Nursing Foundations
Exam Materials
Course Introduction
Nursing Foundations provides an introduction to the fundamental concepts and principles underpinning the nursing profession. This course covers the history and evolution of nursing, professional roles and responsibilities, ethical and legal considerations, and essential skills for patient care. Students will learn about effective communication, patient safety, infection control, and basic nursing procedures. Emphasis is placed on developing critical thinking, compassion, and professionalism while caring for individuals across the lifespan. The course lays the groundwork for advanced study and practice in diverse healthcare settings.
Recommended Textbook Essentials for Nursing Practice 8th Edition by Potter
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39 Chapters
1000 Verified Questions
1000 Flashcards
Source URL: https://quizplus.com/study-set/424
Page 2
Chapter 1: The Nursing Profession
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7466
Sample Questions
Q1) A nurse is directing the care and staffing of three cardiac units.The nurse is practicing in which nursing role?
A) Advanced practice registered nurse
B) Nurse researcher
C) Nurse educator
D) Nurse administrator
Answer: D
Q2) A patient does not want the treatment that was prescribed.The nurse helps the patient talk to the primary health care provider and even talks to the primary health care provider when needed.The nurse is acting in which professional role?
A) Educator
B) Manager
C) Advocate
D) Provider of care
Answer: C
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Chapter 2: Health and Wellness
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/7467
Sample Questions
Q1) Using the health promotion model while rendering care enables a nurse to do which of the following? (Select all that apply.)
A) Help the patient pursue health.
B) Detect the presence of illness.
C) Promote health behaviors in a patient.
D) Assess a family's response to illness.
E) Plan interventions to achieve self-actualization.
Answer: A,C
Q2) A nurse is assessing a patient's risk factors for heart disease and finds that the patient has several risk factors.How should the nurse interpret this finding?
A) The patient needs surgery for heart disease.
B) The patient has a genetic disease.
C) The patient will develop the disease.
D) The patient has an increased chance to develop the disease.
Answer: D
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4
Chapter 3: The Health Care Delivery System
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse is teaching the staff about managed care.Which information should the nurse include?
A) Managed care focuses on long-term care services for skilled nursing.
B) Managed care focuses on hospital admissions and illnesses for a group of people.
C) Managed care focuses on control over primary health services for a defined population.
D) Managed care focuses on decreased access to care while increasing costs.
Answer: C
Q2) A 78-year-old widow needs assistance with medications,housekeeping,and laundry,and would like to maintain independence.Which is the best option for the nurse to suggest?
A) Assisted living
B) Respite care
C) Nursing center
D) Rehabilitation center
Answer: A
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Chapter 4: Community-Based Nursing Practice
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A community health nurse is using the goals of the Healthy People 2020 to focus care.Which goal is the priority?
A) To increase the life expectancy of people in the United States
B) To increase the health status of people throughout the world
C) To eradicate the human immunodeficiency virus (HIV)
D) To reduce health care costs
Q2) A student nurse is beginning the community-based primary care rotation.The student nurse anticipates that the assignment in community-based health care will most likely be at which organization?
A) An acute care hospital
B) A rehabilitation hospital
C) A nursing home
D) A high school
Q3) A nurse wants to use the most important competency in community nursing.Which competency should the nurse use?
A) Caregiver
B) Case manager
C) Educator
D) Epidemiologist
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Page 6
Chapter 5: Legal Principles in Nursing
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/7470
Sample Questions
Q1) A clinic nurse stopped at an automobile accident to assist.There was one victim who was not breathing.The nurse provided CPR at the scene,but the victim died.The victim's family sued the nurse.Which will provide the best protection to the nurse in this case?
A) Clinic's malpractice insurance policy
B) Good Samaritan Law
C) State Board of Nursing
D) Institute of Medicine
Q2) Which behavior is the best way for a nurse to avoid being liable for malpractice?
A) Purchasing quality malpractice insurance coverage on a yearly basis
B) Practicing nursing that meets the generally accepted standard of care
C) Not sharing his or her last name with patients and families
D) Not delegating any tasks to unlicensed assistive personnel
Q3) What is the nurse's best proof against malpractice?
A) The nurse supervisor's memory of the event
B) Recorded documentation written carelessly
C) The nurse's memory of the event
D) Recorded documentation of nursing care
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Chapter 6: Ethics
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A registered nurse who works on an oncology unit discussed pain control options that the primary health care provider had ordered with a patient undergoing treatment for pancreatic cancer.The patient requested that the intravenous (IV)pain medication be given on a regular basis.The nurse agreed to provide the IV pain medication as requested and continued to reevaluate the pain levels.The nurse is following which ethical principle?
A) Autonomy
B) Justice
C) Fidelity
D) Nonmaleficence
Q2) A nurse is processing an ethical dilemma by focusing on relationships and stories of the participants.Which ethical system is the nurse using?
A) Deontology
B) Utilitarianism
C) Feminist ethics
D) Ethics of care
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8
Chapter 7: Evidence-Based Practice
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A registered nurse wants to review the latest information regarding prevention of a health care acquired infection.Where is the best place for the nurse to obtain this information?
A) Online information
B) Peer-reviewed nursing journal
C) Latest edition of a nursing textbook
D) Most recent edition of a popular magazine
Q2) The nurse is investigating an area of practice in which no research evidence is available.What types of non-research information should the nurse consider? (Select all that apply.)
A) Performance improvement and risk management data
B) International, national and local standards of care
C) Study with pre- and post-test design
D) Benchmarking
E) Retrospective or concurrent chart reviews
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9
Chapter 8: Critical Thinking
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A student nurse in the last semester of nursing school found that keeping a journal of clinical experiences helped the student nurse understand why certain actions were taken and to evaluate whether there was a better way of approaching the task.The student nurse has found that this has helped strengthen critical thinking skills.Which skill for developing critical thinking did the student nurse use?
A) Professional standards
B) Nursing process
C) Concept mapping
D) Purposeful reflection
Q2) A nurse is teaching a group of nursing students about the nursing process.In which order should the nurse list the steps?
A) Assessment, diagnosis, planning, implementation, and evaluation
B) Diagnosis, assessment, planning, implementation, and evaluation
C) Planning, evaluation, diagnosis, implementation, and assessment
D) Evaluation, diagnosis, planning, implementation, and assessment
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10
Chapter 9: Nursing Process
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient and performs several interventions.Which action by the nurse is an independent nursing intervention?
A) Turning every 2 hours
B) Administering a medication
C) Inserting an indwelling catheter
D) Starting an intravenous (IV) for intravenous fluids
Q2) A nurse is evaluating care for a patient.Which action should the nurse take?
A) Compares patient findings with the goals and outcomes
B) Determines if interventions were completed
C) Develops a nursing diagnosis
D) Writes a care plan
Q3) A nurse is delegating care of patients to the nursing assistant personnel (NAP)and a licensed practical nurse (LPN).Which situation indicates the nurse needs more instruction on delegation?
A) LPN to change a sterile dressing
B) NAP to provide skin care
C) NAP to insert an indwelling catheter
D) LPN to administer an enema
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Chapter 10: Informatics and Documentation
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Which action should the nurse take when handling and disposing of patient information?
A) Keep patient information to take home for disposal.
B) Use programmed speed-dial keys when faxing.
C) Throw hand-written notes about the patient in the trash.
D) Place fax machines in a public place.
Q2) A nurse is giving a change-of-shift report.Which action should the nurse take?
A) Exchange judgments made about the patient's attitudes.
B) Include a description of how to perform procedures.
C) Provide a concise and organized description of the patient's normal findings.
D) Make walking rounds with the nurse coming on duty to review the patient's status and needs.
Q3) Which documentation by the nurse is most appropriate?
A) "The patient states would except moving to a semi-private room."
B) "Developed aspiration pneumonia due to dysphasia."
C) "Bruise noted on right side over fractured abdimin."
D) "Right jugular vein distended."
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Chapter 11: Communication
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/7476
Sample Questions
Q1) A nurse forms a contract with the patient to specify roles during a therapeutic helping relationship.The nurse is in which phase of the therapeutic relationship?
A) Working
B) Termination
C) Pre-interaction
D) Orientation
Q2) A nurse is caring for a patient who is visually impaired.Which technique should the nurse use to facilitate communication?
A) Touch the patient before speaking.
B) Identify self when entering the room.
C) Quietly leave the room when finished.
D) Keep the room dimly lit for calmness.
Q3) When caring for a patient from another culture,what is the best strategy for the nurse to use in communicating with the patient?
A) Using a cultural joke to break the ice
B) Stereotyping the patient within his or her culture
C) Considering the context of the patient's background
D) Assuming the patient or the family member speaks English
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13
Chapter 12: Patient Education
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/7477
Sample Questions
Q1) A nurse has been asked to prepare patient education for Spanish-speaking patients regarding diabetes.This information will be available to patients in the diabetes clinic.What is the primary goal for this patient education?
A) To reduce the legal liability of the clinic
B) To teach Spanish-speaking patients some English
C) To assist Spanish-speaking patients to reach optimal health
D) To provide information so they can make a decision between oral and injectable medications
Q2) A 75-year-old patient who is being discharged home after a stroke has no use of the right hand.Which teaching strategy is best for the nurse to use for this patient?
A) Provide all the teaching at once, immediately before going home so the patient will remember it.
B) Teach the patient with the aid of a computer to demonstrate that the discharge instructions are on the hospital webpage.
C) Teach the patient using generic patient discharge information about strokes.
D) Provide information based on the patient's needs in frequent sessions.
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14
Chapter 13: Managing Patient Care
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/7478
Sample Questions
Q1) Which action indicates the new nurse is fulfilling entry-level competencies?
A) Acts as a patient advocate
B) Develops a theoretical framework for how to practice
C) Manages care of one patient
D) Establishes a quality improvement plan for the unit
Q2) A newly graduated nurse has been assigned to work with one assistive personnel staff member.When delegating skills,which guidelines should the nurse use? (Select all that apply.)
A) Assign just bed making skills and feeding tasks.
B) Assess the knowledge of the assistive personnel.
C) Match tasks to the assistant's skills.
D) Have the nursing assistant document assessment findings.
E) Assess skill levels of assistive personnel.
Q3) Use the knowledge of one's own role and those of other professions to appropriately assess and address the health care needs of patients and populations served.
Q4) Communicate with patients,families,communities and other health care professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and treatment of disease.
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Page 15
Chapter 14: Infection Prevention and Control
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/7479
Sample Questions
Q1) A nurse is concerned with the chain of infection when taking care of contaminated care items.Semicritical items that require disinfection include:
A) linens.
B) bedpans.
C) blood pressure cuffs.
D) gastrointestinal endoscopes.
Q2) The nurse has had a nasal culture performed and has been found to be MRSA positive.Because the nurse has not been ill from the bacteria,the nurse's nasal cavity can best be described as a:
A) susceptible host.
B) reservoir.
C) portal of entry.
D) mode of transmission.
Q3) A nurse sets up a sterile field.A break in the sterile field occurs when the nurse does which of the following? (Select all that apply.)
A) Drops a sterile capped needle onto the sterile field
B) Spills solution onto the sterile field
C) Keeps the top of the table above waist level
D) Keeps sterile objects within a 1-inch border of the field
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Page 16
Chapter 15: Vital Signs
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/7480
Sample Questions
Q1) When patients with normal blood pressure experience a drop in blood pressure upon rising to an upright position and have symptoms of light-headedness or dizziness,the condition is known as:
A) hypertension.
B) hypotension.
C) orthostatic hypotension.
D) the pulse pressure.
Q2) A systolic blood pressure (BP)less than 90 mm Hg or a diastolic BP less than 60 mm Hg is known as:
A) hypertension.
B) hypotension.
C) orthostatic hypotension.
D) postural hypotension.
Q3) A nurse delegates the task of obtaining vital signs to a nursing assistant.The nurse reminds the nursing assistant that blood pressure:
A) will be lower if the cuff is too wide.
B) is not affected by cuff length.
C) should be taken slowly for more accuracy.
D) should be taken with the arm above heart level.
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Page 17
Chapter 16: Health Assessment and Physical Examination
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/7481
Sample Questions
Q1) An adolescent is examined and told that she has a sexually transmitted disease (STI).The patient is shocked and states,"How can that be.I would know if I had a problem down there wouldn't I?" What is the most appropriate response by the nurse?
A) "You should have known. It's pretty hard to miss."
B) "Usually STIs show up within 2 to 3 days of exposure."
C) "If you'd like, we can teach you some self-examination techniques."
D) "It's just bad luck. We'll clear this up and that will be the end of it."
Q2) A 45-year-old gay man who lives with a partner of 19 years recently has developed a persistent cough and night sweats from which he wakes up soaked.The nurse who is caring for the man should be most concerned about which of the following conditions?
A) Lung cancer
B) Tuberculosis
C) Orthopnea
D) Cardiopulmonary disease
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Chapter 17: Administering Medications
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/7482
Sample Questions
Q1) ______ effect(s)is/are capable of causing injury or death.They often develop after prolonged intake of a medication or when a medication accumulates in the blood because of impaired metabolism or excretion.
A) An adverse
B) A side
C) Therapeutic
D) Toxic
Q2) The passage of medication molecules from the site of administration into the blood is known as absorption.Factors that affect the rate of absorption include which of the following? (Select all that apply).
A) The ability of a medication to dissolve
B) Blood flow to the site of administration
C) Body surface area
D) Lipid solubility
E) The rate of distribution
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19
Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/7483
Sample Questions
Q1) A patient is diagnosed with renal insufficiency.The results of an ABG analysis indicate metabolic acidosis.In metabolic acidosis,the nurse would expect the pH to decrease to less than _____ and the bicarbonate level to decrease to less than _____.
Q2) A patient's arterial blood gas levels indicate a pH of 7.51,PaCO? of 40 mm Hg,PaO? of 85 mm Hg,and HCO? of 32 mEq/L.The patient has been vomiting.The nurse knows the patient has which imbalance?
A) Metabolic acidosis
B) Metabolic alkalosis
C) Respiratory acidosis
D) Respiratory alkalosis
Q3) When a nurse is selecting a vein for IV placement,what is the most appropriate action?
A) Select a vein that appears to be well dilated.
B) Elevate the extremity to visualize the vein.
C) Tap and rub the vein vigorously with friction.
D) Stroke from proximal to distal above the site.
Q4) Yesterday morning the patient weighed 169.4 lb (77 kg).This morning the patient weighs 171.6 lb (78 kg).The nurse determines that the patient has gained _____ liter(s)of fluid.
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Chapter 19: Caring in Nursing Practice
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/7484
Sample Questions
Q1) The patient was admitted to the hospital with advanced-stage cancer.As the nurse was admitting her,the patient told her about how her little dog learned a new trick,and could play dead when she said "bang-bang." Why did the nurse listen attentively to the patient's story?
A) She knew it was easy to do and she had nothing else to do at that time.
B) It was little more than two people talking back and forth.
C) She knew it was probably not going to affect the patient-nurse relationship.
D) She knew it was a way to know and respond to what matters to the patient.
Q2) When individuals become ill,there may be a story about the meaning of the illness.When a nurse listens,the patient is:
A) able to break the distress of illness.
B) unable to express what he actually needed when he was ill.
C) usually not able to determine what is at stake because of his illness.
D) able keep the nurse from prying into his more personal life.
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21
Chapter 20: Cultural Awareness
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7485
Sample Questions
Q1) Cultural competence is the ongoing process in which a health care professional continuously strives to achieve the ability to work effectively within the cultural context.To do this effectively,what must the nurse do?
A) Understand the cultural norms of the patient's community.
B) See herself or himself as being culturally competent.
C) Face the reality that cultural competence can take up to a year to achieve.
D) View herself or himself as becoming culturally competent.
Q2) Health care regulatory agencies,national think tanks,and government agencies expect health care organizations to incorporate cultural competence into policies and practices to ensure effective communication,patient safety and quality,and patient-centered care.Some examples of such organizational policies and practices include which of the following? (Select all that apply.)
A) Instituting a requirement for all staff to be trained in cultural competence
B) Maintaining the traditional description of family in written policies
C) Enforcing strict visitation policies and practices
D) Ensuring that persons who are deaf or speak limited English have access to an interpreter
E) Embedding health literacy principles in written and verbal communication
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Chapter 21: Spiritual Health
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/7486
Sample Questions
Q1) A patient has been diagnosed with a terminal disease.Hope may be used effectively with this type of patient.Nurses can support a patient's use of hope because hope provides a:
A) system of organized beliefs and worship.
B) belief in a higher power, spirit guide, God, or Allah.
C) cultural connectedness, structure, and guidance in difficult times.
D) motivation to achieve and the resources to use toward that achievement.
Q2) A nurse who works in a neonatal intensive care unit is caring for a critically ill infant with a poor prognosis.She is Christian and feels responsible to care for both the physical and spiritual needs of the infant and his parents.What is the best statement for the nurse to make to the parents of the infant?
A) "You should have the child baptized so that its soul will be saved."
B) "Would you like me to call the chaplain to christen your child at the bedside?"
C) "What can I do to support your spiritual needs?"
D) "I have asked my pastor to stop by and talk to you."
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Chapter 22: Growth and Development
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/7487
Sample Questions
Q1) Which of the following people developed the theory of cognitive development that describes children's intellectual organization and how they think,reason,and perceive the world?
A) Sigmund Freud
B) Jean Piaget
C) Erik Erikson
D) Lawrence Kohlberg
Q2) A nurse is performing an admission assessment on a middle-age patient.A normal change seen in this age group includes which of the following? (Select all that apply.)
A) A progressive decrease in skin turgor
B) Decreased visual acuity
C) Decreased ability to solve practical problems
D) Decreased strength of abdominal muscles
E) Loss of accommodation
Q3) ______ is the measurable aspect of a person's increase in physical dimensions.
A) Growth
B) Development
C) Maturation
D) The latency stage of development
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Page 24
Chapter 23: Self-Concept and Sexuality
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/7488
Sample Questions
Q1) The nurse is caring for a 65-year-old mother of three who recently underwent abdominal surgery and has a colostomy as a result.The patient has a history of multiple surgeries,including a tracheostomy after lung surgery about 20 years earlier that has since healed over.To determine how to best work with this patient,the nurse should do which of the following?
A) Determine how the patient dealt with her previous surgeries.
B) Realize that past coping mechanisms are always positive in nature.
C) Approach care in a standard method because all patients are the same.
D) Avoid using family input in determining the course of care.
Q2) As a nurse caring for a patient with a colostomy that resulted from the treatment of a benign tumor of the bowel.The most appropriate classification of this self-concept component is which of the following?
A) Role performance stressor
B) Sexuality stressor
C) Identity stressor
D) Body image stressor
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25
Chapter 24: Family Context in Nursing
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A student nurse is working on a community health project with her peers.One of the concerns in her community is the rise in homelessness resulting from the economy.The student nurse understands that which of the following is true?
A) Almost all homeless families are made up of single-parent families.
B) Children in homeless families are usually in good health.
C) Families with children are the fastest growing segment of the homeless population.
D) Children in homeless families have no way to attend school so are illiterate.
Q2) What should the nurse do when planning goals for a family?
A) View the family as a group of individuals rather than a system.
B) Make the goals as vague as possible so that they are attainable.
C) Be flexible since families are continually changing.
D) Recognize that, although individuals go through developmental stages, families do not.
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Chapter 25: Stress and Coping
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20 Verified Questions
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Sample Questions
Q1) The nurse works in a small clinic with two other nurses and a nurse practitioner.Recently the nurse has been staying at work longer than usual.His neighbor,a patient at the clinic,asks one of the other employees at the clinic how the nurse is coping since his wife left him.The nurse had not shared this information with his co-workers.The nurse may be coping with his loss with which of the following?
A) Compensation
B) Conversion
C) Denial
D) Dissociation
Q2) The patient has severe injuries.The nurse knows that the general adaptation syndrome (GAS)was viewed as a reaction to stress consisting of: (Select all that apply.)
A) a pattern of alarm.
B) deleterious consequences.
C) a stage of resistance.
D) developmental impairment.
E) a state of exhaustion.
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Chapter 26: Loss and Grief
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/7491
Sample Questions
Q1) A patient suffering from lung cancer experiences nausea and vomiting.When rendering palliative care,the nurse knows that this type of care:
A) is only done in intensive care units.
B) is for the elderly.
C) requires an interdisciplinary team.
D) utilizes standard medical treatments to provide care.
Q2) The parent of a child who drowned in a neighbor's pool that was not secured,would most likely file a wrongful death lawsuit against the neighbor during which of Bowlby's phases of mourning?
A) Numbing
B) Yearning and searching
C) Disorganization and despair
D) Reorganization
Q3) Bowlby's phases of mourning are founded on which of the following human instincts?
A) Attachment
B) Numbing
C) Searching
D) Grief
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Page 28
Chapter 27: Exercise and Activity
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse who works on the orthopedic unit knows that in addition to providing support,bones perform other functions in the body.Besides support,which of the following is an important bone function used during activity and exercise?
A) Hematopoiesis
B) Protection
C) Mineral storage
D) Movement
Q2) The nurse is assigned to a 67-year-old comatose patient.To minimize the risk for aspiration,the nurse should avoid placing the patient in what position?
A) Semi-Fowler's
B) Sims'
C) Supine
D) Lateral
Q3) Which group of muscles is involved with joint stabilization?
A) Skeletal muscles
B) Antigravity muscles
C) Synergistic muscles
D) Antagonistic muscles
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Chapter 28: Safety
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A toddler is ready to be discharged home after outpatient surgery.When conducting a home safety assessment the child's guardian states,"I keep the cleaning supplies under the sink for easy access,and how soon can the child resume swimming in the local pond?" Based on this statement,what is the most important safety issue for the nurse to identify?
A) Standing water in the neighborhood
B) Reasons for outbursts in behavior
C) Storage of cleaning supplies in the house
D) Child's use of safety equipment when riding or skating
Q2) An 85-year-old retired man with arthritis has recently been prescribed a new medication by his health care provider for pain management.The health care provider identifies that the patient is currently taking 13 different medications on a daily basis.The health care provider is concerned about the patient's safety in the home.Which of the following is most important to assess?
A) Marital status
B) Potential for falls
C) Skin breakdown
D) Cultural beliefs
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Chapter 29: Hygiene
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20 Flashcards
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Sample Questions
Q1) The nurse is assigned to assist a 59-year-old woman who has suffered a stroke and has limited mobility.The nurse is performing perineal care and understands that the best way to prevent disease transmission to the perineum is that it should be cleaned:
A) from the rectal area to the urinary meatus.
B) from the urinary meatus to the rectal area.
C) in a circular motion.
D) only twice a day.
Q2) Older adult patients produce less sebum and perspire less than younger patients.Therefore when providing personal hygiene the nurse should do which of the following?
A) Use hot water and regular soap.
B) Use plain water and a soft towel.
C) Provide a total bed bath every day.
D) Use warm water and a mild cleansing agent.
Q3) Which of the following interventions will decrease the chance of dry skin?
A) Daily baths in a soaker tub for 30 minutes
B) Inadequate fluid and nutrition
C) Leave moisturizing soap on the body
D) Use of superfatted soap
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Page 31
Chapter 30: Oxygenation
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Sample Questions
Q1) The patient is experiencing shortness of breath.Which of the following lab tests indirectly indicates the oxygen level in the blood system?
A) Hemoglobin
B) White blood cell count
C) Electrolytes
D) Creatinine
Q2) A healthy 33-year-old mother of three children reports "having no energy." She asks the nurse,how she could increase her energy level.What is the best response for the nurse to give?
A) "You should decrease iron intake."
B) "Daily exercise has been shown to increase a person's energy level."
C) "Energy caffeinated drinks are a good substitute for exercise."
D) "Try to exercise 90 minutes every other day."
Q3) What is the best indicator the nurse can use to determine the adequacy of a patient's cardiac output?
A) Stroke volume
B) Myocardial contractility
C) Afterload
D) Cardiac index
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Chapter 31: Sleep
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Sample Questions
Q1) Which of the following bedtime snack(s)helps to promote sleep in a patient?
A) Cereal and milk
B) A full meal
C) Chips and cola
D) Coffee and toast
Q2) A college student who is working in northern Alaska during the summer reports that he or she has an increase in difficulty sleeping since moving north.During a pre-employment physical,the patient asks the health care provider what could be causing this.The health care provider suspects the sleep disturbance is most likely because of which factor?
A) Stress of the new job
B) Increased daylight hours in Northern Alaska
C) Physical demands of the new job
D) Change in diet
Q3) A 2-year-old child in the pediatric unit resists going to sleep.To promote sleep,which is the best action for the nurse to take?
A) Eliminate a daytime nap.
B) Offer the child warm chocolate milk.
C) Maintain the child's home bedtime routine.
D) Allow the child to sleep longer in the morning.
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Chapter 32: Pain Management
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Sample Questions
Q1) Aspirin and ibuprofen are classified as:
A) narcotics.
B) nonopioids.
C) opioids.
D) nonsteroidal antiinflammatory analgesics.
Q2) A student nurse is assessing the pain of a teenage patient with cancer.The student nurse ask the patient about precipitating factors,quality,relieving factors,where the pain is,the severity of pain,and the effect of the pain has on the patient.What is the other indicator that the student nurse should make part of this pain assessment?
A) Medications the patient is taking for pain
B) Timing of the pain
C) Side effects of the patient's chemotherapy
D) The patient's ability to take oral pain medication
Q3) When a person cuts a finger,nerve impulses travel to the spinal cord along afferent peripheral nerve fibers.What is this process?
A) Transduction
B) Transmission
C) Perception
D) Modulation
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Page 34
Chapter 33: Nutrition
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Sample Questions
Q1) The patient has been admitted to the cardiac unit with a diagnosis of heart failure.The patient is currently receiving furosemide (Lasix)and is on a low-sodium diet.Which of the following is the best way for the nurse to determine if the patient is retaining fluid?
A) Figuring the patient's body mass index
B) Calculating the patient's ideal body weight
C) Recording daily weights during hospitalization
D) Measuring all fluid intake
Q2) A new mother is breastfeeding her infant.The nurse asks the mother if she is getting the correct amounts of dietary reference intakes.Which statement from the mother indicates a correct understanding of dietary guidelines?
A) "I am not concerned about dietary guidelines or a strict diet."
B) "I am taking the vitamin doses according to the television advertisements."
C) "I am only taking one multiple vitamin a day and eating whatever I want."
D) "I am eating the correct amount of food according to the recommended dietary allowances and adequate intakes."
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Chapter 34: Urinary Elimination
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Sample Questions
Q1) A male patient has been admitted with a fever and malaise.The health care provider has ordered a clean catch midstream specimen for urinalysis on this patient.To collect the urine specimen,the nurse should instruct the patient to do which of the following?
A) Return to bed to obtain the specimen using a straight catheter insertion.
B) Use sterile gloves to cleanse his penis and collect the specimen in a sterile cup.
C) Ask the patient to void into a cup or urine collection container.
D) Cleanse his penis, begin his stream, and then void into a sterile cup.
Q2) A patient with a Foley catheter needs a urine sample for culture and sensitivity.What is the most appropriate action for the nurse to take?
A) Disconnect the drainage tube from the catheter.
B) Open the drainage bag and withdraw urine.
C) Withdraw urine from the closed system drainage bag.
D) Insert a sterile blunt cannula in the catheter port to withdraw urine.
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Chapter 35: Bowel Elimination
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Sample Questions
Q1) A nurse has delegated the administration of a tap water enema to a nursing assistive personnel (NAP).The assistive personnel demonstrates understanding of the procedure when she states which of the following? (Select all that apply.)
A) "I will lower the enema when the patient complains of cramping."
B) "I will speed up the enema administration when the patient complains of cramping."
C) "I will withdraw the tube when the patient complains of cramping."
D) "I will clamp the tubing when the patient complains of cramping."
E) "I will fill the bag with hot water because it will cool while I am administering the enema."
F) "I will have the patient sit on the toilet while I am administering the enema."
Q2) A patient with colon cancer has recently undergone surgery to remove a portion of the colon.The patient asks how often the colostomy pouching system should be changed.What is the best response by the nurse?
A) Every 3 to 7 days
B) Every 10 to 14 days
C) When the pouch is one third to one half full of stool
D) Not until the system starts to leak or smell bad
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Chapter 36: Immobility
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Sample Questions
Q1) Patients on prolonged bed rest are at risk for a deep vein thrombosis.Which information indicates the nurse needs more teaching about the factors in Virchow's triad?
A) One of the factors is loss of integrity of the vessel wall.
B) One of the factors is abnormalities of blood flow.
C) One of the factors is alterations in blood constituents.
D) One of the factors is atrophy of the muscles.
Q2) While planning care for an immobilized patient,which physiological process will the nurse consider about the patient's musculoskeletal system?
A) Increased muscle mass
B) Decreased rate of bone resorption
C) Muscle atrophy
D) Bone tissue density elevated
Q3) The nurse is observing a patient's posture while sitting,standing,and assessing gait.What is the rationale for the nurse's assessment?
A) To determine type of assistance with anthropometric measurements
B) To determine type of assistance with joint mobility
C) To determine type of assistance with range of motion (ROM)
D) To determine type of assistance with ambulation
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Page 38
Chapter 37: Skin Integrity and Wound Care
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Sample Questions
Q1) A patient's draining wound is pale and watery with a combination of plasma and red cells.How should the nurse document this finding?
A) Serous drainage
B) Purulent drainage
C) Sanguineous drainage
D) Serosanguineous drainage
Q2) A patient is wearing an abdominal binder after abdominal surgery.What does the nurse need to assess and document about the patient?
A) Neurological response
B) Respiratory status
C) Lymphatic status
D) Genitourinary response
Q3) A patient's full-thickness wound is establishing a clean wound bed and obtaining bacterial balance.This patient is in which phase of wound healing?
A) Hemostasis phase
B) Proliferative phase
C) Inflammation phase
D) Remodeling phase
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Chapter 38: Sensory Alterations
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Sample Questions
Q1) A home care nurse visits a new patient.The family asks how the home can be made safer.The nurse's best advice includes which of the following?
A) Using throw rugs to prevent tripping
B) Installing extra incandescent lighting
C) Painting the floor black and white to add perception
D) Installing handrails painted the same color as the walls
Q2) A home care nurse is conducting a home assessment.The nurse is looking for the presence of sensory alterations.Factors to assess include if any changes have occurred in which of the following? (Select all that apply.)
A) Activities of ADLs
B) Health promotion
C) Has person had visitors
D) Is person wearing hearing aids and glasses
E) Ability to follow a conversation
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Chapter 39: Surgical Patient
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Sample Questions
Q1) The nurse instructs the postoperative patient to perform leg exercises every hour in order to do which of the following?
A) Maintain muscle tone.
B) Increase venous return.
C) Exercise fatigued muscles.
D) Assess range of joint motion.
Q2) When is it appropriate to ask a surgeon to clarify information for a patient who is undergoing surgery? (Select all that apply.)
A) Before the informed consent has been signed
B) When a patient is confused about the reason for the procedure
C) When a patient understands the risks involved in a procedure
D) If there is confusion about the procedure after the informed consent is signed
E) After the surgery has been performed
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