Nursing Concepts
Textbook Exam Questions
Course Introduction
Nursing Concepts introduces students to the foundational principles and practices essential to the nursing profession. This course covers key topics such as the nursing process, critical thinking, health promotion, ethical and legal considerations, patient safety, and communication techniques. Emphasis is placed on understanding the holistic approach to patient care, integrating cultural sensitivity, and collaborative teamwork within healthcare environments. Through theoretical learning and practical scenarios, students will develop the skills and knowledge necessary to deliver competent, compassionate, and evidence-based nursing care.
Recommended Textbook
Foundations of Nursing 3rd Edition by Lois White
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61 Chapters
2346 Verified Questions
2346 Flashcards
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Page 2
Chapter 1: Student Nurse Skills for Success
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which generic term refers to a heterogeneous group of disorders manifested as significant difficulties in the acquisition and use of listening,speaking,reading,writing,reasoning,or mathematical abilities?
A)educational delays
B)learning disability
C)mental deficiency
D)mental retardation
Answer: B
Q2) In any health care setting,the student nurse is aware that ultimate accountability for delegation of nursing tasks remains with:
A)the health care provider
B)the health agency itself
C)the licensed nurse
D)the person to whom the task is assigned
Answer: C
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3
Chapter 2: Holistic Care
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Sample Questions
Q1) A client recovering from knee-replacement surgery expresses happiness,satisfaction,and spiritual gratitude for personal economic and social achievements throughout a long life.At which level would the nurse place this client on Maslow's hierarchy of needs?
A)physiologic needs
B)safety and security
C)love and belonging
D)self-esteem
Answer: C
Q2) A client tells the nurse that her partner often makes negative remarks such as "Can't you do anything right?" The nurse is aware that this is an example of self-concept because these comments can affect:
A)the flexibility in personal and professional values
B)being aware of what a person is doing in any given situation
C)how a nurse places client needs before a nurse's personal needs
D)how a person thinks or feels about him- herself
Answer: D
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Chapter 3: Nursing History, Education, and Organizations
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Sample Questions
Q1) During the Industrial Revolution,it was considered unseemly for women to be nurses.What was the overall view of nurses during this time?
A)They were well-respected professionals.
B)They worked in homes,primarily under the supervision of physicians.
C)They worked in hospitals as independent practitioners.
D)They were considered nonprofessional servants.
Answer: D
Q2) In which civilization were hospitals first established?
A)Babylonian and Assyrian civilizations
B)ancient Greece civilization
C)Roman civilization of the Roman Empire
D)European civilization of the Middle Ages
Answer: C
Q3) The ancient Greeks built temples to honor Hygeia,the goddess of health,to:
A)educate priestesses as nurses
B)provide a spalike healing environment
C)house the sick and infirm being treated by priests and priestesses
D)store medicines and literature devoted to the study of medicine
Answer: B
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Page 5
Chapter 4: Legal and Ethical Responsibilities
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Sample Questions
Q1) The nurse acknowledges that the signature of a client for an informed consent form can be obtained by:
A)anyone who is not related to the client
B)only the nurse who will be caring for the client when the treatment or surgery occurs
C)the health care provider,nurse,or another hospital representative
D)only the health care provider who will be performing the procedure
Q2) Which of the following are considered to be the client's rights in the health care setting? (Select all that apply. )
A)to review their medical records as desired
B)to decline any treatment or care
C)to be treated with respect and dignity
D)to be required to have advanced directives
E)to be treated upon arrival
F)to be included in the decision-making process
Q3) The nurse acknowledges that a formal contract be legally changed if there is:
A)the development of another formal contract
B)a discussion by parties involved that implied consensus
C)an intervention by an official of the judicial system
D)a verbal or written agreement by all involved parties
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Page 6
Chapter 5: The Health Care Delivery System
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Sample Questions
Q1) Populations that can create significant financial burdens on hospital emergency departments include those living at or below poverty level and:
A)illegal aliens
B)the homeless
C)individuals who are HIV-positive
D)children
Q2) When a client is ill,the health care provider whom a client sees first is considered to be:
A)a general practitioner
B)an exclusive provider
C)a preferred provider
D)a primary care provider
Q3) Which of these terms describes a health care system where the government is the only entity to reimburse health care costs?
A)exclusive provider organization
B)primary care system
C)prospective payment system
D)single-payer system
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Chapter 6: Arenas of Care
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Sample Questions
Q1) The following processes assure the health care consumer that a facility or agency meets minimal standards of care.Which process indicates additional confirmation of quality and higher-than-minimum standards in the delivery of care?
A)accreditation
B)approval
C)certification
D)licensure
Q2) In addition to providing care in traditional arenas such as health care providers' offices and acute care hospitals,nurses provide care in nonacute arenas of health care such as:
A)acupuncture clinics
B)suicide prevention services
C)emergency departments
D)long-term care facilities
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8
Chapter 7: Communication
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Sample Questions
Q1) A client who is scheduled for surgery in an hour confides to the nurse feelings of being scared and unsure of how to cope following the procedure.During this exchange,the nurse places a hand on the client's hand and listens while maintaining eye contact.This situation illustrates which type of communication?
A)empathy
B)nonverbal
C)sympathetic
D)therapeutic
Q2) In providing care to the client with dysphasia,which of these actions should the nurse take?
A)Continue to provide explanations before doing anything.
B)Encourage a family member to stay with the client as often as possible.
C)Plan care around rehabilitation activities to improve speech.
D)Speak only when absolutely necessary,to avoid confusion for the client.
Q3) Which statement about social communication between the nurse and client is TRUE?
A)It is very informal.
B)It is highly structured to provide information.
C)It is nonthreatening and puts the client at ease.
D)It is a way to build lifelong friendships.
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Page 9
Chapter 8: Client Teaching
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Sample Questions
Q1) When providing client education,it is important to build upon previously learned information,moving from simple concepts to complex concepts.What is this learning principle called?
A)organization
B)reinforcement
C)relevance
D)repetition
Q2) The nurse is performing a planned,goal-directed education related to a specific topic.This is an example of:
A)formal teaching
B)informal teaching
C)kinesthetic teaching
D)learning
Q3) When caring for a client,the nurse is aware that a nurse should engage in client education:
A)during every interaction with a client
B)only when the client asks for information
C)after all health care has been provided
D)when the health care provider orders discharge planning
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Chapter 9: Nursing Processdocumentationinformatics
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Sample Questions
Q1) For a client whose nursing diagnosis is Pain related to surgical incision,one nursing intervention states,"Teach client to support or splint abdominal incision with pillow when coughing or moving." What type of nursing intervention does this represent?
A)actual
B)dependent
C)independent
D)interdependent
Q2) The nurse is unable to obtain information from the client and knows the BEST secondary source of client information is which of the following?
A)client
B)client records
C)close friends
D)neighbors
Q3) When a nurse puts data together in a new way,the process is called:
A)analysis
B)assessment
C)evaluation
D)synthesis
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11
Chapter 10: Life Span Development
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Sample Questions
Q1) According to Fowler's theory of faith development,the late adolescent and young adult will:
A)assume responsibility for their own attitudes and beliefs
B)integrate others' perspectives about faith into their own definition of truth
C)make concepts of love and justice tangible
D)question values and religious beliefs in an attempt to form their own identity
Q2) Which of the following nursing actions is essential when caring for a neonate?
A)conducting psychosocial assessments
B)monitoring nutritional status
C)providing a sterile environment to protect from infection
D)providing grandparents with support
Q3) When a nurse is providing client teaching about infant feeding,which of these statements should be included?
A)Whole cow's milk is not recommended for children under 12 months of age.
B)Infants who are breastfed are usually healthier.
C)Bottles can be used as pacifiers when infants are fussy.
D)Solid foods can be introduced as soon as the infant seems to be hungry.
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Chapter 11: Cultural Considerations
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Sample Questions
Q1) A nurse is caring for a client who does not speak English and finds it difficult to communicate with the client.Which of these actions should the nurse take?
A)Ask the health care provider to explain client-care routines to the client.
B)Request the supervisor to change assignments.
C)Find an interpreter either in the client's family or from the facility resource pool.
D)Refrain from speaking to the client,as to prevent confusion.
Q2) A client who was born in Brazil learns to speak English and dresses in a more "American" mode while attending college in the United States.The client maintains religious beliefs and practices and socializes primarily with other Brazilian immigrants.The nurse should recognize that this client is in the process of:
A)acculturation
B)cultural assimilation
C)cultural diversity
D)oppression
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13
Chapter 12: Stress, Adaptation, and Anxiety
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Sample Questions
Q1) The holistic response by which individuals adjust stressors and change is known as:
A)adaptation
B)catharsis
C)cognitive reframing
D)crisis intervention
Q2) Which of these processes allows some individuals to handle a great deal of stress while others find it difficult to handle even a small amount of stress?
A)adaptive measures
B)cognitive reframing
C)conditioning
D)crisis intervention
Q3) Which of these nursing diagnoses would be appropriate for a client who is experiencing moderate anxiety?
A)hopelessness
B)post-trauma syndrome
C)ineffective coping
D)spiritual distress
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14
Chapter 13: Loss, Grief, and Death
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Sample Questions
Q1) What is the MOST important role nurses can play in assisting clients to grieve?
A)maintaining a close physical presence to them
B)urging them to resume normal routines as soon as possible
C)encouraging them to experience their feelings to the fullest so they can work through these feelings
D)suggesting they attend special groups that provide support
Q2) What kind of care for terminally ill clients is provided when the main goal is allowing the client to die with dignity?
A)home
B)hospice
C)intensive
D)palliative
Q3) An older adult is no longer able to maintain independent living and relocates to an assisted-living facility.What type of loss does this represent?
A)aspect of self
B)significant other
C)external object
D)familiar environment
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Chapter 14: Wellness Concepts
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Sample Questions
Q1) When clients participate in screening for health problems such as hypertension or tuberculosis,reducing dietary intake of saturated fats and cholesterol in people who have a family history of coronary artery disease,and engaging in breast or testicular self-examination,these are BEST described as which type of prevention?
A)physical prevention
B)primary prevention
C)secondary prevention
D)tertiary prevention
Q2) Practices designed to keep health problems from developing such as getting childhood immunizations,refraining from smoking,and eating a balanced diet represent an example of:
A)physical prevention
B)primary prevention
C)secondary prevention
D)tertiary prevention
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Chapter 15: Self-Concept
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Sample Questions
Q1) The nurse is caring for a client experiencing alterations in his or her role.The nurse explains to the client that this may be caused by which of the following? (Select all that apply. )
A)illness
B)aging
C)pregnancy
D)positive self-image
E)death of a family member
F)positive self-concept
Q2) When prioritizing a client's problems,the nurse is aware that clients at risk for alterations in self-concept require:
A)a referral to social services
B)frequent monitoring against self-harm
C)a complete health history and physical assessment
D)development of a healthy self-concept
Q3) Which ethnic groups have the highest incidence of suicide?
A)Native Americans and Hispanics
B)Native Americans and Island Pacifiers
C)Island Pacifiers and Alaskan Natives
D)Island Pacifiers and Hispanics
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Chapter 16: Spirituality
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Sample Questions
Q1) A client has received a terminal diagnosis.Which statement by the client causes the nurse the greatest concern?
A)"I had a feeling the news was going to be bad."
B)"This runs in my family.I knew there was a chance it would be terminal."
C)"Why did this happen to me? I thought I was taking care of my health."
D)"Why is God angry with me? Do I deserve this punishment?"
Q2) The nurse is caring for a client who expresses,"I believe that God will help the physician to heal me and make my health better." This is an example of:
A)hope
B)values
C)spirituality
D)faith
Q3) Which of the following questions would the nurse ask to assess the client's ability to seek meaning and fulfillment in life?
A)"What brings you joy and peace in your life?"
B)"How do you feel about yourself right now?"
C)"Do you belong to any groups?"
D)"Why do you want to get well?"
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Chapter 17: Complementary Alternative Therapies
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Sample Questions
Q1) The client uses a macrobiotic diet.The nurse is aware that this includes the main use of which types of food?
A)meat and eggs
B)brown rice and whole grains
C)tropical sweet foods
D)fruits and vegetables
Q2) A process that activates the individual's forces from within is called:
A)curing
B)health
C)healing
D)wellness
Q3) Which of the following statements about therapeutic massage is TRUE?
A)A back rub administered by a nurse in the hospital is not considered to be therapeutic massage.
B)Localized massage should be considered for clients with varicose veins,phlebitis,or thrombus.
C)Many states do not have licensing requirements for massage practitioners.
D)Massage should be used with caution in clients with certain illnesses and disease processes in which increased circulation may be harmful.
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Page 19
Chapter 18: Basic Nutrition
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Sample Questions
Q1) Which of these substances must be ingested every day because they are not stored in the body?
A)fat-soluble vitamins
B)phospholipids
C)triglycerides
D)water-soluble vitamins
Q2) The nurse encourages clients to eat a variety of inorganic nutrients because their function is to do which of the following? (Select all that apply. )
A)decrease body tissue
B)promote bone formation
C)a medium for chemical reactions
D)transport materials
E)conduct nerve impulses
Q3) The nurse should remove which of these entrées from the tray of an Orthodox Jewish client?
A)beef steak
B)broiled trout
C)beef stroganoff
D)stuffed cabbage
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Page 20
Chapter 19: Rest and Sleep
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Sample Questions
Q1) A client who has periods of nonbreathing following a period of loud snoring is experiencing which of these sleep disorders?
A)hypersomnia
B)narcolepsy
C)parasomnia
D)sleep apnea
Q2) When a client is in stage 1 of non-rapid eye movement (NREM)sleep,a nurse would expect which of these responses when the client is to be roused?
A)The client can be easily awakened.
B)The client can be difficult to arouse.
C)The client will report dreaming if awakened.
D)The client's vital signs are significantly lower than when awake.
Q3) When a nurse is assessing a client's altered sleep patterns,which of these questions is MOST important to be included?
A)"Do you experience fatigue,confusion,or irritability during the day?"
B)"How much sleep do you expect to get every night?"
C)"How would you rate the quality of your sleep?"
D)"Do you get up several times during the night?"
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Chapter 20: Safety-Hygiene
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Sample Questions
Q1) To reduce an adult client's risk of falling,which of these actions should the nurse take?
A)Keep the bed locked in the upright position with the side rails up.
B)Keep the lighting dim.
C)Place the client's personal belongings and call light within easy reach.
D)Remove walkers and wheelchairs from bedside.
Q2) When a client is using oxygen,the nurse should ensure which of the following?
A)Portable radios are placed on the bedside table.
B)Cotton or acrylic blankets are used on the client's bed.
C)Use of perfumes or deodorants is limited.
D)The client takes tub baths.
Q3) Before using any supplies labeled as "sterile," the nurse must FIRST do which of the following?
A)Charge the client for the item.
B)Confirm that the procedure requires sterile supplies.
C)Inform the client of the planned procedure.
D)Verify that the package is intact and dry.
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Chapter 21: Infection Controlasepsis
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Sample Questions
Q1) When providing discharge instructions to a surgical client,the nurse should include which of the following interventions? (Select all that apply. )
A)keep bed linens clean and dry
B)take antibiotics as ordered by physician
C)change dressing once a week
D)wash hands thoroughly twice a day
E)call the physician if temperature is elevated
F)wear gloves when changing the dressing
Q2) Which of these methods can a nurse recommend that individuals use to reduce their risk of infection?
A)eating a balanced diet
B)limiting exercise
C)limiting immunization to children
D)taking antibiotics prophylactically
Q3) Microorganisms that cause influenza,chickenpox,and hepatitis B are:
A)bacteria
B)fungi
C)protozoa
D)viruses
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Page 23
Chapter 22: Standard Precautions and Isolation
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Q1) Which of these approaches should a nurse take when caring for a client placed on isolation precautions?
A)Encourage client verbalization of feelings about isolation.
B)Limit visitors to hasten client recovery.
C)Arrange for a psychiatric consult for the client.
D)Split care responsibilities with another nurse to increase client distraction.
Q2) The family of a client who has tuberculosis keeps leaving the isolation room door open.They tell the nurse the client "feels closed in." The client is in a private room with monitored negative air pressure.Which of these actions should the nurse take immediately?
A)Educate the client and the family as to why the door must remain closed.
B)Notify the charge nurse and the client's physician.
C)Post a "no visitors" sign and ask the family to leave.
D)Spend more time with the client during the shift.
Q3) A client who has sustained extensive burns will require what type of isolation precautions?
A)barrier
B)reverse
C)standard
D)transmission-based
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Chapter 23: Bioterrorism
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Sample Questions
Q1) Which of the following are muscarinic effects of sarin exposure?
A)urinary and fecal incontinence,tachycardia,bronchial restriction
B)vomiting,tachycardia,diarrhea
C)abdominal cramping,hypertension,bradycardia
D)conjunctivitis,bradycardia,blurred vision
Q2) The nurse providing community preparedness course would include the possible use of chemical warfare agents in the program.Which of the following would NOT be included in this course?
A)nerve agents
B)vomiting agents
C)vesicant agents
D)anthrax agents
Q3) When monitoring a client for the first symptoms of radiation sickness,the nurse expects to note:
A)anorexia,vomiting,and diarrhea
B)nausea,vomiting,and diarrhea
C)vomiting,fatigue,and weight loss
D)fatigue,weight loss,and bone marrow suppression
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25
Chapter 24: Fluid, Electrolyte, and Acid-Base Balance
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Q1) When a client's blood pH is greater than 7.45,the client is in which of these states?
A)acidosis
B)alkalosis
C)neutral
D)buffer
Q2) Potassium is mainly excreted by which of these organs?
A)kidneys
B)liver
C)respiratory system
D)skin
Q3) Which organ regulates the amount of carbon dioxide circulating in the blood?
A)blood
B)kidneys
C)lungs
D)pancreas
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Chapter 25: Medication Administration and IV Therapy
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Sample Questions
Q1) How is medication administered to a client using the Z-track technique of injection?
A)The skin is pinched gently,and the needle is inserted at a 45-degree angle.
B)The skin is stretched tautly between thumb and forefinger,and the needle is inserted at a 25-degree angle.
C)The skin is pulled to one side,and the needle is inserted at a 90-degree angle.
D)The skin is cleansed,and the needle is inserted at a 15-degree angle.
Q2) In addition to the dorsogluteal and ventrogluteal muscles,which of these sites can safely be used for intramuscular injections?
A)deltoid and vastus lateralis
B)inner forearm and scapular area of the back
C)upper chest and abdomen
D)lower leg
Q3) When Benadryl tablets are taken by mouth,what type of drug action will result?
A)local
B)local and systemic
C)cellular
D)systemic
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27
Chapter 26: Assessment
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Q1) Which of these respiratory assessments would be normal for a 24-year-old client?
A)exhibits costal,sternal,and subclavicular retractions with nasal flaring at a rate of 28 per minute,and complains of shortness of breath
B)exhibits very shallow respirations at a rate of 8 per minute
C)uses abdominal muscles at a rate of 12 per minute,without complaints of dizziness
D)uses thoracic muscles at a rate of 18 per minute
Q2) The nurse is preparing a client with inflamed hemorrhoids for a rectal examination by the health care provider.In which position should the client be placed?
A)dorsal recumbent
B)prone
C)Sims'
D)supine
Q3) How should a beginning nursing student perform deep palpation of a client's liver?
A)by applying short jabs to the area with the palm
B)by exerting slight pressure over the area with the fingertips
C)by placing the heels of both hands over the area and pressing downward
D)only under an instructor's supervision
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Chapter 27: Pain Management
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Q1) According to the World Health Organization (WHO),the client who is experiencing mild cancer pain should receive which of these drugs?
A)a nonopioid
B)a nonopioid and an adjuvant
C)a strong opioid
D)a weak opioid,plus or minus a nonopioid,plus or minus an adjuvant
Q2) Which type of drug has an addictive effect to analgesics?
A)adjuvants
B)anesthesia
C)narcotics
D)opiates
Q3) According to the World Health Organization (WHO),the client who is experiencing severe pain should receive which of these drugs?
A)a nonopioid
B)a nonopioid,plus or minus an adjuvant
C)a strong opioid,plus or minus an adjuvant
D)a strong opioid,plus or minus a nonopioid,plus or minus an adjuvant
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Chapter 28: Diagnostic Tests
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Q1) All of these procedures involve aspiration of body fluid for therapeutic or diagnostic purposes.Which would be indicated for relief of pressure caused by ascites?
A)amniocentesis
B)lumbar puncture
C)paracentesis
D)thoracentesis
Q2) To accurately assess the client's response to a diagnostic procedure,which of these actions should the nurse take?
A)Determine the client's perception of how well the procedure was tolerated.
B)Await the results of the test performed.
C)Compare vital signs taken during and after the procedure,with baseline vital signs taken prior to the test.
D)Read the health care provider's progress note.
Q3) A female client has a hematocrit of 45%.The nurse should recognize this finding as:
A)within normal limits for a female
B)needing immediate follow-up
C)borderline high
D)borderline low
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Chapter 29: Basic Procedures
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Sample Questions
Q1) A nurse checks the radial pulse of a client and notes an irregular rhythm.The MOST appropriate action would be to:
A)count pulse rate for 15 seconds,then multiply by 4
B)count pulse rate for 30 seconds,then multiply by 2
C)count pulse rate for 60 seconds
D)count pulse rate for 90 seconds
Q2) A client has a large abdominal dressing following abdominal surgery.Which of the following binders would be MOST appropriate for the nurse to apply?
A)Velcro
B)single T
C)double T
D)stretch net
Q3) When a nurse is engaged in hand hygiene,in which of these positions should the hands be placed?
A)hands and forearms kept down with elbows straight
B)hands kept at waist level with elbows at 45-degree angle
C)hands held at chest level with elbows bent
D)no preferred position as long as the hands are cleansed thoroughly
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Chapter 30: Intermediate Procedures
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62 Verified Questions
62 Flashcards
Source URL: https://quizplus.com/quiz/44562
Sample Questions
Q1) When a nurse is replacing a client's tracheostomy ties,which of these steps is correct?
A)Hold the neck plate firmly with one hand while untying and removing soiled tapes.
B)Remove soiled tapes,cleanse the neck plate,and replace with clean tapes.
C)Suction the tracheostomy,perform tracheostomy cleaning,cut the soiled tapes,and replace with clean tapes.
D)Sedate the client,remove soiled tapes,perform tracheostomy cleaning,and apply clean tapes.
Q2) To withdraw medication from an ampule,the nurse should open the ampule by:
A)placing a tissue around the neck and snapping the top off carefully
B)filing the neck and snapping the top while wearing gloves
C)wrapping a sterile gauze pad around the neck and snapping the top off away from oneself
D)placing the neck on a solid surface and tapping it gently with a sterile clamp
Q3) When preparing a unit dose tablet for administration,the nurse should:
A)open the package and place it in the medicine cup
B)take the package to the client and have the client open it
C)place the tablet directly in the medicine cup without opening it
D)check the order with another nurse before placing it in the medicine cup
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Page 32
Chapter 31: Advanced Procedures
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/44563
Sample Questions
Q1) Which of these observations of a client's IV infusion site would indicate to the nurse that no complications have developed?
A)The site is clean and dry.
B)The site is warm and slightly swollen.
C)The site is cool and dry.
D)The site is red and slightly painful.
Q2) To prepare a time tape for a bag of IV solution,the nurse must note:
A)the infusion rate and approximate infusion intervals
B)date and time infusion was started
C)initials of person preparing time tape
D)the name of the solution,manufacturer,infusion rate,and expected time of completion
Q3) Which of these steps describes the correct way for a nurse to cleanse the site selected for a client's venipuncture?
A)Cleanse the site back and forth using a povidone-iodine swab.
B)Use a crisscross motion at the site and extending 4 inches beyond.
C)Cleanse the site back and forth using an alcohol pad.
D)Use a circular motion at the site and extending 2 inches beyond.
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Chapter 32: Anesthesia
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/44564
Sample Questions
Q1) The client is receiving a medication to prevent pain during surgery.This is an example of:
A)analgesia
B)anesthesia
C)antiemetic
D)sedation
Q2) The nurse is aware that the amount of medication needed to relieve a client's pain depends on which factors?
A)client's height
B)client's culture
C)type of pain
D)type of surgery
Q3) The nurse is caring for a client experiencing labor.Which type of anesthesia is MOST likely to be used?
A)epidural or spinal block
B)general anesthesia
C)local anesthesia
D)nerve block
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Chapter 33: Surgery
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42 Flashcards
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Sample Questions
Q1) Which of the following concepts are part of current trends in surgical health care?
A)The majority of clients are admitted through the ambulatory surgery unit on the morning of surgery.
B)The invasiveness of many surgeries has increased.
C)Clients may stay up to 48 hours in the short-stay surgery unit.
D)Clients must assume all responsibility for postoperative care at home.
Q2) A client who is 24 hours postoperative has an oral temperature of 101.8 degrees Fahrenheit.Which of these actions is indicated FIRST?
A)administering antipyretics as ordered
B)lowering the room temperature and providing cool washcloths
C)notifying the surgeon
D)providing light covers and clothing
Q3) Which of these postoperative complications is MORE likely to occur in older adult clients?
A)deep vein thrombosis
B)dehydration
C)pneumonia
D)unpredictable responses to medications and anesthetics
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Chapter 34: Oncology
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64 Verified Questions
64 Flashcards
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Sample Questions
Q1) When teaching a client about the risk factors for prostate cancer,the nurse should include:
A)diet high in animal fat
B)recurrent viral infections
C)elevated bilirubin levels
D)history of multiple sexual partners
Q2) A client is receiving intravenous (IV)chemotherapy.The nurse is aware that the chemotherapeutic agents are so irritating to tissues that they can cause blistering or necrosis.These types of chemotherapeutic agents are considered to be:
A)carcinogens
B)corticosteroids
C)scabicides
D)vesicants
Q3) The nurse is aware that the MOST effective method of treating leukemia is:
A)blood transfusion
B)chemotherapy
C)radiation therapy
D)surgery
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36
Chapter 35: Respiratory System
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74 Verified Questions
74 Flashcards
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Sample Questions
Q1) The conducting airways are lined with which of the following?
A)surfactant
B)alveoli
C)cartilage
D)cilia
Q2) Which of these factors can cause a closed pneumothorax?
A)mechanical ventilation
B)gunshot wound
C)blunt trauma
D)emphysema
Q3) What is the purpose of an underwater seal for a thoracotomy tube?
A)to maintain a pressure consistent with pressure inside the lung itself
B)to prevent the negative pressure within the pleural space from pulling more air in through the chest tube
C)to reduce the pressure within the pleural space
D)to reduce the surface tension of the pleura
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Chapter 36: Cardiovascular System
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) A heart rate of 60 bpm or less is called:
A)ectopic beat
B)sinus bradycardia
C)flutter
D)asymptomatic bradycardia
Q2) If a positive Homans' sign is detected during assessment,the nurse should not perform this assessment again until a clot has been ruled out for which reason?
A)It may cause an embolus.
B)It may cause a thrombus.
C)It would cause the client emotional distress.
D)It would cause the client severe pain.
Q3) The client is having a mitral value replacement done with robotic-assisted surgery.The benefits of this type of procedure include which of the following? (Select all that apply. )
A)minimal scarring
B)shorter hospital stay
C)shorter recovery period
D)decreased blood loss
E)decreased cost
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38
Chapter 37: Hematologic and Lymphatic Systems
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) Which of these persons is at risk for having hemophilia?
A)the daughter of a mother who has hemophilia
B)the daughter of a father who has hemophilia
C)the daughter of a mother who carries the recessive X chromosome
D)the son of a mother who carries the trait on the recessive X chromosome
Q2) Which of the following medications or solutions may be administered with a blood transfusion?
A)intravenous (IV)antibiotics
B)calcium or potassium
C)lactated Ringer's solution
D)0.9% sodium chloride (normal saline)
Q3) Which type of anemia is due to decreased or absent function of the bone marrow?
A)acquired hemolytic
B)hypoplastic
C)iron deficiency
D)sickle cell
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Chapter 38: Gastrointestinal System
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) A client who has cirrhosis becomes very confused and lethargic and exhibits asterixis.These symptoms can indicate the development of what complication?
A)ascites
B)hepatic encephalopathy
C)hypoglycemia
D)portal hypertension
Q2) A client is admitted with a diagnosis of hepatitis B infection.In preparing the client care area,the nurse institutes which type of special preventive measures?
A)enteric precautions
B)respiratory precautions
C)reverse isolation
D)Standard Precautions
Q3) A client complains of lower right abdominal pain and nausea,and appendicitis is suspected.Which of the following lab reports would assist in confirming the diagnosis?
A)5,000/mm3 WBC (white blood cells);50% neutrophils
B)10,000/mm3 WBC;75% neutrophils
C)15,000/mm3 WBC;85% neutrophils
D)2,000/mm3 WBC;40% neutrophils
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Chapter 39: Urinary System
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) Which of these statements should the nurse include for clients who have frequent urinary tract infections,to prevent recurrence?
A)"Clean the perineum back to front."
B)"Wear incontinence control products to prevent accidents."
C)"Douche regularly with pleasantly scented products."
D)"Void more frequently,especially after sexual intercourse."
Q2) A client with urinary retention may be treated by all of the following methods.Which method is preferred when the client is in acute distress?
A)antispasmodics
B)surgery
C)urinary analgesics
D)urinary catheterization
Q3) Which of these medications is considered to be nephrotoxic?
A)ciprofloxacin (Cipro)
B)ibuprofen (Advil)
C)sulfisoxazole (Gantrisin)
D)furosemide (Lasix)
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Chapter 40: Musculoskeletal System
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A client has a left total hip replacement.In which of these positions should the nurse place the operative hip?
A)abduction and extension
B)abduction and flexion
C)adduction and extension
D)adduction and flexion
Q2) A client is experiencing a condition involving an increase in the porosity of bone.It is often called the "silent disease" and goes untreated.This condition is:
A)Lyme disease
B)osteoarthritis
C)osteoporosis
D)rheumatoid arthritis
Q3) A client has been diagnosed with an autoimmune inflammatory disease that involves the synovium of the joints and is potentially disabling.The nurse is aware that this client is experiencing:
A)bursitis
B)Lyme disease
C)osteoarthritis
D)rheumatoid arthritis
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Chapter 41: Neurological System
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) When entering a client's room,a nurse observes the client laughing.The nurse asks what is making the client so happy.The client states angrily,"I'm not happy,you fool! I'm very upset," and then begins to cry.The nurse would note this behavior when evaluating the client's:
A)emotional status
B)intellectual function
C)mental status
D)orientation
Q2) A client is being evaluated every 8 hours using the Glasgow Coma Scale.At 0800 the client's score is 13,and at 1600 the client's score is 10.Which action should the nurse take NEXT?
A)Bring the score to the health care provider's attention during rounds.
B)Call the health care provider now.
C)Chart the score and repeat the evaluation as ordered.
D)Chart the score and repeat the evaluation in 4 hours.
Q3) Clients with a left-sided stroke tend to have which deficit?
A)agnosia
B)aphasia
C)anosognosia
D)unilateral neglect
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Chapter 42: Sensory System
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57 Flashcards
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Sample Questions
Q1) When a client is first given a hearing aid,the nurse should make sure the client and the family understand that hearing aids:
A)increase the volume of sound and speech,but not necessarily the clarity
B)improve the quality of sounds heard,but not their volume
C)stimulate the client's auditory centers
D)can determine the amount of amplification actually required by the client
Q2) A person is considered legally blind when central visual acuity is:
A)between 20/70 and 20/200 in the better eye without corrective lenses
B)20/200 or less in either eye without corrective lenses
C)20/200 or less in the better eye with corrective lenses
D)absent
Q3) What is the preferred surgical technique for improving hearing loss due to otosclerosis?
A)meatoplasty
B)otothesis
C)stapedectomy
D)tympanoplasty
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44
Chapter 43: Endocrine System
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46 Flashcards
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Sample Questions
Q1) Which complication of insulin therapy is characterized by a rapid decrease in serum glucose,usually at night,causing the release of glucose-elevating hormones and an elevated glucose level in the morning,which may be inadvertently treated with an increased insulin dose?
A)dawn phenomenon
B)insulin resistance
C)lipodystrophy
D)Somogyi phenomenon
Q2) When mixing two different types of insulin in the same syringe,which type is always drawn up first?
A)lente,intermediate acting
B)NPH,intermediate acting
C)regular,short acting
D)ultra lente,long acting
Q3) What is the MOST common cause of hypopituitarism?
A)congenital defect
B)metabolic disorder
C)trauma causing damage to the pituitary gland
D)tumor
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Chapter 44: Reproductive System
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44576
Sample Questions
Q1) A nurse notes that the urethral catheter of a client who had prostate cancer surgery is draining dark bloody urine with clots,but the tubing is not draining freely.Which action should the nurse take FIRST?
A)Call the health care provider immediately.
B)Increase the tension on the catheter by retaping.
C)Irrigate the catheter with 150 cc of sterile normal saline.
D)Milk the tubing.
Q2) Initial treatment for clients who have premenstrual syndrome (PMS)includes which of the following?
A)analgesics such as acetaminophen,naproxen,ibuprofen
B)psychological evaluation
C)supplemental estrogen
D)tranquilizers and antidepressants
Q3) A client has been diagnosed with a spermatocele,which means that:
A)the urethral opening is abnormally placed on the dorsal surface of the penis
B)a benign cyst containing fluid and sperm has developed
C)a collection of clear amber fluid has occurred within the space of the testes and the tunica vaginalis
D)dilation of the veins of the scrotum has occurred
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Page 46
Chapter 45: Sexually Transmitted Diseases
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28 Flashcards
Source URL: https://quizplus.com/quiz/44577
Sample Questions
Q1) Common diagnotic tests to determine the presence of sexually transmitted infections (STIs)include which of the following? (Select all that apply. )
A)antigen for HSV
B)Reiter's test
C)CT scan
D)Western blot
E)biopsy
F)urine specimen
Q2) When teaching the client about proper condom use,which of the following should the nurse include? (Select all that apply. )
A)is just as effective as other birth control methods
B)should be discarded after two ejaculations
C)disposal includes by holding at the base of the penis after ejaculation
D)can be used to prevent oral-genital membrane contact
E)store in a cool,dry place away from sunlight
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Chapter 46: Integumentary System
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who has an ulceration appearing as a deep crater with undermining of adjacent tissue loss.The nurse recognizes that this client has which type of ulcer present?
A)stage I
B)stage II
C)stage III
D)stage IV
Q2) Which of these statements about the cause of significant skin damage is TRUE?
A)It results from cumulative sun exposure.
B)It is genetically inherited.
C)It results from ingesting carcinogenic foods and other substances.
D)It results from tanning bed usage.
Q3) A client has clusters of small vesicles over the thoracic region and describes severe pain and itching of the affected areas.Herpes zoster is diagnosed,and the client will be treated with which of these medications?
A)acyclovir (Zovirax)
B)lindane (Kwell)
C)miconazole nitrate (Micatin)
D)nitric acid
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Page 48
Chapter 47: Immune System
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45 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who is having an anaphylactic reaction.Which of these medications does the nurse know is usually administered FIRST to a client who has an anaphylactic reaction?
A)aminophylline
B)ampicillin
C)dopamine hydrochloride
D)epinephrine
Q2) A client who has myasthenia gravis (MG)exhibits increased muscle weakness,difficulty swallowing,and respiratory distress.Cholinergic crisis is diagnosed and is medically treated by:
A)administrating atropine
B)conducting a Tensilon test
C)providing oxygen by a mask
D)performing a tracheotomy
Q3) How is active acquired immunity obtained?
A)by antibodies produced by another human being or an animal
B)by exposure to a disease itself or its vaccine
C)by innate resistance to illnesses specific to other species
D)by transmission of antibodies through fetal circulation
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Page 49
Chapter 48: Mental Illness
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30 Flashcards
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Sample Questions
Q1) When a nurse is developing a no-suicide contract with a client,which of these aspects MUST be considered?
A)To increase client accountability,ask the client to promise the nurse or another significant friend or family member to avoid self-harm.
B)To communicate belief in the client,establish a minimum time frame of at least 1 week for the first contract.
C)To make the agreement more official and binding,have the document typed,signed by the client,and notarized.
D)To decrease impulsive behavior,include a detailed plan of action with the names and phone numbers of persons to call and the number of the local suicide crisis hotline to call if experiencing suicidal thoughts.
Q2) A client who has ADHD experiences impaired social interaction with the peer group.Which of these nursing interventions is appropriate?
A)Allow the client to work out problems with peers unless help is requested.
B)Explain to the child those behaviors that are acceptable.
C)Limit the child's interactions with peers.
D)Reinforce any change in behavior.
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Page 50
Chapter 49: Substance Abuse
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) When teaching a client about substance abuse,the nurse would BEST define a substance as:
A)a street drug that is frequently abused
B)a readily obtained drug that compels a person to overdose
C)a homemade concoction that produces desired effects
D)a drug,legal or illegal,that may cause physical or mental impairment
Q2) Which population group is unaffected by substance-abuse disorders?
A)female teenagers
B)male professionals,ages 24 to 45
C)older adults
D)none
Q3) What is the potential for psychological addiction to marijuana?
A)virtually nonexistent
B)moderate
C)high
D)depends on the client's age,weight,and ethnic background
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Chapter 50: The Older Adult
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30 Flashcards
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Sample Questions
Q1) The nurse is caring for an older adult who is prescribed digoxin.When assessing for the signs and symptoms of digoxin toxicity,the nurse would expect to see which of the following? (Select all that apply. )
A)nausea
B)shaking
C)incontinence
D)constipation
E)cardiac dysrhythmias
F)confusion
G)halos around lights
Q2) Which theory of aging states that there is decreased interaction between the older person and others in his or her social system that is considered to be inevitable,mutual,and acceptable to both the individual and society?
A)activity theory
B)collagen theory
C)continuity theory
D)disengagement theory
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Page 52
Chapter 51: Ambulatory, Restorative, and Palliative Care in Community Settings
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25 Flashcards
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Sample Questions
Q1) According to the Self-Identification of Handicap form,which of the following BEST describes the term handicap?
A)an abnormal psychological or physiologic behavior or an anatomic loss,such as a limb
B)the physical or mental inability to complete a role in one or more major activities of daily living (ADLs)
C)the lack of ability to complete an activity in the normal manner
D)an abnormal psychological or physiologic behavior causing an inability to complete normal ADLs
Q2) When caring for a client experiencing social isolation,which is the MOST appropriate nursing intervention?
A)provide distractional activities such as television
B)encourage client to participate in facility activities
C)request a consultation with a psychiatrist
D)allow the client to remain in his or her room
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Chapter 52: Responding to Emergencies
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Sample Questions
Q1) A female client comes to the emergency department saying she was sexually assaulted in her apartment.The nurse's focus in this situation should be to:
A)provide accurate,methodical care to the client
B)notify the client's family of the attack
C)refer the client for psychological counseling
D)administer antipregnancy medication when prescribed
Q2) An 8-year-old girl is stung by bees several times on the school playground,and the school nurse brings the child to the emergency department.The child is experiencing respiratory difficulties and may require endotracheal intubation.Who can obtain informed consent for this invasive procedure?
A)the client
B)the school nurse
C)only directly from a parent or legal guardian
D)Informed consent is not needed in emergency situations.
Q3) Treatment of clients who have any type of eye trauma should include:
A)antibiotic eye medication
B)application of a warm saline dressing
C)patching of the affected eye
D)patching of the opposite eye
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Page 54
Chapter 53: Integration
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Sample Questions
Q1) A nurse is reviewing the health records of assigned clients.The nurse plans care knowing that which client is likely at risk for the development of third-spacing? (Select all that apply. )
A)the client with cirrhosis
B)the client with diabetes mellitus
C)the client with sepsis
D)the client with renal failure
E)the client with pneumonia
Q2) A 45-year-old male client with a history of hypertension for 5 years develops symptoms of congestive heart failure (CHF)and renal failure.What are some of the possible reasons the client has developed CHF and renal failure? Describe the areas in which nursing intervention with this client could have helped prevent development of these complications.
Q3) A client has just been diagnosed as having type 2 diabetes.The client is a 60-year-old male who is 30 pounds overweight.He is married and has two grown children.What are several things the nurse who is assigned to this client needs to do before developing a plan of care for the client?
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Chapter 54: Prenatal Care
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36 Flashcards
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Sample Questions
Q1) The fetus is surrounded by a fluid-filled cavity enclosed by which of these membranes?
A)amnion and chorion
B)cotyledons and funis
C)decidua basalis and decidua capsularis
D)ectoderm and endoderm
Q2) Which of these statements regarding prenatal risk factors is TRUE?
A)Fathers who smoke can contribute to decreased birth weight in their infants.
B)Fetal alcohol syndrome is associated with excessive intake of alcohol during the second trimester of pregnancy.
C)Illicit drug use is responsible for a majority of spontaneous abortions and stillbirths.
D)Mothers who are not immune to rubella should be immunized during the first trimester of pregnancy to prevent the fetus from being exposed to rubella.
Q3) At 34 weeks' gestation,a normal prenatal client should have a hematocrit of:
A)less than 25%
B)25% to 35%
C)34% to 40%
D)more than 40%
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56
Chapter 55: Complications of Pregnancy
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Sample Questions
Q1) A potential effect of diabetes on pregnancy and the fetus or neonate includes which of these risks?
A)euglycemia
B)congenital anomalies
C)HELLP syndrome
D)hyperglycemia
Q2) A nurse teaches a high-risk pregnant client the Cardiff method of fetal movement documentation.In which of these situations should the client contact the health care provider?
A)fewer than 10 movements in 12 hours
B)no movements for 4 hours
C)sudden violent movements followed by the usual number of movements noted previously
D)three or more movements in 30 minutes
Q3) A pregnant client has a nonstress test (NST)that is "nonreactive." The nurse should recognize that this means
A)the fetus has adequate oxygenation and an intact central nervous system
B)the fetus is asleep or is having problems
C)there is inadequate fetal activity
D)there were decelerations of the fetal heart rate (FHR)
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Chapter 56: The Birth Process
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38 Flashcards
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Sample Questions
Q1) Immediately after the rupture of membranes (either spontaneously or artificially),it is most important for the nurse to:
A)assess the fetal heart rate (FHR)for a full minute,and report significant changes
B)change the linen savers under the client's hip
C)note the color,quantity,and odor,and document on the chart
D)perform a vaginal examination to check for a prolapsed umbilical cord
Q2) In which of these situations is a forceps-assisted birth indicated?
A)for a fetal vertex presentation
B)when cephalopelvic disproportion is present
C)for a mother with a history of heart disease
D)for a fetal prolapsed umbilical cord
Q3) To what does the term fetal presentation refer?
A)the part of the fetus that enters the pelvis first
B)relationship of the fetal body parts to one another
C)relationship of the landmark on the presenting part to the four quadrants of the mother's pelvis
D)relationship of the fetus's long axis to the mother's long axis
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Chapter 57: Postpartum Care
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27 Flashcards
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Sample Questions
Q1) During the immediate postpartum period,a client's fundus is firmly contracted,midline,and at the appropriate level,but she is exhibiting an excessive amount of bleeding.The nurse should suspect the cause of bleeding to be:
A)a full bladder
B)ambulation
C)breastfeeding
D)cervical or vaginal tears
Q2) While palpating a client's uterus postpartum,the nurse notes the fundus position to be 2 centimeters higher than on previous assessments and off to the left side.Which of these actions should the nurse take?
A)Ask the client to urinate,and then reassess the fundus position.
B)Initiate a Pitocin IV drip according to the health care provider's routine orders.
C)Note the position of the uterus on the nurse's notes because these findings are normal.
D)Notify the health care provider immediately.
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Chapter 58: Newborn Care
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/44590
Sample Questions
Q1) A 5-month-old infant is admitted with vomiting and eczema over the lower extremities.The mother states that the infant is not developing as fast as her other children.When a diagnosis of phenylketonuria (PKU)is made,the nurse should recognize which of the following as the basic underlying defect involved?
A)absence of the enzyme hexosaminidase component A
B)absence of surfactant
C)chromosomal abnormality involving pairs 21 to 23
D)deficiency of a liver enzyme that metabolizes phenylalanine
Q2) An infant admitted to the newborn nursery has generalized swelling of the scalp.The nurse should recognize this condition as:
A)caput succedaneum,which generally requires no treatment
B)cephalhematoma,which will require aspiration of blood from the scalp
C)an early sign of hydrocephalus,which requires no treatment
D)an early sign of an intracranial hemorrhage
Q3) Which of these statements about circumcision of an infant is TRUE?
A)It is considered to be a routine procedure for male infants.
B)It is an elective procedure for full-term,healthy infants.
C)Anesthesia is generally not required.
D)Its benefits outweigh any disadvantages.
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Chapter 59: Basics of Pediatric Care
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/44591
Sample Questions
Q1) During the hospitalization of infants and toddlers,the nurse should recognize the importance of the caregiver in a child's life by:
A)recommending they limit their time at their child's bedside because it may upset the child
B)acknowledging their presence while making clear the staff are in charge of their child's care
C)including the caregiver's contributions and involvement in planning and delivering care
D)teaching them to deliver most of their child's care
Q2) A child requires administration of intravenous (IV)medication.Which of these actions must the nurse take while the child is receiving this treatment?
A)Check the fluid and medication with another nurse before hanging it.
B)Administer a "push" dose before the rest of the solution is hung.
C)Assess the administration site hourly.
D)Be sure the solution has infused before the designated administration time.
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Chapter 60: Infants With Special Needs: Birth to 12 Months
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/44592
Sample Questions
Q1) Which of these factors places infants at a greater risk of developing otitis media than adults?
A)horizontal position of eustachian tubes
B)immature immune systems
C)increased number of upper respiratory infections
D)no overt initial symptoms
Q2) In addition to administering antibiotics,nursing care of the infant with meningitis includes which of these interventions?
A)maintaining isolation for a minimum of 72 hours
B)monitoring neurological status every 4 hours
C)observing the infant's developmental status
D)ensuring the parents receive prophylactic treatment
Q3) A client who has cystic fibrosis has a nursing diagnosis of Delayed growth and development related to inability to digest nutrients.Which of these nursing interventions would be indicated?
A)calculating and maintaining required fluid intake
B)ensuring high-caloric intake
C)initiating aerosol therapy 1 hour before or after meals
D)referring the family for genetic counseling
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Chapter 61: Common Problems: 1-18 Years
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/44593
Sample Questions
Q1) When a child has "strep throat," which of these actions should the nurse emphasize with the caregivers?
A)ensure completion of the prescribed antibiotics to prevent further complications
B)maintain treatment with antihistamines and decongestants to decrease the incidence of reoccurrence
C)isolate the child from caregivers and friends who have never had "strep throat" for 48 to 72 hours
D)allow the child to follow a usual routine of activity and rest
Q2) Which of the following statements regarding suicide is TRUE?
A)Adolescents who have attempted suicide once are at greatest risk for attempting it again.
B)Boys attempt suicide more often than girls.
C)Girls commit suicide five times more often than do boys.
D)Suicide often has no warning signs.
Q3) What is the focus of medical treatment of children who have asthma?
A)desensitizing clients to causative allergens
B)identification of exacerbating causes
C)pharmacological control of symptoms
D)preventing airway damage resulting from repeated and severe episodes
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