Nursing Theory and Practice Pre-Test Questions
Course Introduction
This course explores foundational and contemporary nursing theories, examining their influence on modern nursing practice and patient care. Students will learn to critically analyze various theoretical frameworks and apply them in clinical, educational, and research settings. The curriculum emphasizes the integration of theory into nursing processes, decision-making, and evidence-based practice, fostering a holistic understanding of the profession. Through case studies and practical exercises, students will develop skills in patient assessment, care planning, and interdisciplinary collaboration, equipping them to deliver compassionate, effective, and ethically sound care across diverse healthcare environments.
Recommended Textbook
Essentials for Nursing Practice 8th Edition by Potter
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39 Chapters
1000 Verified Questions
1000 Flashcards
Source URL: https://quizplus.com/study-set/424
Page 2
Chapter 1: The Nursing Profession
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7466
Sample Questions
Q1) A nurse is directing the care and staffing of three cardiac units.The nurse is practicing in which nursing role?
A) Advanced practice registered nurse
B) Nurse researcher
C) Nurse educator
D) Nurse administrator
Answer: D
Q2) A nurse is teaching the staff about Quality and Safety Education in Nursing,which identified six competencies for nursing.Which information should the nurse include in the teaching session? (Select all that apply.)
A) Informatics
B) Safety
C) Health policies
D) Informatics
E) Quality improvement
Answer: A,B,D,E
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Page 3
Chapter 2: Health and Wellness
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A smoker has confided to the nurse that he or she feels like a failure because he or she began smoking again after not having had a cigarette for more than a week.What is the nurse's best response?
A) "Let's discuss what triggered you to start smoking again so you can avoid it in the future."
B) "You understand that smoking is the number one cause of death in the United States, correct?"
C) "Did you know that your insurance premiums will increase if you continue to smoke?"
D) "My mother died last year of lung cancer."
Answer: A
Q2) A married father of four has recently been diagnosed with emphysema resulting from a long history of smoking.At a family counseling session a nurse helps the family to understand that this diagnosis is classified as a(n):
A) acute illness.
B) tertiary prevention.
C) chronic illness.
D) internal variable.
Answer: C
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Chapter 3: The Health Care Delivery System
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse is teaching the importance of breast self-examination to a group of 20-year-old women.The nurse is promoting which type of care?
A) Primary
B) Secondary
C) Tertiary
D) Restorative
Answer: A
Q2) A patient who experienced a stroke 4 days ago has been discharged from the hospital and will be undergoing outpatient rehabilitation.How should the nurse prepare the patient for this level of care?
A) The patient will be admitted to the rehabilitative unit of the hospital.
B) The patient will have scheduled appointment times for therapy.
C) The patient will have home visits from all members of the multidisciplinary team.
D) The patient will be at home for all of the treatments ordered by the primary health care provider.
Answer: B
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Chapter 4: Community-Based Nursing Practice
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A nurse in community-based practice needs a variety of skills and talents while rendering care to patients in the community.Which are competencies of the community health nurse? (Select all that apply.)
A) Case manager
B) Care giver
C) Educator
D) Advocate
E) Counselor
Q2) A student nurse is beginning the community-based primary care rotation.The student nurse anticipates that the assignment in community-based health care will most likely be at which organization?
A) An acute care hospital
B) A rehabilitation hospital
C) A nursing home
D) A high school
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Chapter 5: Legal Principles in Nursing
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/7470
Sample Questions
Q1) Which chart entry by a nurse would require follow up?
A) 0815 Patient found on floor.
B) 0816 Patient assessed and helped back to bed.
C) 0818 Physician notified of incident.
D) 0820 Occurrence report completed.
Q2) An RN has been caring for a patient.The nurse received an erroneous order for a medication.The primary health care provider has a reputation for impatience and irritability.Knowing this health care provider's nature,which action by the nurse would be most appropriate?
A) Clarify the order with the pharmacy.
B) Ask the patient to remember.
C) Clarify the order with the primary health care provider.
D) Ask another nurse to look at the order to try to clarify it.
Q3) When a nurse suspects child abuse or neglect,which action must the nurse take?
A) Report it to the proper legal authority.
B) Inform the parents that their actions are illegal.
C) Call the security department to handle the problem.
D) Prevent the parents from seeing the child during hospitalization.
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7
Chapter 6: Ethics
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A registered nurse has recently been reassigned to the gynecology unit at the hospital.The nurse is strongly against abortion because of religious beliefs and contacts the nursing supervisor regarding the assignment because the unit cares for women who are undergoing abortions.The nurse is having a conflict in which area?
A) Confidentiality
B) Values
C) Social networking
D) Culture
Q2) A community health nurse states,"I wish we had just a portion of the dollars spent repairing atherosclerotic hearts to teach the community about cardiovascular risk factors." The nurse's statement stems from what philosophy?
A) Deontology
B) Feminist ethic
C) Utilitarianism
D) Ethics of care
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Chapter 7: Evidence-Based Practice
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A nurse's manager has suggested that a nurse formulate a PICO question to clarify the topic before doing a literature review.When the nurse asks what the acronym PICO stands for,how should the nurse manager respond?
A) Policy, information, comparison, outcome
B) Patient, information, collection, outcome
C) Patient, intervention, comparison, outcome
D) Policy, intervention, communication, outcome
Q2) A student nurse is looking for research articles that can be used to complete a research paper.Where can the nursing student look to quickly find out if an article is research or clinically based?
A) p value
B) Abstract
C) Analysis
D) Literature review
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Chapter 8: Critical Thinking
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A student nurse is administering an enema with an instructor in the room.The patient states that he or she can no longer hold the enema solution.The student nurse acknowledges the patient's request and begins to tell the patient to go to the bathroom but asks the instructor if this is OK.The instructor suggests that the patient wait a few minutes to give the enema solution time to be absorbed into the bowel.In this situation the student nurse demonstrates what level of critical thinking according to Kataoka-Yahiro and Saylor's model?
A) Level 1: Basic
B) Level 2: Complex
C) Level 3: Commitment
D) Level 4: Expert
Q2) A new registered nurse working for a busy unit of an acute care teaching hospital begins the shift with four patients.Which patient should the nurse attend to first?
A) Patient who needs assistance in ambulating the hall
B) Patient whose blood pressure suddenly drops and who passes out (faints)
C) Recovering stable surgical patient whose family has just arrived
D) Recovering patient who is resting quietly watching television
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Chapter 9: Nursing Process
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A postoperative patient has denied the need for pain medication.The nurse has noted that the patient describes the pain as a "1" on a 0 to 10 scale.The nurse also notes that the patient grimaces when he or she changes position and guards the incision.The nurse believes that the patient is experiencing pain based on the information gathered in the assessment.What is this phenomenon known as?
A) Cue
B) Inference
C) Diagnosis
D) Health pattern
Q2) A postoperative patient is continuing to have incisional pain.As part of the nurse's assessment,the nurse notes that the patient is grimacing when he or she changes position.The patient's grimace can be useful in the assessment and can be described as which of the following?
A) Cue
B) Inference
C) Diagnosis
D) Health pattern
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Chapter 10: Informatics and Documentation
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/7475
Sample Questions
Q1) A nursing student is working on a clinical assignment.Which information is acceptable for the student to write on the clinical care plan that will be given to the instructor?
A) Patient room number
B) Patient date of birth
C) Patient medical record number
D) Patient nursing diagnosis
Q2) A nurse is giving a change-of-shift report.Which action should the nurse take?
A) Exchange judgments made about the patient's attitudes.
B) Include a description of how to perform procedures.
C) Provide a concise and organized description of the patient's normal findings.
D) Make walking rounds with the nurse coming on duty to review the patient's status and needs.
Q3) Which entry by the nurse demonstrates the most accurate and safe documentation of patient care?
A) "Sm. amt. of emesis."
B) "150 mL of cloudy dark yellow urine."
C) "Had a good day."
D) "Looks bad."
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Page 12
Chapter 11: Communication
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient is being cared for by a nurse.The patient has questions regarding what time the surgery is scheduled.When the nurse responds to the question,the nurse is assuming which communication role?
A) Channel
B) Receiver
C) Message
D) Sender
Q2) A registered nurse is caring for a postoperative patient who is experiencing respiratory distress after the administration of pain medication.The nurse called the patient's primary health care provider immediately.The information regarding the patient was conveyed using the SBAR format.Which information did the nurse convey to the primary health care provider?
A) Situation, background, assessment, recommendation
B) STAT, background, assessment, requirement
C) Status, background, analysis, recommendation
D) Setting, belief, assessment, requirement
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13
Chapter 12: Patient Education
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/7477
Sample Questions
Q1) A postsurgical patient is being taught about wound care before being discharged from the hospital and is in a semiprivate room with another patient.The other patient is upset with a family member and is crying.The television is on to try to provide some distraction from the roommate.Which action should the nurse take to best facilitate patient education for wound care?
A) Explain to the patient that everything is in the handout.
B) Take the patient to a quiet area to do the patient teaching.
C) Ask the roommate to please be considerate of the patient because patient education is occurring.
D) Request that a home health nurse follow up with the patient at home to teach about wound care.
Q2) Which behavior by a new nurse will cause the nurse manager to intervene?
A) Initiates teaching of a patient
B) Uses discovery learning techniques with a patient
C) Assigns nursing assistive personnel to teach a patient
D) Implements the teach-back method to evaluate patient understanding
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14
Chapter 13: Managing Patient Care
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/7478
Sample Questions
Q1) Which leadership skills should a nursing student use when caring for patients? (Select all that apply.)
A) Priority setting
B) Time management
C) Case management
D) Delegation
E) Team communication
Q2) A registered nurse (RN)works on a unit with other registered nurses,licensed practical nurses (LPN),and nursing assistive technicians.Usually a RN,LPN,and nursing assistive technician provide direct care for a group of patients.The RN coordinates all of the care the others provide.Which type of nursing care delivery models is the RN using?
A) Team nursing
B) Case management
C) Primary nursing
D) Total patient care
Q3) Communicate with patients,families,communities and other health care professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and treatment of disease.
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15
Chapter 14: Infection Prevention and Control
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/7479
Sample Questions
Q1) A nurse is coaching a student on the proper method of applying surgical gloves.One step in the proper donning of sterile gloves requires the nurse to:
A) with thumb and first two fingers of nondominant hand, touch only the glove's outer surface.
B) with gloved dominant hand, slip fingers inside the second glove and pull onto the nondominant hand.
C) carefully pull the glove over the dominant hand, leaving a cuff and being sure the cuff rolls up over the wrist.
D) carefully pull the glove over the dominant hand, leaving a cuff and being sure the cuff does not roll up over the wrist.
Q2) A nurse is assigned to multiple patients on a busy surgical unit.To minimize the onset and spread of infection,the nurse should:
A) insert indwelling catheters to prevent incontinence.
B) use aseptic technique when performing procedures.
C) use barriers sparingly to reduce the patient's sense of isolation.
D) keep mucus membranes dry to prevent maceration.
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16
Chapter 15: Vital Signs
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) The young mother of an 8-month-old patient brought her daughter to the clinic after taking the little girl's temperature rectally and obtaining a reading of 100.4° F.The mother was concerned that her daughter might be ill.Which of the following is the best response?
A) "Children usually run lower rather than higher temperatures when ill."
B) "Because of her age, it is probably a bacterial infection."
C) "Rectal temperatures are higher than temperatures obtained orally."
D) "When taking multiple temperatures, the sites should be rotated."
Q2) A 45-year-old mother of three children is at the doctor's office and her blood pressure 152/92.This is the first time that she has ever shown an elevated reading.She is concerned that she has hypertension.The nurse's best response would be:
A) "A single reading may not mean anything. We will take it again at your next visit."
B) "It looks like you have high blood pressure now. We'll check it again in 3 months."
C) "Fortunately, hypertension isn't related to other diseases and is easily treated."
D) "You may have hypertension, but there is little else that can be done except medicines."
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Chapter 16: Health Assessment and Physical Examination
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/7481
Sample Questions
Q1) A woman went to the public health clinic with a fever that had persisted for several days.Upon palpation of the neck,a registered nurse found several large lymph nodes.What is the nurse's best response to this patient upon palpating her lymph nodes?
A) "There is no need to worry; enlarged lymph nodes are normal findings."
B) "Lymph nodes are not really significant because they really have no function."
C) "Most people have a few enlarged lymph nodes."
D) "Enlarged lymph nodes sometimes indicate an infection."
Q2) A 47-year-old patient is being treated for hyperthyroidism.When she goes to the health care provider for a check-up,the nurse in the clinic expects to see which of the following physical symptoms?
A) Exophthalmos
B) Strabismus
C) Photophobia
D) Diplopia
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18
Chapter 17: Administering Medications
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) When the effect of two medications combined is greater than the effects of the medications when given separately,the two medications are said to have a(n):
A) synergistic effect.
B) anaphylactic reaction.
C) medication interaction.
D) idiosyncratic reaction.
Q2) A patient is to receive a medication that is irritating to muscle tissue.The most appropriate injection technique involves which of the following?
A) Z-track technique of injection
B) Subcutaneous technique of injection
C) Use of the vastus lateralis in adults
D) Use of the deltoid muscle in children less than 12 months old
Q3) Undesired,unintended,and often unpredictable responses to medication are referred to as _____ effects.
A) Adverse
B) Side
C) Therapeutic
D) Toxic
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19
Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/7483
Sample Questions
Q1) The nurse suspects that the patient is experiencing a blood transfusion reaction.The nurse stops the infusion but is concerned about losing the IV line if blood clots in the catheter.The nurse should:
A) replace the entire transfusion line with a new set primed with normal saline.
B) turn off the blood and turn on the normal saline infusion to flush the tubing.
C) discontinue the IV and start a new IV of lactated Ringer's in the other extremity.
D) maintain the patency of the current IV line by hanging a new IV bag of D5W.
Q2) A 27-year-old patient has seen a health care provider at the local clinic because he has had diarrhea for the past week.The health care provider instructed the patient to drink plenty of fluids,and the nurse clarifies these instructions by advising him to avoid which item as long as he has diarrhea?
A) Ice chips
B) Pedialyte
C) Coffee
D) Tap water
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20
Chapter 19: Caring in Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A registered nurse who works for an orthopedic unit of an acute care hospital makes hourly rounds on his patients.He also closes the door and pulls the curtains around the beds of patients in semiprivate rooms before exposing them for treatments.This is an example of which of the following behaviors?
A) Human respect
B) Encouraging manner
C) Healing environment
D) Affiliation needs
Q2) A nurse is working in a health care clinic.She loves her work because of all the different people she meets.She professes to care for all of them and states that she understands them because she realizes which of the following is true?
A) Basically all patients are the same.
B) Each person has a unique background.
C) Caring for people requires very little experience.
D) There are standard solutions to most health care problems.
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Chapter 20: Cultural Awareness
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Cultural competence is the ongoing process in which a health care professional continuously strives to achieve the ability to work effectively within the cultural context.To do this effectively,what must the nurse do?
A) Understand the cultural norms of the patient's community.
B) See herself or himself as being culturally competent.
C) Face the reality that cultural competence can take up to a year to achieve.
D) View herself or himself as becoming culturally competent.
Q2) Health care regulatory agencies,national think tanks,and government agencies expect health care organizations to incorporate cultural competence into policies and practices to ensure effective communication,patient safety and quality,and patient-centered care.Some examples of such organizational policies and practices include which of the following? (Select all that apply.)
A) Instituting a requirement for all staff to be trained in cultural competence
B) Maintaining the traditional description of family in written policies
C) Enforcing strict visitation policies and practices
D) Ensuring that persons who are deaf or speak limited English have access to an interpreter
E) Embedding health literacy principles in written and verbal communication
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Chapter 21: Spiritual Health
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/7486
Sample Questions
Q1) Interventions a nurse can use to establish presence with a patient include which of the following? (Select all that apply.)
A) Giving attention
B) Answering questions
C) Listening
D) Administering medication
E) Speaking with the family
Q2) A nurse is caring for a patient with a debilitating chronic illness.The patient mentions several times that faith would guide her healing.The nurse knows that faith can best be defined as a:
A) system of organized beliefs and worship.
B) relationship with a higher power, authority, or spirit.
C) source of energy needed to cope with difficult situations.
D) multidimensional concept that gives comfort while a person endures hardship.
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Chapter 22: Growth and Development
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A patient is experiencing incisional pain after an operation.When using Maslow's hierarchy of needs,the nurse realizes that for the patient to return to a prehospitalized status,the patient needs to progress beyond which of the following?
A) Belonging
B) Self-esteem
C) Self-actualization
D) Safety and security
Q2) A nurse is caring for a group of 6 and 7 year olds.The nurse remembers that,according to Kohlberg,moral development is a component of psychosocial development.Moral development depends on the child's ability to do which of the following? (Select all that apply.)
A) Accept social responsibility.
B) Respect the integrity and rights of others.
C) Integrate principles of justice and fairness.
D) Use symbols and objects on the way to abstract thinking.
E) Perform repetitive motion responses.
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Chapter 23: Self-Concept and Sexuality
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/7488
Sample Questions
Q1) The nurse is caring for an elderly patient who has a urinary catheter in place and is showing signs of altered self-concept.In dealing with this age group it is probably safe to assume which of the following?
A) Sexuality concerns are not an issue.
B) Sexual activity is probably harmful.
C) Sexually active seniors are always heterosexual.
D) Sexually active elderly adults have better overall health.
Q2) Body image is an important concept relative to psychosocial development.In dealing with body image issues,the nurse must do which of the following?
A) Understand that skinny people always see themselves as thin.
B) Realize that body image is never associated with self-esteem.
C) Recognize that physical changes always lead to changes in body image.
D) Be aware that female adolescents more frequently struggle with issues than males.
Q3) Reviewing sexuality changes associated with aging is important because:
A) very few older women experience any type of sexual problems.
B) in older men, the penis does not become firm as quickly.
C) ejaculation remains the same throughout life.
D) ejaculation is quicker with aging.
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Chapter 24: Family Context in Nursing
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Sample Questions
Q1) The parents of an 18-year-old who joined the military and is being deployed overseas,discuss with him how they plan to stay in touch and purchase a laptop computer for him to take with him so they can e-mail and use the webcam to see each other.What approach to stress does this family exhibit?
A) Resiliency
B) Hardiness
C) Heredity
D) Genetics
Q2) The nurse is admitting a 45-year-old patient and asks about her family.The patient states that she lives with her daughter and son-in-law.The nurse knows that this is an example of which of the following family forms?
A) Nuclear
B) Extended
C) Blended
D) Alternate pattern relationship
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26
Chapter 25: Stress and Coping
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Sample Questions
Q1) A new nurse is looking for a staff nurse position.She had several instances during clinical rotations in nursing school in which she was late because she studied until the early hours of the morning.According to her circadian rhythm she would be best suited for which of the following positions?
A) Full-time 8-hour day/evening rotation
B) Part-time 12-hour day/night rotation position
C) Full-time 12-hour night position
D) Full-time 8-hour day position
Q2) The nurse is assigned a patient who has experienced the alarm reaction and continues to recover.The nurse knows that the primary hormone impacting the stress response in the resistance stage of the general adaptation syndrome is:
A) vasopressin.
B) adrenaline.
C) noradrenaline.
D) cortisol.
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Chapter 26: Loss and Grief
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Sample Questions
Q1) A nurse who grew up in Korea has been in the United States for the past 4 years.The nurse is especially sensitive about the differences in how mourning is different between the native culture and that of Western society.The nurse should use which model of mourning to help understand an action-oriented process of grieving?
A) Bowlby's Four Phases
B) Worden's Four Tasks
C) Rando's R Process
D) Kübler-Ross' Five Stages
Q2) The parent of a child who drowned in a neighbor's pool that was not secured,would most likely file a wrongful death lawsuit against the neighbor during which of Bowlby's phases of mourning?
A) Numbing
B) Yearning and searching
C) Disorganization and despair
D) Reorganization
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28
Chapter 27: Exercise and Activity
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Sample Questions
Q1) A nurse is caring for a patient with a broken tibia and fibula.The patient is in a half cast to his knee and is unable to bear weight.The nurse has instructed the patient on how to walk and climb stairs with his injuries.What is the best way to assess the patient's knowledge of how to ascend and descend stairs?
A) Incorrectly re-demonstrate the procedure and have the patient point out any errors.
B) Have the family member explain the procedure.
C) Have the patient explain the procedure.
D) Have the patient demonstrate the procedure.
Q2) A nurse is caring for a patient who has pneumonia.To facilitate respiration and lung drainage this patient should be placed in what position?
A) Sims'
B) Prone
C) Lateral
D) Supine
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Chapter 28: Safety
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Sample Questions
Q1) A nurse working on the medical unit mistakenly administers the wrong medication to a patient.This type of error would be classified as which of the following?
A) Poisoning accident
B) Equipment-related accident
C) Procedure-related accident
D) Accident related to time management
Q2) A student nurse has been asked by the registered nurse with whom the student nurse is working to apply wrist restraints to a patient who is confused and is trying to remove the endotracheal tube.The student nurse knows that it is important to tie the restraints to which part of the bed?
A) Side rails
B) Part of bed frame that moves up and down with the patient
C) Footboard
D) Headboard
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Chapter 29: Hygiene
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20 Flashcards
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Sample Questions
Q1) The student nurse caring for a 56-year-old patient with acquired immunodeficiency syndrome (AIDS).While providing oral care for the patient the student nurse notes that the gums are reddened and bleed easily.The student nurse identifies this as a sign of what condition?
A) Dental caries
B) Gingivitis
C) Oral herpes
D) Thrush
Q2) Older adult patients produce less sebum and perspire less than younger patients.Therefore when providing personal hygiene the nurse should do which of the following?
A) Use hot water and regular soap.
B) Use plain water and a soft towel.
C) Provide a total bed bath every day.
D) Use warm water and a mild cleansing agent.
Q3) Which of the following interventions will decrease the chance of dry skin?
A) Daily baths in a soaker tub for 30 minutes
B) Inadequate fluid and nutrition
C) Leave moisturizing soap on the body
D) Use of superfatted soap
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Chapter 30: Oxygenation
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Q1) A patient on the surgical unit is 1 day postoperative for surgery to remove stomach cancer.In addition to the physiological stress this patient has undergone,the nurse recognizes that this patient will have to deal with the psychological stress of finding out that the cancer has metastasized to the liver.Which physiological change would the nurse expect to see as a response to stress?
A) Decreased heart rate
B) Increased hemoptysis output
C) Increased respiratory rate
D) Decreased cardiac output
Q2) A patient has been admitted to the pulmonary unit of the hospital with right lower lobe pneumonia and history of chronic obstructive pulmonary disease (COPD).During the initial assessment the nurse notes that the patient has a respiration rate of 18 with retractions,tachycardia,and complains of dyspnea and dizziness.The nurse identifies that these are clinical signs of which condition?
A) Paroxysmal nocturnal dyspnea
B) Orthopnea
C) Hemoptysis
D) Hypoxia
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Chapter 31: Sleep
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Q1) A patient has returned from back surgery.The family has brought in the patient's continuous positive airway pressure (CPAP)machine.What is the best rationale for allowing the patient to use the CPAP machine at night?
A) It will keep the patient in deep levels of REM, which will decrease the need for pain medication.
B) It will help decrease hospital noise that will keep the patient awake.
C) The patient needs ventilator support owing to the increased chance of postoperative respiratory complications.
D) The patient needs to follow the same bedtime routine to promote a safe environment for sleep.
Q2) While making night shift rounds,the nursing assistive personnel become concerned when a patient stops breathing from 1 to 2 minutes several times during the shift.The nurse informs the nursing assistive personnel that this condition is known as which of the following?
A) Cataplexy
B) Insomnia
C) Narcolepsy
D) Sleep apnea
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Chapter 32: Pain Management
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Q1) A student nurse is assessing the pain of a teenage patient with cancer.The student nurse ask the patient about precipitating factors,quality,relieving factors,where the pain is,the severity of pain,and the effect of the pain has on the patient.What is the other indicator that the student nurse should make part of this pain assessment?
A) Medications the patient is taking for pain
B) Timing of the pain
C) Side effects of the patient's chemotherapy
D) The patient's ability to take oral pain medication
Q2) A terminally ill patient with cancer is experiencing increased pain.Nursing implications used to care for this patient include which of the following?
A) Giving medications as needed
B) Using the World Health Organization three-step approach
C) Using a holistic approach to pain management
D) Holding regular doses to prevent life-threatening side effects
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Chapter 33: Nutrition
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Q1) A new mother is breastfeeding her infant.The nurse asks the mother if she is getting the correct amounts of dietary reference intakes.Which statement from the mother indicates a correct understanding of dietary guidelines?
A) "I am not concerned about dietary guidelines or a strict diet."
B) "I am taking the vitamin doses according to the television advertisements."
C) "I am only taking one multiple vitamin a day and eating whatever I want."
D) "I am eating the correct amount of food according to the recommended dietary allowances and adequate intakes."
Q2) A 34-year-old mother delivered her third child 1 year ago.She tells the nurse that her New Year's resolution is to lose the 15 pounds that she gained with this pregnancy over the next month.Which of the following is the best statement that the nurse can make to help the patient achieve her weight loss goal?
A) "I don't think you need to lose the weight; you look fine as you are."
B) "The weight will come off by itself because you are breastfeeding."
C) "Let's talk about giving yourself a realistic timeframe to lose it."
D) "That is a realistic, healthy goal for you to have."
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35
Chapter 34: Urinary Elimination
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Q1) A patient calls the office to tell you that his or her urine has changed to an orange color.The best response of the nurse is which of the following?
A) "Did you recently start a new prescription for Pyridium?"
B) "Did you recently drink a lot of cranberry juice?"
C) "Have you noticed any blood on the tissue when you wipe yourself?"
D) "Please make an appointment with the office right away."
Q2) The health care provider ordered a 24-hour urine specimen to test the renal function of a patient admitted with acute renal failure.The nurse has prepared all the necessary equipment and has asked the patient if he or she needs to void.The nurse knows that the 24-hour collection period will begin:
A) after the first voided specimen is discarded.
B) with the first morning voided specimen.
C) after the second voided specimen is collected.
D) as soon as the necessary equipment arrives.
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Chapter 35: Bowel Elimination
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Q1) A patient was involved in a motor vehicle accident and underwent a loop colostomy.The patient questions the nurse about what is draining out of each side of the colostomy.What is the nurse's best response?
A) "There is stool draining out of both sides."
B) "Stool is draining out the stomach side and mucus is draining from the rectum side."
C) "There is mucus and stool draining from both sides."
D) "There is stool draining out of the stomach side and nothing draining out of the rectum side."
Q2) A student nurse is caring for a patient who has dehydration as a result of diarrhea.Diarrhea is a result of abnormally fast peristalsis in what organ?
A) Jejunum
B) Stomach
C) Duodenum
D) Colon
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Chapter 36: Immobility
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Q1) Immobilized patients often become depressed.A nurse can best combat this effect of immobilization by doing which of the following? (Select all that apply.)
A) Limiting visitors so the patient is not bothered
B) Involving the patient in planning time for care and activities
C) Placing the patient in a private room to reduce the interruptions by a roommate
D) Encouraging the patient to comb hair, wear make-up, and/or use cologne if appropriate
E) Having the patient in a room with another patient who is interactive.
Q2) A young adult patient was involved in a motorcycle accident.The patient was in the intensive care unit of the hospital for 2 months with immobility and was just discharged to a rehabilitation hospital.The patient asks the nurse,"Why am I so weak?" What is the best response from the nurse?
A) "When you are in bed for a long time, your body begins to break down its own protein."
B) "When you don't use it, you lose it."
C) "You haven't eaten much for the past couple of months."
D) "Your body has spent energy trying to heal itself by increasing the metabolic rate."
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Chapter 37: Skin Integrity and Wound Care
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Q1) The primary health care provider has ordered the patient to wear an elastic bandage to the left ankle owing to a severe strain.The nurse has instructed the patient on proper application of the elastic bandage.Which statement indicates the patient needs more teaching?
A) "I need to wrap the bandage toward my toes."
B) "I need to make sure the bandage is smooth."
C) "I need to watch my toes for swelling and feeling cold."
D) "I need to take the bandage off and call the physician if I experience increased pain."
Q2) On admission a patient is noted to have an alteration in skin integrity on the right heel.The nurse uses the Braden Scale.Which areas will the nurse assess when using this scale? (Select all that apply.)
A) Mobility
B) Nutrition
C) Infection
D) Friction and shear
E) Sensory perception
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Chapter 38: Sensory Alterations
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Q1) A nursing student is concerned with sensory deprivation among the patients in the nursing home during the clinical rotation.Which of the following could be caused by sensory deprivation? (Select all that apply.)
A) Confusion
B) Anxiety
C) Disorientation
D) Panic
E) Aggressiveness
Q2) A nurse is caring for a patient who signs and lip reads.When communicating,the most appropriate nursing action is to do which of the following?
A) Rely on family members to interpret.
B) Speak louder and more distinctly than normal.
C) Sit facing the patient when speaking.
D) Repeat the entire conversation if it is not understood the first time.
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Chapter 39: Surgical Patient
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Q1) A student nurse has been assigned to a 67-year-old patient who is undergoing thoracic surgery to remove a tumor.As part of the preoperative teaching,the student nurse discusses the importance of coughing.Which of the following statements is true regarding why postoperative coughing is important? (Select all that apply.)
A) "Coughing assists in removing retained mucus in the airways."
B) "It won't hurt to cough with adequate pain control."
C) "You can splint your incision when coughing to minimize pain."
D) "Deep breathing and coughing will remove anesthesia gases from your lungs."
E)"Deep breathing involves fast, shallow, breaths and then one big breath."
F) "Coughing is not encouraged because of the potential or dehiscence at the surgical site."
Q2) All patients undergoing surgery need to have preoperative preparation.When physically preparing the patient,the most appropriate action for the nurse to take is which of the following?
A) Leaving all of the patient's jewelry in place
B) Removing the patient's makeup and nail polish
C) Providing the patient with sips of water for a dry mouth
D) Removing the patient's hearing aid before transport to the operating room
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