Principles of Nursing Practice
Chapter Exam Questions
Course Introduction
Principles of Nursing Practice introduces students to the foundational concepts, theories, and ethical guidelines that underpin professional nursing care. The course emphasizes patient-centered care, evidence-based practice, and the critical roles of communication, collaboration, and cultural competence in healthcare settings. Students explore legal responsibilities, standards of care, and the nursing process while developing essential skills such as assessment, planning, intervention, and evaluation. The course also addresses themes of safety, advocacy, and quality improvement, preparing future nurses to deliver holistic and compassionate care across diverse populations.
Recommended Textbook
Essentials for Nursing Practice 8th Edition by Potter
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Page 2
Chapter 1: The Nursing Profession
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Q1) A nurse is directing the care and staffing of three cardiac units.The nurse is practicing in which nursing role?
A) Advanced practice registered nurse
B) Nurse researcher
C) Nurse educator
D) Nurse administrator
Answer: D
Q2) A nurse must follow legal laws that protect public health,safety,and welfare.Which law is the nurse following?
A) Code of Ethics
B) Nurse Practice Act
C) Standards of practice
D) Quality and safety education for nurses
Answer: B
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Page 3
Chapter 2: Health and Wellness
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Q1) A registered nurse is working in a community clinic that provides services for chronically ill patients.Which condition would be considered chronic?
A) Appendicitis
B) Pneumonia
C) Flu
D) Diabetes
Answer: D
Q2) A nurse is assessing a patient's risk factors for heart disease and finds that the patient has several risk factors.How should the nurse interpret this finding?
A) The patient needs surgery for heart disease.
B) The patient has a genetic disease.
C) The patient will develop the disease.
D) The patient has an increased chance to develop the disease.
Answer: D
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4
Chapter 3: The Health Care Delivery System
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Q1) Which other term can the nurse use to describe the Omnibus Budget Reconciliation Act of 1987?
A) Medicaid Act
B) Nursing Home Reform Act
C) Diagnostic Related Group Act
D) Magnet Recognition Act
Answer: B
Q2) A college student with severe depression was recently admitted to the psychiatric ward of a local hospital.The family is concerned about the student finishing the college term.Which is the best information for the nurse to give regarding how long psychiatric patients are typically hospitalized?
A) A relatively short inpatient stay is followed by outpatient treatment.
B) A long inpatient hospitalization is normal for the majority of patients.
C) Patients with emotional or behavioral problems generally are not hospitalized.
D) Most are automatically placed in a long-term care facility.
Answer: A
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Chapter 4: Community-Based Nursing Practice
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Q1) A nurse notices that a particular area of the community had food poisoning.The nurse collected data from the people who were affected,identified a local restaurant that served all the people,and determined it was the chicken dish that caused the poisoning.Which community health nurse competency did the nurse demonstrate?
A) Public health
B) Educator
C) Epidemiologist
D) Case manager
Q2) A community-based nurse is working with a family.The nurse needs to be knowledgeable in what key areas? (Select all that apply.)
A) Family theory
B) Group dynamics
C) Political affiliations
D) Cultural diversity
E) Communication principles
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Chapter 5: Legal Principles in Nursing
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Q1) Which behavior is the best way for a nurse to avoid being liable for malpractice?
A) Purchasing quality malpractice insurance coverage on a yearly basis
B) Practicing nursing that meets the generally accepted standard of care
C) Not sharing his or her last name with patients and families
D) Not delegating any tasks to unlicensed assistive personnel
Q2) A patient died from suspicious circumstances.What should the nurse do next?
A) Notify the coroner.
B) Notify the newspaper.
C) Chart what the nurse thinks happened.
D) Chart opinions from the health care staff.
Q3) Which information indicates the nurse has an accurate understanding of when the institution's malpractice insurance covers the nurse?
A) While driving to work
B) While driving home from work
C) While tending to people in the neighborhood
D) While working within the scope of employment
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Chapter 6: Ethics
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Sample Questions
Q1) A registered nurse is working on a pediatric oncology unit and caring for four children undergoing chemotherapy.Today a new nursing assistive personnel (NAP)who has passed a competency examination is assigned to the team.The nurse will delegate a portion of the fundamental nursing tasks to the NAP during the shift,but realizes that he or she is still responsible for his or her own actions and is accountable for the care.The nurse is following which principle of behavior?
A) Ethical dilemma
B) Code of ethics
C) Bioethics
D) Feminist ethics
Q2) Although a registered nurse has been working for several years as a staff nurse on an adult oncology unit,the nurse recently transferred to a pediatric unit in the hospital.The nurse will be in orientation for several days to learn about the different systems and will need to demonstrate proficiency in various pediatric areas such as medication administration.Which behavior is the nurse demonstrating?
A) Competency
B) Judgment
C) Advocacy
D) Utilitarianism
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Chapter 7: Evidence-Based Practice
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Q1) The nurse manager of a 30-bed medical surgical unit has noticed that the fall rate of postoperative patients has increased in the past 2 months.The nurse manager wants to address this situation using evidence-based practice.Which type of trigger did the nurse manager use?
A) Literature-focused trigger
B) Problem-focused trigger
C) Knowledge-focused trigger
D) Expectations-focused trigger
Q2) A nurse working in an acute care setting wanted to determine the most accurate way to take patients temperatures.The nurse noticed that the tympanic thermometers used by the unit were often not accurate.The nurse found that the literature showed tympanic thermometers were not the most accurate method of obtaining a temperature.The nurse wants to change the nursing practice of the unit.What is the nurse's most logical next step?
A) Discuss the findings with a patient to gain support.
B) Tell the aides to stop taking temperatures.
C) Share the findings with the nursing policy and procedure committee.
D) Write an editorial in the public newspaper to bring the community into the process.
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Chapter 8: Critical Thinking
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Q1) A nurse is alert to potentially problematic situations in a patient and is using evidence-based knowledge.Which concept for a critical thinker is the nurse using?
A) Maturity
B) Analyticity
C) Systematicity
D) Inquisitiveness
Q2) A nurse is using scientific knowledge and experience to choose strategies to use in the care of a patient.Which critical thinking skill is the nurse using?
A) Analysis
B) Evaluation
C) Explanation
D) Self-regulation
Q3) A nurse is describing risk taking,creativity,and integrity in nursing care.What is the nurse explaining?
A) Attitudes of critical thinking
B) Competencies of critical thinking
C) Standards for critical thinking
D) Nursing process for critical thinking
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10
Chapter 9: Nursing Process
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Q1) A nurse wants to provide patient-centered care to a patient of another culture.Which question is the most culturally sensitive when talking about a patient's illness?
A) "What do you call your problem?"
B) "How long has your child had the runs?"
C) "When did you last void today?"
D) "Has anyone else in your family had diarrhea?"
Q2) A patient has an outcome of ambulating three times a day.The patient does not ambulate the entire day.What should the nurse do next?
A) Walk the patient.
B) Reassess the patient.
C) Change the goal for the patient.
D) Continue with the plan for the patient.
Q3) The nurse is admitting a patient to the unit and asks the patient about the health history.The nurse is engaged in which component of the nursing process?
A) Evaluation
B) Diagnosis
C) Assessment
D) Planning
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Chapter 10: Informatics and Documentation
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Q1) A nurse records the following at 1800: patient states that the abdominal pain is worse now than last night-Betty Smith,RN.The nurse is using which type of charting?
A) PIE documentation
B) SOAP documentation
C) Narrative charting
D) Charting by exception
Q2) Which information by the staff indicates teaching by the nurse was successful for the purposes of documentation? (Select all that apply.)
A) To aid in clinical research
B) To maintain a legal and financial record of care
C) To include a step-by-step description of how to perform procedures
D) To evaluate quality process and performance improvement
E) To communicate patient needs and progress toward meeting outcomes
Q3) Which entry by the nurse demonstrates the most accurate and safe documentation of patient care?
A) "Sm. amt. of emesis."
B) "150 mL of cloudy dark yellow urine."
C) "Had a good day."
D) "Looks bad."
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Page 12
Chapter 11: Communication
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Q1) A nurse is spending time with a patient,who has recently been diagnosed with breast cancer.The patient states that he or she is frightened about the diagnosis and feels overwhelmed.The nurse responds,"It sounds to me like you are feeling very scared right now." Which communication technique did the nurse use?
A) Sympathy
B) Empathy
C) Focusing
D) Self-disclosure
Q2) A registered nurse is a new nurse manager who needs to council an employee regarding attendance.Because the nurse manager is new to the position,the nurse is rehearsing what is planning to say to the employee before the meeting.The nurse is using which form of communication?
A) Interpersonal
B) Intrapersonal
C) Public
D) Private
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13
Chapter 12: Patient Education
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Q1) A nurse is preparing to take a 5-year-old child's blood pressure.What is the best way for the nurse to reduce the child's anxiety about this procedure?
A) Do nothing because the more fuss that is made about a procedure, the more anxiety it causes the patient.
B) Explain to the patient that the blood pressure is a vital sign that the doctor has ordered.
C) Tell the child that the blood pressure cuff will "hug" the arm.
D) Ask the child's mother to step outside the room because children frequently do better when alone.
Q2) A patient must learn to apply a lower leg orthotic device but has a minor paralysis of the right upper extremity.Before teaching this skill,the nurse must assess the patient's physical capabilities.Which areas will the nurse assess? (Select all that apply.)
A) Size
B) Strength
C) Coordination
D) Sensory acuity
E) Learning environment
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Chapter 13: Managing Patient Care
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Q1) A new nurse is learning how to prioritize time.One of the best ways that this can be accomplished is for the new nurse to focus on which of the following?
A) Nursing tasks
B) Patient priorities
C) Medication schedule
D) Ancillary procedures
Q2) Which competencies should the nurse follow to be an effective team member in interprofessional collaboration? (Select all that apply.)
A) Work to maintain a climate of mutual respect.
B) Use your role specific knowledge to address health care needs.
C) Apply relationship-building values and principles of team dynamics.
D) Use a top-down communication strategy.
E) Support a team approach to the maintenance of health.
Q3) Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient- and population-centered care that is safe,timely,efficient,effective,and equitable. Using a top-down communication strategy does not apply as a team approach,but is needed for interprofessional collaboration.
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Chapter 14: Infection Prevention and Control
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Q1) The nurse is admitting a patient with a methicillin-resistant Staphylococcus aureus (MRSA)infection isolated in his stage III pressure ulcer.The nurse places the patient on:
A) contact precautions.
B) airborne precautions.
C) droplet precautions.
D) protective environment.
Q2) The nurse has had a nasal culture performed and has been found to be MRSA positive.Because the nurse has not been ill from the bacteria,the nurse's nasal cavity can best be described as a:
A) susceptible host.
B) reservoir.
C) portal of entry.
D) mode of transmission.
Q3) Which of the following situations is most likely to contribute to a health care-acquired infection?
A) A closed urinary drainage system
B) Use of aseptic technique during dressing changes
C) Foley catheter drainage bag touching the floor
D) Changing IV access site when site is red and warm
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Page 16
Chapter 15: Vital Signs
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Q1) The nurse has assessed the need to check the patient for orthostatic hypotension.Conditions that would cause the nurse to be concerned about this would be which of the following? (Select all that apply.)
A) Dehydration
B) Obesity
C) Recent blood loss
D) Cigarette smoking
E) Prolonged bed rest
Q2) When the fever "breaks," the temperature returns to an acceptable range and the patient becomes:
A) febrile.
B) afebrile.
C) fever of unknown origin (FUO).
D) pyrexic.
Q3) What term refers to the distribution of red blood cells to and from the pulmonary capillaries?
A) Diffusion
B) Perfusion
C) Respiration
D) Eupnea
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Chapter 16: Health Assessment and Physical Examination
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Q1) A registered nurse is preparing to perform a physical examination on a 5-year-old child.To make the child feel safer during the examination the nurse should do which of the following?
A) Examine the child's fingernails before listening to his breath sounds.
B) Question only the child so as to avoid unwanted parental influence.
C) Perform palpation before visual inspection.
D) Calls the parents by their first names to establish a more trusting bond.
Q2) A patient is being seen in the health clinic for abdominal pain.The nurse will be doing a physical assessment.After using light palpation to examine the patient,the nurse uses deep palpation.With deep palpation the nurse does which of the following?
A) Performs a completely safe method of examination
B) Should use two hands only
C) Uses the upper hand to exert an upward pressure
D) Can examine the condition of organs
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Chapter 17: Administering Medications
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Q1) A nurse working in a clinic is teaching a patient how much cough syrup to take.The cough syrup comes in a 250-mL bottle,and the dosage is 10 mL every 4 hours.How many teaspoons should she instruct the patient to take?
A) 1
B) 2
C) 3
D) 4
Q2) The nurse is preparing to administer medications to a patient.In doing so the nurse should do which of the following? (Select all that apply.)
A) Monitor medication effects.
B) Assess the patient's ability to self-administer medications.
C) Determine if the patient should receive the medication.
D) Educate the patient and family about medication administration.
E) Delegate administration to nursing assistive personnel (NAP).
Q3) A patient states that aspirin upsets her stomach.This is known as a(n):
A) allergic response.
B) toxic effect.
C) idiosyncratic reaction.
D) side effect.
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Page 19
Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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Q1) A 76-year-old patient is hospitalized with pneumonia and has become increasingly confused throughout the shift.The nurse becomes concerned about the patient's condition and contacts the health care provider,who orders arterial blood gas analysis.The blood gas report shows a pH of 7.33,PaCO? of 47,PaO? of 78,and bicarbonate of 26.This indicates which imbalance?
A) Respiratory alkalosis
B) Respiratory acidosis
C) Metabolic alkalosis
D) Metabolic acidosis
Q2) A nurse is caring for a patient who is suffering from kidney failure and is receiving peritoneal dialysis.The nurse explains that peritoneal dialysis works by instilling a solution into the abdomen that contains dextrose that will pull extra fluid into the abdominal cavity.What is the name of this process?
A) Diffusion
B) Osmosis
C) Filtration
D) Active transport
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Chapter 19: Caring in Nursing Practice
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Q1) Which of the following would indicate that the nurse has established a level of mutual problem solving?
A) The nurse helps the patient develop questions to ask the health care provider.
B) The nurse tells the patient what needs to be done to resolve health problems.
C) The nurse is seen as the authority when it comes to health care issues.
D) The nurse excludes the family from health discussions to protect privacy.
Q2) The ANA,National League for Nursing,AONE,and American Association of Colleges of Nursing recommend strategies to reverse the current nursing shortage.A number of the strategies have potential for creating work environments that enable nurses to demonstrate more caring behaviors.Which of the following provisions is advocated to create a more desirable work environment?
A) Provide nurses with autonomy over their practice.
B) Increase the rigor in the work environment structure.
C) Increase the availability of technology.
D) Stress the cost-effectiveness of health care.
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Chapter 20: Cultural Awareness
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Q1) The nurse is performing a cultural assessment on a patient.What does the nurse know about cultural assessments?
A) They are intrusive and time consuming.
B) They are not dependent on a trusting relationship.
C) They are rarely plagued by miscommunication.
D) They are based in similarities of behavior.
Q2) When dealing with cultural awareness,the nurse realizes that the term oppression involves which of the following?
A) Maintaining advantages based on social group membership
B) Systems that maintain disadvantages aimed purely at individuals
C) Intentional discrepancies alone
D) Issues at institutional levels independent of individual or cultural factors
Q3) A student nurse is caring for a patient of Mexican descent.In an attempt to become culturally aware,the student should consciously think about which of the following?
A) What people of Mexican descent believe
B) The relationship between culture and ethnicity
C) The fact that the patient belongs to an isolated social group
D) Where the person is in the intersections of socially constructed categories
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Chapter 21: Spiritual Health
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Q1) A patient has been diagnosed with a terminal disease.Hope may be used effectively with this type of patient.Nurses can support a patient's use of hope because hope provides a:
A) system of organized beliefs and worship.
B) belief in a higher power, spirit guide, God, or Allah.
C) cultural connectedness, structure, and guidance in difficult times.
D) motivation to achieve and the resources to use toward that achievement.
Q2) Interventions a nurse can use to establish presence with a patient include which of the following? (Select all that apply.)
A) Giving attention
B) Answering questions
C) Listening
D) Administering medication
E) Speaking with the family
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23
Chapter 22: Growth and Development
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Q1) The nurse is caring for an older adult who seems depressed and states that "I hate going to Bingo.I'd really like to get back in shape.Maybe if I could join a health club,I could get back to feeling like myself." The nurse should do which of the following?
A) Inform the patient that at his age it's probably not a good idea to join a health club.
B) Recommend that the patient have a complete physical examination.
C) Explain that physical impairments would prevent any worthwhile exercising.
D) Tell the patient that at his age he would probably hurt himself.
Q2) A student nurse who works in a pediatric clinic is assisting with an assessment on a young child who is not yet walking.She knows that it is considered a delayed gross motor ability if the child does not walk by _____ months.
A) 16
B) 18
C) 20
D) 22
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24
Chapter 23: Self-Concept and Sexuality
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Q1) After a large weight loss a patient tells the nurse,"There still is a fat person inside of me." This type of statement illustrates a flaw in what self-concept component?
A) Role performance
B) Identity stressor
C) Self-esteem
D) Body image
Q2) The mother of a 7-year-old boy asked the nurse what factors tended to increase self-esteem in boys.Which of the following is the nurse's best response?
A) Positive family communication supporting the child's self-worth.
B) It does not really matter because self-esteem varies widely throughout life.
C) Avoid situational crises because they lead to permanent changes in self-esteem.
D) Let the child know that it is OK to be incompetent.
Q3) Reviewing sexuality changes associated with aging is important because:
A) very few older women experience any type of sexual problems.
B) in older men, the penis does not become firm as quickly.
C) ejaculation remains the same throughout life.
D) ejaculation is quicker with aging.
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Chapter 24: Family Context in Nursing
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Q1) The nurse is caring for a 78-year-old patient with liver cancer.The patient and his wife live at home.In addition to caring for the patient,the nurse also assesses caregiver stress in the patient's wife.Which of the following indicates caregiver stress?
A) Increased visits from church members
B) Asking her daughter for help with shopping
C) Remaining cheerful and without depression
D) Contracting pneumonia
Q2) The nurse is caring for a family within an impoverished community.What is it important for the nurse to understand about families?
A) They are made up of a set of interacting individuals related by blood, marriage or adoption.
B) They are comprised of a group of individuals living together who may not be related.
C) They all have one unique form independent of cultural or ethnic orientations.
D) They all have the same strengths, weaknesses, resources and challenges.
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Chapter 25: Stress and Coping
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Q1) The patient,a busy executive who works 80 hours a week,is admitted for angina.The patient is demonstrating physical signs of stress related to the work environment.An appropriate nursing intervention for this patient includes releasing muscle tension every 2 hours.This type of intervention is best known as:
A) regular exercise.
B) assertiveness training.
C) cognitive therapy.
D) progressive muscle relaxation.
Q2) A nurse works on an oncology unit and has a lot of stress in her life.Which of the following situational factors would be considered work stress?
A) Caring for a family member who has Alzheimer's disease
B) Being diagnosed with a chronic back injury
C) Finding out that a parent has lung cancer
D) Having a disagreement with her nurse manager
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Chapter 26: Loss and Grief
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Q1) A nursing student,who maintained a 4.0 GPA since starting nursing school,started working the past semester,is planning a wedding,and has moved into a new home.The student has not been able to maintain the 4.0 GPA this semester,and as a result is feeling like a failure.How is this loss best described?
A) Maturational
B) Situational
C) Actual
D) Perceived
Q2) A nurse who grew up in Korea has been in the United States for the past 4 years.The nurse is especially sensitive about the differences in how mourning is different between the native culture and that of Western society.The nurse should use which model of mourning to help understand an action-oriented process of grieving?
A) Bowlby's Four Phases
B) Worden's Four Tasks
C) Rando's R Process
D) Kübler-Ross' Five Stages
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Chapter 27: Exercise and Activity
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Q1) A nurse who works on the orthopedic unit knows that in addition to providing support,bones perform other functions in the body.Besides support,which of the following is an important bone function used during activity and exercise?
A) Hematopoiesis
B) Protection
C) Mineral storage
D) Movement
Q2) The nurse delegates the task of ambulating a patient to the assistive personnel.The nurse ascertains that the assistive personnel understands how to intervene when the patient complains of dizziness when the assistive personnel verbalizes which of the following?
A) "I call for help."
B) "I gently lower the patient to the floor."
C) "I support the patient and walk quickly back to the room."
D) "I lean the patient against the wall and wait until the episode passes."
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Chapter 28: Safety
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Q1) A patient in the intensive care unit requires mechanical ventilation,a wound VAC system,patient-controlled analgesia,and an intravenous infusion device.Which safety precaution should the nurse implement in the health care setting?
A) Using two-pronged plugs
B) Never operating equipment without previous instruction
C) Using an extension cord to accommodate plugs for all the equipment
D) Never using equipment without having another nurse assist
Q2) A confused patient was found wandering in the hallways several times during the shift.What is the most appropriate nursing intervention to prevent a fall by this patient?
A) Reassigning the patient to a room closer to the nursing station
B) Using an electronic monitor that sounds an alarm when the patient reaches a near-vertical position
C) Raising two or four side rails
D) Placing wrist restraint on the patient during the nighttime hours of sleep
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Chapter 29: Hygiene
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Q1) The nurse is caring for a patient who is on a heparin drip for a deep vein thrombosis (DVT).During the bath,the nurse will wash the lower extremities using which of the following?
A) Circular motion to massage the legs
B) Long, firm strokes toward the heart
C) Short, firm strokes toward the heart
D) Short, light strokes
Q2) An unconscious patient requires mouth care every 2 hours.Before attempting mouth care,the nurse should first do which of the following?
A) Assess the patient for a gag reflex.
B) Position the patient in a prone position.
C) Have an operational suction machine nearby.
D) Retract the upper and lower teeth with a padded tongue blade.
Q3) Which of the following interventions will decrease the chance of dry skin?
A) Daily baths in a soaker tub for 30 minutes
B) Inadequate fluid and nutrition
C) Leave moisturizing soap on the body
D) Use of superfatted soap
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Chapter 30: Oxygenation
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Sample Questions
Q1) What is the best indicator the nurse can use to determine the adequacy of a patient's cardiac output?
A) Stroke volume
B) Myocardial contractility
C) Afterload
D) Cardiac index
Q2) A 45-year-old patient was diagnosed with an anterior myocardial infarction.The patient asks the nurse why his chest hurt when he had his heart attack.What is the best response from the nurse?
A) "One of your heart valves wasn't working properly and caused an obstructed blood flow."
B) "One of your coronary arteries had a spasm, and your heart muscle wasn't able to get enough blood."
C) "Your heart muscle was deprived of oxygen, which caused chest pain."
D) "The heart muscle is sensitive to changes in electrical conduction."
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Chapter 31: Sleep
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Sample Questions
Q1) The nurse is triaging a patient for an annual check-up with the health care provider.When questioned about changes in sleep habits the patient replies,"Since my spouse passed away last month,I have not been sleeping well at all." What are the most appropriate interventions for the nurse to make? (Select all that apply.)
A) Speaking to the health care provider for a benzodiazepine sleeping aid
B) Contacting a pastoral care professional
C) Consulting with a psychiatric clinical nurse specialist
D) Consulting with a clinical psychologist
E) Referring the patient for evaluation to the sleep clinic
Q2) A 73-year-old patient reports to the nurse about waking up early and not being able to return to sleep.The patient states,"I do not go to bed until after the evening news." What is the best advice for the nurse to give this patient to encourage a good night's sleep?
A) Take a nap in the afternoon.
B) Go to bed earlier.
C) Go to bed later.
D) Take a benzodiazepine.
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Page 33
Chapter 32: Pain Management
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Sample Questions
Q1) A graduate nurse is working for a diabetes unit.The nurse manager has prepared a very thorough orientation,which includes check-offs for taking vital signs.The nurse manager has informed the graduate nurse that their hospital has adopted the Joint Commission's pain standard and that they will be assessing five vital signs.The graduate nurse knows that the fifth vital sign is which of the following?
A) Arterial blood gasses
B) Blood sugar
C) Blood pressure
D) Pain
Q2) A registered nurse working for the emergency department sees a lot of patients who seek services because of pain.The nurse is aware that pain is which of the following?
A) Caused by a single physiological sensation
B) Caused by a specific stimulus
C) Subjective
D) Universally the same for everyone
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Chapter 33: Nutrition
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Q1) The nurse who works on the oncology unit understands the importance of nutrition and the disease process.Which patient should the nurse be most concerned about from a nutritional standpoint?
A) A patient with cervical cancer
B) A patient with liver cancer
C) A patient with prostate cancer
D) A patient with colon cancer
Q2) A college student visits the student health center.The student has become a vegan.The nurse assesses that the student is deficient in protein intake.Which food should the nurse suggest as a source of protein?
A) Plant-based protein
B) Poultry-based protein
C) Egg-based protein
D) Milk-based protein
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Chapter 34: Urinary Elimination
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Sample Questions
Q1) The nurse is assessing a 76-year-old man in a nursing home with a diagnosis of UTI.The nurse notes that the patient is complaining of right flank pain.To assess for tenderness,the nurse should gently do which of the following?
A) Auscultate the costovertebral angle.
B) Palpate the tenth intercostal space.
C) Percuss the costovertebral angle.
D) Palpate the area above the ischial spine.
Q2) A 20-year-old female college student who suffers from frequent UTIs visits the student health clinic.The student asks how to decrease the frequency of UTIs.What is the nurse's most appropriate response?
A) "Drink at least 6 to 8 glasses of water daily."
B) "Increase your fluid intake by drinking caffeinated beverages."
C) "Cleanse the perineal area from anus to urethral meatus."
D) "Take an over-the-counter urinary tract cleanser."
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Chapter 35: Bowel Elimination
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Sample Questions
Q1) The nurse observes a continual oozing of stool from the rectum of a patient who has been immobilized following surgery.The nurse recognizes that this condition most likely a result of which of the following?
A) Diarrhea
B) Flatulence
C) Fecal impaction
D) The Valsalva maneuver
Q2) A student nurse is caring for a patient who has dehydration as a result of diarrhea.Diarrhea is a result of abnormally fast peristalsis in what organ?
A) Jejunum
B) Stomach
C) Duodenum
D) Colon
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Chapter 36: Immobility
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Sample Questions
Q1) An elderly nursing home resident fell 2 weeks ago and has been on bed rest.The patient has become increasingly fatigued during activities of daily living (ADLs).The family is concerned about the patient's declining condition.The best explanation that the nurse can give the family is that the patient's fatigue is caused by which of the following?
A) Decreased muscle endurance caused by immobility
B) Advanced age
C) Increased metabolism
D) Urinary stasis
Q2) A young adult patient was involved in a motorcycle accident.The patient was in the intensive care unit of the hospital for 2 months with immobility and was just discharged to a rehabilitation hospital.The patient asks the nurse,"Why am I so weak?" What is the best response from the nurse?
A) "When you are in bed for a long time, your body begins to break down its own protein."
B) "When you don't use it, you lose it."
C) "You haven't eaten much for the past couple of months."
D) "Your body has spent energy trying to heal itself by increasing the metabolic rate."
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Chapter 37: Skin Integrity and Wound Care
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Sample Questions
Q1) A surgical wound requires a hydrogel dressing.What is the primary advantage of a hydrogel dressing?
A) It provides an absorbent to collect wound drainage.
B) It provides a negative pressure to promote healing.
C) It provides protection from the external environment.
D) It provides moisture needed for wound healing.
Q2) Which patient is best suited for heat therapy?
A) A patient with low back pain
B) A patient with suspected appendicitis
C) A patient with first-degree burn
D) A patient with active bleeding
Q3) A patient is admitted to the hospital with a pressure ulcer on the sacrum.The wound is open with exposed bone.The nurse should document this pressure ulcer at what stage?
A) Stage I
B) Stage II
C) Stage III
D) Stage IV
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Chapter 38: Sensory Alterations
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Sample Questions
Q1) A nursing student is assisting with ambulation of a blind patient.The patient has hemiplegia of the right side.The best position for the student nurse to assume when ambulating is by standing on the patient's _____ side and walking a half step _____ the patient.
A) left; ahead
B) right; ahead
C) left; behind
D) right; behind
Q2) A home care nurse is conducting a home assessment.The nurse is looking for the presence of sensory alterations.Factors to assess include if any changes have occurred in which of the following? (Select all that apply.)
A) Activities of ADLs
B) Health promotion
C) Has person had visitors
D) Is person wearing hearing aids and glasses
E) Ability to follow a conversation
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Chapter 39: Surgical Patient
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Sample Questions
Q1) A 45-year-old woman has been admitted for surgery to remove a cancerous abdominal tumor.She has been on chemotherapy and recently radiotherapy to shrink the tumor without success.To best facilitate wound healing,when is the best time for her to undergo surgery?
A) During the radiotherapy treatments
B) Immediately after the radiotherapy treatments
C) 2 to 3 weeks after radiotherapy treatments
D) 4 to 6 weeks after radiotherapy treatments
Q2) All patients undergoing surgery need to have preoperative preparation.When physically preparing the patient,the most appropriate action for the nurse to take is which of the following?
A) Leaving all of the patient's jewelry in place
B) Removing the patient's makeup and nail polish
C) Providing the patient with sips of water for a dry mouth
D) Removing the patient's hearing aid before transport to the operating room
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