Nursing Process Practice Exam
Course Introduction
The Nursing Process course introduces students to the systematic, patient-centered approach used in nursing practice to ensure quality and individualized care. Students explore the five core steps of the process: assessment, diagnosis, planning, implementation, and evaluation. Emphasizing critical thinking and clinical reasoning, the course guides learners in collecting and analyzing patient data, formulating nursing diagnoses, establishing measurable goals, implementing evidence-based interventions, and evaluating outcomes. Through case studies and practical applications, students develop foundational skills to deliver holistic care, collaborate with healthcare teams, and effectively document and communicate throughout the continuum of patient care.
Recommended Textbook Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
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Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2380
Sample Questions
Q1) A nurse is teaching the staff about Benner's levels of proficiency. In which order should the nurse place the levels from beginning level to ending level?
1) Expert
2) Novice
3) Proficient
4) Competent
5) Advanced beginner
A) 2, 4, 5, 1, 3
B) 2, 5, 4, 3, 1
C) 4, 2, 5, 3, 1
D) 4, 5, 2, 1, 3
Answer: B
Q2) A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using?
A) Code of ethics
B) Standards of practice
C) Standards of professional performance
D) Quality and safety education for nurses
Answer: A
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Chapter 2: The Health Care Delivery System
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse's \(\bold{best}\) response?
A) "Technology use has to be combined with nursing judgment."
B) "The focus of effective nursing care is technology."
C) "If it's so easy, why don't you do it?"
D) "That is true in the 20th century."
Answer: A
Q2) A nurse is completing a minimum data set. Which area is the nurse working?
A) Nursing center
B) Psychiatric facility
C) Rehabilitation center
D) Adult day care center
Answer: A
Q3) Medicare
A)Insurance for low-income families
B)Federal insurance for people aged 65 and older
C)Health maintenance focus to specific group of voluntarily enrolled people
D)Services at a discount for companies under contract
Answer: B
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Chapter 3: Community-Based Nursing Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse observes an outbreak of lice in a certain school district. The nurse collects data and identifies a common practice of sharing lockers, caps, and hair brushes. The nurse shares the information with the school. Which community-based nursing competency did the nurse use?
A) Educator
B) Caregiver
C) Case manager
D) Epidemiologist
Answer: D
Q2) A nurse is caring for vulnerable populations in a local community. Which patients will the nurse care for in this community? (Select all that apply.)
A) A 47-year-old immigrant who speaks only Spanish
B) A 35-year-old living in own home
C) A 22-year-old pregnant woman
D) A 40-year-old schizophrenic
E) A 15-year-old rape victim
Answer: A, D, E
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) A nurse is using a nursing metaparadigm to define nursing. Which concepts will the nurse include? (Select all that apply.)
A) Person
B) Disease
C) Health
D) Nursing
E) Environment
Q2) The nurse is caring for a patient who is actively bleeding. The health care provider prescribes blood transfusions. The patient is a Jehovah's Witness and does not want blood products. The nurse contacts the health care provider to request alternative treatment. Which theory is the nurse using?
A) Roy's theory
B) Leininger's theory
C) Watson's theory
D) Orem's theory
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Chapter 5: Evidence-Based Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse researcher is preparing to publish the findings and is preparing to add the limitations to the manuscript. Which area of the manuscript will the nurse researcher add this information?
A) Abstract
B) Conclusion
C) Study design
D) Clinical implications
Q2) A nurse uses evidence-based practice (EBP) to provide nursing care. What is the best rationale for the nurse's behavior?
A) EBP is a guide for nurses in making clinical decisions.
B) EBP is based on the latest textbook information.
C) EBP is easily attained at the bedside.
D) EBP is always right for all situations.
Q3) A nurse is reviewing research studies for evidence-based practice. Which article should the nurse use for qualitative nursing research?
A) An article about the number of falls after use of no side rails
B) An article about infection rates after use of a new wound dressing
C) An article about the percentage of new admissions on a new floor
D) An article about emotional needs of dying patients and their families
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Page 7
Chapter 6: Health and Wellness
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22 Verified Questions
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Sample Questions
Q1) The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in the drinking water of the community. Which concept is the nurse fostering?
A) Illness prevention
B) Wellness education
C) Active health promotion
D) Passive health promotion
Q2) A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
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Chapter 7: Caring in Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse is providing pain medication to patients after surgery. Which component is key for the nurse's personal philosophy of nursing?
A) Caring
B) Technology
C) Informatics
D) Therapeutics
Q2) The nurse is caring for a patient who has been sullen and quiet for the past three days. Suddenly, the patient says, "I'm really nervous about surgery tomorrow, but I'm more worried about how it will affect my family." What should the nurse do \(\bold{first}\)?
A) Assure the patient that everything will be all right.
B) Tell the patient that there is no need to worry.
C) Listen to the patient's concerns and fears.
D) Inform the patient a social worker is available.
Q3) A nurse is caring for a patient in pain. Which nursing approach is priority?
A) Relationship-centered
B) Technology-centered
C) High tech-centered
D) Family-centered
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Page 9
Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) The family caregiving pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
Q2) A nurse is working on a cancer unit. The unit uses the National Coalition for Cancer Survivorship definition for a cancer survivor. Which definition will the nurse use?
A) Been cancer free for 5 years after diagnosis
B) Been cancer free for 3 years after diagnosis
C) Had cancer and is declared cancer free
D) Had cancer and extends until death
Q3) The patient has lung cancer and voices concerns about cancer treatments affecting sexuality. What is the nurse's best reply?
A) "That is something to ask the health care provider."
B) "Chemotherapy will work in the lungs and should have no effect on sexuality."
C) "How cancer treatment affects sexuality depends on how active you are and your age."
D) "Sexual changes are common with cancer therapy. Let me get someone who can answer your questions."
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Chapter 9: Cultural Awareness
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse is caring for an immigrant with low income. Which information should the nurse consider when planning care for this patient?
A) There is a decreased frequency of morbidity.
B) There is an increased incidence of disease.
C) There is an increased level of health.
D) There is a decreased mortality rate.
Q2) A nurse is using the RESPECT mnemonic to establish rapport, the "R" in RESPECT. Which actions should the nurse take? (Select all that apply.)
A) Connect on a social level.
B) Help the patient overcome barriers.
C) Consciously attempt to suspend judgment.
D) Stress that they will be working together to address problems.
E) Know limitations in addressing medical issues across cultures.
Q3) A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring?
A) Accessibility of health care services
B) Outcomes of health conditions
C) Prevalence of complications
D) Incidence of diseases
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Page 11
Chapter 10: Caring for Families
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Who is the "peacekeeper" of the family?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
Q2) A nurse cares for the family's as well as the patient's needs using available resources. Which approach is the nurse using?
A) Family as context
B) Family as patient
C) Family as system
D) Family as caregivers
Q3) A nurse is assessing a child that lives in a car with family members who presents to the emergency department. Which area should the nurse assess closely?
A) Ears
B) Eyes
C) Head
D) Hands
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Chapter 11: Developmental Theories
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse is assessing an 18-month-old toddler. The nurse distinguishes normal from abnormal findings by remembering Gesell's theory of development. Which information will the nurse consider?
A) Growth in humans is determined solely by heredity.
B) Environmental influence does not influence development.
C) The cephalocaudal pattern describes the sequence in which growth is fastest at the top.
D) Gene activity influences development but does not affect the sequence of development.
Q2) When caring for a middle-aged adult exhibiting maladaptive coping skills, the nurse is trying to determine the cause of the patient's behavior. Which information from a growth and development perspective should the nurse consider when planning care?
A) Individuals have uniform patterns of growth and development.
B) Culture usually has no effect on predictable patterns of growth and development.
C) Health is promoted based on how many developmental failures a patient experiences.
D) When individuals experience repeated developmental failures, inadequacies sometimes result.
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Chapter 12: Conception Through Adolescence
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which statement, if made by a parent, will require further instruction from the nurse?
A) "I should not be surprised that my teenage son has so many friends."
B) "I get worried because my teenage son thinks he's indestructible."
C) "I should cover for my 10-year-old son when he makes mistakes until he learns the ropes."
D) "I usually have nutritious snacks available because my 10-year-old son is always hungry right after school."
Q2) A nurse is assessing a newborn that was just born. Which newborn finding will cause the nurse to intervene immediately?
A) Molding
B) A lack of reflexes
C) Cyanotic hands and feet
D) A soft, protuberant abdomen
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14
Chapter 13: Young and Middle Adults
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is teaching a class to pregnant women about common physiological changes during pregnancy. Which information should the nurse include in the teaching session?
A) Pregnancy is not a time to be having sexual activity.
B) Urinary frequency will occur early in the pregnancy.
C) Breast tenderness should be reported as soon as possible.
D) Late in the pregnancy Braxton Hicks contraction may occur.
Q2) Office computer workers
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
Q3) Dry cleaners
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
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Page 15
Chapter 14: Older Adult
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which assessment finding of an older adult, who has a urinary tract infection, requires an immediate nursing intervention?
A) Confusion
B) Presbycusis
C) Temperature of 97.9° F
D) Death of a spouse 2 months ago
Q2) Reality orientation
A)Respecting the older adult's uniqueness
B)Improving level of awareness
C)Listening to the patient's past recollections
D)Accepting describing of patient's perspective
E)Offering help with grooming and hygiene
Q3) A nurse is discussing sexuality with an older adult. Which action will the nurse take?
A) Ask closed-ended questions about specific symptoms the patient may experience.
B) Provide information about the prevention of sexually transmitted infections.
C) Discuss the issues of sexuality in a group in a private room.
D) Explain that sexuality is not necessary as one ages.
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16
Chapter 15: Critical Thinking in Nursing Practice
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Sample Questions
Q1) A nurse who is caring for a patient with a pressure ulcer applies the recommended dressing according to hospital policy. Which standard is the nurse following?
A) Fairness
B) Intellectual standards
C) Independent reasoning
D) Institutional practice guidelines
Q2) While caring for a hospitalized older-adult female post hip surgery, the nurse is faced with the task of inserting an indwelling urinary catheter, which involves rotating the hip into a contraindicated position. Which action should the nurse take?
A) Postpone catheter insertion until the next shift.
B) Adapt the positioning technique to the situation.
C) Notify the health care provider for a urologist consult.
D) Follow textbook procedure with contraindicated position.
Q3) Which action should the nurse take to best develop critical thinking skills?
A) Study 3 hours more each night.
B) Attend all inservice opportunities.
C) Actively participate in clinical experiences.
D) Interview staff nurses about their nursing experiences.
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Chapter 16: Nursing Assessment
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Sample Questions
Q1) A nurse is gathering information about a patient's habits and lifestyle patterns. Which method of data collection will the nurse use that will best obtain this information?
A) Carefully review lab results.
B) Conduct the physical assessment.
C) Perform a thorough nursing health history.
D) Prolong the termination phase of the interview.
Q2) A nurse has already set the agenda during a patient-centered interview. What will the nurse do next?
A) Begin with introductions.
B) Ask about the chief concerns or problems.
C) Explain that the interview will be over in a few minutes.
D) Tell the patient "I will be back to administer medications in 1 hour."
Q3) Radiate
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
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Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is the rationale for the nurse's actions?
A) To form a language that can be encoded only by nurses
B) To distinguish the nurse's role from the physician's role
C) To develop clinical judgment based on other's intuition
D) To help nurses focus on the scope of medical practice
Q2) A nurse performs an assessment on a patient. Which assessment data will the nurse use as an etiology for Acute pain?
A) Discomfort while changing position
B) Reports pain as a 7 on a 0 to 10 scale
C) Disruption of tissue integrity
D) Dull headache
Q3) A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did the nurse write?
A) Ineffective breathing pattern related to pneumonia
B) Risk for infection related to chest x-ray procedure
C) Risk for deficient fluid volume related to dehydration
D) Impaired gas exchange related to alveolar-capillary membrane changes
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Page 19
Chapter 18: Planning Nursing Care
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Sample Questions
Q1) A nurse is teaching the staff about the benefits of Nursing Outcomes Classification. Which information should the nurse include in the teaching session? (Select all that apply.)
A) Includes seven domains for level 1
B) Uses an easy 3-point Likert scale
C) Adds objectivity to judging a patient's progress
D) Allows choice in which interventions to choose
E) Measures nursing care on a national and international level
Q2) A nurse is planning care for a patient with a nursing diagnosis of Impaired skin integrity. The patient needs many nursing interventions, including a dressing change, several intravenous antibiotics, and a walk. Which factors does the nurse consider when prioritizing interventions? (Select all that apply.)
A) Rank all the patient's nursing diagnoses in order of priority.
B) Do not change priorities once they've been established.
C) Set priorities based solely on physiological factors.
D) Consider time as an influencing factor.
E) Utilize critical thinking.
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Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) A patient visiting with family members in the waiting area tells the nurse "I don't feel good, especially in the stomach." What should the nurse do?
A) Request that the family leave, so the patient can rest.
B) Ask the patient to return to the room, so the nurse can inspect the abdomen.
C) Ask the patient when the last bowel movement was and to lie down on the sofa.
D) Tell the patient that the dinner tray will be ready in 15 minutes and that may help the stomach feel better.
Q2) A new nurse is working in a unit that uses interdisciplinary collaboration. Which action will the nurse take?
A) Act as a leader of the health care team.
B) Develop good communication skills.
C) Work solely with nurses.
D) Avoid conflict.
Q3) Which initial intervention is most appropriate for a patient who has a new onset of chest pain?
A) Reassess the patient.
B) Notify the health care provider.
C) Administer a prn medication for pain.
D) Call radiology for a portable chest x-ray.
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Page 21
Chapter 20: Evaluation
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Sample Questions
Q1) A nurse determines that the patient's condition has improved and has met expected outcomes. Which step of the nursing process is the nurse exhibiting?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Q2) A nurse is evaluating goals and expected outcomes for a confused patient. Which finding indicates positive progress toward resolving the confusion?
A) Patient wanders halls at night.
B) Patient's side rails are up with bed alarm activated.
C) Patient denies pain while ambulating with assistance.
D) Patient correctly states names of family members in the room.
Q3) A nurse completes a thorough database and carries out nursing interventions based on priority diagnoses. Which action will the nurse take next?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) Which assessment of a patient who is 1 day postsurgery to repair a hip fracture requires immediate nursing intervention?
A) Patient ate 40% of clear liquid breakfast.
B) Patient's oral temperature is 98.9° F.
C) Patient states, "I did not realize I would be so tired after this surgery."
D) Patient reports severe pain 30 minutes after receiving pain medication.
Q2) A new nurse expresses frustration at not being to complete all interventions for a group of patients in a timely manner. The nurse leaves the rounds report sheets at the nurse's station when caring for patients and reports having to go back and forth between rooms for equipment and supplies. Which type of skill does the nurse need?
A) Interpersonal communication
B) Clinical decision making
C) Organizational
D) Evaluation
Q3) Intermediate priority
A)Patient that needs to be turned to prevent pneumonia
B)Patient with acute asthma attack
C)Patient who will be discharged in 2 days who needs teaching
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Chapter 22: Ethics and Values
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Sample Questions
Q1) A nurse is experiencing an ethical dilemma with a patient. Which information indicates the nurse has a correct understanding of the primary cause of ethical dilemmas?
A) Unequal power
B) Presence of conflicting values
C) Judgmental perceptions of patients
D) Poor communication with the patient
Q2) The patient's son requests to view documentation in the medical record. What is the nurse's best response to this request?
A) "I'll be happy to get that for you."
B) "You are not allowed to look at it."
C) "You will need your mother's permission."
D) "I cannot let you see the chart without a doctor's order."
Q3) The nurse has become aware of missing narcotics in the patient care area. Which ethical principle obligates the nurse to report the missing medications?
A) Advocacy
B) Responsibility
C) Confidentiality
D) Accountability
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Page 24
Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) A patient has approximately 6 months to live and asks about a do not resuscitate (DNR) order. Which statements by the nurse give the patient correct information? (Select all that apply.)
A) "You will be resuscitated unless there is a DNR order in the chart."
B) "If you want certain procedures or actions taken or not taken, and you might not be able to tell anyone at the time, you need to complete documents ahead of time that give your health care provider this information."
C) "You will be resuscitated at any time to allow you the longest length of survival."
D) "If you decide you want a DNR order, you will need to talk to your health care provider."
E) "If you travel to another state, your living will should cover your wishes."
Q2) A pediatric oncology nurse floats to an orthopedic trauma unit. Which action should the nurse manager of the orthopedic unit take to enable safe care to be given by this nurse?
A) Provide a complete orientation to the functioning of the entire unit.
B) Determine patient acuity and care the nurse can safely provide.
C) Allow the nurse to choose which mealtime works best.
D) Assign nursing assistive personnel to assist with care.
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25
Chapter 24: Communication
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Sample Questions
Q1) A nurse believes that the nurse-patient relationship is a partnership and that both are equal participants. Which term should the nurse use to describe this belief?
A) Critical thinking
B) Authentic
C) Mutuality
D) Attend
Q2) A nurse is standing beside the patient's bed. Nurse: How are you doing?
Patient: I don't feel good.
Which element will the nurse identify as feedback?
A) Nurse
B) Patient
C) How are you doing?
D) I don't feel good.
Q3) Which types of nurses make the best communicators with patients?
A) Those who learn effective psychomotor skills
B) Those who develop critical thinking skills
C) Those who like different kinds of people
D) Those who maintain perceptual biases
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Chapter 25: Patient Education
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Sample Questions
Q1) A nurse is determining if teaching is effective. Which finding best indicates learning has occurred?
A) A nurse presents information about diabetes.
B) A patient demonstrates how to inject insulin.
C) A family member listens to a lecture on diabetes.
D) A primary care provider hands a diabetes pamphlet to the patient.
Q2) A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage?
A) Encourage independent learning.
B) Develop a problem-solving scenario.
C) Wrap a bandage around a stuffed animal's ear.
D) Use discussion throughout the teaching session.
Q3) A nurse is preparing to teach a kinesthetic learner about exercise. Which technique will the nurse use?
A) Let the patient touch and use the exercise equipment.
B) Provide the patient with pictures of the exercise equipment.
C) Let the patient listen to a video about the exercise equipment.
D) Provide the patient with a case study about the exercise equipment.
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) R
A)Applied oxygen, stayed with patient, and instructed to slow breathing.
B)Patient states, "feel better," respirations 16 with O<sub>2</sub> saturations 96%.
C)Patient states, "can't catch my breath and chest hurts." Confused.
Q2) A nurse is charting on a patient's record. Which action will the nurse take that is accurate legally?
A) Charts legibly
B) States the patient is belligerent
C) Writes entry for another nurse
D) Uses correction fluid to correct error
Q3) A nurse is describing the purposes of a health care record to a group of nursing students. Which purposes will the nurse include in the teaching session? (Select all that apply.)
A) Communication
B) Legal documentation
C) Reimbursement
D) Nursing process
E) Research
F) Education
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Page 28
Chapter 27: Patient Safety and Quality
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Sample Questions
Q1) The nurse has placed a yellow armband on a 70-year-old patient. Which observation by the nurse will indicate the patient has an understanding of this action?
A) The patient removes the armband to bathe.
B) The patient wears the red nonslip footwear.
C) The patient insists on taking a "water" pill in the evening.
D) The patient who is allergic to penicillin asks the name of a new medicine.
Q2) The nurse is caring for an older-adult patient admitted with nausea, vomiting, and diarrhea due to food poisoning. The nurse completes the health history. Which priority concern will require collaboration with social services to address the patient's health care needs?
A) The electricity was turned off 3 days ago.
B) The water comes from the county water supply.
C) A son and family recently moved into the home.
D) This home is not furnished with a microwave oven.
Q3) Which activity will cause the nurse to monitor for equipment-related accidents?
A) Uses a patient-controlled analgesic pump
B) Uses a computer-based documentation record
C) Uses a measuring device that measures urine
D) Uses a manual medication-dispensing device
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Page 29
Chapter 28: Immobility
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Sample Questions
Q1) The nurse is caring for a patient with a spinal cord injury and notices that the patient's hips have a tendency to rotate externally when the patient is supine. Which device will the nurse use to help prevent injury secondary to this rotation?
A) Hand rolls
B) A trapeze bar
C) A trochanter roll
D) Hand-wrist splints
Q2) A patient has damage to the cerebellum. Which disorder is most important for the nurse to assess?
A) Imbalance
B) Hemiplegia
C) Muscle sprain
D) Lower extremity paralysis
Q3) A nurse is supervising the logrolling of a patient. To which patient is the nurse most likely providing care?
A) A patient with neck surgery
B) A patient with hypostatic pneumonia
C) A patient with a total knee replacement
D) A patient with a Stage IV pressure ulcer
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Page 30
Chapter 29: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/2408
Sample Questions
Q1) The nurse is caring for a patient who is at risk for infection. Which action by the nurse indicates correct understanding about standard precautions?
A) Teaches the patient about good nutrition
B) Dons gloves when wearing artificial nails
C) Disposes an uncapped needle in the designated container
D) Wears eyewear when emptying the urinary drainage bag
Q2) A diabetic patient presents to the clinic for a dressing change. The wound is located on the right foot and has purulent yellow drainage. Which action will the nurse take to prevent the spread of infection?
A) Position the patient comfortably on the stretcher.
B) Explain the procedure for dressing change to the patient.
C) Review the medication list that the patient brought from home.
D) Don gloves and other appropriate personal protective equipment.
Q3) Which interventions utilized by the nurse will indicate the ability to recognize a localized inflammatory response?
A) Vigorous range-of-motion exercises
B) Turn, cough, and deep breathe
C) Orient to date, time, and place
D) Rest, ice, and elevation
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Page 31
Chapter 30: Vital Signs
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51 Flashcards
Source URL: https://quizplus.com/quiz/2409
Sample Questions
Q1) The nurse is caring for an infant and is obtaining the patient's vital signs. Which artery will the nurse use to best obtain the infant's pulse?
A) Radial
B) Brachial
C) Femoral
D) Popliteal
Q2) The patient has new-onset restlessness and confusion. Pulse rate is elevated, as is respiratory rate. Oxygen saturation is 94%. The nurse ignores the pulse oximeter reading and calls the health care provider for orders because the pulse oximetry reading is inaccurate. Which factors can cause inaccurate pulse oximetry readings? (Select all that apply.)
A) O<sub>2</sub> saturations (SaO<sub>2</sub>) > 70%
B) Carbon monoxide inhalation
C) Hypothermic fingers
D) Intravascular dyes
E) Nail polish
F) Jaundice
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Chapter 31: Health Assessment and Physical Examination
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49 Flashcards
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Sample Questions
Q1) Arterial problems
A)Lower extremity swollen and warm with normal pulse
B)Neck vein visible when sitting
C)Spoon nails
D)Lower extremity pale and cool with decreased pulse
E)Ringing in ears
F)Swayback
G)Black, tarry stools
Q2) During a genitourinary examination of a 30-year-old male patient, the nurse identifies a small amount of a white, thick substance on the patient's uncircumcised glans penis. What is the nurse's next step?
A) Record this as a normal finding.
B) Avoid embarrassing questions about sexual activity.
C) Notify the provider about a suspected sexually transmitted infection.
D) Tell the patient to avoid doing self-examinations until symptoms clear.
Q3) A nurse is conducting Weber's test. Which action will the nurse take?
A) Place a vibrating tuning fork in the middle of patient's forehead.
B) Place a vibrating tuning fork on the patient's mastoid process.
C) Compare the number of seconds heard by bone versus air conduction.
D) Compare the patient's degree of joint movement to the normal level.
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Chapter 32: Medication Administration
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50 Flashcards
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Sample Questions
Q1) A nurse is preparing an intravenous IV piggyback infusion. In which order will the nurse perform the steps, starting with the first one?
1) Compare the label of the medication with the medication administration record at the patient's bedside.
2) Connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port.
3) Hang the piggyback medication bag above the level of the primary fluid bag.
4) Clean the main IV line port with an antiseptic swab.
5) Connect the infusion tubing to the medication bag.
6) Regulate flow.
A) 5, 2, 1, 4, 3, 6
B) 5, 2, 1, 3, 4, 6
C) 1, 5, 4, 3, 2, 6
D) 1, 5, 3, 4, 2, 6
Q2) A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen 500 mg (Vicodin) every 4 hours. The patient is also taking 2 tablets of acetaminophen (Tylenol) 325 mg every 12 hours. How many grams of acetaminophen is the patient taking daily? Record your answer using one decimal place. ______ g
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Chapter 33: Complementary and Alternative Therapies
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2412
Sample Questions
Q1) A nurse is teaching a patient relaxation techniques to decreases stress. Which finding will support the nurse's evaluation that the therapy is effective?
A) Dilated pupils
B) Increased blood sugar
C) Decreased heart rate
D) Elevated blood pressure
Q2) Ginger
A)Elevated cholesterol levels
B)Nausea and vomiting
C)Benign prostatic hyperplasia
D)Skin inflammation
E)Mild anxiety
F)Unsafe and should not be used
Q3) Which patient will cause the nurse to question an order for acupuncture?
A) A patient with AIDS
B) A patient with osteoarthritis
C) A patient with low back pain
D) A patient with migraine headaches
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35
Chapter 34: Self-Concept
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25 Flashcards
Source URL: https://quizplus.com/quiz/2413
Sample Questions
Q1) A nurse is caring for a patient who is dealing with the developmental task known as initiative versus guilt. The nurse is providing care to which patient?
A) A 3-week-old neonate
B) A 5-year-old kindergarten student
C) An 11-year-old student
D) A 15-year-old high school student
Q2) A verbally abusive partner has told a significant other many negative comments over the years. In the crisis center, the nurse would anticipate that the patient may have which self-concept deficits?
A) Body image
B) Role confusion
C) Rigidity
D) Yearning
Q3) A nurse is completing a history on a patient with role conflict. Which finding is consistent with role conflict?
A) A patient is unsure about job expectations in a fast-paced company.
B) A patient has to travel for work and misses children's birthdays.
C) A patient feels less of a man after a leg amputation.
D) A patient loses a job from the company's downsizing.
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Page 36
Chapter 35: Sexuality
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient with dyspareunia. In which order will the nurse provide care, starting with the first step?
1) Determine which signs and symptoms of dyspareunia the patient has.
2) Mutually decide upon goals and objectives for dyspareunia.
3) Ask the patient if the dyspareunia is improving.
4) Develop a nursing diagnosis for the patient.
5) Use resources to help resolve the problem.
A) 5, 3, 1, 4, 2
B) 1, 4, 2, 5, 3
C) 3, 1, 4, 2, 5
D) 4, 2, 5, 3, 1
Q2) A mother brings her 12-year-old daughter into a clinic and inquires about getting a human papillomavirus (HPV) vaccine that day. Which information will the nurse share with the mother and daughter about the HPV vaccine?
A) Protects against human immunodeficiency virus (HIV)
B) Protects against cervical cancer
C) Protects against chlamydia
D) Protects against pregnancy
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Page 37
Chapter 36: Spiritual Health
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25 Flashcards
Source URL: https://quizplus.com/quiz/2415
Sample Questions
Q1) A co-worker asks the nurse to explain spirituality. What is the nurse's best response?
A) It has a minor effect on health.
B) It is awareness of one's inner self.
C) It is not as essential as physical needs.
D) It refers to fire or giving of life to a person.
Q2) The patient is admitted with chronic anxiety. Which action is most appropriate for the nurse to take?
A) Focus on finding quick remedies for the anxiety.
B) Realize that the patient's only goal is relief of the anxiety.
C) Look at how anxiety influences the patient's ability to function.
D) Help the patient realize that there is little hope of relief from anxiety.
Q3) The nurse is caring for a group of patients. Which patient will the nurse see first?
A) A patient saying that God has left and there is no reason for living.
B) A patient refusing treatment on the Sabbath.
C) A patient having a folk healer in the room.
D) A patient praying to Allah.
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Chapter 37: The Experience of Loss, Death, and Grief
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24 Flashcards
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Sample Questions
Q1) "I know it seems strange, but I feel guilty being pregnant after the death of my son last year," said a woman during her routine obstetrical examination. The nurse spends extra time with this woman, helping her realize bonding with this unborn child will not mean she is replacing the one who died. Which nursing technique does this demonstrate?
A) Providing curative therapy
B) Promoting spirituality
C) Facilitating mourning
D) Eradicating grief
Q2) A nurse is documenting end-of-life care. Which information will the nurse include in the patient's electronic medical record? (Select all that apply.)
A) Reason for the death
B) Time and date of death
C) How ethically the family grieved
D) Location of body identification tags
E) Time of body transfer and destination
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Chapter 38: Stress and Coping
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21 Flashcards
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Sample Questions
Q1) A patient in a motor vehicle accident states, "I did not run the red light," despite very clear evidence on the street surveillance tape. Which defense mechanism is the patient using?
A) Denial
B) Conversion
C) Dissociation
D) Compensation
Q2) A nurse is caring for a patient with stress and is in the evaluation stage of the critical thinking model. Which actions will the nurse take?
A) Select nursing interventions and promote patient's adaptation to stress.
B) Establish short- and long-term goals with the patient experiencing stress.
C) Identify stress management interventions and achieve expected outcomes.
D) Reassess patient's stress-related symptoms and compare with expected outcomes.
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Chapter 39: Activity and Exercise
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/2418
Sample Questions
Q1) A nurse is assisting the patient to perform isometric exercises. Which action will the nurse take?
A) Encourage wearing tight shoes.
B) Set the pace for the exercise session.
C) Stop the exercise if pain is experienced.
D) Force muscles or joints to go just beyond resistance.
Q2) The nurse is caring for a patient with inner ear problems. Which goal is the priority?
A) Maintain balance.
B) Maintain proprioception.
C) Maintain muscle strength.
D) Maintain body alignment.
Q3) A 55-year-old patient is preparing to start an exercise program. The health care provider wants 60% of maximum target heart rate. Calculate the heart rate that the nurse will add to the care plan as the target heart rate. Record answer as a whole number.
_________ maximum heart rate
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Chapter 40: Hygiene
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50 Flashcards
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Sample Questions
Q1) The patient reports to the nurse about a perceived decrease in hearing. When the nurse examines the patient's ear, a large amount of cerumen buildup at the entrance to the ear canal is observed. Which action will the nurse take next?
A) Teach the patient how to use cotton-tipped applicators.
B) Tell the patient to use a bobby pin to extract earwax.
C) Apply gentle, downward retraction of the ear canal.
D) Instill hot water into the ear canal to melt the wax.
Q2) A patient has scaling of the scalp. Which term will the nurse use to report this finding to the oncoming staff?
A) Dandruff
B) Alopecia
C) Pediculosis
D) Xerostomia
Q3) A nurse is preparing to provide hygiene care. Which principle should the nurse consider when planning hygiene care?
A) Hygiene care is always routine and expected.
B) No two individuals perform hygiene in the same manner.
C) It is important to standardize a patient's hygienic practices.
D) During hygiene care do not take the time to learn about patient needs.
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Page 42
Chapter 41: Oxygenation
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51 Flashcards
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Sample Questions
Q1) A nurse is caring for a 5-year-old patient whose temperature is 101.2° F. The nurse expects this patient to hyperventilate. Which factor does the nurse remember when planning care for this type of hyperventilation?
A) Anxiety over illness
B) Decreased drive to breathe
C) Increased metabolic demands
D) Infection destroying lung tissues
Q2) While the nurse is changing the ties on a tracheostomy collar, the patient coughs, dislodging the tracheostomy tube. Which action will the nurse take first?
A) Press the emergency response button.
B) Insert a spare tracheostomy with the obturator.
C) Manually occlude the tracheostomy with sterile gauze.
D) Place a face mask delivering 100% oxygen over the nose and mouth.
Q3) The patient has right-sided heart failure. Which finding will the nurse expect when performing an assessment?
A) Peripheral edema
B) Basilar crackles
C) Chest pain
D) Cyanosis
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Page 43
Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2421
Sample Questions
Q1) A nurse is caring for a patient who is receiving peripheral intravenous (IV) therapy. When the nurse is flushing the patient's peripheral IV, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm to the touch. What is the nurse's initial action?
A) Record a phlebitis grade of 4.
B) Assign an infiltration grade.
C) Apply moist compress.
D) Discontinue the IV.
Q2) The nurse is caring for a patient with hyperkalemia. Which body system assessment is the priority?
A) Gastrointestinal
B) Neurological
C) Respiratory
D) Cardiac
Q3) Aldosterone
A)Increases excretion of sodium and water
B)Reduces excretion of sodium and water
C)Reduces excretion of water
D)Major buffer in the extracellular fluid
E)Vasoconstricts and stimulates aldosterone release
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Chapter 43: Sleep
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36 Flashcards
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Sample Questions
Q1) A patient has obstructive sleep apnea. Which assessment is the \(\bold{priority}\)?
A) Gastrointestinal function
B) Neurological function
C) Respiratory status
D) Circulatory status
Q2) The nurse is having a conversation with an adolescent regarding the need for sleep. The adolescent states that it is common to stay up with friends several nights a week. Which action should the nurse take next?
A) Talk with the adolescent's parent about staying up with friends and the need for sleep.
B) Discuss with the adolescent sleep needs and the effects of excessive daytime sleepiness.
C) Refer the adolescent for counseling about alcohol abuse problems.
D) Take no action for this normal occurrence.
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45
Chapter 44: Pain Management
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40 Flashcards
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Sample Questions
Q1) A nurse is caring for a group of patients. Which patient will the nurse see first?
A) A patient who received morphine and has a pulse of 62 beats/min, respirations 10 breaths/min, and blood pressure 110/60 mm Hg
B) A patient lying very still in bed who reports no pain but is pale with warm, dry skin
C) A patient with severe pain who is nauseated and feels like he or she is about to vomit
D) A patient writhing and moaning from abdominal pain after abdominal surgery
Q2) The nurse is administering ibuprofen (Advil) to an older patient. Which assessment data causes the nurse to hold the medication? (Select all that apply.)
A) Patient states allergy to aspirin.
B) Patient states joint pain is 2/10 and intermittent.
C) Patient reports past medical history of gastric ulcer.
D) Patient reports last bowel movement was 4 days ago.
E) Patient experiences respiratory depression after administration of an opioid medication.
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Chapter 45: Nutrition
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45 Flashcards
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Sample Questions
Q1) The patient is asking the nurse about the best way to stay healthy. The nurse explains to the patient which teaching points? (Select all that apply.)
A) Increase physical activity.
B) Keep total fat intake to 10% or less.
C) Maintain body weight in a healthy range.
D) Choose and prepare foods with little salt.
E) Increase intake of meat and other high-protein foods.
Q2) The patient is admitted with facial trauma, including a broken nose, and has a history of esophageal reflux and of aspiration pneumonia. With which tube will the nurse most likely administer the feeding?
A) Nasogastric tube
B) Jejunostomy tube
C) Nasointestinal tube
D) Percutaneous endoscopic gastrostomy (PEG) tube
Q3) The patient has H. pylori. Which action should the nurse take?
A) Encourage avoidance of wheat and oats.
B) Encourage milkshakes as a nutritious snack.
C) Encourage completion of antibiotic therapy.
D) Encourage nonsteroidal antiinflammatory drugs.
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Page 47
Chapter 46: Urinary Elimination
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44 Flashcards
Source URL: https://quizplus.com/quiz/2425
Sample Questions
Q1) The nurse is using different toileting schedules. Which principles will the nurse keep in mind when planning care? (Select all that apply.)
A) Habit training uses a bladder diary.
B) Timed voiding is based upon the patient's urge to void.
C) Prompted voiding includes asking patients if they are wet or dry.
D) Elevation of feet in patients with edema can decrease nighttime voiding.
E) Bladder retraining teaches patients to follow the urge to void as quickly as possible.
Q2) To reduce patient discomfort during a closed intermittent catheter irrigation, what should the nurse do?
A) Use room temperature irrigation solution.
B) Administer the solution as quickly as possible.
C) Allow the solution to sit in the bladder for at least 1 hour.
D) Raise the bag of the irrigation solution at least 12 inches above the bladder.
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Chapter 47: Bowel Elimination
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42 Flashcards
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Sample Questions
Q1) The nurse is devising a plan of care for a patient with the nursing diagnosis of Constipation related to opioid use. Which outcome will the nurse evaluate as successful for the patient to establish normal defecation?
A) The patient reports eliminating a soft, formed stool.
B) The patient has quit taking opioid pain medication.
C) The patient's lower left quadrant is tender to the touch.
D) The nurse hears bowel sounds in all four quadrants.
Q2) A patient had an ileostomy surgically placed 2 days ago. Which diet will the nurse recommend to the patient to ease the transition of the new ostomy?
A) Eggs over easy, whole wheat toast, and orange juice with pulp
B) Chicken fried rice with fresh pineapple and iced tea
C) Turkey meatloaf with white rice and apple juice
D) Fish sticks with sweet corn and soda
Q3) A patient has a fecal impaction. Which portion of the colon will the nurse assess?
A) Descending
B) Transverse
C) Ascending
D) Rectum
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Chapter 48: Skin Integrity and Wound Care
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55 Flashcards
Source URL: https://quizplus.com/quiz/2427
Sample Questions
Q1) The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The nurse has implemented interventions. Upon reassessment, which Braden score will be the \(\bold{best}\) sign that the risk for skin breakdown is removed?
A) 12
B) 13
C) 20
D) 23
Q2) The nurse is caring for a patient with a Stage IV pressure ulcer. Which type of healing will the nurse consider when planning care for this patient?
A) Partial-thickness wound repair
B) Full-thickness wound repair
C) Primary intention
D) Tertiary intention
Q3) Hydrogel
A)Absorbs drainage through the use of exudate absorbers in the dressing
B)Very soothing to the patient and do not adhere to the wound bed
C)Barrier to external fluids/bacteria but allows wound to "breathe"
D)Manufactured from seaweed and comes in sheet and rope form
E)Oldest and most common absorbent dressing
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Page 50
Chapter 49: Sensory Alterations
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30 Flashcards
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Sample Questions
Q1) A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?
A) Risk for falls
B) Self-care deficit
C) Social isolation
D) Impaired physical mobility
Q2) A nurse is assessing cognitive functioning of a patient. Which action will the nurse take?
A) Administer a Mini-Mental State Examination (MMSE).
B) Ask the patient to state name, location, and what month it is.
C) Ask the patient's family if the patient is behaving normally.
D) Administer the hearing handicap inventory for the elderly (HHIE-S).
Q3) The nurse is caring for a patient who is having difficulty understanding the written and spoken word. Which type of aphasia will the nurse report to the oncoming shift?
A) Expressive
B) Receptive
C) Global
D) Motor
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Chapter 50: Care of Surgical Patients
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46 Flashcards
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Sample Questions
Q1) The nurse is caring for a group of postoperative patients on the surgical unit. Which patient assessments indicate the nurse needs to follow up? (Select all that apply.)
A) Patient with abdominal surgery has patent airway.
B) Patient with knee surgery has approximated incision.
C) Patient with femoral artery surgery has strong pedal pulse.
D) Patient with lung surgery has 20 mL/hr of urine output via catheter.
E) Patient with bladder surgery has bloody urine within the first 12 hours.
F) Patient with appendix surgery has thready pulse and blood pressure is 90/60.
Q2) The patient has presented to the ambulatory surgery center to have a colonoscopy. The patient is scheduled to receive moderate sedation (conscious sedation) during the procedure. How will the nurse interpret this information?
A) The procedure results in loss of sensation in an area of the body.
B) The procedure requires a depressed level of consciousness.
C) The procedure will be performed on an outpatient basis.
D) The procedure necessitates the patient to be immobile.
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