Nursing Concepts
Exam Answer Key
Course Introduction
Nursing Concepts provides students with a comprehensive introduction to the foundational principles and theories that shape nursing practice. The course explores core concepts such as patient-centered care, safety, ethics, cultural competence, communication, and clinical reasoning. Students learn to apply these concepts in various healthcare settings, enhancing their decision-making abilities and fostering professional growth. Through discussions, case studies, and interactive activities, the course prepares students to deliver holistic, evidence-based care to diverse patient populations.
Recommended Textbook
Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
Source URL: https://quizplus.com/study-set/175 Page 2
Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2380
Sample Questions
Q1) The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of nursing practice is the nurse following?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Answer: C
Q2) A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse implementing?
A) Educator
B) Manager
C) Advocate
D) Caregiver
Answer: B
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Chapter 2: The Health Care Delivery System
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2381
Sample Questions
Q1) The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work?
A) Secondary acute
B) Continuing
C) Restorative
D) Tertiary
Answer: C
Q2) A nurse is using research findings to improve clinical practice. Which technique is the nurse using?
A) Performance improvement
B) Integrated delivery networks
C) Nursing-sensitive outcomes
D) Utilization review committees
Answer: A
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Chapter 3: Community-Based Nursing Practice
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2382
Sample Questions
Q1) Before a patient with beginning stage of Alzheimer's disease is discharged, the community-based nurse is making a visit to the patient's home. The patient's daughter and family live in the home with the patient. What is the major focus of this visit?
A) Teach the family how to monitor blood pressure.
B) Demonstrate techniques for providing care.
C) Stress to the family how difficult it will be to provide care at home.
D) Encourage the family to send the patient to an extended care facility.
Answer: B
Q2) The nurse is making a home visit to a Korean mother after the birth of girl. The spouse is pressing different parts of the patient's hand and lower arm to relieve a headache. What is the nurse's next action?
A) Tell the spouse to stop and give the mother acetaminophen.
B) Let the spouse finish and then give the mother medication.
C) Ask the mother and/or spouse to explain the procedure.
D) Explain to the spouse that it will not work.
Answer: C
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Chapter 4: Theoretical Foundations of Nursing Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2383
Sample Questions
Q1) A nurse is using nursing theory and the nursing process simultaneously to plan nursing care. How will the nurse use nursing theory and the nursing process in practice?
A) Nursing theory can direct how a nurse uses the nursing process.
B) Nursing theory requires the nursing process to develop knowledge.
C) Nursing theory with the nursing process has a minor role in professional nursing.
D) Nursing theory combined with the nursing process is specific to certain ill patients.
Q2) A nurse is using a nursing metaparadigm to define nursing. Which concepts will the nurse include? (Select all that apply.)
A) Person
B) Disease
C) Health
D) Nursing
E) Environment
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Chapter 5: Evidence-Based Practice
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2384
Sample Questions
Q1) In caring for patients, what must the nurse remember about evidence-based practice (EBP)?
A) EBP is the only valid source of knowledge that should be used.
B) EBP is secondary to traditional or convenient care knowledge.
C) EBP is dependent on patient values and expectations.
D) EBP is not shown to provide better patient outcomes.
Q2) A nurse writes the following PICOT question: How do patients with breast cancer rate their quality of life? How should the nurse evaluate this question?
A) A true PICOT question regardless of the number of elements
B) A true PICOT question because the intervention comes before the control
C) Not a true PICOT question because the comparison comes after the intervention
D) Not a true PICOT question because the time is not designated
Q3) The nurse is caring for a patient with chronic low back pain. The nurse wants to determine the best evidence-based practice regarding clinical guidelines for low back pain. What is the best database for the nurse to access?
A) MEDLINE
B) EMBASE
C) PsycINFO
D) AHRQ
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Page 7
Chapter 6: Health and Wellness
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2385
Sample Questions
Q1) Upon completing a history, the nurse finds that a patient has risk factors for lung disease. How should the nurse interpret this finding?
A) A person with the risk factor will get the disease.
B) The chances of getting the disease are increased.
C) Risk modification will have no effect on disease prevention.
D) The disease is guaranteed not to develop if the risk factor is controlled.
Q2) A nurse is teaching about the goals of Healthy People 2020. Which information should the nurse include in the teaching session?
A) Eliminate health disparities in America.
B) Eliminate health behaviors in America.
C) Eliminate quality of life in America.
D) Eliminate healthy life in America.
Q3) Which areas should the nurse assess to determine the effects of external variables on a patient's illness? (Select all that apply.)
A) Patient's perception of the illness
B) Patient's coping skills
C) Socioeconomic status
D) Cultural background
E) Social support
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Page 8
Chapter 7: Caring in Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/2386
Sample Questions
Q1) Which actions by the nurse should be done in order to get to know the patient? (Select all that apply.)
A) Avoid assumptions
B) Focus on the patient
C) Engage in a caring relationship
D) Form the relationship very quickly
E) Not address spiritual or higher needs
Q2) Transpersonally
A)Connection with others
B)Connection with higher power
C)Connection with oneself
Q3) The nurse is caring for a patient who has been sullen and quiet for the past three days. Suddenly, the patient says, "I'm really nervous about surgery tomorrow, but I'm more worried about how it will affect my family." What should the nurse do \(\bold{first}\)?
A) Assure the patient that everything will be all right.
B) Tell the patient that there is no need to worry.
C) Listen to the patient's concerns and fears.
D) Inform the patient a social worker is available.
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Page 9
Chapter 8: Caring for the Cancer Survivor
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/2387
Sample Questions
Q1) A nurse is working in a cancer facility that follows the Institute of Medicine's (IOM) recommendations for essential components of survivorship care. Which recommendations will be the nurse's focus? (Select all that apply.)
A) Cessation of noncancer follow-up and care
B) Prevention and detection of new and recurrent cancers
C) Intervention for consequences of cancer and its treatment
D) Coordination between specialists and primary care providers
E) Surveillance for cancer spread, recurrence, or second cancers
Q2) A breast cancer survivor has chemotherapy-related cognitive impairment. Which area should the nurse assess?
A) Pain
B) Grief
C) Nightmares
D) Short-term memory
Q3) The self-caregiving pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
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Chapter 9: Cultural Awareness
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2388
Sample Questions
Q1) A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally congruent care?
A) Provides care that fits the patient's valued life patterns and set of meanings
B) Provides care that is based on meanings generated by predetermined criteria
C) Provides care that makes the nurse the leader in determining what is needed
D) Provides care that is the same as the values of the professional health care system
Q2) The nurse is caring for a Chinese patient using the Teach-Back technique. Which action by the nurse indicates successful implementation of this technique?
A) Asks, "Does this make sense?"
B) Asks, "Do you think you can do this at home?"
C) Asks, "What will you tell your spouse about changing the dressing?"
D) Asks, "Would you tell me if you don't understand something so we can go over it?"
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Chapter 10: Caring for Families
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/2389
Sample Questions
Q1) A nurse cares for the family's as well as the patient's needs using available resources. Which approach is the nurse using?
A) Family as context
B) Family as patient
C) Family as system
D) Family as caregivers
Q2) A nurse is assessing threats concerning the family. Which areas will the nurse include in the assessment? (Select all that apply.)
A) Homelessness
B) Domestic violence
C) Presence of illness
D) Changing economic status
E) Rise of homosexual families
Q3) Who at your workplace is close to the family?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
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Chapter 11: Developmental Theories
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2390
Sample Questions
Q1) A formerly independent older adult becomes severely withdrawn upon admission to a nursing home. Which action should the nurse take \(\bold{first}\)?
A) Offer a reward to the patient for participation in all events.
B) Encourage the patient to eat meals in the dining room with others.
C) Allow the patient to incorporate personal belongings into the room.
D) Advise the patient of the importance of attending mandatory activities.
Q2) A nurse is working with a patient who wants needs to be met and is impatient and demanding when these needs are not met immediately. How should the nurse interpret this finding according to Freud?
A) The id is functioning.
B) The ego is functioning.
C) The superego is functioning.
D) The Oedipus complex is functioning.
Q3) A nurse is caring for a young adult after surgery. Which action by the nurse will be \(\bold{priority}\)?
A) Allow involvement of peers
B) Allow involvement of partner
C) Allow involvement of volunteer activities
D) Allow involvement of consistent schedule
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Page 13
Chapter 12: Conception Through Adolescence
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2391
Sample Questions
Q1) A nurse is teaching the staff about development. Which information indicates the nurse needs to follow up?
A) "Development proceeds in a cephalocaudal pattern."
B) "Development proceeds in a proximal-distal pattern."
C) "Development proceeds at a slower rate during the embryonic stage."
D) "Development proceeds at a predictive rate from the moment of conception."
Q2) A nurse is comparing physical growth patterns between school-aged children and adolescents. Which principle should the nurse consider?
A) Physical growth usually slows during the adolescent period.
B) Secondary sex characteristics usually develop during the adolescent years.
C) Boys usually exceed girls in height and weight by the end of the school years.
D) The distribution of muscle and fat remains constant during the adolescent years.
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14
Chapter 13: Young and Middle Adults
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2392
Sample Questions
Q1) A nurse is choosing an appropriate topic for a young-adult health fair. Which topic should the nurse include?
A) Retirement
B) Menopause
C) Climacteric factors
D) Unplanned pregnancies
Q2) Agricultural workers
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
Q3) A nurse is planning care for a 30 year old. Which goal is priority?
A) Refine self-perception.
B) Master career plans.
C) Examine life goals.
D) Achieve intimacy.
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Chapter 14: Older Adult
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2393
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 psychosocial change does the nurse focus on as a priority?
A) Sexuality
B) Retirement
C) Environment
D) Social isolation
Q2) A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding?
A) Oily skin
B) Faster nail growth
C) Decreased elasticity
D) Increased facial hair in men
Q3) A nurse is caring for an older adult. Which goal is \(\bold{priority}\)?
A) Adjusting to career
B) Adjusting to divorce
C) Adjusting to retirement
D) Adjusting to grandchildren
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Page 16
Chapter 15: Critical Thinking in Nursing Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2394
Sample Questions
Q1) A nurse is pulled from the surgical unit to work on the oncology unit. Which action by the nurse displays humility and responsibility?
A) Refusing the assignment
B) Asking for an orientation to the unit
C) Admitting lack of knowledge and going home
D) Assuming that patient care will be the same as on the other units
Q2) A nurse is reviewing care plans. Which finding, if identified in a plan of care, should the registered nurse revise?
A) Patient's outcomes for learning
B) Nurse's assumptions about hospital discharge
C) Identification of several actual health problems
D) Documentation of patient's ability to meet the goal
Q3) A nurse is using professional standards to influence clinical decisions. What is the rationale for the nurse's actions?
A) Establishes minimal passing standards for testing
B) Utilizes evidence-based practice based on nurses' needs
C) Bypasses the patient's feelings to promote ethical standards
D) Uses critical thinking for the highest level of quality nursing care
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Chapter 16: Nursing Assessment
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2395
Sample Questions
Q1) Radiate
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
Q2) Provokes
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
Q3) A nurse has already set the agenda during a patient-centered interview. What will the nurse do next?
A) Begin with introductions.
B) Ask about the chief concerns or problems.
C) Explain that the interview will be over in a few minutes.
D) Tell the patient "I will be back to administer medications in 1 hour."
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18
Chapter 17: Nursing Diagnosis
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2396
Sample Questions
Q1) A nurse performs an assessment on a patient. Which assessment data will the nurse use as an etiology for Acute pain?
A) Discomfort while changing position
B) Reports pain as a 7 on a 0 to 10 scale
C) Disruption of tissue integrity
D) Dull headache
Q2) A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did the nurse write?
A) Ineffective breathing pattern related to pneumonia
B) Risk for infection related to chest x-ray procedure
C) Risk for deficient fluid volume related to dehydration
D) Impaired gas exchange related to alveolar-capillary membrane changes
Q3) After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is the rationale for the nurse's actions?
A) To form a language that can be encoded only by nurses
B) To distinguish the nurse's role from the physician's role
C) To develop clinical judgment based on other's intuition
D) To help nurses focus on the scope of medical practice
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Page 19
Chapter 18: Planning Nursing Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2397
Sample Questions
Q1) The following statements are on a patient's nursing care plan. Which statement will the nurse use as an outcome for a goal of care?
A) The patient will verbalize a decreased pain level less than 3 on a 0 to 10 scale by the end of this shift.
B) The patient will demonstrate increased tolerance to activity over the next month.
C) The patient will understand needed dietary changes by discharge.
D) The patient will demonstrate increased mobility in 2 days.
Q2) A charge nurse is reviewing outcome statements using the SMART approach. Which patient outcome statement will the charge nurse praise to the new nurse?
A) The patient will ambulate in hallways.
B) The nurse will monitor the patient's heart rhythm continuously this shift.
C) The patient will feed self at all mealtimes today without reports of shortness of breath.
D) The nurse will administer pain medication every 4 hours to keep the patient free from discomfort.
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Chapter 19: Implementing Nursing Care
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2398
Sample Questions
Q1) The nurse is caring for a patient who requires a complex dressing change. While in the patient's room, the nurse decides to change the dressing. Which action will the nurse take just before changing the dressing?
A) Gathers and organizes needed supplies
B) Decides on goals and outcomes for the patient
C) Assesses the patient's readiness for the procedure
D) Calls for assistance from another nursing staff member
Q2) The nurse is intervening for a family member with role strain. Which direct care nursing intervention is most appropriate?
A) Assisting with activities of daily living
B) Counseling about respite care options
C) Teaching range-of-motion exercises
D) Consulting with a social worker
Q3) A new nurse is working in a unit that uses interdisciplinary collaboration. Which action will the nurse take?
A) Act as a leader of the health care team.
B) Develop good communication skills.
C) Work solely with nurses.
D) Avoid conflict.
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Page 21
Chapter 20: Evaluation
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2399
Sample Questions
Q1) The nurse is caring for a patient who has an open wound and is evaluating the progress of wound healing. Which priority action will the nurse take?
A) Ask the nursing assistive personnel if the wound looks better.
B) Document the progress of wound healing as "better" in the chart.
C) Measure the wound and observe for redness, swelling, or drainage.
D) Leave the dressing off the wound for easier access and more frequent assessments.
Q2) Which nursing actions will the nurse perform in the evaluation phase of the nursing process? (Select all that apply.)
A) Set priorities for patient care.
B) Determine whether outcomes or standards are met.
C) Ambulate patient 25 feet in the hallway.
D) Document results of goal achievement.
E) Use self-reflection and correct errors.
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Chapter 21: Managing Patient Care
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2400
Sample Questions
Q1) Which staff member does the nurse assign to provide morning care for an older-adult patient who requires assistance with activities of daily living?
A) Licensed practical nurse
B) Cardiac monitor technician
C) Nursing assistive personnel (NAP)
D) Another registered nurse on the floor
Q2) Which approach will be most appropriate for a nurse to take when faced with the challenge of performing many tasks in one shift?
A) Do as much as possible by oneself before seeking assistance from others.
B) Evaluate the effectiveness of all tasks when all tasks are completed.
C) Complete one task before starting another task.
D) Delegate tasks the nurse does not like doing.
Q3) A nurse is working in an intensive care unit (critical care). Which type of nursing care delivery model will this nurse \(\bold{most}\) likely use?
A) Team nursing
B) Total patient care
C) Primary nursing
D) Case-management
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Chapter 22: Ethics and Values
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/2401
Sample Questions
Q1) The patient reports to the nurse of being afraid to speak up regarding a desire to end care for fear of upsetting spouse and children. Which principle in the nursing code of ethics ensures that the nurse will promote the patient's cause?
A) Advocacy
B) Responsibility
C) Confidentiality
D) Accountability
Q2) A nurse is discussing quality of life issues with another colleague. Which topic will the nurse acknowledge for increased attention paid to quality of life concerns?
A) Health care disparities
B) Aging of the population
C) Abilities of disabled persons
D) Health care financial reform
Q3) Which action by the nurse indicates a safe and efficient use of social networks?
A) Promotes support for a local health charity
B) Posts a picture of a patient's infected foot
C) Vents about a patient problem at work
D) Friends a patient
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24
Chapter 23: Legal Implications in Nursing Practice
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25 Flashcards
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Sample Questions
Q1) Abandonment
A)Nurse posts about patient's loud and unruly family members.
B)Nurse immediately applies restraints to make patient stay in bed.
C)Nurse leaves bed in high position, causing patient to fall and break hip.
D)Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet.
E)Nurse applies abdominal bandage after refusal.
F)Nurse gets angry at patient and nurse leaves the hospital.
Q2) A nurse performs cardiopulmonary resuscitation (CPR) on a 92-year-old with brittle bones and breaks a rib during the procedure, which then punctures a lung. The patient recovers completely without any residual problems and sues the nurse for pain and suffering and for malpractice. Which key point will the prosecution attempt to prove against the nurse?
A) The CPR procedure was done incorrectly.
B) The patient would have died if nothing was done.
C) The patient was resuscitated according to the policy.
D) The older patient with brittle bones might sustain fractures when chest compressions are done.
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Page 25
Chapter 24: Communication
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/2403
Sample Questions
Q1) A nurse uses SBAR when providing a hands-off report to the oncoming shift. What is the rationale for the nurse's action?
A) To promote autonomy
B) To use common courtesy
C) To establish trustworthiness
D) To standardize communication
Q2) A smiling patient angrily states, "I will not cough and deep breathe." How will the nurse interpret this finding?
A) The patient's denotative meaning is wrong.
B) The patient's personal space was violated.
C) The patient's affect is inappropriate.
D) The patient's vocabulary is poor.
Q3) A nurse is taking a history on a patient who cannot speak English. Which action will the nurse take?
A) Obtain an interpreter.
B) Refer to a speech therapist.
C) Let a close family member talk.
D) Find a mental health nurse specialist.
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Chapter 25: Patient Education
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2404
Sample Questions
Q1) A nurse attends a seminar on teaching/learning. Which statement indicates the nurse has a good understanding of teaching/learning?
A) "Teaching and learning can be separated."
B) "Learning is an interactive process that promotes teaching."
C) "Teaching is most effective when it responds to the learner's needs."
D) "Learning consists of a conscious, deliberate set of actions designed to help the teacher."
Q2) A patient has been taught how to change a colostomy bag but is having trouble measuring and manipulating the equipment and has many questions. What is the nurse's next action?
A) Refer to a mental health specialist.
B) Refer to a wound care specialist.
C) Refer to an ostomy specialist.
D) Refer to a dietitian.
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Chapter 26: Documentation and Informatics
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/2405
Sample Questions
Q1) A nurse preceptor is working with a student nurse. Which behavior by the student nurse will require the nurse preceptor to intervene?
A) The student nurse reads the patient's plan of care.
B) The student nurse reviews the patient's medical record.
C) The student nurse shares patient information with a friend.
D) The student nurse documents medication administered to the patient.
Q2) A patient has a diagnosis of pneumonia. Which entry should the nurse chart to help with financial reimbursement?
A) Used incentive spirometer to encourage coughing and deep breathing. Lung congested upon auscultation in lower lobes bilaterally. Pulse oximetry 86%. Oxygen per nasal cannula applied at 2 L/min per standing order.
B) Cooperative, patient coughed and deep breathed using a pillow as a splint. Stated, "felt better." Finally, patient had no complaints.
C) Breathing without difficulty. Sitting up in bed watching TV. Had a good day.
D) Status unchanged. Remains stable with no abnormal findings. Checked every 2 hours.
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Chapter 27: Patient Safety and Quality
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2406
Sample Questions
Q1) The nurse is completing an admission history on a new home health patient. The patient has been experiencing seizures as the result of a recent brain injury. Which interventions should the nurse utilize for this patient and family? (Select all that apply.)
A) Demonstrate how to restrain the patient in the event of a seizure.
B) Instruct the family to move the patient to a bed during a seizure.
C) Teach the family how to insert a tongue depressor during the seizure.
D) Discuss with the family steps to take if the seizure does not discontinue.
E) Instruct the family to reorient and reassure the patient after consciousness is regained.
Q2) A patient may need restraints. Which task can the nurse delegate to a nursing assistive personnel?
A) Determining the need for restraints
B) Assessing the patient's orientation
C) Obtaining an order for a restraint
D) Applying the restraint
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Chapter 28: Immobility
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54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/2407
Sample Questions
Q1) A nurse is caring for an immobile patient. Which metabolic alteration will the nurse monitor for in this patient?
A) Increased appetite
B) Increased diarrhea
C) Increased metabolic rate
D) Altered nutrient metabolism
Q2) Upon assessment a nurse discovers that a patient has erythema. Which actions will the nurse take? (Select all that apply.)
A) Consult a dietitian.
B) Increase fiber in the diet.
C) Place on chest physiotherapy.
D) Increase frequency of turning.
E) Place on pressure-relieving mattress.
Q3) The nurse is observing the way a patient walks. Which aspect is the nurse assessing?
A) Activity tolerance
B) Body alignment
C) Range of motion
D) Gait
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Chapter 29: Infection Prevention and Control
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/2408
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. In which order will the nurse remove the personal protective equipment, beginning with the first step?
1) Remove eyewear/face shield and goggles.
2) Perform hand hygiene, leave room, and close door.
3) Remove gloves.
4) Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly.
5) Remove mask by strings; do not touch outside of mask.
6) Dispose of all contaminated supplies and equipment in designated receptacles.
A) 3, 1, 4, 5, 6, 2
B) 1, 4, 5, 3, 6, 2
C) 1, 4, 5, 3, 2, 6
D) 3, 1, 4, 5, 2, 6
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Chapter 30: Vital Signs
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Sample Questions
Q1) The nurse is caring for a patient who has a temperature reading of 100.4° F (38° C). The patient's last two temperature readings were 98.6° F (37° C) and 96.8° F (36° C). Which action will the nurse take?
A) Wait 30 minutes and recheck the patient's temperature.
B) Assume that the patient has an infection and order blood cultures.
C) Encourage the patient to move around to increase muscular activity.
D) Be aware that temperatures this high are harmful and affect patient safety.
Q2) Shock/Hypotension
A)Patient's temperature is 113° F (45° C) with hot, dry skin.
B)Patient's blood pressure sitting is 130/60 and 110/40 standing.
C)Patient's pulse is 110 beats/min.
D)Patient's temperature is 93.2° F (34° C).
E)Patient's blood pressure went from 126/76 to 90/50.
Q3) The patient requires temperatures to be taken every 2 hours. Which task will the nurse assign to an RN?
A) Using appropriate route and device
B) Assessing changes in body temperature
C) Being aware of the usual values for the patient
D) Obtaining temperature measurement at ordered frequency
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Page 32
Chapter 31: Health Assessment and Physical Examination
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Sample Questions
Q1) During a school physical examination, the nurse reviews the patient's current medical history. The nurse discovers the patient has allergies. Which assessment finding is consistent with allergies?
A) Clubbing
B) Yellow discharge
C) Pale nasal mucosa
D) Puffiness of nasal mucosa
Q2) A nurse is preparing to perform a lung assessment on a patient and discovers through the nursing history the patient smokes. The nurse figures the pack-years for this patient who has smoked two and a half (2 1/2) packs a day for 20 years. Which value will the nurse record in the patient's medical record? Record answer as a whole number.
_________ pack-years
Q3) A nurse is conducting Weber's test. Which action will the nurse take?
A) Place a vibrating tuning fork in the middle of patient's forehead.
B) Place a vibrating tuning fork on the patient's mastoid process.
C) Compare the number of seconds heard by bone versus air conduction.
D) Compare the patient's degree of joint movement to the normal level.
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Chapter 32: Medication Administration
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50 Flashcards
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Sample Questions
Q1) Which methods will the nurse use to administer an intravenous (IV) medication that is incompatible with the patient's IV fluid? (Select all that apply.)
A) Start another IV site.
B) Administer slowly with the IV fluid.
C) Do not give the medication and chart.
D) Flush with 10 mL of sterile water before and after administration.
E) Flush with 10 mL of normal saline before and after administration.
Q2) What is the nurse's \(\bold{priority}\) action to protect a patient from medication error?
A) Reading medication labels at least 3 times before administering
B) Administering as many of the medications as possible at one time
C) Asking anxious family members to leave the room before giving a medication
D) Checking the patient's room number against the medication administration record
Q3) The nurse is administering 250 mg of a medication elixir to the patient. The medication comes in a dose of 1000 mg/5 mL. How many milliliters should the nurse administer? Record your answer using two decimal places. ____ mL
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34
Chapter 33: Complementary and Alternative Therapies
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27 Flashcards
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Sample Questions
Q1) Which patient will cause the nurse to question an order for acupuncture?
A) A patient with AIDS
B) A patient with osteoarthritis
C) A patient with low back pain
D) A patient with migraine headaches
Q2) A patient asks about the new clinic in town that is staffed by allopathic and complementary practitioners. Which response from the nurse is best?
A) It is probably an ayurvedic clinic.
B) It is probably a homeopathic clinic.
C) It is probably an integrative medical clinic.
D) It is probably a naturopathic medical clinic.
Q3) A nurse is using the holistic approach to care. Which goal is the priority?
A) Integrate spiritual treatments.
B) Join physical care with a vegan diet.
C) Incorporate the mind-body-spirit connection.
D) Use complementary and alternative therapies.
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35
Chapter 34: Self-Concept
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Sample Questions
Q1) A nurse is teaching a patient about self-concept. Which information from the patient indicates the nurse needs to follow up about components of self-concept?
A) One component is identity.
B) One component is coping.
C) One component is body image.
D) One component is role performance.
Q2) A nurse is teaching a patient about self-concept. Which information from the patient indicates a correct understanding of the teaching?
A) Self-concept is how a person feels about others.
B) Self-concept is how a person thinks about others.
C) Self-concept is how a person feels about oneself.
D) Self-concept is how a person thinks about oneself.
Q3) Disturbed body image
A)I am ugly with all these burn scars.
B)I am one with the universe.
C)I am good for nothing.
D)I am a good mother.
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Chapter 35: Sexuality
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Sample Questions
Q1) A patient who had a colostomy placed 1 month ago is feeling depressed and does not want to participate in sexual activities anymore. The patient is afraid that the partner does not want sex. The patient is afraid the ostomy is physically unattractive. Which initial nursing intervention will be most effective in helping this patient resume sexual activity?
A) Inform the patient about a support group for people with colostomies.
B) Reassure the patient that lots of people resume sex the same week the colostomy is placed.
C) Teach the patient about intimate activities that can be done to incorporate the ostomy.
D) Discuss ways to adapt to new body image so the patient will be comfortable in resuming intimacy.
Q2) A nurse is assessing a child for sexual abuse. Which assessment findings will the nurse expect?
A) Physical aggression and sleep disturbances
B) Many peers and no drug usage
C) Panic attacks and anorexia
D) Anxiety and depression
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Chapter 36: Spiritual Health
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Sample Questions
Q1) The nurse and the patient have the same religious affiliation. Which action will the nurse take?
A) Must use a formal assessment tool to determine patient's beliefs.
B) Assume that both have the same spiritual beliefs.
C) Do not impose personal values on the patient.
D) Skip the spiritual belief assessment.
Q2) A co-worker asks the nurse to explain spirituality. What is the nurse's best response?
A) It has a minor effect on health.
B) It is awareness of one's inner self.
C) It is not as essential as physical needs.
D) It refers to fire or giving of life to a person.
Q3) The patient is admitted with chronic anxiety. Which action is most appropriate for the nurse to take?
A) Focus on finding quick remedies for the anxiety.
B) Realize that the patient's only goal is relief of the anxiety.
C) Look at how anxiety influences the patient's ability to function.
D) Help the patient realize that there is little hope of relief from anxiety.
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Chapter 37: The Experience of Loss, Death, and Grief
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Sample Questions
Q1) A nurse encounters a family who experienced the death of their adult child last year. The parents are talking about the upcoming anniversary of their child's death. The nurse spends time with them discussing their child's life and death. Which nursing principle does the nurse's action best demonstrate?
A) Facilitation of normal mourning
B) Pain-management technique
C) Grief evaluation
D) Palliative care
Q2) "I know it seems strange, but I feel guilty being pregnant after the death of my son last year," said a woman during her routine obstetrical examination. The nurse spends extra time with this woman, helping her realize bonding with this unborn child will not mean she is replacing the one who died. Which nursing technique does this demonstrate?
A) Providing curative therapy
B) Promoting spirituality
C) Facilitating mourning
D) Eradicating grief
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Chapter 38: Stress and Coping
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Sample Questions
Q1) A nurse is teaching the staff about the general adaptation syndrome. In which order will the nurse list the stages, beginning with the first stage?
1) Resistance
2) Exhaustion
3) Alarm
A) 3, 1, 2
B) 3, 2, 1
C) 1, 3, 2
D) 1, 2, 3
Q2) A nurse is planning care for a patient that uses displacement. Which information should the nurse consider when planning interventions?
A) This copes with stress directly.
B) This evaluates an event for its personal meaning.
C) This protects against feelings of worthlessness and anxiety.
D) This triggers the stress control functions of the medulla oblongata.
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Chapter 39: Activity and Exercise
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Sample Questions
Q1) The patient is eager to begin an exercise program with a 2-mile jog. The nurse instructs the patient to warm up. The patient does not want to waste time with a "warm-up." Which information will the nurse share with the patient?
A) The warm-up in this case can be done after the 2-mile jog.
B) The warm-up prepares the body and decreases the potential for injury.
C) The warm-up allows the body to readjust gradually to baseline functioning.
D) The warm-up should be performed with high intensity to prepare for the coming challenge.
Q2) A patient is admitted with a stroke. The outcome of this disorder is uncertain, but the patient is unable to move the right arm and leg. The nurse starts passive range-of-motion (ROM) exercises. Which finding indicates successful goal achievement?
A) Heart rate decreased.
B) Contractures developed.
C) Muscle strength improved.
D) Joint mobility maintained.
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Chapter 40: Hygiene
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Sample Questions
Q1) The nurse is teaching the patient about flossing and oral hygiene. Which instruction will the nurse include in the teaching session?
A) Using waxed floss prevents bleeding.
B) Flossing removes plaque and tartar from the teeth.
C) Performing flossing at least 3 times a day is beneficial.
D) Applying toothpaste to the teeth before flossing is harmful.
Q2) A patient uses an in-the-canal hearing aid. Which assessment is a \(\bold{priority}\)?
A) Eyeglass usage
B) Cerumen buildup
C) Type of physical exercise
D) Excessive moisture problems
Q3) The nurse is caring for a patient with diabetes. Which task will the nurse assign to the nursing assistive personnel?
A) Providing nail care
B) Teaching foot care
C) Making an occupied bed
D) Determining aspiration risk
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Chapter 41: Oxygenation
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Sample Questions
Q1) A nurse is teaching a health class about the heart. Which information from the class members indicates teaching by the nurse is successful for the flow of blood through the heart, starting in the right atrium?
A) Right ventricle, left ventricle, left atrium
B) Left atrium, right ventricle, left ventricle
C) Right ventricle, left atrium, left ventricle
D) Left atrium, left ventricle, right ventricle
Q2) A nurse is caring for a patient with left-sided hemiparesis who has developed bronchitis and has a heart rate of 105 beats/min, blood pressure of 156/90 mm Hg, and respiration rate of 30 breaths/min. Which nursing diagnosis is a priority?
A) Risk for skin breakdown
B) Impaired gas exchange
C) Activity intolerance
D) Risk for infection
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Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) A nurse is assessing a patient. Which assessment finding should cause a nurse to further assess for extracellular fluid volume deficit?
A) Moist mucous membranes
B) Postural hypotension
C) Supple skin turgor
D) Pitting edema
Q2) A chemotherapy patient has gained 5 pounds in 2 days. Which assessment question by the nurse is most appropriate?
A) "Are you following any weight loss program?"
B) "How many calories a day do you consume?"
C) "Do you have dry mouth or feel thirsty?"
D) "How many times a day do you urinate?"
Q3) The nurse administers an intravenous (IV) hypertonic solution to a patient. In which direction will the fluid shift?
A) From intracellular to extracellular
B) From extracellular to intracellular
C) From intravascular to intracellular
D) From intravascular to interstitial
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44
Chapter 43: Sleep
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Sample Questions
Q1) The patient has just been diagnosed with narcolepsy. The nurse teaches the patient about management of the condition. Which information from the patient will cause the nurse to intervene?
A) Takes antidepressant medications
B) Naps shorter than 20 minutes
C) Sits in hot, stuffy rooms
D) Chews gum
Q2) A community health nurse is providing an educational session at the senior center on how to promote sleep. Which practices should the nurse recommend? (Select all that apply.)
A) Take a nap in the afternoon.
B) Sleep where you sleep best.
C) Use sedatives as a last resort.
D) Watch television right before sleep.
E) Decrease fluids 2 to 4 hours before sleep.
F) Get up if unable to fall asleep in 15 to 30 minutes.
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Chapter 44: Pain Management
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Sample Questions
Q1) The nurse is caring for a patient who suddenly experiences chest pain. What is the nurse's first priority?
A) Call the rapid response team.
B) Start an intravenous (IV) line.
C) Administer pain-relief medications.
D) Ask the patient to rate and describe the pain.
Q2) The nurse has brought a patient the scheduled pain medication. The patient asks the nurse to wait to give pain medication until the time for the dressing change, which is 2 hours away. Which response by the nurse is most therapeutic?
A) "This medication will still be providing you relief at the time of your dressing change."
B) "OK, swallow this pain pill, and I will return in a minute to change your dressing."
C) "Would you like medication to be given for dressing changes in addition to your regularly scheduled medication?"
D) "Your medication is scheduled for this time, and I can't adjust the time for you. I'm sorry, but you must take your pill right now."
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Chapter 45: Nutrition
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Sample Questions
Q1) The nurse is describing the ChooseMyPlate program to a patient. Which statement from the patient indicates successful learning?
A) "I can use this to make healthy lifestyle food choices."
B) "I can use this to count specific calories of food."
C) "I can use this for my baby girl."
D) "I can use this when I am sick."
Q2) A nurse is caring for a group of patients. Which patient will the nurse see \(\bold{first}\)?
A) Patient receiving total parenteral nutrition of 2-in-1 for 50 hours
B) Patient receiving total parenteral nutrition infusing with same tubing for 26 hours
C) Patient receiving continuous enteral feeding with same feeding bag for 12 hours
D) Patient receiving continuous enteral feeding with same tubing for 24 hours
Q3) The patient has H. pylori. Which action should the nurse take?
A) Encourage avoidance of wheat and oats.
B) Encourage milkshakes as a nutritious snack.
C) Encourage completion of antibiotic therapy.
D) Encourage nonsteroidal antiinflammatory drugs.
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Page 47
Chapter 46: Urinary Elimination
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Sample Questions
Q1) A female patient is having difficulty voiding in a bedpan but states that her bladder feels full. To stimulate micturition, which nursing intervention should the nurse try first?
A) Exiting the room and informing the patient that the nurse will return in 30 minutes to check on the patient's progress.
B) Utilizing the power of suggestion by turning on the faucet and letting the water run.
C) Obtaining an order for a Foley catheter.
D) Administering diuretic medication.
Q2) The nurse will anticipate inserting a Coudé catheter for which patient?
A) An 8-year-old male undergoing anesthesia for a tonsillectomy
B) A 24-year-old female who is going into labor
C) A 56-year-old male admitted for bladder irrigation
D) An 86-year-old female admitted for a urinary tract infection
Q3) A patient is experiencing oliguria. Which action should the nurse perform first?
A) Assess for bladder distention.
B) Request an order for diuretics.
C) Increase the patient's intravenous fluid rate.
D) Encourage the patient to drink caffeinated beverages.
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Chapter 47: Bowel Elimination
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Sample Questions
Q1) A nurse is providing care to a group of patients. Which patient will the nurse see \(\bold{first}\)?
A) A child about to receive a normal saline enema
B) A teenager about to receive loperamide for diarrhea
C) An older patient with glaucoma about to receive an enema
D) A middle-aged patient with myocardial infarction about to receive docusate sodium
Q2) A nurse is pouching an ostomy on a patient with an ileostomy. Which action by the nurse is \(\bold{most}\) appropriate?
A) Changing the skin barrier portion of the ostomy pouch daily
B) Emptying the pouch if it is more than one-third to one-half full
C) Thoroughly cleansing the skin around the stoma with soap and water to remove excess stool and adhesive
D) Measuring the correct size for the barrier device while leaving a 1/2-inch space around the stoma
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Chapter 48: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a group of patients. Which patient will the nurse see \(\bold{first}\)?
A) A patient with a Stage IV pressure ulcer
B) A patient with a Braden Scale score of 18
C) A patient with appendicitis using a heating pad
D) A patient with an incision that is approximated
Q2) The nurse is completing an assessment on a patient who has a Stage IV pressure ulcer. The wound is odorous, and a drain is currently in place. Which statement by the patient indicates issues with self-concept?
A) "I am so weak and tired. I want to feel better."
B) "I am thinking I will be ready to go home early next week."
C) "I am ready for my bath and linen change right now since this is awful."
D) "I am hoping there will be something good for dinner tonight."
Q3) The nurse is caring for a postoperative medial meniscus repair of the right knee. Which action should the nurse take to assist with pain management?
A) Monitor vital signs every 15 minutes.
B) Check pulses in the right foot.
C) Keep the leg dependent.
D) Apply ice.
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Page 50
Chapter 49: Sensory Alterations
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Sample Questions
Q1) The nurse is caring for a patient in acute respiratory distress. The patient has multiple monitoring systems on that constantly beep and make noise. The patient is becoming agitated and frustrated over the inability to sleep. Which action by the nurse is most appropriate for this patient?
A) Administer an opioid medication to help the patient sleep.
B) Keep the door open during the night.
C) Open the shades at night.
D) Provide the patient with earplugs.
Q2) A nurse is caring for a patient with presbycusis. Which assessment finding indicates an adaptation to the sensory deficit?
A) The patient frequently cleans out eyes with saline washes.
B) The patient applies different spices during mealtime to food.
C) The patient turns one ear toward the nurse during conversation.
D) The patient isolates self from social situations with groups of people.
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Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse is providing preoperative education and reviews with the patient what it will be like to be in the surgical environment. Which points should the nurse include in the teaching session? (Select all that apply.)
A) The operative suite will be very dark.
B) The family is not allowed in the operating suite.
C) The operating table or bed will be comfortable and soft.
D) The nurses will be there to assist you through this process.
E) The surgical staff will be dressed in special clothing with hats and masks.
Q2) The nurse is completing a medication history for the surgical patient in preadmission testing. Which medication should the nurse instruct the patient to hold (discontinue) in preparation for surgery according to protocol?
A) Warfarin
B) Vitamin C
C) Prednisone
D) Acetaminophen
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