Nursing Practice Foundations Review Questions - 459 Verified Questions

Page 1


Nursing Practice Foundations

Review Questions

Course Introduction

Nursing Practice Foundations provides students with a comprehensive introduction to the essential principles, concepts, and skills required for professional nursing practice. The course focuses on the development of clinical reasoning, patient-centered care, and evidence-based practice, emphasizing the importance of communication, safety, and ethical responsibility. Students will gain hands-on experience through laboratory sessions and simulations, learning fundamental nursing procedures, documentation techniques, and basic assessment skills to promote optimal health outcomes across diverse patient populations.

Recommended Textbook

Concepts for Nursing Practice 2nd Edition by Giddens

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58 Chapters

459 Verified Questions

459 Flashcards

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Chapter 1: Development

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Sample Questions

Q1) A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so needy and acting like a child. The best response of the nurse is that in the hospital, adolescents

A) have separation anxiety.

B) rebel against rules.

C) regress because of stress.

D) want to know everything.

Answer: C

Q2) The school nurse talking with a high school class about the difference between growth and development would best describe growth as A) processes by which early cells specialize.

B) psychosocial and cognitive changes.

C) qualitative changes associated with aging.

D) quantitative changes in size or weight.

Answer: D

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Chapter 2: Functional Ability

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Sample Questions

Q1) A 65-year-old female patient has been admitted to the medical/surgical unit. The nurse is assessing the patient's risk for falls so that falls prevention can be implemented if necessary. Select all the risk factors that apply from this patient's history and physical. (Select all that apply.)

A) Being a woman

B) Taking more than six medications

C) Having hypertension

D) Having cataracts

E) Muscle strength 3/5 bilaterally

F) Incontinence

Answer: B, D, E, F

Q2) Balances the checkbook

A)for instrumental activities of daily living (IADLs)

B)for basic activities of daily living (BADLs)

Answer: A

Q3) Dresses self

A)for instrumental activities of daily living (IADLs)

B)for basic activities of daily living (BADLs)

Answer: B

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Page 4

Chapter 3: Family Dynamics

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Sample Questions

Q1) 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

Q2) Which factors which would alert the nurse to negative/dysfunctional family dynamics?

A) Aging of family members

B) Chronic illness of a family member

C) Disability of a family member

D) Intimate partner violence

Answer: D

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Page 5

Chapter 4: Culture

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Sample Questions

Q1) A 60-year-old Italian immigrant presents for an annual physical. He is counseled about diagnostic testing including laboratory testing, colonoscopy, influenza vaccination, and pneumococcal vaccination. His reply is "If it ain't broke, don't try to fix it."

When developing a plan of care, the nurse should consider which cultural orientation for this patient?

A) Short term

B) Long term

C) Leisurely term

D) Noncommittal

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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Chapter 5: Spirituality

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Sample Questions

Q1) The nurse recognizes that which life events can be spiritually life changing? (Select all that apply.)

A) Births

B) Weddings

C) Medical diagnoses

D) Career day to day job duties

E) Loss of independence

Q2) When developing a plan of care, the nurse should consider which attribute of the Chapter of spirituality?

A) Spirituality is not a well-known universal concept

B) Chronic versus acute illnesses affect spirituality

C) Convincing patients to pray is a priority intervention

D) Referrals may be needed to spiritual counselors

Q3) A patient uses rosary beads and attends mass once a week. This expression of spirituality is best described with which term?

A) Religiosity

B) Faith

C) Belief

D) Authenticity

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Page 7

Chapter 6: Adherence

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Sample Questions

Q1) A 73-year-old male patient is seen in the home setting for a routine physical. The nurse notes which behavior as the most reassuring sign that the patient has been following the treatment plan for the diagnoses of hypertension, diabetes, and hyperlipidemia?

A) The patient has a list of glucose readings for the past 10 days.

B) The patient has a list of medications along with newly refilled meds.

C) The patient has a list of all foods and beverages for a 3-day period.

D) The patient verbalizes the side effects of all his medications.

Q2) The nurse is assessing a newly diagnosed diabetic, and the patient's readiness to learn about glucose monitoring. Before planning teaching activities, which approach would be most effective?

A) Assist the patient with long-term goals and plan teaching according to these goals.

B) Provide the patient with all the latest research from the Internet on glucose monitoring.

C) Refer the patient to the diabetic specialist who can assist the patient with the glucometer.

D) Assist the patient in developing realistic short-term goals.

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Chapter 7: Self-Management

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Sample Questions

Q1) An 8-year-old child is newly diagnosed with asthma. Which nursing intervention best promotes self-efficacy for the parents to help the child follow the prescribed treatments?

A) Ask parents to list all possible triggers for asthma

B) Requesting a spacer for the metered dose inhaler

C) Suggest the parents enforce a strict exercise regimen

D) Recommend replacing carpeting in the home with wood flooring

Q2) The nurse is assessing a patient's readiness to be discharged and ability to manage care at home. What is the most appropriate question for the nurse to ask to determine the patient's learning needs before planning teaching activities?

A) "What are your hobbies and occupation?"

B) "What do you need to know before you go home from the hospital?"

C) "Do you have any cultural or religious beliefs that you would like incorporated into your plan of care?"

D) "What were your grades and learning style when you were in school?"

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Chapter 8: Fluid and Electrolyte Balance

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Sample Questions

Q1) The patient has recent bilateral, above-the-knee amputations and has developed C. difficile diarrhea. What assessments should the nurse use to detect ECV deficit in this patient? (Select all that apply.)

A) Test for skin tenting.

B) Measure rate and character of pulse.

C) Measure postural blood pressure and heart rate.

D) Check Trousseau's sign.

E) Observe for flatness of neck veins when upright.

F) Observe for flatness of neck veins when supine.

Q2) The nurse assessed four patients at the beginning of the shift. Which finding should the nurse report immediately to the physician?

A) Swollen ankles in patient with compensated heart failure

B) Positive Chvostek's sign in patient with acute pancreatitis

C) Dry mucous membranes in patient taking a new diuretic

D) Constipation in patient who has advanced breast cancer

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Chapter 9: Acid-Base Balance

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Sample Questions

Q1) The nurse is making a home visit to a child who has a chronic disease. Which finding has the greatest implication for acid-base aspects of this patient's care?

A) Urine output is very small today.

B) Whites of the eyes appear more yellow.

C) Skin around the mouth is very chapped.

D) Skin is sweaty under three blankets.

Q2) The patient has severe hyperthyroidism and will have surgery tomorrow. What assessment is most important for the nurse to assess in order to detect development of the acid-base imbalance for which the patient has highest risk?

A) Urine output and color

B) Level of consciousness

C) Heart rate and blood pressure

D) Lung sounds in lung bases

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11

Chapter 10: Thermoregulation

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Sample Questions

Q1) 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

Q2) During orientation to an emergency department, the nurse educator would be concerned if the new nurse listed which of the following as a risk factor for impaired thermoregulation?

A) Impaired cognition

B) Occupational exposure

C) Physical agility

D) Temperature extremes

Q3) 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.

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12

Chapter 11: Sleep

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Sample Questions

Q1) The nurse enters a patient's room and the patient startles easily and appears to jerk his arms and legs before awakening. Which stage of non-rapid eye movement sleep did the patient most likely awaken from?

A) Stage 1

B) Stage 2

C) Stage 3

D) Stage 4

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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Sample Questions

Q1) The nurse is caring for a patient who received a bone marrow transplant 10 days ago. The nurse would monitor for which of the following clinical manifestations that could indicate a potentially life-threatening situation?

A) Mucositis

B) Confusion

C) Depression

D) Mild temperature elevation

Q2) A patient with prostate cancer is taking estrogen daily to control tumor growth. He reports that his left calf is swollen and painful. Which of the following would be the nurse's best action?

A) Instruct the client to keep the leg elevated.

B) Measure the calf circumference and compare the measurement with the right calf circumference measurement.

C) Apply ice to the calf after a 10-minute massage of the area.

D) Document assessment findings as an expected response with estrogen therapy.

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14

Chapter 13: Intracranial Regulation

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Sample Questions

Q1) The nurse should teach a patient that which is a primary prevention strategy to reduce the occurrence of head injuries?

A) Blood pressure control

B) Smoking cessation

C) Maintaining a healthy weight

D) Violence prevention

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 preparing to care for a patient after a suspected stroke would question which order?

A) Antihypertensive

B) Antipyretic

C) Osmotic diuretic

D) Sedative

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Page 15

Chapter 14: Hormonal Regulation

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Sample Questions

Q1) Radioactive iodine is indicated for the treatment of hyperthyroidism. The nurse should include which teaching in this patient's plan of care?

A) Isolation is required for 6-8 weeks

B) An additional dose may be needed

C) Thyroid replacement therapy is prescribed

D) An overnight hospital stay is required

Q2) 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

Q3) 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

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Chapter 15: Glucose Regulation

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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) Which of the following would be included in the assessment of a patient with diabetes mellitus who is experiencing a hypoglycemic reaction? (Select all that apply.)

A) Tremors

B) Nervousness

C) Extreme thirst

D) Flushed skin

E) Profuse perspiration

F) Constricted pupils

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17

Chapter 16: Nutrition

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Sample Questions

Q1) The home care nurse is assessing an older patient diagnosed with mild cognitive impairment (MCI) in the home setting. Which information is of concern?

A) The patient's son uses a marked pillbox to set up the patient's medications weekly.

B) The patient has lost 10 pounds (4.5 kg) during the last month.

C) The patient is cared for by a daughter during the day and stays with a son at night.

D) The patient tells the nurse that a close friend recently died.

Q2) During a physical examination, the nurse notes that the patient's skin is dry and flaking. What additional data would the nurse expect to find to confirm the suspicion of a nutritional deficiency?

A) Hair loss and hair that is easily removed from the scalp

B) Inflammation of the tongue and fissured tongue

C) Inflammation of peripheral nerves and numbness and tingling in extremities

D) Fissures and inflammation of the mouth

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18

Chapter 17: Elimination

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Sample Questions

Q1) A patient who was diagnosed with senile dementia has become incontinent of urine. The patient's daughter asks the nurse why this is happening. What is the nurse's best response?

A) "The patient is angry about the dementia diagnosis."

B) "The patient is losing sphincter control due to the dementia."

C) "The patient forgets where the bathroom is located due to the dementia."

D) "The patient wants to leave the hospital."

Q2) The nurse is listening for bowel sounds in a postoperative patient. The bowel sounds are slow, as they are heard only every 3 to 4 minutes. The patient asks the nurse why this is happening. What is the nurse's best response?

A) "Anesthesia during surgery and pain medication after surgery may slow peristalsis in the bowel."

B) "Some people have a slower bowel than others, and this is nothing to be concerned about."

C) "The foods you eat contribute to peristalsis, so you should eat more fiber in your diet."

D) "Bowel peristalsis is slow because you are not walking. Get more exercise during the day."

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Page 19

Chapter 18: Perfusion

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Sample Questions

Q1) The patient is brought to the emergency department after a motor vehicle accident. The patient is diagnosed with internal bleeding. What is the priority of care for this patient?

A) Mental alertness

B) Perfusion

C) Pain

D) Reaction to medications

Q2) A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. What should the nurse monitor for in this patient?

A) Tissue ischemia

B) Brain malformations

C) Intestinal blockage

D) Cardiac dysrhythmia

Q3) The patient asks the nurse to explain the function of the sinoatrial node in the heart. What is the nurse's best response?

A) "The sinoatrial node stimulates the heart to beat in a normal rhythm."

B) "The sinoatrial node protects the heart from atherosclerotic changes."

C) "The sinoatrial node provides the heart with oxygenated blood."

D) "The sinoatrial node protects the heart from infection."

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Page 20

Chapter 19: Gas Exchange

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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 reviewing the patient's arterial blood gas results. The PaO<sub>2</sub> is 96 mm Hg, pH is 7.20, PaCO<sub>2</sub> is 55 mm Hg, and HCO<sub>3</sub> is 25 mEq/L. What might the nurse expect to observe on assessment of this patient?

A) Disorientation and tremors

B) Tachycardia and decreased blood pressure

C) Increased anxiety and irritability

D) Hyperventilation and lethargy

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Chapter 20: Clotting

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Sample Questions

Q1) Which statement by a patient indicates additional teaching is required about the medication warfarin?

A) "I will continue my diabetic diet and restrict sugar."

B) "I will increase the intake of green, leafy vegetables for a more healthful diet."

C) "I will restrict the intake of foods high in vitamin C."

D) "I will increase the amount of protein in my diet to protect my kidneys."

Q2) A patient on a medical surgical unit has a platelet count of 90,000 per mm³. The nurse knows to include which of the following precautions in discharge instructions?

A) Use a standard safety razor for shaving.

B) Use a soft bristle toothbrush.

C) Have aggressive dental care immediately to prevent dental caries.

D) Do not eat fresh fruit.

Q3) 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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Chapter 21: Reproduction

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Sample Questions

Q1) A female college student is planning to become sexually active. She is considering birth control options and desires a method in which ovulation will be prevented. To prevent ovulation while reaching 99% effectiveness in preventing pregnancy, which option should be given the strongest consideration?

A) Intrauterine device

B) Coitus interruptus

C) Natural family planning

D) Oral contraceptive pills

Q2) The nurse at the family planning clinic conducts a male history for infertility evaluation. Which finding has the greatest implication for this patient's care?

A) Practice of nightly masturbation

B) Primary anovulation

C) High testosterone levels

D) Impotence due to alcohol ingestion

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Chapter 22: Sexuality

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Sample Questions

Q1) The nurse is caring for a 44-year-old married woman who is complaining of painful intercourse and incontinence due to prolapse of reproductive organs. Clinical evaluation reveals that the patient has a cystocele. Which treatment option is most appropriate for this patient?

A) Pelvic floor training

B) Vaginal pessaries

C) Surgical correction

D) Lifestyle changes

Q2) A 55-year-old male patient post-myocardial infarction (MI) asks the nurse whether he will be healthy enough for sexual activity after discharge from the hospital. The patient has been prescribed anti-hypertensives and beta-blockers. During health teaching, the nurse understands that the three phases of the four-stage model of the human sexual response cycle that are of concern for this patient include which phases?

A) Excitement, plateau, and orgasmic

B) Plateau, orgasmic, and resolution

C) Excitement, orgasmic, and resolution

D) Arousal, excitement, and plateau

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Chapter 23: Immunity

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Sample Questions

Q1) The nurse is caring for a postoperative patient who had an open appendectomy. The nurse understands that this patient should have some erythema and edema at the incision site 12 to 24 hours post operation dependent on which condition?

A) His immune system is functioning properly.

B) He is properly vaccinated.

C) He has an infection.

D) The suppressor T-cells in his body are activated.

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) A patient is being treated with an antibiotic for an infected orthopedic injury. What explanation should the nurse give to the patient about this medication?

A) "Antibiotics will decrease the pain at the site."

B) "An antibiotic helps to kill the infection causing the inflammation."

C) "An antibiotic inhibits cyclooxygenase, an enzyme in the body."

D) "Antibiotics will reduce the patient's fever."

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26

Chapter 25: Infection

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Sample Questions

Q1) 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."

Q2) 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.

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Chapter 26: Mobility

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Sample Questions

Q1) 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."

Q2) 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."

Q3) 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

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28

Chapter 27: Tissue Integrity

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Sample Questions

Q1) A patient has cellulitis on the right forearm. The nurse would anticipate orders to administer medications to eradicate which organism?

A) Candida albicans

B) Group A beta-hemolytic streptococci

C) Staphylococcus aureus

D) E. Coli

Q2) A nurse is conducting community education classes on skin cancer. One participant says to the nurse: "I read that most melanomas occur on the face and arms in fair-skinned women. Is this true?" The nurse's most helpful response would be which of the following?

A) "That is not correct. Melanoma is more commonly found on the torso or the lower legs of women."

B) "That is correct, because the face and arms are exposed more often to the sun."

C) "That is not correct. Melanoma occurs on the top of the head in men but is rare in women."

D) "That is incorrect. Melanoma is most commonly seen in dark-skinned individuals."

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Chapter 28: Sensory Perception

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Sample Questions

Q1) An adult male patient is complaining of decreased appetite. He states he just finished taking his antibiotics for an episode of pneumonia. What is the nurse's best response?

A) "Your wife should increase the spices in your food, as the pneumonia changes your sense of smell."

B) "Notify your doctor immediately, because this is a concerning reaction to the medication."

C) "You need to take an appetite stimulant, as your body will need good nutrition to recover from the infection."

D) "You should see an improvement in the next week or so. Call if this continues."

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) An 80-year-old male patient is in the intensive care unit has suffered a fractured femur. You are making rounds and notice he is somnolent, with no response to verbal or physical stimulation. He has been on round the clock opioid doses q 4 hours. What is the nurse's first action?

A) Call the rapid response team to care for the patient immediately.

B) Discontinue the opioids on the medication administration record.

C) Assess the patient's blood pressure and pain level.

D) Start a second intravenous line with a large bore catheter.

Q2) A 70-year-old retired nurse is interested in nondrug, mind-body therapies, self-management, and alternative strategies to deal with joint discomfort from rheumatoid arthritis. What options should you consider in her plan of care considering her expressed wishes?

A) Stationary exercise bicycle, free weights, and spinning class

B) Mind-body therapies such as music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy

C) Chamomile tea and IcyHot gel

D) Acupuncture and attending church services

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Page 31

Chapter 30: Fatigue

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Sample Questions

Q1) The nurse is assessing for fatigue in a patient diagnosed with multiple sclerosis. Which self -reporting tool is best for the nurse to utilize?

A) Multidimensional Assessment of Fatigue (MAF)

B) Fatigue Severity Scale (FSS)

C) Brief Fatigue Inventory (BFI)

D) Multidimensional Fatigue Inventory (MFI)

Q2) The nurse is assessing a patient for risk factors of chronic fatigue syndrome. Which factors should the nurse identify as placing the patient at risk for chronic fatigue syndrome? (Select all that apply.)

A) Feeling tired upon awakening

B) Chronic migraines

C) Tenderness under the jaw

D) 5 episodes tonsillitis/past year

E) Swollen, painful knees

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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) An older patient presents to the outpatient clinic with a chief complaint of headache and insomnia. In gathering the history, the nurse notes which factors as contributing to this patient's chief complaint?

A) The patient is responsible for caring for two school-age grandchildren.

B) The patient's daughter works to support the family.

C) The patient is being treated for hypertension and is overweight.

D) The patient has recently lost her spouse and needed to move in with her daughter.

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33

Chapter 32: Coping

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Sample Questions

Q1) The school nurse is assessing coping skills of high school students who attend an alternative school for students at high risk to not graduate. What is the priority concern that the nurse has for this student population?

A) Altered vital sign readings

B) Inaccurate perceptions of stressors

C) Increased risk for suicide

D) Decreased access to alcoholic beverages

Q2) The nurse is reviewing the care plan for a patient experiencing difficulty coping with stress. The nurse recognizes that an example of initiating a cognitive restructuring intervention to enhance coping abilities is known as which of the following?

A) Identifying the cause of fear

B) Accessing a community support group

C) Identifying relaxation methods

D) Reviewing an educational pamphlet

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34

Chapter 33: Mood and Affect

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Q1) A patient has been resistant to treatment with antidepressant therapy. The care provider prescribes a monoamine oxidase inhibitor (MAOI) medication. What teaching is critical for the nurse to give the patient?

A) Serum blood levels must be regularly monitored to assess for toxicity.

B) To prevent side effects, the medication should be administered as an intramuscular injection.

C) Eating foods such as blue cheese or red wine will cause side effects.

D) This medication class may only be used safely for a few days at a time.

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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Sample Questions

Q1) The nurse knows that which of the following medical conditions are most commonly associated with anxiety? (Select all that apply.)

A) Cancer

B) Pancreatitis

C) Hypothyroidism

D) Dysrhythmias

E) Encephalitis

F) Hyperthyroidism

Q2) A patient is newly diagnosed with anxiety and placed on a selective serotonin reuptake inhibitors (SSRIs). The nurse is developing the plan of care for this patient. How long will it take for this medication to become effective?

A) The medication will become effective immediately.

B) The medication may take up to 12 weeks to become effective.

C) The medication may take up to 6 weeks to become effective.

D) The medication may take up to 4 weeks to become effective.

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36

Chapter 35: Cognition

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Q1) An 82-year-old patient who is in the hospital awakens from sleep and is disoriented to where she is at the present time. The nurse reorients the patient to her surroundings and helps the patient return to sleep. What data does the nurse consider as a probable cause of the patient's confusion?

A) Pain medication received earlier in the night

B) The death of the patient's spouse 2 years ago

C) The patient's history of diabetes

D) The age of the patient

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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Sample Questions

Q1) Clients who are psychotic because of underlying psychiatric illness are treated with antipsychotic medications. Typical antipsychotic medications can improve positive symptoms in clients with schizophrenia. Positive symptoms include which of the following? (Select all that apply.)

A) Hallucinations

B) Disorganized speech and behavior

C) Anhedonia

D) Delusions

E) Agitation

Q2) The nurse is planning discharge teaching for a patient taking clozapine. Which information is essential to include in the teaching plan?

A) Caution about sunlight exposure

B) Reminder to call the clinic if fever, sore throat, or malaise develops

C) Instructions regarding dietary restrictions

D) A chart to record patient weight

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Chapter 37: Addiction

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Q1) The nurse assesses the outcomes of a motivational interview on a patient with a dual diagnosis of alcoholism with delirium tremens (DTs) and determines that the communication was nontherapeutic. What is the nurse's next priority?

A) Encourage the patient to think of ways to change environmental triggers to abuse substances.

B) Ask the patient what methods they think would work and encourage participating in self-help groups.

C) Notify provider to obtain order for oxazepam and vitamin B infusion.

D) Notify provider to obtain order for CT scan and psychologic consult.

Q2) To prevent Wernicke's encephalopathy from heavy alcohol use, the nurse anticipates an order for which medications?

A) Benzodiazepine

B) Thiamine and B complex

C) Vitamins C and D<sub>3</sub>

D) Klonopin

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Chapter 38: Interpersonal Violence

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Sample Questions

Q1) The nurse is admitting a child with a history of abuse. The nurse understands that the child may exhibit what behaviors that are consequences of being in an abusive environment? (Select all that apply.)

A) Reliving abuse incidents

B) Sleep disturbance

C) Overeating

D) Acting out behaviors

E) Intermittent fever

Q2) A nurse is caring for a patient in the emergency department who has been a victim of intimate partner violence. What is most important for the nurse to include in the plan of care?

A) Medication to calm the perpetrator of the violence

B) A list of community resources

C) A referral for self-defense training

D) A referral to the victim's religious advisor

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Chapter 39: Professional Identity

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Sample Questions

Q1) Nursing demonstrates dedication to improving public health through which avenue?

A) Changing health care standards

B) Legal regulations

C) Scope of practice

D) Technology

Q2) A new registered nurse asks the registered nurse (RN) preceptor what could be done to become more professional. What is the preceptor's best response?

A) "Attend nursing educational meetings."

B) "Listen to other nurses."

C) "Read the agency newsletter."

D) "Pass the licensing exam."

Q3) The qualities of leadership, clinical expertise and judgment, mentorship, and lifelong learning would best describe which type of nurse?

A) Administrator

B) Certified nurse specialist

C) Practitioner

D) Professional

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Chapter 40: Clinical Judgment

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Sample Questions

Q1) A nurse has designed an individualized nursing care plan for a patient, but the patient is not meeting goals. Further assessment reveals that the patient is not following through on many items. Which action by the nurse would be best for determining the cause of the problem?

A) Assess whether the actions were too hard for the patient.

B) Determine whether the patient agrees with the care plan.

C) Question the patient's reasons for not following through.

D) Reevaluate data to ensure the diagnoses are sound.

Q2) A nurse has committed a serious medication error and has reported the error to the hospital's adverse medication error hotline as well as to the unit manager. The manager is a firm believer in developing critical thinking skills. From this standpoint, what action by the manager would best nurture this ability in the nurse who made the error?

A) Have the nurse present an in-service related to the cause of the error.

B) Instruct the nurse to write a paper on how to avoid this type of error.

C) Let the nurse work with more experienced nurses when giving medications.

D) Send the nurse to refresher courses on medication administration.

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Chapter 41: Leadership

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Sample Questions

Q1) What are the main features of complex adaptive systems that are relevant to nursing leadership? (Select all that apply.)

A) Focused on creating organizational change and looking at the whole versus individual parts.

B) Defined by efforts of leadership to mandate organizational change.

C) Autocratic in nature with a top-down structure for change.

D) Dependent on employees knowing what change is necessary and acting independently.

E) Non-linear and dynamic in nature, versus a static process.

Q2) 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

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43

Chapter 42: Ethics

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Sample Questions

Q1) 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

Q2) 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

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Chapter 43: Patient Education

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Sample Questions

Q1) 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

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) 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

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Chapter 44: Health Promotion

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Sample Questions

Q1) When teaching a patient with a family history of hypertension about health promotion, the nurse describes blood pressure screening as which type of prevention?

A) Illness

B) Primary

C) Secondary

D) Tertiary

Q2) 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

Q3) The primary health care nurse would recommend screening based on known risk factors, because of which action?

A) Eliminate the possibility of developing a condition.

B) Identify appropriate treatment guidelines.

C) Initiate treatment of a condition or disease.

D) Make a substantial difference in morbidity and mortality.

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Page 46

Chapter 45: Communication

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Sample Questions

Q1) A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric facility. Which remark by the nurse would be an appropriate way to begin an interview session?

A) "How shall we start today?"

B) "Shall we talk about losing your privileges yesterday?"

C) "Let's get started discussing your marital relationship."

D) "What happened when your family visited yesterday?"

Q2) A patient states, "I had a bad nightmare. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response by the nurse would be an example of interpersonal therapeutic communication?

A) "It sounds as though you were uncomfortable with the content of your dream."

B) "I understand what you're saying. Bad dreams leave me feeling tired, too."

C) "So, all in all, you feel as though you had a rather poor night's sleep?"

D) "Can you give me an example of what you mean by a 'bad nightmare'?"

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Chapter 46: Collaboration

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Sample Questions

Q1) Which activities are appropriate for the nurse to collaborate with a patient? (Select all that apply.)

A) Prescribing a new medication dose

B) Health promotion activities

C) End-of-life comfort decisions

D) Interpreting laboratory results

E) Lifestyle changes to improve health

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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Sample Questions

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) Prior to drug administration the nurse reviews the seven rights, which include right patient, right medication, right time, right dose, right education, right documentation, and what other right?

A) Room

B) Route

C) Physician

D) Manufacturer

Q3) Aspects of safety culture that contribute to a culture of safety in a health care organization include which component?

A) Communication

B) Fear of punishment

C) Malpractice implications

D) Team nursing

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Page 49

Chapter 48: Technology and Informatics

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Sample Questions

Q1) The nurse manager of a medical/surgical unit wants to increase the use of health care technology on the unit and is working with an ANA-certified informatics nurse to reduce which barriers to health information exchange?

A) Basic informatics knowledge and skills

B) Offering the best set of tools

C) Privacy and security policies

D) Unit-specific terminology

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) Florence Nightingale, the first nurse informatician, sought hospital data for comparison purposes to compete which goal?

A) Allow faster and accurate diagnosis.

B) Better coordinate care.

C) Improve the efficiency of care.

D) Show people how their money was spent.

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Page 50

Chapter 49: Evidence

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Q1) Which statements are true about the Iowa model of EBP? (Select all that apply.)

A) It addresses utilization of research findings at an individual level.

B) It prioritizes pressing items of interest related to quality of care.

C) Individual nurses enact an Iowa decision tree when they examine risk management data.

D) It identifies triggers capable of posing hazard or benefit.

E) It reiterates that innovators embrace change far earlier than laggards.

Q2) One of the first nurse researchers to document evidence-based practice for nursing was Florence Nightingale. What did Nightingale incorporate into her practice that made her practice different from her colleagues?

A) Nightingale gathered scientific data.

B) Nightingale calculated statistics to report her findings.

C) Nightingale communicated her findings to powerful others.

D) Nightingale based her nursing practice on her findings.

Q3) 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.

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Chapter 50: Health Care Quality

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Sample Questions

Q1) 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

Q2) What are two major foci of The Joint Commission (TJC) in the delivery of health care?

A) Cost containment; safety

B) Safety; quality

C) Quality; assessment

D) Assessment; evaluation

Q3) Which statement is true regarding the patient's perception of his or her care?

A) Patent perception is just as important as the outcome of care.

B) Patient perception is insignificant compared to the outcome of care.

C) Patient satisfaction has no relation to quality of care.

D) Patient satisfaction is insignificant compared to the outcome of care.

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Chapter 51: Care Coordination

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Sample Questions

Q1) 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."

Q2) 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.

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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Sample Questions

Q1) The nurse is counseling a woman who is caring for her 83-year-old father. The father has had mental changes and is becoming more confused. The father lives with the daughter in her home. The nurse knows the daughter understands the father's care needs when she states which of the following?

A) "Dad will only need my help for a short time, and then he will get better."

B) "I can leave dad alone during the day; I'll just deadbolt the door."

C) "I can send dad to the adult daycare; that way I can work and care for him at night."

D) "Dad misses mom since she passed; he will be okay in a few weeks."

Q2) 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."

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Chapter 53: Palliation

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Sample Questions

Q1) When considering the trajectory of a specific disease, what is the most important Chapter?

A) Hospital admissions

B) Physical functioning

C) Quality of life

D) Symptom management

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) 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

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Page 55

Chapter 54: Health Disparities

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Q1) 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

Q2) 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.

Q3) 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

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56

Chapter 55: Health Care Organizations

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Q1) A nurse manager finds an unsigned note reporting that patient care standards are not consistently being followed. Within the organizational structure, what is the best action for the manager?

A) Schedule a staff meeting to ask staff who left the note.

B) Send an email reminder that all staff need to review the policy and procedure book.

C) Wait for a staff member to come forward who is willing to be identified.

D) Form a small group to explore why staff are not comfortable reporting errors.

Q2) 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.

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Chapter 56: Health Care Economics

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Sample Questions

Q1) A student asks the instructor about health care economics. The instructor knows the student understands when the student makes which statement?

A) "The elderly population uses most of the health care services."

B) "Everyone should have health insurance to obtain services."

C) "Health care dollars should be partitioned by the government."

D) "Resources will be needed to serve health care issues."

Q2) 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

Q3) The US health care system is different from that of other countries in which way?

A) The US charges money from the private sector only.

B) US health care is funded from private organizations.

C) The US health care system is not entirely government funded.

D) The US health care treats the older person first.

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Chapter 57: Health Policy

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Sample Questions

Q1) A nursing student is preparing a care plan for an assigned patient. When accessing the electronic medical record, what is acceptable information to view? (Select all that apply.)

A) Laboratory data of the assigned patient

B) Admission diagnosis for a patient who is a former neighbor

C) The patient's age, date of birth, and gender

D) The history and physical of the assigned patient

E) A classmate's brother's chest x-ray report

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 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

To view all questions and flashcards with answers, click on the resource link above.

Chapter 58: Health Care Law

Available Study Resources on Quizplus for this Chatper

8 Verified Questions

8 Flashcards

Source URL: https://quizplus.com/quiz/2379

Sample Questions

Q1) 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.

Q2) Which of the following is true about health care legislation?

A) The US Constitution addresses health care law specifically to give the federal government the ability to license professionals and institutions.

B) The power of the US Constitution does not have a direct relationship to health care and reserves most of the power to the states.

C) State laws are considered the highest source of health care law and trump the federal laws.

D) The federal government asserts its power over health care legislation through the US Constitution.

To view all questions and flashcards with answers, click on the resource link above.

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