Nursing Process and Critical Thinking
Mock Exam
Course Introduction
This course explores the foundational elements of the nursing process and the development of critical thinking skills essential for effective patient care. Students will examine each step of the nursing process assessment, diagnosis, planning, implementation, and evaluation while learning to apply logical reasoning, problem-solving, and evidence-based decision-making in clinical situations. Case studies and practical exercises will reinforce students' ability to analyze complex scenarios, prioritize patient needs, and make informed clinical judgments, preparing them for safe and competent nursing practice in diverse healthcare settings.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Berman
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42 Chapters
1234 Verified Questions
1234 Flashcards
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Page 2
Chapter 11: Assessing
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77919
Sample Questions
Q1) A client in the emergency department has a non-life-threatening wound.The unit is busy with other clients,families,and people in the waiting room.How should the nurse conduct an interview with this client?
A)Have the client wait until the department quiets down,as the wound is not too serious.
B)Tell the client to wait in the waiting room and fill out the paperwork.
C)Draw curtains around the client and nurse to provide as much privacy as possible.
D)Make sure the client's back is to the rest of the room so as not to be heard by passersby.
Q2) A client has been using the call light routinely throughout the evening.Upon entering the room,the nurse observes the following details.Organize them according to priority sequencing (1 is first priority;5 is least priority).
Standard Text: Click and drag the options below to move them up or down.
A)The family is at the bedside.
B)The IV pump is running on battery.
C)The ECG monitor shows tachycardia.
D)The client reports being restless.
E)O<sub>2</sub> tubing is not attached to wall regulator.
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Chapter 12: Diagnosing
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse has completed the initial assessment of a client and has analyzed and clustered the data.What should the nurse complete next in the diagnostic process?
A)Formulate a diagnosis.
B)Verify the data.
C)Research collaborative and nursing-related interventions.
D)Identify the client's problem,health risks,and strengths.
Q2) The nurse is providing care to a client.Which nursing diagnoses can the nurse apply when providing client care?
Standard Text: Select all that apply.
A)Ineffective Breathing Pattern
B)Risk of Infection
C)Readiness for Enhanced Nutrition
D)Readiness for Enhanced Family Coping
E)Anxiety
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Chapter 13: Planning
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) One of the interventions for a client with a nursing diagnosis of Impaired swallowing is to position the client upright in a chair (60 to 90 degrees)during feeding times.What should the nurse identify as the modifier in this intervention?
A)60 to 90 degrees during feeding times
B)Position in chair
C)Upright in a chair
D)Impaired swallowing
Q2) According to the care plan,a client is to receive chest physiotherapy twice daily.The client lives alone in a rural area,does not drive,and is 40 miles away from a hospital.What
should the home care nurse do when setting priorities for this client?
A)Make sure that he or she is able to get to the client's home.
B)Assist the client in finding an alternative plan for the achieving the therapy's outcomes.
C)Tell the client that this therapy will be impossible to receive.
D)Make arrangements to have the client moved to a long-term care facility.
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Chapter 14: Implementing and Evaluating
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The home health nurse uses creativity and critical thinking to devise a way for a client to receive intravenous medication while sitting outside on the porch.Which skill did the nurse use for this situation?
A)Technical
B)Interpersonal
C)Creativity
D)Cognitive
Q2) The nurse manager has been appointed to implement a quality assurance program at the hospital.Which components should the manager prepare to evaluate for this program?
A)Methods
B)Structure
C)Finances
D)Process
E)Outcome
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Chapter 15: Documenting and Reporting
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is documenting client care on flow sheets that identify abnormal assessment findings.Which type of documentation system is the nurse using?
A)Computerized documentation
B)Focus charting
C)SOAP charting
D)Charting by exception
Q2) The nurse is using I-SBAR to provide a report to an intensive care nurse for a client transfer.Which statements indicate that the nurse is using this communication technique appropriately?
Standard Text: Select all that apply.
A)"Mr.Collins has a history of peptic ulcer disease."
B)"Hi Susan,my name is Janie and I've been taking care of Mr.Collins all day."
C)"It's no wonder he's bleeding from his stomach;he drinks a six pack of beer every day."
D)"Late this morning Mr.Collins became nauseated and vomited 250 mL of bright red emesis."
E)"He has bowel sounds in all 4 quadrants,is not experiencing any pain,but has a heart rate of 110 and blood pressure of 98/50 mm Hg."
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Page 7
Chapter 16: Health Promotion
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The client is a high school student who is also a single parent.She is attending parenting classes while studying full time and living in an apartment with her child.The student also meets twice a week with a teen peer group and participates in a nutrition program through the county.Which is the most appropriate diagnosis for this client?
A)Risk for Situational Low Self-Esteem
B)High Risk for Caregiver Role Strain
C)Readiness for Enhanced Coping
D)Readiness for Enhanced Nutrition
Q2) A client has received a high score on the Life-Change Index.For which part of the client's assessment should the nurse use this information?
A)Life stress review
B)Social support systems review
C)Lifestyle assessment
D)Health beliefs review
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Chapter 17: Health, Wellness, and Illness
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse determines that an older client is in the medical care contact stage of an illness.What did the client demonstrate to cause the nurse to make this decision?
Standard Text: Select all that apply.
A)The client asked if the illness can be treated or recovery is possible.
B)The client asked if the symptoms experienced are a part of an illness.
C)The client asked if the symptoms can be explained in plain language.
D)The client stated that the illness is not acceptable and wants a second opinion.
E)The client stated that treatment is accepted and will be completed as identified.
Q2) A nurse has volunteered to go on a health mission to rural Haiti,where the majority of the people do not have access to health care and live in poverty.According to Dunn's high-level wellness grid,the nurse will be working with clients in which quadrant?
A)Emergent high-level wellness in an unfavorable environment
B)Protected poor health in a favorable environment
C)Poor health in an unfavorable environment
D)Protected poor health in an unfavorable environment
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Chapter 18: Culture and Heritage
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/77912
Sample Questions
Q1) The nurse is teaching a client from a culture that is "present oriented" about a dressing change that should be performed twice a day.How should the nurse address the cultural issue?
A)Allow the client to select the times the dressing will be changed.
B)Instruct the client to change the dressing after breakfast and before going to bed.
C)Explain that the client should complete the dressing change at 10 AM and 4 PM.
D)Suggest that the dressing change can be performed whenever the client chooses,as long as it gets done twice daily.
Q2) A client who is from a different culture than the nurse has not been able to achieve this goal: Client will select low-fat foods from a list by the end of the month.What should the nurse do?
A)Consider whether the client's belief system has been an influencing factor.
B)Extend the time frame and give the client a longer period to achieve the goal.
C)Make sure that the client understands the importance of the goal.
D)Select a different goal.
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10
Chapter 19: Complementary and Alternative Healing Modalities
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse who works in a busy neonatal intensive care unit has been having difficulty with concentration after a long day's work.Which therapy should the nurse consider doing to help with this problem?
A)Guided imagery
B)Hypnotherapy
C)Qigong
D)Aromatherapy
Q2) During a clinic appointment,a client prescribed medication for glaucoma reports vision problems.When taking a medication history,which herbal preparation should the nurse identify as being problematic for this client?
A)Ginseng
B)Echinacea
C)Valerian
D)St.John's wort
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Chapter 20: Concepts of Growth and Development
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is preparing a teaching session for a group of parents with newborn children.What should the nurse include about Bowlby's attachment theory during this presentation?
Standard Text: Select all that apply.
A)Use the attachment figure as security
B)Desire to be near the attachment figure
C)Plan to separate from the attachment figure
D)Return to the attachment figure when threatened
E)Express anxiety when the attachment figure is absent
Q2) A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor his asthma.The child has been frustrated at first,but now is able to give the reason to use the meter on a daily basis.Remembering the growth and development characteristics of the adolescent,how should the nurse respond to this client?
A)"You should feel very proud for understanding and using your meter."
B)"Think of using the meter as one of your daily chores."
C)"Maybe you could make a game out of the daily use of your meter."
D)"It's too bad if you don't want to use the meter,it's just something you'll have to do."
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Chapter 21: Promoting Health From Conception Through Adolescence
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/77909
Sample Questions
Q1) An adolescent comes to the school nurse's office seeking advice about his friends and feeling pressure to participate in activities with which he isn't comfortable,such as drinking parties and sexual explorations.What should the nurse do?
A)Tell the adolescent to stay away from "friends like that."
B)Be open to the concerns and provide accurate information about any questions.
C)Encourage the adolescent to accept psychosocial counseling.
D)Give the adolescent pamphlets on sexually transmitted diseases.
Q2) Parents of a newborn ask the nurse why their newborn's head seems lopsided and not round,as they thought it should be.How should the nurse respond to these parents?
A)"I don't think it looks unusual;actually the head is beautifully shaped."
B)"Your baby's head had to shape itself to the birth canal.It will look round in a few days."
C)"You're right.We'll make sure your doctor checks this out."
D)"Babies' heads always look funny.Once his hair grows out,you'll hardly notice it."
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Page 13
Chapter 22: Promoting Health in Young and Middle-Aged
Adults
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/77908
Sample Questions
Q1) A community health nurse is doing a screening for cervical cancer at a women's health fair.Which client should the nurse identify as having the highest risk factor for cervical cancer?
A)The client who had a difficult vaginal delivery 2 years ago
B)The client who has a history of genital herpes
C)The client who was married at age 27
D)The client who has a sister with breast cancer
Q2) A young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview.In order to best assess the client,what should the nurse ask the client?
A)"Can you tell me what's been going on in your life lately?"
B)"What kind of problems are you having?"
C)"Is someone hurting you?"
D)"Can you explain what your family life is like?"
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14
Chapter 23: Promoting Health in Elders
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Some nursing students are doing their first clinical rotation in a long-term care facility.What should the nurse educator remind the students to do to meet the needs of this particular client group?
A)Do all care for the clients,as they're unable to do it independently.
B)Always remember that the clients' self-respect must be maintained in all interactions of the students.
C)Make sure the clients' care is done in a timely manner,and sometimes that means doing things for the client.
D)Treat this group of clients with a greater level of respect than younger clients.
Q2) A school nurse is bringing a group of students to a nursing home for a social exchange project.Before the students arrive,the nurse reminds them to do what when speaking to the residents?
A)Speak as loud as they can.
B)Speak into the residents' ears.
C)Write out what they want to say on a piece of paper.
D)Speak distinctly,while facing the residents.
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15
Chapter 24: Promoting Family Health
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A family struggles with clear communication,and members of the family often seek the help of other systems for personal validation and gratification.What should the nurse identify as an appropriate nursing diagnosis for this family?
A)Altered Family Processes related to communication patterns
B)Impaired Verbal Communication related to inability to communicate
C)Ineffective Family Coping evidenced by assistance from outside sources
D)Knowledge Deficiency (communication patterns)related to dysfunctional patterns of communication
Q2) The nurse is preparing to assess a family regarding the impact of one of its members being diagnosed with diabetes.What should the nurse include in this assessment?
Standard Text: Select all that apply.
A)The seriousness of the disorder
B)Whether the family has ever dealt with a chronic illness before
C)The age of the affected member
D)The financial impact the illness will have on the family
E)The number of members of the family
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Chapter 25: Caring
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse has been asked to be a member of a hospital's internal review board and evaluate research studies.Which characteristic does this nurse most likely possess?
A)Sound empirical knowledge
B)Sound personal knowledge
C)Sound aesthetic knowledge
D)Sound ethical knowledge
Q2) The nurse is planning to provide care according to Leininger's theory of culturally congruent care.What should the nurse include when providing care to the client?
A)Care should be influenced by the organizational structure.
B)The client's familiar lifeways are preserved.
C)Accommodations should be satisfying to clients.
D)Nursing care must be repatterned to help the client move toward wellness.
E)Care should be structured to fit the nurse's needs
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17
Chapter 26: Communicating
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/77904
Sample Questions
Q1) The nurse is conducting an admission interview.Which response indicates that the nurse is attentively listening to the client's explanations?
A)"Can you explain what your symptoms are like?"
B)"When was the last time you saw a doctor for this?"
C)"Uh-huh," while nodding the head
D)"I'm sorry,say that again?"
Q2) The nurse is beginning a helping relationship with a newly admitted client.Which behaviors should the nurse demonstrate that support this type of relationship?
Standard Text: Select all that apply.
A)Becoming familiar with the client's social history by reading the admission interview
B)Orienting the client to the physical layout of the facility as well as to the facility's policies
C)Gaining the client's trust by consistently keeping promises to return and "visit"
D)Respecting the client's wish to be alone after hearing about the loss of a family friend
E)Asking to remain with the client when he is experiencing symptoms of the flu
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18
Chapter 27: Teaching
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/77903
Sample Questions
Q1) A community health nurse runs a clinic that provides health screening to mainly Mexican American and Native American clients.The nurse wants to have a class on smoking cessation for interested adults of this group.In order to adjust to their time orientation,what is the best action of the nurse?
A)Make sure that the classes are held at specific times.
B)Begin classes when a group of clients are gathered.
C)Mail letters ahead of time to make sure clients are informed about the upcoming class.
D)Make posters and place them in areas of the community frequented by these groups.
Q2) A school nurse is planning a program for adolescents about positive lifestyle choices.The nurse should keep in mind that content presented to this age group must be Standard Text: Select all that apply.
A)based on learning outcomes.
B)current.
C)adjusted to the adolescent client.
D)based on sources available within the school system.
E)accurate.
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Chapter 28: Delegating, Managing, and Leading
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse manager has the reputation of being an autocratic leader.Which of the following statements by this manager would support that reputation?
A)"I'd like to hear from you (addressing the staff)what your ideas are for promoting better morale in this unit."
B)"I'm putting a suggestion box in the break room if anyone has ideas that would be helpful to the unit."
C)"The new work schedule is posted for the next 6 weeks."
D)"I put the new procedure manual out.Please add your comments to the blank sheet of paper attached to the front."
Q2) An RN delegates the task of taking a newly admitted client's vital signs to a nurse's aide.The client's blood pressure was 182/98,but did not get reported to the physician for several hours.Who is responsible for the lapse in time between discovery and action?
A)Nurse manager
B)Aide
C)Client
D)RN
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Chapter 29: Vital Signs
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24 Verified Questions
24 Flashcards
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Sample
Questions
Q1) The nurse determines that unlicensed assistive personnel (UAP)are not to be delegated client blood pressure measurements.What did the nurse observe to make this clinical decision?
Standard Text: Select all that apply.
A)The valve on the bulb was closed.
B)The client was sitting with the legs crossed.
C)The arm was below the level of the heart.
D)The UAP waited 2 minutes before re-measuring.
E)The cuff bladder was placed over the brachial artery.
Q2) The nurse is planning to assess a client's pulse.What characteristics should the nurse include in this assessment?
Standard Text: Select all that apply.
A)Rate
B)Rhythm
C)Volume
D)Tone
E)Viscosity
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Chapter 30: Health Assessment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/77900
Sample Questions
Q1) The nurse is utilizing the technique of inspection during a physical examination with a client.When using this technique,the nurse will take which actions?
Standard Text: Select all that apply.
A)Visually observe a body area.
B)Obtain information through the sense of smell.
C)Obtain information through the sense of hearing.
D)Examine the body through the use of touch.
E)Strike the body to elicit a sound from a body part.
Q2) While performing a health assessment,in which position should the nurse place the client for inspection of the jugular veins?
A)90-degree angle
B)30- to 45-degree angle
C)15-degree angle
D)60-degree angle
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22
Chapter 31: Asepsis
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/77899
Sample Questions
Q1) The nurse is using medical asepsis when providing client care.Which action did the nurse demonstrate?
A)Administering parenteral medications
B)Changing a dressing
C)Performing a urinary catheterization
D)Using personal protective equipment
Q2) The nurse is preparing to leave a client's isolation room.Which action should the nurse take first when removing a grossly soiled gown?
A)Grasp the sleeve of the dominant arm,and remove it with a gloved hand.
B)Release the neck ties of the gown and allow the gown to fall forward.
C)Untie the strings at the neck first.
D)Untie the strings at the waist first.
Q3) The nurse is concerned that a break occurred in a sterile field.Which action occurred that caused this break?
A)Grasping the edge of the outermost flap and opening it away from oneself
B)Keeping objects on the field 1 inch from the edge
C)Keeping the sterile field in eyesight
D)Transferring a sterile object to a sterile field with a clean gloved hand
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Chapter 32: Safety
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/77898
Sample Questions
Q1) The nurse is determining a client's risk for injury.What should the nurse assess in this client?
Standard Text: Select all that apply.
A)Age
B)Mobility
C)Hearing
D)Vision
E)Dietary intake
Q2) While eating in a restaurant,a nurse notices that a customer at the next table begins to clutch his throat while eating a steak.What should the nurse do first?
A)Ask the customer if he is choking.
B)Attempt to give five back blows.
C)Perform the Heimlich maneuver.
D)Start chest compressions.
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Chapter 33: Hygiene
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77897
Sample Questions
Q1) The nurse is preparing to provide morning care to a client.What should the nurse explain to the client as the reason for a daily bath?
A)Assess skin integrity
B)Develop a nurse-client relationship
C)Moisturize the skin
D)Stimulate circulation
Q2) A client with a skin rash is prescribed a bath in which medication is added to the bath water.The nurse should plan for the client to receive which type of bath?
A)Shower
B)Tub
C)Partial
D)Complete
Q3) The nurse has completed foot care for a client as part of routine morning care.What should the nurse document about the procedure?
A)The condition of the skin and nails
B)Nothing unless a problem is noted
C)The amount of time taken on foot care
D)The client's comments about the foot care
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Chapter 34: Diagnostic Testing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A client is scheduled for a bronchoscopy.What should the nurse instruct the client about this procedure?
Standard Text: Select all that apply.
A)Tissue samples may be taken for biopsy.
B)Eating will not be permitted for 12 hours.
C)A local anesthetic is sprayed on the throat.
D)Bed rest for 8 hours is necessary after the test.
E)Informed consent is required for this procedure.
Q2) Unlicensed assistive personnel (UAP)will be conducting a test on a client's urine.What should the nurse instruct the UAP about the test?
Standard Text: Select all that apply.
A)Nothing,because the UAP can perform urine testing.
B)Remind the UAP to tell the client the results of the test.
C)Notify the physician with the results of the test.
D)Report the results of the test to the nurse.
E)Save the urine,in case the nurse wants to repeat the test.
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Chapter 35: Medications
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The nurse is preparing to administer a subcutaneous injection to a client.When selecting the needle,the nurse should choose one with a
A)small gauge number.
B)long shaft.
C)long bevel.
D)short bevel.
Q2) A client is prescribed a medication to be administered through the parenteral route.The nurse would expect that this medication will be provided through which method?
Standard Text: Select all that apply.
A)Subcutaneous injection
B)Intramuscular injection
C)The oral route
D)Intradermal injection
E)Intravenous infusion
Q3) A client weighing 220 lbs.is prescribed to receive 25 mg/kg of a medication,divided over 4 equal doses.How many mg of the medication should the nurse provide for each dose?
Standard Text: Round to the nearest whole number.
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Chapter 36: Skin Integrity and Wound Care
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77894
Sample Questions
Q1) The newly hired nurse learns that the facility uses the Braden Scale for Predicting Pressure Sore Risk to assess all new admissions.Before using this scale the nurse
A)should receive specific training.
B)must be certified.
C)is required to ask the client's permission.
D)has to obtain special assessment equipment.
Q2) The UAP reports a small skin tear on the client's forearm that occurred during a routine turn.After assessing the wound the nurse should take which action?
A)Obtain a transparent dressing for the UAP to place on the wound.
B)Request a consult with the wound care nurse.
C)Cleanse the wound and apply a dressing.
D)Tell the UAP to reevaluate the wound in 20 minutes.
Q3) The continuous quality improvement team is monitoring the nursing care of clean-contaminated wounds.Which operative wound would be excluded from this study?
A)Gastric resection
B)Uncomplicated abdominal hysterectomy
C)Breast biopsy
D)Lung resection
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Page 28
Chapter 37: Perioperative Nursing
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77893
Sample Questions
Q1) The nurse is preparing a client for an upper GI endoscopy.For which type of anesthesia should the nurse prepare the client to receive?
A)Local anesthesia
B)Spinal anesthesia
C)Epidural anesthesia
D)Conscious sedation
Q2) The nurse is planning care for a client during the postoperative period.What should the nurse identify as the goal of care for this client?
A)Provide necessary preoperative teaching.
B)Assist the client to achieve the most optimal health status possible.
C)Ensure client safety.
D)Maintain an aseptic environment.
Q3) The nurse is preparing a 6-year-old child for a tonsillectomy.Which strategy should the nurse use for teaching this client?
A)Pamphlets
B)Play
C)Books
D)Videotapes
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Chapter 38: Sensory Perception
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A client is hospitalized for treatment of a new disorder.While admitted,the client receives no telephone calls or visitors.The nurse should assess which aspect of the client's sensory-perception function?
A)Risk for sensory overload
B)Social support network
C)Mental status
D)Environment
Q2) The nurse suspects a client will develop sensory overload.What characteristics did the nurse observe in the client?
Standard Text: Select all that apply.
A)Ongoing pain
B)Confusion at night
C)Inability to sleep
D)Easily angered
E)Worrying about upcoming diagnostic tests
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Chapter 39: Self-Concept
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse suspects that a client is having difficulty with specific self-esteem.Which client statements caused the nurse to have this concern?
Standard Text: Select all that apply.
A)"I hate my hair."
B)"Life is wonderful!"
C)"My hips are too big."
D)"I wish I had that nose job 2 years ago."
E)"It is awesome that I got that promotion at work."
Q2) The nurse is determining a client's level of psychosocial development according to Erikson's stages.Place the developmental tasks in order according to Erikson's stages of psychosocial development.
Standard Text: Click and drag the options below to move them up or down.
A)Expressing one's own opinion
B)Guiding others
C)Asserting independence
D)Working well with others
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Chapter 40: Sexuality
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Sample Questions
Q1) In discussion with teenagers,the nurse chooses to use the term sexually transmitted infection rather than sexually transmitted disease.What is the rationale for this choice?
A)Infection is a much more precise term for the transmission that occurs.
B)The word disease may elicit guilt,shame,and fear in the client.
C)Sexually transmitted disease does not receive as much third-party reimbursement as does sexually transmitted infection.
D)These terms can be used interchangeably and there is no good rationale for using one over the other.
Q2) Which statement made by a postmenopausal client should the nurse evaluate as indicating the need for further assessment?
A)"For some reason,I have more sexual desire than ever."
B)"I use water-soluble lubricant to treat my vaginal dryness."
C)"I am so glad that I don't need to worry about sex anymore."
D)"Sex certainly takes longer than it used to,but I'm getting used to that."
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Chapter 41: Spirituality
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Sample Questions
Q1) The nurse is determining whether interventions to address the diagnosis of Spiritual Distress for a client newly diagnosed with a chronic illness have been effective.What outcome would indicate that interventions have been effective for this client?
A)The client has talked with the church priest twice during the hospitalization.
B)The client states that there is nothing that can be done spiritually to improve her current outlook on life.
C)The client plans to make an appointment with a psychologist after discharge.
D)The client thanks the nurse for trying to help improve her feelings.
Q2) The nurse is concerned that the spouse of a recently deceased client is experiencing spiritual distress.What did the nurse observe to come to this clinical decision?
Standard Text: Select all that apply.
A)Expressing anger toward God
B)Crying softly in the client's room
C)Hugging family members
D)Talking with caregivers about the client's personal items
E)Refusing comfort from family
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Chapter 42: Stress and Coping
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Sample Questions
Q1) The nurse identifies that a client is experiencing the resistance stage of the general adaption syndrome.What did the nurse assess to make this clinical decision?
A)The client is unable to focus on activities and events.
B)The client is exhausted,and spends time sleeping.
C)There is localized swelling and inflammation of the client's leg wound.
D)The client's capillary blood glucose level is 180 mg/dL.
Q2) A client diagnosed with a myocardial infarction is overheard telling family about having food poisoning.What defense mechanism is this client exhibiting?
A)Compensation
B)Denial
C)Displacement
D)Identification
Q3) A newly hospitalized client is demonstrating anxiety and stress.What intervention can the nurse plan to help this client?
A)Explain all procedures in detail before performing them.
B)Let the client make the majority of decisions about the plan of care.
C)Control the environment of healing.
D)Demonstrate staff competence by using multiple nurses for care.
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Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) The nurse is concerned that a client is experiencing complicated grieving after the unexpected death of a son.The nurse most likely assessed
Standard Text: Select all that apply.
A)the client's denying the son's death.
B)depression.
C)sudden weight loss because of not eating.
D)crying.
E)verbalizing the desire to not live anymore.
Q2) During a home visit,an older male client tells the nurse that his wife died 3 years ago.What did the nurse observe as an indication that this client is experiencing complicated grief?
A)The client has an album of photographs of his wife open on the living room table.
B)He tells the nurse that his wife was an awful cook and that he has eaten better meals since she died.
C)He indicates that he sends his laundry out to be done because he had never figured out how the washer works.
D)He shows the nurse his wife's craft room that remains just as she left it before she died.
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Chapter 44: Rest
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Sample Questions
Q1) The nurse is working on a hospital committee focused on preventing back injury in nurses.Which recommendation by this committee is most likely to result in a decrease in back injuries if followed?
A)Nurses must wear back belts when lifting clients.
B)All nursing personnel must attend annual body mechanics education.
C)In order to prevent injury,nurses must strive to become physically fit.
D)No solo lifting of clients is permitted in the facility.
Q2) When planning care,the nurse should identify which client as needing logrolling for position changes?
A)A client with documented pneumonia
B)The client who has had abdominal surgery
C)The client who fell from a house,sustaining a fractured tibia
D)A client who has a severe headache from hypertensive crisis
Q3) The bed-bound client complains of pain and burning in the right calf area.What action should be taken by the nurse?
A)Deeply palpate the area for rebound tenderness.
B)Percuss over the area for change in tone.
C)Measure the calf and compare to the opposite calf.
D)Medicate the client for pain and reassess in 30 minutes.
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Page 36
Chapter 45: Activity and Exercise
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Sample Questions
Q1) A 5-year-old client has recurrent night terrors.What nursing intervention should the nurse use to help alleviate this problem?
A)Have the child walk around in the room when night terrors occur.
B)The next morning,ask the child to describe the event.
C)Have the child empty the bladder prior to going to bed.
D)Use an additional pillow behind the child's head at night.
Q2) The mother of a newborn tells the nurse,"I am concerned about my baby.When she first goes to sleep,her eyes dart around under her eyelids,she doesn't breathe regularly,and she sometimes twitches." What advice should the nurse give this mother?
A)Please bring your baby in immediately for a checkup.
B)These are common behaviors in newborns and are normal.
C)You should ask the physician about these symptoms at your next checkup.
D)If your baby does this again,take her to the emergency department.
Q3) The hospitalized client requests a bedtime snack.Which food should the nurse offer this client?
A)Hot chocolate
B)Tea and crackers
C)Cereal with milk
D)Chips and salsa
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Page 37
Chapter 46: Pain Management
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Sample Questions
Q1) The nurse is to administer acetaminophen (Tylenol)prn to a client for a headache;however,the client has been vomiting all day.Which route should the nurse use to administer the medication?
A)Oral
B)Vaginal
C)Rectal
D)Intravenous
Q2) A client has been taking medication for back pain for several months,and has seen several different health care providers in efforts to receive pain medication.The nurse is concerned that the client is exhibiting A)tolerance.
B)addiction.
C)physical dependence.
D)pseudoaddiction.
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Chapter 47: Nutrition
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Sample Questions
Q1) The nurse is concerned that an older client is at risk for aspiration.What feeding techniques should the nurse instruct the family to use once the client is discharged?
Standard Text: Select all that apply.
A)Thicken all fluids.
B)Use the chin-tuck method.
C)Place the client in a seated position
D)Focus on food preferences.
E)Keep the head of the bed at a 30-degree angle.
Q2) Nitrogen balance testing is planned for a client.What instruction to the staff caring for this client is essential?
A)Remove the client's oxygen cannula 10 minutes prior to the test.
B)Accurate measurement of food intake is very important.
C)All urine output should be collected for 48 hours.
D)Keep the client NPO beginning at midnight before the test.
Q3) A client is prescribed a 1600-calorie diet.Of this diet,30% of the intake should be protein,20% fat,and 50% carbohydrates.How many grams of carbohydrates should the client ingest every day?
Standard Text: Calculate to the nearest whole number.
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Chapter 48: Urinary Elimination
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Sample Questions
Q1) Which nursing intervention is appropriate when caring for a client with a retention catheter?
A)Don sterile gloves.
B)Gently retract the labia majora away from the urinary meatus.
C)Observe urine in the drainage bag.
D)Retape the catheter to the thigh.
Q2) A client is rushed to the emergency department with what the physicians suspect to be necrosis of the urinary diversion stoma.What evidence presented by the client leads to this conclusion?
A)Black with sloughing
B)Moist stoma
C)Pink and shiny
D)Slight bleeding from stoma
Q3) A client is instructed on the care of an indwelling urinary catheter.Which returned demonstration by the client indicates that teaching has been effective?
A)The client empties the drainage bag once a day.
B)The client hangs the drainage bag on the towel rod.
C)The client refuses drinks one to two 8-ounce glasses of fluid each day.
D)The client takes a shower each day.
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Page 40
Chapter 49: Fecal Elimination
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Sample Questions
Q1) A client has received a return-flow enema.What should the nurse document about this procedure?
Standard Text: Select all that apply.
A)Number of times the solution was changed.
B)Type of solution.
C)Length of time the solution was retained.
D)The amount,color,and consistency of the return.
E)Client relief of flatus and abdominal distention.
Q2) After eating dinner,a client asks for help to get to the bathroom because of an extreme urge to defecate.The nurse realizes that the client has experienced which physiological function of the colon?
A)Flatus
B)Mass peristalsis
C)Haustral churning
D)Peristalsis
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Chapter 50: Oxygenation
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Sample Questions
Q1) A client has a medical condition that often results in the development of metabolic acidosis.The nurse should observe this client for the development of which breathing pattern as a result of this condition?
A)Cheyne-Stokes
B)Biot's
C)Cluster
D)Kussmaul's
Q2) A client with a nasotracheal tube in place has been restless and pulling at the tube.How should the nurse assess if the tube is still in place?
A)Count the client's respirations.
B)Assess the depth of the client's respirations.
C)Auscultate for bilateral breath sounds.
D)Deflate the cuff and listen for minimal leak.
Q3) An older client is prescribed diazepam (Valium).What should the nurse monitor in this client?
A)Respirations
B)Urine output
C)Muscle tone
D)Appetite
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42
Chapter 51: Circulation
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Sample Questions
Q1) The client has experienced a myocardial infarction with damage to the inferior portion of the heart.Due to this history,the nurse monitors the client for the development of rhythm disturbances that are most directly based upon which factor?
A)The resultant change in blood sugar
B)Electrolyte disturbances from tissue damage
C)The automaticity of cardiac cells
D)Decreased blood flow to the liver
Q2) A client has a heart rate of 170 beats per minute.For what will the nurse assess next in this client?
A)Increased cardiac output
B)Increased preload
C)Decreased afterload
D)Decreased cardiac output
Q3) The post-myocardial infarction client asks the nurse about return to exercise.What information should the nurse give this client?
A)It is better to exercise when it is cold.
B)Environmental temperatures have little impact on cardiac function.
C)Avoid exercise when the weather is hot or cold.
D)Hot temperatures increase peripheral blood vessel contraction.
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Page 43
Chapter 52: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) After obtaining a unit of packed red blood cells for a client,the nurse learns the client needed to leave the care area for an emergency x-ray.What action should the nurse take?
A)Set up the blood with the IV fluid and y-tubing and place it on the IV stand in the client's room to initiate immediately after the client returns.
B)Place the blood in the unit refrigerator until the client returns.
C)Return the blood to the laboratory blood bank until the client returns.
D)Set up the blood with the IV fluid and y-tubing and place it in the unit medication room to initiate immediately after the client returns.
Q2) A client has had a subclavian central venous catheter inserted.What should the nurse assess as a priority for this client's care?
A)Presence of bibasilar crackles
B)Tachycardia
C)Decreased pedal pulses
D)Headache
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