Nursing Process and Critical Thinking
Final Exam Questions
Course Introduction
This course explores the fundamental steps of the nursing process, including assessment, diagnosis, planning, implementation, and evaluation, with a strong emphasis on the development of critical thinking skills. Students learn to systematically collect and analyze patient data, formulate effective care plans, and make informed clinical decisions. Real-life case studies and evidence-based practice scenarios are used to enhance analytical reasoning and clinical judgment, preparing students for complex healthcare situations and promoting safe, patient-centered care.
Recommended Textbook
Canadian Fundamentals of Nursing 6th Edition by Patricia A. Potter
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48 Chapters
1307 Verified Questions
1307 Flashcards
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Chapter 1: Health and Wellness
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) When the nurse is educating an adult patient about health promotion activities,which of the following is the most important internal patient factor for the nurse to consider?
A)Emotional wellness.
B)Developmental stage.
C)Professed spirituality.
D)Levels of education and literacy.
Answer: D
Q2) The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in the drinking water of the community.In doing so,the nurse is fostering which concept?
A)Anticipatory prevention.
B)Primary prevention.
C)Secondary prevention.
D)Tertiary prevention.
Answer: B
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Chapter 2: The Canadian Health Care Delivery System
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Sample Questions
Q1) Which of the following is one of the four pillars of primary health care,as described by the National Primary Health Care Awareness Strategy (2006)?
A)Teams.
B)Universality.
C)Health promotion.
D)Immediate access to primary care.
Answer: A
Q2) When conducting a health care system class for immigrants to Canada,the nurse informs them that the federal government is responsible for which of the following?
A)Providing health care insurance plans.
B)Managing and planning insurable health services.
C)Delivering health care services to targeted groups.
D)Providing long-term care services.
Answer: C
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Chapter 3: The Development of Nursing in Canada
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Sample Questions
Q1) Which of the following was the main reason why health care facilities in the British colonies were increasingly needed during the eighteenth-century British regime?
A)Scurvy.
B)Bubonic plague.
C)Increased birth rate.
D)Infectious diseases.
Answer: D
Q2) What is the primary purpose of licensure laws for the nursing profession?
A)To protect the public against unqualified and incompetent practitioners.
B)To enhance the quality of nursing care and improve Canadians' health outcomes.
C)To ensure that nurses demonstrate knowledge and skills in a variety of professional roles.
D)To provide an opportunity for practitioners to validate their expertise in a specialty. Answer: A
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Chapter 4: Community Health Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When discussing social justice,how does the nurse describe it?
A)The focus of social justice is on disease prevention.
B)Social justice is used only with people in precarious situations.
C)Social justice is rooted in societal responsibility and fairness.
D)Social justice is a process to exercise the ability to enhance control.
Q2) The patient is in the hospital with the diagnosis of early-onset Alzheimer's disease.Before the patient is discharged,the community-based nurse is making a visit to the patient's home,where he lives with his daughter and her family.What would be a major focus of this visit?
A)Demonstrate to the caregiver techniques for providing care.
B)Stress to the family how difficult it will be to provide care at home.
C)Encourage the family to send the patient to an extended-care facility.
D)Teach the family how to have the patient declared incompetent.
Q3) The type of nursing that focuses on acute and chronic care of individuals and families while enhancing patient autonomy is known as what kind of nursing?
A)Public health nursing.
B)Community health nursing.
C)Home health nursing.
D)Community-focused nursing.
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Page 6
Chapter 5: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) What does the theorizing term proposition mean?
A)A purposeful set of assumptions.
B)A declarative assertion.
C)The process of formulating concepts.
D)The structure that links concepts together.
Q2) What is a characteristic of complexity science?
A)Patterns of knowledge application.
B)A rigid approach for describing experiences.
C)Reducing phenomena to smallest properties.
D)Orientation toward studying the nature of people's needs.
Q3) Different types of theories may be used by nurses seeking to study the basis of nursing practice.The theory about why phenomena occur is which of the following?
A)Prescriptive.
B)Descriptive.
C)Grand.
D)Middle-range.
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Chapter 6: Evidence-Informed Practice
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Sample Questions
Q1) Why is qualitative nursing research valuable?
A)It excludes all bias.
B)It entails the use of randomization in structure.
C)It helps determine associations between variables and conditions.
D)It entails the study of phenomena that are difficult to quantify.
Q2) The first step in evidence-informed practice is to ask a clinical question.In doing so,what does the nurse need to realize with regard to researching interventions?
A)The question is more important than its format.
B)The question will lead the researcher to hundreds of articles that must be read.
C)The question may be easier if it is in PICOT format.
D)The question may be more useful the more general it is.
Q3) The nurse is conducting a research project on optimal time frames for postoperative ambulation of patients.After the nurse identifies the problem,what is the next step in the research process?
A)Selecting the population.
B)Reviewing the literature.
C)Identifying the instrument to use for data analysis.
D)Obtaining approval to conduct the study.
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Chapter 7: Nursing Values and Ethics
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Sample Questions
Q1) A nurse argues that the health care system needs reform because a large number of patients are uninsured and end up needing expensive emergency care when low-cost measures covered by insurance could have prevented their illnesses.What ethical framework is she using to make this case?
A)Deontology.
B)Ethics of care.
C)Feminist ethics.
D)Utilitarianism.
Q2) Which of the following is an example of ethical responsibility?
A)Delivery of competent care.
B)Formation of interpersonal relationships.
C)Application of the nursing process.
D)Evaluation of new computerized technologies.
Q3) Which philosophy of health care ethics would be particularly useful for making ethical decisions about vulnerable populations?
A)Feminist ethics.
B)Deontology.
C)Bioethics.
D)Utilitarianism.
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Page 9
Chapter 8: Legal Implications in Nursing Practice
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Sample Questions
Q1) A nurse is working with a physician who provides medical assistance in dying (MAID)in Canada.What must the nurse be aware of?
A)The nurse can provide MAID to a patient by administering a substance prescribed by the physician.
B)The patient requesting MAID must be at least 16 years of age and capable of making health care decisions.
C)The patient's natural death must be unforeseeable in order to request MAID.
D)The patient requesting MAID must be eligible for publicly funded health services in Canada.
Q2) The administration of medications in accordance with a prescriber's prescription is a basic nursing responsibility.The nurse is responsible for knowing: (Select all that apply).
A)Purpose of the medication.
B)Effect of the medication.
C)Cost of the medication.
D)Potential adverse effects of the medication.
E)Contraindications of the medication.
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Chapter 9: Global Health
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Sample Questions
Q1) Which of the following is considered a noncommunicable disease? (Select all that apply. )
A)Diabetes.
B)Cardiovascular diseases.
C)Influenza.
D)Chronic respiratory diseases.
E)Cancer.
Q2) In understanding health inequity,what does the nurse know?
A)Health differences are unavoidable.
B)Poverty is not a root cause of health inequity.
C)Health inequity is the absence of systematic disparities in health.
D)Health inequity refers to unnecessary and unfair differences in health.
Q3) A nursing student is performing a cultural assessment of their patient.When the student asks,"Who makes the decisions for you or your family?" what is the nurse assessing?
A)Language and communication.
B)Caring beliefs and practices.
C)Socioeconomic status.
D)Social organization.
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Page 11
Chapter 10: Indigenous Health
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Sample Questions
Q1) According to the records kept,it is estimated that at least how many children died from malnourishment,diseases such as tuberculosis (TB),and abuse at residential schools in Canada?
A)150.
B)1500.
C)3200.
D)5000.
Q2) Indigenous youth who were adopted have shown extremely poor self-esteem as they struggle with reconfiguring their identity.This has been expressed in high rates of which problems?
A)Eating disorders.
B)Suicidal ideation.
C)Schizophrenia.
D)Dissociative identity disorder.
Q3) Which of the following would be considered a distal determinant of health?
A)Effective policing services.
B)Access to walking trails.
C)Eating nutritious meals.
D)Exercising daily.
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Page 12
Chapter 11: Nursing Leadership, management, and Collaborative Practice
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which term characterizes the duties and activities that an individual is employed to perform?
A)Autonomy.
B)Authority.
C)Responsibility.
D)Accountability.
Q2) To be able to meet the needs of assigned patients and the responsibilities associated with the position,nurses must be aware of time management techniques.A time management skill for the nurse is which of the following?
A)Meeting all of the patients' needs in the early-morning hours.
B)Planning effectively and being aware of competing priorities.
C)Conducting patient assessments individually at separate times throughout the day.
D)Leaving each day unplanned to allow for adaptations in treatments.
Q3) What is a nursing manager's greatest challenge?
A)Delegation.
B)Communication.
C)Time management.
D)Clinical decision making.
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Chapter 12: Critical Thinking in Nursing Practice
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Sample Questions
Q1) What is the first component of the critical thinking model for clinical decision making?
A)Experience.
B)Nursing process.
C)Attitude.
D)A scientific knowledge base.
Q2) The nurse needs a reminder of professional responsibility when performing which of these actions?
A)Making an informed clinical decision.
B)Making an ethical clinical decision.
C)Making a clinical decision in the patient's best interest.
D)Making a clinical decision based on previous shift assessments.
Q3) Which of the following is a strategy used by learners to explore complex problems and engage in decision making without the risk of harming a patient?
A)Lectures and reading.
B)Concept mapping.
C)Reflective writing.
D)Case-based learning.
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14
Chapter 13: Nursing Assessment, diagnosis, and Planning
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Sample Questions
Q1) Subjective data include which of the following?
A)A patient's feelings,perceptions,and reported symptoms.
B)A description of the patient's behaviour.
C)Observations of a patient's health status.
D)Measurements of a patient's health status.
Q2) The nurse is attempting to prompt the patient to elaborate on her complaints of daytime fatigue.Which question should the nurse ask?
A)"Is there anything that you are stressed about right now?"
B)"What reasons do you think are contributing to your fatigue?"
C)"What are your normal work hours?"
D)"Are you sleeping 8 hours a night?"
Q3) A patient expresses fear of going home and being alone.Her vital signs are stable and her incision is nearly completely healed.The nurse can infer from the subjective data that
A)The patient can now perform the dressing changes herself.
B)The patient can begin retaking all her previous medications.
C)The patient is apprehensive about discharge.
D)Surgery was not successful.
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15
Chapter 14: Implementing and Evaluating Nursing Care
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26 Verified Questions
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Sample Questions
Q1) The nurse is caring for a patient who has an open wound.For evaluating the progress of wound healing,what is the nurse's priority action?
A)Asking the unregulated care providers whether the wound looks better.
B)Documenting the progress of wound healing as "better" in the patient's chart.
C)Measuring the wound and observe for redness,swelling,or drainage.
D)Leaving the dressing off the wound for easier access and more frequent assessments.
Q2) A nurse administrator is at a meeting with nurses on the quality council.Several new members are sitting on the council.They ask the nurse administrator to clarify what a nursing-sensitive outcome is.Which response by the nurse administrator best defines nursing-sensitive outcomes?
A)"Nursing-sensitive outcomes determine the patient's progress as a result of prescribed treatments,such as medications."
B)"Patient falls are an example of a nursing-sensitive outcome because they are directly affected by nursing interventions."
C)"Nursing-sensitive outcomes promote universal health care."
D)"We use nursing-sensitive outcomes at this hospital to evaluate nursing tasks and to determine safe staffing ratios."
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Page 16
Chapter 15: Documenting and Reporting
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The final "R" when using the I-SBAR-R communication technique represents which of the following?
A)Recovery.
B)Repeat back.
C)Reorganization.
D)Reintegration.
Q2) A nurse is using the source record and wants to find the patient's daily weights.Where should the nurse look?
A)Database.
B)Medical history and examination.
C)Progress notes.
D)Graphic sheet and flow sheet.
Q3) A nurse is discussing the advantages of standardized documentation forms in the nursing information system.Which advantage should the nurse describe?
A)Varied clinical databases.
B)Reduced errors of omission.
C)Increased hospital costs.
D)More time to read charts.
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17
Chapter 16: Nursing Informatics and Canadian Nursing Practice
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Sample Questions
Q1) Which of the following is one of the three fundamental directions for the CNA's e-Nursing Strategy?
A)Assessment.
B)Participation.
C)Collaborative care.
D)Nursing practice integration.
Q2) Nursing informatics is a specialty area of nursing practice dedicated to the optimal use of technology to support professional practice and optimal client outcomes.A significant obstacle to the collection of nursing data is the A)Canada Health Infoway.
B)International Classification for Nursing Practice (ICNP),which lacks unified terminology for recording nursing practice.
C)Lack of evidence-informed practices for health information.
D)Absence of universally accepted methods for defining and coding nursing contributions to health outcomes.
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18
Chapter 17: Communication and Relational Practice
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Sample Questions
Q1) A confused older person is wearing thick glasses and a hearing aid.Which intervention is priority to facilitate communication?
A)Focus on tasks to be completed.
B)Allow time for the patient to respond.
C)Limit conversations with the patient.
D)Use gestures and other nonverbal cues.
Q2) A smiling patient angrily states,"I will not cough and deep breathe." How will the nurse interpret this finding?
A)The patient's personal space was violated.
B)The patient's affect is inappropriate.
C)The patient's vocabulary is poor.
D)The patient's denotative meaning is wrong.
Q3) Which of the following patients will cause the greatest communication concerns for a nurse?
A)A patient who is alert,has strong self-esteem,and is hungry.
B)A patient who is oriented,pain free,and blind.
C)A patient who is cooperative,depressed,and hard of hearing.
D)A patient who is dyspneic,has a tracheostomy,and is anxious.
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Chapter 18: Patient-Centred Care: Interprofessional
Collaborative Practice
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Sample Questions
Q1) Which of the following patterns of knowing relates to how a nurse,as a unique individual,chooses to respond in a situation involving a patient?
A)Empirical knowing.
B)Personal knowing.
C)Aesthetic knowing.
D)Ethical knowing.
Q2) Who is the expert in the patient's management of illness?
A)The nurse.
B)The physician.
C)The patient.
D)The interprofessional team.
Q3) What is the cause of internalized myths that nurses may have about their own profession and those of other health care providers?
A)Role ambiguity.
B)Media portrayal.
C)Familial experiences.
D)Socialization.
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Page 20
Chapter 19: Family Nursing
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Sample Questions
Q1) When initiating the care of families,what is one factor that helps organize the family approach to the nursing process?
A)The view of all patients as unique individuals.
B)The realization that families have little effect on individuals.
C)The realization that individuals have little effect on families.
D)The realization that individuals have an effect on families.
Q2) The nurse is caring for an older woman and notices that she is not using her cane properly.Which of the following statements by the nurse would most likely elicit a positive response from the patient?
A)"You're doing that all wrong.Let me show you how to do it."
B)"I don't know who showed you how to use the cane like that,but you're not doing it right.Let me show you again."
C)"You use the cane the way I did before I was shown a way to keep from tripping over it;do you mind if I show you?"
D)"I used to use the cane the same way you are using it: the wrong way.I'll show you the right way to do it."
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Chapter 20: Patient Education
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Sample Questions
Q1) Which nursing action is most appropriate for assessing a patient's learning needs?
A)Assess the patient's total health care needs.
B)Assess the patient's health literacy.
C)Assess all sources of patient data.
D)Assess the goals of patient care.
Q2) After a teaching session on taking blood pressures,the nurse tells the patient,"You took that blood pressure like an experienced nurse." What type of reinforcement did the nurse use?
A)Material.
B)Activity.
C)Social.
D)Entrusting.
Q3) When the nurse describes a patient's perceived ability to successfully complete a task,which term should the nurse use?
A)Self-efficacy.
B)Motivation.
C)Attentional set.
D)Active participation.
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22
Chapter 21: Developmental Theories
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Sample Questions
Q1) The nurse is teaching a young adult couple about promoting the health of their 8-year-old child.The nurse knows that the parents understand the developmental stage their child is in according to Erikson when they state which of the following?
A)"We should provide proper support for learning new skills."
B)"We should encourage devoted relationships with others."
C)"We should limit choices and provide harsh punishment for mistakes."
D)"We should not leave our child at school for longer than 3 hours at a time."
Q2) A nurse should instruct the parents of a 10-year-old child to keep which of the following theoretical principles in mind when dealing with a behavioural problem at home?
A)Strategies that worked well with the first child will be equally as effective for the second child.
B)Encourage the child to volunteer some time at a local hospital to instill a sense of fulfillment.
C)Bargaining about chores in exchange for privileges may be an effective method of encouraging helpful activities.
D)Do not offer praise for accomplishments and punishment for behavioural issues.
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Page 23
Chapter 22: Conception Through Adolescence
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Sample Questions
Q1) When comparing physical growth patterns between school-aged children and adolescents,what does the nurse note?
A)Physical growth usually slows during the adolescent period.
B)Boys usually exceed girls in height and weight by the end of the middle-school years.
C)Secondary sex characteristics usually develop during the adolescent years.
D)The distribution of muscle and fat remains constant during the adolescent years.
Q2) Immediate intervention is needed when the newborn exhibits which of the following?
A)A soft,protuberant abdomen.
B)Moulding.
C)Lack of reflexes.
D)Cyanotic hands and feet.
Q3) What is the priority assessment immediately after an infant's birth?
A)Assess infant-parent interactions.
B)Promote parent-newborn physical contact.
C)Open the infant's airway.
D)Assess gestational age.
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Chapter 23: Young to Middle Adulthood
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Q1) Nurses need to provide competent care to young and middle-aged adult patients.Why must nurses be knowledgeable about developmental theories to care for this group? (Select all that apply. )
A)These theories provide nurses with a basis for understanding the life events and developmental tasks of young and middle-aged adults.
B)It is important to understand societal structures and roles because they have not changed in the past 20 or 30 years.
C)Patients present challenges to nurses,many of whom are young or middle-aged adults coping with the demands of their respective developmental period.
D)Nurses need to recognize the needs of their patients even if they are not experiencing the same challenges and events.
Q2) When performing a thorough psychosocial assessment on a young adult,what must the nurse realize?
A)Having a job is the best way to relieve stress.
B)Although psychologically disturbing,stress does not lead to physical illness.
C)Change is inevitable and is not a factor in stress-related illness.
D)Psychosocial health is often related to job and family stress.
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Chapter 24: Older Persons
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Sample Questions
Q1) To promote physical well-being and socialization in an older person,what should the nurse realize?
A)Social isolationism is always a chosen behaviour.
B)Body image plays no role in decision making by the older person.
C)No community resources are focused on the older person.
D)Older persons may have a functional purpose in social arenas.
Q2) When comparing developmental tasks of middle-aged persons versus older persons,what should the nurse infer?
A)Learning to cope with loss is most common during the middle adult years.
B)After age 65,most older persons age both biologically and psychologically the same way.
C)Older persons will need nursing assistance to deal with loss.
D)Older persons fear and resent retirement as a disruption of their lifestyle.
Q3) A patient asks the nurse what the term polypharmacy means.The nurse defines this term as
A)Multiple side effects experienced when taking a medication.
B)The concurrent use of many medications.
C)The many adverse drug effects reported to the pharmacy.
D)The risks of medication effects due to aging.
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Page 26
Chapter 25: The Experience of Loss, death, and Grief
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Sample Questions
Q1) Three of the nurse's patients have died during the past 2 days.Which approach is most appropriate to manage the nurse's sadness?
A)Telling the next patients why the nurse is sad.
B)Talking with a colleague or writing in a journal.
C)Exercising vigorously rather than sleeping.
D)Avoiding friends until the nurse feels better.
Q2) A patient with cancer asks the nurse when he or she will be able to access palliative care.On the basis of the knowledge about palliative care,what will the nurse's response be?
A)It is available only for patients who have a terminal illness.
B)It can help patients achieve optimal pain management.
C)It is offered when patients have less than 6 to 12 more months to live.
D)It is available if indicated in an advance directive.
Q3) After the anticipated demise of a chronically ill patient,the unit nurse is found crying in the staff lounge.What would be the best response to her crying?
A)"It is normal to feel this way.Give yourself some time to mourn."
B)"Your other patients still need you,so hurry back to them."
C)"You're being a bad role model to the unit's nursing students."
D)"Why don't you take a sedative to cope?"
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Page 27
Chapter 26: Self-Concept
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Sample Questions
Q1) The developmental self-concept task known as initiative versus guilt would occur in which person?
A)A 3-week-old neonate.
B)A 5-year-old kindergarten student.
C)An 11-year-old student.
D)A 15-year-old high school student.
Q2) While documenting an adolescent's health history,the nurse recognizes that the patient began to act out behaviourally and engage in risky behaviour when her parents divorced.In considering a nursing diagnosis of Altered self-concept,the nurse would gather what information?
A)How long the parents were married.
B)How the patient views her behaviours.
C)Why the parents are divorcing.
D)Why she is acting out of control.
Q3) The nurse can assist the patient in becoming more self-aware by using which technique?
A)Setting up an appointment to allow the patient to vent.
B)Allowing the patient to openly explore thoughts and feelings.
C)Assisting the patient to physically punch a pillow when upset.
D)Providing materials for the patient to write complaint letters.
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Chapter 27: Sexuality
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Sample Questions
Q1) Which patient is most in need of a nurse's referral to adoption services?
A)A patient considering abortion for an unwanted pregnancy.
B)An infertile couple religiously opposed to artificial insemination.
C)A woman who suffered miscarriage during her first pregnancy.
D)A couple who has been attempting conception for 3 months.
Q2) A mother brings her 10-year-old daughter into a clinic and inquires about getting her a human papillomavirus (HPV)vaccine that day.What information does the nurse give the mother?
A)The HPV vaccine is safe for children over the age of 9.
B)The HPV vaccine is recommended only after a girl or woman becomes sexually active.
C)The HPV vaccine will prevent a girl or woman from ever getting cervical cancer.
D)The HPV vaccine is not currently available for 10-year-old girls.
Q3) While teaching adolescents about chlamydia,what does the school nurse tell the group?
A)Chlamydia is a viral infection that cannot be cured.
B)Chlamydia can be treated with a full course of antibiotics.
C)Chlamydia can be contracted via bloodborne exchange.
D)Chlamydia can be prevented with the use of a spermicide.
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Chapter 28: Spirituality in Health and Health Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36701
Sample Questions
Q1) The word spirituality derives from the Latin word spiritus,which refers to breath or wind.Today,spirituality can be described as which of the following?
A)Transcendence beyond self,everyday living,and suffering.
B)Less important than coping with the patient's illness.
C)Patient centred and having no bearing on the nurse's belief patterns.
D)Equated with formal religious practice and having a minor effect on health care.
Q2) The nurse's initial action while working with a patient to assess and support the patient's spirituality is which of the following?
A)Referring the patient to the agency chaplain.
B)Helping the patient use faith to get well.
C)Providing a variety of religious literature.
D)Determining the patient's perceptions and belief system.
Q3) In caring for the patient's spiritual needs,what should the nurse understand?
A)Establishing presence is part of the art of nursing.
B)Presence involves "doing for" the patient.
C)A caring presence involves listening to the patient's wishes only.
D)The nurse must use her expertise to make decisions for the patient.
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Chapter 29: Stress and Adaptation
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20 Flashcards
Source URL: https://quizplus.com/quiz/36702
Sample Questions
Q1) The nursing student gave a wellness lecture on the importance of accurate assessment and intervention from a personal,family,and community perspective.The other nursing students enjoyed the lecture about which nursing theory?
A)Ego defence model.
B)Situational model.
C)Evidence-informed practice model.
D)Neuman's systems model.
Q2) A nurse is teaching guided imagery to a prenatal class.Which of the following is an example of guided imagery?
A)Singing.
B)Back massage.
C)Sensory peaceful words.
D)Listening to music.
Q3) An example of an assessment finding of caregiver strain would be which of the following?
A)Caregiver routinely creates a weekly menu plan.
B)Caregiver has not received medical care when ill.
C)Caregiver can identify respite care provider.
D)Caregiver attends religious service.
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Chapter 30: Vital Signs
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Sample Questions
Q1) The patient has new-onset restlessness and confusion.His pulse rate is elevated,as is his respiratory rate.His oxygen saturation,however,is 94% according to the portable pulse oximeter.The nurse ignores the oximeter reading and calls the physician to obtain an order for measuring arterial blood gases (ABGs).The nurse does this because many things can cause inaccurate pulse oximetry readings,including which of the following? (Select all that apply. )
A)Oxygen saturations (SaO<sub>2</sub>)higher than 70%.
B)Carbon monoxide inhalation.
C)Nail polish.
D)Hypothermia at the assessment site.
E)Intravascular dyes.
Q2) The patient is restless and has a temperature of 39°C (102.2°F).What is one of the first things the nurse should do?
A)Place the patient on oxygen.
B)Restrict fluid intake.
C)Increase patient activity.
D)Increase patient's metabolic rate.
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Page 32
Chapter 31: Pain Assessment and Management
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35 Flashcards
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Sample Questions
Q1) The nurse is caring for an infant in the intensive care unit.Which of the following is the most accurate description of factors that will influence the perception and management of pain for this patient?
A)Infants cannot tolerate analgesics owing to an underdeveloped metabolism.
B)Infants have an increased sensitivity to pain in comparison with older children.
C)Pain cannot be accurately assessed in infants.
D)Infants respond behaviourally and physiologically to painful stimuli.
Q2) The nurse is assessing how a patient's pain is affecting mobility.Which assessment question is most appropriate?
A)"Have you considered working with a physiotherapist?"
B)"What activities,if any,has your pain prevented you from doing?"
C)"Would you please rate your pain on a scale from 0 to 10 for me?"
D)"What effect does your pain medication typically have on your pain?"
Q3) The nurse anticipates administering an opioid fentanyl patch to which patient?
A)A 15-year-old adolescent with a broken femur.
B)A 30-year-old adult with cellulitis.
C)A 50-year-old patient with prostate cancer.
D)An 80-year-old patient with a broken hip.
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Chapter 32: Health Assessment and Physical Examination
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/36705
Sample Questions
Q1) During a presentation about sexually transmitted infections to high school students,the nurse recommends the human papillomavirus (HPV)vaccine series to prevent which of the following?
A)Cervical cancer.
B)Genital lesions.
C)Vaginal discharge.
D)Swollen perianal tissues.
Q2) During a genitourinary examination of a 30-year-old man,the nurse identifies a small amount of a white,thick substance on the patient's uncircumcised glans penis.What is the nurse's next step?
A)Notify his provider about a suspected sexually transmitted infection (STI).
B)Recognize this as a normal finding.
C)Tell the patient to avoid doing self-examinations until symptoms clear.
D)Avoid embarrassing questions about sexual activity.
Q3) What is the best term for breath sounds created by air moving through large lung airways?
A)Bronchovesicular.
B)Rhonchi.
C)Bronchial.
D)Vesicular.
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Chapter 33: Infection Control
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Source URL: https://quizplus.com/quiz/36706
Sample Questions
Q1) Which of the following nursing actions would most increase a patient's risk for developing a health care-associated infection?
A)Use of surgical aseptic technique to suction an airway.
B)Placement of a urinary catheter drainage bag below the level of the bladder.
C)Clean technique for inserting a urinary catheter.
D)Use of a sterile bottled solution more than once within a 24-hour period.
Q2) The nurse is providing an education session to an adult community group about the effects of smoking.Which of the following is the most important point to be included in the educational session?
A)Smoke from tobacco products clings to your clothing and hair.
B)Smoking affects the cilia lining the upper airways in the lungs.
C)Smoking tobacco products can be very expensive.
D)Smoking can affect the colour of the patient's fingernails.
Q3) The nurse is admitting a patient with an infectious disease process.What question would be appropriate for a nurse to ask this patient?
A)"Do you have a chronic disease,and how long have you had it?"
B)"Do you have any children living in the home?"
C)"What is your marital status-single,married,or divorced?"
D)"Do you have any cultural or religious beliefs that will influence your care?"
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Page 35
Chapter 34: Medication Administration
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39 Flashcards
Source URL: https://quizplus.com/quiz/36707
Sample Questions
Q1) The nurse realizes which patient is at greatest risk for an unintended synergistic effect?
A)A 72-year-old who is seeing four different specialists.
B)A 4-year-old who has mistakenly taken the entire packet of his mother's birth control pills.
C)A 50-year-old who was prescribed a second blood pressure medication.
D)A 35-year-old drug addict who has ingested "meth" mixed with several household chemicals.
Q2) The nurse is planning to administer a tuberculin test with a 27-gauge,1-cm (³/<sub>8</sub>-inch)needle.The nurse should insert the needle at which angle?
A)15 degrees.
B)45 degrees.
C)90 degrees.
D)180 degrees.
Q3) A patient is at risk for aspiration.What nursing action is most appropriate?
A)Hold the patient's cup for him so he can concentrate on taking pills.
B)Thin out liquids so they are easier to swallow.
C)Give the patient a straw to control the flow of liquids.
D)Have the patient self-administer the medication.
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Page 36
Chapter 35: Complementary and Alternative Approaches in
Health Care
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Source URL: https://quizplus.com/quiz/36708
Sample Questions
Q1) An acquaintance of a nurse asks for a nonmedical approach for excessive worry and work stress.The most appropriate complementary and alternative medicine (CAM)therapy that the nurse can recommend is which of the following?
A)Meditation.
B)Ayurvedic herbs.
C)Acupuncture.
D)Chiropractic therapy.
Q2) A teenager with an anxiety disorder is referred for biofeedback because her parents do not want her on anxiolytics.The nurse recognizes that the teenager understands her health education on biofeedback when she makes which statement?
A)"Biofeedback will allow me to direct my energies in an intentional way when I'm stressed."
B)"Biofeedback will allow me to manipulate my stressed-out joints."
C)"Biofeedback will help me with my thoughts,feelings,and physiological responses to stress."
D)"Biofeedback will let me assess and redirect my energy fields."
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Chapter 36: Activity and Exercise
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Sample Questions
Q1) The patient has been bedridden for several months because of severe heart disease.In determining a plan of care for this patient that will address his activity level,the nurse formulates which of the following nursing diagnoses?
A)Fatigue related to poor physical condition.
B)Impaired gas exchange related to decreased cardiac output.
C)Decreased cardiac output related to decreased myocardial contractility.
D)Activity intolerance related to physical deconditioning.
Q2) Which of the following exercise activities would probably provide the opportunity for mind-body awareness?
A)Warm-up activity.
B)Resistance training.
C)Aerobic exercise.
D)Cool-down activity.
Q3) In planning a physical activity program for a patient,what must the nurse must understand?
A)Isotonic exercises cause contraction without changing muscle length.
B)The best program includes a combination of exercises.
C)Isometric contraction involves the movement of body parts.
D)Resistive isometric exercises can lead to bone wasting.
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Page 38
Chapter 37: Quality and Patient Safety
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/36710
Sample Questions
Q1) A patient with an intravenous infusion requests a new gown after bathing.Which of the following actions is most appropriate?
A)Disconnect the intravenous tubing,thread the end through the sleeve of the old gown and through the sleeve of the new gown,and reconnect.
B)Thread the intravenous bag and tubing through the sleeve of the old gown and through the sleeve of the new gown without disconnecting.
C)Inform the patient that a new gown is not an option while receiving an intravenous infusion in the hospital.
D)Call the charge nurse for assistance because linen use is monitored and this is not a common procedure.
Q2) A visiting nurse completes an assessment of the ambulatory patient in the home and determines the nursing diagnosis of Risk for injury related to decreased vision.On the basis of this assessment,the patient will benefit the most from which of the following actions?
A)Installing fluorescent lighting throughout the house.
B)Evaluating the need to reposition furniture.
C)Maintaining complete bed rest in a hospital bed with side rails.
D)Applying physical restraints.
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Page 39
Chapter 38: Hygiene
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47 Flashcards
Source URL: https://quizplus.com/quiz/36711
Sample Questions
Q1) The nurse is teaching a patient about contact lens care.The patient has plastic lenses,so what does the nurse instruct the patient to do?
A)Use tap water to clean lenses.
B)Keep the lenses is a cool dry place when not being used.
C)Reuse storage solution for up to a week.
D)Wash and rinse lens storage case daily.
Q2) Social groups influence hygiene preferences and practices,including the type of hygienic products used and the nature and frequency of personal care.Which of the following developmental stages is most likely to be influenced by family customs?
A)Adolescent.
B)Toddler.
C)Adult.
D)Older person.
Q3) In providing oral care to an unconscious patient,what is an important action by the nurse?
A)Moistening the patient's mouth with lemon-glycerin sponges.
B)Holding the patient's mouth open with his or her fingers.
C)Rinsing the patient's mouth and immediately suctioning the oral cavity.
D)Using foam swabs to help remove plaque.
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Page 40
Chapter 39: Cardiopulmonary Functioning and Oxygenation
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43 Flashcards
Source URL: https://quizplus.com/quiz/36712
Sample Questions
Q1) The P wave is represented by which portion of the conduction system?
A)Sinoatrial (SA)node.
B)Atrioventricular (AV)node.
C)Bundle of His.
D)Purkinje network.
Q2) What is the structure that is responsible for returning oxygenated blood to the heart?
A)Pulmonary artery.
B)Pulmonary vein.
C)Superior vena cava.
D)Inferior vena cava.
Q3) A nurse is caring for a patient who has poor tissue perfusion as the result of hypertension.When the patient asks what he should eat for breakfast,what should the nurse recommend?
A)A bowl of cereal with whole milk and a banana.
B)A cup of nonfat yogurt with granola,and a handful of dried apricots.
C)Whole wheat toast with butter,a side of cottage cheese.
D)Omelette with sausage,cheese,and onions.
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Page 41
Chapter 40: Fluid, electrolyte, and Acid-base Balances
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Source URL: https://quizplus.com/quiz/36713
Sample Questions
Q1) A patient has the following laboratory values: sodium level,145 mmol/L (145 mEq/L);potassium level,4.5 mmol/L (4.5 mEq/L);calcium level,1.05 mmol/L (4.5 mg/dL).What would the nurse expect to find in the assessment?
A)Lightheadedness when the patient stands up.
B)Weak quadriceps muscles.
C)Tingling of the extremities and tetany.
D)Decreased deep tendon reflexes.
Q2) Which laboratory value should the nurse examine when evaluating a patient with uncompensated respiratory alkalosis?
A)Partial pressure of arterial oxygen (PaO<sub>2</sub>).
B)Anion gap.
C)PaCO<sub>2</sub>.
D)HCO<sub>3</sub><sup>-</sup>.
Q3) The nurse would expect a patient with respiratory acidosis to have an excessive amount of which of the following?
A)Carbon dioxide.
B)Bicarbonate.
C)Oxygen.
D)Phosphate.
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Page 42
Chapter 41: Sleep
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Sample Questions
Q1) The patient needs pharmacological treatment to assist with his sleep patterns.The nurse anticipates that treatment with an anxiety-reducing,relaxation-promoting medication will include the use of which one of the following?
A)Barbiturates.
B)Amphetamines.
C)Benzodiazepines.
D)Tricyclic antidepressants.
Q2) In describing the sleep patterns of older persons,the nurse recognizes that which of the following statements is true?
A)Older persons are more difficult to arouse.
B)Older persons require more sleep than middle-aged adults.
C)Older persons take less time to fall asleep.
D)Older persons have a decline in slow-wave or deep sleep.
Q3) Which of the following is an effective brief method for assessing sleep quality?
A)Sleep history.
B)Sleep monitor.
C)Visual analogue scale.
D)Sleep questionnaire diary.
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43
Chapter 42: Nutrition
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Source URL: https://quizplus.com/quiz/36715
Sample Questions
Q1) To provide successful nutritional therapies to patients,what must the nurse understand?
A)Patients will have to change diet preferences drastically to be successful.
B)The patient will tell the nurse when to change the plan of care.
C)Expectations of nurses frequently differ from those of the patient.
D)Nurses should never alter the plan of care regardless of outcome.
Q2) The patient has been diagnosed with cardiovascular disease and placed on a low-fat diet.The patient asks the nurse,"How much fat should I have? I guess the less fat,the better." What does the nurse need to explain?
A)Fats have no significance in health and the incidence of disease.
B)All fats come from external sources and so can be easily controlled.
C)Deficiencies occur when fat intake falls below 20% of daily total fat intake.
D)Vegetable fats are the major source of saturated fats and should be avoided.
Q3) In creating a plan of care to meet the nutritional needs of the patient,the nurse needs to explore the patient's feelings about weight and food.Why must the nurse do this?
A)To determine which category of plan to use.
B)To set realistic goals for the patient.
C)To mutually plan goals with patient and team.
D)To prevent the need for a dietitian consult.
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Chapter 43: Urinary Elimination
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Sample Questions
Q1) A patient requests the nurse's assistance to the bedside commode and becomes frustrated when unable to void in front of the nurse.The nurse understands that the patient is unable to void for which reason?
A)Anxiety can make it difficult for abdominal and perineal muscles to relax enough to void.
B)The patient does not recognize the physiological signals that indicate a need to void.
C)The patient is lonely,and calling the nurse in under false pretenses is a way to get attention.
D)The patient is not drinking enough fluids to produce adequate urine output.
Q2) When reviewing laboratory results,the nurse should immediately notify the health care provider about which finding?
A)Glomerular filtration rate of 20 mL/min
B)Urine output of 80 mL/hr
C)pH of 6.4
D)Protein level of 2 mg/100 mL
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Chapter 44: Bowel Elimination
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Sample Questions
Q1) The nurse would anticipate which diagnostic examination for a patient with black,tarry stools?
A)Ultrasonography.
B)Barium enema study.
C)Upper endoscopy.
D)Flexible sigmoidoscopy.
Q2) The nurse knows that a bowel elimination schedule would be most beneficial in the plan of care for which patient?
A)A 40-year-old patient with an ileostomy.
B)A 25-year-old patient with Crohn's disease.
C)A 30-year-old patient with C.difficile infection.
D)A 70-year-old patient with stool incontinence.
Q3) The patient is seen in the gastroenterology clinic after having experienced changes in his bowel elimination.A colonoscopy is ordered,and the patient has questions about the examination.What information should the nurse give the patient before the colonoscopy?
A)No special preparation is required.
B)Light sedation is normally used.
C)No metallic objects are allowed.
D)Swallowing of an opaque liquid is required.
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Chapter 45: Mobility and Immobility
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Sample Questions
Q1) A patient is admitted to the medical unit after a CVA.There is evidence of left-sided hemiparesis,and the nurse will be following up on range-of-motion (ROM)and other exercises performed in physiotherapy.Which of the following principles of ROM exercises does the nurse correctly teach the patient and family members?
A)Flex the joint to the point of discomfort.
B)Work from proximal to distal joints.
C)Move the joints quickly.
D)Provide support to the extremity.
Q2) The nurse needs to reposition a 136.1 kg (300-pound)patient.Which of the following strategies is most likely to prevent back injury?
A)Turn the patient alone using the lift pad and applying pillows.
B)Put the bed in the Trendelenburg position and pull from the head of the bed.
C)Assess and obtain the number of people needed to help.
D)Bend at the waist and pull the lift pad,using the arms.
Q3) Patients on bed rest or otherwise immobile are at risk for what condition?
A)Increased metabolic rate.
B)Increased diarrhea (peristalsis).
C)Altered metabolic function.
D)Increased appetite.
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Page 47
Chapter 46: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a patient with a stage 2 pressure injury and,as the coordinator of care,understands the need for a multidisciplinary approach.The nurse evaluates the need for several consults.Which of the following should always be included in the consults? (Select all that apply. )
A)Registered dietitian.
B)Enterostomal and wound care nurse.
C)Physiotherapist.
D)Case management personnel.
E)Chaplain.
F)Pharmacist.
Q2) The nurse is caring for a patient who has a wound drain with a collection device.The nurse notices that the collection device has a sudden decrease in drainage.What would be the nurse's next best step?
A)Remove the drain;a drain is no longer needed.
B)Call the physician;a blockage is present in the tubing.
C)Call the charge nurse to look at the drain.
D)As long as the evacuator is compressed,do nothing.
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Chapter 47: Sensory Alterations
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Sample Questions
Q1) The nurse is caring for a patient in acute respiratory distress.The patient has multiple monitoring systems on that constantly beep and make noise.The patient is becoming agitated and frustrated over inability to sleep.Which action by the nurse is most appropriate for this patient?
A)Providing the patient with a therapeutic back rub.
B)Turning off the alarms on the monitoring devices.
C)Administering an opioid medication to help the patient sleep.
D)Providing the patient with earplugs.
Q2) A nurse is establishing a relationship with a patient who is visually impaired.Which is the most appropriate method to teach the patient how to contact the nurse for assistance?
A)Placing a raised Braille sticker on the call button,and instructing the patient to press for assistance.
B)Instructing the patient to yell at the top of his lungs to get the attention of the staff.
C)Explaining to the patient that a staff person will stop by once an hour to see whether the patient needs anything.
D)Sharing cell phone numbers with the patient so he can call the nurse if he needs her.
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Page 49
Chapter 48: Care of Surgical Patients
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Source URL: https://quizplus.com/quiz/36721
Sample Questions
Q1) The nurse is caring for a postoperative patient with an abdominal incision.A pillow is used during coughing to provide which of the following?
A)Pain relief.
B)Splinting.
C)Distraction.
D)Anxiety reduction.
Q2) The nurse is caring for a patient in the preoperative holding area of an ambulatory surgery centre.Which nursing action would be most appropriate for this area?
A)Monitor vital signs every 15 minutes.
B)Empty the urinary drainage bag.
C)Apply a warm blanket.
D)Check the surgical dressing.
Q3) The nurse is encouraging the postoperative patient to utilize diaphragmatic breathing.Reasons for this intervention include which of the following?
A)Management of pain.
B)Decreased healing time.
C)Prevention of atelectasis.
D)Decreased thrombus formation.
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