Nursing Process and Critical Thinking Study Guide Questions
Course Introduction
This course introduces students to the foundational principles of the nursing process and the essential components of critical thinking in nursing practice. Emphasizing systematic assessment, planning, implementation, and evaluation, it guides students in applying logical reasoning and evidence-based decision-making to deliver safe, patient-centered care. Through case studies, simulations, and reflective practice, students learn to identify patient needs, prioritize care, and adapt nursing interventions in diverse clinical scenarios, fostering the development of strong clinical judgment and problem-solving skills essential for effective nursing practice.
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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Chapter 11: Assessing
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77919
Sample Questions
Q1) 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.
Q2) The nurse decides to seek wound care alternatives for a client's stasis ulcer that is not healing after treatment for 2 weeks.In which phase of the nursing process is the nurse functioning?
A)Diagnosis
B)Implementation
C)Evaluation
D)Assessment
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3
Chapter 12: Diagnosing
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A client is diagnosed with pneumonia and has been hospitalized for several days.Which nursing diagnosis should the nurse identify as a priority for this client?
A)Altered oral mucous membranes,related to dry mouth
B)Activity intolerance,related to oxygen supply imbalance
C)Knowledge deficit,related to medication regimen
D)Ineffective airway clearance,related to increased secretions
Q2) A client comes to the clinic seeking information and education regarding healthy lifestyles and eating habits.Which type of diagnosis should the nurse select for this client?
A)Risk nursing diagnosis
B)Syndrome diagnosis
C)Wellness diagnosis
D)Actual diagnosis
Q3) After an assessment,the nurse reviews the list of client problems.For which problems should the nurse create nursing diagnoses?
A)The ones that the nurse is licensed to treat
B)The ones that address other health professionals' interventions
C)The ones that focus on the client's primary illness
D)The ones that have standardized care available
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Page 4
Chapter 13: Planning
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse being oriented to a new position is reviewing the hospital's standards of care,standardized care plans,protocols,policies,and procedures.For which reasons should the nurse realize that these documents are being used by the nursing staff?
A)Making sure all clients have the same types of care
B)Ensuring that minimally accepted standards are met
C)Promoting efficient use of the nurse's time
D)Eliminating care disparities among clients
E)Ensuring medication errors do not occur
Q2) The nurse is devising a care plan for a client with complex health issues and current acute health problems.Which criteria should the nurse ensure is used when planning interventions for this client?
Standard Text: Select all that apply.
A)Congruent with the client's values,beliefs,and culture
B)Are within established standards of care
C)Based on scientific and medical knowledge
D)Achievable with the resources available
E)Must be safe and appropriate for the client's age
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Page 5
Chapter 14: Implementing and Evaluating
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A home care client must correctly self-administer insulin injections before being discharged from the agency.On what skill is this client being evaluated?
A)Technical
B)Cognitive
C)Interpersonal
D)Academic
Q2) A client has the goal statement "Client will have clear lung sounds bilaterally within 3 days." One intervention to meet this goal is for the nurse to teach the client to cough and deep breathe and have the client do this several times every 2 hours.At the end of the third day,the client's lungs are indeed clear.What should the nurse do to relate the intervention to the outcome?
A)Ask how many times per day the client practiced the coughing and deep breathing exercises.
B)Tell the client that the lungs are clear.
C)Document the assessment findings to show the effectiveness of the intervention.
D)Write this evaluation statement: Goal met,lung sounds clear by third day.
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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) A client did not meet the goal of walking unassisted,without assistive devices,by discharge from rehabilitation.The case manager using a critical pathway should identify this outcome as being which of the following?
A)An unattainable goal
B)A variance
C)An error in care planning
D)An error in intervention implementation
Q2) A client's condition has deteriorated and the nurse needs to notify the health care provider.What information should the nurse include when providing a telephone report on this client?
Standard Text: Select all that apply.
A)Client's medical diagnosis
B)Name of unit nurse manager
C)Names of family members visiting
D)Name and relationship to the client
E)Observed changes in the client's status
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Chapter 16: Health Promotion
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) During a home visit,the nurse is planning to complete a physical fitness assessment of a client.What should the nurse include in this assessment?
Standard Text: Select all that apply.
A)Flexibility
B)Range of motion
C)Body composition
D)Muscle endurance
E)Cardiorespiratory endurance
Q2) A client is learning how to manage his asthma.In providing teaching,the nurse stresses the importance of using the peak flow meter every morning to help determine changes in respiratory status.The nurse is stressing which health promotion behavior?
A)Competing preferences
B)Competing demands
C)Situational influences
D)Interpersonal influences
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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 educator is reviewing internal variables that affect people's health status.On which variables is this nurse focusing?
Standard Text: Select all that aply.
A)Genetic makeup
B)Age
C)Developmental level
D)Environment
E)Spiritual and religious beliefs
Q2) The nurse case manager is concerned about a particular client being discharged from the hospital.Which factors should alert the nurse to possible problems with this client's adherence to treatment?
A)The prescribed therapy is costly and of unknown duration.
B)The therapy will require no lifestyle changes of the client.
C)The client has not had difficulty understanding the regimen.
D)The client's culture is supportive of Western medicine.
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9
Chapter 18: Culture and Heritage
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29 Flashcards
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Sample Questions
Q1) The community health nurse is using the Heritage Assessment Interview tool with a group of community members.Which data indicate heritage consistent?
Standard Text: Select all that apply.
A)A client frequently visits the "old country neighborhood" he grew up in.
B)A client is raised by a single parent.
C)The client's education occurred at a religious school.
D)The client participates in religious festivals and cultural events.
E)The client has been the first of his family to earn a college degree.
Q2) A new graduate nurse is moving from a small rural college town to a metropolitan area to begin work in a county hospital.The nurse has had limited prior experience with the various cultural groups that are served by the hospital.What might be this nurse's greatest challenge?
A)Prejudice
B)Stereotyping
C)Discrimination
D)Assimilation
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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) A client visits a clinic that integrates Western medicine with complementary therapies.Which therapies might the client utilize and believe to keep the flow of qi at a therapeutic level?
A)Acupressure and reflexology
B)Therapeutic touch and Reiki
C)Aromatherapy and naturopathic remedies
D)Chiropractic and massage therapy
Q3) The client asks whether herbal medicines are a "good idea." What should the nurse respond?
A)"Things found in nature are always healthy."
B)"If your doctor didn't prescribe it,don't take it."
C)"Are there specific ones you're wondering about?"
D)"Everything is good in moderation."
Page 11
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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) A toddler shows fear and begins to cry when her parent leaves her at day care.According to Havighurst,which developmental task should the nurse recognize this child is exhibiting?
A)Building wholesome attitudes toward oneself
B)Learning to get along with age-mates
C)Learning to relate emotionally
D)Achieving personal independence
Q2) A parent is concerned that her 5-year-old is beginning to masturbate.How should the nurse,familiar with Freud's stages of development,respond?
A)"All children are curious,but make sure the child knows that this behavior might be offensive to others."
B)"You should probably consult a child psychologist if you're this concerned."
C)"Let's make sure to ask your physician at the next appointment."
D)"This behavior is a normal part of your child's development."
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12
Chapter 21: Promoting Health From Conception Through Adolescence
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A school nurse is working with teachers in helping them address the developmental needs of grade school students,according to Erikson's theory of industry versus inferiority.Which activities should the nurse suggest?
A)Providing time for running and playing sports,such as basketball,to increase gross motor skills
B)Allowing "pretend" time during their classes,such as for dress-up or role-playing activities
C)Presenting diversity in culture and practices as part of classroom study
D)Helping them develop skills needed in the adult world,such as allowance budgeting
Q2) The nurse is completing a health history with a client who is 10 weeks pregnant.Which factor should the nurse identify as increasing this client's risk for a spontaneous abortion?
A)Having taken a medication that is a known teratogen
B)Smoking
C)Having low levels of folic acid
D)Genetic history
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Chapter 22: Promoting Health in Young and Middle-Aged Adults
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is working with young adults in the community.What should the nurse realize as being the psychosocial developmental tasks of this population?
Standard Text: Select all that apply.
A)Selecting a mate
B)Rearing children
C)Achieving civic responsibility
D)Finding a congenial social group
E)Developing adult leisure-time activities
Q2) A group of middle-aged clients is inquiring about nutrition-related health problems inherent in their age group.In order to best address these concerns of this specific age group,the nurse should take which action?
A)Provide information,including a website,regarding-age specific diet plans.
B)Give all clients a handout on diets recommended by the ADA.
C)Tell the clients to check with their physician before dieting.
D)Have them write to the U.S.Department of Agriculture for more information.
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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) A client has been diagnosed with dementia.The family wants to know how to plan for the future.What is the best response by the nurse?
A)"Your family member's symptoms will get worse,but there are medications to stop the progress."
B)"You should plan right now on which long-term care facility you will want to utilize when the time comes."
C)"Dementia is a progressive deterioration.It's important for you to clearly understand what to look for in symptoms."
D)"Dementia can be treated once the cause is known."
Q2) A hospitalized older client is recovering from an acute illness.As the client nears the end of his hospitalization,he questions the nurse about medications and care after discharge.The gerontological nurse should
A)inform the physician that the client needs to go to a nursing home.
B)assess the client's independence and ability to function in his own home before discharge.
C)tell the client not to worry about going home.
D)invite the client's family to come to the hospital so the nurse can explain the client's care to them.
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Chapter 24: Promoting Family Health
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) 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
Q2) A father of a family was killed in a motor vehicle crash.What should the nurse consider a "normal" reaction to this event?
A)Family disorganization may occur.
B)Family members become detached from extended family.
C)The family feels that their place in the community has been eliminated.
D)The family withdraws into seclusion during the grief process.
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16
Chapter 25: Caring
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse suspects that an older client has no living family members and observes the client sitting quietly in the room,crying.What actions should the nurse take to intentionally know this client?
Standard Text: Select all that apply.
A)Seek cues from the client.
B)Assess the client thoroughly.
C)Avoid assumptions about the client.
D)Center actions on the client's needs.
E)Assume the client wants to be alone.
Q2) The nurse is researching the concept of caring as it relates to specific situations in the clinical area.More specifically,the nurse is interested in caring as it relates to cultural differences.Of the following theorists,which would be of the most help to this nurse researcher?
A)Florence Nightingale
B)Jean Watson
C)Dorothea Orem
D)Madeline Leininger
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17
Chapter 26: Communicating
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nurse is working in a pediatric clinic and has to explain a nebulizer treatment to a child.Which approach should the nurse use?
A)Give the child's parent a full explanation,but make sure the child hears what is said.
B)Let the child handle the equipment first,then demonstrate on the child's doll.
C)Start the treatment,but make sure that the parent is there to comfort the child if she becomes afraid.
D)Make sure that the physician is available for questions.
Q2) The nurse enters a client's room and finds that the telephone is lying in the client's lap,tissues are wadded up on the bed,and the client's eyes are red and watery.What is the best response by the nurse?
A)"Can I hang that phone up for you?"
B)"Well,it's a beautiful day outside.Let's open the blinds."
C)"Has your doctor been in to talk to you yet?"
D)"You look upset.Is there anything you'd like to talk about?"
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Chapter 27: Teaching
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/77903
Sample Questions
Q1) The nurse is utilizing humanistic theory when instructing a client.What will the nurse demonstrate when utilizing this theory?
Standard Text: Select all that apply.
A)Empathy
B)Encouraging the client to establish goals
C)Encouraging the client to participate in self-directed learning
D)Multisensory teaching strategies
E)Providing a physical environment conducive to learning
Q2) A nurse is planning a community health education project that deals with organ donation,and the target audience is a group of adults.When following andragogy concepts,the nurse should make sure that the teaching includes which information?
A)Past statistics about organ donors
B)Written pamphlets
C)Directions about how to become an organ donor
D)Information on how this group can influence their children
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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) The nurse has been promoted to the role of manager for a client care area.What responsibilities of the nurse will this new role include?
Standard Text: Select all that apply.
A)Accomplish the goals of the organization.
B)Use the organization's resources efficiently.
C)Ensure effective client care.
D)Ensure compliance with regulatory standards.
E)Manage relationships.
Q2) A hospital was named in a lawsuit after a client had to undergo a second surgical procedure because an arthroscopy was performed on the wrong knee during surgery.The hospital settled out of court with the client for damages.This is an example of which principle of management?
A)Authority
B)Responsibility
C)Coordination
D)Accountability
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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 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
Q2) 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.
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Chapter 30: Health Assessment
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is preparing the morning assignments.Which assessment could the nurse delegate to unlicensed assistive personnel?
A)Neurological assessment
B)Musculoskeletal assessment
C)Vital signs assessment
D)Female genital assessment
Q2) The nurse is preparing to assess a client's reflexes.What equipment should the nurse gather before entering the room?
A)Sterile gloves
B)Clean gloves
C)Percussion hammer
D)Penlight
Q3) During the assessment of a client's breasts,the nurse finds both breasts rounded,slightly unequal in size,skin smooth and intact,and nipples without discharge.What should the nurse do next?
A)Notify the charge nurse.
B)Notify the physician.
C)Document the findings in the nurse's notes as normal.
D)Document the findings in the nurse's notes as abnormal.
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Page 22
Chapter 31: Asepsis
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Sample Questions
Q1) The nurse determines that a client has adequate physiological barriers to defend the body against infection.What did the nurse assess in this client?
Standard Text: Select all that apply.
A)Intact and dry skin
B)Intact oral mucous membranes
C)Bowel sounds present in all four quadrants
D)Nasal congestion
E)Urinary retention
Q2) A patient is diagnosed with a systemic infection.What will the nurse most likely assess in this client?
A)Edema,rubor,heat,and pain
B)Fever,malaise,anorexia,nausea,and vomiting
C)Palpitations,irritability,and heat intolerance
D)Tingling,numbness,and cramping of the extremities
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Chapter 32: Safety
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is identifying activities and skills to delegate to unlicensed assistive personnel (UAP).Which action can the nurse safely delegate?
A)Provide oral fluids to a newly extubated client.
B)Irrigate the indwelling urinary catheter of a client recovering from prostate surgery.
C)Apply a wrist restraint to a client.
D)Administer oral pain medication to a client before the client attends physical therapy.
Q2) 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
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24
Chapter 33: Hygiene
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) A client needs to have soft contact lenses removed.What should the nurse do when removing the lenses?
A)Gently pinch the lens and lift it out.
B)Have the client look up.
C)Pull the lower eyelid upward.
D)Use the pad of the ring finger.
Q2) The nurse is shampooing a client's hair.Which assessment finding should the nurse consider as expected?
A)Dry,dark,thin
B)Smooth,taut,shiny
C)Smooth texture and not oily or dry
D)Tender,warm scalp
Q3) A client's hearing aid needs to be cleaned.What action should the nurse take to complete this task?
A)Clean with a dry,soft cloth.
B)Leave the battery in place when not in use.
C)Store the aid in the bathroom cabinet.
D)Use alcohol to remove any earwax.
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Chapter 34: Diagnostic Testing
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Sample Questions
Q1) The nurse is preparing to collect a throat culture from a client.What client response indicates to the nurse that teaching about this test has not been effective?
A)"I need to hyperextend my neck."
B)"I need to say 'ah.'"
C)"I will need to sit up."
D)"The nurse will use a light."
Q2) A client with tattooed eyeliner is scheduled for an MRI.What should the nurse instruct the client about this diagnostic test?
A)Earplugs will be provided.
B)Lie very still.
C)Report any burning sensation.
D)Wear goggles.
Q3) A client is being treated for tuberculosis,and the doctor writes an order to collect a sputum specimen.What is the rationale behind this order?
A)To test for acid-fast bacillus
B)To assess the effectiveness of therapy
C)To identify origin,structure,function,and pathology of cells
D)To identify the specific organism
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Chapter 35: Medications
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Sample Questions
Q1) A client has a new order for a medication that does not have a termination date.The nurse would place this medication order under which classification on the client's medication administration record?
A)Standing
B)PRN
C)STAT
D)Single
Q2) The nurse is providing medications to a client.After identifying the client,the nurse should take which action?
A)Inform the client as to the intended action of the medication.
B)Administer the drug.
C)Document that the drug was provided.
D)Evaluate the effectiveness of the drug.
Q3) While administering an intramuscular injection,the nurse notes blood return in the syringe barrel after aspirating.What action should the nurse take?
A)Pull the needle out 1/4 inch and inject the medication.
B)Inject the medication as planned.
C)Notify the physician immediately.
D)Discard the medication and start over.
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Chapter 36: Skin Integrity and Wound Care
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Sample Questions
Q1) A client sustained several wounds on the legs caused by a fall.On the day after the injuries,the wounds appear red and edematous.The nurse identifies the stage of healing of these wounds as being in which phase?
A)Inflammatory
B)Proliferative
C)Maturation
D)Remodeling
Q2) The nurse is collecting a specimen from an infected wound.From which portion of the wound should the specimen be collected?
A)Clean areas of granulation tissue
B)Exudate in the bottom of the wound
C)A pus-coated area on the side of the wound
D)Intact skin at the edge of the wound
Q3) While changing a client's dressing,the nurse notes thick yellow-green drainage on the gauze.How should the nurse document this wound's drainage?
A)Purulent
B)Serous
C)Sanguineous
D)Serosanguinous
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Chapter 37: Perioperative Nursing
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34 Flashcards
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Sample Questions
Q1) The nurse is admitting a client to the medical-surgical unit following a cholecystectomy.Which assessment should the nurse perform first?
A)Level of consciousness
B)Dressing
C)Drains
D)Skin color
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 care plan for a client about to undergo surgery.Which nursing diagnosis would take priority during the intraoperative phase of surgery?
A)Ineffective Protection
B)Risk for Aspiration
C)Impaired Skin Integrity
D)Risk for Falls
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Chapter 38: Sensory Perception
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Sample Questions
Q1) A client diagnosed with congestive heart failure has been treated for many years with intravenous furosemide (Lasix).What sensory impairment should the nurse assess in this client?
A)Loss of ability to taste
B)Hearing loss
C)Vision loss
D)Loss of ability to smell
Q2) The odor from a hospitalized client's draining wound permeates the room and is very overwhelming and distracting to the client and the staff.What intervention would be most helpful?
A)Spray the room routinely with a floral room spray.
B)Instill a vinegar solution into the wound.
C)Keep the wound dressing dry and clean.
D)Burn a candle in the room.
Q3) The nurse is caring for a client who has difficulty hearing conversation.What intervention should the nurse implement?
A)Use short phrases.
B)Overarticulate words.
C)Vary the volume of the voice.
D)Face the client during conversation.
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Chapter 39: Self-Concept
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Sample Questions
Q1) The staff development instructor planning self-concept development classes for staff nurses is going to include information to improve the nurses' self-concept along with information to use with clients.Why is the information for nurses important?
A)The nurse's self-concept is more important than the client's.
B)Poor self-concept is the number-one reason for nursing burnout.
C)Nurses with positive self-concept are better able to help clients.
D)Nurses with poor self-concept are more likely to make errors.
Q2) The parents tell the nurse that their preschooler demands to wear specific clothing.They are concerned that the day-care workers might think they are negligent because the preschooler often wears mismatched clothing.What should be the nurse's response to this concern?
A)"Don't worry,day-care workers are accustomed to that sort of thing."
B)"This is normal and the preschooler is just practicing skills needed later in life"
C)"I am glad you brought that to our attention.I will make a note for her pediatrician."
D)"You should have better control of the child now if you have any hope of controlling the child during the teenage years."
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Chapter 40: Sexuality
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Source URL: https://quizplus.com/quiz/77890
Sample Questions
Q1) The daughters of an 80-year-old man who is aphasic after suffering a cerebrovascular accident (stroke)express concern that their father is "always exposing and playing with himself and his catheter" while they are in the room.Upon assessment,the nurse finds the client pulling on and rubbing his penis.What is the nurse's priority action?
A)Tell the client to keep his hands away from his penis.
B)Assess the client's penis for irritation from the catheter.
C)Ask the client to keep his linens at waist level when he has visitors.
D)Collaborate with the physician regarding medications to control this behavior.
Q2) A client experienced female circumcision as a puberty ritual while living in Africa as a child.For which health problem should the nurse monitor the client as an adult?
A)Early menopause
B)Increased menstrual flow
C)Chronic urinary tract infection
D)Tendency for postpartum hemorrhage
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Chapter 41: Spirituality
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Sample Questions
Q1) The emergency department nurse contacts the admissions office to request a bed for a bed-bound client who is a practicing Muslim.In acting as an advocate for the client,what request should the nurse make of the admission clerk?
A)Please try to find a private room.
B)A bed that faces east will be best.
C)Have the bed stripped,as the client will provide special sheets.
D)If the only available room is semi-private,the other client should be Muslim.
Q2) A client who is devoutly Jewish is hospitalized during Yom Kippur,a time when many of the Jewish faith fast.The client expresses a desire to follow this religious pattern.How should the nurse respond to this wish?
A)Support the client's desires to the extent possible.
B)Remind the client that most religions excuse persons who are ill from fasting.
C)Attempt to convince the client to ignore the tradition due to illness.
D)Tell the client that the physician must make this decision.
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Chapter 42: Stress and Coping
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Sample Questions
Q1) 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.
Q2) While attempting to choose a nursing diagnosis,the nurse must decide whether the client is experiencing anxiety or fear.What key point would help the nurse make this decision?
A)Anxiety is a milder form of fear.
B)Fear results in a physiologic response,whereas anxiety is psychologic.
C)The source of fear is identifiable,but anxiety may be vague.
D)Anxiety is generally based in reality,fear is not.
Q3) 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
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Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) The nurse is planning care to help a client work through the grieving process.What would be appropriate to include in this plan of care?
Standard Text: Select all that apply.
A)Listen to the client.
B)Clarify and reflect the client's feelings.
C)Reassure the client that all will be well.
D)Be silent.
E)Provide advice to the client.
Q2) The spouse of a dying client is sitting quietly in the client's room,looking at the floor.What can the nurse do to help the client and spouse during this time?
Standard Text: Select all that apply.
A)Encourage the spouse to move closer to the client,if desired.
B)Permit the spouse to sit alone.
C)Leave the spouse and client in the room alone together as much as possible.
D)Recommend that the spouse return home to get some rest.
E)Suggest the spouse read to the client,if desired.
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Chapter 44: Rest
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Sample Questions
Q1) 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.
Q2) The nurse is caring for a client experiencing dyspnea.In which position should the nurse place this client?
A)High Fowler's position with two pillows behind the head
B)Orthopneic position across the overbed table
C)Prone position with knees flexed and arms extended
D)Sims position with both legs flexed
Q3) The client who is bed-bound complains of abdominal pain.Bowel sounds are present.What action should be taken by the nurse?
A)Percuss for flatness over the liver.
B)Palpate for bladder fullness.
C)Use the p.r.n.order to medicate the client with an antacid.
D)Inspect the sacral area for edema.
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Chapter 45: Activity and Exercise
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Sample Questions
Q1) A client tells the nurse that because of work and life responsibilities,sleep has "become optional." What is the best response the nurse should make to this client?
A)"Be sure to get extra sleep when you can."
B)"A lack of sleep can affect hormone levels and bodily functions."
C)"Everyone has different needs for sleep to in order to function."
D)"You must be very productive."
Q2) The nurse is completing the admission assessment on a client who has obstructive sleep apnea.Which findings should the nurse expect when assessing this client?
Standard Text: Select all that apply.
A)Reddened uvula
B)Large soft palate
C)Obesity
D)Short neck
E)Deviated septum
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Chapter 46: Pain Management
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Sample Questions
Q1) A client watching a comedy on television is laughing.When asked about the amount of pain on a scale from 0 to 10,the client reports a level that is 2 below the previous assessment.The nurse realizes the client's pain was influenced by which type of distraction?
A)Visual
B)Tactile
C)Intellectual
D)Behavioral
Q2) The nurse wants to assign back rubs to unlicensed assistive personnel (UAP).Before doing so,the nurse should first determine whether Standard Text: Select all that apply.
A)unlicensed assistive personnel know how to perform a back rub.
B)there any clients who have intravenous fluids infusing.
C)there any clients who should not have a back rub performed.
D)there any clients who are prescribed to take nothing by mouth.
E)there any clients who do not want a back rub done by unlicensed assistive personnel.
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Chapter 47: Nutrition
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Sample Questions
Q1) The nurse notes that the tube-fed client has shallow breathing and dusky color.The feeding is running at the prescribed rate.What should the nurse do first?
A)Place the client in high Fowler's position.
B)Turn off the tube feeding.
C)Assess the client's lung sounds.
D)Assess the client's bowel sounds.
Q2) A client is diagnosed with an elevated cholesterol level.What should the nurse instruct the client regarding foods to avoid?
Standard Text: Select all that apply.
A)Fish
B)Milk
C)Liver
D)Chicken
E)Egg yolk
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) A client is complaining of pain with urination.The nurse realizes that the client needs to be assessed for which health problems?
Standard Text: Select all that apply.
A)Urethral stricture
B)Renal failure
C)Urethral injury
D)Bladder injury
E)Urinary infection
Q2) The nurse has completed closed irrigation of a client's retention catheter.What specific information should the nurse document about this procedure?
A)Number of ml of solution used to inflate the balloon of the catheter
B)Abnormal drainage,such as blood clots,pus,or mucous shreds
C)Location of the draining bag
D)Technique used to conduct the irrigation
Q3) A client with an indwelling urinary catheter is prescribed to receive sterile normal saline bladder irrigation at 100 mL/hr.After an 8-hour shift the nurse measures the client's output as being 1425 mL.What is the client's urine output for the 8-hour shift?
Standard Text: Calculate to the nearest whole number.
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Chapter 49: Fecal Elimination
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Sample Questions
Q1) A client asks the nurse why expelled flatus is foul-smelling.What should the nurse respond?
A)The actions of microorganisms within the gastrointestinal tract are responsible for the odor.
B)The client's emotions are causing the gas formation.
C)The sensory nerves in the rectum are being stimulated.
D)The client has swallowed too much air while eating.
Q2) While administering an enema,the client complains of abdominal cramping.What should the nurse do?
A)Raise the height of the solution container.
B)Clamp the flow for 30 seconds,and restart at a slower rate.
C)Discontinue the enema infusion.
D)Assist the client to a supine position.
Q3) During morning care,a UAP notes that thick green drainage is seeping around the appliance of a client's new ostomy.What should the UAP have been instructed to do?
A)Clean around the drainage.
B)Remove the ostomy appliance and cover the stoma with toilet tissue.
C)Perform complete ostomy care.
D)Report the drainage to the nurse.
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Page 41
Chapter 50: Oxygenation
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Sample Questions
Q1) Which client statement indicates to the nurse that instruction about the use of a humidifier has been effective?
A)"A humidifier takes moisture out of the air."
B)"A humidifier tightens secretions."
C)"A humidifier prevents my lungs from getting too dry."
D)"A humidifier replaces the use of oxygen."
Q2) The nurse is documenting the completion of tracheostomy suctioning and tracheostomy care in a client's medical record.What should this documentation include?
Standard Text: Select all that apply.
A)Lung sounds before and after suctioning
B)Characteristics of suctioned sputum
C)Integrity of the skin around the stoma
D)Side on which the tracheostomy tie knot is located
E)Flow rate of oxygen
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Chapter 51: Circulation
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Sample Questions
Q1) The nurse is collecting equipment to assess a client's ankle/brachial index (ABI).What equipment should be taken to the client's bedside?
A)Blood pressure cuff and a Doppler ultrasound device
B)None,as no special equipment is needed
C)Stethoscope and penlight
D)Reflex hammer and tuning fork
Q2) The nurse is reviewing the laboratory results of a client who is being observed for possible myocardial infarction.Which laboratory result would be most important for the nurse to discuss with the physician?
A)Increased hemoglobin
B)Decreased creatine kinase
C)Increased troponin
D)High normal potassium
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) The nurse is caring for a client who is recovering from surgery.Which intervention should the nurse implement to decrease the client's possibility of developing hypercalcemia?
A)Measure vital signs every 4 hours.
B)Assist the client to turn,cough,and deep breathe every 2 hours.
C)Assist the client to ambulate around the room at least three times daily.
D)Irrigate the client's nasogastric tube every 2 hours.
Q2) 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.
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