Nursing Theory and Application
Exam Questions
Course Introduction
Nursing Theory and Application explores the foundational theories that have shaped the nursing profession, emphasizing their relevance to modern clinical practice. The course examines key theoretical models, such as those developed by Florence Nightingale, Jean Watson, and Dorothea Orem, and analyzes how these frameworks guide patient care, ethical decision-making, and evidence-based practice. Through case studies, practical activities, and critical reflection, students learn to apply theoretical concepts to real-world scenarios, enhancing their ability to deliver holistic and patient-centered care in diverse healthcare settings.
Recommended Textbook Fundamentals of Nursing Active Learning for Collaborative Practice 1st Edition by Yoost
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Chapter 1: Nursing, Theory, and Professional Practice
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Q1) The nursing student develops a plan of care based on a recently published article describing the effects of bedrest on a patient's calcium blood levels. In creating the plan of care, the nursing student has the obligation to:
A) Critically appraise the evidence and determine validity.
B) Ensure that the plan of care does not alter current practice.
C) Change the process even when there is no problem identified.
D) Maintain the plan of care regardless of initial outcome.
Answer: A
Q2) During a staff meeting, the nurse manager announces that the hospital will be seeking Magnet status. In order to explain the requirements for this award, the nurse manager will contact the:
A) American Nurses Association (ANA).
B) American Nurses Credentialing Center (ANCC).
C) National League for Nursing (NLN).
D) Joint Commission.
Answer: B
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3
Chapter 2: Values, Beliefs, and Caring
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Q1) Nurses must collaborate effectively with patients to find treatment methods that are congruent with the patients' belief systems and that promote healthy outcomes. This approach requires:
A) focusing on patient values only and disregard family desires in setting goals.
B) relying more and more on their scientific background.
C) listening carefully to how the patient's beliefs impact their health beliefs.
D) Understanding that the nurse's beliefs are the most important.
Answer: C
Q2) In dealing with beliefs and values, the type that is based in the unconscious are:
A) zero-order beliefs.
B) first-order beliefs.
C) higher-order beliefs.
D) prejudices.
Answer: A
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Chapter 3: Communication
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Sample Questions
Q1) The nurse is caring for a patient who is unable to take oral medications because of persistent nausea and vomiting. The nurse decides to call the primary care physician and ask for a different medication administration route. This demonstrates the act of:
A) collaboration.
B) delegation.
C) assertiveness.
D) advocacy.
Answer: D
Q2) Based on a patient's perception of professional competence and caring, the nurse should wear:
A) large, dangling, hoop earrings
B) bright red, acrylic fingernails
C) a clean, neatly pressed uniform
D) offensive tattoos that cannot be covered
Answer: C
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5
Chapter 4: Critical Thinking in Nursing
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Sample Questions
Q1) The nursing student is observing a staff nurse demonstrating a subcutaneous injection during a skills competency fair. The student tells the nurse that nursing textbooks indicate that aspirating for blood is not necessary. The nurse replies, "I prefer to check for blood, just in case. This is the way I learned to give shots and it works for me." The nurse's response is most likely related to:
A) illogical thinking.
B) a bias.
C) closed-mindedness.
D) an erroneous assumption.
Q2) The nurse is preparing to restart a patient's intravenous line and discovers that the patient has no usable veins in either arm. To solve this problem, the nurse should:
A) discuss the problem with the nurse in charge.
B) not start the intravenous line.
C) conduct an internet search for infusion journal articles.
D) contact the physician and report the concern.
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Chapter 5: Introduction to the Nursing Process
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Q1) The nurse is admitting a patient experiencing chest discomfort and shortness of breath. The patient also has a history of stroke. The nurse documents the nursing diagnosis "Risk for stroke related to history of stroke." The risk factor for this patient is:
A) stroke.
B) history of stroke.
C) chest discomfort.
D) shortness of breath.
Q2) The nurse is demonstrating how to correctly perform deep breathing and coughing exercises to a patient scheduled for back surgery. Which step of the nursing process is the nurse addressing?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
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Chapter 6: Assessment
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Q1) The nurse is documenting data collected during a health assessment interview. Which statement indicates subjective data?
A) "My last bowel movement was 4 days ago."
B) Abdomen distended; firm and tender.
C) Dark colored; hard pellet-shaped stool.
D) Color pink. Skin warm and dry. No sign of discomfort.
Q2) After the patient's data are collected, validated, and interpreted, the nurse organizes the information in a framework (format) that facilitates access by all members of the health care team. The framework that provides the most holistic view of the patient's condition is:
A) the head-to-toe pattern
B) Marjory Gordon's Functional Health Patterns.
C) the cephalic-caudal pattern.
D) the body systems model.
Q3) Patient-centered care requires the nurse to: (Select all that apply.)
A) understand patient preferences
B) be aware of family values
C) recognize the patient's expectations
D) base conclusions on the nurse's personal experiences
E) provide care in a standardized manner
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Chapter 7: Nursing Diagnosis
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Q1) A group of patients in a community center attend a nursing-led information session on the risks of contracting tuberculosis. After the presentation several patients ask the nurse for additional web-based resources regarding the lung disease. Which type of nursing diagnosis would the nurse choose for the community care plan?
A) Risk
B) Actual
C) Health-promotion
D) Potential
Q2) A nurse completes a care plan for an assigned patient diagnosed with an inflammation of the pericardium. Which diagnosis written on the plan indicates a need for further instruction on using the nursing process?
A) Pericarditis
B) Acute pain
C) Risk for decreased cardiac output
D) Activity intolerance
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Chapter 8: Planning
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Q1) The nurse recognizes which of the following as a barrier to achieving goals?
A) The effects of pain and/or clinical depression
B) Patient involvement in setting patient goals
C) Family involvement in setting patient goals
D) Realistic expectations of the patient's capabilities.
Q2) The significance of developing organized plans of care for patients cannot be stressed enough. In the planning phase, the nurse must take seriously the responsibility of: (Select all that apply.)
A) prioritizing patient needs.
B) developing mutually agreed-on goals.
C) determining outcome criteria.
D) identifying interventions.
E) implementation of the patient's plan of care.
Q3) The nurse is caring for a patient who has had abdominal surgery but has developed a slight temperature. A patient-centered goal would be:
A) the patient's temperature will return to normal within 24 hours.
B) the nurse will medicate the patient for surgical pain every 4 hours.
C) skin integrity will be maintained until the patient is ambulatory.
D) the patient will ambulate 10 feet by post-op day 2.
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Page 10
Chapter 9: Implementation and Evaluation
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Sample Questions
Q1) Which of the following cannot be delegated?
A) Obtaining vital signs
B) Assessment of lung sounds
C) Bathing a patient
D) Ambulating a patient
Q2) After the nurse completes a patient's initial assessment and develops a plan of care:
A) continual reassessment of the patient is required.
B) no changes to the care interventions should be allowed.
C) reassessment should be done randomly.
D) the nursing process becomes static to maintain the course of the cure.
Q3) The nurse has many roles. One is to support and work on behalf of patients for whom he/she has concern. This role is known as:
A) advocate.
B) primary care provider.
C) collaborator.
D) delegator.
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Chapter 10: Documentation, Electronic Health Records, and Reporting
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Q1) Which of the following is true regarding nursing documentation?
A) Standards for documentation are established by a national commission.
B) Medical records should be accessible to everyone.
C) Documentation should not include the patient's diagnosis.
D) High-quality nursing documentation reflects the nursing process.
Q2) The nurse is charting using the DAR charting system. This form of charting requires documentation about: (Select all that apply.)
A) the patient problems.
B) subjective data.
C) any actions initiated.
D) objective data.
E) the patient's response to interventions.
Q3) The nurse is preparing to administer medications to the patient. Prior to doing so, she/he compares the provider orders with the:
A) flow sheet
B) Kardex
C) MAR
D) admission summary
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Chapter 11: Ethical and Legal Considerations
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Sample Questions
Q1) Practicing nursing without a license is a:
A) misdemeanor.
B) statute.
C) felony.
D) tort.
Q2) "First, do no harm" defines what ethical principle?
A) Beneficence
B) Justice
C) Fidelity
D) Nonmaleficence
Q3) The nurse is providing care for a patient who demands discharge from the hospital against the physician's orders. In order to remove liability from the institution and the physician, the nurse has the patient review and sign the:
A) Against Medical Advice form.
B) Code of Academic and Clinical Conduct.
C) Nursing Code of Ethics.
D) Informed consent form.
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Chapter 12: Leadership and Management
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Q1) According to Fayol, controlling is a function of management. Controlling compares to what phase of the nursing process?
A) Evaluation
B) Diagnosis
C) Assessment
D) Implementation
Q2) The nurse correctly defines leadership when stating:
A) "Leadership is coordinating others toward a common goal."
B) "Leadership is the ability to influence others."
C) "Leadership focuses on the task at hand."
D) "Leadership is based in formal authority."
Q3) The terms leadership and management are often used interchangeably. Although these concepts are related, they are different in definition and in practice. Leadership behaviors and management skills complement each other. However,
A) managers focus on relationships.
B) a manager may not possess leadership traits.
C) leadership focuses on coordinating and directing others.
D) a manager is a visionary who sets the direction for a group.
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14
Chapter 13: Evidence-Based Practice and Nursing Research
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Q1) The nurse is conducting a literature review to determine the statistical results of all related studies. This type of review is known as:
A) a meta-analysis.
B) an integrative literature review.
C) a systematic review.
D) grounded theory research.
Q2) The nurse correctly devises a dissemination plan at what point during the research process?
A) Conclusion of the study
B) After the literature review
C) The beginning of the research process
D) While conducting research
Q3) Florence Nightingale is noted to have provided the initial basis for evidence-based practice (EBP). She did this by: (Select all that apply.)
A) basing her work in trial and error as well as observation.
B) using statistical data as a basis for improvements.
C) applying statistical methods such as "pie charting" to display results.
D) focusing on bedside care and ignoring nursing education.
E) publishing the first EBP journal.
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Page 15
Chapter 14: Health Literacy and Patient Education
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Q1) The patient is reportedly well educated and employed as an engineer, but is struggling to comprehend terms found in health-related literature given to explain his disease process. This is evidence of:
A) low literacy.
B) psychomotor dysfunction.
C) affective domain deficiency.
D) low health literacy.
Q2) The nurse is to teach an 84-year-old Spanish-speaking patient newly diagnosed with diabetes how to self-administer insulin. The patient has hearing and visual impairments. In order to be effective as a teacher, the nurse should: (Select all that apply.)
A) assess reading level and learning style.
B) determine readiness to learn.
C) use family members as interpreters.
D) provide written instruction in English.
E) place the patient in group classes.
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16
Chapter 15: Nursing Informatics
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Sample Questions
Q1) The use of telemonitoring offers the opportunity to: (Select all that apply.)
A) reduce cost of health care.
B) improve patient satisfaction.
C) increase duplicate orders.
D) improve patient outcomes.
E) improve organization.
Q2) The Computer Ethics Institute has developed guidelines for ethics in the development and use of computer technologies. These guidelines are called:
A) the Ten Commandments of Computer Ethics.
B) the eHealth Code of Ethics.
C) HIPAA guidelines.
D) the Internet Healthcare Coalition.
Q3) The focus of nursing informatics is:
A) direct patient care.
B) increasing documentation time.
C) the introduction of different EHRs.
D) how patient care can be improved.
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Chapter 16: Health and Wellness
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Q1) The nursing goal for all individuals and their families seeking preventive care is to have individuals and families:
A) take responsibility for their health and wellness.
B) abandon the use of electronic educational media.
C) make lifestyle changes after diseases occur.
D) use temporary changes until the danger has passed.
Q2) The economic stability of individuals or families can determine whether they are willing to seek preventive care or screening examinations. Which statements about screening examinations are true? (Select all that apply.)
A) Free or low-cost screening ensures patient screening.
B) People may not screen due to fear of testing positive.
C) Early screening ensures minimal treatment costs
D) Employment stability is enhanced by early screening.
E) Treatment of disorders often means lost wages.
Q3) When caring for patients with chronic illness, the nurse needs to:
A) help the patient face the reality that he will not get better.
B) emphasize to the patient that the illness is not his fault.
C) emphasize improving quality of life through preventive behaviors.
D) acknowledge the limitations placed on the patient by his suffering.
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Page 18
Chapter 17: Human Development: Conception through Adolescence
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Q1) The nurse is asked by the parent of a pediatric patient to explain the difference between growth and development. Which response by the nurse is best?
A) "Growth is physical while development relates to physical, emotional, and cognitive function."
B) "There really is no difference between the two since they occur simultaneously."
C) "Development refers to musculoskeletal and nervous system abilities and growth is a change in height and weight."
D) "Both refer to an increase in abilities and functions of the child that occur sequentially over time."
Q2) A toddler has been hospitalized. The parents become upset when the toddler starts wetting his bed, saying that he has been potty trained for some time now. What response by the nurse is best?
A) "Don't worry, this behavior will stop when he gets home."
B) "Maybe he has a urinary tract infection; I'll get a urine sample."
C) "I can call the Child Life Specialist for diversionary activities."
D) "It is common for kids in the hospital to regress to earlier behaviors."
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Page 19
Chapter 18: Human Development Young Adult to Older Adult
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Q1) The nurse working with an adult population knows that many age-related declines in function begin occurring at what age?
A) 20
B) 30
C) 50
D) 70
Q2) A young adult tells the nurse he has quit smoking cigarettes and now "vapes" (uses electronic cigarettes [e-cigarettes]). What response by the nurse is best?
A) "Excellent! That is so much better for you than tobacco."
B) "The health consequences of e-cigarettes are not known."
C) "Using e-cigarettes actually is much worse for your health."
D) "Tobacco or e-cigarettes doesn't matter. You need to quit."
Q3) A nurse is planning a community event in which participants will be assessed for their risk of having a stroke. Which site does the nurse choose to access the highest-risk population?
A) Community elder center
B) African-American church
C) Synagogue in a rural area
D) Asian-American grocery store
Page 20
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Chapter 19: Vital Signs
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Q1) The nurse assessing respirations understands that problems in what organs can directly affect the process of respiration? (Select all that apply.)
A) Brain
B) Lungs
C) Heart
D) Liver
E) Skeletal muscle
Q2) A nursing student is caring for a patient with metabolic acidosis. The student asks the registered nurse why the patient's respiratory rate is so high. What response by the nurse is best?
A) "The patient's metabolic rate is increased from being ill."
B) "The lungs are trying to rid the body of extra carbon dioxide."
C) "The patient is trying to reduce his temperature through panting."
D) "Patients who are acutely ill often have abnormal vital signs."
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21
Chapter 20: Health History and Physical Assessment
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Q1) A clinic nurse is examining an older, confused patient on an examination table and realizes a piece of needed equipment was left outside in the hall. What action by the nurse is best?
A) Tell the patient to lie still and go get the equipment.
B) Call for another staff member to bring the equipment.
C) Have the patient get into a chair and get the equipment.
D) Finish the rest of the exam, get the equipment, and use it.
Q2) A nurse conducting the general survey of a patient includes which items? (Select all that apply.)
A) Hygiene and grooming
B) Affect and mood
C) Sex and gender orientation
D) Sexual preferences and practices
E) Age
Q3) The nurse reads in a chart that a patient has a paronychia. What assessment technique is most appropriate?
A) Auscultate the patient's bowel sounds.
B) Test the cranial nerves for sensory function.
C) Inspect the patient's nails and surrounding skin.
D) Inspect the skin using the ABCDE mnemonic.
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Chapter 21: Ethnicity and Cultural Assessment
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Q1) The nurse is caring for a patient from a culture that is unfamiliar. The patient nodded her head "yes" when asked if she will take her prescriptions as ordered, but the nurse discovers the patient does not take the medication, but uses herbs for treatment. What action by the nurse is best?
A) Warn the patient of the consequences on non-compliance.
B) Tell the patient how the medication will help the condition.
C) Ask the patient why herbal preparations are preferred.
D) Ask the patient to explain the meaning of the herbal products.
Q2) A patient from an unfamiliar culture appears disinterested when the physician is telling her about options for treatment of a new diagnosis. After the physician leaves, the nurse attempts to talk to the patient and notices the same behavior. What action by the nurse is best?
A) Give the patient the information in writing to read later.
B) Ask the patient about the meaning of the patient's behavior.
C) Investigate nonverbal communication patterns of this group.
D) Leave the patient alone to come to terms with the diagnosis.
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Chapter 22: Spiritual Health
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Q1) The student nurse learns that spirituality consists of practices that lead to connection to which items? (Select all that apply.)
A) Other people
B) Nature
C) Religious institutions
D) Oneself
E) Higher power
Q2) A patient is concerned that she will not be able to maintain her dietary restrictions while in the hospital. What nursing diagnosis is most appropriate for this patient?
A) Spiritual distress
B) Impaired religiosity
C) Moral distress
D) Decisional conflict
Q3) The nurse concerned about a patient's spiritual needs can best address this by which action?
A) Leaving a note on the chart for other professional
B) Calling the chaplain to come see the patient
C) Collaborating during interdisciplinary rounds
D) Informing the provider of the patient's needs
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Page 24
Chapter 23: Public Health, Community Base, and Home Health Care
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Q1) A nurse is completing an OASIS assessment on a patient. What data would be most important for the nurse to assess?
A) Presence of grocery stores nearby
B) Safety concerns within the home
C) Number and kind of pets
D) Proximity to a health care facility
Q2) The home health care nurse educates patients on which goals of hospice care?
(Select all that apply.)
A) Relieve suffering
B) Support the patient and family
C) Provide grief support
D) Keep patients out of the hospital
E) Lower medical expenses
Q3) The student learns that which is the best definition of a public health nurse?
A) Works with the public
B) Works in public areas
C) Works with the greater community
D) Works with public funding
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Chapter 24: Human Sexuality
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Q1) A nurse understands that which characteristics of family dynamics impact a patient's sexuality? (Select all that apply.)
A) Religion
B) Age
C) Ethnicity
D) Culture
E) Geographic location
Q2) A school nurse is planning a sex education activity. What information from research does the nurse apply to this education?
A) Sex education should wait until high school.
B) Parents desire multiple educational strategies.
C) Abstinence is the only birth control method that should be taught.
D) No need to change the current method of education.
Q3) The nurse learns that spermatozoa are produced in which sexual organ?
A) Scrotum
B) Testes
C) Glans
D) Prostate
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26
Chapter 25: Safety
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Q1) Which statement by the patient indicates a teaching need regarding safety in the home?
A) "I will put a night light in every room."
B) "I will not use an extension cord to plug in multiple items."
C) "I will wash my throw rugs in the bathroom regularly."
D) "I will keep all cleaning supplies out of reach of children."
Q2) The nurse is caring for a confused, combative patient. Which action would be considered last by the nurse to control behavior of the client?
A) Orient the patient frequently.
B) Apply restraints.
C) Move the patient to a room close to the nurse's station.
D) Encourage the family to spend time with the patient.
Q3) The nurse is visiting a patient with cardiac disease who has been experiencing increased episodes of shortness of breath when she tries to exercise. The nurse is concerned that her decrease in activity may lead to:
A) orthostatic hypotension.
B) increase risk of heart disease.
C) loss of short-term memory.
D) worsening shortness of breath.
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Page 27
Chapter 26: Asepsis and Infection Control
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Q1) Which statement regarding handwashing indicates a need for further education? (Select all that apply.)
A) Wash hands first, then wrists.
B) Rinse from fingertips to wrists.
C) Dry using a scrubbing motion.
D) Turn off faucet with clean, dry paper towel.
Q2) The nurse is explaining to the patient why she is receiving antibiotics. Her answer would be correct if she stated antibiotics are effective against which microorganism?
A) Viruses
B) Fungi
C) Parasites
D) Bacteria
Q3) The nurse is caring for a patient who is comatose. Her intervention is appropriate when she performs oral care:
A) every shift.
B) twice daily.
C) every 4 hours.
D) daily.
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Chapter 27: Hygiene and Personal Care
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Q1) The nurse correctly identifies which patient as having the highest risk for injury related to temperature of water when bathing?
A) Patient with asthma
B) Patient with attention deficit hyperactivity disorder
C) Patient with a stroke
D) Patient with diabetes
Q2) The nurse is preparing to give a patient a complete bed bath. What area of the body should be bathed first?
A) Hands
B) Eyes
C) Face
D) Arms
Q3) The nurse should avoid soaking the feet of which patient population? (Select all that apply.)
A) Patients with peripheral vascular disease
B) Patients with a stroke
C) Patients with diabetes
D) Patients with arthritis
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Chapter 28: Activity, Immobility, and Safe Movement
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Q1) The nurse is providing discharge education for her patient who is going home with a walker. Which statement by the patient indicates a good level of understanding of safety in the home? (Select all that apply.)
A) "I need to remove the throw rugs."
B) "I should make sure I only take a bath."
C) "I cannot use the stairs."
D) "I need to place a nonskid mat in front of the kitchen sink."
Q2) The nurse is correctly assisting the patient in using a cane when the patient demonstrates the following: (Select all that apply.)
A) The top of the cane is level with the patient's bent elbow.
B) The patient holds the cane on his/her weaker side.
C) The patient moves the cane forward first.
D) The patient's arm is comfortably bent when walking.
Q3) The nurse knows the following indicates orthostatic hypotension: (Select all that apply.)
A) A decrease in systolic blood pressure by 30 mm Hg
B) A decrease in diastolic blood pressure by 10 mm Hg
C) An increase in heart rate by 30 beats/min
D) An increase in systolic blood pressure by 20 mm Hg
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Page 30
Chapter 29: Skin Integrity and Wound Care
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Q1) The nurse knows that mechanical debridement involves all of the following except:
A) wet to dry dressings.
B) whirlpool baths.
C) damp to dry dressing.
D) enzymatic dressing.
Q2) The nurse knows an appropriate goal for a patient with a stage III pressure ulcer with the nursing diagnosis Impaired physical mobility is:
A) the patient will remain free of wound infections during the hospitalization.
B) the patient will report pain management strategies and reduce pain to a tolerable level.
C) the patient will turn self in bed using over trapeze every two hours using assistance when needed.
D) the patient will consume adequate nutrition to meet nutritional requirements within 1 week.
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Chapter 30: Nutrition
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Source URL: https://quizplus.com/quiz/2205
Sample Questions
Q1) The nurse is providing education to an older adult around diet to support the challenges related to aging. Which statement indicates a need for further education?
A) "I should choose foods that are nutrient dense."
B) "High-fiber foods minimize the risk of constipation."
C) "I should eat more calories to avoid malnutrition."
D) "I can add spices to enhance the taste of food."
Q2) The nurse is caring for a patient who is receiving total parenteral nutrition (TPN). The nurse knows she should change the tubing every:
A) 72 hours.
B) 48 hours.
C) 24 hours.
D) 12 hours.
Q3) The nurse knows that initial verification of a nasogastric placement is important. Which method is considered the only reliable method to determine enteral tube placement?
A) Auscultation of air bolus
B) Measurement of pH of the aspirate
C) Radiographic image
D) Aspirate contents to visually inspect appearance
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Page 32
Chapter 31: Cognitive and Sensory Alterations
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Sample Questions
Q1) The nurse is preparing discharge instructions for a patient who has tactile alterations in his legs. Which instructions should be included? (Select all that apply.)
A) Verify bath water temperature is approximately 39.5° C.
B) Do not use hot or cold therapy on any extremity.
C) Use sturdy shoes when walking outside or on hard surfaces.
D) Report any changes in skin color on your legs to your health care provider.
E) Set your water heater so that scalding is not possible.
Q2) A nurse is caring for a patient with a stroke that has impacted her ability to see. Which area of the brain was likely impacted by the stroke that is responsible for visual function?
A) Parietal lobes
B) Frontal lobes
C) Occipital lobes
D) Temporal lobes
Q3) An appropriate goal for a patient with a diagnosis of social isolation is:
A) the patient will participate in cognitive exercises.
B) the patient will interact with other residents during activities.
C) the patient will communicate basic needs through use of photos.
D) the patient will remain within the unit while in long-term care.
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Page 33
Chapter 32: Stress and Coping
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Sample Questions
Q1) The nurse is caring for a patient on a medical-surgical inpatient unit. The patient tells the nurse he is very sad and is considering suicide. What is the first thing the nurse should do?
A) Notify the health care provider.
B) Make a referral to psychiatric services.
C) Implement one-on-one observations.
D) Document in the electronic medical record.
Q2) The nurse is providing education to a patient around anger management strategies. Which statement indicates a need for further education by the patient?
A) "Exercise can help me deal with the anger."
B) "I can use humor."
C) "I can punch things."
D) "I can take a time out."
Q3) The nurse knows that when coordination between multiple health care disciplines is needed, the following role is used:
A) Pastoral care
B) Case manager
C) Social worker
D) Dietitian
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Chapter 33: Sleep
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Source URL: https://quizplus.com/quiz/2208
Sample Questions
Q1) The nurse manager is concerned about her staff who are working the night shift. What interventions can she suggest to assist nurses in overcoming shift related sleep disturbances? (Select all that apply.)
A) Power nap before leaving for the first night shift.
B) Get a minimum of 4 hours of sleep.
C) Wear dark glasses when driving home from work.
D) Seek exposure to bright light when waking.
E) Maintain a regular sleeping schedule when working and on nights off.
Q2) The nurse knows that polysomnograpy is:
A) the recording of brain waves and other variables.
B) the relay of motor impulse to the hypothalamus.
C) the patterns of biological functioning.
D) the recording of seizure activity in the brain.
Q3) The nurse knows the reticular activating system (RAS):
A) records brain waves and other variables.
B) relays motor impulse to the hypothalamus.
C) influences patterns of biological functioning.
D) is affected by the light-dark cycle.
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35
Chapter 34: Diagnostic Testing
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Sample Questions
Q1) The nurse is caring for a patient who has had severe acid reflux. Which test will allow the physician to directly check for damage to the esophagus?
A) Upper GI endoscopy
B) MRI scan with contrast
C) Abdominal ultrasound
D) Positron emission tomography (PET) scan
Q2) The nurse is caring for a patient who states that he has been taking his medications and following his diabetic diet carefully. Which test result indicates to the nurse that the patient has not been compliant with the treatment plan?
A) Hemoglobin A_\({1C}\) 16%
B) Random blood sugar (RBS) 112 mg/dL
C) Lactate dehydrogenase (LDH) 55 units/L
D) Erythrocyte sedimentation rate (ESR) 14 mm/hr
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Chapter 35: Medication Administration
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Sample Questions
Q1) The nurse is caring for a patient who is in agonizing pain. All of the following options are listed on the patient's medication order sheet to relive pain. Which will provide the most rapid pain relief for the patient?
A) Morphine 10 mg PO
B) Dilaudid 1 mg IV push
C) Demerol 75 mg IM
D) Duragesic 50 mcg transdermal patch
Q2) The nurse is to administer 15 mg of morphine liquid to the patient. How much morphine liquid will the nurse draw up to administer to the patient? Morphire sulfate oral solution
(CONCENTRATE)
\(100 \mathrm { mg } / 5 \mathrm {~mL}\) (20 mg/mL)
CII Px only
A) 0.5 mL
B) 0.75 mL
C) 1.3 mL
D) 1.5 mL
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Chapter 36: Pain Management
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Sample
Questions
Q1) The nurse is caring for a trauma patient with the nursing diagnosis of Acute pain r/t fracture and muscle spasms. Which is an appropriate goal for this nursing diagnosis?
A) The patient will experience less pain when participating in physical therapy.
B) The patient will describe meditation techniques that can be used to cope with pain.
C) Nursing staff will explain the ordered pain management approach to the patient.
D) The patient will feel less pain each day when range-of-motion therapy is performed.
Q2) The nurse is checking on the patient after administering pain medication 30 minutes previously. Which assessment finding best indicates to the nurse that the pain medication was effective?
A) The patient is sleeping quietly.
B) The patient states that she has no pain.
C) The patient's respirations are slow and regular.
D) The patient's blood pressure has returned to baseline.
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Chapter 37: Perioperative Nursing Care
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Sample Questions
Q1) The nurse is caring for a patient who is about to have surgery. Which intervention will be included in the patient's care to meet the goals for Risk for perioperative positioning injury r/t immobilization during surgical procedure?
A) Orient the patient to the OR environment and place the call light within reach.
B) Watch for early signs of hypovolemia caused by patient's NPO status since midnight.
C) Use therapeutic touch and guided imagery to allay patient's fears of surgery.
D) Pad all bony prominences and avoid hyperextension of extremities.
Q2) The nurse is caring for a patient with advanced colon cancer. The patient is to have surgery to relieve a bowel obstruction that has been causing unrelenting vomiting and abdominal pain. What type of surgery will this patient undergo?
A) Palliative
B) Reconstructive
C) Diagnostic
D) Ablative
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Chapter 38: Oxygenation and Tissue Perfusion
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Sample Questions
Q1) The nurse finds the patient in cardiopulmonary arrest with no pulse or respirations. Which oxygen delivery device will the nurse use for this patient?
A) Non-rebreather mask
B) Bag-valve-mask unit
C) Continuous positive airway pressure (CPAP)
D) High-flow nasal cannula
Q2) The nurse is caring for a patient who developed a pulmonary embolism after surgery. Which goal statement is the highest priority for the nurse to include in the patient's care plan for the diagnosis Impaired gas exchange r/t impaired pulmonary blood flow from embolus?
A) The patient will maintain pulse oximetry values of at least 95% on room air.
B) The patient will verbalize understanding of ordered anticoagulants.
C) The patient will report chest pain of no greater than 3 on a 1-10 scale.
D) The patient will ambulate 50 feet in hallway without shortness of breath.
Q3) Which of the following patients would benefit from postural drainage?
A) A patient with a heart murmur and jugular venous distention
B) A patient with asthma and audible wheezing
C) A patient with right-sided heart failure and pitting edema
D) A patient with chronic bronchitis and congested cough
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Page 40
Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
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Sample Questions
Q1) The nurse is caring for a patient who has a 1200 mL daily fluid restriction. The patient has consumed 250 mL with each of her three meals and had another 150 mL with her medications. The patient has received 150 mL of IV fluids during the day. How many mL of fluid may the patient still consume in order to stay within the prescribed fluid restriction?
A) 100 mL
B) 150 mL
C) 250 mL
D) 300 mL
Q2) The nurse is caring for a patient who is admitted with a serum sodium level of 120 mEq/L. Which is the most important intervention for the nurse to perform?
A) Perform regular neurologic checks and institute seizure precautions.
B) Encourage the patient to eat foods that are high in sodium.
C) Administer hypotonic IV solutions as ordered by the physician.
D) Assess for signs and symptoms of digoxin (Lanoxin) toxicity.
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Chapter 40: Bowel Elimination
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Sample Questions
Q1) The nurse is caring for a patient who will be undergoing upper GI series testing the next day. Which instruction will the nurse provide to the patient about the upcoming exam?
A) "The back of your throat will be sprayed with numbing medicine."
B) "You will need to have a clear liquid diet and take a laxative tonight."
C) "You will be given a milky liquid to drink shortly before the test starts."
D) "You should not take your dose of warfarin (Coumadin) tonight."
Q2) The nurse is caring for a patient who will be having a colonoscopy the following morning. Which items must be removed from the patient's dinner tray since they are not allowed prior to the test? (Select all that apply.)
A) Cherry-flavored gelatin
B) Cream of chicken soup
C) Glass of apple juice
D) Coffee with cream and sugar
E) Lemon-flavored Italian ice
F) Can of ginger ale
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Chapter 41: Urinary Elimination
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Sample Questions
Q1) The nurse is caring for a postoperative patient whose urinary catheter was removed 8 hours previously. The patient has not been able to void since the catheter was removed and now reports suprapubic pain. What is the priority action of the nurse?
A) Encourage oral fluid intake and administer a diuretic.
B) Obtain a urine sample to test for culture and sensitivity.
C) Carefully calculate the patient's daily intake and output.
D) Obtain an order to straight-catheterize the patient.
Q2) The nurse is caring for an elderly patient whose dementia has become worse over the last 24 hours. The nurse suspects that the patient may have developed a urinary tract infection and obtains a urine sample. Which assessment findings prompt the nurse to contact the physician to obtain an order for urine culture and sensitivity testing?
(Select all that apply.)
A) Urinary dipstick testing is positive for nitrates.
B) The urine appears cloudy with a foul odor.
C) The urine is concentrated and dark amber in color.
D) The urine smells faintly like nail polish remover.
E) The patient is urinating more frequently than usual.
F) The patient is normally continent but wet herself twice.
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Page 43
Chapter 42: Death and Loss
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Sample Questions
Q1) The nurse is caring for a young patient whose mother has only a few weeks to live. The patient has been misbehaving at school recently and is suspended after picking fights with other students and defying teachers. Which stage of grieving is the patient experiencing?
A) Denial
B) Anger
C) Bargaining
D) Depression
Q2) The nurse is caring for a terminally ill patient whose children have come home to be with their mother during her last few days. They spend time looking through picture albums, watching old home movies, and remembering fun times spent together. Which term best describes the activity of the patient's children?
A) Anticipatory grieving
B) Bereavement
C) Caregiver role strain
D) Death anxiety
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