Nursing Practice I Solved Exam Questions
Course Introduction
Nursing Practice I introduces students to foundational concepts and skills essential for safe and effective nursing care. Emphasizing the nursing process, professional communication, patient safety, and evidence-based practice, the course combines classroom instruction with hands-on laboratory and simulation experiences. Students develop basic competencies in patient assessment, infection control, vital signs measurement, and assistance with activities of daily living, laying the groundwork for advanced clinical practice in subsequent courses.
Recommended Textbook Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards Source URL: https://quizplus.com/study-set/175
2
Chapter 1: Nursing Today
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Sample Questions
Q1) A nurse teaches a group of nursing students about nurse practice acts. Which information is \(\bold{most}\) important to include in the teaching session about nurse practice acts?
A) Protects the nurse
B) Protects the public
C) Protects the provider
D) Protects the hospital
Answer: B
Q2) A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?
A) Licensure
B) Autonomy
C) Certification
D) Accountability
Answer: B
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Chapter 2: The Health Care Delivery System
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Sample Questions
Q1) The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work?
A) Secondary acute
B) Continuing
C) Restorative
D) Tertiary
Answer: C
Q2) Which finding indicates the \(\bold{best}\) quality improvement process?
A) Staff identifies the wait time in the emergency department is too long.
B) Administration identifies the design of the facility's lobby increases patient stress.
C) Director of the hospital identifies the payment schedule does not pay enough for overtime.
D) Health care providers identify the inconsistencies of some of the facility's policy and procedures.
Answer: A
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4
Chapter 3: Community-Based Nursing Practice
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Sample Questions
Q1) A nurse is focusing on acute and chronic care of individuals and families within a community while enhancing patient autonomy. Which type of nursing care is the nurse providing?
A) Public health
B) Community health
C) Community-based
D) Community assessment
Answer: C
Q2) The nurse uses statistics on increased incidence of communicable disease to influence legislatures to pass a bill for mandatory vaccinations to enroll in school. Which type of nursing will the nurse use in this process?
A) Public health nursing
B) Community-based nursing
C) Community health nursing
D) Vulnerable population nursing
Answer: A
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) A nurse is conducting research about the needs of depressed patients. The nurse writes the following: Depression is a patient reporting a score above 7 on the Hamilton Depression Rating Scale. What did the nurse write?
A) Operational definition
B) Conceptual definition
C) Paradigm
D) Concept
Q2) The nurse is caring for a patient diagnosed with essential hypertension. The health care provider prescribes blood pressure medication that the nurse administers. The nurse then monitors the patient's blood pressure for several days to help determine effectiveness. Which system component is the nurse evaluating?
A) Input
B) Output
C) Content
D) Feedback
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6
Chapter 5: Evidence-Based Practice
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Sample Questions
Q1) A nurse develops the following PICOT question: Do patients who listen to music achieve better control of their anxiety and pain after surgery when compared with patients who receive standard nursing care following surgery? Which information will the nurse use as the "C"?
A) After surgery
B) Who listen to music
C) Who receive standard nursing care
D) Achieve better control of their anxiety and pain
Q2) The nurse is reviewing a research article on a patient care topic. Which area should entice the nurse to read the article?
A) Literature review
B) Introduction
C) Methods
D) Results
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Chapter 6: Health and Wellness
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Sample Questions
Q1) A nurse is teaching about the goals of Healthy People 2020. Which information should the nurse include in the teaching session?
A) Eliminate health disparities in America.
B) Eliminate health behaviors in America.
C) Eliminate quality of life in America.
D) Eliminate healthy life in America.
Q2) The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in the drinking water of the community. Which concept is the nurse fostering?
A) Illness prevention
B) Wellness education
C) Active health promotion
D) Passive health promotion
Q3) A nurse is assessing internal variables that are affecting the patient's health status. Which area should the nurse assess?
A) Perception of functioning
B) Socioeconomic factors
C) Cultural background
D) Family practices
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8
Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) The patient is terminal and very near death. When the nurse checks the patient and finds no pulse or blood pressure, the family begins sobbing and hugging each other. Some family members hold the patient's hand. The nurse is overwhelmed by the presence of grief and leaves the room. What is the nurse demonstrating?
A) Caring touch
B) Protective touch
C) Therapeutic touch
D) Task-oriented touch
Q2) Which actions by the nurse should be done in order to get to know the patient?
(Select all that apply.)
A) Avoid assumptions
B) Focus on the patient
C) Engage in a caring relationship
D) Form the relationship very quickly
E) Not address spiritual or higher needs
Q3) Interpersonally
A)Connection with others
B)Connection with higher power
C)Connection with oneself
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Page 9
Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) The patient has lung cancer and voices concerns about cancer treatments affecting sexuality. What is the nurse's best reply?
A) "That is something to ask the health care provider."
B) "Chemotherapy will work in the lungs and should have no effect on sexuality."
C) "How cancer treatment affects sexuality depends on how active you are and your age."
D) "Sexual changes are common with cancer therapy. Let me get someone who can answer your questions."
Q2) A breast cancer survivor has chemotherapy-related cognitive impairment. Which area should the nurse assess?
A) Pain
B) Grief
C) Nightmares
D) Short-term memory
Q3) The family caregiving pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
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10
Chapter 9: Cultural Awareness
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Sample Questions
Q1) A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally congruent care?
A) Provides care that fits the patient's valued life patterns and set of meanings
B) Provides care that is based on meanings generated by predetermined criteria
C) Provides care that makes the nurse the leader in determining what is needed
D) Provides care that is the same as the values of the professional health care system
Q2) Cultural encounters
A)In-depth self-examination of one's own background
B)Ability to assess factors that influence treatment and care
C)Sufficient comparative understanding of diverse groups
D)Motivation and commitment to continue learning about cultures
E)Cross-cultural interaction that develops communication skills
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11
Chapter 10: Caring for Families
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Sample Questions
Q1) The nurse is caring for an older adult patient who has no apparent family. When questioned about family and the definition of family, the patient states, "I have no family. They're all gone." When asked, "Who prepares your meals?" the patient states, "I do, or I go out." Which approach should the nurse use for this patient?
A) Family as context
B) Family as patient
C) Family as system
D) Family as caregiver
Q2) A nurse reviews the current trends affecting the family. Which trend will the nurse find?
A) Mothers are staying at home.
B) Adolescent mothers usually live on their own.
C) More grandparents are raising their grandchildren.
D) Teenage fathers usually have stronger support systems.
Q3) How often does the family hug each other?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
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Page 12
Chapter 11: Developmental Theories
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Sample Questions
Q1) Which question will be \(\bold{most}\) appropriate for a nurse to ask when assessing an adult patient for growth and developmental delays?
A) "How many times per week do you exercise?"
B) "Are you able to stand on one foot for 5 seconds?"
C) "Would you please describe your usual activities during the day?"
D) "How many hours a day do you spend watching television or sitting in front of a computer?"
Q2) A nurse is developing a plan of care concerning growth and development for a hospitalized adolescent. What should the nurse do? (Select all that apply.)
A) Apply developmental theories when making observations of the adolescent's patterns of growth and development.
B) Compare the adolescent's assessment findings versus normal findings.
C) Recognize her own (the nurse's) moral developmental level.
D) Stick with one developmental theory for consistency.
E) Apply a unidimensional life span perspective.
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Chapter 12: Conception Through Adolescence
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Sample Questions
Q1) 4 to 6 months
A)Can place objects into containers
B)Pulls a string to obtain an object
C)Can hold a baby bottle
D)Holds rattle for short periods
E)Uses pincer grasp well
Q2) 10 to 12 months
A)Can place objects into containers
B)Pulls a string to obtain an object
C)Can hold a baby bottle
D)Holds rattle for short periods
E)Uses pincer grasp well
Q3) Which information from the parent of an 8-month-old infant will cause the nurse to intervene?
A) My baby rides in the front-facing car seat when I go to the grocery store.
B) I made sure the slats on the crib were less than 2 inches apart.
C) I removed the mobile after my baby could reach it.
D) My baby cries every time he sees a new person.
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Chapter 13: Young and Middle Adults
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Sample Questions
Q1) Upon assessment of a middle-aged adult, the nurse observes uneven weight bearing and decreased range of joint motion. Which area is priority?
A) Abuse potential
B) Fall precautions
C) Stroke prevention
D) Self-esteem issues
Q2) A nurse is providing prenatal care to a first-time mother. Which information will the nurse share with the patient? (Select all that apply.)
A) Regular trend for postpartum depression
B) Protection against urinary infection
C) Strategies for empty nest syndrome
D) Exercise patterns
E) Proper diet
Q3) Which goal is priority when the nurse is caring for a middle-aged adult?
A) Maintain immediate family relationships.
B) Maintain future generation relationships.
C) Maintain personal career relationships.
D) Maintain work relationships.
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15
Chapter 14: Older Adult
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Sample Questions
Q1) An older-adult patient has developed acute confusion. The patient has been on tranquilizers for the past week. The patient's vital signs are normal. What should the nurse do?
A) Take into account age-related changes in body systems that affect pharmacokinetic activity.
B) Increase the dose of tranquilizer if the cause of the confusion is an infection.
C) Note when the confusion occurs and medicate before that time.
D) Restrict phone calls to prevent further confusion.
Q2) An older-adult patient in no acute distress reports being less able to taste and smell.
What is the nurse's best response to this information?
A) Notify the health care provider immediately to rule out cranial nerve damage.
B) Schedule the patient for an appointment at a smell and taste disorders clinic.
C) Perform testing on the vestibulocochlear nerve and a hearing test.
D) Explain to the patient that diminished senses are normal findings.
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Chapter 15: Critical Thinking in Nursing Practice
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Sample Questions
Q1) Which action should the nurse take when using critical thinking to make clinical decisions?
A) Make decisions based on intuition.
B) Accept one established way to provide care.
C) Consider what is important in a given situation.
D) Read and follow the heath care provider's orders.
Q2) In which order will the nurse use the nursing process steps during the clinical decision-making process?
1) Evaluating goals
2) Assessing patient needs
3) Planning priorities of care
4) Determining nursing diagnoses
5) Implementing nursing interventions
A) 2, 4, 3, 5, 1
B) 4, 3, 2, 1, 5
C) 1, 2, 4, 5, 3
D) 5, 1, 2, 3, 4
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Chapter 16: Nursing Assessment
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Sample Questions
Q1) The nurse is interviewing a patient with a hearing deficit. Which area should the nurse use to conduct this interview?
A) The patient's room with the door closed
B) The waiting area with the television turned off
C) The patient's room before administration of pain medication
D) The waiting room while the occupational therapist is working on leg exercises
Q2) A nurse is completing an assessment. Which findings will the nurse report as subjective data? (Select all that apply.)
A) Patient's temperature
B) Patient's wound appearance
C) Patient describing excitement about discharge
D) Patient pacing the floor while awaiting test results
E) Patient's expression of fear regarding upcoming surgery
Q3) A nurse has already set the agenda during a patient-centered interview. What will the nurse do next?
A) Begin with introductions.
B) Ask about the chief concerns or problems.
C) Explain that the interview will be over in a few minutes.
D) Tell the patient "I will be back to administer medications in 1 hour."
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Page 18
Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) The nurse is reviewing a patient's database for significant changes and discovers that the patient has not voided in over 8 hours. The patient's kidney function lab results are abnormal, and the patient's oral intake has significantly decreased since previous shifts. Which step of the nursing process should the nurse proceed to after this review?
A) Diagnosis
B) Planning
C) Implementation
D) Evaluation
Q2) A nurse is developing nursing diagnoses for a group of patients. Which nursing diagnoses will the nurse use? (Select all that apply.)
A) Anxiety related to barium enema
B) Impaired gas exchange related to asthma
C) Impaired physical mobility related to incisional pain
D) Nausea related to adverse effect of cancer medication
E) Risk for falls related to nursing assistive personnel leaving bedrail down
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Chapter 18: Planning Nursing Care
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Sample Questions
Q1) A registered nurse administers pain medication to a patient suffering from fractured ribs. Which type of nursing intervention is this nurse implementing?
A) Collaborative
B) Independent
C) Interdependent
D) Dependent
Q2) A patient's son decides to stay at the bedside while his father is confused. When developing the plan of care for this patient, what should the nurse do?
A) Individualize the care plan only according to the patient's needs.
B) Request that the son leave at bedtime, so the patient can rest.
C) Suggest that a female member of the family stay with the patient.
D) Involve the son in the plan of care as much as possible.
Q3) Which information indicates a nurse has a good understanding of a goal?
A) It is a statement describing the patient's accomplishments without a time restriction.
B) It is a realistic statement predicting any negative responses to treatments.
C) It is a broad statement describing a desired change in a patient's behavior.
D) It is a measurable change in a patient's physical state.
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Page 20
Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) A nurse is implementing interventions for a group of patients. Which actions are nursing interventions? (Select all that apply.)
A) Order chest x-ray for suspected arm fracture.
B) Prescribe antibiotics for a wound infection.
C) Reposition a patient who is on bed rest.
D) Teach a patient preoperative exercises.
E) Transfer a patient to another hospital unit.
Q2) The nurse establishes trust and talks with a school-aged patient before administering an injection. Which type of implementation skill is the nurse using?
A) Cognitive
B) Interpersonal
C) Psychomotor
D) Judgmental
Q3) Which initial intervention is most appropriate for a patient who has a new onset of chest pain?
A) Reassess the patient.
B) Notify the health care provider.
C) Administer a prn medication for pain.
D) Call radiology for a portable chest x-ray.
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Chapter 20: Evaluation
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Sample Questions
Q1) A nurse has instituted a turn schedule for a patient to prevent skin breakdown. Upon evaluation, the nurse finds that the patient has a stage II pressure ulcer on the buttocks. Which action will the nurse take next?
A) Reassess the patient and situation.
B) Revise the turning schedule to increase the frequency.
C) Delegate turning to the nursing assistive personnel.
D) Apply medication to the area of skin that is broken down.
Q2) A new nurse asks the preceptor to describe the primary purpose of evaluation. Which statement made by the nursing preceptor is most accurate?
A) "An evaluation helps you determine whether all nursing interventions were completed."
B) "During evaluation, you determine when to downsize staffing on nursing units."
C) "Nurses use evaluation to determine the effectiveness of nursing care."
D) "Evaluation eliminates unnecessary paperwork and care planning."
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22
Chapter 21: Managing Patient Care
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Sample Questions
Q1) Which staff member does the nurse assign to provide morning care for an older-adult patient who requires assistance with activities of daily living?
A) Licensed practical nurse
B) Cardiac monitor technician
C) Nursing assistive personnel (NAP)
D) Another registered nurse on the floor
Q2) A nurse is overseeing the care of patients with severe diabetes and patients with heart failure to improve cost-effectiveness and quality of care. Which nursing care delivery model is the nurse using?
A) Team nursing
B) Total patient care
C) Primary nursing
D) Case management
Q3) High priority
A)Patient that needs to be turned to prevent pneumonia
B)Patient with acute asthma attack
C)Patient who will be discharged in 2 days who needs teaching
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23
Chapter 22: Ethics and Values
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Sample Questions
Q1) A nurse agrees with regulations for mandatory immunizations of children. The nurse believes that immunizations prevent diseases as well as prevent spread of the disease to others. Which ethical framework is the nurse using?
A) Deontology
B) Ethics of care
C) Utilitarianism
D) Feminist ethics
Q2) The nurse is caring for a dying patient. Which intervention is considered futile?
A) Giving pain medication for pain
B) Providing oral care every 5 hours
C) Administering the influenza vaccine
D) Supporting lower extremities with pillows
Q3) A nurse is discussing quality of life issues with another colleague. Which topic will the nurse acknowledge for increased attention paid to quality of life concerns?
A) Health care disparities
B) Aging of the population
C) Abilities of disabled persons
D) Health care financial reform
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24
Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) While recovering from a severe illness, a hospitalized patient wants to change a living will, which was signed 9 months ago. Which response by the nurse is most appropriate?
A) "Check with your admitting health care provider whether a copy is on your chart."
B) "Let me check with someone here in the hospital who can assist you."
C) "You are not allowed to ever change a living will after signing it."
D) "Your living will can be changed only once each calendar year."
Q2) A nursing student has been written up several times for being late with providing patient care and for omitting aspects of patient care and not knowing basic procedures that were taught in the skills course one term earlier. The nursing student says, "I don't understand what the big deal is. As my instructor, you are there to protect me and make sure I don't make mistakes." What is the best response from the nursing instructor?
A) "You are practicing under the license of the hospital's insurance."
B) "You are expected to perform at the level of a professional nurse."
C) "You are expected to perform at the level of a prudent nursing student."
D) "You are practicing under the license of the nurse assigned to the patient."
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Chapter 24: Communication
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Sample Questions
Q1) Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients?
A) Shows sympathy appropriately
B) Uses automatic responses fluently
C) Demonstrates passive remarks accurately
D) Self-examines personal communication skills
Q2) A nurse is standing beside the patient's bed. Nurse: How are you doing?
Patient: I don't feel good.
Which element will the nurse identify as feedback?
A) Nurse
B) Patient
C) How are you doing?
D) I don't feel good.
Q3) E
A)Nurse describes procedures and tests.
B)Nurse lets the patient know how long the procedure will last.
C)Nurse recognizes the person with a positive attitude.
D)Nurse thanks the patient.
E)Nurse tells the patient "I am an RN and will be managing your care."
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Page 26
Chapter 25: Patient Education
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Sample Questions
Q1) A nurse is preparing to teach patients. Which patient finding will cause the nurse to postpone a teaching session? (Select all that apply.)
A) The patient is hurting.
B) The patient is fatigued.
C) The patient is mildly anxious.
D) The patient is asking questions.
E) The patient is febrile (high fever).
F) The patient is in the acceptance phase.
Q2) A nurse is teaching an older-adult patient about strokes. Which teaching technique is most appropriate for the nurse to use?
A) Speak in a high tone of voice to describe strokes.
B) Use a pamphlet about strokes with large font in blues and greens.
C) Provide specific information about strokes in short, small amounts.
D) Begin the teaching session facing the teaching white board with stroke information.
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) After providing care, a nurse charts in the patient's record. Which entry will the nurse document?
A) Appears restless when sitting in the chair
B) Drank adequate amounts of water
C) Apparently is asleep with eyes closed
D) Skin pale and cool
Q2) A nurse obtained a telephone order from a primary care provider for a patient in pain. Which chart entry should the nurse document?
A) 12/16/20XX 0915 Morphine, 2 mg, IV every 4 hours for incisional pain. VO Dr. Day/J. Winds, RN, read back.
B) 12/16/20XX 0915 Morphine, 2 mg, IV every 4 hours for incisional pain. TO J. Winds, RN, read back.
C) 12/16/20XX 0915 Morphine, 2 mg, IV every 4 hours for incisional pain. TO Dr. Day/J. Winds, RN, read back.
D) 12/16/20XX 0915 Morphine, 2 mg, IV every 4 hours for incisional pain. TO J. Winds, RN.
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Chapter 27: Patient Safety and Quality
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Sample Questions
Q1) A patient may need restraints. Which task can the nurse delegate to a nursing assistive personnel?
A) Determining the need for restraints
B) Assessing the patient's orientation
C) Obtaining an order for a restraint
D) Applying the restraint
Q2) The nurse is trying to use alternatives rather than restrain a patient. Which finding will cause the nurse to determine the alternative is working?
A) The patient continues to get up from the chair at the nurses' station.
B) The patient gets restless when the sitter leaves for lunch.
C) The patient folds three washcloths over and over.
D) The patient apologizes for being "such a bother."
Q3) Which activity will cause the nurse to monitor for equipment-related accidents?
A) Uses a patient-controlled analgesic pump
B) Uses a computer-based documentation record
C) Uses a measuring device that measures urine
D) Uses a manual medication-dispensing device
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Chapter 28: Immobility
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Sample Questions
Q1) The nurse needs to move a patient up in bed using a drawsheet. The nurse has another nurse helping. In which order will the nurses perform the steps, beginning with the first one?
1) Grasp the drawsheet firmly near the patient.
2) Move the patient and drawsheet to the desired position.
3) Position one nurse at each side of the bed.
4) Place the drawsheet under the patient from shoulder to thigh.
5) Place your feet apart with a forward-backward stance.
6) Flex knees and hips and on count of three shift weight from the front to back leg.
A) 1, 4, 5, 6, 3, 2
B) 4, 1, 3, 5, 6, 2
C) 3, 4, 1, 5, 6, 2
D) 5, 6, 3, 1, 4, 2
Q2) The patient has been in bed for several days and needs to be ambulated. Which action will the nurse take first?
A) Maintain a narrow base of support.
B) Dangle the patient at the bedside.
C) Encourage isometric exercises.
D) Suggest a high-calcium diet.
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Chapter 29: Infection Prevention and Control
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Sample Questions
Q1) The nurse manager is evaluating current infection control data for the intensive care unit. The nurse compares past patient data with current data to look for trends. The nurse manager examines the infection chain for possible solutions. In which order will the nurse arrange the items for the infection chain beginning with the first step?
1) A mode of transmission
2) An infectious agent or pathogen
3) A susceptible host
4) A reservoir or source for pathogen growth
5) A portal of entry to a host
6) A portal of exit from the reservoir
A) 3, 2, 4, 1, 5, 6
B) 1, 3, 5, 4, 6, 2
C) 4, 2, 1, 6, 3, 5
D) 2, 4, 6, 1, 5, 3
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Chapter 30: Vital Signs
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51 Flashcards
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Sample Questions
Q1) Hypothermia
A)Patient's temperature is 113° F (45° C) with hot, dry skin.
B)Patient's blood pressure sitting is 130/60 and 110/40 standing.
C)Patient's pulse is 110 beats/min.
D)Patient's temperature is 93.2° F (34° C).
E)Patient's blood pressure went from 126/76 to 90/50.
Q2) The patient is found to be unresponsive and not breathing. Which pulse site will the nurse use?
A) Radial
B) Apical
C) Carotid
D) Brachial
Q3) The nurse is caring for an older-adult patient and notes that the temperature is 96.8° F (36° C). How will the nurse interpret this finding?
A) The patient has hyperthermia.
B) The patient has a normal temperature.
C) The patient is suffering from hypothermia.
D) The patient is demonstrating increased metabolism.
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Chapter 31: Health Assessment and Physical Examination
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49 Flashcards
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Sample Questions
Q1) The nurse is preparing for a rectal examination of a nonambulatory male patient. In which position will the nurse place the patient?
A) Sims'
B) Knee-chest
C) Dorsal recumbent
D) Forward bending with flexed hips
Q2) The patient has had a stroke that has affected the ability to speak. The patient becomes extremely frustrated when trying to speak. The patient responds correctly to questions and instructions but cannot form words coherently. Which type of aphasia is the patient experiencing?
A) Sensory
B) Receptive
C) Expressive
D) Combination
Q3) A nurse is preparing to perform a lung assessment on a patient and discovers through the nursing history the patient smokes. The nurse figures the pack-years for this patient who has smoked two and a half (2 1/2) packs a day for 20 years. Which value will the nurse record in the patient's medical record? Record answer as a whole number. _________ pack-years
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Page 33
Chapter 32: Medication Administration
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A nurse is preparing to administer a medication from a vial. In which order will the nurse perform the steps, starting with the first step?
1) Invert the vial.
2) Fill the syringe with medication.
3) Inject air into the airspace of the vial.
4) Clean with alcohol swab and allow to dry.
5) Pull back on the plunger the amount to be drawn up.
6) Tap the side of the syringe barrel to remove air bubbles.
A) 4, 1, 5, 3, 6, 2
B) 1, 4, 5, 3, 2, 6
C) 4, 5, 3, 1, 2, 6
D) 1, 4, 5, 3, 6, 2
Q2) The nurse is planning to administer a tuberculin test with a 27-gauge, 5/8-inch needle. At which angle will the nurse insert the needle?
A) 15 degree
B) 30 degree
C) 45 degree
D) 90 degree
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Chapter 33: Complementary and Alternative Therapies
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27 Flashcards
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Sample Questions
Q1) A nurse is teaching a patient relaxation techniques to decreases stress. Which finding will support the nurse's evaluation that the therapy is effective?
A) Dilated pupils
B) Increased blood sugar
C) Decreased heart rate
D) Elevated blood pressure
Q2) During a relaxation therapy skills group, the instructor discusses the cognitive skill of learning to tolerate uncertain and unfamiliar experiences. Which skill is the nurse describing?
A) Passivity
B) Focusing
C) Mindfulness
D) Receptivity
Q3) A patient asks the nurse for a nonmedical approach for excessive worry and work stress. Which therapy should the nurse recommend?
A) Meditation
B) Acupuncture
C) Ayurvedic herbs
D) Chiropractic care
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Chapter 34: Self-Concept
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25 Flashcards
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Sample Questions
Q1) A male patient states, "I'm such a loser. I only had that job for a month." Which outcome criteria will the nurse add to the patient's care plan?
A) The patient will verbalize two life areas in which he functions well.
B) The patient will find new employment before the next clinic visit.
C) The patient will confront a former boss about previous work problems.
D) The patient will identify two reasons why he is considered a bad employee.
Q2) A nurse is assessing a group of adolescents. Which person is most likely to have the highest self-esteem?
A) Latino adolescent female who has strong ethnic pride
B) Caucasian boy who lives below federal poverty level
C) African-American adolescent male who has severe acne
D) Adolescent who was suspended twice from high school
Q3) A nurse is caring for a postoperative mastectomy patient. Which action is a priority for increasing self-awareness?
A) Solving problems for the patient before developing insight
B) Using communication skills to clarify family and patient expectations
C) Telling the patient that it will be fine because many others have survived
D) Rotating nursing personnel in the patient's care, so the patient can talk to many people
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Page 36
Chapter 35: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2414
Sample Questions
Q1) A nurse is assessing a child for sexual abuse. Which assessment findings will the nurse expect?
A) Physical aggression and sleep disturbances
B) Many peers and no drug usage
C) Panic attacks and anorexia
D) Anxiety and depression
Q2) A nurse is interviewing a woman who uses a diaphragm. Which information from the patient will require the nurse to follow up?
A) "I have lost 12 pounds on this diet."
B) "I use the diaphragm to prevent pregnancy."
C) "I use a contraceptive cream with my diaphragm."
D) "I know this provides a barrier over the cervical opening."
Q3) A nurse is using the PLISSIT model when caring for a patient with dyspareunia from diminished vaginal secretions. The nurse suggests using water-soluble lubricants. Which component of PLISSIT is the nurse using?
A) P
B) LI
C) SS
D) IT
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Page 37
Chapter 36: Spiritual Health
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25 Flashcards
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Sample Questions
Q1) Hinduism
A)Nature controls life and health.
B)Organ transplantation or donation is not considered.
C)Observance of the Sabbath is important.
D)Past sins cause illness.
E)Nonhuman spirits invading the body cause illness.
Q2) Appalachians
A)Nature controls life and health.
B)Organ transplantation or donation is not considered.
C)Observance of the Sabbath is important.
D)Past sins cause illness.
E)Nonhuman spirits invading the body cause illness.
Q3) A nurse is providing spiritual care to patients. Which action is essential for the nurse to take?
A) Know one's own personal beliefs.
B) Learn about other religions.
C) Visit churches, temples, mosques, or synagogues.
D) Travel to other areas that do not have the same beliefs.
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Chapter 37: The Experience of Loss, Death, and Grief
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Sample Questions
Q1) A veteran is hospitalized after surgical amputation of both lower extremities owing to injuries sustained during military service. Which type of loss will the nurse focus the plan of care on for this patient?
A) Perceived loss
B) Situational loss
C) Maturational loss
D) Uncomplicated loss
Q2) A patient has had two family members die during the past 2 days. Which coping strategy is \(\bold{most}\) appropriate for the nurse to suggest to the patient?
A) Writing in a journal
B) Drinking alcohol to go to sleep
C) Exercising vigorously rather than sleeping
D) Avoiding talking with friends and family members
Q3) A nurse is providing postmortem care. Which action will the nurse take?
A) Leave dentures in the mouth.
B) Lower the head of the bed.
C) Cover the body with a sterile sheet.
D) Remove all tubes for an autopsy.
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Chapter 38: Stress and Coping
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21 Flashcards
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Sample Questions
Q1) After a natural disaster occurred, an emergency worker referred a family for crisis intervention services. One family member refused to attend the services, stating, "No way, I'm not crazy." What is the nurse's \(\bold{best}\) response?
A) "Many times disasters can create mental health problems, so you really should participate with your family."
B) "Seeking this kind of help does not mean that you have a mental illness; it is a short-term problem-solving technique."
C) "Don't worry now. The psychiatrists are well trained to help."
D) "This will help your family communicate better."
Q2) The nurse teaches stress-reduction and relaxation training to a health education group of patients after cardiac bypass surgery. Which level of intervention is the nurse using?
A) Primary
B) Secondary
C) Tertiary
D) Quad
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Chapter 39: Activity and Exercise
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34 Flashcards
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Sample Questions
Q1) A nurse is preparing to move a patient who is able to assist. Which principles will the nurse consider when planning for safe patient handling? (Select all that apply.)
A) Keep the body's center of gravity high.
B) Face the direction of the movement.
C) Keep the base of support narrow.
D) Use the under-axilla technique.
E) Use proper body mechanics.
F) Use arms and legs.
Q2) The nurse is caring for a patient who cannot bear weight but needs to be transferred from the bed to a chair. The nurse decides to use a transportable hydraulic lift. What will the nurse do?
A) Place a horseshoe-shaped base on the opposite side from the chair.
B) Remove straps before lowering the patient to the chair.
C) Hook longer straps to the bottom of the sling.
D) Attach short straps to the bottom of the sling.
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Chapter 40: Hygiene
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Sample Questions
Q1) The nurse is caring for a patient with cognitive impairments. Which actions will the nurse take during AM care? (Select all that apply.)
A) Administer ordered analgesic 1 hour before bath time.
B) Increase the frequency of skin assessment.
C) Reduce triggers in the environment.
D) Keep the room temperature cool.
E) Be as quick as possible.
Q2) The nurse is teaching the patient about flossing and oral hygiene. Which instruction will the nurse include in the teaching session?
A) Using waxed floss prevents bleeding.
B) Flossing removes plaque and tartar from the teeth.
C) Performing flossing at least 3 times a day is beneficial.
D) Applying toothpaste to the teeth before flossing is harmful.
Q3) A nurse is providing perineal care to a female patient. Which washing technique will the nurse use?
A) Back to front
B) In a circular motion
C) From pubic area to rectum
D) Upward from rectum to pubic area
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Page 42
Chapter 41: Oxygenation
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51 Flashcards
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Sample Questions
Q1) The nurse is suctioning a patient with a tracheostomy tube. Which action will the nurse take?
A) Set suction regulator at 150 to 200 mm Hg.
B) Limit the length of suctioning to 10 seconds.
C) Apply suction while gently rotating and inserting the catheter.
D) Liberally lubricate the end of the suction catheter with a water-soluble solution.
Q2) The nurse is creating a plan of care for an obese patient who is suffering from fatigue related to ineffective breathing. Which intervention best addresses a short-term goal the patient could achieve?
A) Sleeping on two to three pillows at night
B) Limiting the diet to 1500 calories a day
C) Running 30 minutes every morning
D) Stopping smoking immediately
Q3) A nurse auscultates heart sounds. When the nurse hears S?, which valves is the nurse hearing close?
A) Aortic and mitral
B) Mitral and tricuspid
C) Aortic and pulmonic
D) Mitral and pulmonic
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Page 43
Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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51 Flashcards
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Sample Questions
Q1) A nurse is caring for a cancer patient who presents with anorexia, blood pressure 100/60, and elevated white blood cell count. Which primary purpose for starting total parenteral nutrition (TPN) will the nurse add to the care plan?
A) Stimulate the patient's appetite to eat.
B) Deliver antibiotics to fight off infection.
C) Replace fluid, electrolytes, and nutrients.
D) Provide medication to raise blood pressure.
Q2) A nurse is selecting a site to insert an intravenous (IV) catheter on an adult. Which actions will the nurse take? (Select all that apply.)
A) Check for contraindications to the extremity.
B) Start proximally and move distally on the arm.
C) Choose a vein with minimal curvature.
D) Choose the patient's dominant arm.
E) Select a vein that is rigid.
F) Avoid areas of flexion.
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44
Chapter 43: Sleep
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36 Flashcards
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Sample Questions
Q1) Obstructive sleep apnea
A)Use continuous positive airway pressure.
B)Offer a small meal several hours before bedtime.
C)Administer antidepressants.
D)Administer modafinil (Provigel).
E)Do not startle.
F)Administer benzodiazepine-like drugs.
Q2) A nurse is teaching the staff about the sleep cycle. Which sequence will the nurse include in the teaching session?
A) NREM Stage 1, 2, 3, 4, REM
B) NREM Stage 1, 2, 3, 4, 3, 2, 1, REM
C) NREM Stage 1, 2, 3, 4, REM, 4, 3, 2 REM
D) NREM Stage 1, 2, 3, 4, 3, 2, REM
Q3) The nurse is completing a sleep assessment on a patient. Which tool will the nurse use to complete the assessment?
A) Visual analog scale
B) Cataplexy scale
C) Polysomnogram
D) RAS scale
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Page 45
Chapter 44: Pain Management
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Sample Questions
Q1) Severity
A)Could you rate your pain on a scale of 0 to 10?
B)How often does it recur?
C)Could you point to the area of pain?
D)Do certain activities worsen the pain?
E)What does the pain feel like?
Q2) The nurse is assessing a patient for opioid tolerance. Which finding supports the nurse's assessment?
A) The patient needed a substantial dose of naloxone (Narcan).
B) The patient needs increasingly higher doses of opioid to control pain.
C) The patient no longer experiences sedation from the usual dose of opioid.
D) The patient asks for pain medication close to the time it is due around the clock.
Q3) The nurse is caring for a group of patients. Which task may the nurse delegate to the nursing assistive personnel (NAP)?
A) Administer a back massage to a patient with pain.
B) Assessment of pain for a patient reporting abdominal pain.
C) Administer patient-controlled analgesia for a postoperative patient.
D) Assessment of vital signs in a patient receiving epidural analgesia.
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Chapter 45: Nutrition
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Sample Questions
Q1) The patient is admitted with facial trauma, including a broken nose, and has a history of esophageal reflux and of aspiration pneumonia. With which tube will the nurse most likely administer the feeding?
A) Nasogastric tube
B) Jejunostomy tube
C) Nasointestinal tube
D) Percutaneous endoscopic gastrostomy (PEG) tube
Q2) The patient is having at least 75% of nutritional needs met by enteral feeding, so the health care provider has ordered the parenteral nutrition (PN) to be discontinued.
However, the nurse notices that the PN infusion has fallen behind. What should the nurse do?
A) Increase the rate to get the volume caught up before discontinuing.
B) Stop the infusion as ordered.
C) Taper infusion gradually.
D) Hang 5% dextrose.
Q3) The patient has H. pylori. Which action should the nurse take?
A) Encourage avoidance of wheat and oats.
B) Encourage milkshakes as a nutritious snack.
C) Encourage completion of antibiotic therapy.
D) Encourage nonsteroidal antiinflammatory drugs.
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Chapter 46: Urinary Elimination
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44 Flashcards
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Sample Questions
Q1) Which assessment question should the nurse ask if stress incontinence is suspected?
A) "Do you think your bladder feels distended?"
B) "Do you empty your bladder completely when you void?"
C) "Do you experience urine leakage when you cough or sneeze?"
D) "Do your symptoms increase with consumption of alcohol or caffeine?"
Q2) A nurse is caring for an 8-year-old patient who is embarrassed about urinating in bed at night. Which intervention should the nurse suggest to reduce the frequency of this occurrence?
A) "Set your alarm clock to wake you every 2 hours, so you can get up to void."
B) "Line your bedding with plastic sheets to protect your mattress."
C) "Drink your nightly glass of milk earlier in the evening."
D) "Empty your bladder completely before going to bed."
Q3) A nurse is caring for a male patient with urinary retention. Which action should the nurse take \(\bold{first}\)?
A) Limit fluid intake.
B) Insert a urinary catheter.
C) Assist to a standing position.
D) Ask for a diuretic medication.
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Chapter 47: Bowel Elimination
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Sample Questions
Q1) A patient with a hip fracture is having difficulty defecating into a bedpan while lying in bed. Which action by the nurse will assist the patient in having a successful bowel movement?
A) Preparing to administer a barium enema
B) Withholding narcotic pain medication
C) Administering laxatives to the patient
D) Raising the head of the bed
Q2) Which action will the nurse take to reduce the risk of excoriation to the mucosal lining of the patient's nose from a nasogastric tube?
A) Instill Xylocaine into the nares once a shift.
B) Tape tube securely with light pressure on nare.
C) Lubricate the nares with water-soluble lubricant.
D) Apply a small ice bag to the nose for 5 minutes every 4 hours.
Q3) The nurse is emptying an ileostomy pouch for a patient. Which assessment finding will the nurse report immediately?
A) Liquid consistency of stool
B) Presence of blood in the stool
C) Malodorous stool
D) Continuous output from the stoma
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Page 49
Chapter 48: Skin Integrity and Wound Care
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Sample Questions
Q1) Transparent
A)Absorbs drainage through the use of exudate absorbers in the dressing
B)Very soothing to the patient and do not adhere to the wound bed
C)Barrier to external fluids/bacteria but allows wound to "breathe"
D)Manufactured from seaweed and comes in sheet and rope form
E)Oldest and most common absorbent dressing
Q2) The nurse is caring for a patient with a wound healing by full-thickness repair. Which phases will the nurse monitor for in this patient? (Select all that apply.)
A) Hemostasis
B) Maturation
C) Inflammatory
D) Proliferative
E) Reproduction
F) Reestablishment of epidermal layers
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Chapter 49: Sensory Alterations
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Sample Questions
Q1) A nurse is describing the transmission of sound to a patient. In which order will the nurse list the pathway of sound, beginning with the first structure
1) Eardrum
2) Perilymph
3) Oval window
4) Bony ossicles
5) Eighth cranial nerve?
A) 1, 5, 2, 4, 3
B) 1, 3, 4, 2, 5
C) 1, 2, 4, 5, 3
D) 1, 4, 3, 2, 5
Q2) The nurse is creating a plan of care for a patient with glaucoma. Which nursing diagnosis will the nurse include in the care plan to address a safety complication of the sensory deficit?
A) Body image disturbance
B) Social isolation
C) Risk for falls
D) Fear
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Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse is caring for a group of patients. Which patient will the nurse see \(\bold{first}\)?
A) A patient who had cataract surgery is coughing.
B) A patient who had vascular repair of the right leg is not doing right leg exercises.
C) A patient after knee surgery is wearing intermittent pneumatic compression devices and receiving heparin.
D) A patient after surgery has vital signs taken every 15 minutes twice, every 30 minutes twice, hourly for 2 hours then every 4 hours.
Q2) The nurse is caring for a postoperative patient on the medical-surgical floor. Which activity will the nurse encourage to prevent venous stasis and the formation of thrombus?
A) Diaphragmatic breathing
B) Incentive spirometry
C) Leg exercises
D) Coughing
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