Nursing Theory and Practice Exam Bank
Course Introduction
Nursing Theory and Practice explores foundational and contemporary theories that guide the nursing profession, focusing on their application in clinical settings. Students will examine key nursing models, the role of critical thinking, and the integration of evidence-based practice to provide holistic, patient-centered care. Emphasis is placed on the development of professional identity, ethical decision-making, and communication skills necessary for quality care across diverse populations. Through lectures, case studies, and practical experiences, students will bridge the gap between theoretical concepts and real-world nursing practice.
Recommended Textbook
Fundamentals of Nursing 8th Edition by
Patricia A. Potter
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50 Chapters
1445 Verified Questions
1445 Flashcards
Source URL: https://quizplus.com/study-set/1297
Page 2
Chapter 1: Nursing Today
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25750
Sample Questions
Q1) The first practicing nurse epidemiologist was
A) Florence Nightingale.
B) Mildred Montag.
C) Clara Barton.
D) Mary Agnes Snively.
Answer: A
Q2) Nurses working in the Henry Street Settlement in 1893 were among the first nurses to demonstrate autonomy in practice.This was because those nurses
A) Had no ability to work in the hospital setting.
B) Were required to use critical thinking skills.
C) Focused solely on healing the very ill.
D) Planned their care around research findings.
Answer: B
Q3) The American Red Cross was founded by
A) Florence Nightingale.
B) Harriet Tubman.
C) Clara Barton.
D) Mary Mahoney.
Answer: C
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Page 3
Chapter 2: The Health Care Delivery System
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Government-instituted programs designed to control health care costs include
A) Professional standards review organizations (PSROs).
B) Prospective payment systems (PPSs).
C) Diagnosis-related groups (DRGs).
D) "Never events."
E) Third-party payers.
Answer: A,B,C
Q2) Care designed to prevent further progression of a disease is termed
A) Primary prevention.
B) Secondary prevention.
C) Tertiary prevention.
D) Health promotion.
Answer: C
Q3) The patient is to be discharged home from a tertiary care center later in the week; therefore,the nurse
A) Coordinates referral of patients to services provided by other disciplines.
B) Monitors the patient's progress through discharge.
C) Cares for patients after discharge.
D) Anticipates and identifies patient needs.
Answer: D
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Chapter 3: Community-Based Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The community health nurse is administering flu shots to children at a local playground.In doing so,the nurse's focus is on
A) Preventing individual illness.
B) Preventing community outbreak of illness.
C) Preventing outbreak of illness in the family.
D) The needs of the individual or family.
Answer: B
Q2) Vulnerable populations include those patients who are more likely to develop health problems as a result of
A) Pregnancy.
B) Nontraditional healing practices.
C) Excessive risk.
D) Unlimited access to health care.
Answer: C
Q3) A specialist in public health nursing requires
A) The same level of education as the community health nurse.
B) Preparation at the basic entry level.
C) An advanced degree regardless of public health experience.
D) A graduate level education with a focus in public health science.
Answer: D
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Chapter 4: Theoretical Foundations of Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The patient is terminally ill and is under hospice care.The nurse cares for the patient by bathing,shaving,and repositioning him.The family believes that the end is very near and would like a Catholic priest called to provide the patient with the Sacrament of the Sick.The nurse places a call to the Catholic Church the patient attended and arranges for the priest's visit.Under which of the following theories does the nurse's care fall?
A) Roy's adaptation theory
B) Watson's philosophy of transpersonal caring
C) Henderson's theory
D) Orem's self-care deficit theory
Q2) A system is made up of separate components.A closed system
A) Interacts with the environment.
B) Is exemplified by the human organism.
C) Does not interact with the environment.
D) Is exemplified by the nursing process.
Q3) The nursing process is
A) The generation of nursing knowledge for use in practice.
B) A systematic view of a phenomenon specific to inquiry.
C) A method used to inform a system about how it functions.
D) A systematic process for the delivery of nursing care.
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Page 6
Chapter 5: Evidence-Based Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse is developing a PICO question related to whether her patient's blood pressure is more accurate while measuring with the patient's legs crossed versus with the patient's feet flat on the floor.With P being the population of interest,I the intervention of interest,C the comparison of interest,and O the outcome,the nurse determines that this is
A) A true PICO question, because the outcome always comes before the intervention.
B) A true PICO question regardless of placement of elements.
C) Not a true PICO question, because the comparison comes after the intervention.
D) Not a true PICO question, because the outcome comes after the population.
Q2) The nurse is writing a research article on a patient care topic.The nurse realizes that the section that will get the reader to read the article because of the value of the topic for the reader is the
A) Abstract.
B) Introduction.
C) Literature review or background.
D) Results.
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Chapter 6: Health and Wellness
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath.She is placed on oxygen,has labs and blood gases drawn,and is given an electrocardiogram and breathing treatments.What level of preventive care is this patient receiving?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Q2) A 62-year-old male patient has had chronic obstructive pulmonary disease (COPD)for many years but has been unable to quit smoking.When approached by the nurse,he states that he would be "better off dead." He states that he has always supported his family,and now the doctor says he can no longer work because of his condition and oxygen dependency.His wife will now have to go to work,and he is sure that she will not make enough money to pay the bills.In preparing the patient for discharge,the nurse should
A) Develop a plan of care for the family.
B) Contact psychiatric services.
C) Assure the patient that things will work out.
D) Focus the plan of care on maximizing patient function.
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Page 8
Chapter 7: Caring in Nursing Practice
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is admitting a patient who will be having elective surgery.The nurse spends over an hour asking the patient questions as part of the admission process.What is the nurse's primary reason for doing this?
A) It is hospital protocol and part of the admission process.
B) The nurse is trying to make the patient more comfortable.
C) This will help the nurse provide better care for the patient.
D) The nurse needs the time to give a detailed description of what to expect.
Q2) In trying to determine patients' perception of caring,several studies have suggested that
A) The nurse's effectiveness in performing tasks defines her profession.
B) The affective dimension of nursing care is of primary importance.
C) All patients have the same needs and similar personalities.
D) Patients value both task performance and the affective dimension of nursing.
Q3) With respect to the concept of caring,most nursing theories
A) Embrace the disease orientation to health care as Watson does.
B) Recognize Leininger's theory and reject culture as a caring force.
C) Identify caring as highly relational involving patient and nurse.
D) Stress the universality of the expression of caring.
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9
Chapter 8: Caring for the Cancer Survivor
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient diagnosed with cancer.The family of the patient asks the nurse for information.What should the nurse do?
A) Refer family members to the physician because it is his/her role to prescribe.
B) Inform them that few options are available.
C) Tell them to take their family member to an NCI cancer center.
D) Offer information about the different resources available.
Q2) Nurses and other health care providers need to become more vigilant in recognizing cancer survivors and attempting to link them with the support and resources that they require because
A) All health care agencies provide survivorship care plans.
B) Survivorship care plans are reviewed with the patient after the patient goes home.
C) Many survivors are discharged with no survivor plan.
D) The plan does not deal with future cancer care.
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Chapter 9: Culture and Ethnicity
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is providing diabetic diet teaching to a Hispanic man and his wife.When the nurse is discussing foods that are acceptable,the wife continues to interrupt with statements like,"Oh,he doesn't eat that," or,"All he eats is rice and beans." What should the nurse do?
A) Ask the wife to leave so he/she can focus on teaching the patient.
B) Explain how "rice and beans" are not acceptable foods on a diabetic diet.
C) Provide a diet plan with only food alternatives selected by the patient.
D) Refer the patient and his wife to a dietitian familiar with Spanish food choices.
Q2) Care that includes the nurse learning about cultural issues involved in the patient's health care belief system and enable patients and families to achieve meaningful and supportive care is known as
A) Ethnocentrism.
B) Culturally competent care.
C) Cultural imposition.
D) Culturally congruent care.
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Chapter 10: Caring for Families
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is interviewing a patient who is being admitted to the hospital.The patient's family went home before the nurse's interview.The nurse asks the patient,"Who decides where to go on vacation?" In asking this,what is the nurse trying to do?
A) Assess the family structure.
B) Assess the family form.
C) Assess the family function.
D) Make a categorical generalization.
Q2) Although the family as a whole differs from individual members,the measure of family health is more than a summary of the health of all members.Of the following,what areas are unique to family assessment?
A) Family form
B) Family structure
C) Family function
D) Family health
E) Individual health
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12
Chapter 11: Developmental Theories
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When developing a plan of care concerning growth and development for a hospitalized adolescent,what should the nurse do?
A) Stick with one developmental theory for consistency.
B) Apply developmental theories when making observations of the individual's patterns of growth and development.
C) Compare the individual's assessment findings versus established normal findings.
D) Recognize his/her own moral developmental level.
E) Apply a unidimensional life span perspective.
Q2) The nursing instructor will need to provide further instruction to the student who states
A) "Intellectual development is affected by cognitive processes."
B) "Socioemotional processes can influence an individual's growth and development."
C) "Breast development is an example of a change resulting from biological processes."
D) "An individual's biological processes determine physical characteristics and do not affect growth and development."
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13
Chapter 12: Conception Through Adolescence
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) When communicating with a newly admitted teenaged patient,the nurse should
A) Avoid questioning the patient about cigarette use when she observes a cigarette lighter lying on the bedside table.
B) Complete the admission database as quickly as possible by asking yes and no questions.
C) Ignore the patient's withdrawn behavior.
D) Observe for congruency between the patient's facial expressions and verbal responses.
Q2) Immediate intervention is needed when the newborn exhibits A) A soft, protuberant abdomen.
B) Molding.
C) Lack of reflexes.
D) Cyanotic hands and feet.
Q3) The priority assessment immediately after birth is to A) Assess infant-parent interactions.
B) Promote parent-newborn physical contact.
C) Open the airway.
D) Assess gestational age.
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14
Chapter 13: Young and Middle Adults
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When choosing an appropriate topic for a young adult health fair,the nurse ranks which topic as least relevant?
A) Unplanned pregnancies
B) Menopause and climacteric factors
C) Smoking cessation
D) Alcohol and drug use
Q2) A nurse discusses the risks of repeated sun exposure with a young adult patient.Which of these patient responses would be most expected from this patient?
A) "I'll make an appointment with my doctor right away for a full skin check."
B) "I should consider participating in a health fair about safe sun practices."
C) "I have a mole that has been bothering me. I'll call my family doctor for an appointment to get it checked."
D) "I've had this mole my whole life. So what if it changed color? My skin is fine."
Q3) What do changing norms and values about family life in the United States reveal?
A) Basic shifts in attitudes in our society
B) Greater resistance to cohabitation without marriage
C) Decreased numbers of infants born to unmarried women
D) Greater support and acceptance from the health care system
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Page 15
Chapter 14: Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A 72-year-old woman was recently widowed.She worked as a teller at a bank for 40 years and has been retired for the past 5 years.She never learned how to drive.She lives in a rural area that does not have public transportation.Which of the following psychosocial changes does the nurse focus on as a priority?
A) Sexuality
B) Housing and environment
C) Retirement
D) Social isolation
Q2) An older adult patient has developed acute confusion.The patient has been on tranquilizers for the past week.The patient's vital signs are normal.What should the nurse do?
A) Take into account age-related changes in body systems that affect pharmacokinetic activity.
B) Increase the dose of tranquilizer if the cause of the confusion is an infection.
C) Note when the confusion occurs and medicate before that time.
D) Restrict telephone usage to prevent further confusion.
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Chapter 15: Critical Thinking in Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) While caring for a hospitalized older adult female post hip surgery,the new graduate nurse is faced with the task of inserting an indwelling urinary catheter,which involves rotating the hip into a contraindicated position.The nurse exhibits critical thinking to perform this task by
A) Following textbook procedure.
B) Notifying the physician of the need for a urologist consult.
C) Adapting the positioning technique to the situation.
D) Postponing catheter insertion until the next shift.
Q2) What is the first component of the critical thinking model for clinical decision making?
A) Experience
B) Nursing process
C) Attitude
D) A scientific knowledge base
Q3) Professional nurses are responsible for making clinical decisions to
A) Prove traditional methods of providing nursing care to patients.
B) Take immediate action when a patient's condition worsens.
C) Apply clear textbook solutions to patients' problems.
D) Formulate standardized care plans for groups of patients.
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Page 17
Chapter 16: Nursing Assessment
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is assessing a patient with a hearing deficit.Where is the best place to conduct this interview?
A) The patient's room with the door closed
B) The waiting area with the television turned off
C) The patient's room before administration of pain medication
D) The patient's room while the occupational therapist is working on leg exercises
Q2) Subjective data include
A) A patient's feelings, perceptions, and reported symptoms.
B) A description of the patient's behavior.
C) Observations of a patient's health status.
D) Measurements of a patient's health status.
Q3) A patient expresses fear of going home and being alone.Her vital signs are stable and her incision is nearly completely healed.The nurse can infer from the subjective data that
A) The patient can now perform the dressing changes herself.
B) The patient can begin retaking all her previous medications.
C) The patient is apprehensive about discharge.
D) Surgery was not successful.
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18
Chapter 17: Nursing Diagnosis
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which diagnosis below is NANDA-I approved?
A) Sleep disorder
B) Acute pain
C) Sore throat
D) High blood pressure
Q2) The nurse is reviewing a patient's database for significant changes and discovers that the patient has not voided in over 8 hours.The patient's kidney function labs are abnormal,and the patient's oral intake has significantly decreased since previous shifts.Which step of the nursing process should the nurse proceed to after this review?
A) Diagnosis
B) Planning
C) Implementation
D) Evaluation
Q3) Which of these questions would be most appropriate for a nurse to ask a patient to assist in establishing a nursing diagnosis of Diarrhea?
A) "What types of foods do you think caused your upset stomach?"
B) "How many bowel movements a day have you had?"
C) "Are you able to get to the bathroom in time?"
D) "What medications are you currently taking?"
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Page 19
Chapter 18: Planning Nursing Care
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Sample Questions
Q1) The nurse is caring for seven patients this shift.After completing their assessments,the nurse states that he doesn't know where to begin in developing care plans for these patients.Which of the following is an appropriate suggestion by another nurse?
A) "Choose all the interventions and perform them in order of time needed for each one."
B) "Make sure you identify the scientific rationale for each intervention first."
C) "Decide on goals and outcomes you have chosen for the patients."
D) "Begin with the highest priority diagnoses, then select appropriate interventions."
Q2) A nursing assessment for a patient with a spinal cord injury leads to several pertinent problems that a nurse can treat.While developing the plan of care,which nursing diagnosis is the highest priority for this patient?
A) Risk for impaired skin integrity
B) Risk for infection
C) Spiritual distress
D) Reflex urinary incontinence
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20
Chapter 19: Implementing Nursing Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse establishes trust and talks with a school-aged patient before administering injections.This nurse is demonstrating which type of implementation skill?
A) Cognitive
B) Interpersonal
C) Psychomotor
D) Judgmental
Q2) The nurse is intervening for an identified nursing diagnosis of Risk for infection.Which direct care nursing intervention is most appropriate?
A) Teaching the family proper handwashing technique
B) Leaving side rails up at all times
C) Teaching the patient how to use crutches
D) Counseling the family on stress reduction techniques
Q3) Before implementing any intervention,the nurse uses critical thinking to
A) Determine whether an intervention is correct and appropriate for the given situation.
B) Evaluate the effectiveness of interventions.
C) Establish goals for a particular patient without the need for reassessment.
D) Read over the steps and perform a procedure despite lack of clinical competency.
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21
Chapter 20: Evaluation
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20 Flashcards
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Sample Questions
Q1) In which step of the nursing process does the nurse determine if the patient's condition has improved and whether the patient has met expected outcomes?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Q2) Which of the following are examples of evaluative measures that a nurse should utilize when determining the patient's response to nursing care?
A) Observations of wound healing
B) Assessment of respiratory rate and depth
C) Blood pressure measurement
D) Implementation of nursing interventions
E) Patient's subjective report of feelings about a new diagnosis of cancer
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) A staff member verbalizes his satisfaction in working on a particular nursing unit because he appreciates the freedom of choice and responsibility for the choices.This nurse highly values which element of decentralized decision making?
A) Responsibility
B) Autonomy
C) Accountability
D) Authority
Q2) A nurse manager conducts rounds on the unit and discovers that expired stock medicine is still in the cabinet despite the e-mail she sent stating that it had to be discarded.The staff nurse dress code is not being adhered to,and the staff lounge is not kept neat and tidy as she requested in the same e-mail.Several staff nurses deny having received the e-mail.After evaluating this situation,one way the nurse manager could resolve the issue is to
A) Include the findings on each staff member's annual evaluation.
B) Close the staff lounge.
C) Enforce a stricter dress code.
D) Place a hard copy of announcements and unit policies in each staff member's mailbox.
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Chapter 22: Ethics and Values
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is caring for a severely ill patient with AIDS who now requires ventilator support.Which intervention is considered futile?
A) Administering the influenza vaccine
B) Providing oral care every 5 hours
C) Applying fentanyl patches prn for pain
D) Supporting the patient's lower extremities with pillows
Q2) Four patients in labor all request epidural analgesia to manage their pain at the same time.Which ethical principle is compromised when only one nurse anesthetist is on call?
A) Justice
B) Nonmaleficence
C) Beneficence
D) Fidelity
Q3) The nurse questions a physician's order to administer a placebo to the patient.The nurse's action is based on which ethical principle?
A) Autonomy
B) Beneficence
C) Justice
D) Fidelity
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Page 24
Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) A confused patient with a urinary catheter,nasogastric tube,and intravenous line keeps touching these needed items for care.The nurse has tried to explain to the patient that he should not touch these lines,but the patient continues.What is the best action by the nurse at this time?
A) Apply restraints loosely on the patient's dominant wrist.
B) Try other approaches to prevent the patient from touching these care items.
C) Notify the health care provider that restraints are needed immediately to maintain the patient's safety.
D) Allow the patient to pull out lines to prove that the patient needs to be restrained.
Q2) A nurse gives an incorrect medication to a patient without doing all of the mandatory checks,but the patient has no ill effects from the medication.What actions should the nurse take after reassessing the patient?
A) Notify the health care provider of the situation.
B) Document in the patient's medical record that an occurrence report was filed.
C) Document in the patient's medical record why the omission occurred.
D) Discuss what happened with all of the other nurses and staff on the unit.
E) Continue to monitor the patient for any untoward effects from the medication.
F) Send an occurrence report to risk management after completing it.
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Chapter 24: Communication
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Sample Questions
Q1) Which types of patients can cause challenging communication situations?
A) A male patient who is cooperative with treatments
B) A female patient who is outgoing and flirty
C) An older adult patient who is demanding
D) An elderly patient who can clearly see small print
E) A teenager frightened by the prospect of impending surgery
F) A child who is developmentally delayed
Q2) A patient says,"You are the worst nurse I have ever had." Which response by the nurse is the most assertive?
A) "If I were you, I'd feel grateful for a nurse like me."
B) "I feel uncomfortable hearing that statement."
C) "How can you say that when I have been checking on you regularly?"
D) "You shouldn't say things like that, it is not right."
Q3) A nurse wants to present information about flu immunizations to the elderly in the community.Which type of communication should the nurse use?
A) Interpersonal
B) Public
C) Transpersonal
D) Small group
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Page 26
Chapter 25: Patient Education
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32 Flashcards
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Sample Questions
Q1) A toddler is going to have surgery on the right ear.Which teaching method is most appropriate for this developmental stage?
A) Encourage independent learning.
B) Use discussion throughout the teaching session.
C) Apply a bandage to a doll's ear.
D) Develop a problem-solving scenario.
Q2) Which factors should the nurse assess to determine a patient's ability to learn?
A) Developmental capabilities and physical capabilities
B) Sociocultural background and motivation
C) Psychosocial adaptation to illness and active participation
D) Stage of grieving and overall physical health
Q3) Which situation will cause the nurse to postpone a teaching session?
A) The patient is mildly anxious.
B) The patient is fatigued.
C) The patient is asking questions.
D) The patient is hurting.
E) The patient is febrile (high fever).
F) The patient is in the acceptance phase.
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Chapter 26: Documentation and Informatics
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Identify the purposes of a health care record.
A) Communication
B) Legal documentation
C) Reimbursement
D) Education
E) Research
F) Nursing process
Q2) A nurse is using the source record and wants to find the daily weights.Where should the nurse look?
A) Database
B) Medical history and examination
C) Progress notes
D) Graphic sheet and flow sheet
Q3) A nurse wants to reduce data entry errors on the computer system.Which behavior should the nurse implement?
A) Use the same password all the time.
B) Share password with only one other staff member.
C) Print out and review computer nursing notes at home.
D) Chart on the computer immediately after care is provided.
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Page 28
Chapter 27: Patient Safety
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) The nurse is teaching a group of older adults at an assisted-living facility about age-related physiological changes.Which question would be the most important to ask this group?
A) "Are you able to hear the tornado sirens in your area?"
B) "Are you able to read your favorite book?"
C) "Are you able to remember the name of the person you just met?"
D) "Are you able to open a jar of pickles?"
Q2) The nurse is providing information regarding safety and accidental poisoning to a grandmother who will be taking custody of a 1-year-old grandchild.Which of the following comments would indicate that the grandmother needs further instruction?
A) "The number for poison control is 800-222-1222."
B) "Never induce vomiting if my grandchild drinks bleach."
C) "I should call 911 if my grandchild loses consciousness."
D) "If my grandchild eats a plant, I should provide syrup of ipecac."
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Chapter 28: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25777
Sample Questions
Q1) The nurse is caring for a patient who needs a protective environment.The nurse has provided the care needed and is now leaving the room.Select the correct order for removal of the personal protective equipment and associated tasks.(All answers are utilized.)
A) Remove eyewear/face shield and goggles.
B) Perform hand hygiene.
C) Remove gloves.
D) Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly.
E) Remove mask by strings; do not touch outside of mask.
F) Dispose of all contaminated supplies and equipment in designated receptacles.
G) Leave room and close the door.
Q2) The nurse is providing an educational session for a group of preschool workers.The nurse reminds the group that the most important thing to do to prevent the spread of infection is to
A) Encourage preschool children to eat a nutritious diet.
B) Encourage parents to provide a multivitamin to the children.
C) Clean the toys every afternoon before putting them away.
D) Wash their hands between each interaction with children.
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Page 30
Chapter 29: Vital Signs
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25778
Sample Questions
Q1) When heat loss mechanisms of the body are unable to keep pace with excess heat production,the result is known as
A) Pyrexia.
B) The plateau phase.
C) The set point.
D) Becoming afebrile.
Q2) While the nurse is assessing the patient's respirations,it is important for the patient to
A) Be aware of the procedure being done.
B) Not know that respirations are being assessed.
C) Understand that respirations are estimated to save time.
D) Not be touched until the entire process is finished.
Q3) A nurse is caring for a patient who smokes and drinks caffeine.Which point is important for the nurse to understand before she assesses the patient's blood pressure?
A) Neither caffeine nor smoking affects blood pressure.
B) She needs to insist that the patient stop smoking for at least 3 hours.
C) The nurse should have the patient perform mild exercises.
D) Caffeine and smoking can cause false BP elevations.
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Chapter 30: Health Assessment and Physical Examination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25779
Sample Questions
Q1) The nurse considers several new female patients to receive additional health education on the need for more frequent Pap smears and gynecological examinations.Which of the following assessment findings reveals the patient at highest risk for cervical cancer and thus having the greatest need for patient education?
A) Nonsmoker, 13 years old, not sexually active
B) Social smoker, 15 years old, celibate
C) 22 years old, smokes 1 pack of cigarettes per day, has multiple sexual partners
D) 50 years old, stopped smoking 30 years ago, history of hysterectomy
Q2) During a routine pediatric history and physical,the parents report that their child was a premature infant and was so small that he had to stay in the neonatal intensive care unit longer than usual.They state that the infant was yellow when born,and that he developed an infection that required "every antibiotic under the sun" to cure him.Considering the neonatal history,the nurse determines that it is especially important to perform a focused _____ examination.
A) Cardiac
B) Respiratory
C) Ophthalmic
D) Hearing acuity
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Chapter 31: Medication Administration
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/25780
Sample Questions
Q1) A patients states that she would prefer not to take her daily allergy pill this morning because it makes her too drowsy throughout the day.The nurse responds therapeutically by saying,
A) "The physician ordered it; therefore you must take your medication every morning at the same time whether you're drowsy or not."
B) "Let's change the time you take your pill to 9 PM, so the drowsiness occurs when you would normally be sleeping."
C) "You can skip this medication on days when you need to be awake and alert."
D) "Try to get as much done as you can before you take your pill, so you can sleep in the afternoon."
Q2) Which nursing action is the number one priority for ensuring that medication stays in the target therapeutic range?
A) Drawing the peak and trough levels at the same time each day
B) Administering a double dose after a dose was missed
C) Delivering the same amount of the drug at the same time each day
D) Increasing absorption by holding all other medications 1 hour before administration
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Chapter 32: Complementary and Alternative Therapies
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Drawbacks of complementary and alternative therapies would be all of the following except
A) Lack of evidence-based guidelines.
B) Minimal supportive research studies.
C) Strong support by allopathic medical providers.
D) Lack of a long tradition of therapies taught in health care education.
Q2) A basic foundational principle of chiropractic care is that A) Structure and function coexist.
B) Chiropractic care is risk free.
C) Human beings need external hands-on care to be healthiest.
D) Subluxation will cause permanently restricted joint movement.
Q3) The therapy that is more effective in treating physical ailments than in preventing disease or managing chronic illness is _____ medicine.
A) Allopathic
B) Complementary
C) Alternative
D) Mind-body
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34
Chapter 33: Self-Concept
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20 Flashcards
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Sample Questions
Q1) Based on the following data,which person is likely to have the highest self-esteem?
A) Latino adolescent female who has strong ethnic pride
B) Caucasian boy who lives below federal poverty level
C) African American adolescent male who has severe acne
D) Adolescent who was suspended twice from high school
Q2) Which of the following individuals is most likely to need the nurse's assistance because of the presence of identity confusion?
A) 49-year-old male with stable employment
B) 35-year-old recently divorced mother of twins
C) 22-year-old in third year of college
D) 50-year-old self-employed woman
Q3) A 9-year-old is proudly telling everyone about mastering the yellow belt in her martial arts class.Identify the appropriate developmental task.
A) Initiative versus guilt
B) Industry versus inferiority
C) Identity versus role confusion
D) Autonomy versus shame and doubt
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Chapter 34: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/25783
Sample Questions
Q1) A patient has been hospitalized from a motor vehicle accident for the past month.The nurse notices that the patient has been becoming withdrawn and asks the patient if something is upsetting him.The patient confides to the nurse that he wants to have sex with his spouse but is afraid to in a hospital.How should the nurse proceed?
A) Arrange a schedule with the patient to allow for intimacy at a time when the patient is well rested and able to participate in activity.
B) Educate the patient about the dangers of strenuous activity in his condition.
C) Ask the patient if it would be okay to have a monitor on in the room for his safety.
D) Stress the importance of using barrier contraceptives to prevent infection because he is already susceptible.
Q2) The patient expresses his attraction to the nurse who is caring for him.The patient asks the nurse for her phone number.How should the nurse first attempt to handle the situation?
A) Redefine the boundaries of professionalism.
B) Give the patient her number, but ask that he call after work hours.
C) Give the patient false information to appease him.
D) Ask a coworker to take over care for this patient.
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Page 36
Chapter 35: Spiritual Health
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25784
Sample Questions
Q1) When evaluating a patient's risk for spiritual crises,which of the following are part of the evaluation process?
A) Review the patient's self-perception regarding spiritual health.
B) Review the patient's view of his/her purpose in life.
C) Discuss with family and associates the patient's connectedness.
D) Ask whether the patient's expectations are being met.
E) Impress on the patient that spiritual health is permanent once obtained.
Q2) In assessing the spiritual health of her patients,the nurse understands that
A) Spiritual beliefs change as patients grow and develop.
B) Spiritual health in older adults leads to peace and acceptance of others.
C) Older adults often express spirituality by focusing on themselves.
D) The basis of beliefs among older people is focused on one or two factors.
Q3) When caring for a terminally ill patient,the nurse should focus on the fact that
A) Spiritual care is possibly the least important nursing intervention.
B) Spiritual needs often need to be sacrificed for physical care priorities.
C) The nurse's relationship with the patient allows for an understanding of patient priorities.
D) Members of the church or synagogue play no part in the patient's plan of care.
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Chapter 36: The Experience of Loss, death, and Grief
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/25785
Sample Questions
Q1) A severely depressed patient cannot state any positive attributes to his or her life.The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life.The nurse is helping the patient to demonstrate which spiritual concept?
A) Time management
B) Hope
C) Charity
D) Faith
Q2) A cancer patient asks the nurse what the criteria are for hospice care.What should the nurse answer?
A) Having a terminal illness, such as cancer
B) Needing assistance with pain management
C) Expected to live less than 6 to 12 more months
D) Completion of an advance directive
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Chapter 37: Stress and Coping
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25786
Sample Questions
Q1) An assessment finding example for caregiver strain would be which of the following?
A) Caregiver routinely creates a weekly menu plan.
B) Caregiver has not received medical care when ill.
C) Caregiver can identify respite care provider.
D) Caregiver attends religious service.
Q2) A person states that he was not shoplifting from the store despite very clear evidence on the store surveillance tape.This person is demonstrating which ego defense mechanism?
A) Dissociation
B) Conversion
C) Denial
D) Compensation
Q3) Despite working in a highly stressful nursing unit and accepting additional shifts,a new nursing graduate has a strategy to prevent burnout.The best strategy would be for the new nurse to
A) Identify limits and scope of work responsibilities.
B) Write for 10 minutes in a journal every day.
C) Use progressive muscle relaxation.
D) Delegate complex nursing tasks to licensed professional nurses.
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Page 39
Chapter 38: Activity and Exercise
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25787
Sample Questions
Q1) The patient weighs 450 lbs (204.5 kg)and complains of shortness of breath with any exertion.His health care provider has recommended that he begin an exercise program.He states that he can hardly get out of bed and just cannot do anything around the house.To focus on the cause of the patient's complaints,the nurse devises which of the following nursing diagnoses?
A) Activity intolerance related to excessive weight
B) Activity intolerance related to bed rest
C) Impaired gas exchange related to shortness of breath
D) Imbalanced nutrition: less than body requirements
Q2) The nurse is attempting to start an exercise program in a local community as a health promotion project.In explaining the purpose of the project,the nurse explains to community leaders that
A) A sedentary lifestyle contributes to the development of health-related problems.
B) The recommended frequency of workouts should be twice a day.
C) An exercise prescription should incorporate aerobic exercise only.
D) The purpose of weight training is to bulk up muscles.
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Chapter 39: Hygiene
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) The patient is complaining of an inability to clear his nasal passages.The nurse instructs the patient to
A) Blow his nose forcefully to clear the passage.
B) Insert a cotton-tipped applicator as far as possible.
C) Apply gentle suction using a pediatric bulb suction device.
D) Use a dry washcloth to absorb secretions.
Q2) The nurse is providing education about the importance of proper foot care to a patient who has diabetes mellitus.The nurses understands that this is important for the patient because
A) Plantar warts can develop from foot fungi.
B) Poor foot care leads to neuropathy.
C) A strong dorsalis pedis pulse indicates poor blood flow.
D) Foot ulcers are the most common precursor to amputation.
Q3) The nurse is caring for a patient who is immobile.The nurse is aware that the patient is at risk for Impaired skin integrity because
A) Pressure reduces circulation to affected tissue.
B) Patients with limited caloric intake develop thicker skin.
C) Inadequate blood flow leads to decreased tissue ischemia.
D) Local nerve damage leads to pain sensation.
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Page 41
Chapter 40: Oxygenation
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/25789
Sample Questions
Q1) The nurse is caring for an African American patient with COPD.The nurse knows that the best location to assess for hypoxia is the
A) Nailbeds.
B) Oral mucosa.
C) Earlobe.
D) Lower extremities.
Q2) A 5-year-old who has strep throat was given aspirin for fever.The nurse knows to expect which change in the child's respiratory pattern?
A) Hyperventilation to decrease serum levels of carbon dioxide
B) Hypoventilation to compensate for metabolic alkalosis
C) Flail chest to decrease the work of breathing
D) Shallow respirations to decrease serum pH
Q3) What assessment finding is the earliest sign of hypoxia?
A) Restlessness
B) Decreased blood pressure
C) Cardiac dysrhythmias
D) Cyanosis
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42
Chapter 41: Fluid, electrolyte, and Acid-Base Balance
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25790
Sample Questions
Q1) A nurse is preparing to administer a blood transfusion.Which assessment finding would the nurse report immediately?
A) Blood pressure 120/60
B) Temperature 101.3° F
C) Poor skin turgor and pallor
D) Heart rate of 100 beats per minute
Q2) The nurse is caring for a patient with sepsis.The plan of care for the patient is to administer antibiotics 3 times a day for 4 weeks.What device will be used to administer these antibiotics?
A) A continuous infusion
B) A heparin locked peripheral catheter
C) A PICC line
D) An implanted port catheter
Q3) Which assessment finding should cause a nurse to question administering a sodium-containing isotonic intravenous fluid?
A) Blood pressure 102/58
B) Dry mucous membranes
C) Poor skin turgor
D) Pitting edema
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43
Chapter 42: Sleep
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25791
Sample Questions
Q1) A young mother has been hospitalized for an irregular heartbeat (arrhythmia).The night nurse comes in to see the patient awake.What would be the most appropriate nursing intervention?
A) Inform the patient that it is late and time to go to sleep.
B) Ask the patient if she would like medication to help her sleep.
C) Recommend the great movie that is on television tonight.
D) Take time to sit and talk with the patient about her inability to sleep.
Q2) The nurse is beginning a sleep assessment on a patient.Which of the following would be the most appropriate question to ask?
A) "What is going on?"
B) "How are you sleeping?"
C) "Are you taking any medications?"
D) "What did you have for dinner last night?"
Q3) A patient has received a nursing diagnosis of sleep deprivation.Which of the following statements by the patient would indicate that outcomes are being met?
A) "I wake up only once a night to go the bathroom."
B) "I feel rested when I wake up in the morning."
C) "I go to sleep within 30 minutes of lying down."
D) "I only take a 20-minute nap during the day."
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Page 44
Chapter 43: Pain Management
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient who had a motor vehicle accident 2 days ago is experiencing pain and is receiving patient-controlled analgesia (PCA).How does the nurse know that the patient is experiencing effective pain management with the PCA?
A) The patient is sleeping and is difficult to arouse.
B) The patient rates pain at an acceptable level of 3 on a 0 to 10 scale.
C) Sufficient medication is left in the PCA syringe.
D) The patient presses the control button to deliver pain medication.
Q2) The nurse is teaching a student nurse about pain assessment scales.Which statement by the student indicates correct understanding?
A) "You cannot use a pain scale to compare the pain of my patient with the pain of your patient."
B) "When patients say they don't need pain medication, they aren't in pain."
C) "Pain assessment scales determine the quality of a patient's pain."
D) "A patient's behavior is more reliable than the patient's report of pain."
Q3) The nurse anticipates administering an opioid fentanyl patch to which patient?
A) A 15-year-old adolescent with a broken femur
B) A 30-year-old adult with cellulitis
C) A 50-year-old patient with prostate cancer
D) An 80-year-old patient with a broken hip
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Page 45
Chapter 44: Nutrition
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25793
Sample Questions
Q1) The patient has just started on enteral feedings but is complaining of abdominal cramping.The nurse should
A) Slow the rate of tube feeding.
B) Instill cold formula to "numb" the stomach.
C) Place the patient in a supine position.
D) Change the tube feeding to a high-fat formula.
Q2) The patient is to receive multiple medications via the nasogastric tube.The nurse is concerned that the tube may become clogged.To prevent this,the nurse
A) Irrigates the tube with 60 mL of water after all medications are given.
B) Checks with the pharmacy to find out if liquid forms of the medications are available.
C) Instills nonliquid medications without diluting.
D) Mixes all medications together to decrease the number of administrations.
Q3) The ChooseMyPlate program includes guidelines for
A) Children younger than 2 years.
B) Balancing calories.
C) Increasing portion size.
D) Decreasing water consumption.
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46
Chapter 45: Urinary Elimination
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) The nurse anticipates urinary diversion from the kidneys to a site other than the bladder for which patient?
A) A 12-year-old female with severe abdominal trauma
B) A 24-year-old male with severe genital warts around the urethra
C) A 50-year-old male with recent prostatectomy
D) A 75-year-old female with end-stage renal disease
Q2) A nurse is caring for an 8-year-old patient who is embarrassed about urinating in his bed at night.Which intervention should the nurse suggest to reduce the frequency of this occurrence?
A) "Drink your nightly glass of milk earlier in the evening."
B) "Set your alarm clock to wake you every 2 hours, so you can get up to void."
C) "Line your bedding with plastic sheets to protect your mattress."
D) "Empty your bladder completely before going to bed."
Q3) A patient is experiencing oliguria.Which action should the nurse perform first?
A) Increase the patient's intravenous fluid rate.
B) Encourage the patient to drink caffeinated beverages.
C) Assess for bladder distention.
D) Request an order for diuretics.
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Chapter 46: Bowel Elimination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25795
Sample Questions
Q1) A patient informs the nurse that she was using laxatives three times daily to lose weight.After stopping use of the laxative,the patient had difficulty with constipation and wonders if she needs to take laxatives again.The nurse educates the patient that
A) Long-term laxative use causes the bowel to become less responsive to stimuli, and constipation may occur.
B) Laxatives can cause trauma to the intestinal lining and scarring may result, leading to decreased peristalsis.
C) Natural laxatives such as mineral oil are safer than chemical laxatives for relieving constipation.
D) Laxatives cause the body to become malnourished, so when the patient begins eating again, the body absorbs all of the food, and no waste products are produced.
Q2) A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination.Which menu option should the nurse recommend?
A) Grape and walnut chicken salad sandwich on whole wheat bread
B) Broccoli and cheese soup with potato bread
C) Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing
D) Turkey and mashed potatoes with brown gravy
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Page 48
Chapter 47: Mobility and Immobility
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The patient is immobilized after undergoing hip replacement surgery.Which of the following would place the patient at risk for hemorrhage?
A) Thick, tenacious pulmonary secretions
B) Low-molecular-weight heparin doses to prevent DVT
C) SCDs wrapped around the legs to prevent DVT formation
D) Elastic stockings (TED hose) to promote venous return
Q2) The patient has been diagnosed with a spinal cord injury and needs to be repositioned using the logrolling technique to keep the spinal column in straight alignment.Which of the following is the proper technique for logrolling?
A) Obtain assistance from at least two or three other people.
B) Have the patient reach for the opposite side rail when turning.
C) Move the top part of the patient's torso, then the bottom part.
D) Do not use pillows after turning because the softness causes misalignment.
Q3) In developing an individualized plan of care for a patient,it is important for the nurse to
A) Set goals that are a little beyond the capabilities of the patient.
B) Use his or her judgment and not be swayed by family desires.
C) Establish goals that are measurable and realistic.
D) Explain that without taking alignment risks, there can be no progress.
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Page 49
Chapter 48: Skin Integrity and Wound Care
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/25797
Sample Questions
Q1) The nurse is caring for a patient with a stage III pressure ulcer.The nurse has assigned a nursing diagnosis of Risk for infection.Which intervention would be most important for this patient?
A) Teach the family how to manage the odor associated with the wound.
B) Discuss with the family how to prepare for care of the patient in the home.
C) Encourage thorough handwashing of all individuals caring for the patient.
D) Encourage increased quantities of carbohydrates and fats.
Q2) The nurse has collected the following assessment data: right heel with reddened area that does not blanch.What nursing diagnosis would the nurse assign?
A) Ineffective tissue perfusion
B) Risk for infection
C) Imbalanced nutrition: less than body requirements
D) Acute pain
Q3) The medical-surgical acute care patient has received a nursing diagnosis of Impaired skin integrity.The nurse consults a
A) Respiratory therapist.
B) Registered dietitian.
C) Chaplain.
D) Case manager.
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Page 50
Chapter 49: Sensory Alterations
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/25798
Sample Questions
Q1) The nurse is caring for a patient who is having difficulty understanding written and spoken word? The nurse suspects the patient has _____ aphasia.
A) Expressive
B) Receptive
C) Broca's
D) Wernicke's
Q2) A patient informs the nurse that she often becomes nauseated when riding in motor vehicles.The nurse knows that this is related to which sensory deficit?
A) Neurological deficit
B) Visual deficit
C) Hearing deficit
D) Balance deficit
Q3) Which nursing diagnosis addresses psychological concerns for a patient with both hearing and visual sensory impairment?
A) Self-care deficit
B) Risk for falls
C) Social isolation
D) Impaired physical mobility
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Chapter 50: Care of Surgical Patients
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25799
Sample Questions
Q1) The nurse is preparing to assist the patient in using the incentive spirometer.Which nursing intervention should the nurse provide first?
A) Perform hand hygiene.
B) Place in reverse Trendelenburg position.
C) Explain use of the mouthpiece.
D) Instruct the patient to inhale slowly.
Q2) The nurse is caring for a postoperative patient with a history of obstructive sleep apnea.The nurse monitors for which of the following?
A) Choking and noisy, irregular respirations
B) Shallow respirations
C) Moaning and reports of pain
D) Disorientation
Q3) The nurse is monitoring a patient in the postanesthesia care unit (PACU)for postoperative fluid and electrolyte imbalance.Which of the following actions would be most appropriate for this patient?
A) Encourage copious amounts of water.
B) Weigh the patient and compare with preoperative weight.
C) Measure and record all intake and output.
D) Start an additional intravenous (IV) line.
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Page 52