Nursing Practice I Final Exam Questions
Course Introduction
Nursing Practice I introduces students to the foundational principles and skills of professional nursing practice. Through a combination of classroom instruction, laboratory experiences, and supervised clinical placements, students develop essential competencies such as patient assessment, basic nursing interventions, communication techniques, and safety protocols. Emphasis is placed on holistic care, ethical decision-making, infection control, and the nurses role within the healthcare team. By the end of the course, students will have gained confidence in performing core nursing tasks and established the basis for further development in the nursing field.
Recommended Textbook deWits Fundamental Concepts and Skills for Nursing 5th Edition by Williams
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41 Chapters
1377 Verified Questions
1377 Flashcards
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Page 2
Chapter 1: Nursing and the Health Care System
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) Which nursing care delivery systems have some nursing schools adopted as the foundation of their education programs?
A) Relationship-based care
B) Team nursing
C) Patient-centered care
D) Total patient care
Answer: A
Q2) The LPN demonstrates an evidence-based practice by:
A) using a drug manual to check compatibility of drugs.
B) using scientific information to guide decision making.
C) using medical history of a patient to direct nursing interventions.
D) basing nursing care on advice from an experienced nurse.
Answer: B
Q3) Lillian Wald and Mary Brewster established the Henry Street Settlement Service in New York in 1893 in order to:
A) offer a shelter to injured war veterans.
B) found a nursing apprenticeship.
C) provide health care to poor persons living in tenements.
D) offer better housing to low-income families.
Answer: C
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Chapter 2: Concepts of Health, Illness, Stress, and Health Promotion
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) When a new admission to an extended care facility wanders about listlessly, eats only a small amount of each meal, and keeps himself isolated, the nurse can intervene by:
A) assisting with feeding at each meal.
B) reminding him that he is in a safe and secure area.
C) socializing with him in the privacy of his room.
D) supporting him to interact with an exercise group.
Answer: D
Q2) The nurse explains that an idiopathic disease is one that:
A) is caused by inherited characteristics.
B) develops suddenly, related to new viruses.
C) results from injury during labor or delivery.
D) has an unknown cause.
Answer: D
Q3) Adequate _____________ is necessary in the communication between nurse and patient in order to meet the higher basic needs of security, love, belonging, and self-esteem.
Answer: feedback
Adequate feedback and clarification are essential in assisting the patient meet the higher level needs.
Page 4
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Chapter 3: Legal and Ethical Aspects of Nursing
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Sample Questions
Q1) The Occupational Safety and Health Act includes all of the following, except:
A) regulations for handling infectious materials.
B) radiation and electrical equipment safeguards.
C) staffing ratios and delegation criteria.
D) regulations for handling toxic materials.
Answer: C
Q2) When a patient asks a nurse to witness the signing of a will, the nurse should refer the request to the:
A) nurse supervisor.
B) hospital legal department.
C) notary public for the hospital.
D) nurse's attorney.
Answer: C
Q3) If a nurse is reported to a state board of nursing for repeatedly making medication errors, it is most likely that:
A) the nurse will immediately have his or her license revoked.
B) the nurse will have to take the licensing examination again.
C) a course in legal aspects of nursing care will be required.
D) there will be a hearing to determine whether the charges are true.
Answer: D
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Chapter 4: The Nursing Process and Critical Thinking
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Sample Questions
Q1) A student nurse can begin to develop critical thinking skills by means of:
A) working with a more experienced nurse.
B) questioning every statement made by instructors to be sure of its correctness.
C) memorizing class notes for tests and studying all night for big tests.
D) listening attentively and focusing on the speaker's words and meaning.
Q2) The tasks of synthesizing data and linking nursing interventions with patient health problems are enhanced by the process of ________.
Q3) The nurse completing morning assessments on a patient who is sitting up in bed is told by the patient, "I'm having trouble breathing-I can't seem to get enough air." The best nursing response is to:
A) notify the doctor as soon as he or she comes in later in the morning.
B) finish the vital signs for the assigned patients, and then notify the charge nurse.
C) reassure the patient, if his blood pressure and pulse are normal.
D) notify the charge nurse immediately of the patient's statement.
Q4) When the nurse constructs a nursing approach after careful judgment and sound reasoning, the nurse has used a system of ___________________.
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Page 6
Chapter 5: Assessment, Nursing Diagnosis, and Planning
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Sample Questions
Q1) Appropriate nursing roles in the initial assessment would include: (Select all that apply.)
A) LPN obtains the vital signs of a new patient.
B) RN performs a complete physical assessment.
C) LPN organizes data into a database.
D) RN reviews the patient's medical record for past medical/surgical history.
E) LVN contributes ongoing assessments.
Q2) The North American Nursing Diagnosis Association-I (NANDA-I) list is revised and updated every:
A) year.
B) 2 years.
C) 3 years.
D) 5 years.
Q3) The nurse understands that an expected outcome should be: (Select all that apply.)
A) realistic.
B) approved by the health care provider.
C) attainable.
D) within a defined time.
E) included after patient collaboration.
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Page 7
Chapter 6: Implementation and Evaluation
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Sample Questions
Q1) The nurse documents interventions periodically during the shift in nurses' notes primarily to:
A) validate the number of nonlicensed personnel who interact with the patient.
B) indicate that the nursing care plan has been implemented.
C) briefly summarize activities during the shift.
D) confirm that the nursing diagnoses in the care plan are appropriate.
Q2) The nurse administering a medication to a patient is performing an intervention that is:
A) an independent nursing action.
B) an interdependent nursing action.
C) a semi-dependent nursing action.
D) a dependent nursing action.
Q3) Nurses design interventions that are appropriate for a patient that are:
A) based on the primary care provider's orders and the medical diagnosis.
B) expected to help the patient meets the goals most quickly.
C) used to evaluate whether the nursing care plan should be revised.
D) based on cost effectiveness and staff availability.
Q4) The agency-wide process that takes into consideration nursing audits and compliance to standards of every department is the ______________________.
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Chapter 7: Documentation of Nursing Care
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Sample Questions
Q1) The Quality and Safety Education for Nurses (QSEN) project has identified the most important pre-licensing skills for nurses as:
A) effective communication.
B) informatics.
C) familiarity with medical terms.
D) writing nursing care plans.
Q2) Health care professionals assigned to a patient require access to the medical record to review information and to document care given. All contents of the medical record must be kept ___________. The contents of the medical record should not be discussed with persons who are not involved in the care of the patient.
Q3) When the nurse documents in narrative or source-oriented format about the patient's condition and the nursing care provided, it is appropriate for him to record:
A) "Patient will go to physical therapy after lunch."
B) "Diabetes in excellent control. Continue with current insulin schedule."
C) "I gave the patient a thorough bath and cut her fingernails."
D) "To x-ray by wheelchair at 10:30 AM IV infusing in left arm."
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Chapter 8: Communication and the Nurse Patient
Relationship
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61 Verified Questions
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Sample Questions
Q1) A nurse using active listening techniques would:
A) use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.
B) avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned.
C) anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence.
D) ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.
Q2) The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship, because this communication block:
A) discounts the patient's stated concerns.
B) shows a judgmental attitude on the part of the nurse.
C) summarizes the patient's concerns and closes communication.
D) confuses the patient by giving information.
Q3) The communication technique of __________ gives the caregiver the opportunity to ask and respond to questions.
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Page 10
Chapter 9: Patient Education and Health Promotion
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Sample Questions
Q1) The best way for a nurse to reinforce learning during a return demonstration by the patient is for the nurse to:
A) give recognition and praise for the parts the patient does well and to assist or teach when the patient becomes confused or forgetful.
B) watch quietly until the return demonstration is finished and then list the errors.
C) instruct the patient to read the written material again when an error is made.
D) stop the patient each time he makes a mistake and have him start again after the nurse reviews the procedure with him.
Q2) A nurse is showing a diabetic patient how to draw insulin out of a syringe. The mode of learning that the nurse is using is:
A) auditory learning.
B) visual learning.
C) kinesthetic learning.
D) oral learning.
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11
Chapter 10: Delegation, Leadership, and Management
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Sample Questions
Q1) The behavior least likely seen in an autocratic leader would be a person who:
A) provides close supervision of work by staff members.
B) often consults staff when making decisions.
C) quickly points out mistakes made by staff members.
D) frequently gives out new directives.
Q2) The most effective communication from a nurse leader to a team member that is most likely to have a positive outcome would be:
A) "Jane, be sure to get those vital signs recorded on time today."
B) "Jane, I need those vital signs before breakfast."
C) "Jane, please give me a list of those vital signs before breakfast."
D) "Jane, breakfast trays are being served. You need to get those vital signs."
Q3) A laissez faire leader would be most likely to:
A) consult staff members.
B) tightly control team members.
C) allow team members to function independently.
D) set goals that are task oriented.
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Page 12
Chapter 11: Growth and Development: Infancy Through Adolescence
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72 Verified Questions
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Sample Questions
Q1) The nurse confirms that in the embryonic stage of prenatal development (third to eighth week), the embryo's:
A) growth slows.
B) organs begin to function.
C) limbs move.
D) heart begins to beat.
Q2) A parent asks how long she should enforce a "time-out" for her 4-year-old, who frequently hits her younger brother and takes his toys. The nurse recommends:
A) 2 minutes.
B) 3 minutes.
C) 4 minutes.
D) 5 minutes.
Q3) A nurse teaches a woman who is considering pregnancy that her intake of folic acid to help prevent congenital abnormalities should be:
A) 100 mcg/day.
B) 200 mcg/day.
C) 300 mcg/day.
D) 400 mcg/day.
Q4) The sperm and ovum each contain __________ unpaired chromosomes.
Page 13
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Chapter 12: Adulthood and the Family
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32 Verified Questions
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Sample Questions
Q1) The nurse appropriately advises a 28-year-old woman that to detect breast cancer in early stages she should:
A) schedule annual breast mammograms for early detection.
B) perform monthly breast self-examinations and begin mammograms at age 40.
C) arrange for annual examinations by her primary care provider and mammograms as indicated from the physical examination.
D) schedule a complete physical examination every 5 years until age 50, then annual examinations that include a mammogram.
Q2) The nurse is aware that according to Schaie's theory of development, the most significant event in the life of a 26-year-old single woman who is graduating from graduate school would be:
A) marriage and starting a family.
B) academic recognition for her high grades.
C) employment in a prestigious business.
D) a long-term relationship with a significant other.
Q3) A 24-year-old mother of two has just become divorced from her husband of 4 years. She is living with her parents again until she is able to get her finances in order to find her own apartment. This is an example of ____________ children.
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Chapter 13: Promoting Healthy Adaptation to Aging
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27 Verified Questions
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Sample Questions
Q1) An 80-year-old man has no chronic diseases and is alert, oriented, and physically active. Which of the following nursing diagnoses is likely to be present as a result of the normal aging process?
A) Poisoning, risk for, related to the many medications an older person must take.
B) Suffocation, risk for, related to declining respiratory function.
C) Hopelessness, related to recognition of the end of life drawing near.
D) Constipation, related to slowed peristalsis.
Q2) When the 75-year-old patient tells the nurse that he has had a good and rewarding life and has enjoyed every minute of it, the nurse is aware that the patient has attained the Eriksonian stage of:
A) generativity.
B) autonomy.
C) integrity.
D) intimacy.
Q3) An 85-year-old has been increasingly confused and disoriented to place and time over the last several months. He also has difficulty remembering what he ate, who visited, and where the recreation room is. This behavior is indicative of
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Page 15
Chapter 14: Cultural and Spiritual Aspects of Patient Care
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Sample Questions
Q1) The nurse takes into consideration that culture and religion influence life choices that include: (Select all that apply.)
A) smoking.
B) drug use.
C) frequency of intercourse.
D) nutrition.
E) reading material.
F) use of caffeine.
Q2) A 76-year-old Hispanic woman is in the skilled nursing facility where she is to participate in a rehabilitation program following a hip replacement. She is alert, oriented, and cooperative but speaks only Spanish; her adult children interpret for her when they are present. The nurse plans the most effective way to communicate with this patient is to:
A) communicate with the patient when the children are present and can translate.
B) arrange to have one of the children present at all times.
C) create a translation guide with commonly used Spanish and English words and phrases.
D) call on the facility translator for every interaction with the resident.
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16
Chapter 15: Loss, Grief, and End-of-Life Care
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Sample Questions
Q1) The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:
A) harsh and rattling.
B) wheezing and labored.
C) shallow followed by periods of apnea.
D) long periods of apnea followed by a hiccoughing breath.
Q2) A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say:
A) "We certainly did, and I'm going to miss her help-she was a real expert."
B) "Helen wouldn't want to see you crying-she would rather you smile and remember the good times," and give him a hug.
C) "Things will get easier with time. Time has a way of healing even the most painful losses."
D) "Helen is in a better place; you should be glad she isn't suffering anymore."
Q3) The five stages identified by Dr. Elisabeth Kübler Ross are __________, _________, ___________, ____________, and _____________.
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Page 17
Chapter 16: Infection Prevention and Control: Protective
Mechanisms and Asepsis
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Sample Questions
Q1) The situation in which protective eyewear is required is:
A) suctioning a tracheotomy.
B) applying a dressing on the leg.
C) changing a baby's diaper.
D) gathering the linens off a contaminated bed.
Q2) The nurse instructs a patient that in order to reduce diseases that are transmitted via droplet, the nose and mouth should be covered by:
A) moistened towelette.
B) handkerchief.
C) clean paper tissue.
D) bent elbow.
Q3) The nurse is aware that gram-negative bacteria are capable of causing hemorrhagic shock by the production of a(n) ___________________.
Q4) An organism that is included in the extended-spectrum beta-lactamase-producing pneumonia (ESBL) group is:
A) Staphylococcus aureus.
B) Clostridium difficile.
C) Enterococcus.
D) Escherichia coli.
Page 18
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Chapter 17: Infection Prevention and Control in the Hospital and Home
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Sample Questions
Q1) A nurse caring for a ventilator-dependent patient will incorporate which of the following best practices recommended by the IHI into the care plan, to reduce the incidence of health acquired infections (HAIs)?
A) Continue to keep patient sedated to reduce anxiety.
B) Instill eye drops to reduce dryness.
C) Administer medication to reduce the likelihood of peptic ulcer disease.
D) Elevate the head of the bed 15 degrees to prevent pneumonia.
Q2) A patient is discharged home with a draining wound that was infected and for which he was on Contact Precautions while in the hospital. He lives at home with his 48-year-old wife and their 17-year-old daughter. It is most important to emphasize to this patient that:
A) he should maintain a safe distance from his family.
B) he should use paper plates and disposable utensils.
C) soiled dressings should be disposed of in plastic bags that are tied securely.
D) his family members should wear gloves when handling his plate and eating utensils.
Q3) The most contagious stage of infection is the ________________ period.
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Page 19
Chapter 18: Safe Lifting, Moving, and Positioning of Patients
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Sample Questions
Q1) An example of the principles of good body mechanics applied to patient care occurs when the nurse:
A) keeps his feet fixed, spread one in front of the other, and turns his upper body to move the patient up in bed with a rocking movement.
B) assists another nurse in pushing a patient from one side of the bed to the other.
C) bends at the waist to pick up and empty or move the urinary drainage bag attached to the lower end of the side rail.
D) works at arm's distance from the patient when lifting or transferring the patient.
Q2) The nurse assisting a weak patient from a bed to the wheelchair to go to physical therapy would:
A) seat the patient on the side of the bed with feet touching the floor.
B) place hands under the patient's elbows to assist in rising.
C) lock knees as the patient is lowered to the chair.
D) assist the patient to don a robe after being seated in the wheelchair.
Q3) The nurse reminds a patient that one of the anatomic parts of a joint that allows the joint to move freely is the fluid filled ___________.
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Page 20
Chapter 19: Assisting with Hygiene Personal Care Skin Care
and the Prevention of Pressure Ulcers
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Sample Questions
Q1) Providing oral care to a patient who has dentures includes:
A) asking the patient to place his teeth directly in a covered, labeled container for overnight storage.
B) removing, cleaning, and storing the dentures in a labeled container at bedtime.
C) cleaning the dentures in hot water after each meal to remove debris and bacteria.
D) using a tooth brush and toothpaste to clean the dentures in the patient's mouth.
Q2) The nurse instructs the patient that any injury to the skin initially puts the patient at risk for:
A) scar formation at the injury site resulting from the healing process.
B) infection with bacteria or viruses that may affect the person systemically.
C) loss of sensation caused by damage to the nerves in the area.
D) loss of body fluids and an upset in the fluid and electrolyte balance.
Q3) The buildup of tough necrotic tissue found with a pressure ulcer is called
Q4) Skin that is frequently wet leads to _______________, the softening of tissue that increases the chance of trauma or infection.
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Page 21
Chapter 20: Patient Environment and Safety
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Sample Questions
Q1) An older adult patient is discharged home after hip surgery. The statement that indicates a family member understands discharge safety instructions given by the nurse is:
A) "I will install grab bars in the bathroom for both the toilet and bathtub."
B) "I will put all personal items away to prevent my mother from dropping things."
C) "I will dim the lights at night to prevent wakefulness."
D) "I will ensure that my mother takes naps during the day to prevent tiredness."
Q2) A resident is confused and teary. She is threatening to leave the facility to return home. The nurse should:
A) call her family immediately and notify them of the problem.
B) have the nurse's aide place a vest protective device on the patient.
C) call the doctor immediately and get an order for a protective device.
D) stay with the patient and attempt to determine the cause of the problem.
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Chapter 21: Measuring Vital Signs
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Sample Questions
Q1) The accuracy in measuring the apical pulse is enhanced when the nurse:
A) counts the radial pulse at the same time.
B) counts the beats for a minute.
C) keeps the patient warm.
D) uses the bell of the stethoscope.
Q2) The nurse documents vital signs on a newly admitted patient as: "blood pressure is 148/94 mm Hg, the pulse is 80 beats/min, and the respirations are 16 breaths/min." The nurse would record the pulse pressure as:
A) 14 mm Hg.
B) 54 mm Hg.
C) 64 mm Hg.
D) 80 mm Hg.
Q3) The nurse clarifies the average cardiac output in the adult is about _____ L/min.
Q4) The nurse taking an apical pulse would place the stethoscope at:
A) the left of the sternum at the third intercostal space.
B) directly below the sternum.
C) slightly above the left nipple.
D) the left midclavicular line at the fifth intercostal space.
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Page 23
Chapter 22: Assessing Health Status
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Sample Questions
Q1) A nurse records absence of bowel sounds after assessing the abdomen:
A) in the two lower quadrants for 2 minutes each.
B) in the two upper quadrants for 5 minutes.
C) in all quadrants for 3 minutes each.
D) in each quadrant for 1 minute.
Q2) To perform the Weber test, the tuning fork is struck and placed:
A) at the nape of the neck.
B) in the middle of the bridge of the nose.
C) behind the right and then the left ear.
D) in the middle of the forehead or skull.
Q3) A nurse is instructing a nursing student on performing pupillary checks on a patient with a possible head injury. Which statement indicates that the nursing student understands the concept?
A) "When I shine a light into the patient's eyes, the pupils should constrict."
B) "When I shine a light into the patient's eyes, the pupils should dilate."
C) "It is normal for the pupils to react sluggishly to light."
D) "Pupil checks should be performed with the room lights on."
Q4) The nurse is assessing a patient's lung sounds and hears a wheeze in the lower left lobe. This wheeze is categorized as a(n) ______________ sound.
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Chapter 23: Admitting Transferring and Discharging Patients
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Q1) A nurse who was present at the time of the death of a patient should document: A) time of death.
B) time at which life signs ceased.
C) notification of the mortuary.
D) which family members were notified.
Q2) The nurse recognizes that an autopsy must be performed when the patient: A) is over 52.
B) died suddenly, unexpectedly, or suspiciously.
C) has requested it on admission.
D) has died of a brain tumor.
Q3) A patient is scheduled to have a diagnostic procedure performed on an outpatient basis at 9:00 AM. The nurse will advise the patient to:
A) arrive 2 hours before the scheduled procedure.
B) wear comfortable clothing.
C) read printed materials about the procedure.
D) be prepared to pay at least 10% of the predicted cost of the hospitalization.
Q4) An examination of the remains of a body by a pathologist to determine the cause of death is a(n) ______________.
Page 25
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Chapter 24: Diagnostic Tests and Specimen Collection
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Sample Questions
Q1) The nurse instructing in the collection of a midstream urine catch would tell the patient to first cleanse the external genitalia and then to:
A) begin voiding into the specimen cup.
B) let a few drops of urine dribble into the specimen cup.
C) void until the bladder is almost empty and then collect the end portion of the voiding in the cup.
D) pass a small amount of urine into the toilet and then collect the specimen.
Q2) A patient will undergo endoscopic retrograde cholangiopancreatography (ERCP) to determine the cause of jaundice. Before the test, the nurse would assess this patient for an allergy to:
A) eggs.
B) pork.
C) aspirin.
D) shellfish.
Q3) The nurse is aware that a patient who is to have a colonoscopy is requested to stop taking drugs that contain iron for ______ days prior to the test.
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Chapter 25: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) The nurse assesses that the patient has developed abdominal pain, urinary retention, and confusion. The nurse concludes these signs are the results of an inadequate supply of:
A) calcium (Ca2+).
B) sodium (NA+).
C) phosphates (PO43).
D) potassium (K+).
Q2) A patient drank a cup of coffee, a half glass of orange juice, and half a carton of milk with breakfast. Using common equivalents of food containers as a guide, the nurse notes on the intake column of the intake and output sheet that the patient consumed:
A) 360 mL.
B) 400 mL.
C) 420 mL.
D) 600 mL.
Q3) The nurse explains that the dehydrated patient's urine is concentrated because: A) renal tubules reabsorb more water and reduce urine output. B) kidneys cease to function.
C) blood pressure drops.
D) the colon retains more fluid from the fecal waste.
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Page 27
Chapter 26: Concepts of Basic Nutrition and Cultural
Considerations
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Sample Questions
Q1) The nurse reminds the patient that the salivary glands excrete saliva, which initiates the digestion of:
A) proteins.
B) starches.
C) fats.
D) fiber.
Q2) The nurse would be sure the diet of a patient in an extended care facility who has a large pressure ulcer on his sacrum would include foods rich in:
A) vitamin A.
B) vitamin B1 (thiamine).
C) vitamin C.
D) vitamin E.
Q3) The LPN/LVN filling out the Jewish patient's dietary menu for lunch would avoid ordering:
A) meat and fish.
B) milk and vegetables.
C) meat and milk.
D) vegetables and fruit.
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Chapter 27: Nutritional Therapy and Assisted Feeding
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/15251
Sample Questions
Q1) When caring for a patient receiving total parenteral nutrition, the nurse knows that it is essential to:
A) check the flow rate every shift.
B) order electrolytes daily.
C) monitor IV site every shift.
D) monitor the blood glucose.
Q2) The correct anatomic landmarks to follow when inserting a nasogastric tube is to measure from the _______________ to the ________________ and then to the ________________.
Q3) The nutritional documentation that is most informative is:
A) ate all of lunch.
B) ate 50% of lunch without difficulty. Refused all solid food.
C) drank most of liquids without difficulty.
D) assisted feeding liquid diet, choked frequently.
Q4) A nurse positions a patient for the insertion of a nasogastric (NG) tube by:
A) turning the patient to a right side lying position.
B) sitting the patient upright and hyperextending the patient's head.
C) lowering the head of the bed to a flat position.
D) raising the head of the bed to 30 degrees.
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Chapter 28: Assisting with Respiration and Oxygen Delivery
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15252
Sample Questions
Q1) The nurse administering cardiopulmonary resuscitation (CPR) would administer chest compressions at the rate of ________ compressions/minute.
Q2) A patient has collapsed and cannot be aroused by asking loudly, "Are you okay?" The next action should be to:
A) position the fingers over the carotid artery to feel for a pulse.
B) tilt the head by placing one hand on the forehead and lift the chin.
C) call for help or, if there is assistance, have that person get help.
D) deliver two quick short breaths into the patient's airway.
Q3) The nurse is aware that changes occur in the respiratory system after the age of 70 that put the older adult more at risk for respiratory problems. These changes include: (Select all that apply.)
A) decreased oxygen saturation.
B) increased elasticity in thorax and respiratory tissues.
C) incomplete expirations.
D) thinning of alveolar membrane.
E) impaired cilia.
Q4) The nurse explains that the rate of respiration is triggered when the medulla senses a change in the level of ________ ions in the blood.
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Page 30
Chapter 29: Promoting Urinary Elimination
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/15253
Sample Questions
Q1) A nurse instructing a patient about how to prevent recurrent cystitis would include the need to: (Select all that apply.)
A) increasing fluid intake to 2500 to 3000 mL/day.
B) consuming more citrus fruits and juice.
C) wearing cotton underwear.
D) wiping the rectal area from front to back after a bowel movement.
E) avoiding sitting in a wet bathing suit for extended periods.
F) emptying the bladder every 2 to 3 hours.
Q2) A nurse is cleansing the perineal area of a female patient who is having a urinary catheter inserted. The nurse should use the last povidone iodine-soaked cotton ball to cleanse downward over the:
A) urinary meatus.
B) left labia.
C) right labia.
D) perirectal area.
Q3) The nurse should provide enough hydration for the patient so that the patient can void at least every _______ hours.
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Chapter 30: Promoting Bowel Elimination
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/15254
Sample Questions
Q1) A nurse is monitoring bowel elimination of a patient who has a history of constipation. The nurse implements measures to assist with bowel elimination if the patient has not had a bowel movement within how many days?
A) 5
B) 3
C) 2
D) 1
Q2) The nurse instructs a patient with a new colostomy against eating food that may cause an obstruction. These foods include: (Select all that apply.)
A) spicy foods.
B) whole kernel corn.
C) cucumbers.
D) tomatoes.
E) shrimp.
Q3) The nurse should plan interventions to combat constipation in a patient:
A) being treated for diabetes mellitus.
B) who has a routine order for Metamucil.
C) who just completed barium studies of the bowel.
D) with orders to ambulate with assistance.
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Page 32
Chapter 31: Pain Comfort and Sleep
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/15255
Sample Questions
Q1) The nurse recommends that normal sleepatchesp patterns can best be acquired by suggesting to the patient that they:
A) smoke cigarettes.
B) drink wine.
C) take a nap during the day.
D) exercise in the mornings.
Q2) A patient experiencing discomfort because of severe arthritis would be described as having _______ pain.
A) acute
B) chronic
C) phantom
D) episodic
Q3) A nurse caring for a patient with a Fentanyl patch assesses that the patient is abnormally sleepy, is slurring words and is unsteady when ambulating. The nurse should:
A) put up the side rails on the bed.
B) elevate the head of the bed 45 degrees and offer coffee or cola drink.
C) remove the patch and wipe off the skin.
D) apply ice to skin around the patch.
Q4) Travelers can combat "jet lag" by exposure to _______ for several hours.
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Chapter 32: Complementary and Alternative Therapies
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/15256
Sample Questions
Q1) A patient asks about the difference between imagery and meditation. The nurse explains that imagery uses a visual stimulus that can decrease stress, whereas meditation:
A) is a relaxation technique used to help with acute illness.
B) involves focusing on a single repetitive stimulus, altering consciousness.
C) is a technique that trains the patient to retrieve memories and induce anesthesia.
D) involves a combination of exercise and controlled breathing.
Q2) The alternative practice in which the practitioner journeys to other planes of existence to retrieve information for the healing process is ________.
Q3) An alternative type of medical practice that stimulates the patient's natural defenses to alleviate the problem because illness is considered to be specific to the individual is ______________.
Q4) When asked to give an example of complementary therapies, the nurse gives:
A) eating a macrobiotic diet to treat cancer instead of having surgery.
B) using imagery along with pain medication to increase comfort.
C) practicing naturopathic medicine, a natural means of promoting health.
D) practicing traditional Chinese medicine based on yin and yang.
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Chapter 33: Pharmacology and Preparation for Drug Administration
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/15257
Sample Questions
Q1) The nurse is administering an enteric-coated oral medication to a patient who is unable to swallow tablets. The best nurse action is to:
A) give the patient extra water to take with the pill.
B) crush the tablet for easier swallowing.
C) discontinue the medication and document why.
D) ask the primary care provider to consider a liquid form.
Q2) Before administering a medication to a newly assigned patient, the nurse should determine why the patient is receiving it by checking the:
A) medication administration record (MAR) or electronic medication administration record (eMAR).
B) medical history.
C) laboratory test results.
D) intake and output record.
Q3) When categorizing medications, drug classifications may be defined by the effects of the drug and:
A) the symptoms the drug relieves.
B) patient tolerance.
C) the nursing implications.
D) the dosage amounts.
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Chapter 34: Administering Oral, Topical, and Inhalant Medications
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/15258
Sample Questions
Q1) The nurse checking the MAR or eMAR finds that an order for an antibiotic is now 8 days old. The nurse should:
A) check the medications, performing three medication checks.
B) give the ordered medication.
C) contact the primary care provider for a new order.
D) give the medication, then notify the primary care provider.
Q2) The nurse is aware that medications that should not be crushed and administered through a feeding tube include: (Select all that apply.)
A) enteric coated.
B) liquid.
C) sublingual.
D) buccal.
E) sustained release.
F) antineoplastics.
Q3) The nurse administering a nasal medication via an atomizer bottle should:
A) leave the other nostril open while giving the medication.
B) have the patient squeeze the bottle while inhaling.
C) have the patient sit up straight.
D) have the patient tilt the head forward.
Page 36
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Chapter 35: Administering Intradermal, Subcutaneous, and Intramuscular
Injections
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/15259
Sample Questions
Q1) A patient has an order to receive a mixture of short- and long-acting insulin. The first step to properly draw them up in the same syringe is to:
A) shake both vials vigorously before use.
B) inject air into the short acting clear insulin.
C) withdraw the short acting clear insulin.
D) inject air into the long acting cloudy insulin.
Q2) When the nurse is preparing to draw medication from an ampule, the proper procedure is to:
A) allow medication to float freely in the body, neck, and stem.
B) wrap the neck with a gauze or alcohol sponge to the open ampule.
C) break the ampule so that it opens toward her.
D) inject air into the ampule to ease the withdrawal of the medication.
Q3) The best angle to insert the needle when administering a subcutaneous injection is at an angle of:
A) 45 to 90 degrees.
B) 30 to 45 degrees.
C) 15 to 30 degrees.
D) 5 to 15 degrees.
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Chapter 36: Administering Intravenous Solutions and Medications
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/15260
Sample Questions
Q1) The LVN/LPN is told by the RN to discontinue an IV line to the patient. The best nursing action is to:
A) check the primary care provider's order.
B) stop the IV flow by clamping the tubing securely.
C) wash hands and don gloves.
D) quickly withdraw the cannula and apply pressure.
Q2) The nurse would plan to get another nurse to try to obtain a successful venipuncture if the first nurse was not successful in:
A) five attempts.
B) three attempts.
C) two attempts.
D) one attempt.
Q3) A nurse is monitoring the status of an older adult patient who is receiving IV therapy. Indicator of fluid volume overload is suspected when the nurse assesses:
A) crackles in the lung fields.
B) pulse rate of 64 beats/min, irregular.
C) respirations of 16 breaths/min, regular.
D) slight edema to the feet.
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Chapter 37: Care of the Surgical Patient
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/15261
Sample Questions
Q1) A postoperative surgical patient asks how the sequential pneumatic compression boots applied in the operating room will help lower the risk of blood clots forming in the legs. The nurse's most appropriate response would be that the boots:
A) measure pressure in the leg blood vessels and sound an alarm if pressure rises.
B) alternately compress and release to help blood flow through vessels.
C) provide gentle continuous compression at low pressure.
D) provide firm continuous compression at high pressure.
Q2) The patient informs the admitting nurse that she has been drinking feverfew tea for the herbal treatment of migraine headaches. The nurse reports this to the surgeon because this herb can cause ________________.
Q3) A patient scheduled for surgery has an order for a preoperative surgical skin preparation. The nurse may be required to:
A) shave the entire surgical site.
B) spray the surgical area with an antimicrobial solution.
C) scrub the surgical area for 1 minute with antibacterial solution.
D) instruct the patient in the use of an antimicrobial soap in the shower.
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Chapter 38: Providing Wound Care and Treating Pressure
Ulcers
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/15262
Sample Questions
Q1) A nurse performing a right eye irrigation will position the patient:
A) upright with the head hyperextended.
B) upright with the head tilted toward the left eye.
C) supine with the head hyperextended.
D) supine with the head tilted toward the right eye.
Q2) The nurse is taking care of a postsurgical patient and notes the incision is clean and dry, with sutures intact. The nurse further assesses that the wound is healing by:
A) fourth intention.
B) third intention.
C) second intention.
D) first intention.
Q3) The nurse warns the patient that one of the patient's habits has caused the reduction of functional hemoglobin, which limits the hemoglobin's oxygen carrying ability. To improve this situation, the nurse suggests that the patient quit:
A) drinking.
B) using marijuana.
C) smoking cigarettes.
D) eating excessive fats.
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Chapter 39: Promoting Musculoskeletal Function
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/15263
Sample Questions
Q1) A nurse giving instructions to a patient who will be using stairs while ambulating with crutches will instruct the patient:
A) "Take off the rubber tips of the crutches while using stairs."
B) "Rest the axillae on the axillary bar of the crutch."
C) "Bring the good leg up first when going up stairs."
D) "Move the good leg and the crutches together."
Q2) The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______the rough edges with adhesive tape.
Q3) A nurse applying a pressure bandage for a patient should terminate the wrap by a:
A) spiral reverse turn.
B) circular turn.
C) spiral turn.
D) figure of eight turn.
Q4) The nurse is aware that the maximum weight that can be applied with a skin traction is ______ pounds.
Q5) The nurse demonstrates a crutch walking technique by advancing the left crutch and the right foot and then the right crutch and the left foot. This is the _____ gait.
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Chapter 40: Common Physical Care Problems of the Older
Adult
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/15264
Sample Questions
Q1) The nurse takes into consideration that of all the physical changes that the older adult experiences, the most common cause of most problems is that of:
A) visual disturbance.
B) hearing deficit.
C) loss of muscle mass.
D) impaired mobility.
Q2) An older adult patient on bed rest has been eating poorly. The patient is exhibiting abdominal distention and cramping and is passing small amounts of liquid stool. The nurse assesses these signs as an indication of:
A) constipation.
B) fecal impaction.
C) diarrhea.
D) GI tract infection.
Q3) A nurse who is assisting a blind patient to ambulate should:
A) hold the patient's arm firmly to gently push him in the proper direction.
B) hold the patient by a strap around the patient's waist to prevent his falling.
C) offer the patient an arm for guidance.
D) acquire a cane for the patient.
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Chapter 41: Common Psychosocial Care Problems of Older
Adults
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/15265
Sample Questions
Q1) The older adults are vulnerable not only to crime, but also to scams. The best advice to give an older adult in avoiding scams is to:
A) travel with a group.
B) hang up when a timesharing agent calls.
C) lock windows at night.
D) consider getting a pet for protection.
Q2) A family member tells a hospitalized older adult patient to cooperate better with the treatment plan or placement in a long-term care facility will result. The nurse recognizes this statement is consistent with ___________ elder abuse.
A) physical
B) material
C) psychological
D) neglect
Q3) When a patient becomes violent and hits a table with his cane, the initial appropriate nursing approach is to:
A) medicate the patient to help control his anxiety.
B) call for assistance to apply restraints.
C) attempt to distract the patient.
D) direct the patient in a loud authoritarian voice to sit down.
Page 43
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