Principles of Nursing Exam Bank - 1588 Verified Questions

Page 1


Principles of Nursing Exam Bank

Course Introduction

Principles of Nursing introduces students to the foundational concepts and core values essential to the nursing profession. The course covers the roles and responsibilities of nurses within diverse healthcare settings, emphasizing patient-centered care, ethical and legal considerations, and effective communication skills. Students explore the nursing process, including assessment, diagnosis, planning, implementation, and evaluation, while developing critical thinking skills and an understanding of evidence-based practice. Through a combination of theoretical learning and practical experiences, students gain the knowledge necessary to provide safe, compassionate, and holistic care to individuals across the lifespan.

Recommended Textbook Fundamentals of Nursing 9th Edition by Potter

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50 Chapters

1588 Verified Questions

1588 Flashcards

Source URL: https://quizplus.com/study-set/175

Page 2

Chapter 1: Nursing Today

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/2380

Sample Questions

Q1) A graduate of a baccalaureate degree program is ready to start working as an RN in the emergency department. Which action must the nurse take \(\bold{first}\)?

A) Obtain certification for an emergency nurse.

B) Pass the National Council Licensure Examination.

C) Take a course on genomics to provide competent emergency care.

D) Complete the Hospital Consumer Assessment of Healthcare Providers Systems.

Answer: B

Q2) A nurse is teaching the staff about Benner's levels of proficiency. In which order should the nurse place the levels from beginning level to ending level?

1) Expert

2) Novice

3) Proficient

4) Competent

5) Advanced beginner

A) 2, 4, 5, 1, 3

B) 2, 5, 4, 3, 1

C) 4, 2, 5, 3, 1

D) 4, 5, 2, 1, 3

Answer: B

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3

Chapter 2: The Health Care Delivery System

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Sample Questions

Q1) The nurse is trying to determine how well a certain health plan compares with other health plans. To gather this type of data, which information will the nurse utilize?

A) Pew Health Professions Commission

B) Healthcare Effectiveness Data and Information Set (HEDIS)

C) American Nurses Credentialing Center (ANCC) Magnet Recognition Program

D) Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)

Answer: B

Q2) Managed care organization

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: C

Q3) A nurse is completing a minimum data set. Which area is the nurse working?

A) Nursing center

B) Psychiatric facility

C) Rehabilitation center

D) Adult day care center

Answer: A

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4

Chapter 3: Community-Based Nursing Practice

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23 Flashcards

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Sample Questions

Q1) A nurse is providing screening at a health fair. Which finding indicates the person may be a vulnerable patient who is \(\bold{most}\) likely to develop health problems?

A) One who is pregnant

B) One who has excessive risks

C) One who has unlimited access to health care

D) One who uses nontraditional healing practices

Answer: B

Q2) A nurse is working as a public health nurse. What will be the nurse's primary focus?

A) The individual as one member of a group

B) Individuals and families

C) Needs of a population

D) Health promotion

Answer: C

Q3) Structure

A)Education level

B)Housing

C)Government

Answer: B

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Chapter 4: Theoretical Foundations of Nursing Practice

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Sample Questions

Q1) A nurse is using a nursing metaparadigm to define nursing. Which concepts will the nurse include? (Select all that apply.)

A) Person

B) Disease

C) Health

D) Nursing

E) Environment

Q2) Which behavior from a nurse indicates the nurse is using Nightingale's theory to plan nursing care?

A) Knows all about the disease processes affecting patients

B) Focuses on medication administration and treatments

C) Thinks about the patients and patients' environments

D) Considers nursing knowledge and medicine the same

Q3) Which action indicates the nurse is using the nursing process in patient care?

A) Generates nursing knowledge for use in nursing practice.

B) Conceptualizes an aspect of nursing to predict nursing care.

C) Develops nursing care as a specific, distinct phenomenon.

D) Delivers nursing care using a systematic approach.

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6

Chapter 5: Evidence-Based Practice

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Sample Questions

Q1) The nurse researcher is preparing to publish the findings and is preparing to add the limitations to the manuscript. Which area of the manuscript will the nurse researcher add this information?

A) Abstract

B) Conclusion

C) Study design

D) Clinical implications

Q2) In caring for patients, what must the nurse remember about evidence-based practice (EBP)?

A) EBP is the only valid source of knowledge that should be used.

B) EBP is secondary to traditional or convenient care knowledge.

C) EBP is dependent on patient values and expectations.

D) EBP is not shown to provide better patient outcomes.

Q3) A nurse is reviewing literature for an evidence-based practice study. Which study should the nurse use for the \(\bold{most}\) reliable level of evidence that uses statistics to show effectiveness?

A) Meta-analysis

B) Systematic review

C) Single random controlled trial

D) Control trial without randomization

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Chapter 6: Health and Wellness

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Sample Questions

Q1) A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving?

A) Primary prevention

B) Secondary prevention

C) Tertiary prevention

D) Health promotion

Q2) The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath. The patient is placed on oxygen, has labs and blood gases drawn, and is given an electrocardiogram and breathing treatments. Which level of preventive care is this patient receiving?

A) Primary prevention

B) Secondary prevention

C) Tertiary prevention

D) Health promotion

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8

Chapter 7: Caring in Nursing Practice

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Sample Questions

Q1) Which actions by the nurse should be done in order to get to know the patient? (Select all that apply.)

A) Avoid assumptions

B) Focus on the patient

C) Engage in a caring relationship

D) Form the relationship very quickly

E) Not address spiritual or higher needs

Q2) A nurse provides care that is receptive to patients' and families' perceptions of caring. Which action will the nurse take?

A) Provides clear, accurate information

B) Just performs nursing tasks competently

C) Does as much for the patient as possible

D) Focuses solely on the patient's diagnosis

Q3) A nurse is using Watson's model to provide care to patients. Which carative factor will the nurse use?

A) Maintaining belief

B) Instilling faith-hope

C) Maintaining ethics

D) Instilling values

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Page 9

Chapter 8: Caring for the Cancer Survivor

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18 Flashcards

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Sample Questions

Q1) A nurse is assessing a cancer survivor for chemotherapy-induced peripheral neurotoxicity (CPIN). Which assessment finding is consistent with CPIN?

A) Hearing loss

B) Devastating depression

C) Extreme loss of motor functioning

D) Numbness and tingling in hands and feet

Q2) 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.

Q3) A nurse is working on a cancer unit. The unit uses the National Coalition for Cancer Survivorship definition for a cancer survivor. Which definition will the nurse use?

A) Been cancer free for 5 years after diagnosis

B) Been cancer free for 3 years after diagnosis

C) Had cancer and is declared cancer free

D) Had cancer and extends until death

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10

Chapter 9: Cultural Awareness

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26 Flashcards

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Sample Questions

Q1) A nurse works at a hospital that uses equity-focused quality improvement. Which strategy is the hospital using?

A) Document staff satisfaction.

B) Focus on the family.

C) Implement change on a grand scale.

D) Reduce disparities.

Q2) A nurse is using Campinha-Bacote's model of cultural competency. Which areas will the nurse focus on to become competent? (Select all that apply.)

A) Cultural skills

B) Cultural desire

C) Cultural transition

D) Cultural knowledge

E) Cultural encounters

Q3) Cultural skills

A)In-depth self-examination of one's own background

B)Ability to assess factors that influence treatment and care

C)Sufficient comparative understanding of diverse groups

D)Motivation and commitment to continue learning about cultures

E)Cross-cultural interaction that develops communication skills

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Page 11

Chapter 10: Caring for Families

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20 Flashcards

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Sample Questions

Q1) 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

Q2) Who at your workplace is close to the family?

A)Intimacy expression

B)Social support

C)Roles

D)Family nurturing

Q3) How are house rules established?

A)Intimacy expression

B)Social support

C)Roles

D)Family nurturing

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Page 12

Chapter 11: Developmental Theories

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21 Flashcards

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Sample Questions

Q1) A patient follows all the instructions a nurse provides because the patient wants to be perceived as a "good" patient. How should the nurse interpret this information according to moral development?

A) The patient is in postformal thought reasoning.

B) The patient is in postconventional reasoning.

C) The patient is in preconventional reasoning.

D) The patient is in conventional reasoning.

Q2) The nurse is caring for a 14-year-old patient in the hospital. Which goal will be \(\bold{priority}\)?

A) Maintain industry

B) Maintain identity

C) Maintain intimacy

D) Maintain initiative

Q3) A formerly independent older adult becomes severely withdrawn upon admission to a nursing home. Which action should the nurse take \(\bold{first}\)?

A) Offer a reward to the patient for participation in all events.

B) Encourage the patient to eat meals in the dining room with others.

C) Allow the patient to incorporate personal belongings into the room.

D) Advise the patient of the importance of attending mandatory activities.

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Page 13

Chapter 12: Conception Through Adolescence

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30 Flashcards

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Sample Questions

Q1) Which statement, if made by a parent, will require further instruction from the nurse?

A) "I should not be surprised that my teenage son has so many friends."

B) "I get worried because my teenage son thinks he's indestructible."

C) "I should cover for my 10-year-old son when he makes mistakes until he learns the ropes."

D) "I usually have nutritious snacks available because my 10-year-old son is always hungry right after school."

Q2) 4 to 6 months

A)Can place objects into containers

B)Pulls a string to obtain an object

C)Can hold a baby bottle

D)Holds rattle for short periods

E)Uses pincer grasp well

Q3) Which information from the parent of an 8-month-old infant will cause the nurse to intervene?

A) My baby rides in the front-facing car seat when I go to the grocery store.

B) I made sure the slats on the crib were less than 2 inches apart.

C) I removed the mobile after my baby could reach it.

D) My baby cries every time he sees a new person.

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Page 14

Chapter 13: Young and Middle Adults

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25 Flashcards

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Sample Questions

Q1) A nurse is assessing the risk of intimate partner violence (IPV) for patients. Which population should the nurse focus on most for IVP?

A) White males

B) Pregnant females

C) Middle-aged adults

D) Nonsubstance abusers

Q2) A nurse discusses the risks of repeated sun exposure with a young-adult patient. Which response will the nurse most expect from this patient?

A) "I should consider participating in a health fair about safe sun practices."

B) "I'll make an appointment with my doctor right away for a full skin check."

C) "I've had this mole my whole life. So what if it changed color? My skin is fine."

D) "I have a mole that has been bothering me. I'll call my family doctor for an appointment to get it checked."

Q3) Which goal is priority when the nurse is caring for a middle-aged adult?

A) Maintain immediate family relationships.

B) Maintain future generation relationships.

C) Maintain personal career relationships.

D) Maintain work relationships.

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15

Chapter 14: Older Adult

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31 Verified Questions

31 Flashcards

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Sample Questions

Q1) A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?

A) Sexuality

B) Retirement

C) Environment

D) Social isolation

Q2) A nurse is teaching a health promotion class for older adults. In which order will the nurse list the most common to least common conditions that can lead to death in older adults?

1) Chronic obstructive lung disease

2) Cerebrovascular accidents

3) Heart disease

4) Cancer

A) 4, 1, 2, 3

B) 3, 4, 1, 2

C) 2, 3, 4, 1

D) 1, 2, 3, 4

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Page 16

Chapter 15: Critical Thinking in Nursing Practice

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates the charge nurse needs to intervene?

A) Making an ethical clinical decision

B) Making an informed clinical decision

C) Making a clinical decision in the patient's best interest

D) Making a clinical decision based on previous shift assessments

Q2) A nurse is reviewing care plans. Which finding, if identified in a plan of care, should the registered nurse revise?

A) Patient's outcomes for learning

B) Nurse's assumptions about hospital discharge

C) Identification of several actual health problems

D) Documentation of patient's ability to meet the goal

Q3) A nurse is using the critical thinking skill of evaluation. Which action will the nurse take?

A) Examine the meaning of data.

B) Support findings and conclusions.

C) Review the effectiveness of nursing actions.

D) Search for links between the data and the nurse's assumptions.

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Chapter 16: Nursing Assessment

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25 Flashcards

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Sample Questions

Q1) A nurse is conducting a nursing health history. Which component will the nurse address?

A) Nurse's concerns

B) Patient expectations

C) Current treatment orders

D) Nurse's goals for the patient

Q2) A patient expresses fear of going home and being alone. Vital signs are stable and the incision is nearly completely healed. What can the nurse infer from the subjective data?

A) The patient can now perform the dressing changes without help.

B) The patient can begin retaking all of the previous medications.

C) The patient is apprehensive about discharge.

D) The patient's surgery was not successful.

Q3) 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

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Page 18

Chapter 17: Nursing Diagnosis

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Sample Questions

Q1) A patient with a spinal cord injury is seeking to enhance urinary elimination abilities by learning self-catheterization versus assisted catheterization by home health nurses and family members. The nurse adds Readiness for enhanced urinary elimination in the care plan. Which type of diagnosis did the nurse write?

A) Risk

B) Problem focused

C) Health promotion

D) Collaborative problem

Q2) A nurse assesses that a patient has not voided in 6 hours. Which question should the nurse ask to assist in establishing a nursing diagnosis of Urinary retention?

A) "Do you feel like you need to go to the bathroom?"

B) "Are you able to walk to the bathroom by yourself?"

C) "When was the last time you took your medicine?"

D) "Do you have a safety rail in your bathroom at home?"

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19

Chapter 18: Planning Nursing Care

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Sample Questions

Q1) A registered nurse administers pain medication to a patient suffering from fractured ribs. Which type of nursing intervention is this nurse implementing?

A) Collaborative

B) Independent

C) Interdependent

D) Dependent

Q2) A nurse is caring for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications. Which outcome is most appropriate for the nurse to include in the plan of care?

A) Patient will have one soft, formed bowel movement by end of shift.

B) Patient will walk unassisted to bathroom by the end of shift.

C) Patient will be offered laxatives or stool softeners this shift.

D) Patient will not take any pain medications this shift.

Q3) Which information indicates a nurse has a good understanding of a goal?

A) It is a statement describing the patient's accomplishments without a time restriction.

B) It is a realistic statement predicting any negative responses to treatments.

C) It is a broad statement describing a desired change in a patient's behavior.

D) It is a measurable change in a patient's physical state.

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Chapter 19: Implementing Nursing Care

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Sample Questions

Q1) The nurse establishes trust and talks with a school-aged patient before administering an injection. Which type of implementation skill is the nurse using?

A) Cognitive

B) Interpersonal

C) Psychomotor

D) Judgmental

Q2) A nurse is reviewing a patient's care plan. Which information will the nurse identify as a nursing intervention?

A) The patient will ambulate in the hallway twice this shift using crutches correctly.

B) Impaired physical mobility related to inability to bear weight on right leg.

C) Provide assistance while the patient walks in the hallway twice this shift with crutches.

D) The patient is unable to bear weight on right lower extremity.

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21

Chapter 20: Evaluation

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Sample Questions

Q1) The nurse is evaluating whether a patient's turning schedule was effective in preventing the formation of pressure ulcers. Which finding indicates success of the turning schedule?

A) Staff documentation of turning the patient every 2 hours

B) Presence of redness only on the heels of the patient

C) Patient's eating 100% of all meals

D) Absence of skin breakdown

Q2) A nurse determines that the patient's condition has improved and has met expected outcomes. Which step of the nursing process is the nurse exhibiting?

A) Assessment

B) Planning

C) Implementation

D) Evaluation

Q3) A nurse completes a thorough database and carries out nursing interventions based on priority diagnoses. Which action will the nurse take next?

A) Assessment

B) Planning

C) Implementation

D) Evaluation

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Page 22

Chapter 21: Managing Patient Care

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Sample Questions

Q1) A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistive personnel. The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus. Which action should the nurse take next?

A) Ask the nursing assistive personnel to observe while the nurse performs catheter care.

B) Leave the room and ask the nursing assistive personnel to go back and perform proper catheter care.

C) Tell the nursing assistive personnel that catheter care is sloppy.

D) Remove the catheter.

Q2) 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

Q3) Which assessment of a patient who is 1 day postsurgery to repair a hip fracture requires immediate nursing intervention?

A) Patient ate 40% of clear liquid breakfast.

B) Patient's oral temperature is 98.9° F.

C) Patient states, "I did not realize I would be so tired after this surgery."

D) Patient reports severe pain 30 minutes after receiving pain medication.

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Chapter 22: Ethics and Values

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Sample Questions

Q1) The nurse is caring for a patient supported with a ventilator who has been unresponsive since arrival via ambulance 8 days ago. The patient has not been identified, and no family members have been found. The nurse is concerned about the plan of care regarding maintenance or withdrawal of life support measures. Place the steps the nurse will use to resolve this ethical dilemma in the correct order.

1) The nurse identifies possible solutions or actions to resolve the dilemma.

2) The nurse reviews the medical record, including entries by all health care disciplines, to gather information relevant to this patient's situation.

3) Health care providers use negotiation to redefine the patient's plan of care.

4) The nurse evaluates the plan and revises it with input from other health care providers as necessary.

5) The nurse examines the issue to clarify opinions, values, and facts.

6) The nurse states the problem.

A) 6, 1, 2, 5, 4, 3

B) 5, 6, 2, 3, 4, 1

C) 1, 2, 5, 4, 3, 6

D) 2, 5, 6, 1, 3, 4

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Chapter 23: Legal Implications in Nursing Practice

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Sample Questions

Q1) A recent immigrant who does not speak English is alert and requires hospitalization. What is the initial action that the nurse must take to enable informed consent to be obtained?

A) Ask a family member to translate what the nurse is saying.

B) Request an official interpreter to explain the terms of consent.

C) Notify the nursing manager that the patient doesn't speak English.

D) Use hand gestures and medical equipment while explaining in English.

Q2) A new nurse notes that the health care unit keeps a listing of patient names in a closed book behind the front desk of the nursing station so patients can be located easily. Which action is most appropriate for the nurse to take?

A) Talk with the nurse manager about the listing being a violation of the Health Insurance Portability and Accountability Act (HIPAA).

B) Use the book as needed while keeping it away from individuals not involved in patient care.

C) Move the book to the upper ledge of the nursing station for easier access.

D) Ask the nurse manager to move the book to a more secluded area.

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Chapter 24: Communication

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Sample Questions

Q1) Before meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the helping relationship is the nurse in with this patient?

A) Preinteraction

B) Orientation

C) Working

D) Termination

Q2) When making rounds, the nurse finds a patient who is not able to sleep because of surgery in the morning. Which therapeutic response is most appropriate?

A) "You will be okay. Your surgeon will talk to you in the morning."

B) "Why can't you sleep? You have the best surgeon in the hospital."

C) "Don't worry. The surgeon ordered a sleeping pill to help you sleep."

D) "It must be difficult not to know what the surgeon will find. What can I do to help?"

Q3) D

A)Nurse describes procedures and tests.

B)Nurse lets the patient know how long the procedure will last.

C)Nurse recognizes the person with a positive attitude.

D)Nurse thanks the patient.

E)Nurse tells the patient "I am an RN and will be managing your care."

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26

Chapter 25: Patient Education

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Sample Questions

Q1) While preparing a teaching plan, the nurse describes what the learner will be able to accomplish after the teaching session about healthy eating. Which action is the nurse completing?

A) Developing learning objectives

B) Providing positive reinforcement

C) Presenting facts and knowledge

D) Implementing interpersonal communication

Q2) A nurse is determining if teaching is effective. Which finding best indicates learning has occurred?

A) A nurse presents information about diabetes.

B) A patient demonstrates how to inject insulin.

C) A family member listens to a lecture on diabetes.

D) A primary care provider hands a diabetes pamphlet to the patient.

Q3) A nurse is teaching a group of healthy adults about the benefits of flu immunizations. Which type of patient education is the nurse providing?

A) Health analogies

B) Restoration of health

C) Coping with impaired functions

D) Promotion of health and illness prevention

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Page 27

Chapter 26: Documentation and Informatics

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Sample Questions

Q1) A nurse is developing a plan to reduce data entry errors and maintain confidentiality. Which guidelines should the nurse include? (Select all that apply.)

A) Bypass the firewall.

B) Implement an automatic sign-off.

C) Create a password with just letters.

D) Use a programmed speed-dial key when faxing.

E) Impose disciplinary actions for inappropriate access.

F) Shred papers containing personal health information (PHI).

Q2) A nurse is teaching the staff about informatics. Which information from the staff indicates the nurse needs to follow up?

A) To be proficient in informatics, a nurse should be able to discover, retrieve, and use information in practice.

B) A nurse needs to know how to find, evaluate, and use information effectively.

C) If a nurse has computer competency, the nurse is competent in informatics.

D) Nursing informatics is a recognized specialty area of nursing practice.

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28

Chapter 27: Patient Safety and Quality

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Sample Questions

Q1) A patient may need restraints. Which task can the nurse delegate to a nursing assistive personnel?

A) Determining the need for restraints

B) Assessing the patient's orientation

C) Obtaining an order for a restraint

D) Applying the restraint

Q2) A patient requires restraints after alternatives are not successful. The nurse is reviewing the orders. Which findings indicate to the nurse the order is legal and appropriate for safe care? (Select all that apply.)

A) Health care provider orders restraints prn (as needed).

B) Health care provider writes the type and location of the restraint.

C) Health care provider renews orders for restraints every 24 hours.

D) Health care provider performs a face-to-face assessment prior to the order.

E) Health care provider specifies the duration and circumstances under which the restraint will be used.

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Chapter 28: Immobility

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54 Verified Questions

54 Flashcards

Source URL: https://quizplus.com/quiz/2407

Sample Questions

Q1) The nurse needs to move a patient up in bed using a drawsheet. The nurse has another nurse helping. In which order will the nurses perform the steps, beginning with the first one?

1) Grasp the drawsheet firmly near the patient.

2) Move the patient and drawsheet to the desired position.

3) Position one nurse at each side of the bed.

4) Place the drawsheet under the patient from shoulder to thigh.

5) Place your feet apart with a forward-backward stance.

6) Flex knees and hips and on count of three shift weight from the front to back leg.

A) 1, 4, 5, 6, 3, 2

B) 4, 1, 3, 5, 6, 2

C) 3, 4, 1, 5, 6, 2

D) 5, 6, 3, 1, 4, 2

Q2) The patient is unable to move self and needs to be pulled up in bed. What will the nurse do to make this procedure safe?

A) Place the pillow under the patient's head and shoulders.

B) Do by self if the bed is in the flat position.

C) Place the side rails in the up position.

D) Use a friction-reducing device.

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Page 30

Chapter 29: Infection Prevention and Control

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46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/2408

Sample Questions

Q1) Which process will be required after exposure of a nurse to blood by a cut from a used scalpel in the operative area?

A) Placing the scalpel in a needle safe container

B) Testing the patient and offering treatment to the nurse

C) Removing sterile gloves and disposing of in kick bucket

D) Providing a medical evaluation of the nurse to the manager

Q2) The patient has contracted a urinary tract infection (UTI) while in the hospital. Which action will \(\bold{most}\) likely increase the risk of a patient contracting a UTI?

A) Reusing the patient's graduated receptacle to empty the drainage bag.

B) Allowing the drainage bag port to touch the graduated receptacle.

C) Emptying the urinary drainage bag at least once a shift.

D) Irrigating the catheter infrequently.

Q3) The nurse is caring for a patient with leukemia and is preparing to provide fluids through a vascular access (IV) device. Which nursing intervention is a priority in this procedure?

A) Review the procedure with the patient.

B) Position the patient comfortably.

C) Maintain surgical aseptic technique.

D) Gather available supplies.

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Page 31

Chapter 30: Vital Signs

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51 Verified Questions

51 Flashcards

Source URL: https://quizplus.com/quiz/2409

Sample Questions

Q1) The patient has a temperature of 105.2° F. The nurse is attempting to lower temperature by providing tepid sponge baths and placing cool compresses in strategic body locations. Which technique is the nurse using to lower the patient's temperature?

A) Radiation

B) Conduction

C) Convection

D) Evaporation

Q2) The health care provider prescription reads "Metoprolol (Lopressor) 50 mg PO daily. Do not give if blood pressure is less than 100 mm Hg systolic." The patient's blood pressure is 92/66. The nurse does not give the medication. Which action should the nurse take?

A) Documents that the medication was not given because of low blood pressure

B) Does not inform the health care provider that the medication was held

C) Does not tell the patient what the blood pressure is

D) Documents only what the blood pressure was.

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Chapter 31: Health Assessment and Physical Examination

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49 Verified Questions

49 Flashcards

Source URL: https://quizplus.com/quiz/2410

Sample Questions

Q1) A nurse is assessing a patient's cranial nerve IX. Which items does the nurse gather before conducting the assessment? (Select all that apply.)

A) Vial of sugar

B) Snellen chart

C) Tongue blade

D) Ophthalmoscope

E) Lemon applicator

F) A 160-degree angle between nail plate and nail

Q2) A head and neck physical examination is completed on a 50-year-old female patient. All physical findings are normal except for fine brittle hair. Which laboratory test will the nurse expect to be ordered, based upon the physical findings?

A) Oxygen saturation

B) Liver function test

C) Carbon monoxide

D) Thyroid-stimulating hormone test

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33

Chapter 32: Medication Administration

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50 Verified Questions

50 Flashcards

Source URL: https://quizplus.com/quiz/2411

Sample Questions

Q1) A nurse is administering oral medications to patients. Which action will the nurse take?

A) Remove the medication from the wrapper, and place it in a cup labeled with the patient's information.

B) Place all of the patient's medications in the same cup, except medications with assessments.

C) Crush enteric-coated medication, and place it in a medication cup with water.

D) Measure liquid medication by bringing liquid medication cup to eye level.

Q2) A nurse is attempting to administer an oral medication to a child, but the child refuses to take the medication. A parent is in the room. Which statement by the nurse to the parent is best?

A) "Please hold your child's arms down, so I can give the full dose."

B) "I will prepare the medication for you and observe if you would like to try to administer the medication."

C) "Let's turn the lights off and give your child a moment to fall asleep before administering the medication."

D) "Since your child loves applesauce, let's add the medication to it, so your child doesn't resist."

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Page 34

Chapter 33: Complementary and Alternative Therapies

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/2412

Sample Questions

Q1) Valerian

A)Elevated cholesterol levels

B)Nausea and vomiting

C)Benign prostatic hyperplasia

D)Skin inflammation

E)Mild anxiety

F)Unsafe and should not be used

Q2) A nurse is teaching a patient relaxation techniques to decreases stress. Which finding will support the nurse's evaluation that the therapy is effective?

A) Dilated pupils

B) Increased blood sugar

C) Decreased heart rate

D) Elevated blood pressure

Q3) Which patient will cause the nurse to question an order for acupuncture?

A) A patient with AIDS

B) A patient with osteoarthritis

C) A patient with low back pain

D) A patient with migraine headaches

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35

Chapter 34: Self-Concept

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/2413

Sample Questions

Q1) A male patient states, "I'm such a loser. I only had that job for a month." Which outcome criteria will the nurse add to the patient's care plan?

A) The patient will verbalize two life areas in which he functions well.

B) The patient will find new employment before the next clinic visit.

C) The patient will confront a former boss about previous work problems.

D) The patient will identify two reasons why he is considered a bad employee.

Q2) 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.

Q3) Disturbed body image

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.

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36

Chapter 35: Sexuality

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/2414

Sample Questions

Q1) A nurse is preparing a community class about sexually transmitted infections. Which primary group will the nurse focus on for this class?

A) Bisexual women

B) Men who have sex with men

C) Youths between the ages of 24 and 27

D) Pregnant women and their partners

Q2) A nurse is caring for a patient who expresses a desire to have an elective abortion. The nurse's religious and ethical values are strongly opposed. How should the nurse best handle the situation?

A) Attempt to educate the patient about the consequences of abortion.

B) Refer the patient to a family planning center or another health professional.

C) Continue to care for the patient, and limit conversation as much as possible.

D) Inform the patient that, because of immoral issues, another nurse will have to care for her.

Q3) Which patient is most in need of a nurse's referral to adoption services?

A) A woman considering abortion for an unwanted pregnancy

B) An infertile couple religiously opposed to artificial insemination

C) A woman who suffered miscarriage during her first pregnancy

D) An infertile couple who has been attempting conception for 3 months

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Page 37

Chapter 36: Spiritual Health

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/2415

Sample Questions

Q1) 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.

Q2) The nurse is caring for a group of patients. Which patient will the nurse see first?

A) A patient saying that God has left and there is no reason for living.

B) A patient refusing treatment on the Sabbath.

C) A patient having a folk healer in the room.

D) A patient praying to Allah.

Q3) Spiritual distress has been identified in a patient who has been diagnosed with a chronic illness. Which interventions will the nurse add to the care plan? (Select all that apply.)

A) Offer to pray with the patient.

B) Avoid time with the support group.

C) Have the patient avoid church attendance.

D) Develop activities to heal body, mind, and spirit.

E) Teach relaxation, guided imagery, and meditation.

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Page 38

Chapter 37: The Experience of Loss, Death, and Grief

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/2416

Sample Questions

Q1) A patient has had two family members die during the past 2 days. Which coping strategy is \(\bold{most}\) appropriate for the nurse to suggest to the patient?

A) Writing in a journal

B) Drinking alcohol to go to sleep

C) Exercising vigorously rather than sleeping

D) Avoiding talking with friends and family members

Q2) A nurse is documenting end-of-life care. Which information will the nurse include in the patient's electronic medical record? (Select all that apply.)

A) Reason for the death

B) Time and date of death

C) How ethically the family grieved

D) Location of body identification tags

E) Time of body transfer and destination

Q3) A nurse is providing postmortem care. Which action will the nurse take?

A) Leave dentures in the mouth.

B) Lower the head of the bed.

C) Cover the body with a sterile sheet.

D) Remove all tubes for an autopsy.

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Chapter 38: Stress and Coping

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/2417

Sample Questions

Q1) An adult male reports new-onset, seizure-like activity. An EEG and a neurology consultant's report rule out a seizure disorder. It is determined the patient is using conversion. Which action should the nurse take \(\bold{next}\)?

A) Suggest acupuncture.

B) Confront the patient on malingering.

C) Obtain history of any recent life stressors.

D) Recommend a regular exercise program.

Q2) A woman who was sexually assaulted a month ago presents to the emergency department with reports of recurrent nightmares, fear of going to sleep, repeated vivid memories of the sexual assault, and inability to feel much emotion. Which medical problem will the nurse expect to see documented in the chart?

A) General adaptation syndrome

B) Post-traumatic stress disorder

C) Acute stress disorder

D) Alarm reaction

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Chapter 39: Activity and Exercise

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/2418

Sample Questions

Q1) The nurse is caring for a patient who cannot bear weight but needs to be transferred from the bed to a chair. The nurse decides to use a transportable hydraulic lift. What will the nurse do?

A) Place a horseshoe-shaped base on the opposite side from the chair.

B) Remove straps before lowering the patient to the chair.

C) Hook longer straps to the bottom of the sling.

D) Attach short straps to the bottom of the sling.

Q2) The nurse is caring for a patient in the emergency department with an injured shoulder. Which type of joint will the nurse assess?

A) Fibrous

B) Synovial

C) Synergistic

D) Cartilaginous

Q3) A nurse is working in a facility that follows a comprehensive safe patient-handling program. Which finding will alert the nurse to intervene?

A) Mechanical lifts are in a locked closet.

B) Algorithms for patient handling are available.

C) Ergonomic assessment protocols are being followed.

D) A no-lift policy is in place with adherence by all staff.

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Page 41

Chapter 40: Hygiene

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50 Verified Questions

50 Flashcards

Source URL: https://quizplus.com/quiz/2419

Sample Questions

Q1) A nurse is providing a bath. In which order will the nurse clean the body, beginning with the first area?

1) Face

2) Eyes

3) Perineum

4) Arm and chest

5) Hands and nails

6) Back and buttocks

7) Abdomen and legs

A) 1, 2, 5, 4, 7, 6, 3

B) 2, 1, 4, 5, 7, 3, 6

C) 2, 1, 5, 4, 6, 7, 3

D) 1, 2, 4, 5, 3, 7, 6

Q2) The nurse is caring for a patient who has multiple ticks on lower legs and body. What should the nurse do to rid the patient of ticks?

A) Use blunt tweezers and pull upward with steady pressure.

B) Burn the ticks with a match or small lighter.

C) Allow the ticks to drop off by themselves.

D) Apply miconazole and cover with plastic.

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Chapter 41: Oxygenation

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51 Verified Questions

51 Flashcards

Source URL: https://quizplus.com/quiz/2420

Sample Questions

Q1) A nurse is caring for a patient with continuous cardiac monitoring for heart dysrhythmias. Which rhythm will cause the nurse to intervene immediately?

A) Ventricular tachycardia

B) Atrial fibrillation

C) Sinus rhythm

D) Paroxysmal supraventricular tachycardia

Q2) A nurse is teaching the patient with mitral valve problems about the valves in the heart. Starting on the right side of the heart, describe the sequence of the blood flow through these valves.

1) Mitral

2) Aortic

3) Tricuspid

4) Pulmonic

A) 1, 3, 2, 4

B) 4, 3, 2, 1

C) 3, 4, 1, 2

D) 2, 4, 1, 3

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Chapter 42: Fluid, Electrolyte, and Acid-Base Balance

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51 Verified Questions

51 Flashcards

Source URL: https://quizplus.com/quiz/2421

Sample Questions

Q1) A nurse is caring for a diabetic patient with a bowel obstruction and has orders to ensure that the volume of intake matches the output. In the past 4 hours, the patient received dextrose 5% with 0.9% sodium chloride through a 22-gauge catheter infusing at 150 mL/hr and has eaten 200 mL of ice chips. The patient also has an NG suction tube set to low continuous suction that had 300-mL output. The patient has voided 400 mL of urine. After reporting these values to the health care provider, which order does the nurse anticipate?

A) Add a potassium supplement to replace loss from output.

B) Decrease the rate of intravenous fluids to 100 mL/hr.

C) Administer a diuretic to prevent fluid volume excess.

D) Discontinue the nasogastric suctioning.

Q2) A nurse has just received a bag of packed red blood cells (RBCs) for a patient. What is the longest time the nurse can let the blood infuse?

A) 30 minutes

B) 2 hours

C) 4 hours

D) 6 hours

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Chapter 43: Sleep

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/2422

Sample Questions

Q1) The nurse is caring for a patient on the medical-surgical unit who is experiencing an exacerbation of asthma. Which intervention will be most appropriate to help this patient sleep?

A) Place bed in semi-Fowler's position.

B) Offer iron-rich foods for meals.

C) Provide a snack before bedtime.

D) Encourage the patient to read.

Q2) The patient and the nurse discuss the need for sleep. After the discussion, the patient is able to state factors that hinder sleep. Which statements indicate the patient has a good understanding of the teaching? (Select all that apply.)

A) "Drinking coffee at 7 PM could interrupt my sleep."

B) "Staying up late for a party can interrupt sleep patterns."

C) "Exercising 2 hours before bedtime can decrease relaxation."

D) "Changing the time of day that I eat dinner can disrupt sleep."

E) "Worrying about work can disrupt my sleep."

F) "Taking an antacid can decrease sleep."

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45

Chapter 44: Pain Management

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/2423

Sample Questions

Q1) The nurse is caring for a patient to ease modifiable factors that contribute to pain. Which areas did the nurse focus on with this patient?

A) Age and gender

B) Anxiety and fear

C) Culture and ethnicity

D) Previous pain experiences and cognitive abilities

Q2) Location

A)Could you rate your pain on a scale of 0 to 10?

B)How often does it recur?

C)Could you point to the area of pain?

D)Do certain activities worsen the pain?

E)What does the pain feel like?

Q3) Timing

A)Could you rate your pain on a scale of 0 to 10?

B)How often does it recur?

C)Could you point to the area of pain?

D)Do certain activities worsen the pain?

E)What does the pain feel like?

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Chapter 45: Nutrition

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45 Verified Questions

45 Flashcards

Source URL: https://quizplus.com/quiz/2424

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) A nurse is teaching a patient about proteins that must be obtained through the diet and cannot be synthesized in the body. Which term used by the patient indicates teaching is successful?

A) Amino acids

B) Triglycerides

C) Dispensable amino acids

D) Indispensable amino acids

Q3) The patient with cardiovascular disease is receiving dietary instructions from the nurse. Which information from the patient indicates teaching is successful?

A) Maintain a prescribed carbohydrate intake.

B) Eat fish at least 5 times per week.

C) Limit trans fat to less than 1%.

D) Avoid high-fiber foods.

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Chapter 46: Urinary Elimination

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/2425

Sample Questions

Q1) The nurse, upon reviewing the history, discovers the patient has dysuria. Which assessment finding is consistent with dysuria?

A) Blood in the urine

B) Burning upon urination

C) Immediate, strong desire to void

D) Awakes from sleep due to urge to void

Q2) To reduce patient discomfort during a closed intermittent catheter irrigation, what should the nurse do?

A) Use room temperature irrigation solution.

B) Administer the solution as quickly as possible.

C) Allow the solution to sit in the bladder for at least 1 hour.

D) Raise the bag of the irrigation solution at least 12 inches above the bladder.

Q3) The nurse suspects cystitis related to a lower urinary tract infection. Which clinical manifestation does the nurse expect the patient to report?

A) Dysuria

B) Flank pain

C) Frequency

D) Fever

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Chapter 47: Bowel Elimination

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/2426

Sample Questions

Q1) A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination. Which menu option should the nurse recommend?

A) Broccoli and cheese soup with potato bread

B) Turkey and mashed potatoes with brown gravy

C) Grape and walnut chicken salad sandwich on whole wheat bread

D) Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing

Q2) A guaiac test is ordered for a patient. Which type of blood is the nurse checking for in this patient's stool?

A) Bright red blood

B) Dark black blood

C) Microscopic

D) Mucoid

Q3) A nurse is caring for a patient who has had diarrhea for the past week. Which additional assessment finding will the nurse expect?

A) Distended abdomen

B) Decreased skin turgor

C) Increased energy levels

D) Elevated blood pressure

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Chapter 48: Skin Integrity and Wound Care

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55 Verified Questions

55 Flashcards

Source URL: https://quizplus.com/quiz/2427

Sample Questions

Q1) The nurse is caring for a patient who has a Stage IV pressure ulcer with grafted surgical sites. Which specialty bed will the nurse use for this patient?

A) Low-air-loss

B) Air-fluidized

C) Lateral rotation

D) Standard mattress

Q2) The nurse is caring for a patient with a pressure ulcer on the left hip. The ulcer is black. Which \(\bold{next}\) step will the nurse anticipate?

A) Monitor the wound.

B) Document the wound.

C) Debride the wound.

D) Manage drainage from wound.

Q3) Hydrocolloid

A)Absorbs drainage through the use of exudate absorbers in the dressing

B)Very soothing to the patient and do not adhere to the wound bed

C)Barrier to external fluids/bacteria but allows wound to "breathe"

D)Manufactured from seaweed and comes in sheet and rope form

E)Oldest and most common absorbent dressing

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Chapter 49: Sensory Alterations

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/2428

Sample Questions

Q1) A nurse is assessing cognitive functioning of a patient. Which action will the nurse take?

A) Administer a Mini-Mental State Examination (MMSE).

B) Ask the patient to state name, location, and what month it is.

C) Ask the patient's family if the patient is behaving normally.

D) Administer the hearing handicap inventory for the elderly (HHIE-S).

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.

Q3) The nurse is using the Snellen chart. Which patient is the nurse assessing?

A) A patient who frequently reports the incorrect time from the clock across the room.

B) A patient who is having difficulty remembering how to perform familiar tasks.

C) A patient who turns the television up as loud as possible.

D) A patient who has trouble saying words.

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Page 51

Chapter 50: Care of Surgical Patients

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46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/2429

Sample Questions

Q1) The nurse is preparing a patient for a surgical procedure on the right great toe. Which action will be \(\bold{most}\) important to include in this patient's preparation?

A) Place the patient in a clean surgical gown.

B) Ask the patient to remove all hairpins and cosmetics.

C) Ascertain that the surgical site has been correctly marked.

D) Determine where the family will be located during the procedure.

Q2) The nurse is caring for a patient in the operating suite who is experiencing hypercarbia, tachypnea, tachycardia, premature ventricular contractions, and muscle rigidity. Which condition does the nurse suspect the patient is experiencing?

A) Malignant hyperthermia

B) Fluid imbalance

C) Hemorrhage

D) Hypoxia

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