Nursing Process and Critical Thinking
Exam Materials
Course Introduction
This course introduces students to the foundational concepts of the nursing process and the role of critical thinking in providing safe, effective patient care. Emphasizing problem-solving skills, the course guides students through each step of the nursing process: assessment, diagnosis, planning, implementation, and evaluation. Students learn to gather and analyze data, prioritize patient needs, and make sound clinical judgments. Through case studies, simulations, and reflective exercises, the course develops students' abilities to apply critical thinking to diverse, real-world nursing scenarios, fostering professional judgment and ethical decision-making in the healthcare environment.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman
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52 Chapters
1464 Verified Questions
1464 Flashcards
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Chapter 1: Historical and Contemporary Nursing Practice
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/79320
Sample Questions
Q1) The nurse is caring for a nurse who provided care to soldiers during the Vietnam War.What information in this patient's history should the nurse use to understand the patient's nursing career?
A)The patient was still a student when serving in the war.
B)The patient's first patient care experiences were during a time of war.
C)The patient decided to leave the profession after serving in the war.
D)The patient contracted long-term illnesses from being overseas in a war.
Answer: B
Q2) The student nurse contacts a number of other students to create a study group.What behavior is the student nurse demonstrating?
A)Governance
B)Socialization
C)Service orientation
D)Specialized education
Answer: B
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Chapter 2: Evidence-Based Practice and Research in Nursing
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse researcher is considering whether the findings of a project may present uncertain results in the clinical area.Upon which criteria is the researcher reflecting?
A)Significance
B)Researchability
C)Confidentiality
D)Variables
Answer: B
Q2) The nurse researcher is using an instrument that provides similar results each time it's implemented.Which term should the researcher use to describe the quality of this instrument?
A)Validity
B)Reliability
C)Consistency
D)Variability
Answer: B
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Page 4
Chapter 3: Nursing Theories and Conceptual Frameworks
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse is caring for a client with a severe head trauma.Each shift,the nurse pays attention to the lighting,atmosphere,and surroundings the client is exposed to.The nurse is functioning according to the assumptions of which nursing theorist?
A)Dorothea Orem
B)Martha Rogers
C)Florence Nightingale
D)Jean Watson
Answer: C
Q2) Grounding nursing research in theories from other disciplines is argued to be undesirable by some scholars.What should the nurse identify as reasons why grounding theory is not desired?
(Select all that apply)
A)It detracts from developing nursing as a separate discipline.
B)It makes nursing less relevant.
C)It helps bring a broader perspective and insight to nursing.
D)Other disciplines are not unique to the human condition.
E)Other disciplines get the benefit of nursing's research.
Answer: A,B,E
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5
Chapter 4: Legal Aspects of Nursing
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A client scheduled for surgery has signed the consent form but refuses to have a Foley catheter placed,saying "That's not part of the surgery." What should the nurse do?
A)Explain that this is part of the surgical prep and continue with the procedure.
B)Explain that the client has already signed the consent,and place the catheter.
C)Respect the client's wishes and document accordingly.
D)Offer to call the physician.
Q2) A client is suing the hospital for malpractice.Before the case goes to court,the attorney meets with staff and reads the medical record.The nurse realizes that the attorney is performing which activity?
A)Burden of proof
B)Complaint
C)Discovery
D)Civil action
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Chapter 5: Values, Ethics, and Advocacy
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Parents of a terminally ill child have decided to remove their child from life support,a decision that has met with little positive support.Which nursing action demonstrates autonomy regarding the parents' decision?
A)Showing respect for the family
B)Respecting the parents' decision
C)Referring the parents to social services
D)Asking to be assigned to a different client
Q2) A client who has been blinded as result of an injury informs the rehabilitation staff of planning to return to her counseling practice and working full-time.The nurse should realize that this client is demonstrating which aspect of values clarification?
A)Choosing
B)Prizing
C)Acting
D)Clarifying
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Chapter 6: Health Care Delivery Systems
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A seasoned RN is especially competent in knowledge of the computerized charting system in a facility and is able to assume the team leader role on a regular basis.In which type of care delivery system is this nurse most likely providing care?
A)Primary nursing
B)Team nursing
C)Differentiated practice
D)Case method
Q2) The nurse is hired to provide care in a hospital that offers services in all specialty areas.How should the nurse categorize this type of health care facility?
A)General hospital
B)Specialty hospital
C)Long-term care hospital
D)Short-term hospital
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Chapter 7: Community Nursing and Care Continuity
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A client is getting ready to go home from an intermediate care facility following surgery and a lengthy recovery period.On which item should the home health nurse focus to determine effectiveness of discharge teaching?
A)Activity restrictions
B)Follow-up appointment dates
C)Return demonstration of dressing change
D)Signs of complications
Q2) A large community clinic provides health education,illness prevention,acute care,screening,and rehabilitation and health promotion services for the chronically ill.What should the community health nurse identify this approach to health care as being?
A)Community-based setting
B)Integrated health care system
C)Wellness center
D)Community outreach center
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9
Chapter 8: Home Care
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/79313
Sample Questions
Q1) To help a home health client with a difficult medication regime,the nurse contacts the pharmacist for ideas to facilitate the process.Which behavior did the nurse demonstrate when caring for this client?
A)Hands-on care
B)Direct care
C)Advocacy
D)Indirect care
Q2) During a home visit,the nurse is concerned that a client recovering from hip replacement surgery is at risk for falling in the home.What information from the home assessment did the nurse use to come to this conclusion?
(Select all that apply)
A)Laminated floors highly polished
B)Scatter rugs in the kitchen and bathroom
C)Smoke detector battery low in the bedroom
D)Cleaning solution placed in an unlabeled jar
E)Expired medication in the bathroom cabinet
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Chapter 9: Electronic Health Records and Information Technology
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse is participating in the development of a research study.What elements of the computer should the nurse ensure are in place before the study begins?
(Select all that apply)
A)Computer speed adequate
B)Print drivers installed
C)Word processing program
D)Computer storage capacity adequate
E)Appropriate software programs
Q2) The nurse accesses previous hospitalization information to learn more about the client's previous health history.In what way is the availability of the client's health information assisting with the planning to address new care needs?
A)Ability to monitor quality
B)Access warehoused data (stored data)
C)Client sharing of knowledge that influences health
D)Constant availability of client health information
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Chapter 10: Critical Thinking and Clinical Reasoning
Preview As Pdf
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse who just moved from an urban area to a sparsely populated rural area understands that certain customs and practices the nurse follows may be quite foreign to the people in the new area.Which attitude of critical thinking is the nurse demonstrating?
A)Fair-mindedness
B)Insight into egocentricity
C)Intellectual humility
D)Intellectual courage to challenge the status quo and rituals
Q2) A nurse educator has always believed that lectures with focused outlines are the best way to present theory content in class.A colleague,who teaches the same group of students,but a different subject,utilizes group work and in-class activities to teach difficult content and finds that students perform as well,or better,on their tests.The first educator in this situation is starting to rethink her position.What behavior is the first educator demonstrating?
A)Integrity
B)Perseverance
C)Fair-mindedness
D)Humility
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Chapter 11: Assessing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse manager observes a new graduate nurse complete assessment activities for a newly admitted client.Which actions indicate that the graduate needs assistance with the assessment process?
(Select all that apply)
A)Reviews client record
B)Establishes a database
C)Performs nursing actions
D)Reviews nursing literature
E)Determines client's strengths,risks,and problems
Q2) A nurse has been assigned a new client who cannot speak English.How should the nurse facilitate communication with this client?
A)Have a member of the housekeeping staff who speaks the same language translate.
B)Use the translation services supplied by the hospital.
C)Make sure a family member who does speak English is available.
D)Conduct the interview using hand gestures.
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13
Chapter 12: Diagnosing
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A client has been having pain without any clear pathology for cause.Which nursing diagnosis should the nurse identify as being the most appropriate for this client?
A)Pain due to unknown factors
B)Pain related to unknown etiology
C)Pain caused by psychosomatic condition
D)Pain manifested by client's report
Q2) After communicating with the client and family,the nurse compares a client's problem list with identified nursing diagnoses.What action is the nurse performing to minimize diagnostic errors?
A)Understanding what is normal vs.what is not normal
B)Verifying
C)Consulting resources
D)Basing diagnoses on patterns
Q3) The nurse is preparing to write nursing diagnoses for a client.What should the nurse recall about the NANDA label?
A)Must contain three components
B)Describes the health problem for which nursing therapy is given
C)Helps define medical diagnoses for nursing
D)Promotes a taxonomy of nursing
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Page 14
Chapter 13: Planning
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is devising a care plan for a client with complex health issues and current acute health problems.Which criteria should the nurse ensure is used when planning interventions for this client?
(Select all that apply)
A)Congruent with the client's values,beliefs,and culture
B)Are within established standards of care
C)Based on scientific and medical knowledge
D)Achievable with the resources available
E)Must be safe and appropriate for the client's age
Q2) The nurse being oriented to a new position is reviewing the hospital's standards of care,standardized care plans,protocols,policies,and procedures.For which reasons should the nurse realize that these documents are being used by the nursing staff?
A)Making sure all clients have the same types of care
B)Ensuring that minimally accepted standards are met
C)Promoting efficient use of the nurse's time
D)Eliminating care disparities among clients
E)Ensuring medication errors do not occur
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Chapter 14: Implementing and Evaluating
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A client recovering from total knee replacement surgery falls out of bed on the night shift and dies.Which quality improvement actions should the nurse manager expect to complete for this client occurrence?
(Select all that apply)
A)A root cause analysis
B)Paperwork about a sentinel event
C)Analysis of the nurse assigned to the client
D)Number of times the client was observed on the night shift
E)Number of hours since the client last received pain medication
Q2) The nurse provides care to clients admitted to a mental health facility who exhibit paranoid behavior.Which skill should the nurse use when caring for these clients?
A)Cognitive
B)Interpersonal
C)Technical
D)Therapeutic
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16
Chapter 15: Documenting and Reporting
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The client states: "I really don't want anyone to visit me who has not been cleared by me first." If utilizing SOAP format,in which category should the nurse document this statement?
A)Subjective data
B)Objective data
C)Assessment
D)Planning
Q2) The nurse administered analgesic medications to an assigned client via central line.In which section of PIE charting should the nurse document this information?
A)Plan
B)Intervention
C)Evaluation
D)Progress notes
Q3) The nurse is teaching medication administration to a client being discharged.Which instruction should the nurse rewrite for this client?
A)Lasix,20 mg,po bid
B)Lasix,20 mg tablet,twice daily
C)Lasix,20 mg by mouth,two times a day a day
D)Lasix,20 mg by mouth 8 AM and 2 PM
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Chapter 16: Health Promotion
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/79305
Sample Questions
Q1) A nurse is delivering a workshop regarding health promotion to a group of elderly clients.In describing Healthy People 2010,which goal should the nurse emphasize for this group?
A)Eliminating health disparities
B)Believing that individual health is closely related to community health
C)Increasing quality and years of life
D)Developing partnerships between individual and community health
Q2) A client is hospitalized with numerous acute health problems.According to Maslow's basic needs model,which nursing diagnosis should the nurse identify as being the highest priority for this client?
A)Risk for Injury related to unsteady gait
B)Altered Nutrition,Less Than Body Requirements related to inability to absorb nutrients
C)Self-Care Deficit related to weakness and debilitation
D)Powerlessness related to chronic disease state
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Chapter 17: Health, Wellness, and Illness
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A nurse is working in a rehabilitation center with a client who had a serious injury.Part of the client's care plan includes working on coping with her current limitations since the injury.This nurse is working within which model of health?
A)Role performance
B)Adaptive
C)Eudemonistic
D)Clinical
Q2) A nurse has volunteered to go on a health mission to rural Haiti,where the majority of the people do not have access to health care and live in poverty.According to Dunn's high-level wellness grid,the nurse will be working with clients in which quadrant?
A)Emergent high-level wellness in an unfavorable environment
B)Protected poor health in a favorable environment
C)Poor health in an unfavorable environment
D)Protected poor health in an unfavorable environment
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19
Chapter 18: Culturally Responsive Nursing Care
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is planning to conduct a physical assessment with a client from a different culture.What is the best way for the nurse to show cultural sensitivity when addressing the personal s required of the nursing history?
A)Break the assessment into shorter intervals and discuss general topics first.
B)Thoroughly explain the reason for asking many questions before beginning the assessment.
C)Pick a time when the family is present and can help with the admission assessment questions.
D)Wait until the nurse-client relationship has been established.
Q2) The nurse is planning to provide culturally responsive care to a minority client and family.What actions should the nurse perform when providing this care?
(Select all that apply)
A)Personally reflecting on feelings related to the client's nationality
B)Making an effort to direct all assessment questions initially to the client
C)Involving the family with the client's permission
D)Assessing the client's interest in alternative healing methods
E)Educating the client and family when appropriate
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Page 20
Chapter 19: Complementary and Alternative Healing
Modalities
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/79302
Sample Questions
Q1) The nurse is teaching a client regarding the use of herbal preparations.Which statements should the nurse include in this teaching?
(Select all that apply)
A)"Echinacea might reduce the effectiveness of the immunosuppressant medications you've been prescribed since your transplant."
B)"Gingko could affect the results of your aspirin therapy."
C)"Ginger could be contraindicated because you are taking anticoagulant medications."
D)"With your history of glaucoma,I don't believe you should be supplementing with ginseng."
E)"St.John's wort is a safe supplement when being medicated for depression."
Q2) A client with degenerative joint disease comes to the clinic and states that he has been reading a lot about essential oils that are helpful for "stomach problems." The nurse should offer the client information about the use of which oil?
A)Chamomile
B)Eucalyptus
C)Lavender
D)Tea tree
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Page 21
Chapter 20: Concepts of Growth and Development
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/79301
Sample Questions
Q1) A community health nurse is planning adult health education classes.According to Erikson's stages of development,the nurse should address which task with this age group?
A)Industry versus inferiority
B)Identity versus role confusion
C)Intimacy versus isolation
D)Generativity versus stagnation
Q2) A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor his asthma.The child has been frustrated at first,but now is able to give the reason to use the meter on a daily basis.Remembering the growth and development characteristics of the adolescent,how should the nurse respond to this client?
A)"You should feel very proud for understanding and using your meter."
B)"Think of using the meter as one of your daily chores."
C)"Maybe you could make a game out of the daily use of your meter."
D)"It's too bad if you don't want to use the meter,it's just something you'll have to do."
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22
Chapter 21: Promoting Health From Conception Through
Adolescence
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse suspects that an adolescent is working through the stages of spiritual development.What observations did the nurse make to come to this conclusion?
(Select all that apply)
A)Imitated behavior demonstrated by parents
B)Conceptualized angels and devils with the use of imagination
C)Compartmentalized differences between spiritual beliefs with friends
D)Determined differences between spiritual beliefs as being right or wrong
E)Met with the church priest to talk about the differences in spiritual beliefs
Q2) A client comes to the women's clinic,stating she has had a positive home pregnancy test.The client states that her last menstrual cycle was 2 months ago.According to this time frame,the nurse determines that the client is in which stage of pregnancy?
A)Fetal phase
B)Second trimester
C)Third trimester
D)Embryonic phase
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23
Chapter 22: Promoting Health in Young and Middle-Aged Adults
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is confident that a young adult has successfully achieved psychosocial development.What observations about the client did the nurse make to come to this conclusion?
(Select all that apply)
A)Discusses plans to expand his exercise routine to include running
B)Is optimistic about finding a new job
C)Volunteers weekly at the local senior center
D)Recognizes that professional sports may be enjoyed but does not aspire to participating E)May be "too bald" to play Santa Claus
Q2) The nurse is observing a group of young adults engaged in a discussion regarding work schedules over the holidays.What should the nurse realize that these adults will use to balance the emotional as well as logical side of the discussion?
A)Formal operational stage
B)Postformal thought process
C)Kohlberg's theory of moral development
D)Fowler's spiritual development theory
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24
Chapter 23: Promoting Health in Older Adults
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26 Flashcards
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Sample Questions
Q1) A nurse is presenting a health education program to a group of older adults at a senior citizens center.Considering the physiological changes of this age group,how should the nurse set the temperature of the room?
A)It should be set at a temperature that is comfortable for the nurse.
B)It should be set cooler than what is comfortable for the nurse.
C)It should be set warmer than the nurse's preference.
D)The temperature of the room is not one of the nurse's concerns.
Q2) The nurse is completing an assessment to determine an older patient's development of moral reasoning.Which observation indicates that the client has developed moral reasoning as anticipated?
A)Considers relationships as well as justice in moral decisions
B)Approaches moral decisions based upon the consequences to self
C)Follows society's rules of conduct in response to the expectations of others
D)Bases moral judgments on connectedness to others and the value of relationships
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25
Chapter 24: Promoting Family Health
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Sample Questions
Q1) The nurse is performing a family risk assessment.Which factor should the nurse identify that indicates this family is at risk of developing health problems?
A)The family is an elderly couple who are active in their retirement community.
B)The family is a teenage mother and child.The mother is enrolled in parenting classes at the high school.
C)The family belongs to the local synagogue and has family members still living in Germany.
D)The family depends on two incomes with a limit on their health insurance spending.
Q2) A family struggles with clear communication,and members of the family often seek the help of other systems for personal validation and gratification.What should the nurse identify as an appropriate nursing diagnosis for this family?
A)Altered Family Processes related to communication patterns
B)Impaired Verbal Communication related to inability to communicate
C)Ineffective Family Coping evidenced by assistance from outside sources
D)Knowledge Deficiency (communication patterns)related to dysfunctional patterns of communication
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Chapter 25: Caring
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Sample Questions
Q1) The new graduate nurse has committed to improving self-care activities.Which behaviors exemplify that the nurse is following through on this personal commitment?
(Select all that apply)
A)Using meditation to de-stress at the end of a long day at work
B)Eating a low fat-diet,as there is a family history of heart disease
C)Attending workshops designed to enhance professional skills at least twice yearly
D)Volunteering to cover a friend's weekend shifts so the friend can fully recover from a sprained ankle
E)Making sure to reserve the time to read a favorite book between 12 hours of shift work
Q2) While evaluating how care is delivered at various hospitals,the nurse identifies a facility where caring in the emergency department is perceived differently than caring in the rehabilitation unit.Whose theory of caring is the nurse observing in action?
A)Leininger
B)Ray
C)Roach
D)Boykin and Schoenhofer
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Chapter 26: Communicating
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Sample Questions
Q1) The nurse is engaging a client in the introductory phase of the helping relationship.Which stages will be completed during this phase?
(Select all that apply)
A)Opening the relationship
B)Clarifying the problem
C)Structuring and formulating the contract
D)Planning before the interview
E)Understanding thoughts and feelings
Q2) The nurse observes during a dressing change that the client's wound has become infected.When asked by the client how the wound looks,the nurse says "it looks fine" but the nurse's facial expression doesn't support the response.Which aspect of communication should this nurse improve?
A)Adaptability
B)Credibility
C)Timing and relevance
D)Clarity and brevity
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28
Chapter 27: Teaching
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Sample Questions
Q1) A home health nurse is working with a client who has pulmonary fibrosis.Of the following teaching priorities,which will take the highest priority?
A)Client will be able to set up and administer a nebulizer treatment by the end of the day.
B)Client will have increased activity level by the end of the week.
C)Client will be able to do activities of daily living (ADLs)without shortness of breath in 3 days.
D)Client will have a positive attitude about the diagnosis by the end of the month.
Q2) A client tells the nurse that he has no s about his illness,as he did a search for information on the Internet.What should the nurse do?
A)Ask the client to share the information obtained from the Internet search.
B)Document that the client has received instruction.
C)Tell the client that the Internet is a form of entertainment,not instruction.
D)Document that the client refused instruction.
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Chapter 28: Leading, Managing, and Delegating
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Sample Questions
Q1) A charge nurse's responsibilities include the day-to-day management and coordination of therapies for the clients,client assignments,and scheduling.Which type of management is the charge nurse performing?
A)Top level
B)Middle level
C)First level
D)Upper level
Q2) The nurse practices responsibility when functioning in the role of manager of a care area.What will the nurse manager demonstrate as evidence of responsibility?
(Select all that apply)
A)Effective utilization of resources
B)Communication to subordinates
C)Implementation of organizational goals and objectives
D)Problem solving
E)Managing the work team
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Chapter 29: Vital Signs
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Sample Questions
Q1) When assessing a client's oxygen saturation reading,the nurse realizes that what will affect this reading?
A)Activity
B)Environmental conditions
C)Nutrition
D)Skin color
Q2) Which determinant of blood pressure would explain a client's blood pressure reading of 120/100?
A)Blood viscosity
B)Blood volume
C)Pumping action of the heart
D)Peripheral vascular resistance
Q3) The nurse is preparing to assess a client's blood pressure.Which artery will the nurse use for this assessment?
A)Brachial
B)Femoral
C)Radial
D)Ulnar
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Chapter 30: Health Assessment Preview As Pdf
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Sample Questions
Q1) A client has been receiving a new medication to address specific symptoms.The nurse will perform a physical examination to determine (Select all that apply)
A)the progress of the client's health problem.
B)the physiological impact of the prescribed medication.
C)baseline data.
D)data to support nursing diagnoses.
E)areas for health promotion.
Q2) The nurse is preparing to complete a physical examination on a client.What should the nurse realize as being the purpose for this examination? (Select all that apply)
A)Obtain baseline data.
B)Obtain data to help determine nursing diagnoses.
C)Identify areas for disease prevention.
D)Identify the client's employment status.
E)Obtain data about the client's leisure activities.
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Chapter 31: Asepsis
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Source URL: https://quizplus.com/quiz/79290
Sample Questions
Q1) A client needs to be placed in contact isolation.What items should the nurse ensure are included in this client's room?
A)Cabinet stocked with gloves and gowns
B)Cards and records
C)Paper towels,sink,and blood pressure cuff
D)Sign on the door
Q2) A client diagnosed with an infectious disease asks the nurse how the infection "got inside" her body.Which responses would be appropriate for the nurse to make?
(Select all that apply)
A)"It depends on the number of organisms present to cause a disease."
B)"It depends on how aggressive the organisms are to cause a disease."
C)"It depends upon how the organisms get inside the body to cause a disease."
D)"It depends upon where the person is at the time the disease is present."
E)"It depends upon where the person works."
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Chapter 32: Safety
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32 Flashcards
Source URL: https://quizplus.com/quiz/79289
Sample Questions
Q1) The nurse is installing a bed safety-monitoring device for a client.What should the nurse do after testing the device and alarm sound?
A)Place the leg band on the client with the leg in a straight horizontal position.
B)Place the sensor under the mattress near the shoulder region.
C)Set a time delay for 30 seconds.
D)Connect the sensor pad to the control unit.
Q2) A client is prescribed seizure precautions.What can the nurse safely delegate to UAP to complete when implementing the precautions?
A)Placing a tongue blade at the head of the bed
B)Padding the client's bed
C)Installing oxygen
D)Checking the oral suction apparatus
Q3) While the nurse is performing morning care,a client begins to have a seizure.What should the nurse do to help this client?
A)Insert a tongue blade into the client's mouth.
B)Loosen any clothing around the neck and chest.
C)Restrain the client.
D)Turn the client to the supine position if possible.
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Chapter 33: Hygiene
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/79288
Sample Questions
Q1) The client has a hearing aid with an earpiece that is connected by a cord to a receiver that the client keeps in a shirt pocket.The nurse would document this as which type of hearing aid?
A)Body hearing aid
B)In-the-canal aid
C)Completely-in-the-canal aid
D)Eyeglasses aid
Q2) The nurse has completed foot care for a client as part of routine morning care.What should the nurse document about the procedure?
A)The condition of the skin and nails
B)Nothing unless a problem is noted
C)The amount of time taken on foot care
D)The client's comments about the foot care
Q3) The nurse is preparing to provide morning care to a client.What should the nurse explain to the client as the reason for a daily bath?
A)Assess skin integrity
B)Develop a nurse-client relationship
C)Moisturize the skin
D)Stimulate circulation
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Page 35
Chapter 34: Diagnostic Testing
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/79287
Sample Questions
Q1) A client is scheduled for a nuclear imaging test.What should the nurse instruct the client about this test?
A)It is the use of a magnetic field to produce an image of a body part or organ.
B)A radioisotope will be injected to determine organ functioning as being either hot or cold.
C)It produces a three-dimensional image of an organ.
D)It is more sensitive than an x-ray image.
Q2) The nurse is teaching a client with heart failure about diagnostic tests.Which test should the nurse emphasize in this teaching?
A)BNP
B)CBC
C)LDH
D)PKU
Q3) A client is scheduled for a barium enema.What is the nursing priority for this client?
A)Assess bowel sounds.
B)Assess for allergies.
C)Cleanse the bowel.
D)Keep the client NPO.
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Chapter 35: Medications
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Sample Questions
Q1) The nurse has provided an otic medication to a client.What should the nurse document about this medication's administration?
(Select all that apply)
A)Name of the drug
B)The strength
C)The appetite of the client
D)The number of drops
E)The response of the client
Q2) The nurse is adding medication to an existing intravenous setup.Which nursing action is indicated?
A)Close the infusion clamp.
B)Ensure that the IV bag is full prior to adding medication.
C)Do not remove the IV bag from the pole.
D)Briskly shake the IV bag after injecting the medication.
Q3) The client has required 2 sublingual nitroglycerine tablets that are gr 1/150 per tablet.How many mg of nitroglycerine did the client receive?
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Chapter 36: Skin Integrity and Wound Care
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Source URL: https://quizplus.com/quiz/79285
Sample Questions
Q1) The nurse is collecting a specimen from an infected wound.From which portion of the wound should the specimen be collected?
A)Clean areas of granulation tissue
B)Exudate in the bottom of the wound
C)A pus-coated area on the side of the wound
D)Intact skin at the edge of the wound
Q2) A client has sustained multiple contusions from a motor vehicle accident.What should the nurse do to prepare for this client's care?
A)Obtain ice packs to apply to the wounds.
B)Request gauze to pack the wounds.
C)Organize suture material to close the wounds.
D)Notify the surgical staff that a surgical client will soon be arriving.
Q3) The adult client is incontinent and wears incontinence briefs when using the wheelchair.An irritated rash has developed in the perianal area.What care should the nurse provide?
A)Wash the area with soap and hot water at every brief change.
B)Apply a petroleum-based cream to the area after cleaning.
C)Wipe the skin with an alcohol-free barrier film agent after cleaning.
D)Keep the client in bed on absorbent pads until the area clears.
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Page 38
Chapter 37: Perioperative Nursing
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34 Flashcards
Source URL: https://quizplus.com/quiz/79284
Sample Questions
Q1) The nurse is preparing to instruct a client on leg exercises to be used when recovering from abdominal surgery.What should the nurse determine before beginning this teaching?
(Select all that apply)
A)Type of surgery
B)Time of surgery
C)Postoperative diet
D)Preoperative orders
E)Name of the surgeon
Q2) The nurse has removed the sutures from a client's surgical wound.What should the nurse document about this procedure?
(Select all that apply)
A)Number of sutures removed
B)Appearance of the incision
C)Client teaching
D)Client tolerance of the procedure
E)Name of the surgeon.
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Chapter 38: Sensory Perception
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Sample Questions
Q1) A client diagnosed with congestive heart failure has been treated for many years with intravenous furosemide (Lasix).What sensory impairment should the nurse assess in this client?
A)Loss of ability to taste
B)Hearing loss
C)Vision loss
D)Loss of ability to smell
Q2) The nurse suspects a client will develop sensory overload.What characteristics did the nurse observe in the client?
(Select all that apply)
A)Ongoing pain
B)Confusion at night
C)Inability to sleep
D)Easily angered
E)Worrying about upcoming diagnostic tests
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Chapter 39: Self-Concept
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Sample Questions
Q1) A client recovering from a lumpectomy for breast cancer tells the nurse that she "feels ugly." For which nursing diagnosis should the nurse plan interventions?
A)Powerlessness
B)Social Isolation
C)Grieving
D)Hopelessness
Q2) The staff development instructor planning self-concept development classes for staff nurses is going to include information to improve the nurses' self-concept along with information to use with clients.Why is the information for nurses important?
A)The nurse's self-concept is more important than the client's.
B)Poor self-concept is the number-one reason for nursing burnout.
C)Nurses with positive self-concept are better able to help clients.
D)Nurses with poor self-concept are more likely to make errors.
Q3) Which statement,made by the client,would indicate a "me-centered" self-concept?
A)"I couldn't stand to disappoint my parents."
B)"My sister is so much smarter than I am."
C)"My future is based on the decisions I make today."
D)"The world has always been against people like me."
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Chapter 40: Sexuality
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37 Flashcards
Source URL: https://quizplus.com/quiz/79281
Sample Questions
Q1) The nurse is teaching a class of young adult men and women.What self-examination schedules should the nurse instruct these participants to follow?
(Select all that apply)
A)Monthly breast self-exams for women
B)Yearly breast self-exams for men
C)Weekly testicular self-exams for men
D)Monthly breast self-exams for men
E)Yearly vulvar self-exams for women
Q2) A client speaks about an adult son who is a practicing homosexual and expresses concern by stating: "I am so worried about him and I know he is going to hell." What is the most important fact for the nurse to consider in formulating a response to this client's concern?
A)Normal sexuality is described as whatever behaviors give pleasure and satisfaction to those adults involved.
B)Because alternative lifestyles are now so well accepted in society,this parent should not feel so much concern.
C)What constitutes normal sexual expression varies among cultures and religions.
D)Sexual development is genetically determined and not affected by environment.
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Chapter 41: Spirituality
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31 Flashcards
Source URL: https://quizplus.com/quiz/79280
Sample Questions
Q1) The nurse is concerned that the spouse of a recently deceased client is experiencing spiritual distress.What did the nurse observe to come to this clinical decision?
(Select all that apply)
A)Expressing anger toward God
B)Crying softly in the client's room
C)Hugging family members
D)Talking with caregivers about the client's personal items
E)Refusing comfort from family
Q2) The 70-year-old client with terminal lung cancer tells the nurse,"I am dying because I sinned by smoking cigarettes." What is the nurse's best response to this dying client?
A)"You are correct,but it is too late to do anything about it now."
B)"When you started smoking cigarettes we didn't know about the problems they cause.It is not your fault."
C)"Why don't we call the hospital chaplain and you can pray about your sins."
D)"Smoking cigarettes isn't a sin.There are many worse habits you could have."
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Chapter 42: Stress and Coping
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Sample Questions
Q1) During an assessment,the nurse learns that a client has been having periodic upper respiratory infections since experiencing the death of a close family member.The nurse identifies this client's reaction to stress as being a A)stimulus.
B)response.
C)transaction.
D)negotiation.
Q2) While assessing a client's ability to cope after being diagnosed with a chronic illness,the client admits to an increase in drinking and smoking.The nurse recognizes the client is utilizing which type of coping strategy?
A)Short term
B)Long term
C)Adaptive
D)Effective
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Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) A client is diagnosed with a terminal illness and is demonstrating anxiety.What intervention can the nurse use to help the client at this time?
A)Explore the client's history with other stressful life events and how successful coping was at that time.
B)Teach the family that while talking with the client about death and dying is permissible,they should not allow the client to dwell on death.
C)Supply information about the client's disease process and the expected trajectory of death only on a need-to-know basis.
D)Encourage early pharmaceutical intervention with antianxiety and sedative medications.
Q2) The nurse is counseling a family in which a member is terminally ill.The family has children of varying ages.What should the nurse teach the family about the reactions of children to death?
A)Toddlers perceive death as irreversible and unnatural.
B)Preschool children view death as a spiritual release.
C)At about age 9,children begin to understand that death is inevitable.
D)Adolescents tend to have better outcomes than adults after a loss.
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Chapter 44: Activity and Exercise
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Sample Questions
Q1) The nurse is working on a hospital committee focused on preventing back injury in nurses.Which recommendation by this committee is most likely to result in a decrease in back injuries if followed?
A)Nurses must wear back belts when lifting clients.
B)All nursing personnel must attend annual body mechanics education.
C)In order to prevent injury,nurses must strive to become physically fit.
D)No solo lifting of clients is permitted in the facility.
Q2) The nurse is preparing to transfer a client from the bed to a stretcher.The correct position for the bed to be placed is parallel to the stretcher and
A)slightly higher.
B)slightly lower.
C)at the same height.
D)at least 2 inches lower.
Q3) The nurse is caring for a client experiencing dyspnea.In which position should the nurse place this client?
A)High Fowler's position with two pillows behind the head
B)Orthopneic position across the overbed table
C)Prone position with knees flexed and arms extended
D)Sims position with both legs flexed
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Page 46
Chapter 45: Sleep
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32 Flashcards
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Sample Questions
Q1) The client reports difficulty sleeping and awakening several times during the night.What intervention should the nurse recommend for the client when unable to sleep?
A)Get out of bed,go into another room,and pursue some relaxing activity until drowsy.
B)Get out of bed,go into another room,and exercise until tired before trying to go back to sleep.
C)Sit in bed and watch the bedroom television until drowsy.
D)Stay in bed with eyes closed and do some mental arithmetic until sleepy.
Q2) The client who has sleep apnea reports falling asleep while driving,almost being involved in an accident,and frequent episodes of sleepwalking.What nursing diagnosis should be a priority for this client?
A)Disturbed Sleep Pattern related to difficulty staying asleep
B)Risk for Impaired Gas Exchange related to sleep apnea
C)Disturbed Thought Processes related to chronic insomnia
D)Risk for Injury related to somnambulism
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Chapter 46: Pain Management
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Sample Questions
Q1) A client experiencing chronic pain is not getting relief with pain medication.What should the nurse do to help this client?
A)Ask the physician to change the prescribed pain medication.
B)Reassess the pain and consider another pain relief measure.
C)Limit interaction with the client.
D)Stop using alternative pain relief measures,if not effective.
Q2) A client experiencing pain has been prescribed a coanalgesic.The nurse should prepare to administer what medications to the client?
(Select all that apply)
A)Nortriptyline
B)Amitriptyline
C)Tramadol
D)Meloxicam
E)Gabapentin
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Chapter 47: Nutrition
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Sample Questions
Q1) A client reports following the "food pyramid" to guide nutritional intake.How should the nurse evaluate this information?
A)Because this food pyramid is produced by the U.S.Department of Agriculture,the client is likely consuming necessary levels of all essential nutrients.
B)The food pyramid is most useful when applied to the nutritional intake of children.
C)The food pyramid is not very useful because it does not take fluid intake and combination foods into consideration.
D)Following the appropriate food pyramid is helpful,but there are additional factors to consider in a balanced diet.
Q2) What criteria should the nurse use to evaluate to determine if an infant's regurgitation,or spitting up,should be further investigated?
A)How often the baby spits up
B)How much the baby spits up at a time
C)If the baby is gaining weight adequately
D)The consistency of the regurgitated matter
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Chapter 48: Urinary Elimination
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Sample Questions
Q1) The nurse is applying an external urinary device to a client.Before attaching the device to the drainage bag,what should the nurse do?
A)Wash his or her hands.
B)Document the client's tolerance of the procedure.
C)Instruct the client about the drainage system.
D)Ensure that the condom is not twisted.
Q2) A client has been admitted with incontinence.What should the nurse expect to assess in this client?
A)Client is wearing cotton undergarments.
B)Leakage of urine occurs when client laughs.
C)Leakage of urine occurs when talking with the client.
D)The skin of the client is clear without discoloration.
Q3) A client is having issues with urinary elimination.What should the nurse instruct this client to promote urinary elimination?
A)Don't interrupt your day by going to the bathroom;wait until you're at a good stopping place.
B)Drink 8 to 10 glasses of water daily.
C)Urine color changes are not important.
D)Wash with soap and water every other day.
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Page 50
Chapter 49: Fecal Elimination
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Sample Questions
Q1) The nurse is caring for a client with a fecal incontinence pouch.What should the nurse do when caring for this client?
(Select all that apply)
A)Assess perianal skin.
B)Irrigate the pouch every shift.
C)Maintain the drainage system.
D)Change the bag every 72 hours.
E)Explain the purpose of the system to the client.
Q2) The nurse has completed care with a client who has a new ostomy.What should the nurse document about the care provided?
(Select all that apply)
A)Any change in stoma size
B)Condition of the skin around the stoma
C)Amount and type of drainage
D)Client's response to the procedure
E)Degree of bowel sounds after care provided
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Chapter 50: Oxygenation
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Sample Questions
Q1) The nurse wants to delegate the Yankauer suctioning of a client to UAP.What will the nurse ensure that UAP know before delegating this activity?
A)How to apply suction during the insertion of the catheter
B)Not to apply suction during the insertion of the catheter
C)How to maintain sterile technique
D)How to listen for lung sounds
Q2) After learning of a terminal illness and life expectancy,the client begins to hyperventilate and complains of being light-headed with the fingers,toes,and mouth tingling.What action should be taken by the nurse?
A)Prepare to resuscitate the client.
B)Have the client concentrate on slowing down respirations.
C)Place the client in Trendelenburg's position and ask him to cough forcefully.
D)Administer 25 mg of meperidine (Demerol)according to the prn pain order.
Q3) A client is experiencing atelectasis.The nurse anticipates that this client will have an alteration in
A)Ventilation.
B)Alveolar gas exchange.
C)Transportation of oxygen and carbon dioxide.
D)Systemic diffusion.
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Page 52
Chapter 51: Circulation
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Sample Questions
Q1) What dietary teaching should the nurse provide to the client who has homocysteine elevation?
A)Reduce salt intake.
B)Take a B-complex vitamin supplement daily.
C)Increase fluid intake to 2,000 mL per day.
D)Avoid alcohol intake.
Q2) The nurse is planning morning care for a client who has sequential compression devices in place.How should the nurse instruct the UAP who will be giving the bath?
A)"Come get me when it is time to remove the devices,because that must be done by a nurse."
B)"You may remove the devices,but standards require that only a nurse put them back on the client."
C)"You may leave the devices off until the client's legs air dry."
D)"Put the devices on as quickly as possible after the bath."
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Chapter 52: Fluid, Electrolyte, and Acidbase Balance
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Sample Questions
Q1) An older client receiving intravenous fluids at 175 ml/hr is demonstrating crackles,shortness of breath,and distended neck veins.The nurse recognizes these findings as being which complication of intravenous fluid therapy?
A)An allergic reaction to the antibiotics in the fluid
B)Fluid volume excess
C)Pulmonary embolism
D)Speed shock
Q2) The physician has ordered 50 mL of an IV solution to infuse over the next 20 minutes.In order to accurately infuse this solution,the nurse should set the electronic controller to deliver how many mL/hr? rounding to the nearest whole number.
Q3) The nurse is caring for a client who is recovering from surgery.Which intervention should the nurse implement to decrease the client's possibility of developing hypercalcemia?
A)Measure vital signs every 4 hours.
B)Assist the client to turn,cough,and deep breathe every 2 hours.
C)Assist the client to ambulate around the room at least three times daily.
D)Irrigate the client's nasogastric tube every 2 hours.
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