Principles of Nursing Question Bank - 1234 Verified Questions

Page 1


Principles of Nursing Question Bank

Course Introduction

Principles of Nursing introduces students to the foundational concepts, values, and skills that underpin the nursing profession. The course examines the historical evolution of nursing, ethical and legal considerations, critical thinking in clinical decision-making, and holistic approaches to patient care. Students learn about patient safety, communication strategies, health promotion, and the importance of evidence-based practice. Through both theoretical study and practical activities, the course prepares students to deliver compassionate, competent, and collaborative care while adhering to professional standards and fostering a culture of continuous improvement in healthcare environments.

Recommended Textbook

Kozier and Erbs Fundamentals of Nursing 10th Edition by Berman

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42 Chapters

1234 Verified Questions

1234 Flashcards

Source URL: https://quizplus.com/study-set/3913

Page 2

Chapter 11: Assessing

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/77919

Sample Questions

Q1) While conducting a dressing change,the nurse notes a new area of skin breakdown that was caused from the tape used to secure the dressing.In which phase of the nursing process is the nurse working?

A)Assessment

B)Diagnosis

C)Implementation

D)Evaluation

Q2) During an assessment interview,the client states that an elective surgical procedure will not be done because it does not fit into the client's life goals.Into which of Gordon's functional health patterns should the nurse identify this client's comment?

A)Cognitive/perceptual pattern

B)Coping/stress-tolerance pattern

C)Health-perception/health-management pattern

D)Value/belief pattern

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Chapter 12: Diagnosing

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/77918

Sample Questions

Q1) After communicating with the client and family,the nurse compares a client's problem list with identified nursing diagnoses.What action is the nurse performing to minimize diagnostic errors?

A)Understanding what is normal vs.what is not normal

B)Verifying

C)Consulting resources

D)Basing diagnoses on patterns

Q2) A client is diagnosed with pneumonia and has been hospitalized for several days.Which nursing diagnosis should the nurse identify as a priority for this client?

A)Altered oral mucous membranes,related to dry mouth

B)Activity intolerance,related to oxygen supply imbalance

C)Knowledge deficit,related to medication regimen

D)Ineffective airway clearance,related to increased secretions

Q3) The nurse is preparing to write nursing diagnoses for a client.What should the nurse recall about the NANDA label?

A)Must contain three components

B)Describes the health problem for which nursing therapy is given

C)Helps define medical diagnoses for nursing

D)Promotes a taxonomy of nursing

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Page 4

Chapter 13: Planning

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) A hospital is implementing the use of the NIC (Nursing Interventions Classification)taxonomy.What purpose will the implementation of this taxonomy serve?

A)Help the nurse with documentation of the care plan

B)Require that the nurse use sound judgment and knowledge of the client

C)Match nursing diagnoses to exact interventions

D)Help the nurse choose activities that are individualized to the client

Q2) The nurse is devising a care plan for a client with complex health issues and current acute health problems.Which criteria should the nurse ensure is used when planning interventions for this client?

Standard Text: Select all that apply.

A)Congruent with the client's values,beliefs,and culture

B)Are within established standards of care

C)Based on scientific and medical knowledge

D)Achievable with the resources available

E)Must be safe and appropriate for the client's age

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5

Chapter 14: Implementing and Evaluating

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) The nurse is caring for a new mother and infant.Which action should the nurse take that allows the new parents to feel in control when being taught how to bathe their infant?

A)Telling the parents everything the nurse is doing and why

B)Letting the parents watch a video after the bath

C)Letting the parents bathe the baby with direction and guidance from the nurse

D)Giving lots of advice and suggestions about different methods

Q2) The home health nurse uses creativity and critical thinking to devise a way for a client to receive intravenous medication while sitting outside on the porch.Which skill did the nurse use for this situation?

A)Technical

B)Interpersonal

C)Creativity

D)Cognitive

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6

Chapter 15: Documenting and Reporting

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A client has specific cultural needs that affect the plan of care.In which part of the client's problem-oriented medical record should the nurse document this information?

A)Database

B)Problem list

C)Plan of care

D)Progress notes

Q2) When attempting to locate recent lab results,the new nurse employee notices that each department has a separate section in the client's chart.Which type of documentation system is the nurse using?

A)Source-oriented record

B)Problem-oriented record

C)Case management

D)Focus charting

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Chapter 16: Health Promotion

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) The nurse is providing care within the total care context.What should the nurse consider when using this care approach?

A)The individualism of the client

B)Principles applicable to the client at this moment

C)Principles general to all clients of the same age and condition

D)The person's self-identity

Q2) The nurse is structuring activities that take a client's developmental stage into consideration.Which activities should the nurse include?

Standard Text: Select all that apply.

A)Implementing seizure precautions

B)Creating a schedule for daily wound care

C)Monitoring intake,output,and daily weights

D)Preparing newborn care classes for new parents

E)Scheduling instruction sessions on self-administration of insulin

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Chapter 17: Health, Wellness, and Illness

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13 Verified Questions

13 Flashcards

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Sample Questions

Q1) A nurse has volunteered to go on a health mission to rural Haiti,where the majority of the people do not have access to health care and live in poverty.According to Dunn's high-level wellness grid,the nurse will be working with clients in which quadrant?

A)Emergent high-level wellness in an unfavorable environment

B)Protected poor health in a favorable environment

C)Poor health in an unfavorable environment

D)Protected poor health in an unfavorable environment

Q2) An occupational health nurse is surveying employees.Which employee should the nurse identify as being predisposed to an illness?

A)An employee who is in a middle-management position and takes stress from administration as well as the employees

B)An employee who works in the janitorial department

C)An employee who works 12-hour days,3 days a week

D)An employee who works 4 days on and 3 days off

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Chapter 18: Culture and Heritage

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) A nurse educator uses Madeleine Leininger's model and describes a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs,values,and patterned lifeways of cultures to provide culturally congruent,meaningful,and beneficial health care to people.What type of nursing is the educator practicing?

A)Transcultural nursing

B)Cultural competence

C)Cultural knowledge

D)Competent nursing

Q2) A female client is being discharged after a lengthy hospitalization.The family is from a male-dominated culture.Before discharge instructions are given,which action should the nurse take?

A)Make sure instructions are understood by the client.

B)Arrange for teaching when the spouse is available.

C)Make sure that the physician gives the instructions.

D)Ask the client when the best time for teaching would be.

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Chapter 19: Complementary and Alternative Healing

Modalities

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) A client with degenerative joint disease comes to the clinic and states that he has been reading a lot about essential oils that are helpful for "stomach problems." The nurse should offer the client information about the use of which oil?

A)Chamomile

B)Eucalyptus

C)Lavender

D)Tea tree

Q2) A client tells the nurse about an appointment to see an Ayurveda health care practitioner for a specific chronic health problem.What should the nurse instruct the client to expect when visiting this practitioner?

Standard Text: Select all that apply.

A)A diet

B)Sitting in a sweat lodge

C)An exercise program

D)Acupuncture treatment

E)A list of herbal preparations

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Chapter 20: Concepts of Growth and Development

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27 Verified Questions

27 Flashcards

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Sample Questions

Q1) A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor his asthma.The child has been frustrated at first,but now is able to give the reason to use the meter on a daily basis.Remembering the growth and development characteristics of the adolescent,how should the nurse respond to this client?

A)"You should feel very proud for understanding and using your meter."

B)"Think of using the meter as one of your daily chores."

C)"Maybe you could make a game out of the daily use of your meter."

D)"It's too bad if you don't want to use the meter,it's just something you'll have to do."

Q2) A client with an acute,serious illness has been hospitalized.Upon entering the room,the nurse observes the client praying.The client states to the nurse: "I don't know how people manage to get through difficult times without their faith.It's where I get my strength." With which theorist should the nurse associate this client's belief?

A)Fowler

B)Westerhoff

C)Gilligan

D)Kohlberg

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Chapter 21: Promoting Health From Conception Through

Adolescence

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/77909

Sample Questions

Q1) The parents of a toddler are concerned that their child is so messy during eating,so they feed him instead of allowing him to feed himself.What should the nurse respond to the parents?

A)"That's probably best.I'm sure it makes your mealtime more pleasant."

B)"At least you're sharing meals as a family.That's the most important."

C)"Motor skills keep improving with age.Try not to get frustrated with the mess."

D)"Your child will never learn if you don't let him experience."

Q2) Parents of a newborn ask the nurse why their newborn's head seems lopsided and not round,as they thought it should be.How should the nurse respond to these parents?

A)"I don't think it looks unusual;actually the head is beautifully shaped."

B)"Your baby's head had to shape itself to the birth canal.It will look round in a few days."

C)"You're right.We'll make sure your doctor checks this out."

D)"Babies' heads always look funny.Once his hair grows out,you'll hardly notice it."

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Chapter 22: Promoting Health in Young and Middle-Aged Adults

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/77908

Sample Questions

Q1) A nurse is presenting an educational session regarding psychosocial development to a group of middle-aged adults.According to Erikson's theory,what activity should the nurse select to best meet the needs of this stage?

A)Providing opportunities to mentor school-age children

B)Giving the group handouts regarding peer socialization

C)Helping the members of this group find appropriate civic responsibility

D)Assisting the group members to look at their life accomplishments

Q2) The nurse is working with young adults in the community.What should the nurse realize as being the psychosocial developmental tasks of this population?

Standard Text: Select all that apply.

A)Selecting a mate

B)Rearing children

C)Achieving civic responsibility

D)Finding a congenial social group

E)Developing adult leisure-time activities

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Chapter 23: Promoting Health in Elders

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) In planning any health program for elderly adults,the nurse will implement Erikson's theory of task development.The nurse realizes that in this stage of life,the successful completion of the task allows the person to

A)have a feeling of satisfaction from past accomplishments.

B)make connections with the younger generation.

C)wish he or she could live life over again.

D)live out his or her last years in physical health.

Q2) The nurse is planning care for an older adult client.On what should the nurse focus if following the Functional Consequences Theory on aging?

Standard Text: Select all that apply.

A)Promote safety.

B)Promote mental health.

C)Improve quality of life.

D)Promote spiritual health.

E)Promote growth and development.

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15

Chapter 24: Promoting Family Health

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) During a family assessment,the nurse asks "How,as a family,do you deal with disappointments or stressful changes that occur and affect the members of your family?" What is the nurse attempting to identify?

A)Family coping mechanisms

B)Whether the family experiences stress

C)Which family members are most stressed

D)Family dynamics

Q2) During a family assessment,the nurse determines that a family functions according to the systems theory.What did the nurse assess to make this clinical decision?

Standard Text: Select all that apply.

A)Family members work together towards goals.

B)Family members seek out and use community resources.

C)Family members interact with other community systems.

D)Healthy boundaries are used to regulate influence by other systems.

E)Family members are encouraged to hold fast to beliefs and practices.

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16

Chapter 25: Caring

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) A nurse has been asked to be a member of a hospital's internal review board and evaluate research studies.Which characteristic does this nurse most likely possess?

A)Sound empirical knowledge

B)Sound personal knowledge

C)Sound aesthetic knowledge

D)Sound ethical knowledge

Q2) A nurse manager has been dealing with staffing problems and high patient acuity on the unit.The director of nursing unit has been sensitive to other issues in the past,so the nurse manager decides to approach her with these new concerns.Which aspect of caring is the nurse manager demonstrating?

A)Knowing

B)Trust

C)Humility

D)Courage

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17

Chapter 26: Communicating

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) The nurse is identifying communication strategies for a client unable to speak.What would be appropriate for the client in this situation?

A)Using a picture board to facilitate communication

B)Facing the client when speaking

C)Employing an interpreter

D)Making sure that the language spoken is the client's dominant language

Q2) The graduate nurse is thinking about leaving a new job because of actions demonstrated by the nurse manager.Which actions should the graduate nurse identify as bullying?

Standard Text: Select all that apply.

A)Pairing the graduate with a seasoned nurse to assist with learning new skills

B)Asking the graduate to participate in client rounds with the new interns on the care area

C)Confronting the graduate by stating that refusing an assignment is grounds for dismissal

D)Stating that requests for vacation time will be denied because the nurse asks too many questions

E)Assigning the graduate nurse a complicated client with needs that the graduate is not comfortable performing

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Page 18

Chapter 27: Teaching

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/77903

Sample Questions

Q1) The nurse is creating a teaching plan for a client recovering from total hip replacement surgery.What should the nurse include in this client's plan?

Standard Text: Select all that apply.

A)The content to be included

B)The outcome for the teaching

C)The approaches used to teach the content

D)The evaluation of the effectiveness of teaching

E)The amount of time needed to cover the content

Q2) A school nurse is planning a program for adolescents about positive lifestyle choices.The nurse should keep in mind that content presented to this age group must be Standard Text: Select all that apply.

A)based on learning outcomes.

B)current.

C)adjusted to the adolescent client.

D)based on sources available within the school system.

E)accurate.

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Chapter 28: Delegating, Managing, and Leading

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/77902

Sample Questions

Q1) The nurse is determining whether an activity can be delegated to a UAP.What will the nurse use to make this determination?

Standard Text: Select all that apply.

A)Determine whether it is the right task.

B)Determine whether it is under the right circumstances.

C)Determine whether it is to the right person.

D)Determine the type of communication.

E)Determine whether there is enough time.

Q2) A nurse is identified as being an effective leader.With this designation,the nurse will most likely demonstrate which characteristics?

Standard Text: Select all that apply.

A)Self-aware

B)Focus on people

C)Excellent communicator

D)Mentor to others

E)Focus on systems

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Chapter 29: Vital Signs

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/77901

Sample Questions

Q1) Even though a UAP is available to assist with vital sign assessment,the nurse is going to conduct these assessments independently in which situations?

Standard Text: Select all that apply.

A)Client who complains of chest pain

B)Client returning from surgery

C)Prior to administering a medication that affects blood pressure

D)Client who complains of dizziness after ambulating.

E)Client being admitted to the care area

Q2) The nurse is assessing a client's blood pressure.What should the nurse hear during phase 2 of Korotkoff's sounds?

A)A muffled,whooshing,or swishing sound

B)Disappearance of sound

C)Faint,clear tapping sound

D)Increased intensity of sound

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21

Chapter 30: Health Assessment

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) While performing a health assessment,in which position should the nurse place the client for inspection of the jugular veins?

A)90-degree angle

B)30- to 45-degree angle

C)15-degree angle

D)60-degree angle

Q2) The nurse is preparing to administer a cardiotonic drug to a client.Which assessment should the nurse perform before administering the medication?

A)Respiratory rate

B)Apical pulse

C)Popliteal pulse

D)Capillary blanch test

Q3) The nurse is assessing the peripheral vascular status of an older client.Which finding should the nurse consider as being normal for this client?

A)Easy to palpate upper extremity arteries

B)Easy to palpate lower extremity arteries

C)Reduction in the number of varicosities

D)Increase in diastolic blood pressure

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Chapter 31: Asepsis

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30 Verified Questions

30 Flashcards

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Sample Questions

Q1) An older client with gallbladder disease has had a cholecystectomy.Which factor should the nurse realize would influence the development of an infection in this client?

A)Active bowel sounds

B)Dry intact skin

C)Intact mucous membranes

D)Susceptibility of the client

Q2) The nurse is caring for a client with hepatitis A.Which technique should the nurse use to promote proper hand-washing technique with this client?

A)Allow the water to splatter forcibly when it is turned on.

B)Clean the faucet after use.

C)Hold the hands upward under the faucet.

D)Use approximately a teaspoon of soap.

Q3) The nurse is preparing a presentation on standard precautions.Which statement should the nurse include in the presentation?

A)Cut the needle off a syringe after using it to give a client an injection.

B)Dispose of blood-contaminated materials in a biohazard container.

C)Gloves should not be worn for client care unless body fluids are seen.

D)Wear a mask when in direct contact with all clients.

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Chapter 32: Safety

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/77898

Sample Questions

Q1) The nurse is attending a seminar on bioterrorism.What should the nurse identify as being the highest concern for homeland security?

A)Cancer

B)Seasonal flu

C)Tuberculosis

D)Smallpox

Q2) During a home visit,the nurse determines that a toddler is at risk for injury.What did the nurse assess to identify this client's risk?

Standard Text: Select all that apply.

A)Unscreened windows

B)Electrical outlets uncovered

C)Yard with a built-in pool unfenced

D)Cleaning solution in the bottom cabinet

E)Pots on stove with handles turned inward

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Chapter 33: Hygiene

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34 Verified Questions

34 Flashcards

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Sample Questions

Q1) The nurse has delegated the making of unoccupied beds to unlicensed assistive personnel.What should the nurse assess regarding client safety once the beds are completed?

A)Folding of the top sheet

B)Direction of the pillow

C)Call light being readily available

D)Presence of mitered corners

Q2) The nurse has completed foot care for a client as part of routine morning care.What should the nurse document about the procedure?

A)The condition of the skin and nails

B)Nothing unless a problem is noted

C)The amount of time taken on foot care

D)The client's comments about the foot care

Q3) The nurse is preparing to provide hygienic care to a client.On what will the nurse focus this care?

A)Clothes

B)Family

C)Hair

D)Nutritional

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Page 25

Chapter 34: Diagnostic Testing

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30 Verified Questions

30 Flashcards

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Sample Questions

Q1) The nurse is preparing to collect a throat culture from a client.What client response indicates to the nurse that teaching about this test has not been effective?

A)"I need to hyperextend my neck."

B)"I need to say 'ah.'"

C)"I will need to sit up."

D)"The nurse will use a light."

Q2) The nurse is assisting a client with a diagnostic test.Which role should the nurse expect to perform in the intratest phase?

A)Assess the data.

B)Collect the specimen.

C)Observe the client.

D)Prepare the client.

Q3) A client asks the nurse,"Why do I have to monitor my blood glucose levels?" What is an appropriate response from the nurse?

A)"Because your doctor ordered it."

B)"If I were you,I would monitor the blood glucose when I didn't feel good."

C)"Monitoring your blood glucose better enables you to manage your diabetes."

D)"You can eat anything you want."

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26

Chapter 35: Medications

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46 Verified Questions

46 Flashcards

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Sample Questions

Q1) A client diagnosed with diabetes asks the nurse about reusing insulin syringes.Assessment reveals that the client has poor personal hygiene and difficulty with fine motor skills.The nurse also knows the client has financial difficulties.What instruction should the nurse give this client?

A)"The American Diabetes Association advises that syringes are for single use only."

B)"In order to save money,I advise you to reuse syringes up to three times or until the needle feels dull."

C)"Only people who practice good personal hygiene can reuse syringes."

D)"All clients are different,but I advise you to use a new syringe for each injection."

Q2) A client is prescribed a new medication.The pharmacy notifies the nurse that the dosage is outside of route prescribing limits.The nurse is unable to reach the prescribing physician about the order.What should the nurse do?

A)Give the medication to the client as prescribed.

B)Withhold the medication.

C)Give one-half of the medication dose prescribed.

D)Administer the medication through the oral route.

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27

Chapter 36: Skin Integrity and Wound Care

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/77894

Sample Questions

Q1) The UAP reports a small skin tear on the client's forearm that occurred during a routine turn.After assessing the wound the nurse should take which action?

A)Obtain a transparent dressing for the UAP to place on the wound.

B)Request a consult with the wound care nurse.

C)Cleanse the wound and apply a dressing.

D)Tell the UAP to reevaluate the wound in 20 minutes.

Q2) The nurse is assessing a client's pressure ulcer.To determine the depth of the ulcer,the nurse should take which action?

A)Measure the width.

B)Measure the length.

C)Insert a sterile swab into the deepest part of the wound.

D)Identify where on the face of a clock the ulcer is located.

Q3) A client has had Braden scores of 18 and 19 and Norton scores of 15 and 17 over the last 2 months.What does the nurse determine as the significance of the trending of these scores?

A)Trending can only be accurate if the same scale is used.

B)There is a definite trend of low risk for pressure ulcer development.

C)Trending would be more accurate if the same scale was used.

D)The scores indicate opposite risks for pressure ulcer development.

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Page 28

Chapter 37: Perioperative Nursing

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/77893

Sample Questions

Q1) During the assessment of a client recovering from surgery,the nurse notes decreased breath sounds in both lower lobes bilaterally.What should the nurse do?

A)Coach the client to deep-breathe and cough.

B)Restrict fluids.

C)Remind the client to perform leg exercises.

D)Maintain on bed rest.

Q2) The nurse has identified the goals of maintaining client safety and homeostasis during the intraoperative phase of client care.What nursing activities would support these goals?

Standard Text: Select all that apply.

A)Maintain the sterile field.

B)Perform instrument counts.

C)Instruct in postoperative exercises.

D)Position the client appropriately for surgery.

E)Perform preoperative skin preparation.

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29

Chapter 38: Sensory Perception

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/77892

Sample Questions

Q1) The nurse is concerned that a client is not aware of being in the hospital.For what aspects of the sensory process should the nurse assess the client?

Standard Text: Select all that apply.

A)Speech

B)Stimuli

C)Receptor

D)Perception

E)Impulse conduction

Q2) The odor from a hospitalized client's draining wound permeates the room and is very overwhelming and distracting to the client and the staff.What intervention would be most helpful?

A)Spray the room routinely with a floral room spray.

B)Instill a vinegar solution into the wound.

C)Keep the wound dressing dry and clean.

D)Burn a candle in the room.

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30

Chapter 39: Self-Concept

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/77891

Sample Questions

Q1) The staff development instructor planning self-concept development classes for staff nurses is going to include information to improve the nurses' self-concept along with information to use with clients.Why is the information for nurses important?

A)The nurse's self-concept is more important than the client's.

B)Poor self-concept is the number-one reason for nursing burnout.

C)Nurses with positive self-concept are better able to help clients.

D)Nurses with poor self-concept are more likely to make errors.

Q2) The nurse suspects that a client is having difficulty with specific self-esteem.Which client statements caused the nurse to have this concern?

Standard Text: Select all that apply.

A)"I hate my hair."

B)"Life is wonderful!"

C)"My hips are too big."

D)"I wish I had that nose job 2 years ago."

E)"It is awesome that I got that promotion at work."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 40: Sexuality

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37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/77890

Sample Questions

Q1) Which statement made by a postmenopausal client should the nurse evaluate as indicating the need for further assessment?

A)"For some reason,I have more sexual desire than ever."

B)"I use water-soluble lubricant to treat my vaginal dryness."

C)"I am so glad that I don't need to worry about sex anymore."

D)"Sex certainly takes longer than it used to,but I'm getting used to that."

Q2) The nurse is teaching a class on body development to a group of middle school girls.One of the girls asks about using tampons for sanitary protection during menstruation.What advice should the nurse include?

A)Tampons should not be used until the menstrual cycle is well established,usually 2 to 3 years after the first period occurs.

B)Superabsorbent tampons should be used at night to protect from overflow accidents.

C)Tampons should be alternated with sanitary pads to help decrease risk for infection.

D)Tampons should be changed at least every 8 hours.

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Chapter 41: Spirituality

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/77889

Sample Questions

Q1) The client states,"I don't know what all this fuss is about religion.God died years ago." The nurse does believe in God and has a strong inclination to share reasons for that belief with the client.What is the best for the nurse to consider before responding to the client's remark?

A)"Will I get into trouble if I say anything?"

B)"How much longer will I be caring for this client?"

C)"Am I meeting my needs or the client's?"

D)"How can I best make this client understand?"

Q2) During assessment,the client says that it has been "a long time" since she has thought very much about religion.The nurse caring for this client has a strong belief in God and the healing power of prayer.What action should be taken by the nurse?

A)Mention the nurse's belief and offer to pray with the client for forgiveness.

B)Tell the client that the nurse will pray for her often.

C)Ask the client if there are any spiritual needs with which the staff can assist.

D)Refer the client for spiritual counseling.

To view all questions and flashcards with answers, click on the resource link above.

33

Chapter 42: Stress and Coping

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/77888

Sample Questions

Q1) A client is informed of the need for surgery to correct a potentially life-threatening health problem.Afterward,the nurse determines that the client is experiencing physiological indicators of stress.What did the nurse assess to make this determination?

Standard Text: Select all that apply.

A)Dilated pupils

B)Diaphoretic

C)Tachycardia

D)Flaccid muscle tone

E)Excessive oral secretions

Q2) The new nurse feels overwhelmed by the demands of working on a busy acute care unit and maintaining a growing family.What strategy should this nurse employ to lessen this stress?

A)Spend the lunch hour completing documentation while eating a sandwich.

B)Set the alarm earlier in order to get to work early.

C)Focus on work instead of on family until more familiar with the environment.

D)Differentiate between "have to do" and "nice to do" at work.

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Chapter 43: Loss, Grieving, and Death

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/77887

Sample Questions

Q1) The client has a documented advance health care directive that indicates that no resuscitative measures should be employed in the event of a respiratory or cardiac arrest.The client begins to exhibit severe dyspnea and air hunger and says,"Please do something,I can't breathe." What action should be taken by the nurse?

A)Offer the client comfort measures until death occurs.

B)Call the client's physician for direction.

C)Initiate resuscitative measures.

D)Check the medical record to ascertain the terms of the directive.

Q2) The nurse critically evaluates various models of grief used for terminally ill clients and their families.What should the nurse recognize when applying these models to individual cases?

A)The Kübler-Ross model is primarily used to describe anticipatory grief.

B)No clear timetables exist,nor are there clear-cut stages of grief.

C)The models serve as clear and definitive predictors of grief behaviors.

D)There is strong research proving that these models are not useful for many dying clients.

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35

Chapter 44: Rest

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/77886

Sample Questions

Q1) The nurse is assisting a newly delivered mother in ambulating to the nursery to see the baby.The client complains of light-headedness and begins to faint.What is the nurse's most important action?

A)Ensure the client's modesty as she falls.

B)Be certain the client does not hit the head on anything.

C)Call for immediate assistance.

D)Check the vital signs and for excessive vaginal bleeding.

Q2) The newly admitted client has contractures of both lower extremities.What nursing intervention should be included in this client's plan of care?

A)Frequent position changes to reverse the contractures

B)Exercises to strengthen flexor muscles

C)Range-of-motion exercises to prevent worsening of contractures

D)Weight-bearing activities to stimulate joint relaxation

Q3) The client who is bed-bound complains of abdominal pain.Bowel sounds are present.What action should be taken by the nurse?

A)Percuss for flatness over the liver.

B)Palpate for bladder fullness.

C)Use the p.r.n.order to medicate the client with an antacid.

D)Inspect the sacral area for edema.

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Page 36

Chapter 45: Activity and Exercise

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/77885

Sample Questions

Q1) The nurse suspects that an adult is not getting an adequate amount of nightly sleep.What information caused the nurse to have this suspicion?

Standard Text: Select all that apply.

A)Enrolled in online classes

B)Raising two children ages 4 and 8

C)Experiences chronic pain from sciatica

D)Attends religious services every Sunday and Wednesday

E)Works one job steady night turn and another part-time late afternoon

Q2) The hospitalized client requests a bedtime snack.Which food should the nurse offer this client?

A)Hot chocolate

B)Tea and crackers

C)Cereal with milk

D)Chips and salsa

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Chapter 46: Pain Management

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/77884

Sample Questions

Q1) A client with a long leg cast is complaining of knee discomfort.Which nonpharmacologic intervention can the nurse use to help this client?

A)Apply ice to the knee over the cast.

B)Rub the knee of the non-casted leg.

C)Apply heat to the knee over the cast.

D)Rub the foot of the casted extremity.

Q2) A client tells the nurse that an ice pack works well to reduce the intensity of back pain.The nurse realizes that the client is implementing

A)a placebo.

B)distraction.

C)guided imagery.

D)the gate control theory of pain.

Q3) A client experiencing pain has been prescribed aspirin.The nurse realizes that this medication will affect which pain process?

A)Transduction

B)Transmission

C)Perception

D)Modulation

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38

Chapter 47: Nutrition

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/77883

Sample Questions

Q1) The nurse is planning instruction for a client who is underweight.What should be included in this teaching?

Standard Text: Select all that apply.

A)Discuss factors contributing to inadequate nutrition and weight loss.

B)Discuss ways to manage,minimize,or alter the factors contributing to malnourishment.

C)Discuss principles of a well-balanced diet and high- and low-calorie foods.

D)Provide information about community agencies that can assist in providing food.

E)Provide information about ways to increase calorie intake.

Q2) The nurse completes triceps skinfold measurement on a client.In order to obtain the most meaningful data,how soon should the nurse repeat this measurement?

A)2 days

B)10 days to 2 weeks

C)1 month

D)1 year

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Chapter 48: Urinary Elimination

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/77882

Sample Questions

Q1) The nurse is identifying outcomes for a client with the nursing diagnosis Stress Urinary Incontinence.Which outcome would be related to sphincter incompetence?

A)The client will empty her bladder every time she voids.

B)The client will improve her incontinence within 1 month.

C)The client will perform four to five squeezes for 5 to 10 seconds.

D)The client will stop the flow of urine when voiding.

Q2) The nurse realizes that which client is at risk for difficulty in urinary elimination?

A)A client who had bladder cancer and now has a newly created ileal conduit

B)A 25-year-old female client with low self-esteem

C)An 80-year-old male reporting frequent urination at night

D)The client with hypertension who takes a diuretic every day for blood pressure

Q3) The nurse is determining tasks to delegate to unlicensed assistive personnel (UAP).Which task should the nurse before delegating to this level of health care provider?

A)Measuring intake and output

B)Assessing vital signs for clients who are clinically stable

C)Performing complete morning care for a client recovering from a stroke

D)Inserting a urinary catheter into a client

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Chapter 49: Fecal Elimination

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/77881

Sample Questions

Q1) A client with an upper gastrointestinal disorder is experiencing seeping of liquid stool,anorexia,abdominal distention,nausea,and vomiting.The nurse suspects the client is experiencing

A)constipation.

B)diarrhea.

C)trapped flatus.

D)fecal impaction.

Q2) The nurse determines that an adult client's feces are normal.What did the nurse assess to come to this conclusion?

A)Black in color

B)Cylindrical in shape

C)Pungent in odor

D)Yellow in color

Q3) The home care nurse is reviewing a list of clients prior to making visits.For which client should the nurse plan interventions to decrease the risk of developing constipation?

A)An adult who is on bed rest

B)An infant who is breast-fed

C)A school-age child at recess

D)A toddler who is now walking

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Chapter 50: Oxygenation

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/77880

Sample Questions

Q1) The nurse is planning care for a client with an oral endotracheal tube.Which interventions should be included in this client's plan of care?

Standard Text: Select all that apply.

A)Insert an oropharyngeal airway.

B)Provide nasal care every 2 to 4 hours.

C)Provide oral hygiene every 2 to 4 hours.

D)Adjust non-humidified airflow as prescribed.

E)Move the tube to opposite sides of the mouth every 8 hours.

Q2) The nurse is determining a client's ability to transport oxygen from the lungs to body tissues.What factors will influence this ability?

Standard Text: Select all that apply.

A)Cardiac output

B)Exercise

C)Diet

D)Erythrocyte count

E)Hematocrit

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Chapter 51: Circulation

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/77879

Sample Questions

Q1) The post-myocardial infarction client asks the nurse about return to exercise.What information should the nurse give this client?

A)It is better to exercise when it is cold.

B)Environmental temperatures have little impact on cardiac function.

C)Avoid exercise when the weather is hot or cold.

D)Hot temperatures increase peripheral blood vessel contraction.

Q2) A client is on strict bed rest following hip surgery.What nursing intervention would support vascular health?

A)Place pillows under the unaffected knee for support.

B)Position the bed to flex the knees at least 20 degrees.

C)Have the client alternately flex and extend the feet several times a day.

D)Keep the client in a prone position for at least 20 minutes twice a day.

Q3) A client has a long history of hypertension and has developed heart failure.The nurse should anticipate giving medications for which purpose?

A)To increase preload

B)To decrease afterload

C)To decrease contractility

D)To decrease cardiac output

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43

Chapter 52: Fluid, Electrolyte, and Acid-Base Balance

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/77878

Sample Questions

Q1) A client sustained a significant loss of blood after a motor vehicle accident.The nurse notes that the client's urine output has decreased and suspects that which hormones have influenced this client's fluid balance?

Standard Text: Select all that apply.

A)Aldosterone

B)Angiotensin

C)Antidiuretic hormone

D)Estrogen

E)Progesterone

Q2) The client complains of burning along the vein in which a medicated IV is infusing.Upon assessment,the nurse finds the IV site is slightly reddened,but not warmer than the surrounding skin,and without swelling.What action should be taken by the nurse?

A)Slow the IV infusion and reassess the area in 15 minutes.

B)Apply ice over the IV site and vein.

C)Discontinue the IV and place a warm pack on the area.

D)Call the physician for direction.

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