Nursing Theory and Practice
Exam Materials
Course Introduction
Nursing Theory and Practice explores the foundational theories that shape the discipline of nursing and connects them to real-world clinical applications. This course examines major nursing models, conceptual frameworks, and philosophies, fostering a deep understanding of how theoretical perspectives guide patient care, ethical decision-making, and professional behavior. Students will integrate these theories into practical scenarios, enhance critical thinking, and develop evidence-based care plans. Emphasis is placed on bridging the gap between knowledge and practice, empowering students to provide holistic, patient-centered care in a variety of healthcare settings.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Berman
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42 Chapters
1234 Verified Questions
1234 Flashcards
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Chapter 11: Assessing
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77919
Sample Questions
Q1) During an assessment,a client who is not very talkative appears pale,diaphoretic,and restless in the bed,and says "leave me alone." Which subjective data should the nurse document?
A)Restlessness
B)"Leave me alone"
C)Not talkative
D)Pale and diaphoretic
Q2) During an initial interview,the client says "I don't understand why I have to have surgery;I'm really not that sick or in pain right now." How should the nurse respond to the client?
A)"It's OK to be worried.Surgery is a big step."
B)"What kind of questions do you have about your surgery?"
C)"I think these are things you should be asking your doctor."
D)"Have you had surgery before?"
Q3) The nurse is assessing a client's level of pain.Which open-ended should the nurse use for this situation?
A)"Is your pain worse at night?"
B)"What brought you to the clinic?"
C)"How has the pain impacted your life?"
D)"You're feeling down about having pain,aren't you?"
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Chapter 12: Diagnosing
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse has formulated a diagnosis of Activity intolerance related to decreased airway capacity for a client with chronic asthma.In looking at the client's coping skills,the nurse realizes that the client has a vast knowledge about the disease and what exacerbates symptoms in particular situations.Why should the nurse utilize this information?
A)Strengths can be an aid to mobilizing health and the healing process.
B)The client will be more active in the plan.
C)It will be easier for the nurse to educate the client about other interventions.
D)The nurse won't have to spend time going over the pathology of the client's disease.
Q2) The nurse has formulated the following diagnosis: Activity intolerance,related to weakness and debilitation,manifested by reports of fatigue after any physical activity.What is the defining characteristic of this label?
A)Activity intolerance
B)Weakness and debilitation
C)Reports of fatigue
D)Physical activity
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4
Chapter 13: Planning
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A hospital is implementing the use of the NIC (Nursing Interventions Classification)taxonomy.What purpose will the implementation of this taxonomy serve?
A)Help the nurse with documentation of the care plan
B)Require that the nurse use sound judgment and knowledge of the client
C)Match nursing diagnoses to exact interventions
D)Help the nurse choose activities that are individualized to the client
Q2) According to the care plan,a client is to receive chest physiotherapy twice daily.The client lives alone in a rural area,does not drive,and is 40 miles away from a hospital.What should the home care nurse do when setting priorities for this client?
A)Make sure that he or she is able to get to the client's home.
B)Assist the client in finding an alternative plan for the achieving the therapy's outcomes.
C)Tell the client that this therapy will be impossible to receive.
D)Make arrangements to have the client moved to a long-term care facility.
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Chapter 14: Implementing and Evaluating
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse provides care to clients admitted to a mental health facility who exhibit paranoid behavior.Which skill should the nurse use when caring for these clients?
A)Cognitive
B)Interpersonal
C)Technical
D)Therapeutic
Q2) The home health nurse uses creativity and critical thinking to devise a way for a client to receive intravenous medication while sitting outside on the porch.Which skill did the nurse use for this situation?
A)Technical
B)Interpersonal
C)Creativity
D)Cognitive
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Chapter 15: Documenting and Reporting
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is reviewing a client's chart in a facility that utilizes problem-oriented recording.In which section would the nurse find the most recent physician orders?
A)Database
B)Problem list
C)Plan of care
D)Progress notes
Q2) A client in long-term care is scheduled for a review of the assessment and care screening process.Where should the nurse document this information?
A)MDS
B)OBRA
C)CBE
D)Kardex
Q3) The nurse is documenting client care on flow sheets that identify abnormal assessment findings.Which type of documentation system is the nurse using?
A)Computerized documentation
B)Focus charting
C)SOAP charting
D)Charting by exception
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7
Chapter 16: Health Promotion
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A client has been working hard in rehabilitation following a traumatic brain injury.She has a weak support system in that her family lives a far distance away and her coworkers are not involved.On which behavior-specific cognitions should the nurse focus to assist this client with success in the rehabilitation program?
A)Situational influences
B)Perceived benefits of action
C)Perceived barriers to action
D)Interpersonal influences
Q2) The nurse suggests that a client make a list of past experiences that have brought joy,peace,and hope into the client's life.What action is the nurse assisting the client to complete?
A)Lifestyle assessment
B)Social support systems review
C)Health beliefs review
D)Spiritual health assessment
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8
Chapter 17: Health, Wellness, and Illness
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A community health nurse is testing the theory of locus of control (LOC).Which client demonstrates the internal control concept of this theory?
A)A client who takes an active role in all health decisions
B)A client who allows the primary care provider to make all the decisions
C)A client who does not make any decisions without his or her spouse's input
D)A client who relies on information from the local hospital for his or her health needs
Q2) The nurse case manager is concerned about a particular client being discharged from the hospital.Which factors should alert the nurse to possible problems with this client's adherence to treatment?
A)The prescribed therapy is costly and of unknown duration.
B)The therapy will require no lifestyle changes of the client.
C)The client has not had difficulty understanding the regimen.
D)The client's culture is supportive of Western medicine.
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9
Chapter 18: Culture and Heritage
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) After an assessment,the nurse determines that a client of African American descent is experiencing disparities that are a part of behavioral health determinants.What assessment data did the nurse use to come to this conclusion?
Standard Text: Select all that apply.
A)Treated for asthma
B)Body mass index of 32
C)Unemployed for 9 months
D)Smokes 1 ppd of cigarettes
E)Mother diagnosed with heart disease
Q2) During the admission interview,the culturally diverse client averts her eyes and refrains from answering questions for long periods of time.The culturally sensitive nurse should take which action?
A)Come back at a different time,when the client is feeling more communicative.
B)Have another nurse finish the interview,as there is something uncomfortable the client senses.
C)Understand that this may be completely appropriate and take cues accordingly.
D)Leave the room and come back after having learned more about this particular culture.
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Chapter 19: Complementary and Alternative Healing
Modalities
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77911
Sample Questions
Q1) A client who resides in a long-term care facility has no family or visitors.Her only social contacts are with the staff.The client is confined to bed and is not able to communicate verbally.As part of the client's care plan,the nurses provide massage therapy three times a week.What is the main benefit of this intervention for this client?
A)Stretch and loosen the muscles
B)Speed the removal of metabolic waste products
C)Help satisfy the need for caring and nurturing touch
D)Relieve pain
Q2) A client visits a clinic that integrates Western medicine with complementary therapies.Which therapies might the client utilize and believe to keep the flow of qi at a therapeutic level?
A)Acupressure and reflexology
B)Therapeutic touch and Reiki
C)Aromatherapy and naturopathic remedies
D)Chiropractic and massage therapy
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11
Chapter 20: Concepts of Growth and Development
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A nurse educator is working with students and assisting them in addressing their clients' spiritual needs.The educator understands that most traditional,second-year college students are aware of their own spiritual development or working to develop their own system of spirituality.The educator realizes that the students are in which stage of Fowler's developmental theory?
A)Mythic-lyrical
B)Intuitive-projective
C)Universalizing
D)Individuating-reflexive
Q2) The nurse concludes that a young adult client is completing developmental tasks within Havighurst's early adulthood age period.What did the nurse assess to come to this conclusion?
Standard Text: Select all that apply.
A)Taking on civic responsibility
B)Developing adult leisure-time activities
C)Getting started in an occupation
D)Relating oneself to one's spouse as a person
E)Managing a home
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12
Chapter 21: Promoting Health From Conception Through
Adolescence
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) While the nurse is teaching a group of parents and their teenage sons about puberty and sexual growth,a parent asks if fertility coincides with ejaculation.What should the nurse respond to this question?
A)"Yes,if your son is ejaculating,he also possesses fertility."
B)"Sexual maturity does not occur until age 18,so don't worry about anything until then."
C)"Fertility follows several months after the first ejaculation."
D)"You'll have to ask your physician about this because it is a sensitive subject."
Q2) The nurse is confident that a client has met the developmental guidelines for a preschooler.What did the nurse assess to make this clinical decision?
Standard Text: Select all that apply.
A)Can print her own name.
B)Proudly announces,"I put my own toys away."
C)Shares that,"I know I shouldn't hit,even when I'm mad."
D)Effectively brushes her own teeth.
E)Washes her hands after toileting without prompting.
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Page 13
Chapter 22: Promoting Health in Young and Middle-Aged Adults
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/77908
Sample Questions
Q1) The nurse is completing a spiritual assessment with a middle-aged client.What should the nurse recognize as expected characteristics of moral development in this client?
Standard Text: Select all that apply.
A)Uses religion for comfort
B)Seeks religious explanations for death
C)Compares characteristics of various religions
D)Questions the purpose of religion in one's life
E)Relies upon spiritual beliefs to help with illness
Q2) A nurse is working in a community of factory workers and is planning an educational session for wellness,targeting the young adult group.In order to address one of the health problems of this group,the nurse plans to:
A)help the group become more aware of marketing efforts by tobacco companies. AU: pls check--if this is correct answer,s/b "help the group become more aware of"?
B)tell this group that smoking is unacceptable.
C)make sure the group is aware of the increased risk of liver disease and cancer of the esophagus.
D)counsel the group regarding addiction.
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Chapter 23: Promoting Health in Elders
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/77907
Sample Questions
Q1) A hospitalized older client is recovering from an acute illness.As the client nears the end of his hospitalization,he questions the nurse about medications and care after discharge.The gerontological nurse should
A)inform the physician that the client needs to go to a nursing home.
B)assess the client's independence and ability to function in his own home before discharge.
C)tell the client not to worry about going home.
D)invite the client's family to come to the hospital so the nurse can explain the client's care to them.
Q2) The nurse is planning care for an older adult client.On what should the nurse focus if following the Functional Consequences Theory on aging?
Standard Text: Select all that apply.
A)Promote safety.
B)Promote mental health.
C)Improve quality of life.
D)Promote spiritual health.
E)Promote growth and development.
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Chapter 24: Promoting Family Health
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/77906
Sample Questions
Q1) The nurse has identified a coping problem in a family that recently lost their house and all of their belongings in a fire.What should the nurse identify as this family's external support systems?
Standard Text: Select all that apply.
A)Grandparents
B)The parent's siblings
C)Local social services agencies
D)The family's religious leader
E)The family's communication skills
Q2) The nurse is confident that a family is functioning appropriately.What findings did the nurse use to make this determination?
Standard Text: Select all that apply.
A)The teenage son keeps the money he earns from cutting grass for his "car fund."
B)All the children are expected to excel in the sport of their choice.
C)A parent reads the preschool child a bedtime story each night.
D)All the children have household chores once they reach school age.
E)A young adult child moves back home after losing his job.
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16
Chapter 25: Caring
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/77905
Sample Questions
Q1) The nurse working on an acute psychiatric unit learns that a client with bipolar disorder is being admitted and says to a coworker,"We better be ready for a busy night." This nurse is exemplifying which process of Swanson's theory of caring?
A)Knowing
B)Being with C)Doing for D)Enabling
Q2) The nurse manager determines that a staff nurse demonstrates compassion when providing client care.What did the manager observe to come to this conclusion?
A)A nurse who has expert technical skills and has the most experience with critical care
B)A nurse who routinely gives back rubs to clients before they go to sleep
C)A nurse who has written procedures and policies in language that is both professional and realistic
D)A nurse who takes time to understand the spiritual needs of clients
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Chapter 26: Communicating
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/77904
Sample Questions
Q1) A nurse must perform a catheterization on a male client.Which zone of proximity should the nurse use for this intervention?
A)Personal distance
B)Intimate distance
C)Social distance
D)Public distance
Q2) The nurse is engaging a client in the introductory phase of the helping relationship.Which stages will be completed during this phase?
Standard Text: Select all that apply.
A)Opening the relationship
B)Clarifying the problem
C)Structuring and formulating the contract
D)Planning before the interview
E)Understanding thoughts and feelings
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18
Chapter 27: Teaching
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/77903
Sample Questions
Q1) The nurse is instructing a client on self-administration of insulin.Which statement regarding feedback will be most beneficial to the client?
A)"You know,there are children who can learn to do this."
B)"Maybe it would be better if we taught your spouse to help you with this."
C)"Next time,dart the needle in your skin,instead of pushing it in."
D)"If you don't learn this,you can't be discharged."
Q2) A nurse is working in a neonatal intensive care unit,teaching parents how to care for their tiny babies while they are still in the hospital.Which statement by a parent reflects a readiness to learn?
A)"I'm so afraid I'll hurt my baby with all these tubes."
B)"I want to make sure my spouse is here,in case I don't hear everything that's said."
C)"When my baby is just a little bigger,I'll be able to handle him."
D)"You'll give us written instructions before we go home,correct?"
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19
Chapter 28: Delegating, Managing, and Leading
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse is identified as being an effective leader.With this designation,the nurse will most likely demonstrate which characteristics?
Standard Text: Select all that apply.
A)Self-aware
B)Focus on people
C)Excellent communicator
D)Mentor to others
E)Focus on systems
Q2) A group of community health nurses work together in the same office.They are each responsible for their own caseloads and scheduling of appointments.Their major leadership directives come from the state health office,several hundred miles away.This group of nurses is functioning under what type of leadership?
A)Charismatic
B)Shared
C)Transformational
D)Transactional
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Chapter 29: Vital Signs
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/77901
Sample Questions
Q1) A client is unconscious and in respiratory distress after being in a motor vehicle crash.Which should the nurse realize as being a factor that caused a change in this client's respiratory rate?
A)Exercise
B)Increased intracranial pressure
C)Increased environmental temperature
D)Stress
Q2) Even though a UAP is available to assist with vital sign assessment,the nurse is going to conduct these assessments independently in which situations?
Standard Text: Select all that apply.
A)Client who complains of chest pain
B)Client returning from surgery
C)Prior to administering a medication that affects blood pressure
D)Client who complains of dizziness after ambulating.
E)Client being admitted to the care area
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21
Chapter 30: Health Assessment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/77900
Sample Questions
Q1) The nurse is performing a musculoskeletal assessment on a client admitted with a possible stroke.When testing for muscle grip strength,the nurse should ask the client to perform which action?
A)Grasp the nurse's index and middle fingers while the nurse tries to pull the fingers out.
B)Hold an arm up and resist while the nurse tries to push it down.
C)Flex each arm and then try to extend it against the nurse's attempt to keep the arm in flexion.
D)Shrug the shoulders against the resistance of the nurse's hands.
Q2) While performing an assessment of the integument system,the nurse notes the client's eyeballs are protruding and the upper eyelids are elevated.What term should the nurse use to document this finding?
A)Erythema
B)Cyanosis
C)Exophthalmos
D)Normocephalic
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22
Chapter 31: Asepsis
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/77899
Sample Questions
Q1) A client needs to be placed in contact isolation.What items should the nurse ensure are included in this client's room?
A)Cabinet stocked with gloves and gowns
B)Cards and records
C)Paper towels,sink,and blood pressure cuff
D)Sign on the door
Q2) The nurse wants to protect a client from developing an infection.Which action should the nurse take to break a link in the chain of infection?
A)Cover the mouth and nose when sneezing.
B)Place contaminated linens in a paper bag.
C)Use personal protective equipment (PPE)sparingly.
D)Wear gloves at all times.
Q3) The nurse is preparing a presentation on standard precautions.Which statement should the nurse include in the presentation?
A)Cut the needle off a syringe after using it to give a client an injection.
B)Dispose of blood-contaminated materials in a biohazard container.
C)Gloves should not be worn for client care unless body fluids are seen.
D)Wear a mask when in direct contact with all clients.
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Page 23
Chapter 32: Safety
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is admitting an older client to the care area.What can the nurse do to promote a safe environment for the client?
A)Keep clutter to a minimum in the client's room.
B)Have the client wear terry-cloth slippers.
C)Provide adequate lighting.
D)Turn off alarms to reduce noise.
Q2) While eating in a restaurant,a nurse notices that a customer at the next table begins to clutch his throat while eating a steak.What should the nurse do first?
A)Ask the customer if he is choking.
B)Attempt to give five back blows.
C)Perform the Heimlich maneuver.
D)Start chest compressions.
Q3) While the nurse is performing morning care,a client begins to have a seizure.What should the nurse do to help this client?
A)Insert a tongue blade into the client's mouth.
B)Loosen any clothing around the neck and chest.
C)Restrain the client.
D)Turn the client to the supine position if possible.
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Chapter 33: Hygiene
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77897
Sample Questions
Q1) The nurse is shampooing a client's hair.Which assessment finding should the nurse consider as expected?
A)Dry,dark,thin
B)Smooth,taut,shiny
C)Smooth texture and not oily or dry
D)Tender,warm scalp
Q2) A client tells the nurse that bathing is done at the sink in the bathroom at home because it is difficult to physically lift the legs to get into the shower.The nurse identifies which factor as influencing this client's hygienic practice?
A)Religion
B)Personal preference
C)Culture
D)Health and energy
Q3) The nurse is making a client's bed.What safety measure should the nurse implement at this time?
A)Begin at the head and move toward the foot,loosening bottom linens.
B)Miter corners at the head of the bed.
C)Place the soiled sheet in a laundry bag.
D)Prepare the client.
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Page 25
Chapter 34: Diagnostic Testing
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/77896
Sample Questions
Q1) The nurse needs to collect a specimen from a client;however,the nurse has never collected this type of specimen in the past.What should the nurse do?
A)Notify the physician.
B)Ask another nurse to collect the specimen.
C)Consult the nursing procedure manual.
D)Delegate the collection of the specimen to unlicensed assistive personnel.
Q2) Unlicensed assistive personnel (UAP)will be conducting a test on a client's urine.What should the nurse instruct the UAP about the test?
Standard Text: Select all that apply.
A)Nothing,because the UAP can perform urine testing.
B)Remind the UAP to tell the client the results of the test.
C)Notify the physician with the results of the test.
D)Report the results of the test to the nurse.
E)Save the urine,in case the nurse wants to repeat the test.
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Chapter 35: Medications
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) While reviewing a medication order,the nurse determines that it is written using the metric system.What did the nurse observe to come to this conclusion about the medication order?
Standard Text: Select all that apply.
A)Number of ounces
B)Number of drams of the solution
C)Number of milligrams of the medication
D)Number of grains of the medication
E)Number of milliliters of the solution
Q2) The nurse is planning to administer a bitter-tasting oral medication to a 4-year-old client.What strategy should this nurse plan?
A)Give the medication in orange juice or milk to mask the taste.
B)Tell the child that the medication tastes good.
C)Ask the parents how they give medications at home.
D)Get another nurse to assist by holding the client down.
Q3) A client weighing 220 lbs.is prescribed to receive 25 mg/kg of a medication,divided over 4 equal doses.How many mg of the medication should the nurse provide for each dose?
Standard Text: Round to the nearest whole number.
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Page 27
Chapter 36: Skin Integrity and Wound Care
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77894
Sample Questions
Q1) A client asks why a cold pack has been prescribed for an arm injury.What should the nurse explain to the client?
Standard Text: Select all that apply.
A)The application of cold dilates blood vessels.
B)The application of cold constricts blood vessels.
C)The application of cold decreases inflammation.
D)The application of cold reduces localized pain.
E)The application of cold provides a calming,sedative effect.
Q2) A client is prescribed steroid medication.When preparing discharge instructions,the nurse should include information about infection control because steroids cause
A)decreased oxygen supply to tissues.
B)suppression of the inflammatory process necessary for healing.
C)a decrease in the amount of nutrients such as glucose in the blood.
D)blood vessel constriction,which impairs waste product removal.
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Chapter 37: Perioperative Nursing
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/77893
Sample Questions
Q1) The nurse is planning care for a client during the postoperative period.What should the nurse identify as the goal of care for this client?
A)Provide necessary preoperative teaching.
B)Assist the client to achieve the most optimal health status possible.
C)Ensure client safety.
D)Maintain an aseptic environment.
Q2) The nurse is caring for an 80-year-old client preparing for surgery.The nurse realizes this client is at increased risk for which reason?
A)The physiological deficits of aging increase the surgical risk for older adults.
B)The older adult has increased kidney function.
C)The older adult has an increase in sensory function.
D)The older adult will turn,cough,and deep-breathe more effectively.
Q3) The nurse is caring for a client on the postoperative unit.Which nursing diagnosis is the priority for this client?
A)Self-Care Deficit
B)Disturbed Body Image
C)Ineffective Airway Clearance
D)Risk for Falls
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29
Chapter 38: Sensory Perception
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/77892
Sample Questions
Q1) The nurse is identifying outcome criteria for a client with a nursing diagnosis of Disturbed Sensory Perception,Auditory.What would indicate that interventions to address this diagnosis have been successful?
A)Client places hearing aid on beside table when not in use.
B)Client does not respond appropriately to questions.
C)Client demonstrates use and care of hearing aid.
D)Client demonstrates difficulty with problem solving.
Q2) The family of a client in the hospital is concerned about the constant noise in the care area.Which health care professionals have the greatest control over the level of sensory input in the hospital?
A)Physicians
B)Administrators
C)Nurses
D)Planners
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Chapter 39: Self-Concept
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Which statement should the nurse make first when assessing a client's self-concept?
A)"Describe yourself as a person."
B)"Tell me about your family."
C)"Describe what you do when you have free time."
D)"Tell me about the work you do."
Q2) The parents of an adolescent report that their child has recently gotten into trouble at school for cheating on an examination and has been barred from participating in a school trip as a consequence of that action.They ask for the nurse's professional opinion about the suitability of the punishment.Which answer best supports self-esteem development in this adolescent?
A)"I think the punishment may be excessive.Have you talked with the school officials about the incident?"
B)"Because my expertise is in health,I really can't respond to your question."
C)"Honesty and respect for authorities is important.I am surprised that the punishment is not more extensive."
D)"Living with the consequences of your actions is a way to help the adolescent develop good self-esteem."
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Chapter 40: Sexuality
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Q1) The nurse uses the PLISSIT format in helping clients who have sexual dysfunction.Which action by the nurse best reflects the LI section of this format?
A)In order to avoid causing anxiety,limit the amount of information given to clients regarding adverse sexual side effects of treatments or medications.
B)Give the client accurate but concise information in regard to any sexual questions that might be asked.
C)State information using slang terms to refer to sexual body parts because the client is not likely to know the proper terms.
D)Review current research literature associated with the sexual concerns of the client and partner.
Q2) A research article the nurse is reading discusses the prevalence of androgyny in persons 20 to 30 years old.What should the nurse keep in mind when caring for clients who are androgynous?
A)They do not limit behaviors to one gender over the other.
B)They are attracted to people of the same gender.
C)They often repress their sexual feelings.
D)They hold rigid stereotyped gender role expectations.
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Page 32
Chapter 41: Spirituality
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Q1) The nurse is caring for an older client with end-stage renal disease.What actions should the nurse take to support this client's spiritual development?
Standard Text: Select all that apply.
A)Support the client to have hope for a cure.
B)Suggest the client view losses as liberations.
C)Encourage the client to reminisce about life events.
D)Ask open-ended questions about the client's life purpose.
E)Remind the client that time is running out to make any life changes.
Q2) After asking general assessment questions regarding spirituality,the nurse finds the client content and satisfied.How should the nurse conduct the rest of the assessment?
A)Specific questions regarding beliefs should be included.
B)The nurse should validate spiritual information with the client's family.
C)The assessment can now move on to physical assessment.
D)No further specific spiritual assessment is currently necessary.
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Chapter 42: Stress and Coping
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Q1) The nurse asks a client what strategies he uses to cope with stress.The client does not respond.What should the nurse do?
Standard Text: Select all that apply.
A)Document that the client has no stress.
B)Move on with the assessment.
C)Ask the client whether crying occurs.
D)Suggest that the client use humor or exercise.
E)Question the use of anger.
Q2) A client diagnosed with a myocardial infarction is overheard telling family about having food poisoning.What defense mechanism is this client exhibiting?
A)Compensation
B)Denial
C)Displacement
D)Identification
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Chapter 43: Loss, Grieving, and Death
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Q1) During the bath,the client suddenly says,"I am not going to get well.I think I am going to die." What response given by the nurse is most appropriate?
A)"Let's think of something more cheerful."
B)"You are doing so well;don't talk like that."
C)"What makes you think you are dying?"
D)"Whatever is meant to be will happen."
Q2) A client who has just been diagnosed with a slowly progressive terminal illness asks the nurse about the availability of hospice services.What information should the nurse share with this client?
A)When clients are designated as terminally ill,they are automatically assigned to hospice care.
B)Hospice services are generally reserved for those who have a life expectancy of 6 months or less.
C)Only those clients with private insurance can receive hospice benefits.
D)Provision of hospice services is reserved only for those who refuse other palliative treatments.
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Chapter 44: Rest
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Q1) The postoperative client is ambulating for the first time since surgery.The client has been able to tolerate sitting up on the side of the bed and has stood at the bedside without difficulty on two occasions.Which staff member should ambulate this client?
A)The UAP
B)A licensed practical (vocational)nurse
C)A registered nurse
D)It makes no difference
Q2) The nurse is providing range-of-motion exercising to the client's elbow when the client complains of pain.What action should the nurse take?
A)Stop immediately and report the pain to the client's physician.
B)Discontinue the treatment and document the results in the medical record.
C)Reduce the movement of the joint just until the point of slight resistance.
D)Continue to exercise the joint as before to loosen the stiffness.
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Chapter 45: Activity and Exercise
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Q1) A client reports the need to urinate during the night and then not being able to fall back asleep.The nurse should document this assessment finding as which factor that influences sleep?
A)Illness
B)Stimulant
C)Diet
D)Lifestyle
Q2) The client reports difficulty sleeping.Which environmental intervention should the nurse recommend?
A)Play soft music throughout the night.
B)Keep a television on in the bedroom.
C)Provide white noise with a fan.
D)Play a talk radio station.
Q3) The client has been prescribed zolpidem (Ambien)for the short-term management of insomnia.What information should the nurse include when teaching the client about this medication?
A)For best results,take the medication just prior to bedtime.
B)Take the medication at dinnertime to avoid gastric upset.
C)Do not take the medication with any liquid that contains calcium.
D)Drink an entire glass of water with the dose to avoid kidney stones.
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Chapter 46: Pain Management
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Q1) A client is experiencing pain after spraining an ankle.The nurse realizes that the client is most likely experiencing which type of pain?
A)Mild pain
B)Severe pain
C)Somatic pain
D)Visceral pain
Q2) The nurse is preparing to instruct a client on nonpharmacologic interventions that target the body for pain control.What should the nurse include in these instructions?
Standard Text: Select all that apply.
A)Massage
B)Acupressure
C)Self-hypnosis
D)Exercise
E)Nutritional supplements
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Chapter 47: Nutrition
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Q1) The nurse is planning instruction for a client who is underweight.What should be included in this teaching?
Standard Text: Select all that apply.
A)Discuss factors contributing to inadequate nutrition and weight loss.
B)Discuss ways to manage,minimize,or alter the factors contributing to malnourishment.
C)Discuss principles of a well-balanced diet and high- and low-calorie foods.
D)Provide information about community agencies that can assist in providing food.
E)Provide information about ways to increase calorie intake.
Q2) A client is diagnosed with an elevated cholesterol level.What should the nurse instruct the client regarding foods to avoid?
Standard Text: Select all that apply.
A)Fish
B)Milk
C)Liver
D)Chicken
E)Egg yolk
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Chapter 48: Urinary Elimination
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Sample Questions
Q1) The nurse wants to delegate the application of a condom catheter to unlicensed assistive personnel (UAP).What must the nurse assess prior to delegating this task?
A)Assess whether the client has unique needs.
B)Measure the client's intake.
C)Assist the client out of bed to a chair.
D)Assess changes in the client's mobility status.
Q2) The nurse has completed closed irrigation of a client's retention catheter.What specific information should the nurse document about this procedure?
A)Number of ml of solution used to inflate the balloon of the catheter
B)Abnormal drainage,such as blood clots,pus,or mucous shreds
C)Location of the draining bag
D)Technique used to conduct the irrigation
Q3) The nurse is applying an external urinary device to a client.Before attaching the device to the drainage bag,what should the nurse do?
A)Wash his or her hands.
B)Document the client's tolerance of the procedure.
C)Instruct the client about the drainage system.
D)Ensure that the condom is not twisted.
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Chapter 49: Fecal Elimination
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Q1) A client is prescribed to receive a cleansing enema.What should the nurse instruct the client prior to administering this enema?
A)Hold the solution for a short time.
B)Lie in the left lateral position.
C)Lie in the right lateral position.
D)Take fast breaths through the nose.
Q2) The nurse has completed care with a client who has a new ostomy.What should the nurse document about the care provided?
Standard Text: Select all that apply.
A)Any change in stoma size
B)Condition of the skin around the stoma
C)Amount and type of drainage
D)Client's response to the procedure
E)Degree of bowel sounds after care provided
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Chapter 50: Oxygenation
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Q1) A client who was a victim of a house fire is coughing.The nurse realizes that the purpose of the cough is to
A)improve oxygenation.
B)remove irritants from the nasal passages.
C)remove irritants from the trachea or bronchi.
D)close the glottis.
Q2) Upon assessment,the nurse notes that a client has dyspnea,crackles in both lung bases,and tires easily upon exertion.Which nursing diagnosis is best supported by these assessment details?
A)Ineffective Breathing Pattern
B)Anxiety
C)Ineffective Airway Clearance
D)Impaired Gas Exchange
Q3) A client's blood gas analysis results show an increase in carbon dioxide level.What will the nurse most likely assess in this client?
A)Decreased respiration rate
B)Increased respiration rate
C)Increased blood pressure
D)Decreased bowel sounds
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42
Chapter 51: Circulation
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Sample Questions
Q1) The nurse seeing a client stop breathing realizes that there is how much time before the onset of permanent damage?
A)3 minutes
B)2 minutes
C)4 to 6 minutes
D)20 to 40 minutes
Q2) The nurse notes a widely bizarre pattern on the client's cardiac monitor.What is the nurse's priority action?
A)Call a code blue.
B)Check the client's pulse.
C)Immediately defibrillate the client.
D)Check the rhythm in a different lead.
Q3) The nurse is reviewing the laboratory results of a client who is being observed for possible myocardial infarction.Which laboratory result would be most important for the nurse to discuss with the physician?
A)Increased hemoglobin
B)Decreased creatine kinase
C)Increased troponin
D)High normal potassium
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Page 43
Chapter 52: Fluid, Electrolyte, and Acid-Base Balance
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Q1) Ten minutes after the transfusion of a unit of packed red blood cells was initiated,the client complains of a headache.The nurse assesses that the client has slight shortness of breath and feels warm to the touch.What action by the nurse is priority?
A)Notify the client's physician.
B)Discontinue the transfusion.
C)Slow the rate of the transfusion.
D)Prepare to resuscitate the client.
Q2) The nurse initiates a blood transfusion for a client.What action should the nurse take next?
A)Stay with the client and closely observe him for the first 5 to 10 minutes of the transfusion.
B)Assign the UAP to sit with the client for 15 minutes.
C)Advise the client to notify the nurse if he experiences any chilling,nausea,flushing,or rapid heart rate.
D)Return to the room and take a set of vital signs in 15 minutes.
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