Nursing Fundamentals Theory
Test Questions
Course Introduction
Nursing Fundamentals Theory introduces students to the essential principles and concepts underlying the practice of professional nursing. This course covers the foundational knowledge of the nursing process, including assessment, diagnosis, planning, implementation, and evaluation. Emphasis is placed on patient-centered care, effective communication, infection control, safety, legal and ethical considerations, and the development of critical thinking skills necessary for clinical decision-making. By integrating theory with evidence-based practices, students gain a solid understanding of the roles and responsibilities of nurses within various healthcare settings.
Recommended Textbook
Foundations of Nursing 8th Edition by
Kim Cooper RN MSN
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41 Chapters
1473 Verified Questions
1473 Flashcards
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Page 2
Chapter 1: The Evolution of Nursing
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Sample Questions
Q1) Whose influence on nursing practice in the 19th century was related to improvement of patient environment as a method of health promotion?
A)Clara Barton
B)Linda Richards
C)Dorothea Dix
D)Florence Nightingale
Answer: D
Q2) What system of comprehensive patient care considers the physical,emotional,and social environment and spiritual needs of a person?
A)Interdependent care
B)Holistic health care
C)Illness prevention care
D)Health promotion care
Answer: B
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Page 3
Chapter 2: Legal and Ethical Aspects of Nursing
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Sample Questions
Q1) What is the best way for a nurse to avoid a lawsuit?
A)Carry malpractice insurance.
B)Spend time with the patient.
C)Provide compassionate,competent care.
D)Answer all call lights quickly.
Answer: C
Q2) Which of the following could cause a nurse to be cited for malpractice?
A)Refusing to give 60 mg of morphine as ordered
B)Giving prochlorperazine (Compazine)to a patient allergic to phenothiazines
C)Dragging an injured motorist off the highway and causing further injury
D)Informing a visitor about a patient's condition
Answer: B
Q3) An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting.What law should this nurse refer to before initiating this intervention?
A)Standards of care
B)Regulation of practice
C)American Nurses' Association Code
D)Nurse practice act
Answer: D
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Chapter 3: Documentation
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Sample Questions
Q1) Twenty-four-hour charting is designed to establish __________ levels to help determine staffing needs.
Answer: acuity
Patient acuity,which is reflected in 24-hour charting compilation,can dictate staffing needs.
Q2) What are categories of inadequate documentation that may lead to a malpractice claim? (Select all that apply.)
A)Incorrectly recording the time of an event
B)Failing to record verbal orders
C)Charting events in advance
D)Documenting an incorrect date
E)Marking out and initialing charting errors
Answer: A,B,C,D
Q3) Why is documentation especially significant in managed care?
A)The hospital needs to show that employees care for patients.
B)Institutions are reimbursed only for patient care that is documented.
C)Patients might bring lawsuits if care was not given.
D)Documents may become part of a lawsuit.
Answer: B
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Chapter 4: Communication
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Sample Questions
Q1) Although the patient denies pain,the nurse observes the patient breathing rapidly with clenched fists and facial grimacing.What is the nurse's best response to these observations?
A)"I am glad you are feeling better and have no discomfort."
B)"Where do you hurt?"
C)"What you are saying and what I am observing don't seem to match."
D)"It makes me uncomfortable when you are not honest with me."
Q2) A nurse examines whether patient interventions have been appropriate and expected outcomes have been met.The nurse is demonstrating which step in the nursing process?
A)Assessment
B)Planning
C)Implementation
D)Evaluation
Q3) The ___________ is the person conveying the message,whereas the receiver is the individual or individuals to whom the message is conveyed.
Q4) As the nurse listens to a supervisor,the nurse has a smile on her face but has crossed her arms in front of her chest and has crossed her legs.This is an example of a __________ posture.
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Chapter 5: Nursing Process and Critical Thinking
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Sample Questions
Q1) The nurse writes two patient problems: (1)inadequate nutritional intake related to vomiting as manifested by a 3-lb weight loss and (2)risk for impaired skin integrity related to inadequate nutrition.What is the major difference between these diagnoses?
A)The second diagnosis needs no defined nursing interventions.
B)The second diagnosis needs medical intervention.
C)The second diagnosis will not need to be evaluated.
D)The second diagnosis reflects a problem that does not yet exist.
Q2) What are the two primary methods used to collect data?
A)Written report by patient and family
B)Review of the chart and the nurse's notes
C)Interview and physical examination
D)Review of the health care provider's orders and the Kardex
Q3) What documentation reflects implementation?
A)"Patient selected low-sugar snacks independently."
B)"Patient was medicated with Tylenol 500 mg PO for pain."
C)"Patient was ambulated for 15 minutes after lunch."
D)"Patient participated in group therapy session without reminder."
Q4) NANDA International meets to reorganize diagnosis labels and language every 2
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Chapter 6: Cultural and Ethnic Considerations
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Sample Questions
Q1) What is the term for a generalization about a form of behavior,an individual,or a group?
A)Dialect
B)Religion
C)Ethnicity
D)Stereotype
Q2) A nurse is preparing to discuss birth control options for a Roman Catholic patient.What is the most appropriate method for the nurse to discuss with this patient?
A)Abstinence
B)Vasectomy
C)Tubal ligation
D)Oral contraceptives
Q3) Which health belief system includes a belief of a supernatural force exerting influence to cause health or illness?
A)Folk
B)Holistic
C)Biomedical
D)Alternative/complementary
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8
Chapter 7: Asepsis and Infection Control
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Sample Questions
Q1) What technique should the nurse use when disposing of linens contaminated with feces?
A)Don gown,gloves,and mask
B)Wash hands for 5 minutes after disposal
C)Don gloves only
D)Double-bag the sheets
Q2) What is the most dependable and practical method to use when sterilizing instruments for the operating room?
A)Chemical solution
B)Boiling water
C)Steam under pressure
D)Dry heat
Q3) A patient with a respiratory infection reports that he is not yet on an antibiotic.The nurse explains that the health care provider is waiting on the results of the culture and sensitivity.What does this test determine?
A)What media the bacteria requires to grow
B)How fast the bacteria grow
C)Which antibiotics stop bacterial growth
D)When the bacteria colonize
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Chapter 8: Body Mechanics and Patient Mobility
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Sample Questions
Q1) The nurse is performing passive range-of-motion exercises on a patient following a traumatic injury.What is the number of times the nurse should move each joint when performing passive range-of-motion (ROM)exercises?
A)Three
B)Four
C)Five
D)Six
Q2) Continuous ___________________ motion machines flex and extend joints to mobilize them passively without the strain of active exercises.
Q3) The nurse instructs a unlicensed assistive personnel to use large muscle groups when lifting.What is the rationale for this instruction?
A)Workers' compensation claims will be prevented.
B)Big muscles work more effectively.
C)It guarantees no muscle strain.
D)It distributes workload more evenly.
Q4) When a fall occurs,the nurse should document the incident and initiate a(n)___________ report.
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Chapter 9: Hygiene and Care of the Patients Environment
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Sample Questions
Q1) Which guideline should be followed when giving a backrub?
A)Observing the skin for abnormalities
B)Massaging for at least 10 minutes
C)Following massage with a brisk alcohol rub
D)Conversing with patient continually throughout the backrub
E)Using alcohol-based lotion for disinfection
Q2) The nurse attempts to avoid a pressure injury for a bedridden patient by turning the patient frequently.What is the most favorable position for the nurse to move this patient into?
A)Back-lying
B)Full lateral
C)30-degree lateral
D)Full prone
Q3) The nurse is bathing a patient with a deep vein thrombosis in the left leg.What modification will the nurse make when attending to the left leg?
A)Washing the leg with long,firm strokes and drying with a towel
B)Omitting washing the leg at all
C)Gently washing the leg and patting dry with a towel
D)Applying lotion in long,smooth strokes
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Page 11
Chapter 10: Safety
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Sample Questions
Q1) The nurse assesses a patient in a Posey safety reminder device (SRD)for which problem that may increase because of the use of SRDs? (Select all that apply.)
A)Immobility
B)Lethargy
C)Risk for impaired circulation
D)Risk for skin impairment
E)Incontinence
Q2) A nurse instructs a unlicensed assistive personnel about the proper use of a gait belt and is observing a return demonstration.What action by the unlicensed assistive personnel should cause the nurse to intervene?
A)Unlicensed assistive personnel is walking on the patient's strong side.
B)Unlicensed assistive personnel is walking to the side of the patient.
C)Unlicensed assistive personnel is securing the gait belt securely around the patient's waist.
D)Unlicensed assistive personnel is grasping the handles of the gait belt while the patient ambulates.
Q3) ___________ is a violent or dangerous act used to intimidate or coerce a person or government to further a political or social agenda.
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12
Chapter 11: Admission,transfer,and Discharge
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Sample Questions
Q1) When should discharge planning begin?
A)The day before discharge
B)On the first day postoperatively
C)Shortly after admission
D)When the health care provider orders it
Q2) When admitting a patient to the hospital,the nurse observes that the patient is distracted and tense.What does this behavior suggest as a common reaction to hospitalization?
A)Relief about being cared for
B)Fear of the unknown
C)Feeling of powerlessness
D)Concern about cost
Q3) Upon admission,the nurse notes that a patient without family members present has a billfold filled with cash.Where can the nurse suggest the money be placed?
A)In a sealed envelope in the bedside table
B)In the care of hospital security
C)Locked in the narcotic cupboard
D)In the hospital safe
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13
Chapter 12: Vital Signs
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Sample Questions
Q1) When instructing a primary caregiver about keeping a daily log of blood pressure readings,what instructions should the nurse include? (Select all that apply.)
A)Take the reading at different times during the day.
B)Apply the cuff approximately 2 in above the antecubital fossa.
C)If unable to get a reading the first time,immediately reinflate the cuff.
D)Assess pulse with the bell of the stethoscope.
E)Apply the cuff snugly.
Q2) A patient is suspected of having a cardiac arrhythmia.The nurse is concerned with the findings of an apical rate of 88 and a radial rate of 80.What is the term for the difference between these two rates?
A)Pulse pressure
B)Unequal pulses
C)Pulse deficit
D)Tachycardia
Q3) What site should be selected if a peripheral pulse needs to be assessed quickly?
A)Radial pulse
B)Brachial pulse
C)Carotid pulse
D)Pedal pulse
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Page 14
Chapter 13: Physical Assessment
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Sample Questions
Q1) When assessing a patient,the patient complains of an uncomfortable sensation leading to an urge to scratch.The nurse notes the patient scratches frequently.How should the nurse document this finding?
A)Dyspnea
B)Cyanosis
C)Jaundice
D)Pruritus
Q2) A nurse is gathering subjective data when admitting a patient.Which assessment finding reported by the patient is considered subjective data?
A)Complains of pruritus.
B)Is experiencing erythema.
C)Appears to be experiencing pruritus.
D)Has a generalized rash.
Q3) During a head-to-toe assessment,the nurse assesses the patient's abdomen.Which area should the nurse assess next?
A)Chest
B)Arms
C)Legs and feet
D)Perineal area
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Page 15
Chapter 14: Oxygenation
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Sample Questions
Q1) A patient has a new health care provider's order for oxygen administration at 2 L via nasal cannula.Who can initiate implementation of this order? (Select all that apply.)
A)RN
B)UAP
C)Respiratory therapist
D)EMT
E)Nutritional specialist
Q2) The nurse instructs a patient receiving home O<sub>2</sub> therapy to drink plenty of fluids to help keep bronchial secretions liquefied.What is the recommended fluid?
A)Milk
B)Water
C)Tea with artificial sweetener
D)Coffee
Q3) A _____________ cannula is a device consisting of small tubes inserted into the nares and is the most common way to administer oxygen.
Q4) When suctioning a tracheostomy suction may be applied for a maximum of __ seconds at a time never longer.
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16
Chapter 15: Elimination and Gastric Intubation
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Sample Questions
Q1) During insertion of a Foley catheter,the patient grimaces as the balloon is inflated.What is the immediate reaction of the nurse?
A)Withdraw the catheter.
B)Ask the patient to bear down.
C)Continue to inflate the balloon.
D)Advance the catheter into the bladder.
Q2) A ________________ tube is a flexible,hollow tube that is passed into the stomach via the nasopharynx.
Q3) After a Foley catheter has been removed,the nurse should assess the patient for:
A)hemorrhage.
B)constipation.
C)urinary retention.
D)bladder spasm.
Q4) Before inserting a nasogastric tube,what measurement should the nurse take?
A)Tip of the nose to the earlobe to the xiphoid process
B)Bridge of the nose to the xiphoid process
C)Nose to the top of the ear to the stomach
D)Clavicular notch to the stomach
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Chapter 16: Care of Patients Experiencing Urgent
Alterations in Health
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Sample Questions
Q1) The nurse determines clinical death and initiates CPR immediately.How long is resuscitation considered possible?
A)If cardiopulmonary arrest has existed for no more 2 minutes
B)If cardiopulmonary arrest has existed for no more 3 minutes
C)If cardiopulmonary arrest has existed for no more 4 minutes
D)If cardiopulmonary arrest has existed for no more 5 minutes
Q2) CPR has been initiated on an adult patient.How will the nurse confirm the effectiveness of CPR?
A)Assessing an EKG pattern with each compression
B)Assessing a palpable carotid pulse during each compression
C)Assuring a compression depth of 1\(\frac {1 } { 2 }\) to 2 in
D)Observing pupils that change from pinpoint to dilated
Q3) The patient arrived at the emergency department in pain and bleeding profusely with the following vital signs: BP 80/54,P 102,RR 22.What does the nurse recognize that these symptoms indicate?
A)Inadequate perfusion
B)Circulatory shock
C)Massive vasodilation
D)Heart failure
Page 18
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Chapter 17: Dosage Calculation and Medication
Administration
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Sample Questions
Q1) The health care provider has ordered furosemide 20 mg stat.The ampule is labeled 40 mg/mL.What dose should the nurse administer?
A)0.8 mL
B)0.5 mL
C)2.0 mL
D)8.0 mL
Q2) Lanoxin 0.125 mg is to be given.The nurse converts the dose to how many grams?
A)1.250 g
B)1250 g
C)0.000125 g
D)0.00125 g
Q3) What is the main organ that inactivates and metabolizes drugs?
A)Spleen
B)Liver
C)Lungs
D)Pancreas
Q4) When giving a tubal medication,the nurse should flush the tubing with 30 to 50 _______ of water.
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Chapter 18: Fluids and Electrolytes
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Q1) The nurse expects an adult with normal ______________ function to void a minimum of 120 mL of urine in 4 hours.
Q2) A patient began vomiting and continued to do so for several hours.What is the result of this loss of stomach contents?
A)Metabolic acidosis
B)Metabolic alkalosis
C)Respiratory acidosis
D)Respiratory alkalosis
Q3) The lactating mother is counseled by the nurse to eat adequate amounts of meat and legumes.What level will this help to increase?
A)Potassium
B)Chloride
C)Magnesium
D)Phosphorus
Q4) A child has been having an asthma attack for the last 8 hours.Because of the child's inability to exhale effectively,the nurse assesses for respiratory __________.
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Chapter 19: Nutritional Concepts and Related Therapies
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Sample Questions
Q1) How many kcal/g does 1 g of alcohol provide?
A)4 kcal/g
B)5 kcal/g
C)6 kcal/g
D)7 kcal/g
Q2) The body uses 22 common amino acids,but 9 of them must be obtained from protein in the diet.What are these proteins considered?
A)Essential
B)Basic
C)Fundamental
D)Primary
Q3) When discussing the digestion and metabolism of fat,the nurse tells the patient who has a history of cholecystitis and who is on a low-fat diet that fat must be emulsified to be digested.What is the substance necessary for emulsification?
A)Sugar
B)Cholesterol
C)Bile
D)Protein
Q4) The body mass index (BMI)of a man 6 ft tall weighing 250 lb is _______.
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Chapter 20: Complementary and Alternative Therapies
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Sample Questions
Q1) Why do people often choose complementary and alternative medicine (CAM)? (Select all that apply.)
A)CAM is less invasive.
B)CAM is more holistic.
C)CAM is focused on treatment of disease.
D)CAM is dedicated to health maintenance.
E)CAM is within the control of the patient.
Q2) What training system may help prevent osteoporosis?
A)Acupressure
B)Yoga
C)Therapeutic massage
D)Tai chi
Q3) What should the nurse instruct a patient who takes tincture of rosemary to do several times a day?
A)Assess pulse frequently.
B)Avoid constipation.
C)Watch for hypoglycemia.
D)Wear sunscreen.
Q4) People with fractures,rheumatoid arthritis,and osteoporosis are not candidates for ____________ therapy.
22
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Chapter 21: Pain Management,comfort,rest,and Sleep
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Q1) The nurse explains that transcutaneous electric nerve stimulation (TENS)provides a continuous mild electric current to the skin.How does the TENS unit act to reduce pain?
A)Distracts the patient.
B)Blocks endorphin production.
C)Warms the skin.
D)Blocks pain impulses.
Q2) What action should the nurse implement when assisting a postoperative patient with pain control and comfort?
A)Pull the patient up in bed.
B)Lift the patient up in bed.
C)Tighten constricting bandages.
D)Restrict fluid and dietary intake.
Q3) Where does the nurse recognize that many institutions are now including pain assessment in implementing patient care?
A)The initial assessment
B)Discharge planning
C)Assessing vital signs
D)Care planning
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Chapter 22: Surgical Wound Care
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Sample Questions
Q1) The nurse observes a loop of bowel protruding from the surgical incision.What is the first intervention the nurse should implement?
A)Call the RN.
B)Cover the bowel with a sterile saline dressing.
C)Turn the patient to the side of the evisceration.
D)Raise the patient up to a high Fowler's position.
Q2) The nurse assessing a patient's wound notes pale red watery drainage.How will the nurse most accurately document this finding?
A)Serous drainage
B)Purulent drainage
C)Sanguineous drainage
D)Serosanguineous drainage
Q3) The nurse assessing a patient's wound notes thick,yellow drainage.How will the nurse most accurately document this finding?
A)Serous drainage
B)Purulent drainage
C)Sanguineous drainage
D)Serosanguineous drainage
Q4) When preparing to remove a dressing,the nurse should don __________ gloves.
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Chapter 23: Specimen Collection and Diagnostic Testing
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Q1) When performing a venipuncture,the tourniquet should be left on no more than ____ to ____ minutes.
Q2) What intervention should the nurse implement when preparing the patient for a glucose tolerance test (GTT)?
A)Restrict water intake before the test.
B)Encourage exercise before the test.
C)Keep patient NPO 8 hours before the test.
D)Instruct patient to have a full bladder for the test.
Q3) What health care professional has the responsibility for notifying the health care provider when laboratory and diagnostic studies deviate from the norm?
A)Laboratory technician
B)Cooperating health care provider
C)Nurse
D)Supervisor
Q4) What should the nurse do when preparing the patient for an amniocentesis?
A)Restrict food intake.
B)Restrict fluid intake.
C)Monitor fetal heart tones.
D)Inform patient results will be available immediately.
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Chapter 24: Lifespan Development
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Sample Questions
Q1) What is the stage of family development that begins when conception begins and continues through the pregnancy?
A)Expectant stage
B)Parenthood stage
C)Establishment stage
D)Engagement/commitment stage
Q2) A 14-year-old male patient has undergone a leg amputation.What should be the primary focus of the patient's care plan?
A)Nutritional status
B)Academic progress
C)Body image
D)Socialization needs
Q3) A nurse teaching the mother about infant oral hygiene instructs the mother to offer the infant sips of:
A)cola.
B)milk.
C)juice.
D)water.
Q4) The process that refers to gradual change and differentiation is _____________.
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Chapter 25: Loss,grief,dying,and Death
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Q1) What is the first thing the nurse should do before involving the family in the care of a dying patient?
A)Ask the patient if he or she wants family care.
B)Ask family members if they want to assist with care.
C)Check the hospital policy on the family giving care.
D)Set a caring example.
Q2) A patient whose spouse died 1 year earlier complains of feeling overwhelmingly lonely and has withdrawn from interpersonal interactions.The patient is demonstrating what stage of dying according to Kübler-Ross's stages of dying theory?
A)Anger
B)Denial
C)Depression
D)Bargaining
Q3) What is the termination of tube feedings to a dying patient considered?
A)Active euthanasia
B)Holistic care
C)Passive euthanasia
D)Terminal care
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Chapter 26: Health Promotion and Pregnancy
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Q1) A woman who has just discovered she is pregnant states that the first day of her last menstrual period was July 10.What will be her expected date of birth (EDB)?
A)April 10
B)April 17
C)May 10
D)October 17
Q2) A woman entering the 22nd week of pregnancy complains that she has become unsightly because of chloasma.What should the nurse recommend to reduce the appearance of the chloasma?
A)Use heavy makeup.
B)Take extra doses of vitamin A.
C)Avoid exposure to the sun.
D)Reduce caffeine intake.
Q3) During which gestational week can a primigravida expect to first feel fetal movement?
A)8
B)10
C)16
D)20
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Page 28
Chapter 27: Labor and Delivery
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Q1) What method is used to visualize soft tissue and to determine adequacy of the pelvis with no detrimental effects to the fetus?
A)Pelvimetry
B)Palpation
C)Ultrasonography
D)X-ray
Q2) When observing the fetal heart monitor,the nurse recognizes the fetal heart rate (FHR)decreases to 120 beats/min at the beginning of a contraction and returns to a baseline of 155 beats/min at the end of the contraction.What should this indicate to the nurse?
A)Early deceleration due to head compression
B)That the fetus is in acute distress
C)Variable decelerations due to cord compression
D)That these are late decelerations
Q3) For the first hour following delivery,how often should the nurse assess the mother?
A)Every 5 minutes
B)Every 10 minutes
C)Every 15 minutes
D)Every 30 minutes
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29
Chapter 28: Care of the Mother and Newborn
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Q1) After delivery of a 9-lb baby,the nurse assesses a perineal laceration extending through the muscles of the perineum.The nurse records this as a ________-degree laceration.
Q2) What is the term for the cream cheese-like substance that protects the infant's skin from amniotic fluid?
A)Lanugo
B)Meconium
C)Desquamation
D)Vernix caseosa
Q3) Which of the following would be considered a normal assessment finding in a 1-day postpartum patient?
A)Pinkish to brown lochia
B)Voiding frequently 50 to 75 mL of urine
C)Complaining of "after pains"
D)Fundus 1 cm above the umbilicus
Q4) Why is vitamin K given by injection to the newborn?
A)Most mothers have a vitamin K deficiency that develops during pregnancy.
B)Bacteria that synthesize vitamin K are not present in newborns.
C)Vitamin K prevents the synthesis of prothrombin.
D)The newborn does not store vitamin K.
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Chapter
Family With Special Needs
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A patient presents with symptoms of abruptio placentae.To facilitate uterine-placental perfusion,in what position would the nurse place the patient?
A)Prone position
B)Trendelenburg's position
C)Supine position
D)Modified side-lying position
Q2) What is the usual treatment for severe postpartum depression?
A)Improved nutrition
B)Vitamin therapy
C)Pharmacologic interventions
D)Support group therapy
Q3) The nurse is assessing a "kick count" for a patient with gestational hypertension.What result should be a cause for concern?
A)Less than three kicks per hour
B)Less than five kicks per hour
C)Less than seven kicks per hour
D)Less than nine kicks per hour
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Page 31
Chapter 30: Health Promotion for the Infant, child, and Adolescent
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Q1) What are reasons that a pediatric nurse should stress that health promotion activities must be ongoing? (Select all that apply.)
A)To identify health risks
B)To encourage healthy behavior
C)To strengthen family bonds
D)To improve nutrition
E)To prevent accidents
Q2) Which children must be secured in the back seat in a rear-facing safety seat?
A)Children weighing up to 20 lb
B)Children weighing between 20 and 30 lb
C)Children weighing between 30 and 40 lb
D)Children weighing more than 40 lb
Q3) A major dental problem among very young children is bottle mouth caries.What is a preventive measure the nurse should suggest?
A)Juice at bedtime
B)Milk at bedtime
C)A sugar-coated pacifier
D)Water at bedtime
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Chapter 31: Basic Pediatric Nursing Care
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42 Flashcards
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Sample Questions
Q1) What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid analgesic?
A)The opioid is likely to cause significant respiratory depression.
B)The medicine is prescribed with the knowledge that addiction may occur.
C)The opioid is very effective as a pain control method.
D)The opioid is only to be given in cases of severe pain.
Q2) The parents ask about preparation of their toddler for hospital admission.When does the nurse suggest that the parents tell their toddler of the admission?
A)A week prior
B)2 weeks prior
C)The day of admission
D)Only 2 or 3 days before
Q3) What should be the focus of a practice where the pediatric nurse uses a developmental approach?
A)Stimulation of the child to reach expected norms
B)Age-centered care plans
C)Strengths and abilities of the child
D)Characteristics for the particular age
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Chapter 32: Care of the Child With a Physical and Mental or Cognitive Disorder
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Q1) Following a bout of diarrhea,which foods should be offered to the school-age child?
A)Apricots and peaches
B)Chocolate milk
C)Applesauce and milk
D)Bananas and rice
Q2) Parents of a 5-year-old child diagnosed as cognitively impaired have come to the nurse to discuss different approaches to the ongoing care of their child.The nurse should suggest focusing on what activity?
A)Acquiring job skills
B)Making decisions
C)Performing self-care activities
D)Reading and doing simple math
Q3) Recurrent abdominal pain (RAP)is most often seen in school-age or adolescent children.The nurse should assess closely for what potential problems?
A)Physical problems
B)Relational problems
C)Eating disorders
D)Emotional problems
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Chapter 33: Health Promotion and Care of the Older Adult
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Sample Questions
Q1) The nurse recognizes that a term referring to mechanical difficulty of swallowing is
Q2) The older adult female patient is concerned about incontinence when she sneezes.What is the correct terminology for this type of incontinence?
A)Urge incontinence
B)Stress incontinence
C)Overflow incontinence
D)Functional incontinence
Q3) Which statements are myths that have been disproved concerning aging? (Select all that apply.)
A)All older adults are senile.
B)Most older adults live in their own homes.
C)Older adults are poor.
D)Older adults have frequent contact with family members.
E)Older adults are disabled.
Q4) When bathing an 80-year-old woman who lives on a farm,the nurse assesses brown macules on the patient's hands and forearms.The nurse recognizes these as
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Chapter 34: Concepts of Mental Health
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Sample Questions
Q1) Which theorist believed that personality development was based on task mastery?
A)Sigmund Freud
B)Erik Erikson
C)Jean Piaget
D)Friedrich Nietzsche
Q2) When was psychiatric training for nurses initially offered?
A)1852
B)1882
C)1902
D)1922
Q3) When assisting the older adult who is despondent about the need to leave his home,what technique should the nurse use?
A)Ask him if he has a drinking problem.
B)Explore the option of his moving in with someone.
C)Reminisce with the patient and review his life.
D)Assess for hopelessness and helplessness.
Q4) In the movie Gone With the Wind,Scarlett O'Hara says,"I'll think about that tomorrow.Tomorrow is another day." The nurse recognizes the defense mechanism of
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Chapter 35: Care of the Patient With a Psychiatric Disorder
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Sample Questions
Q1) What is the prognosis for a schizophrenic patient who is exhibiting positive behaviors?
A)Guarded
B)Poor
C)Good
D)Repeatable
Q2) What is the typical schedule for electroconvulsive therapy (ECT)?
A)3 treatments over 2 weeks
B)6 treatments over 2 months
C)8 treatments over several weeks
D)10 treatments over several weeks
Q3) When a patient demonstrates accelerated heart rate,trembling,choking,and chest pain along with acute,intense,and overwhelming anxiety,the nurse should recognize that the patient is most likely experiencing what condition?
A)Terror
B)Fright
C)Fear
D)Panic
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Chapter 36: Care of the Patient With an Addictive Personality
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Sample Questions
Q1) Alcohol is involved in motor vehicle accidents,suicides,and homicides.Approximately how many deaths each year are related to alcohol consumption?
A)58,000
B)78,000
C)88,000
D)108,000
Q2) When assessing an alcoholic patient,the nurse notes short-term memory loss,painful extremities,foot drop,and muttered incoherent responses to questions.The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse,which is known as __________ syndrome.
Q3) What should the nurse do when suspecting a coworker of abusing drugs while at work?
A)Confront the abuser.
B)Report observations to a supervisor.
C)Call the state board of nursing.
D)Discuss the problem with another coworker.
Q4) The nurse cautions that a person who chronically abuses drugs may experience mental impairment.The area of the brain that can be affected and permanently damaged is the ________ system.
Page 38
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Chapter 37: Home Health Nursing
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Sample Questions
Q1) How often must the home care treatment plan be recertified in order for the patient to continue to receive services?
A)Every 3 days
B)Every 60 days
C)Every 10 days
D)Every 2 weeks
Q2) What is an eligibility requirement for an individual to qualify for Medicare services?
A)Retired
B)At least 65 years old
C)Low-income
D)Poor health
Q3) Medicaid pays for home care services for people who have low incomes.Who administers the Medicaid program?
A)Federal government
B)City government
C)State government
D)County government
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Chapter 38: Long-Term Care
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Sample Questions
Q1) Two unique members of the care giving team in a long-term care facility are the certified medication aide/technician and the ___________ assistant.
A)dental
B)certified medication
C)restorative nursing
D)medical
Q2) When a patient asks why he must be transferred to a subacute unit from the hospital,what would be an appropriate response by the nurse?
A)Reimbursement guidelines limit adults' stays in an acute setting.
B)The health care provider can oversee care more closely in a subacute setting.
C)Financial restrictions of insurance limit time spent in an acute care setting.
D)Cost and services at the acute care setting are the same as at the hospital.
Q3) Although the Occupational Safety and Health Act (OSHA)increases the cost of care,what is a benefit that it provides for long-term care?
A)It ensures a safe environment for personnel.
B)It ensures that medications are administered safely.
C)It ensures that food is prepared safely.
D)It ensures safe ambulation and transportation of patients.
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Page 40
Chapter 39: Rehabilitation Nursing
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Sample Questions
Q1) When changing the position of a patient with a spinal cord injury at T4,the nurse should recognize that what symptom is an indication of an episode of autonomic dysreflexia?
A)Nausea
B)Pallor
C)Goose bumps
D)Dizziness
Q2) Which is a characteristic of the interdisciplinary approach to the rehabilitation team?
A)Each discipline makes its own goals for the patient.
B)There are clear boundaries between the disciplines.
C)There is a combination of expanded problem solving beyond the boundaries of the individual disciplines.
D)Cross-trained people are used who have functional ability in two or more disciplines.
Q3) The rehabilitation nurse assesses localized edema around the knee of a patient with paraplegia.The nurse suspects that this is the first sign of __________ ossification.
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Chapter 40: Hospice Care
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Sample Questions
Q1) The patient informs the hospice nurse,"I'm not sold on this hospice thing.I'm not looking for Jesus,I'm just dying." What would be the most therapeutic response by the nurse?
A)"Spiritualism is as you define it."
B)"Rejecting the spiritual aspect of yourself may not be in your best interest."
C)"Hospice service is about how to make your remaining time meaningful."
D)"Based on what you say,hospice service may not answer your needs."
Q2) What is the most common problem of the terminally ill patient that is caused by narcotics?
A)Malnutrition
B)Constipation
C)Fluid retention
D)Dehydration
Q3) Why should the hospice nurse delay the use of oropharyngeal suctioning?
A)It will decrease mucus production.
B)It will be uncomfortable for the patient.
C)It is not necessary.
D)It puts the patient at risk for infection.
Q4) When the dying patient becomes confused,the nurse should ____________ him or her.
Page 42
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Chapter 41: Professional Roles and Leadership
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Sample Questions
Q1) A nursing instructor is preparing her class for the NCLEX-PN examination.Which statements by the students indicate understanding of the testing process? (Select all that apply.)
A)"It will be a computerized adaptive test."
B)"I will have a maximum of 265 questions."
C)"The maximum time allowed for testing is 5 hours."
D)"The minimum number of questions on the test is 60."
E)"My state board of nursing must approve my application to test."
Q2) What is the physical,emotional,and spiritual exhaustion that can occur among caregivers?
A)Excessiveness
B)Burnout
C)Fatigue
D)Weariness
Q3) Which employment setting would likely involve a daytime schedule with weekends off,and would focus on prevention and patient teaching?
A)Long-term care
B)Health care provider's office
C)Hospice setting
D)Adult day care
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