Patient Care Fundamentals
Review Questions
Course Introduction
Patient Care Fundamentals introduces students to the essential concepts and practical skills required for entry-level roles in healthcare settings. The course covers foundational topics such as basic human anatomy and physiology, infection control, vital sign measurement, patient hygiene, mobility assistance, communication techniques, and safety protocols. Emphasis is placed on the development of compassionate care, ethical considerations, and teamwork, preparing students to effectively support patients physical and emotional needs while working alongside nurses and other healthcare professionals. Through a combination of classroom instruction and hands-on practice, students build the competence and confidence necessary to provide high-quality, patient-centered care.
Recommended Textbook
Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
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Chapter 1: Nursing Today
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Sample Questions
Q1) After licensure, the nurse wants to stay current in knowledge and skills. Which programs are the \(\bold{most}\) common ways nurses can do this? (Select all that apply.)
A) Master's degree
B) Inservice education
C) Doctoral preparation
D) Continuing education
E) National Council Licensure Examination retakes
Answer: B, D
Q2) A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, "I have no idea what is going to happen. I couldn't ask any questions." The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying?
A) Manager
B) Patient educator
C) Patient advocate
D) Clinical nurse specialist
Answer: C
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Chapter 2: The Health Care Delivery System
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Sample Questions
Q1) A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?
A) Primary care
B) Preventive care
C) Restorative care
D) Continuing care
Answer: B
Q2) Medicaid
A)Insurance for low-income families
B)Federal insurance for people aged 65 and older
C)Health maintenance focus to specific group of voluntarily enrolled people
D)Services at a discount for companies under contract
Answer: A
Q3) Medicare
A)Insurance for low-income families
B)Federal insurance for people aged 65 and older
C)Health maintenance focus to specific group of voluntarily enrolled people
D)Services at a discount for companies under contract
Answer: B
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Page 4
Chapter 3: Community-Based Nursing Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse is caring for vulnerable populations in a local community. Which patients will the nurse care for in this community? (Select all that apply.)
A) A 47-year-old immigrant who speaks only Spanish
B) A 35-year-old living in own home
C) A 22-year-old pregnant woman
D) A 40-year-old schizophrenic
E) A 15-year-old rape victim
Answer: A, D, E
Q2) A nurse observes an outbreak of lice in a certain school district. The nurse collects data and identifies a common practice of sharing lockers, caps, and hair brushes. The nurse shares the information with the school. Which community-based nursing competency did the nurse use?
A) Educator
B) Caregiver
C) Case manager
D) Epidemiologist
Answer: D
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) 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
Q2) A nurse is using nursing theory and the nursing process simultaneously to plan nursing care. How will the nurse use nursing theory and the nursing process in practice?
A) Nursing theory can direct how a nurse uses the nursing process.
B) Nursing theory requires the nursing process to develop knowledge.
C) Nursing theory with the nursing process has a minor role in professional nursing.
D) Nursing theory combined with the nursing process is specific to certain ill patients.
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Chapter 5: Evidence-Based Practice
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Sample Questions
Q1) A nurse uses evidence-based practice (EBP) to provide nursing care. What is the best rationale for the nurse's behavior?
A) EBP is a guide for nurses in making clinical decisions.
B) EBP is based on the latest textbook information.
C) EBP is easily attained at the bedside.
D) EBP is always right for all situations.
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
Q3) A nurse wants to change a patient procedure. Which action will the nurse take to easily find research evidence to support this change?
A) Read all the articles found on the Internet.
B) Make a general search of the Internet.
C) Use a PICOT format for the search.
D) Start with a broad question.
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Chapter 6: Health and Wellness
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Sample Questions
Q1) A nurse is teaching about the transtheoretical model of change. In which order will the nurse place the progression of the stages from beginning to end?
1) Action
2) Preparation
3) Maintenance
4) Contemplation
5) Precontemplation
A) 5, 4, 2, 1, 3
B) 2, 5, 4, 3, 1
C) 4, 5, 3, 1, 2
D) 1, 5, 2, 3, 4
Q2) 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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Chapter 7: Caring in Nursing Practice
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Q1) Interpersonally
A)Connection with others
B)Connection with higher power
C)Connection with oneself
Q2) A nurse attends a seminar on nursing theories for caring. Which information from the nurse indicates a correct understanding of these theories?
A) Benner identifies caring as highly connected involving patient and nurse.
B) Swanson develops four caring processes to convey caring in nursing.
C) Watson's transcultural caring views inclusion of culture as caring.
D) Leininger's theory places care before cure and is transformative.
Q3) A nurse cares for patients. Which areas does caring influence? (Select all that apply.)
A) The way in which patients feel
B) The way in which patients learn
C) The way in which patients think
D) The way in which patients study
E) The way in which patients behave
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9
Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) The nurse is caring for a patient with known coronary artery disease who has recently been diagnosed with lung cancer. What should the nurse do?
A) Focus the assessment solely on the cancer diagnosis since it is the newer diagnosis.
B) Ask questions about cardiac symptoms and their relationship to the cancer.
C) Ignore symptom management and focus on palliative care.
D) Say nothing because cancer survivors dislike prying.
Q2) A cancer survivor patient has anxiety and depression. Which therapies should the nurse include in the plan of care? (Select all that apply.)
A) Keep information to a minimum with health care providers.
B) Teach the use of problem-oriented coping processes.
C) Encourage the use of social support systems.
D) Use cognitive behavioral interventions.
E) Schedule exercise when convenient.
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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Chapter 9: Cultural Awareness
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Sample Questions
Q1) Cultural awareness
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
Q2) A nurse is assessing a patient's ethnohistory. Which question should the nurse ask?
A) What language do you speak at home?
B) How different is your life here from back home?
C) Which caregivers do you seek when you are sick?
D) How different is what we do from what your family does when you are sick?
Q3) A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring?
A) Accessibility of health care services
B) Outcomes of health conditions
C) Prevalence of complications
D) Incidence of diseases
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11
Chapter 10: Caring for Families
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Sample Questions
Q1) 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.
Q2) How are house rules established?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
Q3) The nurse is caring for a patient in hospice. The nurse notes that the patient is getting adequate care, but the spouse is not sleeping well. The nurse also assesses the need for better family nutrition and meals assistance. The nurse discusses these needs with the patient and family and develops a plan of care with them using community resources. Which approach is the nurse using?
A) Family as context
B) Family as patient
C) Family as system
D) Family as caregiver
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Chapter 11: Developmental Theories
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Sample Questions
Q1) A nurse is working with a patient who wants needs to be met and is impatient and demanding when these needs are not met immediately. How should the nurse interpret this finding according to Freud?
A) The id is functioning.
B) The ego is functioning.
C) The superego is functioning.
D) The Oedipus complex is functioning.
Q2) A nurse is assessing a 17-year-old adolescent's cognitive development. Which behavior indicates the adolescent has reached formal operations?
A) Uses play to understand surroundings
B) Discusses the topic of justice in society
C) Hits other students to deal with environmental change
D) Questions where the ice is hiding when ice has melted in a drink
Q3) A nurse takes the history of a middle-aged patient in a health clinic. Which information indicates the patient has achieved generativity?
A) Married for 30 years
B) Teaches preschoolers
C) Has no regrets with life choices
D) Cares for aging parents after work
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Page 13
Chapter 12: Conception Through Adolescence
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Sample Questions
Q1) 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
Q2) A nurse is assessing a newborn that was just born. Which newborn finding will cause the nurse to intervene immediately?
A) Molding
B) A lack of reflexes
C) Cyanotic hands and feet
D) A soft, protuberant abdomen
Q3) 8 to 10 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
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14
Chapter 13: Young and Middle Adults
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Sample Questions
Q1) A patient states that she is pregnant and concerned because she does not know what to expect, and she wants her husband to play an active part in the birthing process. Which information should the nurse share with the patient?
A) Lamaze classes can prepare pregnant women and their partners for what is coming.
B) The frequency of sexual intercourse is key to helping the husband feel valued.
C) After the birth, the stress of pregnancy will disappear and will be replaced by relief.
D) After the baby is born, the wife should accept the extra responsibilities of motherhood.
Q2) A nurse is choosing an appropriate topic for a young-adult health fair. Which topic should the nurse include?
A) Retirement
B) Menopause
C) Climacteric factors
D) Unplanned pregnancies
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15
Chapter 14: Older Adult
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Sample Questions
Q1) Validation therapy
A)Respecting the older adult's uniqueness
B)Improving level of awareness
C)Listening to the patient's past recollections
D)Accepting describing of patient's perspective
E)Offering help with grooming and hygiene
Q2) Therapeutic communication
A)Respecting the older adult's uniqueness
B)Improving level of awareness
C)Listening to the patient's past recollections
D)Accepting describing of patient's perspective
E)Offering help with grooming and hygiene
Q3) Body image
A)Respecting the older adult's uniqueness
B)Improving level of awareness
C)Listening to the patient's past recollections
D)Accepting describing of patient's perspective
E)Offering help with grooming and hygiene
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16
Chapter 15: Critical Thinking in Nursing Practice
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Sample Questions
Q1) Which findings will alert the nurse that stress is present when making a clinical decision? (Select all that apply.)
A) Tense muscles
B) Reactive responses
C) Trouble concentrating
D) Very tired feelings
E) Managed emotions
Q2) A nurse is pulled from the surgical unit to work on the oncology unit. Which action by the nurse displays humility and responsibility?
A) Refusing the assignment
B) Asking for an orientation to the unit
C) Admitting lack of knowledge and going home
D) Assuming that patient care will be the same as on the other units
Q3) A nurse is using professional standards to influence clinical decisions. What is the rationale for the nurse's actions?
A) Establishes minimal passing standards for testing
B) Utilizes evidence-based practice based on nurses' needs
C) Bypasses the patient's feelings to promote ethical standards
D) Uses critical thinking for the highest level of quality nursing care
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Page 17
Chapter 16: Nursing Assessment
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Sample Questions
Q1) Which method of data collection will the nurse use to establish a patient's database?
A) Reviewing the current literature to determine evidence-based nursing actions
B) Checking orders for diagnostic and laboratory tests
C) Performing a physical examination
D) Ordering medications
Q2) Which scenario best illustrates the nurse using data validation when making a nursing clinical decision for a patient?
A) The nurse determines to remove a wound dressing when the patient reveals the time of the last dressing change and notices old and new drainage.
B) The nurse administers pain medicine due at 1700 at 1600 because the patient reports increased pain and the family wants something done.
C) The nurse immediately asks the health care provider for an order of potassium when a patient reports leg cramps.
D) The nurse elevates a leg cast when the patient reports decreased mobility.
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18
Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) A nurse adds a nursing diagnosis to a patient's care plan. Which information did the nurse document?
A) Decreased cardiac output related to altered myocardial contractility.
B) Patient needs a low-fat diet related to inadequate heart perfusion.
C) Offer a low-fat diet because of heart problems.
D) Acute heart pain related to discomfort.
Q2) After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is the rationale for the nurse's actions?
A) To form a language that can be encoded only by nurses
B) To distinguish the nurse's role from the physician's role
C) To develop clinical judgment based on other's intuition
D) To help nurses focus on the scope of medical practice
Q3) A nurse is using assessment data gathered about a patient and combining critical thinking to develop a nursing diagnosis. What is the nurse doing?
A) Assigning clinical cues
B) Defining characteristics
C) Diagnostic reasoning
D) Diagnostic labeling
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Chapter 18: Planning Nursing Care
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Sample Questions
Q1) A charge nurse is reviewing outcome statements using the SMART approach. Which patient outcome statement will the charge nurse praise to the new nurse?
A) The patient will ambulate in hallways.
B) The nurse will monitor the patient's heart rhythm continuously this shift.
C) The patient will feed self at all mealtimes today without reports of shortness of breath.
D) The nurse will administer pain medication every 4 hours to keep the patient free from discomfort.
Q2) A nurse is teaching the staff about the benefits of Nursing Outcomes Classification. Which information should the nurse include in the teaching session? (Select all that apply.)
A) Includes seven domains for level 1
B) Uses an easy 3-point Likert scale
C) Adds objectivity to judging a patient's progress
D) Allows choice in which interventions to choose
E) Measures nursing care on a national and international level
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20
Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) The nurse is caring for a patient who requires a complex dressing change. While in the patient's room, the nurse decides to change the dressing. Which action will the nurse take just before changing the dressing?
A) Gathers and organizes needed supplies
B) Decides on goals and outcomes for the patient
C) Assesses the patient's readiness for the procedure
D) Calls for assistance from another nursing staff member
Q2) Which action indicates a nurse is using critical thinking for implementation of nursing care to patients?
A) Determines whether an intervention is correct and appropriate for the given situation
B) Reads over the steps and performs a procedure despite lack of clinical competency
C) Establishes goals for a particular patient without assessment
D) Evaluates the effectiveness of interventions
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Chapter 20: Evaluation
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Sample Questions
Q1) The nurse is caring for a patient who has an order to change a dressing twice a day, at 0600 and 1800. At 1400, the nurse notices that the dressing is saturated and leaking. What is the nurse's next action?
A) Wait and change the dressing at 1800 as ordered.
B) Revise the plan of care and change the dressing now.
C) Reassess the dressing and the wound in 2 hours.
D) Discontinue the plan of care for wound care.
Q2) 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.
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) A nurse manager conducts rounds on the unit and discovers that expired stock medicine is still in the cabinet despite the e-mail that was sent stating that it had to be discarded. The staff nurse dress code is not being adhered to as requested in the same e-mail. Several staff nurses deny having received the e-mail. Which action should the nurse manager take?
A) Close the staff lounge.
B) Enforce a stricter dress code.
C) Include the findings on each staff member's annual evaluation.
D) Place a hard copy of announcements and unit policies in each staff member's mailbox.
Q2) Low 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
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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Chapter 22: Ethics and Values
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Sample Questions
Q1) The nurse has become aware of missing narcotics in the patient care area. Which ethical principle obligates the nurse to report the missing medications?
A) Advocacy
B) Responsibility
C) Confidentiality
D) Accountability
Q2) Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is most compromised when only one nurse anesthetist is on call?
A) Justice
B) Fidelity
C) Beneficence
D) Nonmaleficence
Q3) The patient's son requests to view documentation in the medical record. What is the nurse's best response to this request?
A) "I'll be happy to get that for you."
B) "You are not allowed to look at it."
C) "You will need your mother's permission."
D) "I cannot let you see the chart without a doctor's order."
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Page 24
Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) A confused patient with a urinary catheter, nasogastric tube, and intravenous line keeps touching these needed items for care. The nurse has tried to explain to the patient that these lines should not be touched, but the patient continues. Which is the best action by the nurse at this time?
A) Apply restraints loosely on the patient's dominant wrist.
B) Notify the health care provider that restraints are needed immediately.
C) Try other approaches to prevent the patient from touching these care items.
D) Allow the patient to pull out lines to prove that the patient needs to be restrained.
Q2) A newly hired experienced nurse is preparing to change a patient's abdominal dressing and hasn't done it before at this hospital. Which action by the nurse is best?
A) Have another nurse do it so the correct method can be viewed.
B) Change the dressing using the method taught in nursing school.
C) Ask the patient how the dressing change has been recently done.
D) Check the policy and procedure manual for the facility's method.
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25
Chapter 24: Communication
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Sample Questions
Q1) A nurse believes that the nurse-patient relationship is a partnership and that both are equal participants. Which term should the nurse use to describe this belief?
A) Critical thinking
B) Authentic
C) Mutuality
D) Attend
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) A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?
A) "Tomorrow will be better."
B) "This must be hard news to hear."
C) "What's your biggest fear about this diagnosis?"
D) "I believe you can overcome this because I've seen how strong you are."
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Page 26
Chapter 25: Patient Education
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Sample Questions
Q1) A patient who is going to surgery has been taught how to cough and deep breathe. Which evaluation method will the nurse use?
A) Return demonstration
B) Computer instruction
C) Verbalization of steps
D) Cloze test
Q2) A nurse is teaching a patient about healthy eating habits. Which learning objective/outcome for the affective domain will the nurse add to the teaching plan?
A) The patient will state three facts about healthy eating.
B) The patient will identify two foods for a healthy snack.
C) The patient will verbalize the value of eating healthy.
D) The patient will cook a meal with low-fat oil.
Q3) A patient with heart failure is learning to reduce salt in the diet. When will be the best time for the nurse to address this topic?
A) At bedtime, while the patient is relaxed
B) At bath time, when the nurse is cleaning the patient
C) At lunchtime, while the nurse is preparing the food tray
D) At medication time, when the nurse is administering patient medication
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) A nurse wants to reduce data entry errors on the computer system. Which action should the nurse take?
A) Use the same password all the time.
B) Share password with only one other staff member.
C) Print out and review computer nursing notes at home.
D) Chart on the computer immediately after care is provided.
Q2) A nurse wants to find all the pertinent patient information in one record, regardless of the number of times the patient entered the health care system. Which record should the nurse find?
A) Electronic medical record
B) Electronic health record
C) Electronic charting record
D) Electronic problem record
Q3) D
A)Applied oxygen, stayed with patient, and instructed to slow breathing.
B)Patient states, "feel better," respirations 16 with O<sub>2</sub> saturations 96%.
C)Patient states, "can't catch my breath and chest hurts." Confused.
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Chapter 27: Patient Safety and Quality
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Sample Questions
Q1) Which patient will the nurse see first?
A) A 56-year-old patient with oxygen with a lighter on the bedside table
B) A 56-year-old patient with oxygen using an electric razor for grooming
C) A 1-month-old infant looking at a shiny, round battery just out of arm's reach
D) A 1-month-old infant with a pacifier that has no string around the baby's neck
Q2) The nurse is assessing a patient who reports a previous fall and is using the SPLATT acronym. Which questions will the nurse ask the patient? (Select all that apply.)
A) Where did you fall?
B) What time did the fall occur?
C) What were you doing when you fell?
D) What types of injuries occurred after the fall?
E) Did you obtain an electronic safety alert device after the fall?
F) What are your medical problems that may have caused the fall?
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Chapter 28: Immobility
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Sample Questions
Q1) The nurse is caring for a patient who is immobile and needs to be turned every 2 hours. The patient has poor lower extremity circulation, and the nurse is concerned about irritation of the patient's toes. Which device will the nurse use?
A) Hand rolls
B) A foot cradle
C) A trapeze bar
D) A trochanter roll
Q2) The nurse is preparing to lift a patient. Which action will the nurse take first?
A) Position a drawsheet under the patient.
B) Assess weight and determine assistance needs.
C) Delegate the task to a nursing assistive personnel.
D) Attempt to manually lift the patient alone before asking for assistance.
Q3) The nurse is observing the way a patient walks. Which aspect is the nurse assessing?
A) Activity tolerance
B) Body alignment
C) Range of motion
D) Gait
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Chapter 29: Infection Prevention and Control
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Sample Questions
Q1) The nurse is caring for a patient in protective environment. Which actions will the nurse take? (Select all that apply.)
A) Wear an N95 respirator when entering the patient's room.
B) Maintain airflow rate greater than 12 air exchanges/hr.
C) Place in special room with negative-pressure airflow.
D) Open drapes during the daytime.
E) Listen to the patient's interests.
F) Place dried flowers in a plastic vase.
Q2) The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)
A) While putting on the first glove, touch only the outside surface of the glove.
B) With gloved dominant hand, slip fingers underneath second glove cuff.
C) Remove outer glove package by tearing the package open.
D) Lay glove package on clean flat surface above waistline.
E) Glove the dominant hand of the nurse first.
F) After second glove is on, interlock hands.
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Chapter 30: Vital Signs
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Sample Questions
Q1) A nurse is working in the intensive care unit and must obtain core temperatures on patients. Which sites can be used to obtain a core temperature? (Select all that apply.)
A) Rectal
B) Tympanic
C) Esophagus
D) Temporal artery
E) Pulmonary artery
Q2) When assessing the temperature of newborns and children, the nurse decides to utilize a temporal artery thermometer. What is the rationale for the nurse's action?
A) It is not affected by skin moisture.
B) It has no risk of injury to patient or nurse.
C) It reflects rapid changes in radiant temperature.
D) It is accurate even when the forehead is covered with hair.
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32
Chapter 31: Health Assessment and Physical Examination
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Sample Questions
Q1) Tinnitus
A)Lower extremity swollen and warm with normal pulse
B)Neck vein visible when sitting
C)Spoon nails
D)Lower extremity pale and cool with decreased pulse
E)Ringing in ears
F)Swayback
G)Black, tarry stools
Q2) Jugular vein distention
A)Lower extremity swollen and warm with normal pulse
B)Neck vein visible when sitting
C)Spoon nails
D)Lower extremity pale and cool with decreased pulse
E)Ringing in ears
F)Swayback
G)Black, tarry stools
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33
Chapter 32: Medication Administration
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Sample Questions
Q1) A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?
A) 7 year old with a bleeding disorder
B) 21 year old with a sprained ankle
C) 35 year old with a severe headache from hypertension
D) 62 year old with a high fever from an infection
Q2) A nurse is preparing to administer an antibiotic medication at 1000 to a patient but gets busy in another room. When should the nurse give the antibiotic medication?
A) By 1030
B) By 1100
C) By 1130
D) By 1200
Q3) When the nurse administers an IM corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating?
A) Prevent the patient from choking.
B) Increase the force of the injection.
C) Ensure proper placement of the needle.
D) Reduce the discomfort of the injection.
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Chapter 33: Complementary and Alternative Therapies
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Sample Questions
Q1) A patient asks about the new clinic in town that is staffed by allopathic and complementary practitioners. Which response from the nurse is best?
A) It is probably an ayurvedic clinic.
B) It is probably a homeopathic clinic.
C) It is probably an integrative medical clinic.
D) It is probably a naturopathic medical clinic.
Q2) A nurse is teaching a patient about meridians. Which technique is the nurse preparing the patient to receive?
A) Acupuncture
B) Naturopathic
C) Latin American traditional healing
D) Native American traditional healing
Q3) A nurse is providing different types of therapies to a patient with excessive fatigue and cancer. Which technique will cause the nurse manager to intervene?
A) Meditation
B) Guided imagery
C) Passive relaxation
D) Active progressive relaxation
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Chapter 34: Self-Concept
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Q1) Role performance
A)I am ugly with all these burn scars.
B)I am one with the universe.
C)I am good for nothing.
D)I am a good mother.
Q2) A 9-year-old is proudly telling the nurse about mastering the yellow belt in a martial arts class. Which developmental stage is the child exhibiting?
A) Initiative versus guilt
B) Industry versus inferiority
C) Identity versus role confusion
D) Autonomy versus shame and doubt
Q3) 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
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Chapter 35: Sexuality
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Sample Questions
Q1) A patient who has had several sexual partners in the past month expresses a desire to use a contraceptive. Which contraceptive method should the nurse recommend?
A) Condom
B) Diaphragm
C) Spermicide
D) Oral contraceptive
Q2) A mother brings her 12-year-old daughter into a clinic and inquires about getting a human papillomavirus (HPV) vaccine that day. Which information will the nurse share with the mother and daughter about the HPV vaccine?
A) Protects against human immunodeficiency virus (HIV)
B) Protects against cervical cancer
C) Protects against chlamydia
D) Protects against pregnancy
Q3) A nurse is assessing a child for sexual abuse. Which assessment findings will the nurse expect?
A) Physical aggression and sleep disturbances
B) Many peers and no drug usage
C) Panic attacks and anorexia
D) Anxiety and depression
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Chapter 36: Spiritual Health
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Sample Questions
Q1) The nurse is caring for a patient with a chronic illness who is having conflicts with beliefs. Which health care team member will the nurse ask to see this patient?
A) The clergy
B) A psychiatrist
C) A social worker
D) An occupational therapist
Q2) A nurse hears the following comments from different patients. Which patient comment does the nurse identify as faith?
A) I go to church every Sunday.
B) I believe there is life after death.
C) I have something to look forward to each day.
D) I get a feeling of awe when looking at the sunset.
Q3) The nurse is caring for an Islam patient who wants a snack. Which action by the nurse is most appropriate?
A) Offers a ham sandwich
B) Offers a beef sandwich
C) Offers a kosher sandwich
D) Offers a bacon sandwich
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Chapter 37: The Experience of Loss, Death, and Grief
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Sample Questions
Q1) "I know it seems strange, but I feel guilty being pregnant after the death of my son last year," said a woman during her routine obstetrical examination. The nurse spends extra time with this woman, helping her realize bonding with this unborn child will not mean she is replacing the one who died. Which nursing technique does this demonstrate?
A) Providing curative therapy
B) Promoting spirituality
C) Facilitating mourning
D) Eradicating grief
Q2) A nurse is caring for a dying patient. One of the nurse's goals is to promote dignity and validation of the dying person's life. Which action will the nurse take to best achieve this goal?
A) Take pictures of visitors.
B) Provide quiet visiting time.
C) Call the organ donation coordinator.
D) Listen to family stories about the person.
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Chapter 38: Stress and Coping
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Sample Questions
Q1) A nurse is teaching the staff about a nursing theory that views a person, family, or community developing a normal line of defense. Which theory is the nurse describing?
A) Ego defense model
B) Immunity model
C) Neuman Systems Model
D) Pender's Health Promotion Model
Q2) A nurse is planning care for a patient that uses displacement. Which information should the nurse consider when planning interventions?
A) This copes with stress directly.
B) This evaluates an event for its personal meaning.
C) This protects against feelings of worthlessness and anxiety.
D) This triggers the stress control functions of the medulla oblongata.
Q3) A nurse is teaching guided imagery to a prenatal class. Which technique did the nurse describe?
A) Singing
B) Massaging back
C) Listening to music
D) Using sensory peaceful words
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Chapter 39: Activity and Exercise
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Sample Questions
Q1) The patient is brought to the emergency department with possible injury to the left shoulder. Which area will the nurse assess to best determine joint mobility?
A) The patient's gait
B) The patient's range of motion
C) The patient's ethnic influences
D) The patient's fine-motor coordination
Q2) A nurse is assessing a patient with activity intolerance for possible orthostatic hypotension. Which finding will help confirm orthostatic hypotension?
A) Blood pressure sitting 120/64; blood pressure 140/70 standing
B) Blood pressure sitting 126/64; blood pressure 120/58 standing
C) Blood pressure sitting 130/60; blood pressure 110/60 standing
D) Blood pressure sitting 140/60; blood pressure 130/54 standing
Q3) The nurse is teaching a patient how to use a cane. Which information will the nurse include in the teaching session?
A) Place the cane at the top of the hip bone.
B) Place the cane on the stronger side of the body.
C) Place the cane in front of the body and then move the good leg.
D) Place the cane 10 to 15 inches in front of the body when walking.
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Chapter 40: Hygiene
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Sample Questions
Q1) A nurse is completing an assessment of the patient. Which principle is a priority?
A) Foot care will always be important.
B) Daily bathing will always be important.
C) Hygiene needs will always be important.
D) Critical thinking will always be important.
Q2) 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.
Q3) A nursing assistive personnel (NAP) is providing AM care to patients. Which action by the NAP will require the nurse to intervene?
A) Not offering a backrub to a patient with fractured ribs
B) Not offering to wash the hair of a patient with neck trauma
C) Turning off the television while giving a backrub to the patient
D) Turning patient's head with neck injury to side when giving oral care
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42
Chapter 41: Oxygenation
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Sample Questions
Q1) The nurse needs to closely monitor the oxygen status of an older-adult patient undergoing anesthesia because of which age-related change?
A) Thinner heart valves cause lipid accumulation and fibrosis.
B) Diminished respiratory muscle strength may cause poor chest expansion.
C) Alterations in mental status prevent patients' awareness of ineffective breathing.
D) An increased number of pacemaker cells make proper anesthesia induction more difficult.
Q2) A nurse is following the Ventilator Bundle standards to prevent ventilator-associated pneumonia. Which strategies is the nurse using? (Select all that apply.)
A) Head of bed elevation to 90 degrees at all times
B) Daily oral care with chlorhexidine
C) Cuff monitoring for adequate seal
D) Clean technique when suctioning
E) Daily "sedation vacations"
F) Heart failure prophylaxis
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43
Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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Sample Questions
Q1) The nurse is reviewing laboratory results. Which cation will the nurse observe is the most abundant in the blood?
A) Sodium
B) Chloride
C) Potassium
D) Magnesium
Q2) In which patient will the nurse expect to see a positive Chvostek sign?
A) A 7-year-old child admitted for severe burns
B) A 24-year-old adult admitted for chronic alcohol abuse
C) A 50-year-old patient admitted for an acute exacerbation of hyperparathyroidism
D) A 75-year-old patient admitted for a broken hip related to osteoporosis
Q3) The nurse is assessing a patient and finds crackles in the lung bases and neck vein distention. Which action will the nurse take first?
A) Offer calcium-rich foods.
B) Administer diuretic.
C) Raise head of bed.
D) Increase fluids.
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44
Chapter 43: Sleep
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Sample Questions
Q1) The nurse is caring for an adolescent with an appendectomy who is reporting difficulty falling asleep. Which intervention will be most appropriate?
A) Close the door to decrease noise from unit activities.
B) Adjust temperature in the patient's room to 21° C (70° F).
C) Ensure that the night-light in the patient's room is working.
D) Encourage the discontinuation of a soda and chocolate nightly snack.
Q2) The nurse is caring for a patient in the intensive care unit who is having trouble sleeping. The nurse explains the purpose of sleep and its benefits. Which information will the nurse include in the teaching session? (Select all that apply.)
A) NREM sleep contributes to body tissue restoration.
B) During NREM sleep, biological functions increase.
C) Restful sleep preserves cardiac function.
D) Sleep contributes to cognitive restoration.
E) REM sleep decreases cortical activity.
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Chapter 44: Pain Management
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Sample Questions
Q1) The nurse is caring for an infant in the intensive care unit. Which information should the nurse consider when planning care for this patient?
A) Infants cannot be assessed for pain.
B) Infants respond behaviorally and physiologically to painful stimuli.
C) Infants cannot tolerate analgesics owing to an underdeveloped metabolism.
D) Infants have a decreased sensitivity to pain when compared with older children.
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.
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Chapter 45: Nutrition
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Sample Questions
Q1) The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?
A) Measuring capillary blood glucose level
B) Measuring nasoenteric tube for insertion
C) Measuring pH in gastrointestinal aspirate
D) Measuring the patient's risk for aspiration
Q2) The nurse is preparing to insert a nasogastric tube in a patient who is semiconscious. To determine the length of the tube needed to be inserted, how should the nurse measure the tube?
A) From the tip of the nose to the earlobe
B) From the tip of the earlobe to the xiphoid process
C) From the tip of the earlobe to the nose to the xiphoid process
D) From the tip of the nose to the earlobe to the xiphoid process
Q3) A patient develops a foodborne disease from Escherichia coli. When taking a health history, which food item will the nurse most likely find the patient ingested?
A) Improperly home-canned food
B) Undercooked ground beef
C) Soft cheese
D) Custard
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Page 47
Chapter 46: Urinary Elimination
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Sample Questions
Q1) The nurse is obtaining a 24-hour urine specimen collection from the patient. Which actions should the nurse take? (Select all that apply.)
A) Keeping the urine collection container on ice when indicated
B) Withholding all patient medications for the day
C) Irrigating the sample as needed with sterile solution
D) Testing the urine sample with a reagent strip by dipping it in the urine
E) Asking the patient to void and discarding that urine to start the collection
Q2) The nurse will anticipate inserting a Coudé catheter for which patient?
A) An 8-year-old male undergoing anesthesia for a tonsillectomy
B) A 24-year-old female who is going into labor
C) A 56-year-old male admitted for bladder irrigation
D) An 86-year-old female admitted for a urinary tract infection
Q3) A nurse is teaching a patient about the urinary system. In which order will the nurse present the structures, following the flow of urine?
A) Kidney, urethra, bladder, ureters
B) Kidney, ureters, bladder, urethra
C) Bladder, kidney, ureters, urethra
D) Bladder, kidney, urethra, ureters
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Chapter 47: Bowel Elimination
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Sample Questions
Q1) A patient has a fecal impaction. Which portion of the colon will the nurse assess?
A) Descending
B) Transverse
C) Ascending
D) Rectum
Q2) The nurse is performing a fecal occult blood test. Which action should the nurse take?
A) Test the quality control section before testing the stool specimens.
B) Apply liberal amounts of stool to the guaiac paper.
C) Report a positive finding to the provider.
D) Don sterile disposable gloves.
Q3) The nurse will anticipate which diagnostic examination for a patient with black tarry stools?
A) Ultrasound
B) Barium enema
C) Endoscopy
D) Anorectal manometry
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Chapter 48: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a patient with a Stage IV pressure ulcer. Which type of healing will the nurse consider when planning care for this patient?
A) Partial-thickness wound repair
B) Full-thickness wound repair
C) Primary intention
D) Tertiary intention
Q2) A patient has developed a pressure ulcer. Which laboratory data will be important for the nurse to check?
A) Vitamin E
B) Potassium
C) Albumin
D) Sodium
Q3) The nurse is completing an assessment on a patient who has a Stage IV pressure ulcer. The wound is odorous, and a drain is currently in place. Which statement by the patient indicates issues with self-concept?
A) "I am so weak and tired. I want to feel better."
B) "I am thinking I will be ready to go home early next week."
C) "I am ready for my bath and linen change right now since this is awful."
D) "I am hoping there will be something good for dinner tonight."
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Page 50
Chapter 49: Sensory Alterations
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Sample Questions
Q1) The nurse is caring for a patient with expressive aphasia from a traumatic brain injury. Which goal will the nurse include in the plan of care?
A) Patient will carry a pen and a pad of paper around for communication.
B) Patient will recover full use of speech vocabulary in 1 day.
C) Patient will thicken drinks to prevent aspiration.
D) Patient will communicate nonverbally.
Q2) The home health nurse is caring for a patient with tactile and visual deficits. The nurse is concerned about injury related to inability to feel harmful stimuli and teaches the patient safety strategies to maintain independence. Which action by the patient indicates successful learning?
A) Asks the nurse to test the temperature of the water before entering the bath.
B) Places colored stickers on faucet handles to indicate temperature.
C) Replaces all lace-up shoes with Velcro straps for ease.
D) Uses a heating pad on a low setting to keep warm.
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Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse is encouraging the postoperative patient to utilize diaphragmatic breathing. Which priority goal is the nurse trying to achieve?
A) Manage pain
B) Prevent atelectasis
C) Reduce healing time
D) Decrease thrombus formation
Q2) The nurse and the nursing assistive personnel are assisting a postoperative patient to turn in bed. To assist in minimizing discomfort, which instruction should the nurse provide to the patient?
A) "Close your eyes and think about something pleasant."
B) "Hold your breath and count to three."
C) "Grab my shoulders with your hands."
D) "Place your hand over your incision."
Q3) The circulating nurse is caring for a patient intraoperatively. Which primary role of the circulating nurse will be implemented?
A) Suturing the surgical incision in the OR suite
B) Managing patient care activities in the OR suite
C) Assisting with applying sterile drapes in the OR suite
D) Handing sterile instruments and supplies to the surgeon in the OR suite
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