 4
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Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) A female nursing student in the final term of nursing school is overheard by a nursing faculty member telling another student that she got to insert a nasogastric tube in the emergency department while working as a nursing assistant. Which advice is best for the nursing faculty member to give to the nursing student?
A) "Just be careful when you are doing new procedures and make sure you are following directions by the nurse."
B) "Review your procedures before you go to work, so you will be prepared to do them if you have a chance."
C) "The nurse should not have allowed you to insert the nasogastric tube because something bad could have happened."
D) "You are not allowed to perform any procedures other than those in your job description even with the nurse's permission."
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25
Chapter 24: Communication
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Sample Questions
Q1) A nurse uses SBAR when providing a hands-off report to the oncoming shift. What is the rationale for the nurse's action?
A) To promote autonomy
B) To use common courtesy
C) To establish trustworthiness
D) To standardize communication
Q2) A nurse is implementing nursing care measures for patients' special communication needs. Which patient will need the most nursing care measures?
A) The patient who is oriented, pain free, and blind
B) The patient who is alert, hungry, and has strong self-esteem
C) The patient who is cooperative, depressed, and hard of hearing
D) The patient who is dyspneic, anxious, and has a tracheostomy
Q3) E
A)Nurse describes procedures and tests.
B)Nurse lets the patient know how long the procedure will last.
C)Nurse recognizes the person with a positive attitude.
D)Nurse thanks the patient.
E)Nurse tells the patient "I am an RN and will be managing your care."
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Chapter 25: Patient Education
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Sample Questions
Q1) A nurse is determining if teaching is effective. Which finding best indicates learning has occurred?
A) A nurse presents information about diabetes.
B) A patient demonstrates how to inject insulin.
C) A family member listens to a lecture on diabetes.
D) A primary care provider hands a diabetes pamphlet to the patient.
Q2) A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage?
A) Encourage independent learning.
B) Develop a problem-solving scenario.
C) Wrap a bandage around a stuffed animal's ear.
D) Use discussion throughout the teaching session.
Q3) After a teaching session on taking blood pressures, the nurse tells the patient, "You took that blood pressure like an experienced nurse." Which type of reinforcement did the nurse use?
A) Social acknowledgment
B) Pleasurable activity
C) Tangible reward
D) Entrusting
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) R
A)Applied oxygen, stayed with patient, and instructed to slow breathing.
B)Patient states, "feel better," respirations 16 with O<sub>2</sub> saturations 96%.
C)Patient states, "can't catch my breath and chest hurts." Confused.
Q2) A home health nurse is preparing for an initial home visit. Which information should be included in the patient's home care medical record?
A) Nursing process form
B) Step-by-step skills manual
C) A list of possible procedures
D) Reports to third-party payers
Q3) A nurse is charting on a patient's record. Which action will the nurse take that is accurate legally?
A) Charts legibly
B) States the patient is belligerent
C) Writes entry for another nurse
D) Uses correction fluid to correct error
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Chapter 27: Patient Safety and Quality
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Sample Questions
Q1) The nurse is performing the "Timed Get Up and Go (TUG)" assessment. Which actions will the nurse take? (Select all that apply.)
A) Ranks a patient as high risk for falls after patients takes 18 seconds to complete
B) Teaches patient to rise from straight back chair using arms for support
C) Instructs the patient to walk 10 feet as quickly and safely as possible
D) Observes for unsteadiness in patient's gait
E) Begins counting after the instructions
F) Allows the patient a practice trial
Q2) A patient has an ankle restraint applied. Upon assessment the nurse finds the toes a light blue color. Which action will the nurse take next?
A) Remove the restraint.
B) Place a blanket over the feet.
C) Immediately do a complete head-to-toe neurologic assessment.
D) Take the patient's blood pressure, pulse, temperature, and respiratory rate.
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Chapter 28: Immobility
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Sample Questions
Q1) The nurse is caring for a patient who needs to be placed in the prone position. Which action will the nurse take?
A) Place pillow under the patient's abdomen after turning.
B) Turn head toward one side with large, soft pillow.
C) Position legs flat against bed.
D) Raise head of bed to 45 degrees.
Q2) The patient is unable to move self and needs to be pulled up in bed. What will the nurse do to make this procedure safe?
A) Place the pillow under the patient's head and shoulders.
B) Do by self if the bed is in the flat position.
C) Place the side rails in the up position.
D) Use a friction-reducing device.
Q3) A nurse is caring for a patient with osteoporosis and lactose intolerance. What will the nurse do?
A) Encourage dairy products.
B) Monitor intake of vitamin D.
C) Increase intake of caffeinated drinks.
D) Try to do as much as possible for the patient.
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Chapter 29: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/2408
Sample Questions
Q1) The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)
A) While putting on the first glove, touch only the outside surface of the glove.
B) With gloved dominant hand, slip fingers underneath second glove cuff.
C) Remove outer glove package by tearing the package open.
D) Lay glove package on clean flat surface above waistline.
E) Glove the dominant hand of the nurse first.
F) After second glove is on, interlock hands.
Q2) The nurse on the surgical team and the surgeon have completed a surgery. After donning gloves, gathering instruments, and placing in the transport carrier, what is the next step in handling the instruments used during the procedure?
A) Sending to central sterile for cleaning and sterilization
B) Sending to central sterile for cleaning and disinfection
C) Sending to central sterile for cleaning and boiling
D) Sending to central sterile for cleaning
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Chapter 30: Vital Signs
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2409
Sample Questions
Q1) The patient is found to be unresponsive and not breathing. Which pulse site will the nurse use?
A) Radial
B) Apical
C) Carotid
D) Brachial
Q2) The patient requires routine temperature assessment but is confused, easily agitated, and has a history of seizures. Which route will the nurse use to obtain the patient's temperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
Q3) A nurse reviews blood pressures of several patients. Which finding will the nurse report as prehypertension?
A) 98/50 in a 7-year-old child
B) 115/70 in an infant
C) 120/80 in a middle-aged adult
D) 146/90 in an older adult
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Page 32
Chapter 31: Health Assessment and Physical Examination
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/2410
Sample Questions
Q1) Melena
A)Lower extremity swollen and warm with normal pulse
B)Neck vein visible when sitting
C)Spoon nails
D)Lower extremity pale and cool with decreased pulse
E)Ringing in ears
F)Swayback
G)Black, tarry stools
Q2) Arterial problems
A)Lower extremity swollen and warm with normal pulse
B)Neck vein visible when sitting
C)Spoon nails
D)Lower extremity pale and cool with decreased pulse
E)Ringing in ears
F)Swayback
G)Black, tarry stools
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33
Chapter 32: Medication Administration
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/2411
Sample Questions
Q1) A patient is receiving vancomycin. Which function is the \(\bold{priority}\) for the nurses to assess?
A) Vision
B) Hearing
C) Heart tones
D) Bowel sounds
Q2) An older-adult patient needs an IM injection of antibiotic. Which site is best for the nurse to use?
A) Deltoid
B) Dorsal gluteal
C) Ventrogluteal
D) Vastus lateralis
Q3) A patient is at risk for aspiration. Which nursing action is most appropriate?
A) Give the patient a straw to control the flow of liquids.
B) Have the patient self-administer the medication.
C) Thin out liquids so they are easier to swallow.
D) Turn the head toward the stronger side.
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Chapter 33: Complementary and Alternative Therapies
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2412
Sample Questions
Q1) Chaparral
A)Elevated cholesterol levels
B)Nausea and vomiting
C)Benign prostatic hyperplasia
D)Skin inflammation
E)Mild anxiety
F)Unsafe and should not be used
Q2) Saw palmetto
A)Elevated cholesterol levels
B)Nausea and vomiting
C)Benign prostatic hyperplasia
D)Skin inflammation
E)Mild anxiety
F)Unsafe and should not be used
Q3) A patient asks about the new clinic in town that is staffed by allopathic and complementary practitioners. Which response from the nurse is best?
A) It is probably an ayurvedic clinic.
B) It is probably a homeopathic clinic.
C) It is probably an integrative medical clinic.
D) It is probably a naturopathic medical clinic.
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Chapter 34: Self-Concept
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2413
Sample Questions
Q1) A nurse is developing a drinking prevention presentation for adolescents. Which areas should the nurse include in the teaching session?
A) Stressful life events and scholarships
B) Very high self-esteem and work failure
C) Health problems and avoidance of conflict
D) Stress management and improving self-esteem
Q2) A nurse is teaching a patient about self-concept. Which information from the patient indicates the nurse needs to follow up about components of self-concept?
A) One component is identity.
B) One component is coping.
C) One component is body image.
D) One component is role performance.
Q3) A nurse is caring for a patient who is dealing with the developmental task known as initiative versus guilt. The nurse is providing care to which patient?
A) A 3-week-old neonate
B) A 5-year-old kindergarten student
C) An 11-year-old student
D) A 15-year-old high school student
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Chapter 35: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2414
Sample Questions
Q1) A nurse is conducting a sexual assessment. Which question is appropriate for the nurse to ask?
A) Have you noticed any changes in the way you feel about yourself?
B) What is your favorite sex position with men and with women?
C) Do you think your partner is attractive?
D) Why do you like men over women?
Q2) A nurse is interviewing a woman who uses a diaphragm. Which information from the patient will require the nurse to follow up?
A) "I have lost 12 pounds on this diet."
B) "I use the diaphragm to prevent pregnancy."
C) "I use a contraceptive cream with my diaphragm."
D) "I know this provides a barrier over the cervical opening."
Q3) A mother brings her 12-year-old daughter into a clinic and inquires about getting a human papillomavirus (HPV) vaccine that day. Which information will the nurse share with the mother and daughter about the HPV vaccine?
A) Protects against human immunodeficiency virus (HIV)
B) Protects against cervical cancer
C) Protects against chlamydia
D) Protects against pregnancy
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Page 37
Chapter 36: Spiritual Health
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2415
Sample Questions
Q1) The nurse and the patient have the same religious affiliation. Which action will the nurse take?
A) Must use a formal assessment tool to determine patient's beliefs.
B) Assume that both have the same spiritual beliefs.
C) Do not impose personal values on the patient.
D) Skip the spiritual belief assessment.
Q2) The nurse is caring for a group of patients. Which patient will the nurse see first?
A) A patient saying that God has left and there is no reason for living.
B) A patient refusing treatment on the Sabbath.
C) A patient having a folk healer in the room.
D) A patient praying to Allah.
Q3) A nurse is caring for a Hindu patient. Which action will the nurse take?
A) Allow time to practice the Five Pillars.
B) Allow time to practice Blessingway.
C) Allow time for Holy Communion.
D) Allow time for purity rituals.
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Chapter 37: The Experience of Loss, Death, and Grief
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2416
Sample Questions
Q1) A veteran is hospitalized after surgical amputation of both lower extremities owing to injuries sustained during military service. Which type of loss will the nurse focus the plan of care on for this patient?
A) Perceived loss
B) Situational loss
C) Maturational loss
D) Uncomplicated loss
Q2) The mother of a child who died recently keeps the child's room intact. Family members are encouraging her to redecorate and move forward in life. Which type of grief will the home health nurse recognize the mother is experiencing?
A) Normal
B) End-of-life
C) Abnormal
D) Complicated
Q3) A nurse is providing postmortem care. Which action will the nurse take?
A) Leave dentures in the mouth.
B) Lower the head of the bed.
C) Cover the body with a sterile sheet.
D) Remove all tubes for an autopsy.
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Chapter 38: Stress and Coping
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2417
Sample Questions
Q1) A nurse is teaching the staff about the general adaptation syndrome. In which order will the nurse list the stages, beginning with the first stage?
1) Resistance
2) Exhaustion
3) Alarm
A) 3, 1, 2
B) 3, 2, 1
C) 1, 3, 2
D) 1, 2, 3
Q2) In a natural disaster relief facility, the nurse observes that an older-adult male has a recovery plan, while a 25-year-old male is still overwhelmed by the disaster situation. A nurse is planning care for both patients. Which factors will the nurse consider about the different coping reactions?
A) Restorative care factors
B) Strong financial resource factors
C) Maturational and situational factors
D) Immaturity and intelligence factors
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Chapter 39: Activity and Exercise
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/2418
Sample Questions
Q1) The nurse is caring for a patient who cannot bear weight but needs to be transferred from the bed to a chair. The nurse decides to use a transportable hydraulic lift. What will the nurse do?
A) Place a horseshoe-shaped base on the opposite side from the chair.
B) Remove straps before lowering the patient to the chair.
C) Hook longer straps to the bottom of the sling.
D) Attach short straps to the bottom of the sling.
Q2) A 55-year-old patient is preparing to start an exercise program. The health care provider wants 60% of maximum target heart rate. Calculate the heart rate that the nurse will add to the care plan as the target heart rate. Record answer as a whole number.
_________ maximum heart rate
Q3) A nurse is assessing a patient with activity intolerance for possible orthostatic hypotension. Which finding will help confirm orthostatic hypotension?
A) Blood pressure sitting 120/64; blood pressure 140/70 standing
B) Blood pressure sitting 126/64; blood pressure 120/58 standing
C) Blood pressure sitting 130/60; blood pressure 110/60 standing
D) Blood pressure sitting 140/60; blood pressure 130/54 standing
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Chapter 40: Hygiene
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/2419
Sample Questions
Q1) The patient must stay in bed for a bed change. Which actions will the nurse implement? (Select all that apply.)
A) Apply sterile gloves.
B) Keep soiled linen close to uniform.
C) Advise patient will feel a lump when rolling over.
D) Turn clean pillowcase inside out over the hand holding it.
E) Make a modified mitered corner with sheet, blanket, and spread.
Q2) The patient is being fitted with a hearing aid. In teaching the patient how to care for the hearing aid, which instructions will the nurse provide?
A) Change the battery every day or as needed.
B) Adjust the volume for a talking distance of 1 yard.
C) Wear the hearing aid 24 hours per day except when sleeping.
D) Avoid the use of hairspray, but aerosol perfumes are allowed.
Q3) The nurse is caring for a patient with diabetes. Which task will the nurse assign to the nursing assistive personnel?
A) Providing nail care
B) Teaching foot care
C) Making an occupied bed
D) Determining aspiration risk
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Page 42
Chapter 41: Oxygenation
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2420
Sample Questions
Q1) The nurse is educating a student nurse on caring for a patient with a chest tube. Which statement from the student nurse indicates successful learning?
A) "I should clamp the chest tube when giving the patient a bed bath."
B) "I should report if I see continuous bubbling in the water-seal chamber."
C) "I should strip the drains on the chest tube every hour to promote drainage."
D) "I should notify the health care provider first, if the chest tube becomes dislodged."
Q2) A patient has carbon dioxide retention from lung problems. Which type of diet will the nurse most likely suggest for this patient?
A) Low-carbohydrate
B) Low-caffeine
C) High-caffeine
D) High-carbohydrate
Q3) A nurse auscultates heart sounds. When the nurse hears S?, which valves is the nurse hearing close?
A) Aortic and mitral
B) Mitral and tricuspid
C) Aortic and pulmonic
D) Mitral and pulmonic
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Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2421
Sample Questions
Q1) While the nurse is taking a patient history, the nurse discovers the patient has a type of diabetes that results from a head injury and does not require insulin. Which dietary change should the nurse share with the patient?
A) Reduce the quantity of carbohydrates ingested to lower blood sugar.
B) Include a serving of dairy in each meal to elevate calcium levels.
C) Drink plenty of fluids throughout the day to stay hydrated.
D) Avoid food high in acid to avoid metabolic acidosis.
Q2) The nurse observes that the patient's calcium is elevated. When checking the phosphate level, what does the nurse expect to see?
A) Increased
B) Decreased
C) Equal to calcium
D) No change in phosphate
Q3) A patient has 250 mL of a jejunostomy feeding with 30 mL of water before and after feeding and 200 mL of urine. Thirty minutes later the patient has 100 mL of diarrhea. At 1300 the patient receives 150 mL of blood and voids another 200 mL. Calculate the patient's intake. Record your answer as a whole number. _____ mL
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Page 44
Chapter 43: Sleep
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/2422
Sample Questions
Q1) The nurse is caring for a patient who has been in holding in the emergency department for 24 hours. The nurse is concerned about the patient's experiencing sleep deprivation. Which action will be best for the nurse to take?
A) Expedite the process of obtaining a medical-surgical room for the patient.
B) Pull the curtains shut, dim the lights, and decrease the number of visitors.
C) Obtain an order for a hypnotic medication to help the patient sleep.
D) Ask everyone in the unit to try to be quiet so the patient can sleep.
Q2) Which nursing observation of the patient in intensive care indicates the patient is sleeping comfortably during NREM sleep?
A) Eyes closed, lying quietly, respirations 12, heart rate 60
B) Eyes closed, tossing in bed, respirations 18, heart rate 80
C) Eyes closed, mumbling to self, respirations 16, heart rate 68
D) Eyes closed, lying supine in bed, respirations 22, heart rate 66
Q3) A patient has obstructive sleep apnea. Which assessment is the \(\bold{priority}\)?
A) Gastrointestinal function
B) Neurological function
C) Respiratory status
D) Circulatory status
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45
Chapter 44: Pain Management
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/2423
Sample Questions
Q1) A nurse is providing medication education to a patient who just started taking ibuprofen. Which information will the nurse include in the teaching session?
A) Ibuprofen helps to depress the central nervous system to decrease pain perception.
B) Ibuprofen reduces anxiety, which will help you cope with your pain.
C) Ibuprofen binds with opiate receptors to reduce your pain.
D) Ibuprofen inhibits the production of prostaglandins.
Q2) The nurse is assessing how a patient's pain is affecting mobility. Which assessment question is most appropriate?
A) "Have you considered working with a physical therapist?"
B) "What activities, if any, has your pain prevented you from doing?"
C) "Would you please rate your pain on a scale from 0 to 10 for me?"
D) "When does your pain medication typically take effect on your pain?"
Q3) Location
A)Could you rate your pain on a scale of 0 to 10?
B)How often does it recur?
C)Could you point to the area of pain?
D)Do certain activities worsen the pain?
E)What does the pain feel like?
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Chapter 45: Nutrition
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/2424
Sample Questions
Q1) To honor cultural values of patients from different ethnic/religious groups, which actions demonstrate culturally sensitive care by the nurse? (Select all that apply.)
A) Allows fasting on Yom Kippur for a Jewish patient
B) Allows caffeine drinks for a Mormon patient
C) Serves no ham products to a Muslim patient
D) Serves kosher foods to a Christian patient
E) Serves no meat or fish to a Hindu patient
Q2) In general, when a patient's energy requirements are completely met by kilocalorie (kcal) intake in food, which assessment finding will the nurse observe?
A) Weight increases.
B) Weight decreases.
C) Weight does not change.
D) Weight fluctuates daily.
Q3) The patient has H. pylori. Which action should the nurse take?
A) Encourage avoidance of wheat and oats.
B) Encourage milkshakes as a nutritious snack.
C) Encourage completion of antibiotic therapy.
D) Encourage nonsteroidal antiinflammatory drugs.
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Chapter 46: Urinary Elimination
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2425
Sample Questions
Q1) The nurse is preparing to apply an external catheter. Which action will the nurse take?
A) Allow 1 to 2 inches of space between the tip of the penis and the end of the catheter.
B) Spiral wrap the penile shaft using adhesive tape to secure the catheter.
C) Twist the catheter before applying drainage tubing to the end of the catheter.
D) Shave the pubic area before applying the catheter.
Q2) The patient is taking phenazopyridine. When assessing the urine, what will the nurse expect?
A) Red color
B) Orange color
C) Dark amber color
D) Intense yellow color
Q3) A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?
A) Obtaining a midstream urine specimen
B) Interpreting a bladder scan result
C) Inserting a straight catheter
D) Irrigating a catheter
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Chapter 47: Bowel Elimination
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/2426
Sample Questions
Q1) A nurse is providing discharge teaching for a patient who is going home with a guaiac test. Which statement by the patient indicates the need for further education?
A) "If I get a blue color that means the test is negative."
B) "I should not get any urine on the stool I am testing."
C) "If I eat red meat before my test, it could give me false results."
D) "I should check with my doctor to stop taking aspirin before the test."
Q2) A nurse is pouching an ostomy on a patient with an ileostomy. Which action by the nurse is \(\bold{most}\) appropriate?
A) Changing the skin barrier portion of the ostomy pouch daily
B) Emptying the pouch if it is more than one-third to one-half full
C) Thoroughly cleansing the skin around the stoma with soap and water to remove excess stool and adhesive
D) Measuring the correct size for the barrier device while leaving a 1/2-inch space around the stoma
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Chapter 48: Skin Integrity and Wound Care
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/2427
Sample Questions
Q1) The nurse is caring for a patient with potential skin breakdown. Which components will the nurse include in the skin assessment? (Select all that apply.)
A) Vision
B) Hyperemia
C) Induration
D) Blanching
E) Temperature of skin
Q2) The wound care nurse visits a patient in the long-term care unit. The nurse is monitoring a patient with a Stage III pressure ulcer. The wound seems to be healing, and healthy tissue is observed. How should the nurse document this ulcer in the patient's medical record?
A) Stage I pressure ulcer
B) Healing Stage II pressure ulcer
C) Healing Stage III pressure ulcer
D) Stage III pressure ulcer
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Chapter 49: Sensory Alterations
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30 Flashcards
Source URL: https://quizplus.com/quiz/2428
Sample Questions
Q1) The nurse is caring for a patient with expressive aphasia from a traumatic brain injury. Which goal will the nurse include in the plan of care?
A) Patient will carry a pen and a pad of paper around for communication.
B) Patient will recover full use of speech vocabulary in 1 day.
C) Patient will thicken drinks to prevent aspiration.
D) Patient will communicate nonverbally.
Q2) The nurse is caring for a patient who is recovering from a traumatic brain injury and frequently becomes disoriented to everything except location. Which nursing intervention will the nurse add to the care plan to reduce confusion?
A) Keep a day-by-day calendar at the patient's bedside.
B) Place a patient observer in the patient's room for safety.
C) Assess the patient's level of consciousness and document every 4 hours.
D) Prepare to discharge once the patient is awake, alert, and oriented.
Q3) A nurse is assessing cognitive functioning of a patient. Which action will the nurse take?
A) Administer a Mini-Mental State Examination (MMSE).
B) Ask the patient to state name, location, and what month it is.
C) Ask the patient's family if the patient is behaving normally.
D) Administer the hearing handicap inventory for the elderly (HHIE-S).
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Page 51
Chapter 50: Care of Surgical Patients
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Source URL: https://quizplus.com/quiz/2429
Sample Questions
Q1) The nurse is preparing for a patient who will be going to surgery. The nurse screens for risk factors that can increase a person's risks in surgery. What risk factors are included in the nurse's screening? (Select all that apply.)
A) Age
B) Race
C) Obesity
D) Nutrition
E) Pregnancy
F) Ambulatory surgery
Q2) The nurse is caring for a surgical patient, when the family member asks what perioperative nursing means. How should the nurse respond?
A) Perioperative nursing occurs in preadmission testing.
B) Perioperative nursing occurs primarily in the postanesthesia care unit.
C) Perioperative nursing includes activities before, during, and after surgery.
D) Perioperative nursing includes activities only during the surgical procedure.
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