Nursing Process and Critical Thinking Exam Review
Course Introduction
This course explores the foundational concepts of the nursing process and the integral role of critical thinking in nursing practice. Students will learn to systematically assess patients, establish nursing diagnoses, plan individualized care, implement evidence-based interventions, and evaluate outcomes. Emphasis is placed on developing analytical and reflective thinking skills to solve complex clinical problems, prioritize care, and make sound clinical judgments. Through case studies and interactive activities, students will practice applying the nursing process in diverse healthcare settings, ultimately enhancing their decision-making abilities and overall clinical competence.
Recommended Textbook
Foundations of Nursing 7th Edition by Kim Cooper
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40 Chapters
1496 Verified Questions
1496 Flashcards
Source URL: https://quizplus.com/study-set/382
Page 2
Chapter 1: Evolution of Nursing
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/6580
Sample Questions
Q1) Graduates of the first school for training the practical nurse were referred to as ___________ nurses.
Answer: attendant
The first school for training the practical nurse started in Brooklyn,New York in 1892 and was conducted under the auspices of the Young Women's Christian Association (YWCA).The Ballard School,as it was known,was approximately 3 months in duration and trained its students to care for the chronically ill,invalids,children,and the elderly.The main emphasis was on home care and included cooking,nutrition,basic science,and basic procedures.Graduates of this program were referred to as attendant nurses.
Q2) What official agency exists exclusively for LPN/LVN membership and promotes standards for the LPN/LVN?
A)NFLPN
B)ANA
C)NLN
D)NAPNES
Answer: A
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3
Chapter 2: Legal and Ethical Aspects of Nursing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) What are the universal guidelines that define appropriate measures for all nursing interventions?
A)Scope of practice
B)Advocacy
C)Standard of care
D)Prudent practice
Answer: C
Q2) How can the medical record be used in litigation? (Select all that apply.)
A)Public record
B)Proof of adherence to standards
C)Evidence of omission of care
D)Documentation of time lapses
E)Evidence by only the plaintiff
Answer: A,B,C,D
Q3) Acts whose performance is required,permitted,or prohibited are defined by ___________ of ______________.
Answer: standards,care
Standards of care define acts whose performance is required,permitted,or prohibited.
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4
Chapter 3: Documentation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/6582
Sample Questions
Q1) What makes home health care documentation unique?
A)Some charting is retained at the hospital.
B)The physician's office needs separate charting.
C)Different health care providers need access.
D)The physician is the pivotal person in the charting.
Answer: C
Q2) What should the nurse be sure to do when documenting in a patient's chart?
A)Include speculation
B)Chart consecutively
C)Leave blank spaces
D)Include retaliatory comments
Answer: B
Q3) What form explains the lapse when events are not consistent with facility or national standards of expected care?
A)Subjective data
B)Focus chart
C)Incident report
D)Nursing assessment
Answer: C
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Page 5
Chapter 4: Communication
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) What therapeutic communication technique requires a great deal of skill and is not used as frequently as other communication techniques?
A)Touch
B)Silence
C)Listening
D)Summarizing
Q2) What is true about the use of touch in therapeutic communication? (Select all that apply.)
A)Touch is a form of nonverbal communication.
B)Touch is a form of verbal communication.
C)Touch should be used with indiscretion.
D)Touch can convey warmth and caring.
E)Touch can convey support and understanding.
F) Touch should be used sincerely and genuinely.
Q3) When listening to a patient,what action by the nurse demonstrates disinterest and coldness?
A)Tightly crossing her arms
B)Uncrossing her arms
C)Uncrossing her legs
D)Facing the patient
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Chapter 5: Nursing Process and Critical Thinking
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) During an admission assessment,the nurse collects objective and subjective data.What is an example of objective data?
A)The patient complains of feeling depressed.
B)The patient states, "I hear voices in my head."
C)The patient complains of auditory hallucinations.
D)The patient is pacing back and forth while chanting.
Q2) What is an example of an appropriate nursing diagnosis?
A)Constipation
B)Patient complains of constipation
C)Need for laxatives
D)Patient has a duodenal ulcer
Q3) Which nursing order is complete and correct?
A)"May 10: Nursing assistants will ambulate patient. A. Nurse"
B)"Day nurse will cleanse wound and change dressings every day. May 10, A. Nurse"
C)"Nursing assistants will serve 8 oz glass of juice at each meal, 5/10."
D)"P.M. nurse will ensure that heel protectors are in place before bedtime."
Q4) A clinical judgment about individual,family,or community responses to actual or potential health problems/life processes is known as a _____________
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Chapter 6: Cultural and Ethnic Considerations
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) Which statement about the biomedical health belief system is true?
A)Life processes can be manipulated by human beings by mechanical interventions.
B)Life processes cannot be manipulated by human beings by mechanical interventions.
C)Disease has a nonspecific cause, onset, course, and treatment.
D)Disease is only caused by failure of body parts and chemical imbalances.
Q2) The nurse is caring for an African American patient.Who would the nurse expect to be the primary decision maker in the patient's family?
A)Men
B)Women
C)Clergy
D)Grandparents
Q3) Which health belief system focuses on restoring balance with physical,social,and metaphysical worlds?
A)Folk health belief system
B)Holistic health belief system
C)Biomedical health belief system
D)Alternative/complementary belief system
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8
Chapter 7: Asepsis and Infection Control
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) What type of organism causes malaria?
A)Bacterium
B)Virus
C)Protozoan
D)Fungus
Q2) When assessing a patient for signs of an infection,the nurse recognizes which laboratory result as indicative of an infection?
A)Lowered red blood cell count
B)Increased white blood cell count
C)Lowered white blood cell count
D)Increased red blood cell count
Q3) The nurse is concerned when a patient admitted with a diagnosis of pneumonia suddenly develops a urinary tract infection (UTI).What type of infection is this UTI considered?
A)Viral infection
B)Bacterial infection
C)Health care-associated infection
D)Spore infection
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9
Chapter 8: Body Mechanics and Patient Mobility
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) To maintain a wide base of support,the nurse should stand with the feet separated by the distance of _______ times the length of the nurse's shoe.
Q2) The most common cause of musculoskeletal disorders in nurses involves a movement that requires the nurse to ________ and _________ at the same time.
Q3) A nurse instructs a nursing assistant about moving older adult patients in bed.When should the nurse intervene when observing the nursing assistant perform a return demonstration?
A)The nursing assistant is using simple language.
B)The nursing assistant is avoiding jerky movements.
C)The nursing assistant is avoiding sudden movements.
D)The nursing assistant is pulling the patient across bed linens.
Q4) Place the nursing activities in priority order for the preparation of a patient to ambulate.Put a comma and space between each answer choice (A,B,C,D,etc.).
A) Dangle the patient at the side of the bed
B) Apply a gait belt
C) Assist the patient to stand
D) Inform the patient of activity
E) Roll up the head of the bed
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Page 10
Chapter 9: Hygiene and Care of the Patients Environment
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) How will the nurse correctly replace a patient's dentures after cleaning?
A)Inserting the lower denture first
B)Asking the patient to insert them
C)Inserting both dentures together
D)Inserting the upper denture first
Q2) Which guideline should be followed when giving a backrub?
A)Observing the skin for abnormalities
B)Massaging for at least 10 minutes
C)Following massage with a brisk alcohol rub
D)Conversing with patient continually throughout the backrub
E)Using alcohol-based lotion for disinfection
Q3) Proper hair care is important for the patient's self-image.What is the proper water temperature when shampooing a patient's hair?
A)101° F
B)105° F
C)110° F
D)120° F
Q4) To prevent skin breakdown in a wheelchair-bound patient,the nurse teaches the patient to shift the patient's weight every _______ minutes.
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Chapter 10: Safety
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) What type of fire extinguisher should the nurse use when the oxygen concentrator machine malfunctions and causes an electrical fire?
A)Type A
B)Type B
C)Type C
D)Type D
Q2) What should the nurse do when offering a cup of hot coffee to a frail,older adult patient?
A)Give the patient a straw
B)Dilute the coffee with cold water
C)Fill the cup half full
D)Offer a bib or an apron
Q3) The nurse explains that the measurement of radiation exposure is in multiples of Gy.The number of Gy an individual may absorb before becoming ill with radiation syndrome is _______.
Q4) The nurse conducting a seminar on bioterrorism reviews several types of agents that may be used as weapons.An agent that does not seriously damage or kill the target population but only impairs it is classified as _____________.
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12
Chapter 11: Vital Signs
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse uses cooling techniques to keep the body temperature below 105° F.What can result from an elevated temperature?
A)Excessive thirst
B)Excessive perspiration
C)Damage to body cells
D)Increased heart rate
Q2) The nurse is alarmed when a patient with a severe head injury of the occipital lobe has a respiratory rate of 10 breaths per minute.Where might this finding indicate that there is an injury?
A)Cerebellum
B)Medulla oblongata
C)Cortex
D)Cerebrum
Q3) When assessing vital signs on a 40-year-old male,the nurse identifies a pulse rate of 120.What is this pulse interpreted as by the nurse?
A)Normal
B)Bradycardic
C)Arrhythmic
D)Tachycardic
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Page 13
Chapter 12: Physical Assessment
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90 Verified Questions
90 Flashcards
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Sample Questions
Q1) Auscultating the heart sounds should result in a "lubb-dupp" sound when using the bell and the diaphragm of the stethoscope.What causes the "lubb" sound?
A)Opening of the AV valves
B)Opening of the semilunar valves
C)Closing of the AV valves
D)Closing of the semilunar valves
Q2) A nursing assessment is a process of collecting data to establish a database.The information contained in the database is a basis for:
A)a complete physical examination.
B)a medical assessment.
C)an individualized plan of care.
D)writing nursing orders.
Q3) What should the nurse begin by assessing when performing a head-to-toe assessment?
A)Support system
B)Skin integrity
C)Pain level
D)Neurologic status
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14
Chapter 13: Admission, Transfer, and Discharge
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) If a patient has an order for an interagency transfer where does the nurse explain that the patient will be moved?
A)A double room to a private room
B)One unit of the hospital to another
C)One room of the unit to another
D)One facility to another
Q2) A nurse is admitting a patient to an acute care facility.During the admission procedure,what nursing intervention would best help reduce patient anxiety?
A)Transport the patient by wheelchair.
B)Inform the physician that the patient is admitted.
C)Greet the patient by name.
D)Collect financial information during the interview.
Q3) How can the nurse help reduce the stress of a hospital admission? (Select all that apply.)
A)Show the patient how bedside equipment works.
B)Explain the need to establish a clear source of reimbursement.
C)Give simple explanation of policies.
D)Involve the patient in the plan of care.
E)Keep family interventions to a minimum.
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Page 15
Chapter 14: Surgical Wound Care
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Which solution(s)can be used on a wet-to-dry dressing? (Select all that apply.)
A)Normal saline
B)Lactated Ringer
C)Acetic acid
D)Dakin
E)Lysol
Q2) The day following surgery,the nurse notes bloody drainage on the dressing.How will the nurse describe this drainage when documenting?
A)Serosanguineous
B)Sanguineous
C)Serous
D)Purulent
Q3) The nurse is preparing to perform a dressing change on a patient following a total hip replacement.When should the nurse administer an analgesic drug in an attempt to promote patient comfort during the dressing change?
A)After the dressing change
B)At least 15 minutes before the dressing change
C)At least 30 minutes before the dressing change
D)At least 1 hour before the dressing change
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Page 16
Chapter 15: Specimen Collection and Diagnostic Testing
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) What intervention should the nurse implement when preparing the patient for a glucose tolerance test (GTT)?
A)Restrict water intake before the test
B)Encourage water intake before the test
C)Keep patient NPO 4 hours before the test
D)Instruct patient to have a full bladder for the test
Q2) The nurse is preparing to collect a urine specimen.What will this nurse include when labeling this specimen? (Select all that apply.)
A)Date and time of collection
B)Identification of last name only
C)Room number
D)Medical record number
E)Insurance information
Q3) A patient is unable to obtain a sputum specimen by coughing and expectorating.What is the best way for the nurse to collect this specimen?
A)Ask the patient to spit
B)Direct the patient to turn, cough, and breathe deeply
C)Perform tracheal suctioning
D)Perform a bronchoscopy
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Chapter 16: Care of Patients Experiencing Urgent
Alterations in Health
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/6595
Sample Questions
Q1) The nurse is attempting to control bleeding in a patient with a profusely bleeding scalp wound.What is the most effective initial treatment of this bleeding?
A)Elevate the head
B)Apply direct pressure
C)Apply an ice pack
D)Apply indirect pressure
Q2) The worried mother of an accident victim asks the nurse how much circulating blood an average adult male is supposed to have.What will the nurse reply?
A)8 pints
B)10 pints
C)12 pints
D)14 pints
Q3) When treating an infant choking on a foreign body,the nurse should use a combination of ______ _________ and chest thrusts.
Q4) When performing CPR on an infant,the breastbone is depressed approximately ____ to ____ inch(es).
Q5) The acronym RICE directs the nurse in the care of a sprain.The "C" in the acronym stands for ________.
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Chapter 17: Complementary and Alternative Therapies
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/6596
Sample Questions
Q1) Herbs have not been approved for use as drugs.How are herbs allowed to be sold?
A)For pain relief
B)To improve body strength
C)To prolong life
D)As diet supplements
Q2) Why do people often choose complementary and alternative medicine (CAM)?
(Select all that apply.)
A)CAM is less invasive.
B)CAM is more holistic.
C)CAM is focused on treatment of disease.
D)CAM is dedicated to health maintenance.
E)CAM is within the control of the patient.
Q3) Acupuncture is a complementary therapy that uses fine needles placed in acupoints.What is the believed purpose of these acupoints?
A)"Close the gate" for pain transmission
B)Align the internal organs
C)Open meridians to release qi
D)Stimulate the "centering" of qi
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Chapter 18: Pain Management, Comfort, Rest, and Sleep
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient using patient-controlled analgesia (PCA).What is a major advantage to this method?
A)Less expensive
B)More effective
C)Less addictive
D)Quicker
Q2) A patient is receiving an opioid narcotic.What common side effect should the nurse be aware of when assessing this patient?
A)Addiction
B)Vomiting
C)Constipation
D)Diarrhea
Q3) A patient tearfully declares the use of relaxation techniques does not work for her.What is the best action for the nurse to implement?
A)Give up on the idea
B)Encourage the patient to try again
C)Assure the patient that not everyone is successful
D)Give the patient a sedative
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Chapter 19: Nutritional Concepts and Related Therapies
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The nurse reminds the male patient with lactose intolerance that he can avoid the unpleasant symptoms of nausea,bloating,flatulence,and diarrhea,if he will avoid certain foods.What product should the patient be instructed to avoid?
A)Soy beans
B)Rice
C)Milk
D)High fiber
Q2) To demonstrate the energy-producing potential of different foods,the nurse explains that 3 g of lean meat produces 12 kcal/g.How many kcal/g does 3 g of fish oil produce?
A)6 kcal/g
B)15 kcal/g
C)21 kcal/g
D)27 kcal/g
Q3) What has replaced the USDA's Recommended Dietary Allowance (RDA)?
A)Nutrition Recommended Allowance (NRA)
B)National Bionutritional Allowance (NBA)
C)Dietary Reference Intake (DRI)
D)Dietary Guidelines for Americans (DGA)
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Chapter 20: Fluids and Electrolytes
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) When administering intravenous (IV)fluids,the nurse ensures that the IV fluids are infusing as ordered to prevent dehydration in an adult.When could dehydration become lethal?
A)If the patient loses 5% of body fluid
B)If the patient loses 10% of body fluid
C)If the patient loses 15% of body fluid
D)If the patient loses 20% of body fluid
Q2) What are the three types of passive transport? (Select all that apply.)
A)Diffusion
B)Titration
C)Osmosis
D)Distillation
E)Filtration
Q3) A patient began vomiting and continued to do so for several hours.What is the result of this loss of stomach contents?
A)Metabolic acidosis
B)Metabolic alkalosis
C)Respiratory acidosis
D)Respiratory alkalosis
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Chapter 21: Mathematics and Medication Administration
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/6600
Sample Questions
Q1) What is the main organ that inactivates and metabolizes drugs?
A)Spleen
B)Liver
C)Lungs
D)Pancreas
Q2) The nurse administered a sedative to an older adult who was having difficulty sleeping.Later,the patient was walking the halls and becoming agitated.What is this drug response known as?
A)Expected
B)Untoward
C)Idiosyncratic
D)Hypersensitive
Q3) When giving a subcutaneous injection to a very thin patient,how does the nurse alter the injection technique?
A)Using a 23-G needle
B)Spreading the skin before injection
C)Pinching up the skin and inserting the needle at a 90-degree angle
D)Injecting the medicine quickly to reduce pain
Q4) When giving a tubal medication,the nurse should flush the tubing with ___ to ___ mL of water.
23
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Chapter 22: Care of Patients with Alterations in Health
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) How does an Aquathermia pad differ from a traditional heating pad?
A)The Aquathermia pad can be folded to fit the anatomic location snugly.
B)The Aquathermia pad can be placed under the patient.
C)The Aquathermia pad has circulating water for temperature control.
D)The Aquathermia pad can be left on for as long as 2 hours.
Q2) What is the nurse's first priority when a patient receiving IV fluid therapy shows an increase in blood pressure and has bilateral crackles?
A)Raise the head of the bed
B)Slow the infusion
C)Turn the patient to the left side
D)Notify the charge nurse
Q3) When an order for eye irrigation is received,to whom can the nurse delegate the procedure to?
A)The patient
B)Another nurse
C)A nursing assistant
D)A family member
Q4) The nurse is alert for a serious condition called ___________ that results from pathogens being introduced into the blood stream.
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Chapter 23: Life Span Development
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) A newborn baby weighs 7 lb at birth.What does the nurse anticipate the baby's weight will be at 1 year of age?
A)14 lb
B)17 lb
C)21 lb
D)25 lb
Q2) The nurse informs a group of college students that young adults will face which challenges in this particular time of life? (Select all that apply.)
A)Starting a family
B)Selecting housing
C)Job security
D)Relations with extended family
E)Establishing intimacy
F)None of above
Q3) What theory claims that there is a hereditary basis for aging?
A)Activity theory
B)Physiological theory
C)Disengagement theory
D)Biologic programming theory
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Page 25
Chapter 24: Loss, Grief, Dying, and Death
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Sample Questions
Q1) A nurse is caring for the dying mother of a 7-year-old child.What is important for the nurse to understand regarding the child?
A)The child associates death with aggression.
B)The child believes his or her own death cannot be avoided.
C)The child lacks understanding of the concept of death.
D)The child understands death as the inevitable end of life.
Q2) After a physician in the emergency department has pronounced a 2-year-old dead following a swimming pool accident,the mother tearfully says to the father,"I am so sorry.I am so sorry." What is the mother expressing?
A)Fear
B)Guilt
C)Hostility
D)Grief
Q3) What is the final stage of human growth and development?
A)Integrity
B)Death
C)Despair
D)Resolution
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Chapter 25: Health Promotion and Pregnancy
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Sample Questions
Q1) A woman tells the nurse that this is her third pregnancy.She has had twin girls at full term and one miscarriage.How does the nurse record the information?
A)G2, T2, L3
B)G4, T3, A1, L1
C)G3, T3, A2, L1
D)G3, T1, A1, L2
Q2) When the young primigravida asks about how to adjust her diet for her pregnancy,what should the nurse suggest the mother add to her diet?
A)Leafy green vegetables and fruit
B)Beef and poultry
C)Foods high in sodium and potassium
D)Bread and grains
Q3) The nurse assesses a reactive result to a nonstress test when the fetal heart rate increases _____ beats per minute.
Q4) The chorion and the amnion are the two components of the ________
Q5) During the 30th week of gestation,the nurse would anticipate that the fundal height would be _____ centimeters above the symphysis.
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Chapter 26: Labor and Delivery
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Sample Questions
Q1) The nurse is alarmed as she assesses a protruding umbilical cord from the vagina.What immediate action should the nurse take?
A)Monitor intensity of contractions
B)Place the patient in the knee-chest position
C)Notify the charge nurse
D)Ask the patient to perform a Valsalva maneuver
Q2) When trying to differentiate false labor from true labor,the nurse realizes which of the following statements regarding true labor is correct?
A)Discomfort of the contraction is in the fundus.
B)Contractions do not follow a pattern.
C)Contractions get stronger with ambulation.
D)Contractions may stop with ambulation.
Q3) A nurse shows the patient an x-ray of the fetal spine in parallel alignment with the mother's to demonstrate a ________ lie.
Q4) What area of the uterus provides the force during a contraction?
A)Lower portion
B)Middle portion
C)Upper portion
D)Cervical portion
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Chapter 27: Care of the Mother and Newborn
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Sample Questions
Q1) What should be included in a teaching plan regarding breast engorgement?
A)It typically occurs on the first postpartum day
B)It is usually first observed in the axillary region
C)It occurs only in women who are not breastfeeding
D)It occurs near the nipple on the third postpartum day
Q2) What is the first secretion produced by the breast?
A)Prolactin
B)Colostrum
C)False milk
D)Whey
Q3) When assessing a mother 12 hours following the delivery of a baby,where should the nurse expect to palpate the fundus?
A)2 cm below the umbilicus
B)At the umbilicus
C)1 cm below the umbilicus
D)Halfway between the umbilicus and the symphysis pubis
Q4) The new mother tells the home health nurse that she is concerned about her 5-day-old infant's hard,dried umbilical stump.What time frame should the nurse give the mother for the umbilical stump to fall off? ________________________ days
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Family with Special Needs
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42 Flashcards
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Sample Questions
Q1) What is the usual treatment for severe postpartum depression?
A)Improved nutrition
B)Vitamin therapy
C)Pharmacologic interventions
D)Support group therapy
Q2) The nurse explains that severe preeclampsia needs to be controlled because it can develop into another syndrome called _________________.
Q3) The nurse is assessing the newborn and discovers a yellowing of the skin.What is true for jaundice that appears at birth?
A)Within normal limits
B)Pathologic
C)A result of iron deficiency
D)Indicating possible hepatitis
Q4) What should the nurse hope to identify by keeping a record of a patient's blood pressure during prenatal visits?
A)Ketoacidosis
B)Placenta previa
C)Gestational diabetes
D)Gestational hypertension
Chapter 29: Health Promotion for the Infant, Child, and Adolescent
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Sample Questions
Q1) The pediatric nurse reminds the parents of a 2-year-old that by this age the child should be protected against how many vaccine-preventable childhood diseases?
A)4
B)6
C)8
D)10
Q2) Which of the following interventions should be included when teaching a healthy behaviors class for parents of adolescents? (Select all that apply.)
A)Always monitor the child's telephone conversations
B)Insist on seatbelt use at all times
C)Encourage tanning bed use versus exposure to the sun
D)Maintain recommended immunization schedule
E)Encourage good dental care
Q3) Which children must be secured in the back seat in a rear-facing safety seat?
A)Children weighing up to 20 lb
B)Children weighing between 20 and 30 lb
C)Children weighing between 30 and 40 lb
D)Children weighing more than 40 lb
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Chapter 30: Basic Pediatric Nursing Care
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42 Flashcards
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Sample Questions
Q1) What is one way to enhance the nutrition of the hospitalized toddler?
A)Reward with sweets for eating meals
B)Discourage participation in noneating activities
C)Offer nutritious fluids frequently
D)Leave nutritious finger foods out for the child to eat
Q2) What activity by an infant would cause a false elevation of the tympanic temperature?
A)Having a bowel movement
B)Crying vigorously
C)Having just eaten
D)Having been in a cold room
Q3) The mother of a 3-year-old expresses concern about her daughter's slowed growth rate.What would be the most informative response by the nurse?
A)"Three-year-olds have typically finished a growth spurt, and you may notice a decreased rate in your daughter's growth."
B)"Children's growth is hereditary. She may be of small stature like you."
C)"The growth of a 3-year-old is associated with their nutrition. How is she eating?"
D)"Your daughter is healthy and happy. Don't worry about her growth right now."
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32
Chapter 31: Care of the Child with a Physical and Mental or Cognitive Disorder
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70 Flashcards
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Sample Questions
Q1) What could suddenly occur in a child with acute epiglottitis?
A)Increased carbon dioxide levels
B)Airway obstruction
C)Inability to swallow
D)Bronchial collapse
Q2) What should the nurse caring for a 6-year-old child with acute glomerulonephritis anticipate as the most difficult part of the care to implement?
A)Forced fluids
B)Increased feedings
C)Bed rest
D)Frequent position changes
Q3) What are the clinical manifestations of otitis media?
A)Earache, wheezing, vomiting
B)Coughing, rhinorrhea, headache
C)Fever, irritability, pulling on ear
D)Wheezing, cough, drainage in ear canal
Q4) The nurse reassures the anxious mother of a child with pyloric stenosis who is to have surgery that the surgical procedure,called a __________,is quickly done and the child recovers almost immediately.
Page 33
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Chapter 32: Health Promotion and Care of the Older Adult
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Sample Questions
Q1) What is the best test to identify the risk of osteoporosis in postmenopausal women?
A)Skeletal x-ray
B)Bone density scan
C)Calcium blood level
D)CAT scan
Q2) The patient complains to the nurse about a newly developed intolerance to milk.What should the nurse suggest to fulfill calcium needs?
A)Rye bread
B)Yogurt
C)Apples
D)Raisins
Q3) The older adult female patient is concerned about incontinence when she sneezes.What is the correct terminology for this type of incontinence?
A)Urge incontinence
B)Stress incontinence
C)Overflow incontinence
D)Functional incontinence
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Chapter 33: Concepts of Mental Health
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Q1) Which theorist believed that personality development was based on task mastery?
A)Sigmund Freud
B)Erik Erikson
C)Jean Piaget
D)Friedrich Nietzsche
Q2) A perceived threat to self causes what emotion?
A)Fear
B)Anger
C)Depression
D)Anxiety
Q3) The majority of people function in a relatively healthy manner.What can diminish their functional capacity?
A)Lack of a support system
B)Periods of crisis
C)Nutritional deficits
D)A physical disease process
Q4) The situation in which a parent must choose between attending a daughter's ballet recital or a son's baseball game is an example of a __________.
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Chapter 34: Care of the Patient with a Psychiatric Disorder
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Sample Questions
Q1) What is the term used for the beginning stage of schizophrenia,characterized by a lack of energy and complaints of multiple physical problems?
A)Prepsychotic
B)Residual
C)Acute
D)Prodromal
Q2) When the patient with a psychosis is thought to be a danger to self or others,by what method should the patient be admitted to the hospital?
A)Probating
B)Nurse's request
C)Physician's order
D)Family request
Q3) A young man with malaria spikes a temperature of 105° F and begins to hallucinate.How should the nurse assess this?
A)Delirium
B)Psychotic break
C)Possible stroke
D)Anxiety disorder
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36
Chapter 35: Care of the Patient with an Addictive Personality
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Sample Questions
Q1) A college student has brought his hallucinating roommate to the college clinic.The young man says his roommate has been experimenting with phencyclidine (PCP).How long should the nurse expect the hallucinations to last?
A)30 to 60 minutes
B)1 to 4 hours
C)4 to 6 hours
D)6 to 12 hours
Q2) What is the best response by a nurse when a patient inquires how alcohol acts so quickly on his system?
A)Alcohol is digested quickly.
B)Alcohol is converted to glycogen immediately.
C)Alcohol is metabolized into ethanol rapidly.
D)Alcohol is excreted in urine slowly.
Q3) What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother?
A)Swaddle the baby closely
B)Place the baby in a brightly lit area
C)Hold and rock the baby frequently
D)Place the baby in a busy part of the nursery for stimulation
Page 37
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Chapter 36: Home Health Nursing
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Sample Questions
Q1) What has been influenced by the increase in home health providers supporting healthy living and illness prevention,and a movement toward deinstitutionalization of technology-dependent children and adults?
A)Criteria for admission
B)Age of eligibility
C)Reimbursement criteria
D)Length of financial support
Q2) The home health nurse plans interventions to meet which general service goals? (Select all that apply.)
A)Restore function as is appropriate
B)Improve level of function
C)Maintain current health level
D)Ensure return of health
E)Teach healthy lifestyle
Q3) When the decision is made with the family to place the patient on hospice care,the home health nurse explains that the reimbursement changes from "fee per visit" to "fee per _________."
Q4) The nurse can best confirm that the patient understands the communication by obtaining ____________ from the patient.
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Chapter 37: Long-Term Care
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Q1) In a long-term care facility,the nurse takes an active part in formulating the resident's plan of care.How often is the plan of care revised?
A)Weekly
B)Every 90 days
C)Monthly
D)Every six months
Q2) What is the time limit for the legal administration of medications?
A)30 minutes
B)1 hour
C)90 minutes
D)2 hours
Q3) The LPN/LVN performs which function(s)when working as a staffing coordinator of a home health agency? (Select all that apply.)
A)Scheduling appropriate care providers
B)Reviewing documentation
C)Verifying financial coverage
D)Making referrals
E)Performing comprehensive assessments
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Chapter 38: Rehabilitation Nursing
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Sample Questions
Q1) The nurse recognizes that the rehabilitation process involves the efforts of various disciplines.The focus of rehabilitation is to build on which area?
A)A person's losses
B)A person's long-term plans
C)A person's drives
D)A person's abilities
Q2) A child who was struck by a car and suffered a closed head injury was unconscious for 24 hours before waking.The nurse recognizes this as a _______ brain injury.
Q3) The acquisition of adaptive skills and behaviors by an individual who has been disabled since birth refers to:
A)training.
B)education.
C)development.
D)habilitation.
Q4) The nurse who assesses for cultural influences,values cultural diversity,and incorporates cultural knowledge in practice is said to be ____________
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Chapter 39: Hospice Care
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Sample Questions
Q1) The hospice nurse instructs caregivers in repositioning the patient because the patient spends most of the time reclining.What problem can this cause?
A)Contractures
B)Pressure ulcers
C)Bruising
D)Excoriation
Q2) What are the goals of hospice service? (Select all that apply.)
A)Alleviating symptoms of approaching death
B)Educating and supporting primary caregivers
C)Using family input for designing a plan of care
D)Encouraging patients and caregivers to enjoy life
E)Focusing on the desires of the family in the plan of care
Q3) Who was responsible for renewing the hospice philosophy in the 1960s?
A)Cicely Saunders
B)Lillian Wald
C)Dorothea Dix
D)Florence Nightingale
Q4) When the dying patient becomes confused,the nurse should ____________ him or her.
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Chapter 40: Professional Roles and Leadership
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Sample Questions
Q1) What is the best way to resolve most disagreements?
A)Agreement
B)Argument
C)Communication
D)Withdrawing
Q2) What is the correct term for a concise,one- or two-page summary of educational and work experience,activities and honors,and concrete skills and interests?
A)Introduction
B)Review
C)Résumé
D)Composite
Q3) What is the physical,emotional,and spiritual exhaustion that can occur among caregivers?
A)Excessiveness
B)Burnout
C)Fatigue
D)Weariness
Q4) The experienced nurse who assists a novice to learn the skills of the profession is called a(n)________________.
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