Nursing Skills Lab Exam Bank
Course Introduction
The Nursing Skills Lab course provides students with hands-on experience in fundamental nursing procedures within a simulated clinical environment. This course emphasizes the development and refinement of essential nursing skills such as vital sign assessment, wound care, medication administration, infection control practices, and effective communication techniques. Through the use of simulation mannequins, medical equipment, and role-playing scenarios, students gain confidence and competency in delivering safe and patient-centered nursing care. The course prepares students to transition smoothly into real-world clinical settings by fostering critical thinking, accuracy, and professionalism.
Recommended Textbook
Essentials for Nursing Practice 8th Edition by Potter
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39 Chapters
1000 Verified Questions
1000 Flashcards
Source URL: https://quizplus.com/study-set/424
Page 2
Chapter 1: The Nursing Profession
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7466
Sample Questions
Q1) A registered nurse is required to participate in a simulation to learn how to triage patients who are arriving to the hospital after exposure to an unknown gas.This is an example of a response to what type of influence on nursing?
A) Workplace hazards
B) Nursing shortage
C) Professionalism
D) Emergency preparedness
Answer: D
Q2) A nurse is teaching the staff about Quality and Safety Education in Nursing,which identified six competencies for nursing.Which information should the nurse include in the teaching session? (Select all that apply.)
A) Informatics
B) Safety
C) Health policies
D) Informatics
E) Quality improvement
Answer: A,B,D,E
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Chapter 2: Health and Wellness
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/7467
Sample Questions
Q1) Which model exemplifies a patient who states the following,"I am responsible for my own health and well-being and I will partner with you (my nurse)to make sure I am ready to be discharged after surgery"?
A) Basic Human Needs Model
B) Absence of Disease Model
C) Holistic Health Model
D) Healthy People 2020 Model
Answer: C
Q2) A nurse is caring for a patient who smokes two packs a day.The nurse knows that the patient is in the contemplation stage regarding smoking cessation.What is the nurse's best response to help the patient move into the preparation stage?
A) "You need to stop smoking as soon as possible."
B) "Smoking will kill you if you don't stop."
C) "The negative effects of smoking can be reversed."
D) "Tobacco use killed 435,000 people in 2000."
Answer: C
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4
Chapter 3: The Health Care Delivery System
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/7468
Sample Questions
Q1) A retired high school teacher has been admitted to the hospital with complications of diabetes.To ensure the patient is discharged home with the right care,at the right time,and without duplication,which health care reform system was developed?
A) The Joint Commission
B) National Priorities Partnership
C) Accountable Care Organization
D) Managed Care
Answer: C
Q2) A college student with severe depression was recently admitted to the psychiatric ward of a local hospital.The family is concerned about the student finishing the college term.Which is the best information for the nurse to give regarding how long psychiatric patients are typically hospitalized?
A) A relatively short inpatient stay is followed by outpatient treatment.
B) A long inpatient hospitalization is normal for the majority of patients.
C) Patients with emotional or behavioral problems generally are not hospitalized.
D) Most are automatically placed in a long-term care facility.
Answer: A
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5
Chapter 4: Community-Based Nursing Practice
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7469
Sample Questions
Q1) A nurse is performing a community assessment.Which areas should the nurse include? (Select all that apply.)
A) Structure
B) Population
C) Social systems
D) Environment
E) Vital signs
Q2) A community health nurse is caring for vulnerable populations.The nurse is caring for which patients? (Select all that apply.)
A) Patients living at home
B) Patients with abusive habits
C) Immigration patients
D) Middle-aged patients
E) Patients living in poverty
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Page 6
Chapter 5: Legal Principles in Nursing
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/7470
Sample Questions
Q1) A patient died from suspicious circumstances.What should the nurse do next?
A) Notify the coroner.
B) Notify the newspaper.
C) Chart what the nurse thinks happened.
D) Chart opinions from the health care staff.
Q2) A nurse wants to follow the American Nurses Association's Social Media Policy (2011).Which actions should the nurse take? (Select all that apply.)
A) Never name or describe a patient.
B) Never have a blog.
C) Never post an image of the patient.
D) Never disparage a fellow employee.
E) Never report breaches of privacy.
Q3) A patient is confused and is attempting to get out of the hospital bed.The nurse is tired after working for more than 10 hours and is concerned for the patient's safety.What is the best action that the nurse should take to prevent the patient from harm?
A) Restrain the patient with wrist restraints.
B) Place the patient with a belt restraint in a chair.
C) Sedate the patient with medication.
D) Ask a family member to sit with the patient.
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Page 7
Chapter 6: Ethics
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/7471
Sample Questions
Q1) A nurse is teaching the staff about the International Council of Nurses Code of Ethics.Which major element of the Code should the nurse include in the teaching session?
A) People
B) Pride
C) Power
D) Problems
Q2) A registered nurse who works on an oncology unit discussed pain control options that the primary health care provider had ordered with a patient undergoing treatment for pancreatic cancer.The patient requested that the intravenous (IV)pain medication be given on a regular basis.The nurse agreed to provide the IV pain medication as requested and continued to reevaluate the pain levels.The nurse is following which ethical principle?
A) Autonomy
B) Justice
C) Fidelity
D) Nonmaleficence
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Chapter 7: Evidence-Based Practice
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/7472
Sample Questions
Q1) A registered nurse is concerned about the patients' perceptions and feelings about the quality of life that they experience after a diagnosis of liver cancer.Which is the most appropriate type of research study the nurse should use to gather information about this situation?
A) Quantitative study
B) Randomized trial
C) Qualitative study
D) Case controlled study
Q2) The nursing unit staff has used evidence-based practice to implement a practice change.What is the next step in the process the nursing staff should implement?
A) Review literature.
B) Engage companies.
C) Measure outcomes.
D) Ask a clinical question.
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Chapter 8: Critical Thinking
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/7473
Sample Questions
Q1) A nurse is teaching the staff about the major elements in the critical thinking model.Which information should the nurse include in the teaching session? (Select all that apply.)
A) Intricate
B) Attitudes
C) Standards
D) Experience
E) Competence
Q2) A registered nurse is caring for a patient in the trauma unit who had been involved in a motor vehicle accident.Although the patient denied pain,during the nurse's assessment,the nurse observed that the patient groaned when moving and was protective of the right arm.The nurse believed the patient had pain and reported it to the primary health care provider,who ordered a radiograph (x-ray)of the right arm.The radiograph revealed a fractured arm.Which technique did the nurse use?
A) Intuition
B) Critical thinking
C) Perseverance
D) Reflection
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10
Chapter 9: Nursing Process
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/7474
Sample Questions
Q1) A home health nurse is providing care to a patient.Which action by the nurse is a physical care technique?
A) Dressing a patient
B) Assisting a patient to learn how to shop
C) Performing range-of-motion exercises
D) Administering cardiopulmonary resuscitation
Q2) A mother of five children is admitted to the hospital for abdominal pain.The nurse asks a series of questions before performing a physical assessment.The patient answers the questions.When asking the patient some other questions,the patient's spouse starts to answer.As the admission process progresses and the nurse gathers subjective data,the nurse requests that the patient answer the next questions.What is the rationale for the nurse's behavior?
A) The patient is exhibiting confusion.
B) The spouse is being obnoxious.
C) The patient is the best source of information.
D) The spouse is too controlling.
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Chapter 10: Informatics and Documentation
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/7475
Sample Questions
Q1) Which information by a nurse indicates more teaching is needed about The Joint Commission's requirements for writing plans of care?
A) A care plan must be developed for patients in a clinic.
B) A care plan must be developed for patients in an acute care hospital.
C) A care plan must be developed for patients in a rehabilitation agency.
D) A care plan must be developed for patients in an extended care facility.
Q2) A new registered nurse is working on a pediatric unit in a large teaching hospital that uses focus charting with the acronym DAR.What will the nurse be charting?
A) Data, assessment, reaction
B) Data, assessment, recommendation
C) Data, actions, response
D) Data, actions, recovery
Q3) A patient states that he or she is experiencing pain in the lower back.What is the best way for the nurse to document this subjective information?
A) "Seems back is hurting."
B) "States 'My lower back hurts.'"
C) "Grimaces when moving; I believe patient has lower back pain."
D) "Appears to be uncomfortable with lower back pain."
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Chapter 11: Communication
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/7476
Sample Questions
Q1) A patient is being cared for by a nurse.The patient has questions regarding what time the surgery is scheduled.When the nurse responds to the question,the nurse is assuming which communication role?
A) Channel
B) Receiver
C) Message
D) Sender
Q2) A patient has just been admitted to the hospital with a broken hip from a fall in the home.The nurse admitting the patient is practicing active listening.Which behavior best conveys to the patient that the nurse is using active listening?
A) Keeping arms crossed
B) Sitting facing the patient
C) Standing facing the patient
D) Leaning away from the patient
Q3) Which technique by the nurse will facilitate communication with an older adult?
A) Have the TV play lightly in the background.
B) Ask several questions in a row.
C) Allow reminiscing.
D) Use long sentences.
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Page 13
Chapter 12: Patient Education
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/7477
Sample Questions
Q1) A patient who is a migrant farm worker did not graduate from high school and speaks English as a second language.The nurse will be providing discharge teaching after a hysterectomy.The nurse is concerned about the patient's ability to understand the discharge instructions.Which of the following should be of most concern in this situation?
A) Motivation
B) Developmental stage
C) Health literacy
D) Psychomotor learning
Q2) An 8-year-old boy has been diagnosed with diabetes.A nurse is teaching his mother how to plan meals that are appropriate for him.The nurse asks the mother to put together a 24-hour meal plan for her son and then reviews the plan with her.What type of teaching method did the nurse use?
A) Simulation
B) Role-play
C) Analogy
D) Demonstration
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Chapter 13: Managing Patient Care
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/7478
Sample Questions
Q1) A registered nurse works as a case manager in the local hospital.What primary role will the nurse be fulfilling?
A) Coordinating care for patients with a specific condition
B) Only working with primary health care providers
C) Directing care of all patients in the hospital setting
D) Providing direct care to specific patients
Q2) A staff nurse is caring for six patients and is working with nursing assistive personnel.Which task can the nurse safely delegate to the nursing assistive personnel?
A) Patient assessment
B) Patient discharge teaching
C) Patient bed bath
D) Patient medication administration
Q3) A nurse must give feedback to a nursing assistant that did not take vital signs.How should the nurse give feedback?
A) "How can I trust you when things don't get done like I asked?"
B) "You are a bad assistant because you didn't do your tasks."
C) "The vital signs were not taken. What happened?"
D) "Where did you learn to take vital signs?"
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Chapter 14: Infection Prevention and Control
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/7479
Sample Questions
Q1) The infection control nurse is presenting an in-service presentation on infection prevention and control.A participating nurse identifies what patient as most susceptible to acquiring an infection?
A) An 81-year-old patient with a fractured hip
B) A 10-month-old patient with a first-degree burned hand
C) A 40-year-old patient with a recent uncomplicated laparoscopic cholecystectomy
D) A 16-year-old athlete with a repair of the medial collateral ligament
Q2) The nurse and is very concerned about infection control in the Surgery Department.Recently she provided education to the surgery staff on ways to eliminate transient hand flora.The most precise description for this is hand: A) hygiene.
B) washing.
C) antisepsis.
D) rub.
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Chapter 15: Vital Signs
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/7480
Sample Questions
Q1) While being tested for orthostatic hypotension,the patient stands up and begins to feel light-headed and feels faint.The nurse should do which of the following? (Select all that apply.)
A) Have the patient lie down.
B) Report findings to the health care provider.
C) Have the nursing assistive personnel (NAP) check orthostatic blood pressure.
D) Instruct the patient not to get out of bed without assistance.
E) Take the BP in each arm and use the arm with the lowest systolic reading.
Q2) The movement of oxygen and carbon dioxide between the alveoli and the red blood cells is known as:
A) diffusion.
B) perfusion.
C) respiration.
D) eupnea.
Q3) Medications that reduce fever by interfering with the hypothalamic response include:
A) salicylates.
B) acetaminophen.
C) ibuprofen.
D) corticosteroids.
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Chapter 16: Health Assessment and Physical Examination
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/7481
Sample Questions
Q1) The nurse is assessing an older adult who has smoked for the past 47 years and has been diagnosed with chronic obstructive pulmonary disease.Which of the following would the nurse expect to see upon physical examination of the patient?
A) Pallor and hardening of the nail bed
B) Jaundice in the nail bed
C) An angle greater than 160 degrees between the nail and nail bed
D) An angle less than 160 degrees between the nail and nail bed
Q2) A 47-year-old patient is being treated for hyperthyroidism.When she goes to the health care provider for a check-up,the nurse in the clinic expects to see which of the following physical symptoms?
A) Exophthalmos
B) Strabismus
C) Photophobia
D) Diplopia
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18
Chapter 17: Administering Medications
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/7482
Sample Questions
Q1) Factors that influence medication absorption are known as which of the following? (Select all that apply.)
A) Ability of a medication to dissolve
B) Blood flow
C) Body surface area
D) Water solubility of a medication
E) Lipid solubility of a medication
Q2) A patient has an order for a subcutaneous injection of insulin.The nurse will prepare to give this injection into which of the following tissues?
A) Into a large muscle
B) Into the connective tissue beneath the dermis
C) Into a vein using a pump
D) Between the epidermis and dermis
Q3) Which of the following are topical medications? (Select all that apply.)
A) Intradermal medications
B) Throat swabs and eye drops
C) Vaginal and rectal suppositories
D) Ear drops and bladder instillations
E) Nasal sprays
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Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/7483
Sample Questions
Q1) Two nursing students were having pizza one evening as they were studying.One student remarked that whenever she ate pizza,she was incredibly thirsty.The second student explained that this thirst was caused by:
A) colloid osmotic pressure.
B) osmoreceptors.
C) oncotic pressure.
D) hydrostatic pressure.
Q2) A patient has been admitted to the postsurgical nursing unit after surgery.The health care provider has ordered the patient to have an IV of 0.9% sodium chloride.The nurse who is caring for the patient recognizes this as what type of solution?
A) Hypotonic
B) Isotonic
C) Hypertonic
D) Hypnotic
Q3) A patient is diagnosed with renal insufficiency.The results of an ABG analysis indicate metabolic acidosis.In metabolic acidosis,the nurse would expect the pH to decrease to less than _____ and the bicarbonate level to decrease to less than _____.
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Page 20
Chapter 19: Caring in Nursing Practice
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/7484
Sample Questions
Q1) The relief of pain and suffering give a patient comfort,dignity,respect,and peace.To enhance the therapeutic environment,what should the nurse do?
A) Make the environment as noise free as possible.
B) Remove personal items so that the environment is as clinical as possible.
C) Focus on removing negative physical stimuli.
D) Make the environment a place to soothe mind, body, and spirit.
Q2) A female patient has just found a large lump in her breast.The health care provider needs to perform a breast biopsy.The nurse assists the patient into the proper position and offers support during the biopsy.What is the nurse doing?
A) Creating a healing environment
B) Fulfilling affiliation needs
C) Providing a sense of presence
D) Demonstrating an encouraging manner
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Chapter 20: Cultural Awareness
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7485
Sample Questions
Q1) The student nurse has been studying different cultures in relationship to nursing.She understands that transcultural nursing has been developed as a distinct discipline and can be defined as which of the following?
A) Understanding that cultural patterns are generated from predetermined criteria
B) Knowing that culturally congruent care is based on health care system values
C) Understanding cultural similarities and differences among groups of people
D) The realization that illness and disease are the same
Q2) A nurse is in the process of admitting an ethnically diverse patient.To plan culturally competent care,what must the nurse do? (Select all that apply.)
A) Assume that cultural processes are the same within a social group.
B) Conduct a systematic cultural assessment.
C) Communicate effectively.
D) Negotiate world view differences.
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22
Chapter 21: Spiritual Health
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/7486
Sample Questions
Q1) An elderly patient is dying,and begins talking to loved ones who have died before him.The nurse feels a sense of inner peace as his patient quietly dies.What is the best term for this feeling of peace?
A) Self-transcendence
B) Intrapersonal connectedness
C) Interpersonal connectedness
D) Transpersonal connectedness
Q2) Interventions a nurse can use to establish presence with a patient include which of the following? (Select all that apply.)
A) Giving attention
B) Answering questions
C) Listening
D) Administering medication
E) Speaking with the family
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23
Chapter 22: Growth and Development
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/7487
Sample Questions
Q1) A student nurse who works in a pediatric clinic is assisting with an assessment on a young child who is not yet walking.She knows that it is considered a delayed gross motor ability if the child does not walk by _____ months.
A) 16
B) 18
C) 20
D) 22
Q2) An 11-year-old boy is being seen at the clinic for his annual check-up.As part of anticipatory guidance,the nurse instructs the boy's father that accidents and injuries are major health problems affecting school-age children and that the number one cause of death is in this age group is which of the following?
A) Drowning
B) Motor vehicle accidents
C) Fire
D) Firearms
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Chapter 23: Self-Concept and Sexuality
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/7488
Sample Questions
Q1) The nurse is caring for an elderly patient who has a urinary catheter in place and is showing signs of altered self-concept.In dealing with this age group it is probably safe to assume which of the following?
A) Sexuality concerns are not an issue.
B) Sexual activity is probably harmful.
C) Sexually active seniors are always heterosexual.
D) Sexually active elderly adults have better overall health.
Q2) As a nurse caring for a patient with a colostomy that resulted from the treatment of a benign tumor of the bowel.The most appropriate classification of this self-concept component is which of the following?
A) Role performance stressor
B) Sexuality stressor
C) Identity stressor
D) Body image stressor
Q3) Reviewing sexuality changes associated with aging is important because:
A) very few older women experience any type of sexual problems.
B) in older men, the penis does not become firm as quickly.
C) ejaculation remains the same throughout life.
D) ejaculation is quicker with aging.
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Page 25
Chapter 24: Family Context in Nursing
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/7489
Sample Questions
Q1) The nurse is admitting a 45-year-old patient and asks about her family.The patient states that she lives with her daughter and son-in-law.The nurse knows that this is an example of which of the following family forms?
A) Nuclear
B) Extended
C) Blended
D) Alternate pattern relationship
Q2) A student nurse is working on a community health project with her peers.One of the concerns in her community is the rise in homelessness resulting from the economy.The student nurse understands that which of the following is true?
A) Almost all homeless families are made up of single-parent families.
B) Children in homeless families are usually in good health.
C) Families with children are the fastest growing segment of the homeless population.
D) Children in homeless families have no way to attend school so are illiterate.
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Chapter 25: Stress and Coping
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/7490
Sample Questions
Q1) The nurse is administering flu vaccines.One of the children who is scheduled to receive the vaccine is afraid of needles and is tearful,and his younger brother is trying to calm him down.The nurse knows that the tearful child has evaluated this event as challenging and therefore is experiencing psychological stress caused by which of the following?
A) Primary appraisal
B) Coping
C) Secondary appraisal
D) Dissociation
Q2) A patient telephones a crisis intervention hotline.The nurse assigned to this center assesses that the patient is experiencing a crisis.What is the most appropriate action for the nurse to take?
A) Take control of the situation and tell the patient what needs to be done.
B) Define the problem at hand and ensure that the patient is safe.
C) Ask the patient how he would like to handle the crisis and follow through.
D) Ask the patient to list all of his problems and prioritize which to deal with first.
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Chapter 26: Loss and Grief
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient of the Chinese community who is dying.The nurse needs to understand the Chinese community's beliefs regarding death,but it is most important to keep in mind which of the following?
A) Most survivors in Chinese society wail loudly to communicate their loss.
B) People in the Chinese culture believe that talking about death is healthy.
C) Chinese people are strong believers in reincarnation.
D) Regardless of cultural or religious beliefs, people respond to death in their own unique way.
Q2) The nurse is caring for a terminally ill patient.In order to provide optimal care,the nurse tries to anticipate patient needs.What does the nurse understand about this patient?
A) As patients approach death, they breathe more through their nose.
B) Eye blinking may increase as well as tear production.
C) Immobility and opioid medications can lead to diarrhea.
D) Anxiety in the dying may have a physical cause.
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Chapter 27: Exercise and Activity
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/7492
Sample Questions
Q1) The nurse working on an orthopedic unit has to assist many of the patients because of limited mobility.The nurse's goal is to maintain a position that most favors function,requires the least muscular work to maintain,and places the least strain on muscles,ligaments,and bones.What is the term that best describes this goal?
A) Body alignment
B) Posture
C) Center of gravity
D) Balance
Q2) A patient presents to the emergency department with a fractured leg that requires a full leg cast.The nurse needs to teach the patient to ambulate with crutches using which of the following?
A) Two-point gait
B) Three-point gait
C) Four-point gait
D) Tripod alternating position
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Chapter 28: Safety
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/7493
Sample Questions
Q1) A patient has just undergone an abdominal aortic aneurysm repair.The patient is pulling at the Foley catheter,nasogastric tube,central line,and abdominal dressing and a wrist restraint is applied after an order is received.Later,the patient reports tingling and numbness in the fingers and hand.Which actions should the nurse take? (Select all that apply.)
A) Remove the restraint immediately.
B) Remind the patient this will decrease with time.
C) Notify the health care provider.
D) Medicate the patient for pain.
E) Stay with the patient.
Q2) Of the following,who is most at risk for accidental poisoning?
A) Supervised 16-month-old toddler eating dry cereal in the highchair
B) Unsupervised 2-month-old infant left near a closed bottle of prescription medication
C) Unsupervised 4-year-old child playing dress-up with mother's makeup
D) Supervised 6-year-old child playing with watercolor paints
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Chapter 29: Hygiene
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/7494
Sample Questions
Q1) A 25-year-old patient was admitted to the surgical floor wearing contact lenses.Assistive personnel ask the nurse if contact lenses need special attention.The nurse informs the assistive personnel that non-extended-wear contacts left in the eyes for an extended period of time can cause which of the following?
A) Blindness
B) Corneal injury
C) Otitis externa
D) Otitis media
Q2) A 45-year-old woman with diabetes who has been hospitalized with diabetic ketoacidosis.Which of the following is most important for the nurse to assess during bath time?
A) Skin bruising
B) Condition of teeth
C) Sensation to the foot
D) Skin folds for dirt
Q3) Which of the following interventions will decrease the chance of dry skin?
A) Daily baths in a soaker tub for 30 minutes
B) Inadequate fluid and nutrition
C) Leave moisturizing soap on the body
D) Use of superfatted soap
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Chapter 30: Oxygenation
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A 36-year-old patient diagnosed with meningitis has a fever of 102.3° F.A family member verbalizes a concern that the patient is "breathing fast." Upon assessment,the nurse notes a respiratory rate of 20 breaths/min,pulse oximetry is 92% on 2L/O?,and lungs clear to auscultation.What is the best explanation for the rapid respiratory rate that the nurse can give the family member?
A) "He is most likely anxious because he is in the hospital."
B) "His fever has increased his metabolic rate and is causing him to breathe faster."
C) "He is hyperventilating because he needs more oxygen."
D) "He has an acid-base imbalance, which is causing him to hyperventilate."
Q2) The nursing student is formulating a nursing care plan for a patient with pneumonia.The care plan is directed toward meeting the potential oxygenation needs of the patient.Which of the following examples would be the best way for the nursing student to write an expected outcome for the care plan?
A) "The patient will have less pain."
B) "The patient will be able to breathe better."
C) "The patient's pulse oximetry reading will remain greater than 92%."
D) "The patient's interactions will be normal."
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Chapter 31: Sleep
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Sample Questions
Q1) Which of the following bedtime snack(s)helps to promote sleep in a patient?
A) Cereal and milk
B) A full meal
C) Chips and cola
D) Coffee and toast
Q2) A 2-year-old child in the pediatric unit resists going to sleep.To promote sleep,which is the best action for the nurse to take?
A) Eliminate a daytime nap.
B) Offer the child warm chocolate milk.
C) Maintain the child's home bedtime routine.
D) Allow the child to sleep longer in the morning.
Q3) A patient recently came to the clinic with complaints of having difficulty sleeping.After the primary health care provider assesses the patient the nurse instructs the patient and partner on how to keep a sleep-wake diary.Entries in the diary often include _____ of sleep-wake activities.
A) 24 hours
B) 72 hours
C) 1 to 2 weeks
D) 7 to 9 hours
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Chapter 32: Pain Management
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Q1) A smiling and cooperative patient complains of severe pain.Nurses caring for patients who report pain need to recognize and avoid common misconceptions and myths about pain.To properly care for patients in pain,nurses need to remember which of the following?
A) Chronic pain is psychological in nature.
B) Patients are the best authority of their pain experience.
C) Regular use of narcotic analgesics leads to drug addiction.
D) The amount of tissue damage is reflected in the severity of the pain perceived.
Q2) A registered nurse working for the emergency department sees a lot of patients who seek services because of pain.The nurse is aware that pain is which of the following?
A) Caused by a single physiological sensation
B) Caused by a specific stimulus
C) Subjective
D) Universally the same for everyone
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Chapter 33: Nutrition
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Sample Questions
Q1) The nurse needs to verify feeding tube placement using the gastrointestinal (GI)pH measurement test.The NG tube placement was confirmed via x-ray 6 hours ago.After several attempts,the nurse is unable to aspirate GI fluid from the tube.The tube is secure and the external marking of the tube are in the original place.The patient appears to be tolerating the tube feedings and is not experiencing any distress.What should the nurse do?
A) Contact the health care professional to order another x-ray for placement verification.
B) Instill 60 mL of air to check the placement with a stethoscope.
C) Increase the amount of water given to the patient to prevent GI distress.
D) Assume the tube is in the correct place.
Q2) A student nurse is completing a community health rotation.One of the clients is a pregnant teen.The student nurse has been teaching the client about infant nutrition.Which statement indicates to the student nurse that the client needs additional teaching?
A) "Breast milk is all my baby will need for the first 4 to 6 months."
B) "Breast milk should be the major source of nutrition for the first year."
C) "My baby won't need as many calories per kilogram as I will."
D) "Breastfeeding my baby will decrease the chances for food allergies."
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Chapter 34: Urinary Elimination
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Q1) A patient with a Foley catheter needs a urine sample for culture and sensitivity.What is the most appropriate action for the nurse to take?
A) Disconnect the drainage tube from the catheter.
B) Open the drainage bag and withdraw urine.
C) Withdraw urine from the closed system drainage bag.
D) Insert a sterile blunt cannula in the catheter port to withdraw urine.
Q2) An 80-year-old woman with a history of diabetes and arthritis has made an appointment with her health care provider for complaints of urinary incontinence (UI).The patient states that she has recently become incontinent of urine and thinks it is because of her age.What is the best response from the nurse?
A) "That is not normal. You must have a UTI."
B) "You need to decrease your fluid intake so you don't have to go to the bathroom as often."
C) "Are you having issues with walking to the bathroom or toileting?"
D) "As you get older the sensations that your bladder is full become hypersensitive and cause a person to go to the bathroom more frequently."
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Chapter 35: Bowel Elimination
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Q1) The health care provider orders a patient to have a fecal occult blood test.To obtain an accurate result,the nurse instructs the patient to do which of the following?
A) Submit one sample for analysis.
B) Take extra amounts of vitamin C supplements.
C) Stop taking aspirin 14 days prior to the beginning of the test.
D) Refrain from ingesting red meats for 3 days before testing.
Q2) A patient with colon cancer has recently undergone surgery to remove a portion of the colon.The patient asks how often the colostomy pouching system should be changed.What is the best response by the nurse?
A) Every 3 to 7 days
B) Every 10 to 14 days
C) When the pouch is one third to one half full of stool
D) Not until the system starts to leak or smell bad
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Chapter 36: Immobility
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Q1) A patient is recovering from an abdominal aortic bypass graft.To reduce the effects of orthostatic hypotension,what is the most appropriate action for the nurse to take?
A) Encourage moving positions slowly.
B) Perform isometric exercises.
C) Decrease the number of ankle pumps.
D) Participate in chest physiotherapy.
Q2) An elderly patient was admitted to the hospital after falling in the nursing home.The patient has a fractured right femur and is awaiting surgery.The surgeon orders bed rest.The patient asks the nurse what this means.What is the nurse's best explanation?
A) "You are to be immobile."
B) "You cannot move."
C) "You need restraints."
D) "You have to remain in bed."
Q3) Which patient is most at risk for developing a urinary tract infection?
A) Teenage comatose patient on a ventilator lying supine
B) Middle-age adult after abdominal surgery sitting in a chair
C) Elderly adult with Alzheimer disease who is wandering at night
D) Middle-age adult postcardiac catheterization being discharged home
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Chapter 37: Skin Integrity and Wound Care
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Q1) An older adult patient with diabetes recently moved into an assisted living apartment to have assistance with bathing and housework.During a bath,the assistive nursing personnel noticed that there was a large blister on the patient's right heel.The patient denies knowledge of having injured self.It was reported to the nurse who correctly documented it as what stage of a pressure ulcer?
A) Stage I
B) Stage II
C) Stage III
D) Stage IV
Q2) Assistive personnel ask the nurse the differences between wound healing by primary and secondary intention.The nurse's best response is that healing by primary intention occurs when the skin edges:
A) are approximated.
B) overlap each other.
C) appear slightly red and moist.
D) cannot come together.
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Chapter 38: Sensory Alterations
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Q1) The patient has a methicillin-resistant Staphylococcus aureus (MRSA)infection in an abdominal surgical wound.The patient is in a private room,is receiving vancomycin (Vancocin)for the MRSA,and pain is well controlled with a morphine sulfate patient-controlled analgesia (PCA)pump,and is receiving docusate sodium (Colace)to prevent constipation.During the nurse's rounds,the patient begins complaining of ringing in the ears.Which is the most likely cause for the patient's tinnitus?
A) Surgical anesthesia
B) Morphine sulfate
C) Vancomycin
D) Docusate sodium
Q2) A nurse is caring for a patient who signs and lip reads.When communicating,the most appropriate nursing action is to do which of the following?
A) Rely on family members to interpret.
B) Speak louder and more distinctly than normal.
C) Sit facing the patient when speaking.
D) Repeat the entire conversation if it is not understood the first time.
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Chapter 39: Surgical Patient
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Q1) The nurse is providing preoperative teaching for a patient regarding pain control after surgery.Which of the following statements is/are true regarding the use of postoperative analgesia? (Select all that apply.)
A) "Analgesics will not provide adequate relief if you wait until the pain becomes excruciating before using them."
B) "Pain control will help you recover from surgery quicker."
C) "You shouldn't be concerned about becoming addicted to your pain medications immediately after surgery."
D) "You will remain pain-free as long as you take your pain medications as prescribed."
E) "A PCA pump is commonly used to help patients control their pain."
F) "Take pain medication carefully as it will lengthen your recovery period."
Q2) The nurse working on a medical/surgical floor knows that pulmonary embolisms can be a deadly complication after surgery.Which of the following patients is most likely to develop a pulmonary embolism?
A) 45-year-old patient after bariatric surgery
B) 23-year-old patient with pneumonia
C) 13-year-old patient after appendectomy
D) 57-year-old patient after cholecystectomy
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