Nursing Practice I Chapter Exam Questions
Course Introduction
Nursing Practice I introduces students to the foundational concepts, skills, and professional attitudes necessary for beginning nursing practice. The course emphasizes holistic patient care, basic clinical skills, communication, health assessment, and safety within a variety of healthcare settings. Students engage in both classroom instruction and supervised clinical experiences to develop competencies in patient care, documentation, infection control, and teamwork, laying the groundwork for advanced studies in nursing practice.
Recommended Textbook Fundamentals of Nursing 9th Edition by Potter
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Chapter 1: Nursing Today
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Sample Questions
Q1) The nurse has been working in the clinical setting for several years as an advanced practice nurse. However, the nurse has a strong desire to pursue research and theory development. To fulfill this desire, which program should the nurse attend?
A) Doctor of Nursing Science degree (DNSc)
B) Doctor of Philosophy degree (PhD)
C) Doctor of Nursing Practice degree (DNP)
D) Doctor in the Science of Nursing degree (DSN)
Answer: B
Q2) An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to the obstetrical floor?
A) Novice
B) Proficient
C) Competent
D) Advanced beginner
Answer: A
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Chapter 2: The Health Care Delivery System
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Q1) A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?
A) Primary care
B) Preventive care
C) Restorative care
D) Continuing care
Answer: B
Q2) Which government-instituted programs should the nurse include in a teaching session about controlling health care costs? (Select all that apply.)
A) Professional standards review organizations
B) Prospective payment systems
C) Diagnosis-related groups
D) Third-party payers
E) "Never events"
Answer: A, B, C
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4
Chapter 3: Community-Based Nursing Practice
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Sample Questions
Q1) A nurse is working as a community health nurse. Which action is a \(\bold{priority}\) for this nurse?
A) Provide direct care to subpopulations.
B) Focus on the needs of the ill individual.
C) Provide first level of contact to health care systems.
D) Focus on providing care in various community settings.
Answer: A
Q2) A nurse attended a seminar on community-based health care. Which information indicates the nurse has a good understanding of community-based health care?
A) It occurs in hospitals.
B) Its focus is on ill individuals.
C) Its priority is health promotion.
D) It provides services primarily to the poor.
Answer: C
Q3) Structure
A)Education level
B)Housing
C)Government
Answer: B
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Page 5
Chapter 4: Theoretical Foundations of Nursing Practice
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Q1) The home health nurse listens to the patient's concerns about having "open-heart" surgery. The nurse explains the different surgical procedures and other options, like cardiac rehabilitation. After several visits, the patient wants cardiac rehabilitation. The nurse notifies the health care provider and sets up a referral. Which theory is the nurse using?
A) Peplau's theory
B) Henderson's theory
C) Nightingale's theory
D) Orem's self-care deficit theory
Q2) A nurse is using theoretical knowledge in nursing practice to provide patient care. Which nursing behavior is an example of theoretical knowledge?
A) Reads about different concepts
B) Reflects on clinical experiences
C) Combines the art and science of nursing
D) Creates a narrow understanding of nursing practice
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6
Chapter 5: Evidence-Based Practice
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Q1) A nurse is reviewing literature for an evidence-based practice study. Which study should the nurse use for the \(\bold{most}\) reliable level of evidence that uses statistics to show effectiveness?
A) Meta-analysis
B) Systematic review
C) Single random controlled trial
D) Control trial without randomization
Q2) After reviewing the literature, the evidence-based practice committee institutes a practice change that bedrails should be left in the down position and hourly nursing rounds should be conducted. The results indicate over a 40% reduction in falls. What is the committee's next step?
A) Evaluate the changes in 1 month.
B) Implement the changes as a pilot study.
C) Wait a month before implementing the changes.
D) Communicate to staff the results of this project.
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Chapter 6: Health and Wellness
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Sample Questions
Q1) The patient had a colostomy placed 1 week ago. When approached by the nurse, the patient and spouse refuse to talk about it and refuse to be taught about how to care for it. How will the nurse evaluate this couple's stage of adjustment?
A) Shock
B) Withdrawal
C) Acceptance
D) Rehabilitation
Q2) The nurse is preparing a smoking cessation class for family members of patients with lung cancer. The nurse believes that the class will convert many smokers to nonsmokers once they realize the benefits of not smoking. Which health care model is the nurse following?
A) Health belief model
B) Holistic health model
C) Health promotion model
D) Maslow's hierarchy of needs
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Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) Which actions by the nurse should be done in order to get to know the patient? (Select all that apply.)
A) Avoid assumptions
B) Focus on the patient
C) Engage in a caring relationship
D) Form the relationship very quickly
E) Not address spiritual or higher needs
Q2) A nurse cares for patients. Which areas does caring influence? (Select all that apply.)
A) The way in which patients feel
B) The way in which patients learn
C) The way in which patients think
D) The way in which patients study
E) The way in which patients behave
Q3) A nurse provides care that is receptive to patients' and families' perceptions of caring. Which action will the nurse take?
A) Provides clear, accurate information
B) Just performs nursing tasks competently
C) Does as much for the patient as possible
D) Focuses solely on the patient's diagnosis
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Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) A cancer survivor patient has anxiety and depression. Which therapies should the nurse include in the plan of care? (Select all that apply.)
A) Keep information to a minimum with health care providers.
B) Teach the use of problem-oriented coping processes.
C) Encourage the use of social support systems.
D) Use cognitive behavioral interventions.
E) Schedule exercise when convenient.
Q2) A nurse is working in a cancer facility that follows the Institute of Medicine's (IOM) recommendations for essential components of survivorship care. Which recommendations will be the nurse's focus? (Select all that apply.)
A) Cessation of noncancer follow-up and care
B) Prevention and detection of new and recurrent cancers
C) Intervention for consequences of cancer and its treatment
D) Coordination between specialists and primary care providers
E) Surveillance for cancer spread, recurrence, or second cancers
Q3) The family caregiving pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
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Page 10
Chapter 9: Cultural Awareness
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Q1) Cultural awareness
A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills
Q2) A nurse is performing a cultural assessment using the ETHNIC mnemonic for communication. Which area will the nurse assess for the "H"?
A) Health
B) Healers
C) History
D) Homeland
Q3) A nurse is using the RESPECT mnemonic to establish rapport, the "R" in RESPECT. Which actions should the nurse take? (Select all that apply.)
A) Connect on a social level.
B) Help the patient overcome barriers.
C) Consciously attempt to suspend judgment.
D) Stress that they will be working together to address problems.
E) Know limitations in addressing medical issues across cultures.
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Page 11
Chapter 10: Caring for Families
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Sample Questions
Q1) A nurse is caring for a patient from a motor vehicle accident. Which action by the unlicensed assistive personnel will cause the nurse to intervene?
A) Tells the family not to leave the bedside
B) Offers the family a sandwich
C) Gives the family a blanket
D) Sits with the family
Q2) A nurse is using the family as context approach to provide care to a patient. What should the nurse do next?
A) Assess family patterns versus individual characteristics.
B) Assess how much the family provides the patient's basic needs.
C) Use "family as patient" and "family as context" approaches simultaneously.
D) Plan care to meet not only the patient's needs but those of the family as well.
Q3) Who at your workplace is close to the family?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
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Chapter 11: Developmental Theories
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Sample Questions
Q1) A nurse is assessing a 17-year-old adolescent's cognitive development. Which behavior indicates the adolescent has reached formal operations?
A) Uses play to understand surroundings
B) Discusses the topic of justice in society
C) Hits other students to deal with environmental change
D) Questions where the ice is hiding when ice has melted in a drink
Q2) The nurse is teaching the parents of a 3-year-old child who is at risk for developmental delays. Which instruction will the nurse include in the teaching plan?
A) Insist that your child discuss various points of view.
B) Encourage play as your child is exploring the surroundings.
C) Discuss world events with your child to foster language development.
D) Actively encourage your child to read lengthy books to foster reading abilities.
Q3) Which action should the nurse take when teaching a 5-year-old patient about a scheduled surgery?
A) Do not discuss the procedure with the child to decrease anxiety.
B) Let the child know the surgery will be at 9:00 AM in the morning.
C) Insist that the parents wait outside the room to ensure privacy of the child.
D) Allow the child to touch and hold medical equipment such as thermometers.
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Chapter 12: Conception Through Adolescence
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Q1) Which statement, if made by a parent, will require further instruction from the nurse?
A) "I should not be surprised that my teenage son has so many friends."
B) "I get worried because my teenage son thinks he's indestructible."
C) "I should cover for my 10-year-old son when he makes mistakes until he learns the ropes."
D) "I usually have nutritious snacks available because my 10-year-old son is always hungry right after school."
Q2) A nurse is teaching parents about appropriate activities for different age groups. Which toy, if selected by the parent of a 12-month-old infant, will indicate a correct understanding of the teaching?
A) Busy box
B) Electronic games
C) Game requiring two to four people
D) Small, plastic alphabet letters and magnets
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14
Chapter 13: Young and Middle Adults
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Sample Questions
Q1) A nurse is planning care for young-adult patients. Which information should the nurse consider when planning care?
A) Fertility issues do not occur in young adulthood.
B) Young adults tend to suffer more from severe illness.
C) Substance abuse is easy to observe in young-adult patients.
D) Young adults are quite active but are at risk for illness in later years.
Q2) Dry cleaners
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
Q3) Insulators
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
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Chapter 14: Older Adult
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Sample Questions
Q1) An older-adult patient has developed acute confusion. The patient has been on tranquilizers for the past week. The patient's vital signs are normal. What should the nurse do?
A) Take into account age-related changes in body systems that affect pharmacokinetic activity.
B) Increase the dose of tranquilizer if the cause of the confusion is an infection.
C) Note when the confusion occurs and medicate before that time.
D) Restrict phone calls to prevent further confusion.
Q2) A nurse is caring for an older adult. Which goal is \(\bold{priority}\)?
A) Adjusting to career
B) Adjusting to divorce
C) Adjusting to retirement
D) Adjusting to grandchildren
Q3) A nurse is observing for the universal loss in an older-adult patient. What is the nurse assessing?
A) Loss of finances through changes in income
B) Loss of relationships through death
C) Loss of career through retirement
D) Loss of home through relocation
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Page 16
Chapter 15: Critical Thinking in Nursing Practice
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Q1) A nurse is pulled from the surgical unit to work on the oncology unit. Which action by the nurse displays humility and responsibility?
A) Refusing the assignment
B) Asking for an orientation to the unit
C) Admitting lack of knowledge and going home
D) Assuming that patient care will be the same as on the other units
Q2) The nurse enters a room to find the patient sitting up in bed crying. How will the nurse display a critical thinking attitude in this situation?
A) Provide privacy and check on the patient 30 minutes later.
B) Set a box of tissues at the patient's bedside before leaving the room.
C) Limit visitors while the patient is upset.
D) Ask the patient about the crying.
Q3) A nurse is using professional standards to influence clinical decisions. What is the rationale for the nurse's actions?
A) Establishes minimal passing standards for testing
B) Utilizes evidence-based practice based on nurses' needs
C) Bypasses the patient's feelings to promote ethical standards
D) Uses critical thinking for the highest level of quality nursing care
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Chapter 16: Nursing Assessment
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Q1) A new nurse is completing an assessment on an 80-year-old patient who is alert and oriented. The patient's daughter is present in the room. Which action by the nurse will require follow-up by the charge nurse?
A) The nurse makes eye contact with the patient.
B) The nurse speaks only to the patient's daughter.
C) The nurse leans forward while talking with the patient.
D) The nurse nods periodically while the patient is speaking.
Q2) Severity
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
Q3) Provokes
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
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Page 18
Chapter 17: Nursing Diagnosis
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Q1) After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is the rationale for the nurse's actions?
A) To form a language that can be encoded only by nurses
B) To distinguish the nurse's role from the physician's role
C) To develop clinical judgment based on other's intuition
D) To help nurses focus on the scope of medical practice
Q2) The patient database reveals that a patient has decreased oral intake, decreased oxygen saturation when ambulating, reports of shortness of breath when getting out of bed, and a productive cough. Which elements will the nurse identify as defining characteristics for the diagnostic label of Activity intolerance?
A) Decreased oral intake and decreased oxygen saturation when ambulating
B) Decreased oxygen saturation when ambulating and reports of shortness of breath when getting out of bed
C) Reports of shortness of breath when getting out of bed and a productive cough
D) Productive cough and decreased oral intake
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19
Chapter 18: Planning Nursing Care
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Q1) A charge nurse is reviewing outcome statements using the SMART approach. Which patient outcome statement will the charge nurse praise to the new nurse?
A) The patient will ambulate in hallways.
B) The nurse will monitor the patient's heart rhythm continuously this shift.
C) The patient will feed self at all mealtimes today without reports of shortness of breath.
D) The nurse will administer pain medication every 4 hours to keep the patient free from discomfort.
Q2) A patient has reduced muscle strength following a left-sided stroke and is at risk for falling. Which intervention is most appropriate for the nursing diagnostic statement Risk for falls?
A) Keep all side rails down at all times.
B) Encourage patient to remain in bed most of the shift.
C) Place patient in room away from the nurses' station if possible.
D) Assist patient into and out of bed every 4 hours or as tolerated.
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Chapter 19: Implementing Nursing Care
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Q1) Vital signs for a patient reveal a high blood pressure of 187/100. Orders state to notify the health care provider for diastolic blood pressure greater than 90. What is the nurse's first action?
A) Follow the clinical protocol for a stroke.
B) Review the most recent lab results for the patient's potassium level.
C) Assess the patient for other symptoms or problems, and then notify the health care provider.
D) Administer an antihypertensive medication from the stock supply, and then notify the health care provider.
Q2) The nurse establishes trust and talks with a school-aged patient before administering an injection. Which type of implementation skill is the nurse using?
A) Cognitive
B) Interpersonal
C) Psychomotor
D) Judgmental
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Chapter 20: Evaluation
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Q1) A nurse is providing education to a patient about self-administering subcutaneous injections. The patient demonstrates the self-injection. Which type of indicator did the nurse evaluate?
A) Health status
B) Health behavior
C) Psychological self-control
D) Health service utilization
Q2) A nurse is caring for a group of patients. Which evaluative measures will the nurse use to determine a patient's responses to nursing care? (Select all that apply.)
A) Observations of wound healing
B) Daily blood pressure measurements
C) Findings of respiratory rate and depth
D) Completion of nursing interventions
E) Patient's subjective report of feelings about a new diagnosis of cancer
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22
Chapter 21: Managing Patient Care
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Q1) Which approach will be most appropriate for a nurse to take when faced with the challenge of performing many tasks in one shift?
A) Do as much as possible by oneself before seeking assistance from others.
B) Evaluate the effectiveness of all tasks when all tasks are completed.
C) Complete one task before starting another task.
D) Delegate tasks the nurse does not like doing.
Q2) A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistive personnel. The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus. Which action should the nurse take next?
A) Ask the nursing assistive personnel to observe while the nurse performs catheter care.
B) Leave the room and ask the nursing assistive personnel to go back and perform proper catheter care.
C) Tell the nursing assistive personnel that catheter care is sloppy.
D) Remove the catheter.
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23
Chapter 22: Ethics and Values
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Q1) Which action by the nurse indicates a safe and efficient use of social networks?
A) Promotes support for a local health charity
B) Posts a picture of a patient's infected foot
C) Vents about a patient problem at work
D) Friends a patient
Q2) A nurse is discussing quality of life issues with another colleague. Which topic will the nurse acknowledge for increased attention paid to quality of life concerns?
A) Health care disparities
B) Aging of the population
C) Abilities of disabled persons
D) Health care financial reform
Q3) During a severe respiratory epidemic, the local health care organizations decide to give health care workers priority access to ventilators over other members of the community who also need that resource. Which philosophy would give the strongest support for this decision?
A) Deontology
B) Utilitarianism
C) Ethics of care
D) Feminist ethics
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Page 24
Chapter 23: Legal Implications in Nursing Practice
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Q1) Invasion of privacy
A)Nurse posts about patient's loud and unruly family members.
B)Nurse immediately applies restraints to make patient stay in bed.
C)Nurse leaves bed in high position, causing patient to fall and break hip.
D)Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet.
E)Nurse applies abdominal bandage after refusal.
F)Nurse gets angry at patient and nurse leaves the hospital.
Q2) Abandonment
A)Nurse posts about patient's loud and unruly family members.
B)Nurse immediately applies restraints to make patient stay in bed.
C)Nurse leaves bed in high position, causing patient to fall and break hip.
D)Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet.
E)Nurse applies abdominal bandage after refusal.
F)Nurse gets angry at patient and nurse leaves the hospital.
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25
Chapter 24: Communication
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Q1) A nurse is using therapeutic communication with a patient. Which technique will the nurse use to ensure effective communication?
A) Interpersonal communication to change negative self-talk to positive self-talk
B) Small group communication to present information to an audience
C) Electronic communication to assess a patient in another city
D) Intrapersonal communication to build strong teams
Q2) The staff is having a hard time getting an older-adult patient to communicate. Which technique should the nurse suggest the staff use?
A) Try changing topics often.
B) Allow the patient to reminisce.
C) Ask the patient for explanations.
D) Involve only the patient in conversations.
Q3) A nurse is sitting at the patient's bedside taking a nursing history. Which zone of personal space is the nurse using?
A) Socio-consultative
B) Personal
C) Intimate
D) Public
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Chapter 25: Patient Education
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Q1) A patient has been taught how to change a colostomy bag but is having trouble measuring and manipulating the equipment and has many questions. What is the nurse's next action?
A) Refer to a mental health specialist.
B) Refer to a wound care specialist.
C) Refer to an ostomy specialist.
D) Refer to a dietitian.
Q2) A nurse is trying to help a patient begin to accept the chronic nature of diabetes. Which teaching technique should the nurse use to enhance learning?
A) Lecture
B) Role play
C) Demonstration
D) Question and answer sessions
Q3) A nurse is teaching a group of healthy adults about the benefits of flu immunizations. Which type of patient education is the nurse providing?
A) Health analogies
B) Restoration of health
C) Coping with impaired functions
D) Promotion of health and illness prevention
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Page 27
Chapter 26: Documentation and Informatics
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Q1) A nurse preceptor is working with a student nurse. Which behavior by the student nurse will require the nurse preceptor to intervene?
A) The student nurse reads the patient's plan of care.
B) The student nurse reviews the patient's medical record.
C) The student nurse shares patient information with a friend.
D) The student nurse documents medication administered to the patient.
Q2) A nurse is teaching the staff about health care reimbursement. Which information should the nurse include in the teaching session?
A) Home health, long-term care, and hospital nurses' documentation can affect reimbursement for health care.
B) A clinical information system must be installed by 2014 to obtain health care reimbursement.
C) A "near miss" helps determine reimbursement issues for health care.
D) HIPAA is the basis for establishing reimbursement for health care.
Q3) D
A)Applied oxygen, stayed with patient, and instructed to slow breathing.
B)Patient states, "feel better," respirations 16 with O<sub>2</sub> saturations 96%.
C)Patient states, "can't catch my breath and chest hurts." Confused.
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Chapter 27: Patient Safety and Quality
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Q1) The nurse is assessing a patient for lead poisoning. Which patient is the nurse most likely assessing?
A) Young infant
B) Toddler
C) Preschooler
D) Adolescent
Q2) A home health nurse is assessing a family's home after the birth of an infant. A toddler also lives in the home. Which finding will cause the nurse to follow up?
A) Plastic grocery bags are neatly stored under the counter.
B) Electric outlets are covered in all rooms.
C) No bumper pads are in the crib.
D) Crib slats are 5 cm apart.
Q3) The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous (IV) infusion. Which priority action will the nurse take?
A) Assess the patient.
B) Gather restraint supplies.
C) Try alternatives to restraint.
D) Call the health care provider for a restraint order.
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Chapter 28: Immobility
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Q1) The patient has the nursing diagnosis of Impaired physical mobility related to pain in the left shoulder. Which \(\bold{priority}\) action will the nurse take?
A) Encourage the patient to do self-care.
B) Keep the patient as mobile as possible.
C) Encourage the patient to perform ROM.
D) Assist the patient with comfort measures.
Q2) Kyphosis
A)Lateral-S- or C-shaped spinal column with vertebral rotation
B)Legs curved inward so knees come together as person walks
C)One or both legs bent outward at knee
D)Inclining of head to affected side
E)Exaggeration of anterior convex curve of lumbar spine
F)Increased convexity in curvature of thoracic spine
Q3) The nurse is preparing to lift a patient. Which action will the nurse take first?
A) Position a drawsheet under the patient.
B) Assess weight and determine assistance needs.
C) Delegate the task to a nursing assistive personnel.
D) Attempt to manually lift the patient alone before asking for assistance.
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Chapter 29: Infection Prevention and Control
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46 Flashcards
Source URL: https://quizplus.com/quiz/2408
Sample Questions
Q1) The patient experienced a surgical procedure, and Betadine was utilized as the surgical prep. Two days postoperatively, the nurse's assessment indicates that the incision is red and has a small amount of purulent drainage. The patient reports tenderness at the incision site. The patient's temperature is 100.5° F, and the WBC is 10,500/mm³. Which action should the nurse take first?
A) Plan to change the surgical dressing during the shift.
B) Utilize SBAR to notify the primary health care provider.
C) Reevaluate the temperature and white blood cell count in 4 hours.
D) Check to see what solution was used for skin preparation in surgery.
Q2) The nurse is caring for a patient who becomes nauseated and vomits without warning. The nurse has contaminated hands. Which action is best for the nurse to take next?
A) Wash hands with an antimicrobial soap and water.
B) Clean hands with wipes from the bedside table.
C) Use an alcohol-based waterless hand gel.
D) Wipe hands with a dry paper towel.
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Chapter 30: Vital Signs
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Sample Questions
Q1) A nurse is focusing on temperature regulation of newborns and infants. Which action will the nurse take?
A) Apply just a diaper.
B) Double the clothing.
C) Place a cap on their heads.
D) Increase room temperature to 90 degrees.
Q2) The nurse needs to obtain a radial pulse from a patient. What must the nurse do to obtain a correct measurement?
A) Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.
B) Place the tips of the first two fingers over the groove along the little finger side of the patient's wrist.
C) Place the thumb over the groove along the little finger side of the patient's wrist.
D) Place the thumb over the groove along the thumb side of the patient's wrist.
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Chapter 31: Health Assessment and Physical Examination
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Sample Questions
Q1) A parent calls the school nurse with questions regarding the recent school vision screening. Snellen chart examination revealed 20/60 for both eyes. Which response by the nurse is the best regarding the eye examination results?
A) Your child needs to see an ophthalmologist.
B) Your child is suffering from strabismus.
C) Your child may have presbyopia.
D) Your child has cataracts.
Q2) Melena
A)Lower extremity swollen and warm with normal pulse
B)Neck vein visible when sitting
C)Spoon nails
D)Lower extremity pale and cool with decreased pulse
E)Ringing in ears
F)Swayback
G)Black, tarry stools
Q3) The nurse is assessing skin turgor. Which technique will the nurse use?
A) Press lightly on the forearm.
B) Press lightly on the fingertips.
C) Grasp a fold of skin on the sternal area.
D) Grasp a fold of skin on the back of the hand.
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Chapter 32: Medication Administration
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50 Flashcards
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Sample Questions
Q1) A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse obtain to administer the medication?
A) 3-mL syringe
B) U-100 syringe
C) Needleless syringe
D) Tuberculin syringe
Q2) The supervising nurse is watching nurses prepare medications. Which action by one of the nurses will the supervising nurse stop immediately?
A) Rolls insulin vial between hands
B) Administers a dose of correction insulin
C) Draws up glargine (Lantus) in a syringe by itself
D) Prepares NPH insulin to be given intravenously (IV)
Q3) The patient is to receive amoxicillin 500 mg q8h; the medication is dispensed at 250 mg/5 mL. How many milliliters will the nurse administer for one dose? Record your answer using a whole number. ___ mL
Q4) The nurse is administering 250 mg of a medication elixir to the patient. The medication comes in a dose of 1000 mg/5 mL. How many milliliters should the nurse administer? Record your answer using two decimal places. ____ mL
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Chapter 33: Complementary and Alternative Therapies
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27 Flashcards
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Sample Questions
Q1) A patient describes practicing a complementary and alternative therapy involving breathwork and yoga. The nurse also recommends using energy field therapies. Which techniques did the nurse suggest?
A) Prayer and tai chi
B) The "zone" and acupressure
C) Massage therapy and ayurveda
D) Reiki therapy and therapeutic touch
Q2) Which patient will cause the nurse to question an order for acupuncture?
A) A patient with AIDS
B) A patient with osteoarthritis
C) A patient with low back pain
D) A patient with migraine headaches
Q3) A therapeutic touch practitioner scans the patient's body. What is the purpose of the practitioner's actions?
A) To identify blocked moxibustion
B) To identify universal life energy
C) To identify energy obstructions
D) To identify structural and functional imbalance
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Chapter 34: Self-Concept
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Sample Questions
Q1) A nurse is teaching a patient about self-concept. Which information from the patient indicates a correct understanding of the teaching?
A) Self-concept is how a person feels about others.
B) Self-concept is how a person thinks about others.
C) Self-concept is how a person feels about oneself.
D) Self-concept is how a person thinks about oneself.
Q2) A nurse is completing a history on a patient with role conflict. Which finding is consistent with role conflict?
A) A patient is unsure about job expectations in a fast-paced company.
B) A patient has to travel for work and misses children's birthdays.
C) A patient feels less of a man after a leg amputation.
D) A patient loses a job from the company's downsizing.
Q3) Identity confusion
A)I am ugly with all these burn scars.
B)I am one with the universe.
C)I am good for nothing.
D)I am a good mother.
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Chapter 35: Sexuality
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23 Flashcards
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Sample Questions
Q1) An older couple expresses concern because they are easily fatigued during sexual intercourse and cannot reach climax. Which strategies to increase sexual stamina will the nurse offer? (Select all that apply.)
A) Plan sexual activity around a time when the couple feels rested.
B) Encourage intimate touching, such as hugging and kissing.
C) Use extra lubrication to decrease discomfort.
D) Take pain medication before intercourse.
E) Avoid alcohol and tobacco.
F) Eat well-balanced meals.
Q2) An 18-year-old male patient informs the nurse that he isn't sure if he is homosexual because he is attracted to both genders. Which response by the nurse will help establish a trusting relationship?
A) "Don't worry. It's just a phase you will grow out of."
B) "Those are abnormal impulses. You should seek therapy."
C) "At your age, it is normal to be curious about both genders."
D) "Having questions about sexuality is normal but if these sexual activities make you feel bad you should stop."
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Chapter 36: Spiritual Health
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25 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who has been diagnosed with a terminal illness. The patient states, "I just don't feel like going to work. I have no energy, and I can't eat or sleep." The patient shows no interest in taking part in the care by saying, "What's the use?" Which response by the nurse is best?
A) It sounds like you have lost hope.
B) It sounds like you have lost energy.
C) It sounds like you have lost your appetite.
D) It sounds like you have lost the ability to sleep.
Q2) In caring for the patient's spiritual needs, the nurse asks 20 questions to assess the patient's relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?
A) The spiritual well-being scale
B) The FICA assessment tool
C) Belief tool
D) Hope scale
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Chapter 37: The Experience of Loss, Death, and Grief
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Sample Questions
Q1) An Orthodox Jewish rabbi has been pronounced dead. The nursing assistive personnel respectfully ask family members to leave the room and go home as postmortem care is provided. Which statement from the supervising nurse is best?
A) "I should have called a male colleague to handle the body."
B) "Family members stay with the body until burial the next day."
C) "I wish they would go home because we have work to do here."
D) "Family will quietly leave after praying and touching the rabbi's head."
Q2) A veteran is hospitalized after surgical amputation of both lower extremities owing to injuries sustained during military service. Which type of loss will the nurse focus the plan of care on for this patient?
A) Perceived loss
B) Situational loss
C) Maturational loss
D) Uncomplicated loss
Q3) A nurse is providing postmortem care. Which action will the nurse take?
A) Leave dentures in the mouth.
B) Lower the head of the bed.
C) Cover the body with a sterile sheet.
D) Remove all tubes for an autopsy.
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Page 39
Chapter 38: Stress and Coping
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21 Flashcards
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Sample Questions
Q1) A nurse is teaching guided imagery to a prenatal class. Which technique did the nurse describe?
A) Singing
B) Massaging back
C) Listening to music
D) Using sensory peaceful words
Q2) A woman who was sexually assaulted a month ago presents to the emergency department with reports of recurrent nightmares, fear of going to sleep, repeated vivid memories of the sexual assault, and inability to feel much emotion. Which medical problem will the nurse expect to see documented in the chart?
A) General adaptation syndrome
B) Post-traumatic stress disorder
C) Acute stress disorder
D) Alarm reaction
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Chapter 39: Activity and Exercise
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34 Flashcards
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Sample Questions
Q1) A nurse is assisting the patient to perform isometric exercises. Which action will the nurse take?
A) Encourage wearing tight shoes.
B) Set the pace for the exercise session.
C) Stop the exercise if pain is experienced.
D) Force muscles or joints to go just beyond resistance.
Q2) The nurse is teaching a patient how to use a cane. Which information will the nurse include in the teaching session?
A) Place the cane at the top of the hip bone.
B) Place the cane on the stronger side of the body.
C) Place the cane in front of the body and then move the good leg.
D) Place the cane 10 to 15 inches in front of the body when walking.
Q3) A nurse notices that a patient has a structural curvature of the spine associated with vertebral rotation. Which condition will the nurse most likely find documented in the patient's medical record?
A) Scoliosis
B) Arthritis
C) Osteomalacia
D) Osteogenesis
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Page 41
Chapter 40: Hygiene
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Sample Questions
Q1) A nurse is providing a bath. In which order will the nurse clean the body, beginning with the first area?
1) Face
2) Eyes
3) Perineum
4) Arm and chest
5) Hands and nails
6) Back and buttocks
7) Abdomen and legs
A) 1, 2, 5, 4, 7, 6, 3
B) 2, 1, 4, 5, 7, 3, 6
C) 2, 1, 5, 4, 6, 7, 3
D) 1, 2, 4, 5, 3, 7, 6
Q2) The patient is reporting an inability to clear nasal passages. Which action will the nurse take?
A) Use gentle suction to prevent tissue damage.
B) Instruct patient to blow nose forcefully to clear the passage.
C) Place a dry washcloth under the nose to absorb secretions.
D) Insert a cotton-tipped applicator to the back of the nose.
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Page 42
Chapter 41: Oxygenation
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Sample Questions
Q1) A nurse is caring for a patient with left-sided hemiparesis who has developed bronchitis and has a heart rate of 105 beats/min, blood pressure of 156/90 mm Hg, and respiration rate of 30 breaths/min. Which nursing diagnosis is a priority?
A) Risk for skin breakdown
B) Impaired gas exchange
C) Activity intolerance
D) Risk for infection
Q2) A nurse is caring for a patient with sleep apnea. Which types of ventilator support should the nurse be prepared to administer for this patient? (Select all that apply.)
A) Assist-control (AC)
B) Pressure support ventilation (PSV)
C) Bilevel positive airway pressure (BiPAP)
D) Continuous positive airway pressure (CPAP)
E) Synchronized intermittent mandatory ventilation (SIMV)
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Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) A nurse is assessing a patient. Which assessment finding should cause a nurse to further assess for extracellular fluid volume deficit?
A) Moist mucous membranes
B) Postural hypotension
C) Supple skin turgor
D) Pitting edema
Q2) A nurse is caring for a diabetic patient with a bowel obstruction and has orders to ensure that the volume of intake matches the output. In the past 4 hours, the patient received dextrose 5% with 0.9% sodium chloride through a 22-gauge catheter infusing at 150 mL/hr and has eaten 200 mL of ice chips. The patient also has an NG suction tube set to low continuous suction that had 300-mL output. The patient has voided 400 mL of urine. After reporting these values to the health care provider, which order does the nurse anticipate?
A) Add a potassium supplement to replace loss from output.
B) Decrease the rate of intravenous fluids to 100 mL/hr.
C) Administer a diuretic to prevent fluid volume excess.
D) Discontinue the nasogastric suctioning.
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44
Chapter 43: Sleep
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Sample Questions
Q1) The nurse is evaluating outcomes for the patient with insomnia. Which key principle will the nurse consider during this process?
A) The patient is the best evaluator of sleep.
B) The nurse is the best evaluator of sleep.
C) Effective interventions are the best evaluators of sleep.
D) Observations of the patient are the best evaluators of sleep.
Q2) The nurse is caring for a patient in the intensive care unit who is having trouble sleeping. The nurse explains the purpose of sleep and its benefits. Which information will the nurse include in the teaching session? (Select all that apply.)
A) NREM sleep contributes to body tissue restoration.
B) During NREM sleep, biological functions increase.
C) Restful sleep preserves cardiac function.
D) Sleep contributes to cognitive restoration.
E) REM sleep decreases cortical activity.
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Chapter 44: Pain Management
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Sample Questions
Q1) A nurse is caring for a patient with chronic pain from arthritis. Which action is best for the nurse to take?
A) Give pain medications around the clock.
B) Administer pain medication before any activity.
C) Give pain medication after the pain is a 7/10 on the pain scale.
D) Administer pain medication only when nonpharmacological measures have failed.
Q2) Aggravating factors
A)Could you rate your pain on a scale of 0 to 10?
B)How often does it recur?
C)Could you point to the area of pain?
D)Do certain activities worsen the pain?
E)What does the pain feel like?
Q3) The nurse is caring for an infant in the intensive care unit. Which information should the nurse consider when planning care for this patient?
A) Infants cannot be assessed for pain.
B) Infants respond behaviorally and physiologically to painful stimuli.
C) Infants cannot tolerate analgesics owing to an underdeveloped metabolism.
D) Infants have a decreased sensitivity to pain when compared with older children.
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Chapter 45: Nutrition
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Sample Questions
Q1) The patient is to receive multiple medications via the nasogastric tube. The nurse is concerned that the tube may become clogged. Which action is \(\bold{best}\) for the nurse to take?
A) Instill nonliquid medications without diluting.
B) Irrigate the tube with 60 mL of water after all medications are given.
C) Mix all medications together to decrease the number of administrations.
D) Check with the pharmacy for availability of the liquid forms of medications.
Q2) The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?
A) Measuring capillary blood glucose level
B) Measuring nasoenteric tube for insertion
C) Measuring pH in gastrointestinal aspirate
D) Measuring the patient's risk for aspiration
Q3) The patient has just started on enteral feedings, and the patient is reporting abdominal cramping. Which action will the nurse take \(\bold{next}\)?
A) Slow the rate of tube feeding.
B) Instill cold formula to "numb" the stomach.
C) Change the tube feeding to a high-fat formula.
D) Consult with the health care provider about prokinetic medication.
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Page 47
Chapter 46: Urinary Elimination
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Sample Questions
Q1) A nurse is caring for a patient with a continent urinary reservoir. Which action will the nurse take?
A) Teach the patient how to self-cath the pouch.
B) Teach the patient how to perform Kegel exercises.
C) Teach the patient how to change the collection pouch.
D) Teach the patient how to void using the Valsalva technique.
Q2) Which clinical manifestation will the nurse expect to observe in a patient with excessive white blood cells present in the urine?
A) Reduced urine specific gravity
B) Increased blood pressure
C) Abnormal blood sugar
D) Fever with chills
Q3) Which findings should the nurse follow up on after removal of a catheter from a patient? (Select all that apply.)
A) Increasing fluid intake
B) Dribbling of urine
C) Voiding in small amounts
D) Voiding within 6 hours of catheter removal
E) Burning with the first couple of times voiding
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Page 48
Chapter 47: Bowel Elimination
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Sample Questions
Q1) A patient has a fecal impaction. Which portion of the colon will the nurse assess?
A) Descending
B) Transverse
C) Ascending
D) Rectum
Q2) A nurse is preparing to lavage a patient in the emergency department for an overdose. Which tube should the nurse obtain?
A) Ewald
B) Dobhoff
C) Miller-Abbott
D) Sengstaken-Blakemore
Q3) The nurse is devising a plan of care for a patient with the nursing diagnosis of Constipation related to opioid use. Which outcome will the nurse evaluate as successful for the patient to establish normal defecation?
A) The patient reports eliminating a soft, formed stool.
B) The patient has quit taking opioid pain medication.
C) The patient's lower left quadrant is tender to the touch.
D) The nurse hears bowel sounds in all four quadrants.
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Chapter 48: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a patient in the burn unit. Which type of wound healing will the nurse consider when planning care for this patient?
A) Partial-thickness repair
B) Secondary intention
C) Tertiary intention
D) Primary intention
Q2) The nurse is caring for a patient on the medical-surgical unit with a wound that has a drain and a dressing that needs changing. Which action should the nurse take \(\bold{first}\)?
A) Provide analgesic medications as ordered.
B) Avoid accidentally removing the drain.
C) Don sterile gloves.
D) Gather supplies.
Q3) Hydrogel
A)Absorbs drainage through the use of exudate absorbers in the dressing
B)Very soothing to the patient and do not adhere to the wound bed
C)Barrier to external fluids/bacteria but allows wound to "breathe"
D)Manufactured from seaweed and comes in sheet and rope form
E)Oldest and most common absorbent dressing
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Page 50
Chapter 49: Sensory Alterations
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Sample Questions
Q1) A nurse is teaching a patient about vision. In which order will the nurse describe the pathway for vision, beginning with the first structure?
1) Lens
2) Pupil
3) Retina
4) Cornea
5) Optic nerve
A) 2, 1, 4, 5, 3
B) 1, 2, 4, 3, 5
C) 4, 2, 1, 3, 5
D) 5, 2, 4, 1, 3
Q2) A nurse is working to prevent blindness. Which preventive action is a \(\bold{priority}\)?
A) Screen young adults early for visual impairments.
B) Include rubella and syphilis screening in the preconception care plan.
C) Instruct parents to report reduced eye contact from their child immediately.
D) Administer eye prophylactic antibiotics to newborns within 24 hours after birth.
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Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse is caring for a group of patients. Which patient will the nurse see \(\bold{first}\)?
A) A patient who had cataract surgery is coughing.
B) A patient who had vascular repair of the right leg is not doing right leg exercises.
C) A patient after knee surgery is wearing intermittent pneumatic compression devices and receiving heparin.
D) A patient after surgery has vital signs taken every 15 minutes twice, every 30 minutes twice, hourly for 2 hours then every 4 hours.
Q2) The patient has presented to the ambulatory surgery center to have a colonoscopy. The patient is scheduled to receive moderate sedation (conscious sedation) during the procedure. How will the nurse interpret this information?
A) The procedure results in loss of sensation in an area of the body.
B) The procedure requires a depressed level of consciousness.
C) The procedure will be performed on an outpatient basis.
D) The procedure necessitates the patient to be immobile.
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