Nursing Principles and Practice
Mock Exam
Course Introduction
Nursing Principles and Practice introduces students to the foundational concepts, values, and skills essential for professional nursing. The course covers the history and evolution of nursing, the nursing process, ethical and legal considerations, patient-centered care, and effective communication within healthcare teams. Emphasis is placed on evidence-based practice, critical thinking, and the development of clinical skills required for safe and compassionate patient care. Through a combination of theoretical instruction and practical application, students gain a holistic understanding of their roles and responsibilities as nurses in diverse healthcare settings.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume I 2nd Edition by Pearson Education
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21 Chapters
1184 Verified Questions
1184 Flashcards
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Page 2
Chapter 1: Acidbase Balance
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/35006
Sample Questions
Q1) A client has been admitted with chronic obstructive pulmonary disease.Diagnostic tests have been ordered.Which of the tests will provide the most accurate indicator of the client's acid-base balance?
A) Arterial blood gases (ABGs)
B) Pulse oximetry
C) Sputum studies
D) Bronchoscopy
Answer: A
Q2) A client with metabolic acidosis has been admitted to the unit from the emergency department (ED).The client is experiencing confusion and weakness.Which nursing intervention is the priority for this client?
A) Placing the client in a high-Fowler's position
B) Protecting the client from injury
C) Administering sodium bicarbonate
D) Providing the client with appropriate skin care
Answer: B
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Chapter 2: Cellular Regulation
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114 Verified Questions
114 Flashcards
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Sample Questions
Q1) The nurse is caring for an older adolescent client diagnosed with malignant melanoma.Which nursing diagnoses would be appropriate when planning this client's care? Select all that apply.
A) Impaired Skin Integrity
B) Risk for Compromised Human Dignity
C) Anxiety
D) Risk for Acute Confusion
E) Disturbed Body Image
Answer: A,C,E
Q2) The nurse is reviewing the plan of care for a client being treated with brachytherapy for breast cancer.Which assessment finding indicates that the client's skin integrity has been maintained?
A) Skin intact
B) Skin dry and excoriated
C) Skin stretched
D) Skin damp and sweaty
Answer: A
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Chapter 3: Comfort
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is teaching a female client with chronic fatigue due to clinical depression regarding ways to increase energy levels.Which client statement indicates that teaching has been effective?
A) "I need to increase exercise time each week."
B) "I will spend time with friends."
C) "I will take Wellbutrin as prescribed."
D) "I will go shopping once a week."
Answer: C
Q2) A participant in a seminar given by the nurse asks for information about lifestyle situations that might contribute to chronic fatigue.Which should the nurse identify in response to this request? Select all that apply.
A) Synthroid use
B) Chronic back pain
C) Marijuana use
D) Vigorous exercise three times a week
E) Swimming after a meal
Answer: A, B, C
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Page 5
Chapter 4: Digestion
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A client presents at the emergency department reporting a burning pain in the chest of a 7 on a 0 to 10 pain scale.Gastroesphogeal reflux disorder (GERD)secondary to hiatal hernia is diagnosed.Based on this data,which is the priority nursing diagnosis?
A) Dysfunctional Gastrointestinal Motility
B) Anxiety
C) Acute Pain
D) Ineffective Health Maintenance
Q2) The multidisciplinary care team is meeting to discuss care for a client who exhibits symptoms of the prodromal phase of hepatitis.Lab results include a positive anti-HAV IgM.The nurse creates an action plan to present to the team.Which interventions are appropriate? Select all that apply.
A) High-fat, low-calorie, and no-alcohol diet teaching
B) Patient education on acceptable pain medication
C) Early treatment with lamivudine
D) Referral to the liver transplant team
E) Family teaching for transmission prevention.
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Chapter 5: Elimination
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64 Verified Questions
64 Flashcards
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Sample Questions
Q1) A client in the ambulatory care clinic tells the nurse about experiencing frequent diarrhea.The nurse inquires about the client's diet.Which statement from the client would be of greatest concern for the nurse?
A) "I like to eat a bran muffin and applesauce every morning for breakfast."
B) "I like to eat popcorn for an afternoon snack."
C) "I like to eat cottage cheese, peaches, and a turkey sandwich for lunch."
D) "I like to eat baked chicken, yeast rolls, and a small salad for dinner."
Q2) A client is recovering from prostate surgery on a medical-surgical unit.The client will be ready for discharge within the next few days.Which teaching point is appropriate for this client?
A) The client should not drive for 6 weeks after surgery.
B) The client should call the healthcare provider immediately for any pain.
C) The client should increase the fiber in his diet.
D) The client should avoid heavy lifting for 2 weeks after surgery.
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Chapter 6: Fluids and Electrolytes
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) The nurse on a medical-surgical unit completes the shift assessment for a client diagnosed with a multisystem fluid volume deficit and documents that the client is experiencing the following symptoms: tachycardia; pale,cool skin; and a decreased urine output.The nurse anticipates which as the cause of the client's current symptoms?
A) Natural compensatory mechanisms
B) Cardiac failure
C) Pharmacological effects of a diuretic
D) Rapidly infused intravenous fluids
Q2) The nurse is providing care for a child diagnosed with renal failure who is experiencing hyperkalemia.When planning meals for this child,which choice would be most appropriate for this client?
A) Hamburger on a bun, banana
B) Cold cuts with bun with fresh pears
C) Spaghetti and meat sauce, breadsticks
D) Carrots and green, leafy vegetables
Q3) A child weighing 33 lbs.who is diagnosed with dehydration is prescribed to receive 50 mL/kg of oral fluids for the next 4 hours.How many total mL of fluid should the nurse provide to the client? Calculate to the nearest whole number.
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Chapter 7: Health, wellness, illness, and Injury
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A nurse is assessing a client to determine level of wellness.The client practices yoga for relaxation several times a week,follows a nutritionally sound diet,and has a supportive,sound relationship with a spouse and several children.Based on this data,which does this client exemplify?
A) An emergent high level of wellness in an unfavorable environment.
B) A high level of wellness in a favorable environment.
C) Protected poor health in a favorable environment.
D) An emergent high level of wellness in a favorable environment.
Q2) A nurse is caring for a client in the intensive care unit who is intubated and mechanically ventilated.Upon assessment,the nurse notes the client has cheilosis.Based on this data,which is the priority intervention for this client?
A) Checking for ill-fitting dentures
B) Suggesting an increase in fluid intake
C) Providing oral care
D) Lubricating the lips using an antimicrobial ointment
Q3) A nurse is caring for a 50-year-old client performing aerobic exercise in the cardiac rehabilitation office.The nurse calculates the client's target heart rate as
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9
Chapter 8: Immunity
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) A nurse is caring for a client who was admitted to the hospital with an exacerbation of rheumatoid arthritis (RA).The client reports pain is a 3 on a scale from 1 to 10 today.Which non-pharmacological interventions can the nurse provide to enhance the client's comfort? Select all that apply.
A) Discourage any position changes.
B) Encourage relaxation techniques
C) Immobilize the extremity.
D) Offer a massage
E) Provide diversion activities.
Q2) The nurse is caring for a client who is hospitalized on a medical unit for a systemic infection.The client asks the nurse which defenses the body has against infection.Which physiological barriers that protect the body against microorganisms will the nurse include in the response to the client? Select all that apply.
A) Alcoholic beverages
B) Adequate urinary output
C) Intact skin
D) Occasional smoking
E) A surgical incision
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Chapter 9: Infection
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75 Verified Questions
75 Flashcards
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Sample Questions
Q1) The nurse is assessing clients in the eye clinic who have eye infections.For which client with conjunctivitis should the nurse be most concerned?
A) The client from Iran
B) The client from Brazil
C) The client from New York City
D) The client from Florida
Q2) The nurse is teaching a group of adolescents at a local high school about skin infections.Which students does the nurse identify as at an increased risk for developing cellulitis? Select all that apply.
A) The female student who plucks her eyebrows.
B) The student with diabetes.
C) The student practicing hand hygiene.
D) The student who squeezes pimples.
E) The student who engages in contact sports.
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11
Chapter 10: Inflammation
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54 Verified Questions
54 Flashcards
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Sample Questions
Q1) A nurse caring for a client with a gastric ulcer understands that which are the two most likely locations of this ulcer to develop?
Select all that apply.
A) Lesser curvature
B) Greater curvature
C) Distal to the pylorus
D) Proximal to the pylorus
Q2) The nurse has identified the diagnosis Excess Fluid Volume as appropriate for a client with acute glomerulonephritis.What should the nurse assess to learn the most accurate indication of this client's fluid balance?
A) Vital signs
B) Intake and output records
C) Daily weight
D) Serum sodium levels
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Chapter 11: Intracranial Regulation
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A preschool-age client with myoclonic seizures has been on a ketogenic diet for the last 6 months to reduce seizure activity and is complaining of left-sided lower abdominal pain.Which complication of the ketogenic diet should the nurse suspect the client is experiencing?
A) Bowel obstruction
B) Renal calculi
C) Urinary tract infection
D) Appendicitis
Q2) The nurse is planning care for an older adult client with a head injury sustained from a motor vehicle crash.Which information should the nurse keep in mind when planning this client's care? Select all that apply.
A) Anxiety, illness, and pain can alter the ability to learn.
B) Reflexes are less intense in an older client.
C) Impulse transmission and reactions to stimuli are slower.
D) The plantar and Achilles reflexes are hyperactive in this age group.
E) Impairment in vision and hearing should be taken into consideration.
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Chapter 12: Metabolism
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) The nurse identifies the nursing diagnosis of Imbalanced Nutrition as appropriate for a client with osteoporosis.Which client statement supports the use of this diagnosis when planning care?
A) "I have removed all scatter rugs from my home."
B) "I frequently take long walks in the sun."
C) "My pain is relieved by Tylenol."
D) "I am allergic to dairy products."
Q2) The nurse is caring for a client with cirrhosis of the liver.Which information in the client's health history supports the current medical diagnosis?
A) Smokes two packs of cigarettes per day.
B) Drinks a six-pack of beer each evening.
C) Eats salads for lunch every day.
D) Plays on an adult softball team several times a week.
Q3) The nurse suspects that a client is experiencing hypothyroidism.Which question should the nurse ask during the health history?
A) "Is your skin often clammy?"
B) "Do you have brown, shiny patches on your legs?"
C) "Is your skin smooth?"
D) "Is your skin rough and dry?"
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Page 14
Chapter 13: Mobility
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88 Verified Questions
88 Flashcards
Source URL: https://quizplus.com/quiz/35018
Sample Questions
Q1) The nurse is conducting a gait and posture assessment for a client who is experiencing mobility issues.Which action by the nurse is appropriate during this assessment?
A) Assess muscle mass and strength.
B) Measure extremities for length and circumference.
C) Inspect the spine for curvature.
D) Palpate for tenderness and pain.
Q2) The nurse is evaluating the care of a client with Parkinson disease (PD).Which finding indicates an improvement in nutritional status?
A) The client was observed providing morning self-care and dressing.
B) The client coughs frequently when drinking fluids.
C) The client was able to feed self and had no weight change in 1 week.
D) The client had a 4-pound weight loss in 1 week.
Q3) The nurse completes teaching for a young adult client diagnosed with Parkinson disease (PD).Which client statement indicates teaching has been effective?
A) "I could have prevented PD with diet and exercise."
B) "I probably have a genetic mutation that caused PD."
C) "My brain has too much of a chemical called dopamine."
D) "Most people get PD when they are my age."
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Page 15
Chapter 14: Nutrition
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) The nurse is preparing educational materials for a client with hypertension.Which dietary changes should the nurse focus when preparing this material? Select all that apply.
A) Avoiding all sodium in the diet
B) Explaining the effects of sodium on blood pressure
C) Teaching how to read nutritional labels
D) Recognizing foods that are low in sodium
E) Using the DASH eating plan
Q2) The community health nurse reviews data collected during interviews with community members during a health fair and decides to create an approach to improve iron intake.On which community members is the nurse focusing with this plan? Select all that apply.
A) Males in the 35-50 age range
B) Vegan community members
C) Children
D) Older community members
E) Adolescents
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Chapter 15: Oxygenation
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76 Verified Questions
76 Flashcards
Source URL: https://quizplus.com/quiz/35020
Sample Questions
Q1) The pediatric nurse is providing education to a new mother regarding ways to decrease the risk of sudden infant death syndrome (SIDS).Which statement by the nurse is appropriate?
A) "You should the baby with you at all times to assess for apnea."
B) "There is no one cause for the syndrome; the best thing is to keep the baby healthy."
C) "It is recommended that you place your baby in a face-down position for sleep."
D) "SIDS has been linked to immunizations. I recommend that you avoid immunizing your baby."
Q2) A client diagnosed with chronic obstructive pulmonary disease (COPD)has a pulse oximetry reading of 93%,increased red blood and white blood cell count,temperature of 101°F,pulse 100 bpm,respirations 35 bpm,and a chest x-ray that showed a flattened diaphragm with infiltrates.Based on this data,which prescription does the nurse question for this client?
A) Antibiotic therapy
B) Nonsteroidal anti-inflammatory agents
C) Oxygen by nasal cannula at 3-4 liters/minute
D) Bronchodilators such as an adrenergic stimulating drugs or anticholinergic agents
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Chapter 16: Perfusion
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154 Verified Questions
154 Flashcards
Source URL: https://quizplus.com/quiz/35021
Sample Questions
Q1) A client admitted with chronic venous insufficiency has an infected wound of the left lower extremity.Which clinical manifestations does the nurse anticipate during the client's assessment? Select all that apply.
A) Pulses absent in the extremity with the wound
B) Wound that is pink with skin warm
C) Ulceration that is pale in color
D) Skin surrounding ulcer that is cool to the touch
E) Surrounding skin brown in color
Q2) A nurse working in the neonatal intensive care unit (NICU)is caring for a preterm infant with a congenital heart defect.When planning this infant's care,which should the nurse take into consideration regarding how this conditions are characterized?
A) By the severity of defect
B) By the pathophysiology and hemodynamics of defect
C) By the location of defect
D) By the infant's age when defect diagnosed
Q3) A client's stroke volume (SV)is 85mL/beat and the heart rate (HR)is 71 beats per minute.What is the client's cardiac output (CO)rounded to the nearest whole number?
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Page 18
Chapter 17: Perioperative Care
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) The nurse is preparing an older adult client for surgery.Which topics should the nurse focus when preparing this client's preoperative teaching? Select all that apply.
A) Level of hearing
B) Including the family in the perioperative care plan
C) Teaching on deep breathing and coughing
D) Plans for discharge care
E) Actions to prevent pressure ulcers
Q2) The nurse is preparing a client for emergency surgery to repair liver and colon lacerations caused by a motor vehicle crash.Which information about this type of surgery will the nurse use to guide the client's care? Select all that apply.
A) An organ is going to be removed.
B) This is an emergency surgery.
C) The client will be hospitalized longer.
D) The client is at risk for blood loss.
E) The client is at risk for hypothermia.
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19
Chapter 18: Sensory Perception
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) An older adult client prescribed eye drops as treatment for glaucoma is experiencing a change in eye color after using the medication.When the client asks why this is occurring,which response by the nurse is appropriate?
A) "This is an expected side effect of the medication."
B) "What do you mean that your eyes have changed color?"
C) "This is unusual; please come in for an evaluation."
D) "Are you sure that your eyes have changed color?"
Q2) Which nursing action is most appropriate when communicating with a client who has a hearing deficit?
A) Overarticulating words in order for the client to understand
B) Using shorter phrases, which tend to be easier to understand than longer ones
C) Varying the volume of voice, which is easier to understand than one consistent volume
D) Writing ideas or pantomiming as appropriate in order for the client to understand
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Chapter 19: Sexuality
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) The nurse is evaluating care provided to a client experiencing menopause.Which observation indicates that the client is successfully managing menopausal symptoms?
A) Weight loss of 5 pounds in 4 months after starting an exercise program at the local gym
B) Client's stated desire to stay at home and limit social activities
C) Weight gain of 10 pounds in 3 months
D) Client's stated loss of interest in recreational activities
Q2) A client reports an open area on the penis.Which question will help the nurse with data collection?
A) "Do you think you have a disease?"
B) "Have you had sexual intercourse recently?"
C) "Are you promiscuous?"
D) "When did you initially notice this open area?"
Q3) A client plans to use oral contraceptives for birth control.Which client behavior would cause the nurse the most concern?
A) The client has several sexual partners.
B) The client is being treated for bipolar disorder.
C) The client smokes one-half pack of cigarettes a day.
D) The client drinks two glasses of wine a day.
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Page 21
Chapter 20: Thermoregulation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The mother of preschool-age client tells the nurse that the client has frequent fevers.Which response by the nurse is appropriate?
A) "Fevers are most frequently seen in children because of developing immunity."
B) "This is unusual because common diseases of childhood rarely result in fevers."
C) "Your child must be around people with illnesses."
D) "Your child's immunity is compromised."
Q2) A client is admitted to the emergency department complaining of the inability to feel the hands and feet after waiting for 2 hours for transportation in 20°F weather.Which action by the nurse is appropriate?
A) Warm the hands and feet in 104°F water for 20 to 30 minutes.
B) Provide an antipyretic.
C) Rub and massage the hands and feet.
D) Warm the hands and feet in tepid water for 2 hours.
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Chapter 21: Tissue Integrity
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) The nurse is evaluating the adequacy of the burn-injured client's nutritional intake.Which laboratory value is the best indicator of nutritional status?
A) Creatine phosphokinase (CPK)
B) BUN levels
C) Hemoglobin
D) Albumin level
Q2) A client who sustained burns to both lower extremities complains to the nurse about feeling frustrated by not being able to provide self-care.Which nursing diagnosis would be appropriate for the client at this time?
A) Ineffective Coping
B) Powerlessness
C) Anxiety
D) Situational Low Self-Esteem
Q3) The nurse is planning care for a client with a surgical wound.Which goal is appropriate for this client?
A) Discharge to home as soon as possible.
B) Resume independent activities of daily living.
C) Increase ambulation.
D) Regain intact skin.
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Page 23