Nursing Practice I Question Bank
Course Introduction
Nursing Practice I introduces students to the foundational principles and skills essential for professional nursing practice. Emphasizing patient-centered care, this course covers core concepts such as health assessment, basic therapeutic interventions, infection control, documentation, and effective communication within a diverse healthcare environment. Through a combination of classroom instruction, simulation labs, and supervised clinical experiences, students begin to develop critical thinking, clinical decision-making, and collaborative skills necessary to provide safe, ethical, and compassionate care to individuals across the lifespan.
Recommended Textbook deWits Fundamental Concepts and Skills for Nursing 5th Edition by Williams
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41 Chapters
1377 Verified Questions
1377 Flashcards
Source URL: https://quizplus.com/study-set/776
Page 2
Chapter 1: Nursing and the Health Care System
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/15225
Sample Questions
Q1) Florence Nightingale's contributions to nursing practice and education:
A) are historically important but have no validity for nursing today.
B) were neither recognized nor appreciated in her own time.
C) were a major factor in reducing the death rate in the Crimean War.
D) were limited only to the care of severe traumatic wounds.
Answer: C
Q2) Nurse Practice Acts define the legal scope of an LPN's practice, which are written and enforced by:
A) American Nurses Association.
B) National Council Licensure Examiners.
C) each state.
D) each health care agency.
Answer: C
Q3) Which nursing care delivery system has been fully embraced by the nursing community and is identified as one of the seven QSEN competencies?
A) Relationship-based care
B) Team nursing
C) Patient-centered care
D) Total patient care
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
Source URL: https://quizplus.com/quiz/15226
Sample Questions
Q1) The nurse takes into consideration that the patient with an admitting diagnosis of Type 2 diabetes mellitus and influenza is described as having:
A) two chronic illnesses.
B) two acute illnesses.
C) one chronic and one acute illness.
D) one acute and one infectious illness.
Answer: C
Q2) According to Hans Selye's general adaptation syndrome (GAS), a person who has experienced excessive and prolonged stress is likely to:
A) develop an illness or disease such as allergy, arthritis, or asthma.
B) become resistant to biological methods of treatment.
C) seek treatment for imagined illnesses and nonexistent symptoms.
D) be admitted to the hospital during the alarm stage.
Answer: A
Q3) Exercise can reduce stress and anxiety by the release of _____.
Answer: endorphins
The release of endorphins induces a feeling of well-being and tranquility.
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Page 4
Chapter 3: Legal and Ethical Aspects of Nursing
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/15227
Sample Questions
Q1) If a patient indicates that he is unsure if he needs the surgery he is scheduled for later that morning, the nurse would best reply:
A) "Your doctor explained all of that yesterday when you signed the consent."
B) "Your doctor is in the operating room; she can't talk to you now."
C) "You should have the surgery; your doctor recommended that you have it."
D) "I will call the doctor to speak with you before you go to the operating room."
Answer: D
Q2) 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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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/15228
Sample Questions
Q1) When a nurse prioritizes the patient care, consideration is given to:
A) completing assessments before mid-shift.
B) considering situations that may result in an alteration of health.
C) assuming all health care activities for a group of patients.
D) identifying who can assist with the aspect of care.
Q2) Activities considered to be aspects of the implementation step of the nursing process are: (Select all that apply.)
A) documentation of care given.
B) assembly of supplies.
C) analysis of data gathered.
D) modification of aspects of the plan.
E) evaluation of the patient response.
Q3) A nurse will arrive at a nursing diagnosis through the nursing process step of:
A) planning.
B) evaluation.
C) research.
D) assessment.
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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Chapter 5: Assessment, Nursing Diagnosis, and Planning
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15229
Sample Questions
Q1) The major goal of the admission interview (usually performed by the RN) is to:
A) establish rapport.
B) help the patient understands the objectives of care.
C) identify the patient's major complaints.
D) initiate nursing care plan forms.
Q2) During the assessment phase of the nursing process, the nurse:
A) develops a care plan to meet the patient's nursing needs.
B) begins to formulate plans for providing nursing intervention.
C) establishes a nursing diagnosis for the nursing care plan.
D) gathers, organizes, and documents data in a logical database.
Q3) The nurse takes into consideration that the difference between a sign and a symptom is that a sign is:
A) subjective data.
B) unreliable because it depends on translation.
C) can be verified by examination.
D) something a patient reports that is verified by a relative.
Q4) Conclusions that have been made based on observed data are __________.
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Chapter 6: Implementation and Evaluation
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/15230
Sample Questions
Q1) The nurse explains that a multidisciplinary step-by-step approach to patient care is:
A) documented in the nursing care plan in the patient's medical record.
B) not used often since managed care became part of health care.
C) referred to as a clinical pathway and is used instead of a nursing care plan.
D) more expensive than the traditional separation of health care services.
Q2) The nurse compares actual nursing outcomes to the expected nursing outcomes in order to:
A) prepare the patient to be discharged from the facility.
B) determine if the patient's health problems have been treated.
C) calculate charges for nursing services during the patient's hospital stay.
D) determine if progress is made or to determine if revisions are needed.
Q3) The nurse giving a patient a back massage is performing an intervention considered to be:
A) a dependent nursing action.
B) an independent nursing action.
C) an interdependent nursing action.
D) a semi-dependent nursing action.
Q4) When an agency is using a clinical pathway/care map protocol of health care provision, there is no need for a ________________.
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Chapter 7: Documentation of Nursing Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/15231
Sample Questions
Q1) Advantages of source-oriented or narrative charting include all of the following except that it:
A) encourages documentation of normal and abnormal findings.
B) gives information on the patient's condition and care in chronological order.
C) indicates the patient's baseline condition for each shift.
D) includes aspects of all steps of the nursing process.
Q2) The nurse understands that a face sheet contains information pertaining to:
A) serial measurements and observations, such as temperature, pulse, respiration, blood pressure, and weight.
B) plan of care for the patient, including nursing diagnoses, goals/expected outcomes, and nursing interventions.
C) written report of the nursing process, record of interventions implemented, and the patient's response to them.
D) patient data, including patient's name, address, phone number, insurance company, and admitting diagnosis.
Q3) When using a case management system of charting a __________, an unexpected event in the patient's condition is documented on the back of the pathway sheets.
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9
Chapter 8: Communication and the Nurse Patient
Relationship
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/15232
Sample Questions
Q1) The nurse is alert to avoid using blocks to effective communication that include: (Select all that apply.)
A) changing the subject.
B) using nonjudgmental remarks.
C) giving advice.
D) asking probing questions.
E) offering hope.
F) using clichés.
Q2) 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.
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Chapter 9: Patient Education and Health Promotion
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/15233
Sample Questions
Q1) 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.
Q2) The nurse can assess her patient's ability to read and comprehend written instructions by doing which of the following?
A) Asking the patient, "Did you graduate from high school?"
B) Giving the patient a printed instruction sheet and saying, "Some people have difficulty with written instructions. Others find them helpful. Would these be helpful to you?"
C) Asking the patient, "Are you able to read?"
D) Giving the patient some printed materials and saying, "After you have read this, I'll ask you some questions about what's in them, to see if you've learned it."
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Chapter 10: Delegation, Leadership, and Management
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/15234
Sample Questions
Q1) Characteristics of effective communication would include: (Select all that apply.)
A) using eye contact.
B) using concise statements when giving information.
C) addressing conflicts before delegation of duties.
D) obtaining feedback about directions given.
E) assigning responsibility for creation of any conflict.
Q2) 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.
Q3) 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.
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12
Chapter 11: Growth and Development: Infancy Through Adolescence
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72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/15235
Sample Questions
Q1) A distressed mother confides in the school nurse that she witnessed her 15-year-old son and a 15-year-old friend masturbating in her son's bedroom. The nurse's best response would be:
A) "Perhaps you should ask your son if he has homosexual feelings toward his friend."
B) "The fact that they were doing this secretly indicates that they feel guilty about the experience."
C) "Many kids have a homosexual encounter, but it does not mean they are homosexual."
D) "Mutual masturbation is frequently the initial experience of a person who is actively homosexual."
Q2) The nurse explains that babies can lift their heads before they can lift their chests, control their shoulders before they control their arms and fingers, sit before they stand, and crawl before they walk. This is a result of ______________ development.
Q3) The sperm and ovum each contain __________ unpaired chromosomes.
Q4) The nurse uses a diagram to show that the fetal prenatal period begins after the ____________ week.
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Page 13
Chapter 12: Adulthood and the Family
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15236
Sample Questions
Q1) A primary care provider has ordered a Mantoux test. The patient asks the purpose of this test. The nurse tells the patient this test is done to screen for:
A) Lyme disease.
B) lung cancer.
C) valley fever.
D) tuberculosis.
Q2) 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.
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
27 Flashcards
Source URL: https://quizplus.com/quiz/15237
Sample Questions
Q1) A nurse working for an assisted living facility is reviewing the Healthy People Objectives for Older Adults. Which of the following would she incorporate into the environment to promote health for the older adult population?
A) Encourage staff management of chronic health conditions.
B) Discourage participation in sessions for "Welcome to Medicare" benefit.
C) Decrease opportunities for light, moderate, or vigorous physical activities.
D) Develop and implement strategies to prevent pressure ulcer formation.
Q2) 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
Q3) When the nurse is conducting a class for senior citizens at a local assisted living facility, to enhance physical health, he encourages the older residents to engage in some form of exercise for at least:
A) 1 hour every other day.
B) 10 minutes at a time several times a day.
C) 30 minutes a day, five times a week.
D) 1 hour every morning.
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Chapter 14: Cultural and Spiritual Aspects of Patient Care
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/15238
Sample Questions
Q1) A nurse caring for a patient who is a practicing Jehovah's Witness and who has had surgery confirms that ___________ is on hand to be infused.
A) frozen packed cells.
B) Dextran.
C) 5% glucose in water.
D) normal saline.
Q2) A nurse is caring for a patient of the Muslim faith. The nurse would send the food tray back if it contains:
A) pork chops and sweet potatoes.
B) beef patty with mushroom sauce.
C) liver and mashed potatoes.
D) crab cakes and rice with almonds.
Q3) David is a nurse who is caring for a patient who is in the process of gender reassignment. He has strong beliefs against this and discusses with the patient his strong beliefs. This is an example of which of the following?
A) Cultural relativism
B) Cultural imposition
C) Cultural blindness
D) Racism
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Page 16
Chapter 15: Loss, Grief, and End-of-Life Care
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/15239
Sample Questions
Q1) A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient:
A) has a strong religious belief system.
B) has dysfunctional grieving and is unable to address his wife's death.
C) is uncomfortable with the term "death" and is using a euphemism.
D) is no longer grieving the death of his wife.
Q2) The nurse is aware that in order to provide effective support to grieving patients and families, the nurse must:
A) keep a professional distance from the situation.
B) understand all the theories of grief.
C) solidify his or her own view of death.
D) stay positive and optimistic at all times.
Q3) When the nurse notes an increase in the level of daily function in the terminal patient, the nurse assesses that this patient has reached Kübler Ross's level of:
A) yearning.
B) bargaining.
C) depression.
D) acceptance.
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Chapter 16: Infection Prevention and Control: Protective
Mechanisms and Asepsis
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/15240
Sample Questions
Q1) A nurse is using personal protective equipment (PPE) before entering the room of a patient with diarrhea and vomiting who is being treated for an intestinal infection. The nurse most likely needs to use which combination of PPE?
A) Gown, gloves, and mask
B) Gown, gloves, and goggles (or glasses)
C) Shoe covers, gown, and gloves
D) Reusable gown and mask
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) Health personnel should wash their hands with soap and water at the beginning of the shift for:
A) 10 seconds.
B) 15 seconds.
C) 1 minute.
D) 2 minutes.
Page 18
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Chapter 17: Infection Prevention and Control in the Hospital and Home
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/15241
Sample Questions
Q1) A patient on Airborne Precautions says to the nurse, "I feel like I'm going crazy cooped up in here. I feel like just sneaking out and finding someone to talk to." The best response by the nurse is:
A) "You would be jeopardizing everyone you come into contact with. You could give a lot of innocent people your disease."
B) "It won't be long before you can safely get out of here without being a danger to others."
C) "You must be feeling bored being shut up in here. Have you been following the wonderful season our football team has been having?"
D) "I know just how you feel. Sometimes I can't get outdoors because of the rain, and it's so hard being cooped up."
Q2) The nurse collecting a sputum specimen for a patient with staphylococcal pneumonia will:
A) wipe the specimen container with antimicrobial solution and hand carry it to the laboratory.
B) double bag the specimen container and send the specimen to the laboratory.
C) send the specimen to the laboratory in a Biohazard bag.
D) notify the laboratory to collect the contaminated specimen.
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Chapter 18: Safe Lifting, Moving, and Positioning of Patients
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/15242
Sample Questions
Q1) The patient for whom passive range of motion exercises would be most beneficial would be the:
A) 66-year-old patient with loss of mobility related to a recent cerebrovascular accident (CVA).
B) 72-year-old patient with chronic dementia who alternately sits in his wheelchair and wanders around the unit.
C) 80-year-old patient with chronic lung disease who can breathe only when he is sitting in a tripod position.
D) 94-year-old patient with increasing fatigue and weight loss who needs assistance to ambulate.
Q2) The primary function of a joint is to provide ______________ to the skeleton.
Q3) 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.
Q4) There are two main factors in the development of pressure ulcers. One is pressure and the other is __________.
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Chapter 19: Assisting with Hygiene Personal Care Skin Care
and the Prevention of Pressure Ulcers
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/15243
Sample Questions
Q1) A stage III pressure ulcer is indicated by: (Select all that apply.)
A) full-thickness skin loss.
B) widespread infection.
C) drainage from the ulcer.
D) damaged subcutaneous tissue.
E) induration.
F) warmth of surrounding tissue.
Q2) A patient with a nursing diagnosis of Skin integrity, risk for impaired, is noted to have reddened areas on his right shoulder and hip when he is repositioned on a 2-hour turning schedule. The nurse should:
A) massage the areas vigorously to restore circulation to the pressured areas.
B) document that the patient has a stage I pressure ulcer of the right shoulder and hip.
C) not position the patient on the right side for at least 8 hours.
D) reassess the area after 30 to 45 minutes for reactive hyperemia.
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.
Page 21
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Chapter 20: Patient Environment and Safety
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/15244
Sample Questions
Q1) The patient complains of an odor in his room that smells like something is rotting. The nurse makes an assessment of the room and:
A) changes the linens, which are wrinkled and rumpled from 24-hour use.
B) rinses out the emesis basin of used dry tissues.
C) removes an old flower arrangement.
D) heavily sprays room deodorant around the patient's bed.
Q2) The home health nurse assessing the home for safety hazards notes a hazard that should be remedied is:
A) an extension cord lying across the floor.
B) nonskid bath mats on the bathroom floor and in the shower.
C) night lights high on the wall in the bathroom.
D) lack of scatter rugs on the wooden floor.
Q3) The best way to maintain safety measures relative to helping a patient get into bed is to:
A) set the bed height at the nurse's waist level.
B) make sure that the bed wheels are locked.
C) place the bed against the wall.
D) insist that the patient stays in bed.
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Chapter 21: Measuring Vital Signs
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/15245
Sample Questions
Q1) The home health nurse is instructing a caregiver about caring for a patient with hypothermia. The nurse recognizes that further instruction is warranted when the caregiver states, "I will:
A) offer warm fluids to the patient, if permitted."
B) instruct the patient to remain on strict bed rest."
C) provide the patient with additional blankets."
D) encourage the patient to increase his muscle activity."
Q2) The nurse clarifies the average cardiac output in the adult is about _____ L/min.
Q3) 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.
Q4) The nurse would record a pulse as bradycardic if the rate were:
A) 64 beats/min.
B) 62 beats/min.
C) 60 beats/min.
D) 59 beats/min.
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Page 23
Chapter 22: Assessing Health Status
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse is aware that the most accurate quick method to check hydration status in the older adult is to evaluate the moisture of the ______.
Q2) Before starting the initial morning care or the physical assessment of the patient, the first intervention the nurse would perform would be:
A) putting down the side rails.
B) washing his or her hands.
C) placing the bed at working height.
D) turning on the overhead light.
Q3) 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.
Q4) The nurse notes that a patient has an exaggerated lumbar curve. This is indicative of
Q5) The nurse is assessing a patient's heart sounds and hears a "swish" that is recorded as a ___________.
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Page 24
Chapter 23: Admitting Transferring and Discharging Patients
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is assisting with an admission assessment of a patient with hypertension. While the nurse is preparing to weigh the patient, the patient states, "It is not necessary to weigh me, because I weighed 130 pounds last week." What would be the nurse's best response?
A) "Are you sure that your weight has not changed?"
B) "I will write down your stated weight."
C) "It is important to get a more recent weight."
D) "Don't worry; your weight is confidential."
Q2) A patient who is scheduled for discharge has items that were stored in the hospital safe. After retrieving them, the nurse should document their return to the patient by:
A) making an entry in the primary care provider progress notes.
B) writing a note to the charge nurse.
C) having the patient sign for them as per policy.
D) asking the unit secretary to place a note in the chart.
Q3) 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.
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Chapter 24: Diagnostic Tests and Specimen Collection
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/15248
Sample Questions
Q1) A patient has undergone cystoscopy and has a Foley catheter in place on return to the nursing unit. Immediately after the procedure, the nurse expects the urine color to be:
A) clear as water.
B) bright red with clots.
C) pink tinged.
D) cherry colored.
Q2) An older adult patient has had a series of enemas in preparation for a gastrointestinal diagnostic procedure. Which electrolytes should be monitored following the enemas?
A) Calcium and chloride
B) Sodium and potassium
C) Magnesium and phosphorus
D) Selenium and zinc
Q3) The nurse instructing a patient who is to have a Papanicolaou smear (Pap smear) in 2 days would tell the patient to avoid:
A) sexual intercourse.
B) douching.
C) eating shellfish.
D) taking a bubble bath.
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26
Chapter 25: Fluid, Electrolyte, and Acid-Base Balance
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15249
Sample Questions
Q1) 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.
Q2) A patient has been identified as having a dietary deficiency of vitamin D. The nurse understands that this patient is also at risk for having a deficiency of:
A) calcium.
B) magnesium.
C) sodium.
D) potassium.
Q3) A patient with a history of severe chronic obstructive pulmonary disease (COPD) is most likely to have:
A) respiratory alkalosis.
B) respiratory acidosis.
C) metabolic alkalosis.
D) metabolic acidosis.
Q4) The nurse clarifies that when electrolytes are in solution, they break up and become
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Chapter 26: Concepts of Basic Nutrition and Cultural
Considerations
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/15250
Sample Questions
Q1) When assisting with the nutritional assessment of a newly admitted, confused, emaciated cancer patient, the nurse's most beneficial intervention to support the nutritional status of this patient would be to:
A) obtain the information from the family.
B) ask simple questions of the patient.
C) ask for a dietitian consult.
D) request an order for a full liquid diet.
Q2) Young women are being educated about the trends in nutrition regarding nutrients that may decrease the incidence of cancer. Which of the following foods are indicative of these trends?
A) Raspberries, strawberries, blueberries
B) Beef, poultry
C) Eggs, milk, and butter
D) Corn, peas, and green beans
Q3) The nurse uses a chart to show an obese patient who is trying to lose weight by counting calories that each gram of carbohydrate supplies_____ calories.
Q4) The nurse takes into consideration that the patient with pernicious anemia who lacks the intrinsic factor cannot absorb ________.
Page 28
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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) A patient recently started on enteral tube feedings starts complaining of nausea and having diarrhea. The best nursing action is to:
A) check the enteral tube for placement.
B) slow down the feedings and monitor.
C) perform a fingerstick blood glucose test.
D) stop the feedings and inform the physician.
Q2) A patient who is on a low cholesterol diet verbalizes that he enjoys eating meats and does not intend to stop. The nurse's most helpful response would be, "You can enjoy your meat if you will concentrate on such meats as:
A) broiled sirloin steak."
B) fried catfish."
C) baked turkey breast."
D) sausage patties."
Q3) 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.
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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) A patient who will begin oxygen therapy has a history of sinus disorders. This patient would benefit most from which oxygen setup?
A) High oxygen flow rate
B) A humidifier
C) A Venturi mask
D) A nasal cannula
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 uses a diagram to show that when the diaphragm moves:
A) up, the increased negative pressure in the thoracic space forces air into the lungs.
B) down, the intercostal muscles retract, forcing air out of the lungs.
C) down, the negative pressure in the thoracic space pulls air into the lungs.
D) up, the decreased negative pressure allows air to enter the lungs.
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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 documenting the removal of a urinary drainage catheter from an assigned patient. If the catheter is removed at 9:00 AM, the nurse recognizes that the patient is due to void by:
A) 11:00 AM.
B) 12 noon.
C) 5:00 PM.
D) 9:00 PM.
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) The nurse has documented that a patient has had two episodes of steatorrhea, which means that the character of the stool is:
A) hard and clay colored.
B) frothy and foul smelling.
C) very liquid and streaked with blood.
D) soft and filled with mucus.
Q2) A nurse is digitally removing a fecal impaction from a patient. The nurse should stop the procedure immediately and take corrective action if the patient's:
A) blood pressure increases from 110/84 to 118/88 mm Hg.
B) pulse rate decreases from 78 to 52 beats/min.
C) respiratory rate increases from 16 to 24 breaths/min.
D) temperature increases from 98.8° F to 99.0° F.
Q3) A patient with a new colostomy should have the hole in the faceplate cut to allow _____ inch around the stoma.
A) 1 1/4
B) 1
C) 1/2
D) 1/4
Q4) The gastrocolic reflex initiates ________.
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Chapter 31: Pain Comfort and Sleep
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) ___________ is considered to be the fifth vital sign.
Q2) A patient with an epidural catheter needs to have the dressing at the insertion site changed. When cleaning the insertion site with povidone iodine swabs, the nurse should:
A) use a circular motion working from the insertion site outward.
B) use a circular motion working from the outside to the insertion site.
C) start above the insertion site and swab in a downward motion.
D) start below the insertion site and swab in an upward motion.
Q3) A nurse is preparing a patient for home care following cancer treatment. He is discussing the use of the fentanyl patch. Which of the following would be the most important instruction regarding safety?
A) Apply as directed by the primary care provider.
B) Store fentanyl patches in a locked cabinet.
C) Prepare the skin by cleaning with an antiseptic scrub solution.
D) Use as needed for break through pain.
Q4) A type of pain that is of short duration, lasting from a few hours to a few days, is known as _________ pain.
Q5) A nurse removed a pain medication patch that has a metal clip before the patient goes to have a(n) _________.
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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) An elderly female patient is placed on warfarin sodium (Coumadin) for thrombophlebitis and is seen in the clinic for a follow-up visit. On assessment, the patient complains that her forgetfulness is becoming worse and asks if ginkgo biloba would help. The most appropriate response by the nurse is:
A) "Ginkgo biloba improves memory, and you should have good results."
B) "Ginkgo biloba should not be part of your regimen, and the doctor does not believe in it."
C) "You should take St. John's wort instead, because it works better."
D) "Coumadin and gingko biloba should not be taken together because the herb prolongs bleeding time."
Q2) The technique in which the practitioner alters body energy fields by passing his or her hands over the patient to determine where tensions exist is the practice of
Q3) 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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34
Chapter 33: Pharmacology and Preparation for Drug Administration
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Sample Questions
Q1) The nurse is aware that the primary care provider has ordered a pain relief drug to be delivered in the manner in which postoperative pain would be relieved most rapidly. This method is:
A) intradermally.
B) orally.
C) intramuscularly.
D) intravenously.
Q2) A patient will be started on furosemide (Lasix). The primary care provider has also ordered potassium chloride (KCl) 40 mEq. There is a bottle of KCl labeled 45 mEq per 15 mL. How many milliliters should the patient receive?
A) 10.8 mL
B) 12.6 mL
C) 13.3 mL
D) 14 mL
Q3) A patient is being prepared for surgery. There is an on call order for meperidine hydrochloride (Demerol) 75 mg, with 50 mg/mL available. The patient should receive _________ mL.
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Chapter 34: Administering Oral, Topical, and Inhalant Medications
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30 Flashcards
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Sample Questions
Q1) A nurse is providing instructions to a patient about how to use a metered dose inhaler with a spacer. The nurse should instruct the patient to:
A) lie down while taking the medication.
B) gently roll the canister in the hands to mix the medication.
C) place the mouthpiece of the chamber in the mouth between the teeth and seal the lips around it. Completely exhale from the nose.
D) try to hold the breath for at least 3 seconds after inhaling the medication.
Q2) Before the nurse administers a liquid medication to an 83-year-old male patient, the nurse should:
A) assess the swallowing reflex by offering a sip of water.
B) ask the patient if he would prefer to give the medication to himself.
C) mix thoroughly in applesauce or pudding.
D) assess the ability to understand information relative to the medication.
Q3) There is an order to give a patient 45 mL of Maalox. The nurse should administer ____ ounces.
Q4) The nurse is aware that a medication error event that causes a patient death or causes serious injury to a patient is classified as a(n)_________ event.
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Chapter 35: Administering Intradermal, Subcutaneous, and Intramuscular
Injections
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Sample Questions
Q1) A nurse has just administered a medication to a patient using a syringe that is not a safety syringe. To dispose of the needle and syringe safely, the nurse should:
A) recap the needle and dispose of it in the trash receptacle.
B) recap the needle and dispose of it in the sharps container.
C) leave the needle uncapped and dispose of it in the trash receptacle.
D) leave the needle uncapped and dispose of it in the sharps container.
Q2) The nurse computes the dose of medication as 2.4 million units of penicillin to be delivered in 4 mL. The nurse should:
A) give the 4 mL using a 5 mL syringe.
B) inform the charge nurse that the dose is too large to be given IM.
C) divide the dose into two 3 mL syringes and give as a divided dose.
D) ask the primary care provider if another medication can be used.
Q3) The nurse has an order to administer an injection of purified protein derivative (PPD) by the intradermal route. The maximum amount of medication that can be given using this route is:
A) 0.1 mL.
B) 0.75 mL.
C) 0.5 mL.
D) 0.2 mL.
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Chapter 36: Administering Intravenous Solutions and Medications
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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) A patient rings the call bell and states that the IV insertion site is painful. The site is reddened, warm, and swollen. The nurse assesses that the patient is most likely experiencing:
A) bloodstream infection.
B) catheter embolus.
C) infiltration of the line.
D) phlebitis.
Q3) The nurse observes that the insertion site of an IV catheter looks pale and puffy and the area feels cool to the touch. The initial action for the nurse should be to:
A) discontinue the infusion and start a new IV site.
B) apply warm compresses to the site.
C) monitor the patient's temperature every 4 hours.
D) call the primary care provider and report these findings.
Page 38
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Chapter 37: Care of the Surgical Patient
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Sample Questions
Q1) The illiterate patient signs the surgical consent form with an "X." The nurse is aware that this "X" is:
A) not an acceptable signature.
B) required to be accompanied by a picture identification.
C) legal if it is witnessed.
D) acceptable if the surgeon is willing.
Q2) 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.
Q3) The nurse discovers that the signed operative permit has misspelled the patient's name. The nurse must:
A) request a corrected consent form to be signed.
B) inform the surgeon of the error.
C) have the new form attached to the old incorrect one and document it.
D) allow the patient to be taken to surgery after notifying the circulating nurse.
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Chapter 38: Providing Wound Care and Treating Pressure
Ulcers
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Sample Questions
Q1) A patient is due for a wound dressing change for a horizontal lower abdominal incision. In which direction should the nurse pull to remove the tape from the old dressing?
A) From left to right across the abdomen
B) From right to left across the abdomen
C) From the top of the wound to the bottom
D) From each of the four sides toward the wound
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 clarifies that the first stage of wound healing is:
A) proliferation.
B) maturation.
C) reconstruction.
D) inflammation.
Q4) The nurse places Dakin solution in a wound to accomplish chemical
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Chapter 39: Promoting Musculoskeletal Function
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Sample Questions
Q1) The nurse explains that range of motion exercises are necessary so that movement improves venous circulation by:
A) vasodilation.
B) compression of muscles on venous walls.
C) increased metabolism.
D) maintaining strength in muscles.
Q2) A patient who fractured a leg several weeks ago is scheduled for cast removal after he returns home. The nurse should explain to the patient to expect the skin underneath the cast to appear:
A) moist and pink.
B) dry and dirty.
C) moist and white.
D) dry and greenish.
Q3) A patient needs to have a triangular bandage applied. The nurse should position the sling so that the hand is _____ inch(es) below the elbow.
A) 1
B) 2
C) 4
D) 6
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Chapter 40: Common Physical Care Problems of the Older
Adult
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Source URL: https://quizplus.com/quiz/15264
Sample Questions
Q1) For a patient with visual impairment who wishes to continue to eat independently, the nurse's most helpful intervention would be to:
A) describe positions of foods on the plate by clock position.
B) tell the patient to eat all foods that are firmest first.
C) raise the over the bed table so that all food is within three (3) inches of the eyes.
D) have the patient use a spoon instead of a fork.
Q2) The nurse uses the behavioral technique of habit voiding with a confused older adult patient to reduce the frequency of urinary incontinence. This means the:
A) patient is assisted to the bathroom to use the toilet at regular intervals.
B) patient is being taught to request assistance from nursing staff.
C) staff are trying to lengthen the time between voiding for the patient.
D) fluid intake of the patient is being reduced so that voidings are less frequent.
Q3) The nurse takes into consideration that the resident in a nursing home has a hearing deficit related to a continuous ringing in his ears, which is a condition called
Q4) The nurse documents the report of painful intercourse as __________.
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Chapter 41: Common Psychosocial Care Problems of Older
Adults
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Sample Questions
Q1) The family of a patient with Alzheimer disease indicates that they want to keep the patient at home but are not sure how much longer they can care for the patient because of stress on family members. A helpful suggestion by the home health nurse would be to:
A) consider use of respite services.
B) face the reality of need for long-term care.
C) encourage the hiring of a full time caregiver.
D) encourage family counseling.
Q2) The nurse is aware that the older adults of today face some functional psychosocial issues, which include: (Select all that apply.)
A) altered mobility.
B) becoming crime victims.
C) housing.
D) making provision for physical care.
E) cognitive impairments.
Q3) The nurse clarifies that the diagnosis of nocturnal delirium refers to a syndrome also called _______________.
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Page 43