Nursing Foundations Exam
Solutions
Course Introduction
Nursing Foundations introduces students to the core principles, theories, and practices underlying professional nursing. This course emphasizes the historical development of nursing, the roles and responsibilities of nurses within the healthcare system, and the ethical and legal frameworks guiding practice. Students gain foundational knowledge in communication, critical thinking, holistic care, and evidence-based practice, while also exploring concepts such as patient safety, health promotion, and cultural competence. Through classroom instruction and hands-on experience, this course prepares students to deliver compassionate and effective care, forming the essential base for further studies in nursing.
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 registered nurse is required to participate in a simulation to learn how to triage patients who are arriving to the hospital after exposure to an unknown gas.This is an example of a response to what type of influence on nursing?
A) Workplace hazards
B) Nursing shortage
C) Professionalism
D) Emergency preparedness
Answer: D
Q2) A nurse is teaching the staff about the characteristics of a profession.Which information should the nurse include? (Select all that apply.)
A) Extended education
B) Theoretical body of knowledge
C) Code of ethics for practice
D) Practice developments
E) Provision of a specific service
Answer: A,B,C,E
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Chapter 2: Health and Wellness
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) When teaching a 15-year-old patient with diverticulitis about foods that should be avoided,a nurse takes the stage of growth and development into consideration.Which factor or variable did the nurse take into consideration?
A) Cultural factor
B) External variable
C) Socioeconomic factor
D) Internal variable
Answer: D
Q2) Upon taking a history of a patient,the nurse learns the patient smokes a pack of cigarettes per day.How should the nurse interpret this finding?
A) This is an example of a health belief.
B) This is an example of health promotion.
C) This is an example of a negative health behavior.
D) This is an example of a basic physiological human need.
Answer: C
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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 small business owner has consulted with an occupational health nurse regarding health promotion activities for the employees.The registered nurse explores the possibility of providing an area outside the new office complex where employees can walk during their breaks.Which level of care did the nurse use?
A) Continuing care
B) Restorative care
C) Primary care
D) Tertiary care
Answer: C
Q2) A single mother with three children uses the public health department services in the county to immunize her children.Which level of health care did the mother use?
A) Continuing care
B) Preventative care
C) Secondary acute care
D) Restorative care
Answer: B
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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 caring for vulnerable populations.The nurse is caring for which patients? (Select all that apply.)
A) Patients living at home
B) Patients with abusive habits
C) Immigration patients
D) Middle-aged patients
E) Patients living in poverty
Q2) A nurse is practicing as a community health nurse.What is the primary focus of care for this nurse?
A) Providing care to subpopulations
B) Practicing care in existing services
C) Being a specialist in public health science
D) Having a case management certification
Q3) 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
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Chapter 5: Legal Principles in Nursing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who refuses to cooperate for a dressing change.The nurse tells the patient that he or she will tie the patient down if the patient does not hold still.Which action did the nurse commit?
A) Assault
B) Unintentional tort
C) Battery
D) Felony
Q2) A nurse is about to administer a medication and notices that the physician's or primary health care provider's order looks incorrect regarding the amount of the medication.What should the nurse do? (Select all that apply.)
A) Notify the physician or health care provider.
B) Do not carry out the order.
C) Document the suspicion that the dosage is incorrect.
D) Administer the medication.
E) Notify the supervisor or nurse manager.
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Chapter 6: Ethics
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) 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
Q2) The mother of a 45-year-old patient is a retired physician and requests to discuss the patient's plan of care with the nurse caring for the patient.What is the nurse's best response to this request?
A) "I will need to ask permission from my supervisor before I can share that information."
B) "I will show you the chart, just follow me and we can discuss your questions and concerns."
C) "I would suggest that you leave me out of your family problems. I am here to care for the patient."
D) "I will have to get the patient's permission before I can share that information."
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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 who works for a surgical intensive care unit (ICU)has recently read several articles in professional nursing journals about the use of quiet time in the ICU to enhance patient outcomes.The nurse would like to apply the research findings to the unit.How did the nurse formulate the clinical question?
A) Measurement-focused trigger
B) Problem-focused trigger
C) Knowledge-focused trigger
D) Expectations-focused trigger
Q2) A nurse is describing types of performance improvement models.Which information should the nurse include? (Select all that apply.)
A) Six Sigma
B) Balanced scorecard
C) Plan-Do-Study-Act
D) Root cause analysis
E) Human subjects committee
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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 registered nurse is caring for a patient in the trauma unit who had been involved in a motor vehicle accident.Although the patient denied pain,during the nurse's assessment,the nurse observed that the patient groaned when moving and was protective of the right arm.The nurse believed the patient had pain and reported it to the primary health care provider,who ordered a radiograph (x-ray)of the right arm.The radiograph revealed a fractured arm.Which technique did the nurse use?
A) Intuition
B) Critical thinking
C) Perseverance
D) Reflection
Q2) A registered nurse is explaining a procedure to a patient who speaks another language.Which action by the nurse reflects critical thinking?
A) Teach with unfamiliar explanations.
B) Explain using medical jargon.
C) Use vague descriptions.
D) Obtain an interpreter.
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Chapter 9: Nursing Process
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) As a nurse is obtaining a health history from a patient,the nurse uses comments such as "go on." Which technique is the nurse using?
A) Cues
B) Inferences
C) Back-channeling
D) Termination
Q2) A student nurse is responsible for assessing a patient,who is abrupt and requests that the assessment be done later by a nurse.As the student nurse charts the interaction,which statement is the best way to document what happened?
A) Appears to be in pain as evidenced by grouchy behavior
B) Behavior is inappropriate, requests registered nurse do the assessment
C) States, "I want a registered nurse to do my assessment"
D) Is grumpy, registered nurse notified
Q3) A home health nurse is providing care to a patient.Which action by the nurse is a physical care technique?
A) Dressing a patient
B) Assisting a patient to learn how to shop
C) Performing range-of-motion exercises
D) Administering cardiopulmonary resuscitation
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Page 11
Chapter 10: Informatics and Documentation
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A nurse is working in an agency with standards that require a nurse's documentation to be within the context of the nursing process.The nurse is working for which agency?
A) Centers for Disease Control and Prevention accredited hospital
B) World Health Organization hospital
C) The Joint Commission accredited hospital
D) Agency for Healthcare Research and Quality hospital
Q2) A nurse completes an incident/occurrence report on a patient who fell while walking in the hallway.The nurse completes this report for what purpose?
A) To exchange information among health care members
B) To provide information about patients on one unit to another
C) To prevent a legal lawsuit from the patient
D) To aid in the hospital's quality improvement program
Q3) 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.
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12
Chapter 11: Communication
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which technique by the nurse will facilitate communication with an older adult?
A) Have the TV play lightly in the background.
B) Ask several questions in a row.
C) Allow reminiscing.
D) Use long sentences.
Q2) Which technique should the nurse use when providing information to a patient with a health literacy level of fifth grade?
A) Use the passive voice of language.
B) Present the most important information first.
C) Shift from subject to subject until the patient responds.
D) Explain using jargon so the patient will understand others on the health care team.
Q3) Which behavior by the nurse would be considered most professional?
A) Addressing a patient by "dear"
B) Wearing small earrings
C) Being task oriented
D) Avoiding troublesome patients
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Chapter 12: Patient Education
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse wants learning to take place in the affective domain of learning.Which techniques should the nurse implement that are the best for this type of learning? (Select all that apply.)
A) Lecture
B) Practice
C) Discussion
D) Role play
E) Return demonstration
Q2) A pediatric nurse who works evenings on a surgical floor in a children's hospital has been working with a 5-year-old patient who has undergone abdominal surgery.The nurse gives the patient a sticker each time the incentive spirometer is used.What type of reinforcement did the nurse use?
A) Social
B) Material
C) Activity
D) Negative
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Chapter 13: Managing Patient Care
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/7478
Sample Questions
Q1) Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient- and population-centered care that is safe,timely,efficient,effective,and equitable. Using a top-down communication strategy does not apply as a team approach,but is needed for interprofessional collaboration.
Q2) A nurse is assuming responsibility for a caseload of patients over a period of time.Which type of nursing care delivery models is the nurse practicing?
A) Team nursing
B) Primary nursing
C) Interprofessional collaboration
D) Decentralized management
Q3) 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
Q4) 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.
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Page 15
Chapter 14: Infection Prevention and Control
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) 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.
Q2) A nurse is coaching a student on the proper method of applying surgical gloves.One step in the proper donning of sterile gloves requires the nurse to:
A) with thumb and first two fingers of nondominant hand, touch only the glove's outer surface.
B) with gloved dominant hand, slip fingers inside the second glove and pull onto the nondominant hand.
C) carefully pull the glove over the dominant hand, leaving a cuff and being sure the cuff rolls up over the wrist.
D) carefully pull the glove over the dominant hand, leaving a cuff and being sure the cuff does not roll up over the wrist.
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Chapter 15: Vital Signs
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) To determine the patient's actual temperature,the nurse is aware that:
A) the patient's core temperature is not affected by environmental temperature
B) surface temperatures are the most stable
C) circadian rhythms keep the body temperature stable throughout the day.
D) gender and age have no effect on body temperature.
Q2) A 38-year-old postoperative patient is suddenly unresponsive but is still breathing.The nurse will use which site to assess the patient's pulse?
A) Apical artery
B) Radial artery
C) Carotid artery
D) Brachial artery
Q3) Blood pressure depends on the interrelationships of which of the following? (Select all that apply.)
A) Cardiac output
B) Peripheral vascular resistance
C) Blood volume
D) Blood viscosity
E) Pulse pressure
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Chapter 16: Health Assessment and Physical Examination
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A 17 year old was taken to the emergency department when his mother found him unresponsive.Upon examination,his pupils were found to be pinpoints.This is a common sign of which of the following?
A) Opioid intoxication
B) Arcus senilis
C) Cataracts
D) Opioid withdrawal
Q2) A nurse can best auscultate the point of maximum impulse (PMI)in a teenager at the _____ intercostal space,_____ midclavicular line.
A) fifth; left
B) fourth; left
C) fifth; right
D) fourth; right
Q3) A nurse uses four basic skills during a physical assessment.While assessing the abdomen the nurse must begin with which of the following skills?
A) Light palpation
B) Inspection
C) Deep palpation
D) Auscultation
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Page 18
Chapter 17: Administering Medications
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) A patient calls to say that he is unable to pay for the medication from a specific manufacturer that was prescribed.The health care provider gives another name for the medication and suggests the patient look for this name instead.The new name was probably which of the following?
A) Generic
B) Trade
C) Chemical
D) Proprietary
Q2) Undesired,unintended,and often unpredictable responses to medication are referred to as _____ effects.
A) Adverse
B) Side
C) Therapeutic
D) Toxic
Q3) When a patient's immune system causes abnormal reactions to a medication,the patient has a(n):
A) medication allergy.
B) anaphylactic reaction.
C) medication interaction.
D) idiosyncratic reaction.
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Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) 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
Q2) A 76-year-old patient is hospitalized with pneumonia and has become increasingly confused throughout the shift.The nurse becomes concerned about the patient's condition and contacts the health care provider,who orders arterial blood gas analysis.The blood gas report shows a pH of 7.33,PaCO? of 47,PaO? of 78,and bicarbonate of 26.This indicates which imbalance?
A) Respiratory alkalosis
B) Respiratory acidosis
C) Metabolic alkalosis
D) Metabolic acidosis
Q3) 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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Page 20
Chapter 19: Caring in Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The relief of pain and suffering give a patient comfort,dignity,respect,and peace.To enhance the therapeutic environment,what should the nurse do?
A) Make the environment as noise free as possible.
B) Remove personal items so that the environment is as clinical as possible.
C) Focus on removing negative physical stimuli.
D) Make the environment a place to soothe mind, body, and spirit.
Q2) A nurse is working in a health care clinic.She loves her work because of all the different people she meets.She professes to care for all of them and states that she understands them because she realizes which of the following is true?
A) Basically all patients are the same.
B) Each person has a unique background.
C) Caring for people requires very little experience.
D) There are standard solutions to most health care problems.
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Chapter 20: Cultural Awareness
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse is performing a cultural assessment on a patient.What does the nurse know about cultural assessments?
A) They are intrusive and time consuming.
B) They are not dependent on a trusting relationship.
C) They are rarely plagued by miscommunication.
D) They are based in similarities of behavior.
Q2) A student nurse is caring for a patient of Mexican descent.In an attempt to become culturally aware,the student should consciously think about which of the following?
A) What people of Mexican descent believe
B) The relationship between culture and ethnicity
C) The fact that the patient belongs to an isolated social group
D) Where the person is in the intersections of socially constructed categories
Q3) The nurse is attempting to teach a patient how to perform wound care for when he goes home.Using the "teach back" method the nurse should do which of the following?
A) Repeat the instructions until the patient understands.
B) Present the information and clarify with closed-ended questions.
C) Ask the patient if he understands the instructions.
D) Ask if the patient has any questions about the technique.
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Chapter 21: Spiritual Health
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A patient refuses to remove a specific spiritual garment for daily bathing.The most appropriate action for the nurse would be to:
A) remove the article anyway because the garment hinders daily care delivery.
B) respect the patient's wishes and work around it.
C) explain to the patient that the garment has no real spiritual value.
D) identify the refusal as a sign of spiritual distress.
Q2) A patient who has been diagnosed with terminal liver cancer states that he does not believe in God,but he has had a meaningful life by contributing to the lives of those around him.This person is most likely which of the following?
A) Buddhist
B) Christian
C) Agnostic
D) Atheist
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23
Chapter 22: Growth and Development
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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 recent graduate nurse has been assigned to be a primary nurse on a geriatric unit.After completing a review of development and aging,the nurse recalls that changes during the climacteric signify which of the following?
A) A characteristic of young adulthood
B) The increased reproductive ability of the older adult
C) A time of significant change in cognitive performance in middle age
D) A decline of reproductive capacity caused by a decrease in sexual hormones
Q3) ______ is an interaction of biological,sociological,and psychological forces.
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 Flashcards
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Sample Questions
Q1) After a large weight loss a patient tells the nurse,"There still is a fat person inside of me." This type of statement illustrates a flaw in what self-concept component?
A) Role performance
B) Identity stressor
C) Self-esteem
D) Body image
Q2) A middle-age female model is admitted for a double mastectomy.On admission the nurse notes that she is depressed and withdrawn.The most appropriate patient-centered nursing intervention(s)might be which of the following? (Select all that apply.)
A) Use a positive and matter-of-fact approach to care.
B) Include the patient in decision making about her care.
C) Be aware of nonverbal behaviors when providing care.
D) Focus on the task when an unpleasant task must be done.
E) Focus matter-of-fact statements on positive aspects of patient healing.
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Chapter 24: Family Context in Nursing
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Sample Questions
Q1) A nurse is attempting to complete the nursing admission data on a patient.To complete the admission and formulate a plan of care,the nurse needs to do which of the following?
A) Know that the individual is the same as the family as a whole.
B) Realize that family health is the summation of the health of all members.
C) Evaluate the form, structure, and function of the family.
D) Discount negative views by the patient toward the family.
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.
Q3) Domestic violence includes which of the following? (Select all that apply.)
A) Only live-in partners
B) Dating relationships
C) Spouses
D) The elderly almost exclusively
E) Child abuse
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Page 26
Chapter 25: Stress and Coping
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Sample Questions
Q1) A patient and family attend a counseling session.The patient has become depressed after a job loss.The nurse leading the counseling session informs the patient and his family that this type of crisis is caused by:
A) situational factors.
B) maturational factors.
C) sociocultural factors.
D) compassion fatigue.
Q2) The student nurse was late for clinical rounds because she had to change the tire on her car.She is in the process of preparing pain medication for her patient when her nursing instructor asks her to identify the drug classification of the medication that she is preparing.The student nurse is very frustrated,becomes tearful,and states,"I can't seem to crush this tablet correctly." This reaction to the instructor is most likely a result of what ego-defense mechanism?
A) Compensation
B) Displacement
C) Denial
D) Dissociation
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Chapter 26: Loss and Grief
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Sample Questions
Q1) A nurse is assigned to care for a dying patient.To deal with this experience and future experiences with dying patients,the nurse should do which of the following?
A) Avoid going to funerals of former patients.
B) Develop a "hard shell" against emotional stress to avoid compassion fatigue.
C) Understand that people dying is part of the job to get used to.
D) Frequently evaluate his or her own emotional well-being.
Q2) A nurse who grew up in Korea has been in the United States for the past 4 years.The nurse is especially sensitive about the differences in how mourning is different between the native culture and that of Western society.The nurse should use which model of mourning to help understand an action-oriented process of grieving?
A) Bowlby's Four Phases
B) Worden's Four Tasks
C) Rando's R Process
D) Kübler-Ross' Five Stages
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Chapter 27: Exercise and Activity
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Sample Questions
Q1) A nurse is caring for a patient with a broken tibia and fibula.The patient is in a half cast to his knee and is unable to bear weight.The nurse has instructed the patient on how to walk and climb stairs with his injuries.What is the best way to assess the patient's knowledge of how to ascend and descend stairs?
A) Incorrectly re-demonstrate the procedure and have the patient point out any errors.
B) Have the family member explain the procedure.
C) Have the patient explain the procedure.
D) Have the patient demonstrate the procedure.
Q2) The nurse delegates the task of ambulating a patient to the assistive personnel.The nurse ascertains that the assistive personnel understands how to intervene when the patient complains of dizziness when the assistive personnel verbalizes which of the following?
A) "I call for help."
B) "I gently lower the patient to the floor."
C) "I support the patient and walk quickly back to the room."
D) "I lean the patient against the wall and wait until the episode passes."
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29
Chapter 28: Safety
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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) A 5-year-old child was admitted to the pediatric unit of the hospital with the diagnosis of fever of unknown origin.Currently the patient's temperature is 105° F.Which of the following is the best way to prevent a patient-inherent accident from occurring?
A) Keep all electric receptacles covered in the patient's room.
B) Clean up patient spills as they occur.
C) Pad all bed side rails.
D) Do not allow the child in the playroom.
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Chapter 29: Hygiene
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Sample Questions
Q1) A patient is non-English speaking and unable to answer questions.When preparing to bathe this patient the nurse needs to remember which of the following?
A) Use soaps which contain deodorant to help control body odor.
B) Cultural heritage influences hygiene practices.
C) Shave facial hair to make the patient more presentable.
D) Diaphoresis will prevent skin breakdown and infection, so the patient should only be bathed once a day.
Q2) The nurse is caring for a patient who is on a heparin drip for a deep vein thrombosis (DVT).During the bath,the nurse will wash the lower extremities using which of the following?
A) Circular motion to massage the legs
B) Long, firm strokes toward the heart
C) Short, firm strokes toward the heart
D) Short, light strokes
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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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient with pulmonary congestion needs to cough to clear secretions.The nurse instructs the patient to inhale and perform a series of coughs during exhalation.What type of cough did the nurse teach the patient?
A) Quad
B) Huff
C) Cascade
D) Splinting
Q2) 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
Q3) A patient with a tracheostomy is experiencing thick and tenacious secretions.To maintain this patient's airway,what is the most appropriate action for the nurse?
A) Tracheal suctioning
B) Oropharyngeal suctioning
C) Nasotracheal suctioning
D) Orotracheal suctioning
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Page 32
Chapter 31: Sleep
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31 Flashcards
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Sample Questions
Q1) The nurse encourages a postoperative patient to get adequate amounts of sleep after discharge from the health care facility.When the patient asks why,how should the nurse respond?
A) Sleep restores biological processes.
B) Sleep stimulates appetite on waking.
C) Sleep causes a mental and physiological calm.
D) Sleep produces dreams that decrease epinephrine.
Q2) While making night shift rounds,the nursing assistive personnel become concerned when a patient stops breathing from 1 to 2 minutes several times during the shift.The nurse informs the nursing assistive personnel that this condition is known as which of the following?
A) Cataplexy
B) Insomnia
C) Narcolepsy
D) Sleep apnea
Q3) 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
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Chapter 32: Pain Management
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Sample Questions
Q1) A smiling and cooperative patient complains of severe pain.Nurses caring for patients who report pain need to recognize and avoid common misconceptions and myths about pain.To properly care for patients in pain,nurses need to remember which of the following?
A) Chronic pain is psychological in nature.
B) Patients are the best authority of their pain experience.
C) Regular use of narcotic analgesics leads to drug addiction.
D) The amount of tissue damage is reflected in the severity of the pain perceived.
Q2) When a person touches a hot stove,the resulting cellular damage causes a reaction that converts the stimuli into a pain impulse.What is the term for this conversion?
A) Transduction
B) Transmission
C) Perception
D) Modulation
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34
Chapter 33: Nutrition
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Sample Questions
Q1) A patient wants to lose 17 pounds.The nurse is aware that the most successful long-term weight loss programs are which of the following?
A) Programs that get the weight off quickly
B) Programs that include awareness of portion sizes
C) Programs that focus on reducing bad carbohydrates
D) Programs that use purchased premeasured food
Q2) During a nutritional assessment the nurse finds that a patient's energy needs exceed nutritional intake.What other assessment finding will the nurse observe?
A) Weight gain
B) Weight loss
C) Anabolism
D) Excessive adipose tissue
Q3) A patient who has high cholesterol asks the nurse if there is a need to limit all fat in the diet to lower cholesterol.What is the nurse's best response?
A) "You should limit the amount of monounsaturated fats."
B) "You should limit the amount of unsaturated fatty acids."
C) "You should limit the amount of saturated fats."
D) "You should not limit the amount of any kind of fat."
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Chapter 34: Urinary Elimination
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Sample Questions
Q1) A patient calls the office to tell you that his or her urine has changed to an orange color.The best response of the nurse is which of the following?
A) "Did you recently start a new prescription for Pyridium?"
B) "Did you recently drink a lot of cranberry juice?"
C) "Have you noticed any blood on the tissue when you wipe yourself?"
D) "Please make an appointment with the office right away."
Q2) A patient with congestive heart failure reports experiencing increased urination when taking the prescribed medication.The nurse explains that which of the following is true?
A) The patient is probably taking a diuretic.
B) The patient is probably taking an anticholinergic.
C) The patient is probably taking an antispasmodic.
D) The patient probably has a UTI.
Q3) A patient is scheduled for an intravenous pyelogram (IVP).What should the nurse do for this diagnostic examination?
A) Make no special preparations before the examination.
B) Push oral fluids before the examination.
C) Have the patient fast after the procedure.
D) Assess the patient for an allergy to iodine before the examination.
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Page 36
Chapter 35: Bowel Elimination
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Sample Questions
Q1) The health care provider orders a patient to have a fecal occult blood test.To obtain an accurate result,the nurse instructs the patient to do which of the following?
A) Submit one sample for analysis.
B) Take extra amounts of vitamin C supplements.
C) Stop taking aspirin 14 days prior to the beginning of the test.
D) Refrain from ingesting red meats for 3 days before testing.
Q2) 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."
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Chapter 36: Immobility
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Sample Questions
Q1) The patient is recovering from a cerebrovascular accident (stroke).The patient is having problems with balance and coordination.The patient asks the nurse what part of the brain has been damaged.How should the nurse respond?
A) The hypothalamus has been damaged.
B) The cerebellum has been damaged.
C) The thalamus has been damaged.
D) The medulla oblongata has been damaged.
Q2) A young adult was involved in a motor vehicle accident and suffers from brain trauma.The patient has decrease mobility in all joints.The nurse should assess for which common,debilitating contracture?
A) Lordosis
B) Bowlegs
C) Footdrop
D) Kyphosis
Q3) Which patient is most at risk for developing a urinary tract infection?
A) Teenage comatose patient on a ventilator lying supine
B) Middle-age adult after abdominal surgery sitting in a chair
C) Elderly adult with Alzheimer disease who is wandering at night
D) Middle-age adult postcardiac catheterization being discharged home
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Page 38
Chapter 37: Skin Integrity and Wound Care
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Sample Questions
Q1) When a patient has full-thickness loss but the depth is unknown,how should the nurse classify this pressure ulcer?
A) Stage/Category III
B) Unstageable
C) Suspected deep tissue injury
D) Stage/Category IV
Q2) A preschool paraplegic patient with cerebral palsy is admitted to the hospital with complications from the H1N1 virus.The admitting nurse notes that an area of redness on the right malleolus is nonblanchable.The nurse correctly identifies this pressure ulcer at what stage?
A) Stage I
B) Stage II
C) Stage III
D) Stage IV
Q3) Which patient is best suited for heat therapy?
A) A patient with low back pain
B) A patient with suspected appendicitis
C) A patient with first-degree burn
D) A patient with active bleeding
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Chapter 38: Sensory Alterations
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Sample Questions
Q1) The student nurse is assisting an elderly patient to get ready for bed.The patient states,"Please make sure you clean my hearing aids." The student nurse knows it is important to keep in mind which of the following when cleaning a hearing aid?
A) Keep the battery in the machine when turned off.
B) Store the hearing aid on the overnight table for easy access at night.
C) Clean the hearing aid with hot water.
D) Use a soft dry cloth to wipe the hearing aid.
Q2) An older adult patient residing at an adult assisted living facility complains of hearing and visual disturbances.A nurse must be alert to the effects of sensory deprivation that are associated with which of the following?
A) Stable affect
B) Altered perception
C) Improved task completion
D) Decreased need for social interaction
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Chapter 39: Surgical Patient
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Sample Questions
Q1) The perioperative nurse is admitting a patient for an elective surgery.She questions the patient about issues with anesthesia,to assess the patient for malignant hyperthermia.Which of the following is a late sign of malignant hyperthermia?
A) High CO2 levels
B) Tachycardia
C) Elevated temperature
D) Tachypnea
Q2) A 56-year-old nondiabetic patient is undergoing orthopedic surgery.The perioperative nurse is monitoring the blood glucose level.What is the main rationale for monitoring his blood glucose level during surgery?
A) She does not want the patient to develop an embolism.
B) Research shows a strong relationship between wound infections and hyperglycemia.
C) She knows that normal glucose levels promote platelet production.
D) She is monitoring to prevent embolism.
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