Nursing Process and Practice Exam Review
Course Introduction
This course introduces students to the fundamental concepts and application of the nursing process, a systematic method used to provide individualized patient care. Emphasizing critical thinking, clinical reasoning, and evidence-based practice, the course explores each phase assessment, diagnosis, planning, implementation, and evaluation within diverse healthcare settings. Students develop practical skills in patient assessment, health documentation, care planning, and intervention, fostering a holistic and patient-centered approach. Through simulations, case studies, and clinical experiences, learners gain the competencies needed to ensure safe, ethical, and effective nursing practice.
Recommended Textbook
Adult Health Nursing 7th Edition by Cooper
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17 Chapters
763 Verified Questions
763 Flashcards
Source URL: https://quizplus.com/study-set/785
Page 2
Chapter 1: Introduction to Anatomy and Physiology
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/15488
Sample Questions
Q1) List in order of increasing complexity the structural levels of organization of the body.(Separate letters by a comma and space as follows: A,B,C,D)
A) Body as a whole
B) Cellular
C) Organs
D) Tissue
E) Chemical
F) System
Answer: E,B,D,C,F,A
The structural levels of organization progress from the least complex (chemical)through cells,tissues,organs,systems to the most complex (the body as a whole).
Q2) What is the type of tissue associated with the storage of fat?
A) Areolar tissue
B) Adipose tissue
C) Osseous tissue
D) Muscle tissue
Answer: B
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3
Chapter 2: Care of the Surgical Patient
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/15489
Sample Questions
Q1) Frequent assessment of a postoperative patient is essential.What is one of the first signs and symptoms of hemorrhage?
A) Increasing blood pressure
B) Decreasing pulse
C) Restlessness
D) Weakness,apathy
Answer: C
Q2) The type of anesthesia that uses a combination of drugs to reduce the level of consciousness and provides amnesia is _________________ __________.
Answer: conscious sedation
Conscious sedation uses a combination of drugs to produce a reduced level of consciousness and amnesia,as well as pain control,but allows the patient to control his or her own breathing.The recovery is more rapid than with general anesthesia.
Q3) The nurse is aware that there is a loss of _________ during catabolism after severe tissue injury.
Answer: potassium
The injured cells loose potassium as catabolism (tissue breakdown)occurs.
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4
Chapter 3: Care of the Patient with an Integumentary Disorder
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/15490
Sample Questions
Q1) A frail,older adult home health patient who had chickenpox as a child has been exposed to varicella (chickenpox)several days ago.What should the nurse do?
A) Assess frequently for herpes zoster
B) Be aware of the patient's immunity to chickenpox
C) Encourage the patient to have a pneumonia vaccine
D) Arrange for the patient to receive gamma globulin
Answer: A
Q2) What is a common diagnostic criterion for identifying systemic lupus erythematosus (SLE)? (Select all that apply. )
A) Butterfly rash over nose and cheeks
B) Photosensitivity
C) Severe abdominal pain
D) Skin ulcers
E) Polyarthralgias and polyarthritis
F) Immobility
Answer: A,B,E
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Chapter 4: Care of the Patient with a Musculoskeletal Disorder
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/15491
Sample Questions
Q1) What should the nurse include in the teaching plan for a patient who is taking alendronate (Fosamax)?
A) Take drug with any meal
B) Take drug first thing in the morning
C) Drink at least 5 oz of milk before taking drug
D) Take drug with an antacid to avoid heartburn
Q2) Which patient statement indicates the need for additional teaching for a patient with rheumatoid arthritis who is taking meloxicam (Mobic)?
A) "I am keeping a daily record of my blood pressure."
B) "I take aspirin before I go to bed."
C) "I know I can take meloxicam with or without regard to meals."
D) "I weigh every day so I will be aware of any weight gain."
Q3) A patient has been casted to stabilize a fracture of the right radius and ulna.The nurse assesses a capillary refill of 5 seconds and cold fingers of the right hand.Which initial intervention should the nurse deploy?
A) Notify the charge nurse of a probable compartment syndrome
B) Apply a warm compress to the fingers to relieve swelling
C) Elevate the right hand to heart level to maintain arterial pressure
D) Cut the cast off to release constriction
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Chapter 5: Care of the Patient with a Gastrointestinal Disorder
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/15492
Sample Questions
Q1) The patient with irritable bowel syndrome tells the home health nurse she is going to an acupuncturist for therapy for her condition.Which of the following would be the best Nursing response?
A) "Go for it.Alternative medicine does great things."
B) "YIKES! An acupuncturist?"
C) "It may help,but there has been no clinical proof of its effectiveness."
D) "You should confirm that the acupuncturist is licensed."
Q2) A patient who is being evaluated for episodes of hematemesis and dyspepsia tells the nurse that pain occurs when he eats,but pain does not waken him.The nurse recognizes a diagnostic sign of which condition?
A) Duodenal ulcer
B) Gastritis
C) Achalasia
D) Peptic ulcer
Q3) Flexible sigmoidoscopy should be performed every ________ years.
Q4) The nurse explains that ___________,the chief enzyme of gastric juice,is activated by hydrochloric acid to begin digestion of protein.
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Chapter 6: Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/15493
Sample Questions
Q1) What is the challenge in encouraging coughing and deep breathing for a postoperative patient who had an open cholecystectomy?
A) High placement of incision
B) Excessive nausea
C) Weakened abdominal muscles
D) Poor oxygenation
Q2) The patient with cirrhosis has a rising ammonia level and is becoming disoriented.The patient waves to the nurse as she enters the room.How should the nurse interpret this?
A) As an attempt to get the nurse's attention
B) As asterixis
C) As an indication of respiratory obstruction from varices
D) As spasticity
Q3) Which factors are most commonly associated with pancreatitis?
A) Coronary artery disease
B) Alcoholism and biliary tract disease
C) Cirrhosis
D) History of myocardial infarction
Q4) The tumor marker that is elevated in patients with pancreatic cancer is______.
Page 8
Q5) Hepatitis D is usually seen as a co-infection with __________.
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Chapter 7: Care of the Patient with a Blood or Lymphatic Disorder
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) The nurse examines the complete blood count (CBC)to assess (select all that apply):
A) hematocrit.
B) red cell count.
C) differential white cell count.
D) plasma level.
E) blood type.
F) hemoglobin.
Q2) What are the most likely matches for a bone marrow transplant to a 10-year-old with leukemia? (Select all that apply. )
A) Uncle
B) Self
C) Mother
D) Brother
E) Sister
F) Father
Q3) The Reed-Sternberg cell is the hallmark diagnostic indicator for _______________ __________.
Q4) _____________ are leukocytes that destroy and remove cellular waste,bacteria,and solid particles.
Page 9
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Chapter 8: Care of the Patient with a Cardiovascular or a Peripheral
Vascular Disorder
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58 Verified Questions
58 Flashcards
Source URL: https://quizplus.com/quiz/15495
Sample Questions
Q1) The nurse is treating a patient who has had a pacemaker inserted for the correction of atrial fibrillation.Which diagnostic test is no longer available to the patient because of the implanted device?
A) MRI
B) CT scan
C) Thallium scan
D) PET
Q2) What is the major cause of cardiac valve disease?
A) Rheumatic fever
B) Long history of malnutrition
C) Drug abuse
D) Obesity
Q3) The nurse assesses pitting edema that can be depressed approximately 1/4 inch and refills in 15 seconds.The nurse would document this assessment as:
A) +1 edema.
B) +2 edema.
C) +3 edema.
D) +4 edema.
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Chapter 9: Care of the Patient with a Respiratory Disorder
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/15496
Sample Questions
Q1) The nurse describes the pathophysiologic process of an asthma attack.Place the events in their proper sequence.(Separate letters by a comma and space as follows: A,B,C,D)
A) Inflammatory process in the mast cells of the lungs
B) Increase in edema and mucus production in the bronchioles
C) Release of histamine
D) Narrowing of the airways
E) Exposure to allergen
Q2) How should a patient be positioned after a thoracentesis is completed and the dressing applied?
A) High Fowler
B) Semi-Fowler
C) Side lying on unaffected side
D) Prone
Q3) Identify the purposes of chest drainage.(Select all that apply. )
A) Drains air,blood,and fluid from pleural space
B) Restores positive pressure in chest cavity
C) Restores negative intrapleural pressure
D) Allows lung to collapse and rest
E) Allows route for medication administration
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Chapter 10: Care of the Patient with a Urinary Disorder
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/15497
Sample Questions
Q1) What should the patient be encouraged to eat during the active phase of acute renal failure?
A) A diet high in sodium
B) A diet high in potassium
C) A diet high in fats
D) A diet high in fluid sources
Q2) An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter of a newly admitted patient.Physician orders include meperidine (Demerol)100 mg IM q4h PRN,strain all urine,and encourage fluids to 4000 mL/day.What should be the nurse's highest priority when planning care for this patient?
A) Pain related to irritation of a stone
B) Anxiety related to unclear outcome of condition
C) Ineffective health maintenance related to lack of knowledge about prevention of stones
D) Risk for injury related to disorientation
Q3) _____________ is a term for severe generalized edema.
Q4) Exercises to increase muscle tone of the pelvic floor are known as ____________ exercises.
Q5) _________ is a prostatic pain without evidence of infection or inflammation.
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Chapter 11: Care of the Patient with an Endocrine Disorder
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/15498
Sample Questions
Q1) The nurse is administering long-acting insulin once a day,which provides insulin coverage for 24 hours.This insulin is _________________.
Q2) The adrenal cortex secretes glucocorticoids.The most important is cortisol.What is it involved in? (Select all that apply. )
A) Glucose metabolism
B) Releasing androgens and estrogens
C) Providing extra reserve energy during stress
D) Decreasing the level of potassium in the blood stream
E) Increasing retention of sodium in the blood stream
Q3) What extra equipment should the nurse provide at the bedside of a new postoperative thyroidectomy patient?
A) Large bandage scissors
B) Tracheotomy tray
C) Ventilator
D) Water-sealed drainage system
Q4) ________________is the term that describes a condition of normal thyroid function.
Q5) Only ________insulin can be administered intravenously.
Q6) A condition with a deficiency in growth hormone is called ________________.
Page 13
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Chapter 12: Care of the Patient with a Reproductive Disorder
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/15499
Sample Questions
Q1) A male patient,age 23,seeks care at the health clinic because he has developed a profuse,purulent urethral discharge,and urination is painful.During assessment of the patient,it is most important that the nurse gather information related to his history of:
A) recent urinary infections.
B) episodes of prostatitis.
C) contagious diseases like mumps.
D) present and past sexual partners,and notify them to get treatment.
Q2) The nurse instructs a group of women who attend the health clinic that persons who are particularly at risk for cervical cancer are persons who (select all that apply):
A) Smoke
B) Wear tampons
C) Have been sexually active since their teens
D) Have multiple sexual partners
E) Had chickenpox as a child
F) Have a history of sexually transmitted diseases (STD)
Q3) When the veins in the scrotum become dilated,and the scrotum becomes enlarged and dilated,the condition is called a __________.
Q4) ________are produced in the seminiferous tubules and stored in the epididymis.
Page 14
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Chapter 13: Care of the Patient with a Sensory Disorder
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/15500
Sample Questions
Q1) Select all the conditions that may cause conductive hearing loss.(Select all that apply. )
A) Buildup of cerumen
B) Foreign bodies
C) Otosclerosis of external auditory canal
D) Trauma
E) Exposure to ototoxic drugs
F) Otitis media with effusion
Q2) Which of the following are causes of cataracts? (Select all that apply. )
A) Long-term use of corticosteroids
B) Hypotension
C) Congenital from exposure to maternal rubella
D) Diabetes mellitus
E) Exposure to sand and dust
F) Smoking
Q3) The nurse explains that a pneumatic retinopexy is a repair of a retinal detachment using a bubble of_________ to put pressure on the damaged retina.
Q4) Progressive deafness caused by the ankylosis of the stapes is the condition of__________.
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Chapter
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/15501
Sample Questions
Q1) What is the cardinal sign of increased intracranial pressure in a brain injured patient?
A) Pupil changes
B) Ipsilateral paralysis
C) Vomiting
D) Decrease in the level of consciousness
Q2) Which foods should the person who suffers from migraine headaches avoid? (Select all that apply. )
A) Yogurt
B) Caffeine
C) Beef
D) Pears
E) Marinated foods
F) Milk
Q3) Why are the drugs neostigmine (Prostigmin)and pyridostigmine (Mestinon)helpful to the person with myasthenia gravis?
A) Improves speech
B) Improves visual disturbances
C) Reduces pain
D) Promotes nerve impulse transmission
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Page 16
Chapter 15: Care of the Patient with an Immune Disorder
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/15502
Sample Questions
Q1) The nurse explains that when the patient received tetanus antitoxin with the antibodies in it,the patient received a ___________ type of immunity.
A) Active natural
B) Passive natural
C) Active artificial
D) Passive artificial
Q2) A patient is admitted with a secondary immunodeficiency from chemotherapy.The nursing plan of care should include provisions for:
A) infection control.
B) supporting self-care.
C) nutritional education.
D) maintaining high fluid intake.
Q3) What is the etiology of autoimmune diseases based on?
A) Reaction to a "superantigen"
B) Immune system producing no antibodies at all
C) T cells destroying B cells
D) B and T cells producing autoantibodies
Q4) A type IV latex allergy is characterized by________ _______.
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Chapter 16: Care of the Patient with HIV/AIDS
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/15503
Sample Questions
Q1) The HIV-infected patient who has just seroconverted says he just cannot take all those confusing,expensive antiretroviral (ART)medications.He says he still feels fine,anyway.What should the nurse keep in mind when counseling this patient?
A) Resumption of the ART later in the disease is just as effective
B) Adherence to the ART protocol is essential to the success of the treatment
C) Cessation of the ART may prevent the emergence of a resistant strain of HIV
D) Once ART is initiated it cannot be restarted in the same patient
Q2) The nurse should instruct the patient who is diagnosed with AIDS to report signs of Kaposi sarcoma,which include:
A) Reddish-purple skin lesions
B) Open,bleeding skin lesions
C) Blood-tinged sputum
D) Watery diarrhea
Q3) The combination of efforts of the medical team,nutritionist,social workers,and clergy is the necessary ______________ approach to the complex needs of the patients with HIV infection.
Q4) An organism that can cross from an animal species to humans is a(n)____________organism.
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Chapter 17: Care of the Patient with Cancer
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/15504
Sample Questions
Q1) What measures would the home health nurse,designing nursing interventions for a patient receiving external radiation treatments for a malignancy,recommend to protect the patient's skin?
A) Applying warm compresses to damaged skin
B) Encouraging patient to apply fragrant lotion to skin
C) Patting the skin dry after the bath
D) Exposing skin to sun for 10 minutes a day
Q2) Which statement is most appropriate for a nurse to tell a patient before insertion of the radioactive implant?
A) "Nurses will always be available,but they will spend only short periods of time at your bedside."
B) "Personal cleanliness is essential,so you will be given a complete bed bath each day."
C) "Your diet will be changed to a high-fiber diet to encourage daily bowel movements."
D) "Your bed linens will be completely changed each day to minimize radioactive contamination."
Q3) A ___________ test screens for occult blood in the stool.
Q4) Men over age 50 should consider an annual _________ test and rectal examination.
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