Nursing Concepts Exam Review
Course Introduction
Nursing Concepts provides an introduction to the foundational principles and theories essential to the nursing profession. This course explores the core concepts of patient-centered care, professional practice, clinical decision-making, communication, health promotion, and ethical and legal aspects of nursing. Students will develop critical thinking skills and an understanding of the holistic approach to patient care, emphasizing safety, teamwork, and evidence-based practice. The course also introduces the nursing process and its application in diverse healthcare settings, preparing students for more advanced clinical coursework and professional roles.
Recommended Textbook
Concepts for Nursing Practice 2nd Edition by Giddens
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58 Chapters
459 Verified Questions
459 Flashcards
Source URL: https://quizplus.com/study-set/174
Page 2
Chapter 1: Development
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2322
Sample Questions
Q1) The \(\bold{most}\) appropriate response of the nurse when a mother asks what the Denver II does is that it
A) can diagnose developmental disabilities.
B) identifies a need for physical therapy.
C) is a developmental screening tool.
D) provides a framework for health teaching.
Answer: C
Q2) The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs related to
A) anticipatory guidance.
B) low-risk adolescents.
C) physical development.
D) sexual development.
Answer: A
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Chapter 2: Functional Ability
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/2323
Sample Questions
Q1) The nurse is developing an interdisciplinary plan of care using the Roper-Logan-Tierney Model of Nursing for a patient who is currently unconscious. Which interventions would be most critical to developing a plan of care for this patient?
A) Eating and drinking, personal cleansing and dressing, working and playing
B) Toileting, transferring, dressing, and bathing activities
C) Sleeping, expressing sexuality, socializing with peers
D) Maintaining a safe environment, breathing, maintaining temperature
Answer: D
Q2) The nurse is assessing a patient with a mobility dysfunction and wants to gain insight into the patient's functional ability. What question would be the most appropriate?
A) "Are you able to shop for yourself?"
B) "Do you use a cane, walker, or wheelchair to ambulate?"
C) "Do you know what today's date is?"
D) "Were you sad or depressed more than once in the last 3 days?"
Answer: B
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Chapter 3: Family Dynamics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) The most appropriate initial nursing intervention when the nurse notes dysfunctional interactions and lack of family support for a patient would be to
A) enforce hospital visiting policies.
B) monitor the dysfunctional interactions.
C) notify the primary care provider.
D) role model appropriate support.
Answer: D
Q2) The nurse identifies the family with a child graduating from college as being in which family life cycle?
A) Single young adult leaving home
B) New couple joins their families through marriage or living together
C) Families with young children
D) Launching children and moving on
Answer: D
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Chapter 4: Culture
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2325
Sample Questions
Q1) When teaching an Asian patient with newly diagnosed diabetes, the nurse notes the patient nodding yes to everything that is being said. With a better understanding of cultural interdependence in self-Chapter, a nurse should immediately
A) write everything down for the patient to refer to later.
B) prompt further to elicit additional questions or concerns.
C) call the recognized elder for this patient.
D) call the oldest male relative for help with decision making.
Q2) Women who are given the job of caretaker for aging relatives are subject to caregiver strain due to
A) feminine attributes.
B) unequal gender.
C) fixed gender roles.
D) female inequality.
Q3) What interrelated constructs facilitate a nurse to become culturally competent?
A) Cultural diversity, self-awareness, cultural skill, and cultural knowledge
B) Cultural desire, self-awareness, cultural knowledge, and cultural identity
C) Cultural desire, self-awareness, cultural knowledge, and cultural diversity
D) Cultural desire, self-awareness, cultural knowledge, and cultural skill
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6
Chapter 5: Spirituality
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2326
Sample Questions
Q1) Which are true statements about the definition of spirituality in nursing? (Select all that apply.)
A) Patient's quality of life, health, and sense of wholeness are affected by spirituality
B) An exact definition was developed and adopted in the late 1980s
C) Encompasses principle, an experience, attitudes, and belief regarding God
D) Head knowledge affects spirituality more than heart knowledge
E) Mind, body, spirit, love, and caring are interconnected
Q2) The nurse is assessing a patient's spirituality and observes the patient meditating before any treatments. What is the nurse's best action?
A) Document that the patient is not religious
B) Offer the patient a copy of the bible to read
C) Arrange for quiet time for the patient as needed
D) Limit the time patient can meditate before procedures
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Chapter 6: Adherence
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) When assessing a 22-year-old male patient, the nurse learns that he smokes a pack of cigarettes daily. The patient tells the nurse, "I enjoy smoking and have no plans to quit." Which nursing diagnosis is most appropriate?
A) Health Seeking Behaviors related to cigarette use
B) Ineffective Health Maintenance related to tobacco use
C) Readiness for Enhanced Self-Health Management related to smoking
D) Deficient Knowledge related to long-term effects of cigarette smoking
Q2) After the nurse implements a teaching plan for a newly diagnosed patient with hypertension, the patient can explain the information but fails to take the medications as prescribed. What is the nurse's next action?
A) Reeducate the patient, because learning did not occur because the patient's behavior did not change.
B) Assess the patient's perception and attitude towards the risks associated with not taking their anti-hypertensives.
C) Take full responsibility for helping the patient make dietary changes.
D) Ask the provider to prescribe a different medication, because the patient does not want to take this medication.
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Page 8
Chapter 7: Self-Management
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) The nurse planning care for a patient realizes that which acute medical event requires self-management?
A) Prenatal care
B) Depression
C) Diabetes
D) Femur fracture
Q2) The nurse is assisting an older adult patient, diagnosed with type 2 diabetes, with self-injection of insulin. What is the most appropriate intervention for this patient at discharge?
A) Arrange daily home visits for injections
B) Request an insulin pen prescription
C) Recommend upper arm injection sites
D) Supply patient with 100 unit insulin syringes
Q3) When developing a plan of care to promote self-management, which patient is least likely to be affected by depression?
A) 55-year-old employed female
B) 35-year-old Hispanic male
C) 40 year old with 5th grade education
D) 42 year old with private insurance
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Page 9
Chapter 8: Fluid and Electrolyte Balance
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) The nurse is assessing a patient before hanging an IV solution of 0.9% NaCl with KCl in it. Which assessment finding should cause the nurse to hold the IV solution and contact the physician?
A) Weight gain of 2 pounds since last week
B) Dry mucous membranes and skin tenting
C) Urine output 8 mL/hr
D) Blood pressure 98/58
Q2) The patient's laboratory report today indicates severe hypokalemia, and the nurse has notified the physician. Nursing assessment indicates that heart rhythm is regular.
What is the most important nursing intervention for this patient now?
A) Raise bed side rails due to potential decreased level of consciousness and confusion.
B) Examine sacral area and patient's heels for skin breakdown due to potential edema.
C) Establish seizure precautions due to potential muscle twitching, cramps, and seizures.
D) Institute fall precautions due to potential postural hypotension and weak leg muscles.
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Chapter 9: Acid-Base Balance
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2330
Sample Questions
Q1) The nurse has telephone messages from four patients who requested information and assistance. Which one should the nurse refer to a social worker or community agency first?
A) "Is there a place that I can dispose of my unused morphine pills?"
B) "I want to lose at least 20 pounds without getting sick this time."
C) "I think I have asthma because I cough when dogs are near."
D) "I ran out of money and am cutting my insulin dose in half."
Q2) The patient had diarrhea for 5 days and developed an acid-base imbalance. Which statement would indicate that the nurse's teaching about the acid-base imbalance has been effective?
A) "To prevent another problem, I should eat less sodium during diarrhea."
B) "My blood became too acid because I lost some base in the diarrhea fluid."
C) "Diarrhea removes fluid from the body, so I should drink more ice water."
D) "I should try to slow my breathing so my acids and bases will be balanced."
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11
Chapter 10: Thermoregulation
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2331
Sample Questions
Q1) What is the priority nursing action for a patient suspected to be hypothermic?
A) Assess vital signs.
B) Hydrate with intravenous (IV) fluids.
C) Provide a warm blanket.
D) Remove wet clothes.
Q2) Which strategies should the nurse include in a community program for senior citizens related to dealing with cold winter temperatures?
A) Avoiding hot beverages
B) Shopping at an indoor mall
C) Using a fan at low speed
D) Walking slowly in the park
Q3) The nursery nurse should identify which newborn at significant risk for hypothermic alteration in thermoregulation?
A) Large for gestational age
B) Low birth weight
C) Born at term
D) Well nourished
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Chapter 11: Sleep
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2332
Sample Questions
Q1) The nurse must awaken a patient from Stage 4 non-rapid eye movement sleep in order to prepare the patient for a procedure. The patient is disoriented. What is the nurse's best action?
A) Notify the healthcare provider
B) Re-assess the patient's orientation
C) Administer an anti-anxiety medication
D) Cancel the patient's procedure
Q2) The nurse is making rounds on the hospital unit and observes a patient sleeping. The patient's pulse and respiratory rates are slower than baseline. The nurse realizes the patient has most likely just entered which stage of non-rapid eye movement sleep?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
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13
Chapter 12: Cellular Regulation
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/2333
Sample Questions
Q1) While collecting a health history on a patient admitted for colon cancer, which of the following questions would be a priority to ask this patient?
A) "Have you noticed any blood in your stool?"
B) "Have you been experiencing nausea?"
C) "Do you have back pain?"
D) "Have you noticed any swelling in your abdomen?"
Q2) A cancer patient's susceptibility to the syndrome of inappropriate antidiuretic hormone (SIADH) can be suspected with which of the following laboratory results?
A) Serum potassium of 5.2 mmol/L
B) Serum sodium of 120 mmol/L
C) Hematocrit of 40%
D) Blood urea nitrogen (BUN) of 10 mg/dL
Q3) While the nurse is obtaining the health history of a 75-year-old female patient, which of the following has the greatest implication for the development of cancer?
A) Being a woman
B) Family history of hypertension
C) Cigarette smoking as a teenager
D) Advancing age
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Chapter 13: Intracranial Regulation
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2334
Sample Questions
Q1) The nurse preparing to care for a patient after a suspected stroke would question which order?
A) Antihypertensive
B) Antipyretic
C) Osmotic diuretic
D) Sedative
Q2) When caring for a patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes along with what other findings?
A) Hypertension and bradycardia
B) Hypertension and tachycardia
C) Hypotension and bradycardia
D) Hypotension and tachycardia
Q3) The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe?
A) Aligning the neck with the body
B) Clustering many nursing activities
C) Elevating the head of the bed 30 degrees
D) Providing stool softeners or laxatives as ordered
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Page 15
Chapter 14: Hormonal Regulation
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2335
Sample Questions
Q1) The nurse is caring for a patient diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). What is the nurse's best action?
A) Encourage increased fluid and water intake
B) Teach about risk for malignancies
C) Monitor for changes in level of consciousness
D) Assess labwork for potassium level changes
Q2) Which important teaching point should the nurse include in the plan of care for a patient diagnosed with Cushing's disease?
A) Daily weight using same scale
B) Wash hands frequently
C) Use exfoliating soaps when bathing
D) Avoid yearly influenza vaccine
Q3) Following a parathyroidectomy, which electrolyte should the nurse most closely monitor?
A) Potassium
B) Sodium
C) Magnesium
D) Calcium
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Chapter 15: Glucose Regulation
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2336
Sample Questions
Q1) The nurse instructs a patient with type 1 diabetes mellitus to avoid which of the following drugs while taking insulin?
A) Furosemide (Lasix)
B) Dicumarol (Bishydroxycoumarin)
C) Reserpine (Serpasil)
D) Cimetidine (Tagamet)
Q2) A diabetic patient is brought into the emergency department unresponsive. The arterial pH is 7.28. Besides the blood pH, which clinical manifestation is seen in uncontrolled diabetes mellitus and ketoacidosis?
A) Decreased hunger sensation
B) Report of no urine output
C) Increased respiratory rate
D) Decreased thirst
Q3) The nurse recognizes which patient as having the greatest risk for undiagnosed diabetes mellitus?
A) Young white man
B) Middle-aged African-American man
C) Young African-American woman
D) Middle-aged Native American woman
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Page 17
Chapter 16: Nutrition
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) The nurse is completing a nutritional assessment on a patient with hypertension. What foods would be recommended for this patient?
A) Regular diet
B) Low sodium diet
C) Pureed diet
D) Low sugar diet
Q2) During a nutritional assessment, the nurse calculates that a female patient's BMI is 27. The nurse would advise the patient to follow which of these recommendations?
A) This measurement indicates that the patient is overweight and should follow a plan of diet and exercise to lose weight.
B) This measurement indicates that the patient is underweight and will need to take measures to gain weight.
C) This measurement indicates that the patient is morbidly obese and may be a candidate for bariatric surgery.
D) This measurement indicates that the patient is of normal weight and should continue with current lifestyle.
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18
Chapter 17: Elimination
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) What is a primary prevention tool used for colon cancer screening?
A) Abdominal x-rays
B) Blood, urea, and nitrogen (BUN) testing
C) Serum electrolytes
D) Occult blood testing
Q2) When conducting a health history assessment, the nurse would want to know what most important information about the patient's elimination status? (Select all that apply.)
A) Recent changes in elimination patterns
B) Changes in color, consistency, or odor of stool or urine
C) Time of day patient defecates
D) Discomfort or pain with elimination
E) List of medications taken by patient
F) Patient's preferences for toileting
Q3) The process of digestion is important for every living organism for the purpose of nourishment. Where does most digestion take place in the body?
A) Large intestine
B) Stomach
C) Small intestine
D) Pancreas
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Chapter 18: Perfusion
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2339
Sample Questions
Q1) The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked two packs of cigarettes per day for 27 years. The nurse may find which data upon assessment?
A) Elevated blood pressure
B) Bounding pedal pulses
C) Night blindness
D) Reflux disease
Q2) A nurse is explaining to a student nurse about perfusion. The nurse knows the student understands the Chapter of perfusion when the student makes which statement?
A) "Perfusion is a normal function of the body, and I don't have to be concerned about it."
B) "Perfusion is monitored by the physician."
C) "Perfusion is monitored by vital signs and capillary refill."
D) "Perfusion varies as a person ages, so I would expect changes in the body."
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Chapter 19: Gas Exchange
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/2340
Sample Questions
Q1) The acid-base status of a patient is dependent on normal gas exchange. Which patient would the nurse identify as having an increased risk for the development of respiratory acidosis?
A) Chronic lung disease with increased carbon dioxide retention
B) Acute anxiety, hyperventilation, and decreased carbon dioxide retention
C) Decreased cardiac output with increased serum lactic acid production
D) Gastric drainage with increased removal of gastric acid
Q2) The nurse is assigned a group of patients. Which patient finding would the nurse identify as a factor leading to increased risk for impaired gas exchange?
A) Blood glucose of 350 mg/dL
B) Anticoagulant therapy for 10 days
C) Hemoglobin of 8.5 g/dL
D) Heart rate of 100 beats/min and blood pressure of 100/60
Q3) Which clinical management prevention Chapter would the nurse identify as representative of secondary prevention?
A) Decreasing venous stasis and risk for pulmonary emboli
B) Implementation of strict hand washing routines
C) Maintaining current vaccination schedules
D) Prevention of pneumonia in patients with chronic lung disease
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Page 21
Chapter 20: Clotting
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7 Flashcards
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Sample Questions
Q1) The nurse is making a home visit to a patient who was discharged from the hospital on Lovenox and warfarin following replacement of the patient's pacemaker. Which observation indicates excessive bleeding? (Select all that apply.)
A) New ecchymosis on the abdomen
B) A nosebleed that does not stop with pressure
C) Pain of the lower extremity with flexion
D) Extreme fatigue
E) Pallor
F) Sudden onset of severe headache
Q2) Which nursing observation would indicate that the nurse hold the medication warfarin (Coumadin)?
A) An INR (international normalize ratio) of 1.8
B) An INR of 4.8
C) A partial thromboplastin time (APTT) level of 25 seconds
D) An APTT level of 35 seconds
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22
Chapter 21: Reproduction
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Sample Questions
Q1) The nurse is admitting a prenatal patient for diagnostic testing. While eliciting the psychosocial history, the nurse learns the patient smokes a pack of cigarettes daily, drinks a cup of cappuccino with breakfast, has smoked marijuana in the remote past, and is a social drinker. Which action should the nurse first take?
A) Strongly advise immediate tobacco cessation
B) Elimination of all caffeinated beverages
C) Serum and urine testing for drug use and alcohol use
D) Referral to a 12-step program
Q2) A female patient comes to the clinic after missing one menstrual period. She lives in a house beneath electrical power lines which is located near an oil field. She drinks two caffeinated beverages a day, is a daily beer drinker, and has not stopped eating sweets. She takes a multivitamin and exercises daily. She denies drug use. Which finding in the history has the greatest implication for this patient's plan of care?
A) Electrical power lines are a potential hazard to the woman and her fetus.
B) Living near an oil field may mean the water supply is polluted.
C) Alcohol exposure should be avoided during pregnancy due to teratogenicity.
D) Eating sweets may cause gestational diabetes or miscarriage.
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Chapter 22: Sexuality
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/2343
Sample Questions
Q1) The school nurse is developing a curriculum for a junior human sexuality class. In order to provide the most up-to-date information, the nurse should be aware that which is the single most effective primary prevention strategy for preventing sexually transmitted infections (STIs)?
A) A vaccine to prevent HPV infection
B) HIV screening
C) Abstinence
D) The male condom
Q2) Which statements related to sexual dysfunction are correct? (Select all that apply.)
A) Biological factors play a more significant role than psychologic factors.
B) Sexual dysfunction is more prevalent among men than women.
C) The best predictor of sexual health is emotional well-being.
D) The patient with sexual dysfunction is at risk for anxiety and depression.
E) Sexual dysfunction remains uncommon.
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24
Chapter 23: Immunity
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Sample Questions
Q1) The nurse is preparing to administer medications to a patient with rheumatoid arthritis (RA). The nurse should explain which goal of treatment to the patient?
A) Eradicate the disease
B) Enhance immune response
C) Control inflammation
D) Manage pain
Q2) While caring for a patient preparing for a kidney transplant, the nurse knows that the patient understands teaching on immunosuppression when she makes which statement?
A) "My body will treat the new kidney like my original kidney."
B) "I will have to make sure that I avoid being around people."
C) "The medications that I take will help prevent my body from attacking my new kidney."
D) "My body will only have a problem with my new kidney if the donor is not directly related to me."
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Chapter 24: Inflammation
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Sample Questions
Q1) A nurse is instructing her patient with ulcerative colitis regarding the need to avoid enteric coated medications. The nurse knows that the patient understands the reason for this teaching when he states which of the following?
A) "The coating on these medications is irritating to my intestines."
B) "I need a more immediate response from my medications than can be obtained from enteric coated medications."
C) "Enteric coated medications are absorbed lower in the digestive tract and can be irritating to my intestines or inadequately absorbed by my inflamed tissue."
D) "I don't need to use these medications because they cause diarrhea, and I have had enough trouble with diarrhea and rectal bleeding over the past weeks."
Q2) On admission to the clinic, the nurse notes a moderate amount of serous exudate leaking from the patient's wound. The nurse realizes what information about this fluid?
A) Contains the materials used by the body in the initial inflammatory response.
B) Indicates that the patient has an infection at the site of the wound.
C) Is destroying healthy tissue.
D) Results from ineffective cleansing of the wound area.
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26
Chapter 25: Infection
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Sample Questions
Q1) In order to provide the best intervention for a patient, the nurse is often responsible for obtaining a sample of exudate for culture. What information will this provide?
A) Whether a patient has an infection.
B) Where an infection is located.
C) What cells are being utilized by the body to attack an infection.
D) What specific type of pathogen is causing an infection.
Q2) A nurse is teaching a group of business people about disease transmission. He knows that he needs to reeducate when one of the participants states which of the following?
A) "When traveling outside of the country, I need to be sure that I receive appropriate vaccinations."
B) "Food and water supplies in foreign countries can contain microorganisms to which my body is not accustomed and has no resistance."
C) "If I don't feel sick, then I don't have to worry about transmitted diseases."
D) "I need to be sure to have good hygiene practices when traveling in crowded planes and trains."
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Chapter 26: Mobility
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Sample Questions
Q1) The lack of weight bearing leads to what effects on the skeletal system?
A) Demineralization, calcium loss
B) Thickened bones
C) Increased range of motion
D) Increased calcium deposition in the bones
Q2) An older patient is talking with the nurse about hip fractures. The patient would like to know the best approach to strengthen the bones. What is the nurse's best response?
A) "Walk at least 5 miles every day for exercise."
B) "Wear proper fitting shoes to prevent tripping."
C) "Talk with your physician about a calcium supplement."
D) "Stand up slowly so you don't feel faint."
Q3) The nurse and a student nurse are discussing the effects of bed immobility on patients. The nurse knows that the student nurse understands the Chapter of mobility when making which statement?
A) "Patients with impaired bed mobility have an increased risk for pressure ulcers."
B) "Patients with impaired bed mobility like to have extra visitors."
C) "Patients with impaired bed mobility need to have a mechanical soft diet."
D) "Patients with impaired bed mobility are prone to constipation."
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28
Chapter 27: Tissue Integrity
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Sample Questions
Q1) A patient asks the nurse what the purpose of the Wood's light is. Which response by the nurse is accurate?
A) "We will put an anesthetic on your skin to prevent pain."
B) "The lamp can help detect skin cancers."
C) "Some patients feel a pressure-like sensation."
D) "It is used to identify the presence of infectious organisms and proteins associated with specific skin conditions."
Q2) An older patient has developed age spots and is concerned about skin cancer. How would the nurse instruct the patient to perform skin checks to assess for signs of skin cancer?
A) "Limit the time you spend in the sun."
B) "Monitor for signs of infection."
C) "Monitor spots for color change."
D) "Use skin creams to prevent drying."
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Chapter 28: Sensory Perception
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Sample Questions
Q1) The nurse is providing health teaching to a group of mothers of school-aged children. Which statement by a mother indicates the need for additional instruction?
A) "I will take my child to the audiologist because he doesn't seem to hear me except when I look directly at him."
B) "Both of my children have the same eye medication, which is a real bonus, because I only need to buy one bottle."
C) "Making my child wear ear plugs when she goes to a rock concert may save her hearing!"
D) "I see now why when my child has a cold, he complains about everything tasting blah!"
Q2) The nurse is examining the eyes of a newborn infant. If the nurse notes the absence of the red reflex, what is the next best action?
A) Notify the physician.
B) Document the finding in the records.
C) Recheck the reflex after several hours.
D) Monitor the eye movements and pupil reactions closely.
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Chapter 29: Pain
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Sample Questions
Q1) A 19-year-old male has sustained a transection of C-7 in a motor vehicle crash rendering him a quadriplegic. He describes his pain as burning, sharp, and shooting. What type of pain is this patient describing?
A) Neuropathic pain
B) Ghost pain
C) Mixed pain syndrome
D) Nociceptive pain
Q2) A 30-year-old male is admitted to the hospital with acute pancreatitis. He is in acute pain described as a 10/10, which is localized to the abdomen, periumbilical area, and some radiation to his back. The abdomen is grossly distended so it is difficult to assess. He is restless and agitated, with elevated pulse and blood pressure. An appropriate pain management plan of care may include which medication(s)?
A) IV Dilaudid q 4 hours prn, hydrocodone 5/500 PO q 6 hours prn, and acetaminophen
B) Norco 5/500 q 4 hours PO and Benadryl 25 mg PO q 6 hours
C) Phenergan 25 mg IM q 6 hours
D) Tylenol 325 mg q 6 hours
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Chapter 30: Fatigue
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Sample Questions
Q1) The nurse palpates swollen nodes in a patient's neck who presented to the clinic with complaints of fatigue lasting at least 2 weeks. What is the nurse's best action?
A) Advise patient this finding is normal.
B) Review patient's thyroid labwork.
C) Perform deep tendon reflexes.
D) Notify the healthcare provider.
Q2) A patient has been recently diagnosed with chronic fatigue syndrome and asks the nurse about the cause of this illness. What is the nurse's best response?
A) "The provider will be able to tell you when the lab results are back."
B) "An exact cause may not be determined, but a treatment plan will be discussed."
C) "Stress is the main cause; a referral to a counselor may be helpful."
D) "This is considered a psychiatric illness requiring behavioral medicine."
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Chapter 31: Stress
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Sample Questions
Q1) The nurse is planning to teach a patient how to use relaxation techniques to prevent elevation of blood pressure and heart rate. The nurse is teaching the patient to control which physiological function?
A) Switch from the sympathetic mode of the autonomic nervous system to the parasympathetic mode.
B) Alter the internal state by modifying electronic signals related to physiologic processes.
C) Replace stress-producing thoughts and activities with daily stress-reducing thoughts and activities.
D) Reduce catecholamine production and promote the production of additional beta-endorphins.
Q2) Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient? (Select all that apply.)
A) Assess for bradycardia.
B) Ask about epigastric pain.
C) Observe for increased appetite.
D) Check for elevated blood glucose levels.
E) Monitor for a decrease in respiratory rate.
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Chapter 32: Coping
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Q1) After a management decision to admit terminal care patients to a medical unit, the nursing manager notes that nursing staff on the unit appear tired and anxious. Staff absences from work are increasing. The nurse manager is concerned that staff may be experiencing stress and burnout at work. What action would be best for the manager to take that will help the staff?
A) Ask administration to require staff to meditate daily for at least 30 minutes.
B) Have a staff psychologist available on the unit once a week for required counseling.
C) Have training sessions to help the staff understand their new responsibilities.
D) Ask support staff from other disciplines to complete some nursing tasks to provide help.
Q2) The nurse is developing a care plan for a patient with ineffective coping skills. Which intervention would be an example of a problem-focused coping strategy?
A) Scheduling a regular exercise program
B) Attending a seminar on treatment options
C) Identifying a confidant to share feelings
D) Attending a support group for families
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Chapter 33: Mood and Affect
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Q1) A patient who is taking prescribed lithium carbonate is exhibiting signs of diarrhea, blurred vision, frequent urination, and an unsteady gait. Which serum lithium level would the nurse expect for this patient?
A) 0 to 0.5 mEq/L
B) 0.6 to 0.9 mEq/L
C) 1.0 to 1.4 mEq/L
D) 1.5 or higher mEq/L
Q2) As a nurse in the emergency department, you are caring for a patient who is exhibiting signs of depression. What is a priority nursing intervention you should perform for this patient?
A) Assess for depression and ask directly about suicide thoughts.
B) Ask the care provider to prescribe blood lab work to assess for depression.
C) Focus on the presenting problems and refer the patient for a mental health evaluation.
D) Interview the patient's family to identify their concerns about the patient's behaviors.
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Chapter 34: Anxiety
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Q1) The nurse wishes to use guided imagery to help an anxious patient relax. Which comment would be appropriate to include in the guided imagery script? (Select all that apply.)
A) "Imagine others treating you the way they should, the way you want to be treated "
B) "With each breath, you are feeling calmer, more relaxed, almost as if you are floating "
C) "You are alone on a beach; the sun is warm; and you hear only the sound of the surf "
D) "You have taken control; nothing can hurt you now; everything is going your way "
E) "You have grown calm; your mind is still; there is nothing to disturb your well-being "
F) "You will feel better as work calms down, as your boss becomes more understanding "
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36
Chapter 35: Cognition
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Q1) An older adult who is cognitively impaired is admitted to the hospital with pneumonia. Which sign or symptom would the nurse expect to be exhibited by the patient?
A) Severe headache
B) Flank pain
C) Increased confusion
D) Decreased blood glucose
Q2) The nurse is sitting with the family of a patient who has just received the diagnosis of dementia. The family asks for information on what treatment will be needed to cure the condition. What is the nurse's best response?
A) "Hormone therapy will reverse the condition."
B) "Vitamin C and zinc will reverse the condition."
C) "There is no treatment that reverses dementia."
D) "Dementia can be reversed with diet, exercise, and medications."
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Chapter 36: Psychosis
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Q1) A client with schizophrenia has relapsed and has been identified as being in stage four of relapse. The nurse expects to observe which behavior that most consistent with this stage of relapse?
A) Expressing feelings of anxiety
B) Expressing feelings of being overwhelmed
C) Bizarre behaviors and speech
D) Presence of hallucinations
Q2) A client previously diagnosed as psychotic expresses to the nurse that he is seeing spiders climbing up the walls in his room and he is concerned that they will get into his bed. What is the nurse's best response?
A) Ignore his remarks and remain silent when providing care.
B) Express doubt that there are spiders on the wall.
C) Ask the client if he also sees spiders in the day room.
D) Tell the client there are no spiders and he should stop worrying about it.
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Chapter 37: Addiction
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Q1) Strategies that a nurse could use in a motivational interview to increase the chances of change include which of the following? (Select all that apply.)
A) Educating the patient on the physical damage the substance is causing
B) Encouraging the patient to think of ways to change environmental triggers to abuse substances
C) Asking the patient how they think substance abuse affects their family life
D) Explaining to the patient that substance abuse affects everyone in the family and give examples
E) Asking the patient what methods they think would work and encouraging participating in self-help groups
Q2) The nurse recognizes a potential health threat to an alcoholic patient who is using the drug disulfiram when the nurse reads in the health record that the patient is also taking which of the following? (Select all that apply.)
A) Blood thinners
B) Diphenhydramine
C) Alcohol
D) Penicillin
E) Mouthwash
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Chapter 38: Interpersonal Violence
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Q1) The nurse is counseling women at a crisis shelter about risk factors for increased intimate partner violence. What event is most likely to trigger an increase in abusive behaviors?
A) Moving to a new community
B) Starting a new job
C) Becoming pregnant
D) The death of a grandfather
Q2) The nurse working at a women's health clinic is seeing a teenage female patient who has come in for a refill on her birth control medication and with a complaint of abdominal pain. When the nurse enters the room, the patient is sitting in the chair with her head down, rocking back and forth, does not make eye contact, and answers questions with no expression on her face. What assessment question would be important for the nurse to ask the patient?
A) "What brings you to the clinic today?"
B) "What can we do to help you today?"
C) "Do you feel safe in your current relationship?"
D) "Have you changed your diet lately?"
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Chapter 39: Professional Identity
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Q1) The American Nurses' Association (ANA) outlines expectations of the nursing profession in which type of documentation?
A) Gallup poll
B) Goldman report
C) Social Policy Statement
D) Social identity theory
Q2) The scope of professional nursing practice is determined by the rules promulgated by which organization?
A) American Nurses' Association (ANA)
B) Institute of Medicine (IOM)
C) State Board of Nursing
D) State Nursing Association
Q3) What nursing recommendations are published in the Institute of Medicine (IOM's) report The future of nursing: Leading change, advancing health?
A) Teach, advocate, assess, and nurture.
B) Should have a graduate degree to practice.
C) Diagnose and recommend treatments.
D) Must have continuing education.
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Chapter 40: Clinical Judgment
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Q1) A home care nurse receives a physician order for a medication that the patient does not want to take because the patient has a history of side effects from this medication. The nurse carefully listens to the patient, considers it in light of the patient's condition, questions its appropriateness, and examines alternative treatments. What is the nurse's best action?
A) Call the physician, explain rationale, and suggest a different medication.
B) Consult an experienced nurse on whether there are other similar treatments.
C) Hold the drug until the physician returns to the unit and can be questioned.
D) Question other staff as to the physician's acceptance of nursing input.
Q2) A patient has been admitted for a skin graft following third degree burns to the bilateral calves. The plan of care involves 3 days inpatient and 6 months outpatient treatment, to include home care and dressing changes. When should the nurse initiate the educational plan?
A) After the operation and the patient is awake
B) On admission, along with the initial assessment
C) The day before the patient is to be discharged
D) When narcotics are no longer needed routinely
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Chapter 41: Leadership
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Q1) The nurse who is certified as a Critical Care Registered Nurse (CCRN) represents the unit on the organizational performance improvement team. This is an example of which type of leadership?
A) Formal
B) Unit
C) Organizational
D) Informal
Q2) The clinical nurse leader needs to identify the staff who must go home due to low census. Which answer below describes a democratic style of decision making?
A) The clinical nurse leader identifies the staff person with the most vacation and asks them to go home.
B) The clinical nurse leader tells the last person to show up for their shift to go home.
C) The clinical nurse leader decides not to send anyone home because it is too difficult to decide who should lose hours.
D) The clinical nurse leader asks the group if any of them would like the opportunity to go home and selects staff who volunteer.
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Chapter 42: Ethics
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Q1) A nurse on the unit makes an error in the calculation of the dose of medication for a critically ill patient. The patient suffered no ill consequences from the administration. The nurse decides not to report the error or file an incident report. The nurse is violating which principle of ethics?
A) Fidelity
B) Individuality
C) Justice
D) Values clarification
Q2) A male patient suffered a brain injury from a motor vehicle accident and has no brain activity. The spouse has come up to see the patient every day for the past 2 months. She asks the nurse, "Do you think when he moves his hands he is responding to my voice?" The nurse feels bad because she believes the movements are involuntary, and the prognosis is grim for this patient. She states, "He can hear you, and it appears he did respond to your voice." The nurse is violating which principle of ethics?
A) Autonomy
B) Veracity
C) Utilitarianism
D) Deontology
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Chapter 43: Patient Education
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Q1) Barriers to patient education the nurse considers in implementing a teaching plan include which factor?
A) Family resources
B) High school education
C) Hunger and pain
D) Need perceived by patient
Q2) Strategies to include in a teaching plan for an adult who has repeatedly not followed the written discharge instructions would include which information source?
A) Individualized handout
B) Instructional videos
C) Internet resources
D) Self-help books
Q3) The nurse educator would identify a need for further teaching when the student lists which example as a type of learning?
A) Affective
B) Cognitive
C) Psychomotor
D) Self-directed
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Chapter 44: Health Promotion
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Q1) The nurse in a newly opened community health clinic is developing a program for the individuals considered at greatest risk for poor health outcomes. How should the nurse consider this group?
A) Global community
B) Sedentary society
C) Unmotivated population
D) Vulnerable population
Q2) At the well-child clinic, how does the nurse correctly teach a mother about health promotion activities and describe immunizations?
A) Unique for children
B) Primary prevention
C) Secondary prevention
D) Tertiary prevention
Q3) Which tertiary prevention measure should be included in the health promotion plan of care for a patient newly diagnosed with diabetes?
A) Avoiding carcinogens
B) Foot screening techniques
C) Glaucoma screening
D) Seat belt use
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Page 46
Chapter 45: Communication
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Q1) A patient is admitted to the intensive care unit for congestive heart failure. Using the situation-background-assessment-recommendation (SBAR) format, put the following statements in the order in which the nurse should report changes to the health care team.
A) Our patient was admitted 2 days ago with heart failure and has been receiving furosemide (Lasix) for diuresis, but his urine output has been low.
B) I think that our patient needs to be evaluated immediately and may need intubation and mechanical ventilation.
C) This is the nurse on the surgical unit. I am calling about our patient in room 3. After assessing him, I am very concerned about his shortness of breath.
D) Today, our patient has crackles audible throughout the posterior chest and his O<sub>2</sub> saturation is 89%. His condition is very unstable.
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Chapter 46: Collaboration
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Q1) A newly licensed nurse is assigned to an experienced nurse for training on a medical unit of a hospital. What type of nurse-to-nurse collaboration does this assignment demonstrate?
A) Interprofessional
B) Shared governance
C) Interorganizational
D) Mentoring
Q2) A patient has been admitted to an acute care hospital unit. The nurse explains the hospital philosophy that the patient be an active part of planning their care. The patient verbalizes understanding of this request when they make which statement?
A) "I will have to do whatever the physician says I need to do."
B) "Once a plan is developed, it cannot be changed."
C) "My insurance will not pay if I don't do what you want me to do."
D) "We can work together to adjust my plan as we need to."
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Chapter 47: Safety
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Q1) A staff nurse reports a medication error due to failure to administer a medication at the scheduled time. What is the charge nurse's best response?
A) "We'll conduct a root cause analysis."
B) "That means you'll have to do continuing education."
C) "Why did you let that happen?"
D) "You'll need to tell the patient and family."
Q2) To promote safety, the nurse manager sensitive to point of care (sharp end) and systems level (blunt end) exemplars works closely with staff to address which point of care exemplar?
A) Care coordination
B) Documentation
C) Electronic records
D) Fall prevention
Q3) Which is an essential element of a standard order set to verify a medication order?
A) Volume only
B) Number of tablets
C) Metric dose/strength
D) Hour of administration
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Chapter 48: Technology and Informatics
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Q1) To design and implement a decubitus ulcer risk management protocol in the electronic health record, the informatics nurse would first perform which action?
A) Build the screens in the electronic health record.
B) Determine evidence supporting decubitus ulcer risk management.
C) Develop the training program for staff.
D) Select the appropriate standardized language.
Q2) The staff nurse who uses informatics in promoting quality patient care is most likely to access data in which domain?
A) Certified clinical information systems (CIS)
B) Clinical health care informatics
C) Public health/population informatics
D) Translational bioinformatics
Q3) When discussing the purposes of health care informatics with a nurse during orientation, the nurse educator would be concerned if the nurse orientee stated that which is one purpose of informatics?
A) Develop a cognitive science.
B) Improve disease tracking.
C) Improve the health provider's work flow.
D) Increase administrative efficiencies.
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Page 50
Chapter 49: Evidence
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Q1) How does the Iowa model transcend mere nursing care? (Select all that apply.)
A) It includes formalized internal feedback loops.
B) Its triggers can have their origins practically anywhere.
C) It generates change in practice solely through research.
D) It implies a layer of policy development.
E) It addresses multiple disciplines' impacts on quality.
Q2) The nurse is conducting a review of the literature for pain management techniques. Which of the following would the nurse consider when conducting research that yields solid EBP? (Select all that apply.)
A) Search the literature to uncover evidence to answer the question.
B) Evaluate the outcome.
C) Use the nursing process to evaluate evidence.
D) Evaluate the evidence found.
E) Develop an answerable question.
F) Develop a question that has not been answered.
G) Apply the evidence to the practice situation.
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Chapter 50: Health Care Quality
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Q1) A student nurse and clinical instructor are discussing quality in health care. The instructor knows the student understands when the student makes which statement?
A) "Quality is apparent in all health care."
B) "Quality is an outcome of health care."
C) "Quality is seen and unseen in health care."
D) "Quality is achieved by collaboration in health care."
Q2) The focus of quality health care should be on which of the following items? (Select all that apply.)
A) Excellent services
B) Comprehensive communication
C) Private hospital rooms
D) Health team collaboration
E) Culturally competent care
Q3) Two nurses are discussing health care quality. They agree which event contributes to increased health care quality?
A) Magnet status hospitals
B) Fewer adverse events
C) Collaboration of multiple health care agencies
D) Increased patient education
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Page 52
Chapter 51: Care Coordination
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Q1) Medical models coordinate medical services and were traditionally designed fulfill which function?
A) Be patient specific.
B) Be nursing oriented.
C) Be diagnosis specific.
D) Be community oriented.
Q2) The nurse is discussing care coordination with a patient. The patient asks the nurse to explain care coordination. What is the nurse's best response?
A) "Care coordination is a cost effective method created by the community."
B) "Care coordination forces the health care facilities in the community to work together."
C) "Care coordination exists for the children and uninsured in the community."
D) "Care coordination allows health care services to work together in the community."
Q3) For children and teens, which model includes school-based services?
A) Social
B) Integrated
C) Medically-Oriented
D) Nurse-Oriented
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Chapter 52: Caregiving
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Q1) A mother is talking with the community-based nurse concerning her adult son. The son is mentally challenged and not able to live on his own. The mother is concerned about her son's welfare when she is no longer able to care for him. What is the best response by the nurse?
A) "Let's look into the community resources that are available to assist you."
B) "You have raised your son well, and he will be okay on his own."
C) "Contact your distant relatives to see if anyone would take your son."
D) "There are places for mentally challenged adults; let's place him there."
Q2) The community health nurse is assessing a family who has a chronically ill child. The child needs special care, and the nurse has to coordinate the care for the home setting. What behavior will the nurse assess for to know that the family can care for the child?
A) The family is willing to learn about the care and share the caregiving needs.
B) The mother is going to care for the child and the family herself.
C) The older siblings are going to care for the child while the parents are at work.
D) An outside agency will be coming to the home three times a week to give care.
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Chapter 53: Palliation
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Questions
Q1) Today most patients are living for several years before dying with multiple chronic conditions, such as COPD, congestive heart failure, diabetes, and obesity. These concomitant diseases contribute to multiple symptoms that interfere with the patient's quality of life. What type of care would you consider for this patient?
A) End-of-life care
B) Supportive care
C) Comfort care
D) Palliative care
Q2) What is the most prominent goal of palliative care?
A) Integrate into chronic disease management sooner rather than later.
B) Enroll the patient into the Medicare Hospice Benefit.
C) Ensure that the patient has a 6-month prognosis.
D) Reserve this type of care until the patient is actively dying.
Q3) The interprofessional core team includes members from which disciplines?
A) Nursing, medicine, volunteers, and nutrition
B) Medicine, nursing, social work, and clergy
C) Medicine, nursing, physical therapists, and volunteers
D) Nursing, home health aides, volunteers, and clergy
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55
Chapter 54: Health Disparities
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Q1) Before beginning work on a culturally diverse hospital unit, the nurse should perform which action first?
A) Improve self-awareness of one's own biases
B) Attend an anti-discrimination rally or march
C) Build rapport and trust with the patients
D) Take a foreign language class
Q2) The nurse who has been hired to work on an oncology unit identifies which group of women as being at highest risk of developing breast cancer?
A) African
B) Caucasian
C) Asian
D) Hispanic
Q3) The nurse is caring for diverse population groups at a health clinic. Which of the following patients demonstrates a potential health disparity group?
A) A 26-year-old woman who is receiving follow-up after a car accident.
B) A 30-year-old immigrant who does not speak English.
C) A 28-year-old man who needs a tetanus booster.
D) A 12-month-old with an appointment for immunizations.
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Chapter 55: Health Care Organizations
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Q1) A hospital organization is applying for Magnet status to show excellence in nursing practice. What components would indicate that the hospital is meeting Magnet principles? (Select all that apply.)
A) The education budget for nursing has been cut to provide for new laboratory equipment.
B) On average, 40% of new nurses are leaving within 1 year of hire.
C) Nurses are active participants on all major hospital committees.
D) Quality improvement projects are planned and evaluated by nurses.
E) Patient care outcome data are reported in the annual executive board meeting.
Q2) A nurse is reported for taking prescribed patient medications for their personal use. Who has direct authority over deciding if the nurse may keep their professional license to continue practicing as a nurse?
A) The hospital where the nurse is currently employed
B) The American Nurses Association
C) The National League for Nursing
D) The State Board of Nursing who issued the license
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Chapter 56: Health Care Economics
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Q1) What do the economics of health care include?
A) Medicare and Medicaid dollars
B) Patients' rights
C) Equal distribution of health care
D) Nurse salaries
Q2) Which of the following statements is true about health care in the US?
A) The US spends more money on health care than any other nation.
B) The US provides health care to every citizen.
C) The US relies on government funding to treat most citizens.
D) The US spends less money on pediatric care than other nations.
Q3) An accountable care organization (ACO) seeks to deliver which of the following aspects of health care? (Select all that apply.)
A) Lessen Medicare payments
B) Integrate care
C) Enhance evidence-based practices
D) Manage acute conditions
E) Support hospice charges
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Chapter 57: Health Policy
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Q1) Which level of government is responsible for the regulation of a nurse's license?
A) Federal government
B) State government
C) Local government
D) International coalition
Q2) A definition of health policy includes which of the following elements?
A) Funding for public education
B) Appropriation of funds for roadwork
C) Selection of congressional members of committees
D) Public policy made to support health-related goals
Q3) Which of the following is the intent of HIPAA?
A) Release of patient information for purposes of insurance reimbursement.
B) Prevent health care providers from billing for procedures done for the insured person.
C) Protect patients from reviewing their own medical records.
D) Limit the ability of health care providers to sell patient information to outside sources.
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Chapter 58: Health Care Law
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Source URL: https://quizplus.com/quiz/2379
Sample Questions
Q1) The new nurse correctly defines a law when stating which information?
A) "Law is a fundamental concept for health care professionals."
B) "Law's rule is developed by the employee's organization."
C) "Law's rule is enacted by a government agency that defines what must be done in a given circumstance."
D) "Law is a mandate from the Joint Commission or other accrediting agency."
Q2) Which is an example of the regulatory power to make law?
A) Joint Commission establishing a medication reconciliation standard.
B) Centers for Disease Control and Prevention (CDC) developing recommendations for childhood immunizations.
C) Institute of Medicine (IOM) defining the approximate number of medication errors that result in significant patient harm or death.
D) Centers for Medicare and Medicaid Services (CMS) enacting rules for restraint and seclusion for participating hospitals.
Q3) What is one of the major attributes of health care law?
A) It defines the expected behavior of persons in the business of health care.
B) The law or rule is easy to interpret and comply with.
C) It is established by any health care authority.
D) The creator must be an expert in health care.
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