Nursing Skills and Concepts Pre-Test Questions
Course Introduction
Nursing Skills and Concepts is designed to introduce students to the fundamental principles and practical techniques essential for effective nursing practice. The course covers foundational topics such as patient assessment, infection control, vital signs monitoring, medication administration, and basic hygiene care. Emphasis is placed on safety, communication, critical thinking, and ethical considerations in clinical settings. Through a combination of lectures, demonstrations, and hands-on laboratory experiences, students develop core competencies required to provide holistic and patient-centered care in a variety of healthcare environments.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman
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52 Chapters
1464 Verified Questions
1464 Flashcards
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Page 2
Chapter 1: Historical and Contemporary Nursing Practice
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A client tells the nurse about research information on the Internet to learn more about a new health problem.What should the nurse respond to this client?
A)"Information from the Internet isn't always accurate."
B)"It's best to check this information with your physician."
C)"Bring your information to the clinic so we can go through it together."
D)"I'd prefer you rely on information you haven't received from our office."
Answer: C
Q2) The nurse is creating a community education program on health promotion and wellness.Which topic should the nurse use for this program?
A)Prenatal and infant care
B)Prevention of sexually transmitted disease
C)Exercise class for clients who have had a stroke
D)Home accident prevention
Answer: D
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3
Chapter 2: Evidence-Based Practice and Research in Nursing
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A group of nurses is researching how care providers of Stage I/II Alzheimer's clients use prior coping skills in dealing with their current situation.Which qualitative research tradition are these nurses using?
A)Grounded theory
B)Ethnography
C)Phenomenology
D)Substantive dimension
Answer: C
Q2) The nurse researcher is determining the best way to formulate a research problem.What should the nurse identify if implementing the PICO format?
(Select all that apply)
A)Intervention to use
B)Problem of interest
C)Comparison of treatments
D)Outcome of the treatments
E)Individuals to perform actions
Answer: A,B,C,D
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Chapter 3: Nursing Theories and Conceptual Frameworks
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is planning client care while keeping in mind Orem's self-care deficit theory.Which methods of helping should the nurse include when determining the best care for the client?
(Select all that apply)
A)Balancing rest
B)Teaching
C)Supporting
D)Guiding
E)Preventing hazards to life
Answer: B,C,D,E
Q2) A nurse has agreed to delay a client's treatment until the matriarch of the family can be present.Understanding that this is an important consideration for this client's cultural practices,which of Leininger's intervention modes is the nurse implementing?
A)Preservation and maintenance
B)Accommodation,negotiation
C)Restructuring
D)Repatterning
Answer: B
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Chapter 4: Legal Aspects of Nursing
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Sample Questions
Q1) The admitting nurse explains the process of signing forms to allow for the client's insurance company to be billed for services.If the insurance fails to pay for services,the client is responsible for payment.Which type of law did the nurse explain to the client?
A)Contract law
B)Tort law
C)Statutory law
D)Administrative law
Q2) The nurse manager is concerned that a staff nurse's care demonstrates gross negligence.What actions did the manager use to make this determination?
(Select all that apply)
A)Removed a client's central line
B)Reconnected contaminated intravenous tubing to a client
C)Accessed the computerized documentation system with a password
D)Walked a client with a blood pressure of 70/58 mm Hg to the bathroom
E)Delegated nasotracheal suctioning for a client to unlicensed assistive personnel
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Chapter 5: Values, Ethics, and Advocacy
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Sample Questions
Q1) A client with a sexually transmitted illness (STI)asks the nurse to not tell anyone about the diagnosis.According to the Health Insurance Portability and Accountability Act (HIPAA)of 1996,what must the nurse do?
A)Honor the client's wishes.
B)Not disclose any information to anyone.
C)Respect the client's privacy and confidentiality.
D)Communicate only necessary information.
Q2) A client has been complaining of pain,even though the nurse has given the client the maximum amount of medication as ordered by the physician.Which action demonstrates the nurse's respect for the client's autonomy?
A)Telling the client that he will have to "tough it out"
B)Calling the physician for further orders
C)Telling co-workers that this client has no pain tolerance
D)Believing the client is drug seeking
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Chapter 6: Health Care Delivery Systems
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24 Flashcards
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Sample Questions
Q1) The nurse is hired to provide care in a hospital that offers services in all specialty areas.How should the nurse categorize this type of health care facility?
A)General hospital
B)Specialty hospital
C)Long-term care hospital
D)Short-term hospital
Q2) The nurse is considering leaving a position in an organization that utilized differentiated practice.Which type of delivery system should the nurse consider as being the most similar to differentiated practice?
A)Case method
B)Shared governance
C)Functional method
D)Team nursing
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8
Chapter 7: Community Nursing and Care Continuity
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21 Flashcards
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Sample Questions
Q1) After implementing health promotion activities and plans to prioritize health problems,the community must evaluate the effectiveness of the interventions.Which groups should be involved in this process?
A)Health care providers at the community level
B)Hospital and clinic personnel who administered health care needs
C)Health care providers,consumers,community leaders,and politicians
D)Those consumers who were directly affected by the services provided
Q2) A parish nurse is helping a group of new parents within the congregation find appropriate health care providers within the community who specialize in infant/child and family health care needs.In which role is the nurse functioning?
A)Health educator
B)Referral source
C)Facilitator
D)Integrator
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Chapter 8: Home Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The home health nurse has scheduled a visit to a client who lives in a neighborhood that is known to be unsafe because of gang activity.Before going to the client's home,what should the nurse do?
A)Call for an escort.
B)Call the client to let the client know the nurse is on the way.
C)Ask if the client could meet the nurse at the agency.
D)Take a second nurse along on the visit.
Q2) To help a home health client with a difficult medication regime,the nurse contacts the pharmacist for ideas to facilitate the process.Which behavior did the nurse demonstrate when caring for this client?
A)Hands-on care
B)Direct care
C)Advocacy
D)Indirect care
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Chapter 9: Electronic Health Records and Information Technology
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A small nursing program has limited access to clinical sites,especially those with specialty areas.What should the nurse educators consider as an option to allow students "hands-on" simulated clinical experience in these areas?
A)A field trip to a larger nursing institution
B)Videos
C)CAI
D)Workbook with written study guides
Q2) A nurse educator believes computers can enhance student learning.Which actions should the instructor take to demonstrate this belief?
(Select all that apply)
A)Allow students to research a nursing topic either by going to the library or via an online literature search.
B)Require a student to remediate after a failed test by completing appropriate computer-assisted instruction modules.
C)Use PowerPoint slides to reinforce complex concepts during classroom lectures.
D)Assign a collaborative group project to students enrolled in an online course.
E)Use computer-generated graphics to make written material less monotonous.
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11
Chapter 10: Critical Thinking and Clinical Reasoning
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Sample Questions
Q1) The nurse systematically tries a variety of products to help with healing of a client's wound.Which problem-solving method is the nurse using?
A)Intuition
B)Scientific method
C)Research process
D)Trial and error
Q2) The nurse implements a quicker way to set up and initiate an intravenous infusion while still following safe practice.Which attitude of critical thinking is this nurse practicing?
A)Independence
B)Intellectual courage to challenge the status quo or rituals
C)Integrity
D)Confidence
Q3) The nurse is providing care to a group of clients.For which situation would the nurse's use of critical thinking be a priority?
A)Administering IV push meds to critically ill clients
B)Educating a home health client about treatment options
C)Teaching new parents car seat safety
D)Assisting an orthopedic client with the proper use of crutches
Page 12
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Chapter 11: Assessing
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Sample Questions
Q1) The nurse manager observes a staff nurse perform actions within the nursing process.Which activities did the manager observe the nurse perform?
(Select all that apply)
A)Notifying the surgeon that a postoperative client is experiencing an increase in temperature
B)Advocating for a client who is mentally incapable of expressing her needs
C)Deciding to increase a client's nasal oxygen based on his current pulse oxygenation levels
D)Documenting all clients' pain level responses after the administration of pain medication
E)Attending in-services on a new hydraulic lift to be used to support safe client care
Q2) During an assessment,a client who is not very talkative appears pale,diaphoretic,and restless in the bed,and says "leave me alone." Which subjective data should the nurse document?
A)Restlessness
B)"Leave me alone"
C)Not talkative
D)Pale and diaphoretic
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13
Chapter 12: Diagnosing
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Sample Questions
Q1) The nurse has completed the initial assessment of a client and has analyzed and clustered the data.What should the nurse complete next in the diagnostic process?
A)Formulate a diagnosis.
B)Verify the data.
C)Research collaborative and nursing-related interventions.
D)Identify the client's problem,health risks,and strengths.
Q2) 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
Q3) The graduate nurse is struggling with identifying cues from clustered data.What should the nurse use to recognize data patterns and cues?
A)Depend on knowledge gained from peers' experiences.
B)Work with seasoned and experienced nurses and learn from them.
C)Take assessment notes and utilize information from textbooks for comparison.
D)Know that this will take time,and experience is the best teacher.
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Page 14
Chapter 13: Planning
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Sample Questions
Q1) A discharge goal for a client is to have improved mobility.Which outcome statement did the nurse write appropriately?
A)Client will ambulate without a walker by 6 weeks.
B)Client will ambulate freely in house.
C)Client will not fall.
D)Client will have freer movement in daily activities.
Q2) A client is admitted for complications following a routine diagnostic procedure of the colon.Which type of care plan will most likely be implemented for this client?
A)Informal nursing care plan
B)Formal nursing care plan
C)Standardized care plan
D)Individualized care plan
Q3) A hospital is implementing the use of the NIC (Nursing Interventions Classification)taxonomy.What purpose will the implementation of this taxonomy serve?
A)Help the nurse with documentation of the care plan
B)Require that the nurse use sound judgment and knowledge of the client
C)Match nursing diagnoses to exact interventions
D)Help the nurse choose activities that are individualized to the client
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Chapter 14: Implementing and Evaluating
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Sample Questions
Q1) A client recovering from total knee replacement surgery falls out of bed on the night shift and dies.Which quality improvement actions should the nurse manager expect to complete for this client occurrence?
(Select all that apply)
A)A root cause analysis
B)Paperwork about a sentinel event
C)Analysis of the nurse assigned to the client
D)Number of times the client was observed on the night shift
E)Number of hours since the client last received pain medication
Q2) A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." What statement demonstrates that the nurse appropriately evaluated this goal?
A)Goal not met,client able to state one positive aspect by the end of the week.
B)Goal met,client able to state one positive aspect by the end of the week.
C)Goal met,client able to state two positive aspects of therapy by week's end.
D)Goal incomplete,client not able to positively state anything about rehab.
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Chapter 15: Documenting and Reporting
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24 Verified Questions
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Sample Questions
Q1) The nurse is using I-SBAR to provide a report to an intensive care nurse for a client transfer.Which statements indicate that the nurse is using this communication technique appropriately?
(Select all that apply)
A)"Mr.Collins has a history of peptic ulcer disease."
B)"Hi Susan,my name is Janie and I've been taking care of Mr.Collins all day."
C)"It's no wonder he's bleeding from his stomach;he drinks a six pack of beer every day."
D)"Late this morning Mr.Collins became nauseated and vomited 250 mL of bright red emesis."
E)"He has bowel sounds in all 4 quadrants,is not experiencing any pain,but has a heart rate of 110 and blood pressure of 98/50 mm Hg."
Q2) When attempting to locate recent lab results,the new nurse employee notices that each department has a separate section in the client's chart.Which type of documentation system is the nurse using?
A)Source-oriented record
B)Problem-oriented record
C)Case management
D)Focus charting
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Page 17
Chapter 16: Health Promotion
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Sample Questions
Q1) A nurse in charge of an assisted living complex that includes independent living apartments understands the unique needs of individuals of this age group.When planning health promotion strategies,what factor should the nurse take into consideration?
A)Rest and exercise
B)Adjusting to physiologic changes and limitations
C)High obesity percentages
D)Safety promotion and injury prevention
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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12 Verified Questions
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Sample Questions
Q1) A nurse is working in a rehabilitation center with a client who had a serious injury.Part of the client's care plan includes working on coping with her current limitations since the injury.This nurse is working within which model of health?
A)Role performance
B)Adaptive
C)Eudemonistic
D)Clinical
Q2) A nurse has volunteered to go on a health mission to rural Haiti,where the majority of the people do not have access to health care and live in poverty.According to Dunn's high-level wellness grid,the nurse will be working with clients in which quadrant?
A)Emergent high-level wellness in an unfavorable environment
B)Protected poor health in a favorable environment
C)Poor health in an unfavorable environment
D)Protected poor health in an unfavorable environment
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19
Chapter 18: Culturally Responsive Nursing Care
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Sample Questions
Q1) A community health nurse works with a variety of cultures providing health care services that include preventive care,acute treatment,and education.Of the following clients,which is most likely to use folk medicine?
A)The client who speaks little English and does not have a job
B)A family who has numerous relatives in a Spanish-American sector of the city
C)A female client whose culture is one of male dominance
D)A Chinese client who has a small,family-run business in the area
Q2) After an assessment,the nurse determines that a client of African American descent is experiencing disparities that are a part of behavioral health determinants.What assessment data did the nurse use to come to this conclusion?
(Select all that apply)
A)Treated for asthma
B)Body mass index of 32
C)Unemployed for 9 months
D)Smokes 1 ppd of cigarettes
E)Mother diagnosed with heart disease
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Chapter 19: Complementary and Alternative Healing
Modalities
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Sample Questions
Q1) The nurse is teaching a client regarding the use of herbal preparations.Which statements should the nurse include in this teaching?
(Select all that apply)
A)"Echinacea might reduce the effectiveness of the immunosuppressant medications you've been prescribed since your transplant."
B)"Gingko could affect the results of your aspirin therapy."
C)"Ginger could be contraindicated because you are taking anticoagulant medications."
D)"With your history of glaucoma,I don't believe you should be supplementing with ginseng."
E)"St.John's wort is a safe supplement when being medicated for depression."
Q2) A client undergoing chemotherapy becomes very anxious and stressed just before the treatments.Which would be an appropriate therapy for this person to learn?
A)Meditation
B)Aromatherapy
C)Homeopathy
D)Yoga
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21
Chapter 20: Concepts of Growth and Development
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Sample Questions
Q1) The nurse is reviewing the four stages of development in Westerhoff's spiritual theory.In which order should the nurse review these stages to match the life cycle?
Click and drag the options below to move them up or down.
A)Owned faith
B)Affiliative faith
C)Experienced faith
D)Searching faith
Q2) A parent tells the nurse that his child is quite creative and learning how to pretend with "almost anything in the house." According to Piaget,the nurse realizes this child is demonstrating which stage/phase?
A)Tertiary circular reaction: stage 5
B)Inventions of new means: stage 6
C)Preconceptual phase
D)Concrete operations phase
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22
Chapter 21: Promoting Health From Conception Through
Adolescence
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Sample Questions
Q1) The nurse suspects that an adolescent is working through the stages of spiritual development.What observations did the nurse make to come to this conclusion?
(Select all that apply)
A)Imitated behavior demonstrated by parents
B)Conceptualized angels and devils with the use of imagination
C)Compartmentalized differences between spiritual beliefs with friends
D)Determined differences between spiritual beliefs as being right or wrong
E)Met with the church priest to talk about the differences in spiritual beliefs
Q2) While the nurse is teaching a group of parents and their teenage sons about puberty and sexual growth,a parent asks if fertility coincides with ejaculation.What should the nurse respond to this ?
A)"Yes,if your son is ejaculating,he also possesses fertility."
B)"Sexual maturity does not occur until age 18,so don't worry about anything until then."
C)"Fertility follows several months after the first ejaculation."
D)"You'll have to ask your physician about this because it is a sensitive subject."
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Page 23
Chapter 22: Promoting Health in Young and Middle-Aged
Adults
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Sample Questions
Q1) A young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview.In order to best assess the client,what should the nurse ask the client?
A)"Can you tell me what's been going on in your life lately?"
B)"What kind of problems are you having?"
C)"Is someone hurting you?"
D)"Can you explain what your family life is like?"
Q2) The nurse is providing assistance at a community health fair for middle-aged clients.Which information should the nurse use when working with this group of clients?
A)The middle-aged person has decreased intellectual and cognitive abilities as a result of the normal aging process.
B)Adults make the transition into this stage easily and without problems.
C)Physical capabilities and functions decrease with age,but mental and social capacities tend to increase in the latter part of life.
D)Cognitive and intellectual abilities are somewhat decreased due to slower reaction time,loss of memory,and changes in perception and problem solving.
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Chapter 23: Promoting Health in Older Adults
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Sample Questions
Q1) In planning any health program for elderly adults,the nurse will implement Erikson's theory of task development.The nurse realizes that in this stage of life,the successful completion of the task allows the person to A)have a feeling of satisfaction from past accomplishments.
B)make connections with the younger generation.
C)wish he or she could live life over again.
D)live out his or her last years in physical health.
Q2) An elderly client comes to the clinic for follow-up after a long hospitalization.When the client asks about increasing strength and endurance,what should the nurse respond?
A)"Your muscles can be strengthened,which might help you function better."
B)"It won't matter if you exercise.At your age,there's little room for improvement."
C)"Once muscle mass is decreased,there's nothing that can be done for strength improvement."
D)"Maybe you should think about going to a nursing home.At least the people there will be able to help with your needs."
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25
Chapter 24: Promoting Family Health
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Sample Questions
Q1) A client is asked during an admission interview to describe her family.She proceeds to list parents,siblings,grandparents,aunts,uncles,and cousins.Which type of family should the nurse document for this client?
A)Nuclear
B)Extended
C)Traditional
D)Blended
Q2) During a family assessment,the nurse asks "How,as a family,do you deal with disappointments or stressful changes that occur and affect the members of your family?" What is the nurse attempting to identify?
A)Family coping mechanisms
B)Whether the family experiences stress
C)Which family members are most stressed
D)Family dynamics
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Chapter 25: Caring
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Sample Questions
Q1) During a midterm evaluation,the nurse educator tells the students they need to work on improving their aesthetic knowledge.How should the students plan to accomplish this recommendation?
A)Study harder.
B)Take better notes.
C)Read about the same topic from a variety of sources.
D)Spend time in the clinical area with seasoned nurses.
Q2) The nurse manager determines that a staff nurse demonstrates compassion when providing client care.What did the manager observe to come to this conclusion?
A)A nurse who has expert technical skills and has the most experience with critical care
B)A nurse who routinely gives back rubs to clients before they go to sleep
C)A nurse who has written procedures and policies in language that is both professional and realistic
D)A nurse who takes time to understand the spiritual needs of clients
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Chapter 26: Communicating
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Sample Questions
Q1) The nurse is identifying communication strategies for a client unable to speak.What would be appropriate for the client in this situation?
A)Using a picture board to facilitate communication
B)Facing the client when speaking
C)Employing an interpreter
D)Making sure that the language spoken is the client's dominant language
Q2) A nurse is working on a telemetry unit when one of the clients has a cardiac arrest.The client's spouse is in the room when the code team arrives.Which statement by the nurse to the spouse is the best in this situation?
A)"I know you're worried about your loved one.I'm sure this is a difficult situation for you.Do you have any questions right now?"
B)"Your spouse's heart stopped.All these people are here to help get it started."
C)"Your spouse's physician will be here shortly and explain all of the medication and treatment that your spouse is receiving right now."
D)"Is there someone you would like to call? I'm sure this is a scary situation and you may feel more comfortable if someone were with you during this time."
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Chapter 27: Teaching
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Sample Questions
Q1) A client tells the nurse that he has no s about his illness,as he did a search for information on the Internet.What should the nurse do?
A)Ask the client to share the information obtained from the Internet search.
B)Document that the client has received instruction.
C)Tell the client that the Internet is a form of entertainment,not instruction.
D)Document that the client refused instruction.
Q2) A community health nurse runs a clinic that provides health screening to mainly Mexican American and Native American clients.The nurse wants to have a class on smoking cessation for interested adults of this group.In order to adjust to their time orientation,what is the best action of the nurse?
A)Make sure that the classes are held at specific times.
B)Begin classes when a group of clients are gathered.
C)Mail letters ahead of time to make sure clients are informed about the upcoming class.
D)Make posters and place them in areas of the community frequented by these groups.
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Chapter 28: Leading, Managing, and Delegating
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Sample Questions
Q1) The nursing staff is informed that the current system of record keeping is going to be changed to make it more efficient.In which stage of change is the nursing staff?
A)Refreezing
B)Unfreezing
C)Moving
D)Drift
Q2) During a particularly heated staff meeting regarding staff assignments,the nurse manager makes this comment: "When you all can come to a decision,let me know and we'll move on from there." This leader is best identified as which of the following?
A)Democratic leader
B)Permissive leader
C)Bureaucratic leader
D)Situational leader
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Chapter 29: Vital Signs
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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?
(Select all that apply)
A)Rate
B)Rhythm
C)Volume
D)Tone
E)Viscosity
Q2) As the RN is suctioning a client,the pulse oximetry reading drops to 83%.What should the nurse do?
A)Allow the client to take some extra deep breaths.
B)Continue to suction but only intermittently.
C)Keep the catheter in place and wait a few minutes.
D)Stop suctioning and give supplemental oxygen.
Q3) When assessing a client's oxygen saturation reading,the nurse realizes that what will affect this reading?
A)Activity
B)Environmental conditions
C)Nutrition
D)Skin color
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Chapter 30: Health Assessment Preview As Pdf
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29 Flashcards
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Sample Questions
Q1) While performing an assessment of the integument system,the nurse notes the client's eyeballs are protruding and the upper eyelids are elevated.What term should the nurse use to document this finding?
A)Erythema
B)Cyanosis
C)Exophthalmos
D)Normocephalic
Q2) While performing a health assessment,in which position should the nurse place the client for inspection of the jugular veins?
A)90-degree angle
B)30- to 45-degree angle
C)15-degree angle
D)60-degree angle
Q3) The nurse is preparing to administer a cardiotonic drug to a client.Which assessment should the nurse perform before administering the medication?
A)Respiratory rate
B)Apical pulse
C)Popliteal pulse
D)Capillary blanch test
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Chapter 31: Asepsis
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Sample Questions
Q1) The nurse is removing personal protective equipment.Which nursing action demonstrates the appropriate technique for removing a mask?
A)Bend the strip at the top of the mask.
B)Loop the ties over the ears.
C)Tie the strings in a bow.
D)Touch the mask by the strings only.
Q2) A client diagnosed with an infectious disease asks the nurse how the infection "got inside" her body.Which responses would be appropriate for the nurse to make?
(Select all that apply)
A)"It depends on the number of organisms present to cause a disease."
B)"It depends on how aggressive the organisms are to cause a disease."
C)"It depends upon how the organisms get inside the body to cause a disease."
D)"It depends upon where the person is at the time the disease is present."
E)"It depends upon where the person works."
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Chapter 32: Safety
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Sample Questions
Q1) An older client is observed having difficulty moving from a sitting to standing position,and has an unsteady gait.What should the nurse assess in this client to promote home safety?
(Select all that apply)
A)Presence of grab bars in the bathroom
B)Absence of scatter rugs on the floors
C)Correct use of cane to ambulate
D)Ability to stand in place for a minute before ambulating
E)Alcohol use with prescribed medications
Q2) The nurse is caring for a client who is confused and wanders.Which alternative to a restraint can the nurse use for this client?
A)Assign this client to the farthest room from the nurses' station.
B)Place a rocking chair in the client's room.
C)Pull up all of the side rails on the bed.
D)Wedge pillows against the side rails on the bed.
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34
Chapter 33: Hygiene
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Sample Questions
Q1) A connection on a client's intravenous solution was dislodged and solution saturated the client's gown and bed linens.The nurse will provide which type of hygienic care to the client?
A)Hour-of-sleep care
B)As-needed care
C)Early morning care
D)Morning care
Q2) A client with a skin rash is prescribed a bath in which medication is added to the bath water.The nurse should plan for the client to receive which type of bath?
A)Shower
B)Tub
C)Partial
D)Complete
Q3) The nurse is reviewing assigned clients for morning care needs.Which situation could pose a threat to one client's personal hygiene?
A)A client has a newly formed ileostomy.
B)A client performs meticulous foot care.
C)A German client refuses to bathe everyday.
D)The room temperature is set at 72°F.
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Chapter 34: Diagnostic Testing
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Sample Questions
Q1) A client is having a timed urine collection done.The unlicensed assistive personnel does not save one specimen.What should the nurse do?
A)Continue with the test,and document that one specimen is missing.
B)End the test immediately,and send what is collected to the laboratory.
C)Document that the test cannot be completed.
D)Start the test over.
Q2) A client is scheduled for a nuclear imaging test.What should the nurse instruct the client about this test?
A)It is the use of a magnetic field to produce an image of a body part or organ.
B)A radioisotope will be injected to determine organ functioning as being either hot or cold.
C)It produces a three-dimensional image of an organ.
D)It is more sensitive than an x-ray image.
Q3) A client is scheduled for a barium enema.What is the nursing priority for this client?
A)Assess bowel sounds.
B)Assess for allergies.
C)Cleanse the bowel.
D)Keep the client NPO.
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Chapter 35: Medications
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Sample Questions
Q1) A client is diagnosed with liver disease.The nurse realizes that which element of pharmacokinetics will be affected in this client?
A)Absorption
B)Distribution
C)Biotransformation
D)Excretion
Q2) While preparing to administer an eye ointment,the nurse inadvertently squeezes the tube,discarding the first bead of medication.What action should the nurse take at this point?
A)Administer the eye ointment as ordered,as the first bead of ointment should be discarded anyway.
B)Notify the pharmacy and request a new,unopened tube of ointment.
C)Have a second licensed nurse witness the waste and sign the chart.
D)Continue to squeeze the tube until a clear line of ointment has been discarded from the tip.
Q3) The client has required 2 sublingual nitroglycerine tablets that are gr 1/150 per tablet.How many mg of nitroglycerine did the client receive?
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Chapter 36: Skin Integrity and Wound Care
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Sample Questions
Q1) A client has sustained multiple contusions from a motor vehicle accident.What should the nurse do to prepare for this client's care?
A)Obtain ice packs to apply to the wounds.
B)Request gauze to pack the wounds.
C)Organize suture material to close the wounds.
D)Notify the surgical staff that a surgical client will soon be arriving.
Q2) The client has a documented stage III pressure ulcer on the right hip.What NANDA nursing diagnosis problem statement is most appropriate for use with this client?
A)Altered Tissue Perfusion
B)Impaired Skin Integrity
C)Impaired Tissue Integrity
D)Risk for Injury
Q3) 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
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Chapter 37: Perioperative Nursing
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Sample Questions
Q1) A client is anxious about receiving general anesthesia for a surgical procedure.What should the nurse explain are the advantages of having this type of anesthesia?
(Select all that apply)
A)The client remains conscious.
B)Respiratory rate can be regulated easily.
C)It is used for minor surgical procedures.
D)The anesthesia can be adjusted to the length of the operation.
E)It focuses on a single nerve or nerve group.
Q2) The nurse has removed the sutures from a client's surgical wound.What should the nurse document about this procedure?
(Select all that apply)
A)Number of sutures removed
B)Appearance of the incision
C)Client teaching
D)Client tolerance of the procedure
E)Name of the surgeon.
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Chapter 38: Sensory Perception
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Sample Questions
Q1) The nurse is concerned that a hospitalized client is experiencing sensory overload.What did the nurse assess to come to this conclusion?
(Select all that apply)
A)Sleeplessness
B)Anxiety
C)Apathy
D)Racing thoughts
E)Somatic complaints
Q2) The nurse suspects a client will develop sensory overload.What characteristics did the nurse observe in the client?
(Select all that apply)
A)Ongoing pain
B)Confusion at night
C)Inability to sleep
D)Easily angered
E)Worrying about upcoming diagnostic tests
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Chapter 39: Self-Concept
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Sample Questions
Q1) The adolescent male client who weighs 100 is considering taking "some herbal stuff" to increase muscle mass and strength.The nurse should interpret this statement as an indication that this client has
A)a strong need for admiration.
B)serious problems with logical thinking.
C)incongruence between reality and ideal self.
D)the need for referral to a psychologist.
Q2) A client tells the nurse that her spouse expects the client to maintain the home and children as well as have a job to help with household expenses.The client is demonstrating fatigue and inadequacy.The nurse identifies which nursing diagnosis as appropriate for the client at this time?
A)Chronic Low Self-Esteem
B)Ineffective Role Performance
C)Disturbed Body Image
D)Parental Role Conflict
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Chapter 40: Sexuality
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Sample Questions
Q1) While the nurse is measuring blood pressure,the client lifts his hand and fondles the nurse's breast.What should the nurse do about this behavior?
(Select all that apply)
A)Ignore the fondling.
B)Move the client's hand away.
C)Refocus the client on appropriate behavior.
D)Tell the client to stop performing the behavior.
E)Communicate that the behavior is not acceptable.
Q2) The female client has experienced recurrent candidiasis with intense vaginal itching and excoriation.After treatment the client is reexamined,and the nurse practitioner finds presence of a white,cheesy discharge.What recommendation is necessary?
A)Referral to a surgeon for excision of infected tissue
B)Examination and treatment of sexual partner
C)Treatment with a stronger oral antibiotic
D)Routine douches with a topical antibiotic solution
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Chapter 41: Spirituality
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Sample Questions
Q1) During the morning bath,the client asks if the nurse is religious and believes in God.What would be most helpful for the nurse to consider in formulating a response to this ?
A)The nurse's personal life is none of the client's business.
B)Religion and politics are two subjects not discussed in polite interactions.
C)Will sharing this information positively contribute to the relationship?
D)What is the culture of the facility regarding self-disclosure?
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) The client tells the nurse that she does not wish to see her mother-in-law during this hospitalization because she does not like her.When the client's husband and her mother-in-law visit,the client is very cordial and acts happy to see both visitors.The nurse recognizes that this client may be using which defense mechanism?
A)Reaction formation
B)Rationalization
C)Regression
D)Reparation
Q2) A client diagnosed with a chronic illness tells the nurse that the spouse is not helping the client with household activities,which is causing stress.Which diagnosis should the nurse identify as being appropriate for the client at this time?
A)Defensive Coping
B)Disabled Family Coping
C)Compromised Family Coping
D)Ineffective Coping
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Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) An older client has just relocated from home to an assisted living facility.The nurse is concerned because the client has been withdrawn and is crying periodically throughout the day.What type of loss is this client demonstrating?
A)External objects
B)Familiar environment
C)Loved ones
D)Psychological
Q2) The nurse is concerned that a client is experiencing complicated grieving after the unexpected death of a son.The nurse most likely assessed (Select all that apply)
A)the client's denying the son's death.
B)depression.
C)sudden weight loss because of not eating.
D)crying.
E)verbalizing the desire to not live anymore.
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Chapter 44: Activity and Exercise
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Sample Questions
Q1) The client who is unconscious is developing foot drop.What nursing action is indicated?
A)Place high-topped shoes on the client while in bed.
B)Keep the linens on the end of the bed turned back to expose the feet.
C)Use only the prone and Sims positions for client positioning.
D)Use a device to elevate the linens off the feet.
Q2) When planning care,the nurse should identify which client as needing logrolling for position changes?
A)A client with documented pneumonia
B)The client who has had abdominal surgery
C)The client who fell from a house,sustaining a fractured tibia
D)A client who has a severe headache from hypertensive crisis
Q3) The nurse is caring for a client diagnosed with early osteoporosis.Which intervention is most applicable for this client?
A)Institute an exercise plan that includes weight-bearing activities.
B)Increase the amount of calcium in the client's diet.
C)Protect the client's bones with strict bed rest.
D)Provide the client with assisted range-of-motion exercising twice daily.
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Chapter 45: Sleep
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Sample Questions
Q1) A hospitalized client is being woken up every hour during the night for care and procedures.The nurse realizes that the lack of NREM sleep can have which physiological effect?
A)Decrease urine output
B)Increase thirst
C)Increase susceptibility to infection
D)Decrease heart rate
Q2) The nurse is planning interventions for a client who has difficulty falling asleep.Which intervention regarding sleep times would be most helpful?
A)Maintain a regular bedtime and wake-up time for all days of the week.
B)If bedtime is delayed on one night,go to bed that much earlier the next night.
C)If daytime drowsiness occurs,go to bed earlier that night.
D)Sleep at least 1 hour later on mornings you don't have to go to work.
Q3) The hospitalized client requests a bedtime snack.Which food should the nurse offer this client?
A)Hot chocolate
B)Tea and crackers
C)Cereal with milk
D)Chips and salsa
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Page 47
Chapter 46: Pain Management
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Sample Questions
Q1) The nurse is preparing a client for a back massage.Which positions would be the best for the client to receive this massage?
(Select all that apply)
A)Supine
B)Fowler's
C)Trendelenburg
D)Prone
E)Side-lying
Q2) 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
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Chapter 47: Nutrition
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Sample Questions
Q1) The nurse has advised the client to consume alcohol only in moderation.What guideline should the nurse provide as a "moderate" alcohol intake?
A)Two drinks per week for women,three for men
B)Two drinks per day for women,three for men
C)One drink per day for women,two for men
D)One drink per week for women,two for men
Q2) The nurse completes triceps skinfold measurement on a client.In order to obtain the most meaningful data,how soon should the nurse repeat this measurement?
A)2 days
B)10 days to 2 weeks
C)1 month
D)1 year
Q3) Nitrogen balance testing is planned for a client.What instruction to the staff caring for this client is essential?
A)Remove the client's oxygen cannula 10 minutes prior to the test.
B)Accurate measurement of food intake is very important.
C)All urine output should be collected for 48 hours.
D)Keep the client NPO beginning at midnight before the test.
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Chapter 48: Urinary Elimination
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Sample Questions
Q1) The nurse is identifying outcomes for a client with the nursing diagnosis Stress Urinary Incontinence.Which outcome would be related to sphincter incompetence?
A)The client will empty her bladder every time she voids.
B)The client will improve her incontinence within 1 month.
C)The client will perform four to five squeezes for 5 to 10 seconds.
D)The client will stop the flow of urine when voiding.
Q2) The nurse is performing urinary catheterization for a client.After using the nondominant hand to separate the client's labia for cleansing,the nurse will maintain this hand as being
A)sterile.
B)contaminated.
C)able to evaluate the effectiveness of the catheter balloon.
D)clean.
Q3) The nurse is assessing a client's urinary elimination.Which factor should the nurse keep in mind as influencing this elimination?
A)Age
B)Body image
C)Knowledge
D)Socioeconomic status
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Page 50
Chapter 49: Fecal Elimination
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Sample Questions
Q1) The nurse is caring for the stoma of a client who has a colostomy.Which action is the most appropriate?
A)Apply pressure over the stoma.
B)Clean the stoma and pat dry.
C)Dilate the stoma.
D)Scrub the stoma.
Q2) The nurse is preparing to assess a client's fecal elimination status.Which activity will the nurse complete during this assessment?
A)Obtain a nursing history.
B)Interpret results of diagnostic tests.
C)Perform a physical examination.
D)Set goals with the client.
Q3) The nurse is caring for a client who experiences frequent bouts of diarrhea.What should the nurse instruct the client to do?
A)Change the daily routine.
B)Decrease fluid consumption.
C)Increase fiber in the diet.
D)Note the precipitating event.
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Chapter 50: Oxygenation
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Sample Questions
Q1) A client has a medical condition that often results in the development of metabolic acidosis.The nurse should observe this client for the development of which breathing pattern as a result of this condition?
A)Cheyne-Stokes
B)Biot's
C)Cluster
D)Kussmaul's
Q2) A client with a nasotracheal tube in place has been restless and pulling at the tube.How should the nurse assess if the tube is still in place?
A)Count the client's respirations.
B)Assess the depth of the client's respirations.
C)Auscultate for bilateral breath sounds.
D)Deflate the cuff and listen for minimal leak.
Q3) The nurse is planning a time schedule for a client's twice-daily postural drainage.Which time schedule would be best?
A)0800 and 1100
B)1200 and 1800
C)0700 and 2000
D)0900 and 2100
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Page 52
Chapter 51: Circulation
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Sample Questions
Q1) The nurse notes a widely bizarre pattern on the client's cardiac monitor.What is the nurse's priority action?
A)Call a code blue.
B)Check the client's pulse.
C)Immediately defibrillate the client.
D)Check the rhythm in a different lead.
Q2) The client has a history of recurrent transient ischemic attack (TIA).Based upon this history the nurse should be most concerned about the client's potential to develop A)renal failure.
B)gangrene.
C)myocardial infarction.
D)stroke.
Q3) A client has a heart rate of 170 beats per minute.For what will the nurse assess next in this client?
A)Increased cardiac output
B)Increased preload
C)Decreased afterload
D)Decreased cardiac output
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53
Chapter 52: Fluid, Electrolyte, and Acidbase Balance
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Sample Questions
Q1) A client has had a subclavian central venous catheter inserted.What should the nurse assess as a priority for this client's care?
A)Presence of bibasilar crackles
B)Tachycardia
C)Decreased pedal pulses
D)Headache
Q2) The mother of a 1-month-old infant is concerned because the infant has had vomiting and diarrhea for 2 days.What instruction should the nurse give this infant's mother?
A)Have the infant be seen by a physician
B)Give the infant at least 2 ounces of juice every 2 hours.
C)Measure the infant's urine output for 24 hours.
D)Provide the infant with 50 mL of glucose water.
Q3) The nurse suspects that a client's body is attempting to correct an acid-base imbalance.How will this imbalance be corrected?
A)Slow but efficient respiratory regulation will occur.
B)Primary regulation is through GI system losses.
C)Kidney regulation is powerfully effective.
D)The cardiovascular system is the major buffer.
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Page 54