Professional Nursing Practice
Review Questions
Course Introduction
Professional Nursing Practice explores the foundational concepts, roles, and responsibilities of nurses within the healthcare system. The course emphasizes evidence-based practice, ethical and legal considerations, communication, and interdisciplinary collaboration. Students learn to apply critical thinking, cultural sensitivity, and leadership skills while delivering patient-centered care across diverse populations. The course also covers professional standards, advocacy, and the importance of lifelong learning in maintaining competence and promoting excellence in nursing practice.
Recommended Textbook
Fundamentals of Nursing 1st Edition by
Barbara Yoost
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42 Chapters
1050 Verified Questions
1050 Flashcards
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Chapter 1: Nursing, Theory, and Professional Practice
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Sample Questions
Q1) The nurse manager is interviewing graduate nurses to fill existing staffing vacancies.When hiring graduate nurses,the nurse manager realizes that they will probably not be considered "competent" until:
A) They graduate and pass NCLEX.
B) They have worked 2 to 3 years.
C) Their last year of nursing school.
D) They are actually hired.
Answer: B
Q2) The nurse is caring for a patient admitted for the removal of an infected appendix.Which actions by the nurse would indicate an understanding of the 2012 hospital safety goals? (Select all that apply. )
A) Places an identification band on the right arm
B) Marks the surgical site with a black-felt pen
C) Checks medications three times before administration.
D) Washes hands between patients and/or when soiled.
E) Removes allergy bands prior to transfer to surgery.
Answer: A,B,C,D
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3
Chapter 2: Values,Beliefs,and Caring
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Sample Questions
Q1) A vital aspect of providing effective and appropriate nursing care is being able to actively listen to a patient.This requires the nurse to:
A) pay attention as if in a social conversation with the patient.
B) practice and develop this skill over many years.
C) focus on what the patient is saying.
D) passively listen with the ears.
Answer: B
Q2) Caring,according to the American Nurses Association (ANA)Code of Ethics (2001),is having concern or regard for that which affects the welfare of another.As a profession,nursing can trace its earliest beginnings to the types of nurturing activities that demonstrate care,such as: (Select all that apply. )
A) active listening.
B) advocating for the vulnerable.
C) valuing all individuals.
D) separating healing from spirit.
E) attempting to relieve pain.
Answer: A,B,C,E
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Chapter 3: Communication
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Sample Questions
Q1) A helping relationship develops through ongoing,purposeful interaction between a nurse and a patient.Nurse-patient relationships focus on: (Select all that apply. )
A) building trust.
B) demonstrating empathy.
C) tearing down boundaries.
D) developing a plan of care.
Answer: A,B,D
Q2) The nurse is conducting a presurgical screening interview with a patient at a local surgical center.When performing a health assessment,the primary source of information should be:
A) the spouse.
B) the medical record.
C) a close relative.
D) the patient.
Answer: D
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Chapter 4: Critical Thinking in Nursing
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Sample Questions
Q1) The nurse is preparing to administer an anticoagulant when the patient says,"Why do I have these bruises on my arms?" The nurse reviews the patient's blood tests and notes an abnormal bleeding time.Based on the findings,the nurse decides to hold the medication and notifies the health care provider.This action,by the nurse,is an example of:
A) thinking aloud.
B) reviewing the literature.
C) applying knowledge .
D) role playing.
Q2) A patient has been instructed in self-administration of insulin injections.The nurse observes the patient attempting to recap the needle and realizes that further teaching is needed.The nurse is applying which critical-thinking skill of the nursing process?
A) Interpretation
B) Analysis
C) Inference
D) Evaluation
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Chapter 5: Introduction to the Nursing Process
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Q1) A patient with a congenital heart defect is admitted for further testing.The nurse observes the patient has increased shortness of breath and is restless.The nurse is demonstrating which phase of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Q2) Establishing short- and long-term goals to address nursing diagnoses involves: (Select all that apply. )
A) discussion with the patient.
B) exclusion of family with making patient decisions.
C) collaboration with other members of health care team.
D) making the health care provider as the central figure.
E) coordination of care as collaborative care.
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Chapter 6: Assessment
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Q1) The nurse is preparing to begin a physical examination for a patient with open lesions on the lower extremities.Which should the nurse evaluate during the physical assessment? (Select all that apply. )
A) Blood test results
B) X-ray results
C) Recent vital signs
D) Patient's health history
E) Subjective data
Q2) The nurse is caring for a patient with pneumonia.The patient is a retired soldier who served in World War II.In light of this,the nurse should:
A) shake the patient's hand and allow the patient time to "warm up."
B) expect the patient to be optimistic and question everything.
C) allow the patient to multitask and talk in short "sound bites."
D) understand that the patient is probably technologically literate.
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8
Chapter 7: Nursing Diagnosis
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Q1) The nurse is creating a care plan for a patient admitted with severe bone pain related to an infected leg wound.Which diagnosis written on the plan indicates an understanding of the components of a nursing diagnosis? (Select all that apply. )
A) Acute pain
B) Risk for impaired walking
C) Ineffective bone tissue perfusion
D) Osteomyelitis
E) Infection
Q2) A group of patients in a community center attend a nursing-led information session on the risks of contracting tuberculosis.After the presentation several patients ask the nurse for additional web-based resources regarding the lung disease.Which type of nursing diagnosis would the nurse choose for the community care plan?
A) Risk
B) Actual
C) Health-promotion
D) Potential
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Chapter 8: Planning
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Q1) The significance of developing organized plans of care for patients cannot be stressed enough.In the planning phase,the nurse must take seriously the responsibility of: (Select all that apply. )
A) prioritizing patient needs.
B) developing mutually agreed-on goals.
C) determining outcome criteria.
D) identifying interventions.
E) implementation of the patient's plan of care.
Q2) Setting priorities among identified nursing diagnoses is the first step in the planning process.The nurse is responsible for:
A) monitoring patient responses.
B) carrying out the physician's plan of care.
C) providing all interventions.
D) preventing interference from other disciplines.
Q3) The nurse knows that standardized care plans may be available and:
A) need to be individualized for each patient.
B) are implemented without adjustment.
C) remove the need for nurse involvement.
D) do not require the use of nursing diagnoses.
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Page 10
Chapter 9: Implementation and Evaluation
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Q1) The nurse is learning to identify readiness to learn in patients.Which one of the following patients would the nurse identify correctly as ready to learn?
A) The patient requesting pain medication for treatment of severe discomfort
B) The patient with nausea and vomiting
C) The patient who learned 30 minutes ago that she has cancer of the pancreas
D) The patient who was recently diagnosed with diabetes mellitus and is scheduled to be discharged in 2 days
Q2) The nurse recognizes which of the following as appropriate teaching for the patient who is returning from surgery?
A) Signs and symptoms of infection
B) Use of patient-controlled analgesia
C) Activity limitations upon discharge
D) Physical therapy
Q3) Repositioning a patient,providing hygiene,and active listening are examples of:
A) dependent interventions.
B) independent nursing interventions.
C) standing orders.
D) counseling.
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Chapter 10: Documentation, Electronic Health Records, and Reporting
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Q1) Expected nursing documentation includes: (Select all that apply. )
A) nursing assessment.
B) the care plan.
C) critique of the physician's care.
D) interventions.
E) patient responses to care.
Q2) Accurate documentation by the nurse is necessary since proper documentation:
A) is needed for proper reimbursement.
B) must be electronically generated.
C) does not involve e-mails or faxes.
D) is only legal if written by hand.
Q3) The nurse is caring for a patient for the first time and needs background information such as history,medications taken at home,etc.The best central location to obtain this information is the:
A) admission summary.
B) discharge summary.
C) flow sheet.
D) Kardex.
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Chapter 11: Ethical and Legal Considerations
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Sample Questions
Q1) The nurse is caring for a patient recently diagnosed with cancer that is being asked to participate in a new chemotherapy trial.How would the nurse respond if working under the ethical principle of utilitarianism?
A) "The patient should be allowed to decide."
B) "As your nurse,I'll support your right to refuse."
C) "You should do this because many could benefit from it."
D) "If this is against your beliefs,you should not do it."
Q2) Each state has a nurse practice act that establishes the standards of care required for legal nursing practice.In order to protect herself/himself from litigation,the nurse should understand that:
A) laws create liability issues for nurses.
B) licensure laws are devised to protect the nurse.
C) the nurse is not responsible for other disciplines' mistakes.
D) keeping current with changing laws can protect the nurse.
Q3) "First,do no harm" defines what ethical principle?
A) Beneficence
B) Justice
C) Fidelity
D) Nonmaleficence
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Page 13
Chapter 12: Leadership and Management
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Sample Questions
Q1) The nurse manager of a unit is sharing the most recent results of a patient satisfaction survey to motivate staff.This nurse manager is a _________________leader.
A) Transformational
B) Transactional
C) Situational
D) Autocratic
Q2) Which of the following has been done improperly?
A) The UAP re-delegates vital signs to the student nurse.
B) The RN delegates assistance with bathing to the student nurse.
C) The RN delegates monitoring of intake and output to the UAP.
D) The RN delegates assistance with mobility to the UAP.
Q3) When delegating to other health care providers,the nurse understands that the task: (Select all that apply. )
A) must be within the scope of the person to whom it is being delegated.
B) is one that can be delegated to other health care providers.
C) can be delegated whenever assessments are required.
D) may be re-delegated by the person to whom it was first delegated.
E) may require the nurse to procure resources to complete the task.
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Page 14
Chapter 13: Evidence-Based Practice and Nursing Research
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Q1) Florence Nightingale is noted to have provided the initial basis for evidence-based practice (EBP).She did this by: (Select all that apply. )
A) basing her work in trial and error as well as observation.
B) using statistical data as a basis for improvements.
C) applying statistical methods such as "pie charting" to display results.
D) focusing on bedside care and ignoring nursing education.
E) publishing the first EBP journal.
Q2) In practice,the nurse has identified an observable phenomenon and wants to conduct research to generate a hypothesis through observation of the situation.The best way for the nurse to conduct this type of investigation would be to conduct a:
A) correlational research study.
B) experimental research study.
C) descriptive research study.
D) quasi-experimental research study.
Q3) When applying research to practice,the nurse finds that:
A) it is usually easy to access information at the bedside.
B) research articles are clear in defining nursing practice.
C) bedside care is not directly related to research.
D) nursing research should be used to improve care.
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Page 15
Chapter 14: Health Literacy and Patient Education
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Q1) The nurse is preparing to teach a patient for the first time and needs to evaluate the health literacy of the patient.She uses the VARK assessment to:
A) assess the learning styles of the patient.
B) find the one method that the patient uses to learn.
C) be sure that the patient is a unimodal learner.
D) reduce the need for creating a collaborative learning plan.
Q2) The nurse is preparing a teaching plan and is applying evidence-based practice.To promote involvement,the nurse must:
A) provide the latest professional literature to the patient.
B) ensure that the patient understands relevant information.
C) use only one teaching method to reduce confusion.
D) not review previously learned information.
Q3) The nurse is preparing to discharge a patient home.In providing instruction about the patients medications,the nurse should state:
A) "Before taking Metoprolol,you need to take your BP and rate."
B) "MS should be taken only when needed for pain."
C) "Take 1 baby aspirin by mouth every morning."
D) "Take your water pill bid and you should be fine."
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Chapter 15: Nursing Informatics
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Q1) When technology such as a bar-code medication administration (BCMA)system is used as part of the process of medication administration,fewer errors are made.The proper procedure when using the BCMA includes:
A) signing into the system using the patient's ID number.
B) typing in the patient's name and room number.
C) scanning the patient's ID,MAR,and medication.
D) discontinuing the medication if the system signals an error.
Q2) Computerized provider order entry (CPOE):
A) allows orders to be communicated to the appropriate department.
B) creates an intermediary for order transcription.
C) slows documentation and provider communication.
D) may lead to increased ordering and transcription errors.
Q3) The hospital has recently implemented computer charting.The computerization of nursing practice:
A) enhances and increases the time spent on documentation.
B) makes patient data immediately available to the health care team.
C) makes retrieval of data more difficult but safer.
D) is enhanced by limiting the use of point-of-care technology.
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Chapter 16: Health and Wellness
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Q1) The genetic vulnerability of an organism,or risk of disease expression based on genotype,is
A) involuntarily passed from biologic parents to offspring.
B) totally unrelated to environmental factors.
C) non-responsive to alteration by way of lifestyle modification.
D) not a factor in mental illness because it is behavioral.
Q2) The nurse is discussing immunizations for infants and children with new parents.The nurse should focus on:
A) providing scientific evidence to parents.
B) stressing that non-immunization is a crime.
C) acknowledging that immunizations are not needed.
D) informing the parents that they have no choice.
Q3) Exercise is essential for the prevention of illness and promotion of wellness.Regular physical exercise: (Select all that apply. )
A) enhances the immune system.
B) decreases bone density.
C) limits joint mobility.
D) improves mental health.
E) helps to prevent diabetes.
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Page 18
Chapter 17: Human Development: Conception Through Adolescence
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Q1) The nurse is collecting a history from the parents of a 4-year-old female at a well-child visit.The parents express concern that they often find their daughter performing what appears to be masturbation.The nurse offers reassurance by explaining which stage of development according to Freud?
A) Oral
B) Phallic
C) Anal
D) Latency
Q2) A preschool-aged child got into the cookie jar and ate several cookies before dinner.When confronted by the parent,the child responds,"My pet horse ate them." What does the nurse teach the parents about this response?
A) It is normal for children to have imaginary friends at this age.
B) This vivid imagination will lead the child to misbehave later on.
C) Lying is disobedient and should be punished consistently.
D) The child is obviously afraid of the parents' response.
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Chapter 18: Human Development Young Adult to Older Adult
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Q1) A nurse who uses Havighurst's theory of development is assessing a young adult.What question does the nurse ask to provide the most relevant information about this person's successful negotiation of this developmental stage?
A) "Do you find yourself doing familiar tasks in new ways to accomplish them?"
B) "Please count backwards from 100 by 7s,such as 100,93,and so on."
C) "What occupation have you chosen for your life's work?"
D) "Do you still have a good relationship with your parents and siblings?"
Q2) The nurse is performing wellness checks at a community center for older adults.Which person would the nurse evaluate as having the highest risk of stroke?
A) White,55 years of age,BP 148/92 mm Hg
B) African-American,70 years of age,BP 150/100 mm Hg
C) Asian-American,40 years of age,BP 146/78 mm Hg
D) White,74 years of age,BP 150/82 mm Hg
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Chapter 19: Vital Signs
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Q1) A nurse observes a student taking an adult patient's tympanic temperature.What action by the student requires the nurse to intervene?
A) Student washes hands prior to patient contact
B) Student pulls the pinna of the patient's ear down and back
C) Student explains the procedure to the patient
D) Student pulls the pinna of the patient's ear up and back
Q2) A nurse is told in the hand-off report that a patient is afebrile.What assessment finding correlates with this statement?
A) Blood pressure 152/98 mm Hg
B) Temperature 98.4° F (36.8° C)
C) Pulse 82 beats/min
D) Respirations 16 breaths/min
Q3) A nurse performs orthostatic blood pressure readings on a patient with the following results: lying 148/76 mm Hg,standing 110/60 mm Hg.What action by the nurse is best?
A) Instruct the patient not to get up without help.
B) Document the findings and continue to monitor.
C) Reassure the patient that these findings are normal.
D) Reassess the blood pressures in 1 hour.
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Chapter 20: Health History and Physical Assessment
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Q1) A nurse has conducted an Allen's test on a patient and the result was 8 seconds.What action by the nurse is best?
A) Document the findings and continue the assessment.
B) Notify the health care provider immediately.
C) Elevate the patient's arm above the level of the heart.
D) Assess the patient for other signs of circulatory problems.
Q2) A nurse is conducting a physical assessment in a clinic with a partly undressed patient.What action by the nurse is most appropriate?
A) Offer the patient a small pillow for under his/her head.
B) Provide a method for ensuring the patient stays warm.
C) Raise the head of the bed to about 30 degrees.
D) Ensure there is enough lighting for an adequate examination.
Q3) The nurse is assessing a patient whose chart indicates a Grade 3 heart murmur.What action is best in order to hear the murmur?
A) Ensure that the room is extremely quiet.
B) Use a specialized stethoscope with amplification.
C) Auscultate the patient's chest with a stethoscope.
D) Place the stethoscope diaphragm on the patient's back.
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22
Chapter 21: Ethnicity and Cultural Assessment
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Q1) A nurse has been told he has many obvious stereotypes about a specific cultural group.What action by the nurse is best?
A) Ask to not care for members of this cultural group.
B) Ask to take care of as many members of this group as possible.
C) Begin to educate himself on aspects of this cultural group.
D) Vow to not allow his stereotypes to show when providing care.
Q2) A faculty member is contrasting culture and ethnicity to students.Which statement is most accurate?
A) Culture is biologically determined;ethnicity is chosen.
B) Culture is socially transmitted;ethnicity is identification with a group.
C) Culture is a chosen identity whereas ethnicity is biologically based.
D) Culture and ethnicity are similar constructs used interchangeably.
Q3) What does the nursing student learn about race?
A) It is biologically based.
B) It is a social construct.
C) It is chosen by the person.
D) It helps establish superiority.
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Chapter 22: Spiritual Health
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Q1) Which actions by a nurse constitute spiritual care? (Select all that apply. )
A) Baptizing a critically ill child per the parent's request.
B) Leaving the room,giving the patient and family privacy for prayer.
C) Considering developmental stage when planning care.
D) Notifying the hospital chaplain of a patient's request.
E) Praying with patients and families when requested.
Q2) A nurse is concerned about not consistently meeting the spiritual needs of patients.What action by the nurse is best?
A) Care for own spiritual needs
B) Begin a meditation practice
C) Consult the chaplain
D) Read books on the subject
Q3) A patient,who is an adherent Muslim,is in a burn unit with severe burns.The patient has high caloric requirements but is refusing to eat during Ramadan.What action by the nurse is best?
A) Insert a feeding tube and provide enteral feedings.
B) Ask the provider about Total Peripheral Nutrition.
C) Call the patient's religious leader for advice.
D) Tell the patient he has to eat to get better.
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Page 24
Chapter 23: Public Health, community Base, and Home
Health Care
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Q1) The nurse explains to the patient that which services will be covered under Medicare? (Select all that apply. )
A) Infusion therapy
B) Ostomy management
C) Renal dialysis
D) Grocery shopping
E) Chemotherapy
Q2) A nurse is orienting to a new job in a home health care agency and is told that most of her patients need tertiary prevention.What activity does the nurse plan to include in the daily routine?
A) Household safety checks
B) Well-baby checkups
C) Antibiotic administration
D) Monthly blood pressure assessments
Q3) The student learns that which is the best definition of a public health nurse?
A) Works with the public
B) Works in public areas
C) Works with the greater community
D) Works with public funding
25
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Chapter 24: Human Sexuality
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Q1) A nurse in the emergency department wants to screen a patient for domestic violence,but the woman's partner won't leave.What action by the nurse is best?
A) Ask the questions anyway.
B) Tell the partner to leave.
C) Go with the patient to the bathroom.
D) Skip the abuse assessment.
Q2) A nurse is planning an educational event of safer sex.What topics does the nurse include? (Select all that apply. )
A) Proper use of condoms
B) Avoidance of risky behaviors
C) Need for routine examinations
D) Avoidance of homosexual activity
E) Symptoms of common STDs
Q3) The nursing student learns that the function of the hypothalamus is to do which of the following?
A) Cause lactation to begin
B) Produce spermatozoa
C) Release follicle-stimulating hormone
D) Release gonadotropin-releasing hormone
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Chapter 25: Safety
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Q1) The nurse is educating the patient about the proper disposal of medications in the home.Which statement by the patient indicates she has a good understanding of the information?
A) "Remove the label from the bottle and throw in the trash."
B) "Flush the medication."
C) "Mix the medications with kitty litter and place the mixture in a jar and put the jar in the trash."
D) "Dissolve the medication in water and pour down the drain."
Q2) The nurse is providing education to a cardiac patient who has multiple life stressors that are impacting the patient's health.Which of the following statements by the patient indicate he has a good understanding of actions he can take to reduce his stressors? (Select all that apply. )
A) "I should change my job."
B) "I should plan some downtime."
C) "I should meet with a financial counselor."
D) "I should talk with my family about my situation."
E) "I should make my family go to counseling with me."
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Chapter 26: Asepsis and Infection Control
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Q1) The nurse has placed her sterile gloved hands below her waist.Her hands are now considered:
A) sterile.
B) aseptic.
C) non-sterile.
D) free of disease-causing organisms.
Q2) The patient has pertussis.What isolation precaution is correctly implemented?
A) Droplet
B) Airborne
C) Contact
D) Protective
Q3) The nurse is caring for a patient who is comatose.Her intervention is appropriate when she performs oral care:
A) every shift.
B) twice daily.
C) every 4 hours.
D) daily.
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Chapter 27: Hygiene and Personal Care
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Q1) Regarding denture care,what action by the nurse is inappropriate?
A) Carrying the dentures to the sink wrapped in a paper towel.
B) Placing a towel in the sink and brushing the dentures over the towel.
C) Brushing the dentures as the nurse would the teeth of a conscious patient.
D) Applying adhesive,then inserting upper and then lower dentures.
Q2) The nurse knows that which areas are at increased risk of excoriation? (Select all that apply. )
A) Exposed areas such as the face
B) Areas exposed to stool
C) Skin on skin areas
D) Area under pendulous breasts
Q3) Excessively dry skin can lead to cracks and openings in the integumentary system.Based on this,what is the most applicable nursing diagnosis for a patient with excessively dry skin?
A) Imbalanced Nutrition: Less than body requirements
B) Deficient fluid volume
C) Risk for infection
D) Acute pain
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Chapter 28: Activity, Immobility, and Safe Movement
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Q1) The nurse is providing discharge education for her patient who is going home with a walker.Which statement by the patient indicates a good level of understanding of safety in the home? (Select all that apply. )
A) "I need to remove the throw rugs."
B) "I should make sure I only take a bath."
C) "I cannot use the stairs."
D) "I need to place a nonskid mat in front of the kitchen sink."
Q2) The nurse knows that manual lifting should only be done in the following situations:
A) Patients who are less than 150 lb
B) Life-threatening situations
C) Postsurgical patients
D) Patients who are less than 200 lb
Q3) The nurse knows that a patient with a compromised cardiopulmonary system has a diminished capacity for exercise because of the following: (Select all that apply. )
A) Decreased tissue perfusion
B) Loss of sensation
C) Hemiparesis
D) Diminished respiratory capacity
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Chapter 29: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a postoperative patient who has had abdominal surgery and whose wound has completely eviscerated when she walks into the room.In addition to notifying the physician,what should the nurse do?
A) Cover the wound with a sterile gauze pad.
B) Cover the wound with a transparent dressing.
C) Put pressure on the wound with a sterile gauze pad.
D) Cover the wound with gauze soaked with normal saline.
Q2) The nurse is delegating care of a patient with a chronic nonsterile wound to a UAP.The delegation is inappropriate if:
A) the nurse asks the UAP to assess the wound.
B) the nurse asks the UAP to report increased wound drainage.
C) the nurse asks the UAP to observe changes in dietary intake.
D) the nurse asks the UAP to change the dressing.
Q3) The nurse is caring for a patient with a Penrose drain.She knows the patient will require the following care:
A) The drain must be compressed after emptying to work properly.
B) The drain must be connected to suction if ordered.
C) The drain is not sutured in place so care is taken to not dislodge it.
D) The suction pulls drainage away from the wound as it re-expands.
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Page 31
Chapter 30: Nutrition
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Q1) The nurse is educating her patient about who has just been placed on a renal diet.Which statement by the patient indicates a need for further education?
A) "I need to eat a low-sodium diet."
B) "I can have limited amounts of meat."
C) "I can drink unlimited cola if it is diet."
D) "I should avoid or limit bananas."
Q2) The nurse is completing her documentation after feeding a patient with aspiration precautions.Which of the following items should she document? (Select all that apply. )
A) Episodes of coughing or gagging
B) Hesitation or fear of eating
C) Amount eaten
D) Aspiration protocol used
E) Respiratory status
F) None of above
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32
Chapter 31: Cognitive and Sensory Alterations
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Q1) The nurse is preparing discharge instructions for a patient who has equilibrium alterations.Which instructions should be included? (Select all that apply. )
A) Use grab bars in the tub and/or shower at home.
B) Keep rooms well lit and focus ahead when walking.
C) Change positions quickly to avoid dizziness.
D) Use a cane or walker for stability.
E) Ride in the back seat of the car and look ahead.
Q2) An appropriate goal for a patient with a diagnosis of social isolation is:
A) the patient will participate in cognitive exercises.
B) the patient will interact with other residents during activities.
C) the patient will communicate basic needs through use of photos.
D) the patient will remain within the unit while in long-term care.
Q3) The nurse is caring for a patient with depression.Which statement by the patient indicates a need for further education?
A) "Depression can be caused by chemical changes in the brain."
B) "Depression is always treated with medication."
C) "Depression is a mood disorder."
D) "Depression can have a rapid onset."
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33
Chapter 32: Stress and Coping
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Sample Questions
Q1) The nurse knows that childhood stress related to the school experience centers on: (Select all that apply. )
A) goal achievement.
B) family dissolution.
C) life changes.
D) test anxiety.
E) competition.
Q2) The nurse is providing education to a patient around anger management strategies.Which statement indicates a need for further education by the patient?
A) "Exercise can help me deal with the anger."
B) "I can use humor."
C) "I can punch things."
D) "I can take a time out."
Q3) The nurse is educating the patient on the use of relaxing therapy.Which statement by the patient indicates a need for further education?
A) "I should relax my muscles from head to toe."
B) "I visual the relaxed muscle."
C) "I should do this three times a week."
D) "I focus on muscles that are tense."
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Chapter 33: Sleep
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Sample Questions
Q1) The nurse knows the usual progression of sleep is:
A) NREM 1-4 then REM,then back through NREM 1 and 2.
B) REM then NREM 1-4,then back through NREM 2 and 3.
C) NREM 1-4 then back through NREM 3 and 2 then REM.
D) REM then NREM 1-4 then back through NREM 3.
Q2) The nurse knows that during non-rapid eye movement (NREM)sleep,the following occur: (Select all that apply. )
A) Repair of brain cells
B) Slow rhythmic scanning eye movements
C) Dreaming
D) Cell division in bone marrow
E) Conservation of energy
Q3) The nurse is educating a patient about taking measures to help avoid disruption to the circadian rhythm.The following statement by the patient indicates a need for further education:
A) "I know the circadian rhythm influences biological functions."
B) "I know the circadian rhythm exists only in humans."
C) "I know the sleep-wake circadian rhythm is impacted by the light-dark cycle."
D) "The most familiar circadian rhythm is the day-night 24-hour cycle."
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Page 35
Chapter 34: Diagnostic Testing
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Sample Questions
Q1) The nurse is caring for a patient who states that he has been taking his medications and following his diabetic diet carefully.Which test result indicates to the nurse that the patient has not been compliant with the treatment plan?
A) Hemoglobin A<sub>1C</sub> 16%
B) Random blood sugar (RBS)112 mg/dL
C) Lactate dehydrogenase (LDH)55 units/L
D) Erythrocyte sedimentation rate (ESR)14 mm/hr
Q2) The nurse is caring for a patient who has just undergone paracentesis.For which complication will the nurse carefully monitor?
A) Collapse of the lung with shortness of breath
B) Fecal impaction from retained barium in the colon
C) Cerebrospinal fluid leak resulting in severe headache
D) Perforation of the bowel resulting in abdominal infection
Q3) The nurse is caring for a patient who recently had a liver biopsy.To whom must the nurse give the results?
A) The patient
B) The patient's physician
C) The patient's insurance provider
D) The patient's spouse
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Page 36
Chapter 35: Medication Administration
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Q1) The nurse is caring for a patient who was just made NPO.The nurse is to administer carvedilol (Coreg)25 mg PO to the patient for control of high blood pressure.What is the best action of the nurse?
A) Crush the medication and administer it to the patient mixed with applesauce.
B) Administer the medication to the patient with a small sip of water.
C) Contact the patient's physician to clarify the order.
D) Administer the equivalent medication dose through the patient's IV.
Q2) The nurse is caring for a patient with multiple chronic illnesses who is having difficulty remembering to take all of her many medications at the correct times.Which is the appropriate nursing diagnosis for this patient?
A) Activity intolerance related to inability to take medications on time
B) Ineffective therapeutic regimen management related to complexity of medication schedule
C) Risk for aspiration related to need to swallow many pills during day
D) Acute confusion related to inability to figure out medication dose times
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Chapter 36: Pain Management
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Sample Questions
Q1) The nurse is caring for a cancer patient with ongoing pain from widespread metastasis to her bones.The nurse notes that the patient's morphine dosage had to be increased to sufficiently manage her discomfort.What is the nurse's interpretation of this assessment finding?
A) The patient became tolerant to the previous morphine dosage.
B) The patient is becoming addicted to her pain medication.
C) The patient has been abusing her prescribed pain medications.
D) The patient is seeking to end her life with an overdose of morphine.
Q2) Which assessment question helps the nurse determine the character of the patient's pain?
A) "What does the pain feel like,i.e.stabbing,burning or throbbing?"
B) "When did the pain first start?"
C) "What interventions make the pain better?"
D) "Is there any pattern to when the pain occurs?"
Q3) Which is the best pain medication option for a patient to manage severe long-term cancer pain at home?
A) Duragesic 50 mcg transdermal patch q 72 hours
B) Meperidine (Demerol)50 mg IM q 6 hours
C) Hydromorphone (Dilaudid)0.2 mg q 10 minutes IV via PCA pump
D) Hydromorphone (Dilaudid)0.08 mg/hour infusion through epidural catheter
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Chapter 37: Perioperative Nursing Care
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Sample Questions
Q1) The nurse is caring for a patient with advanced colon cancer.The patient is to have surgery to relieve a bowel obstruction that has been causing unrelenting vomiting and abdominal pain.What type of surgery will this patient undergo?
A) Palliative
B) Reconstructive
C) Diagnostic
D) Ablative
Q2) The nurse is walking a postoperative patient in the hallway when she notices a large red stain of fresh blood on the patient's gown over the abdominal incision.The patient states,"I felt something just ripped open." What is the priority action of the nurse?
A) Lift up the patient's gown and assess the incision.
B) Assist the patient to the floor and call for assistance.
C) Return the patient to bed and irrigate the wound with sterile saline.
D) Check the patient's vital signs and pulse oximetry.
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Chapter 38: Oxygenation and Tissue Perfusion
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Q1) The nurse is caring for a patient with high cholesterol who has been prescribed atorvastatin (Lipitor).Which laboratory result indicates that the patient has been taking the medication as ordered and following the physician's dietary recommendations?
A) Serum triglyceride level 325 mg/dL
B) High-density lipoproteins (HDL)56 mg/dL
C) Low-density lipoproteins (LDL)155 mg/dL
D) Total cholesterol level 185 mg/dL
Q2) The nurse is caring for a patient who has been prescribed warfarin (Coumadin)therapy after being diagnosed with atrial fibrillation.The patient tells the nurse that he doesn't want to take any more pills and asks what could happen if he doesn't fill the prescription.What is the nurse's best response?
A) "You could have a stroke."
B) "Your kidneys could fail."
C) "You could develop heart failure."
D) "You could go into respiratory failure."
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Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
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Sample Questions
Q1) The nurse is caring for a patient whose ABG results reveal the following: pH 7.56,PaCO<sub>2</sub> 32 mm Hg,HCO<sub>3</sub> 42 mEq/L,PaO<sub>2</sub> 90 mm Hg.Which condition will the nurse expect to see in the patient's chart as the underlying cause of these results?
A) Gastroenteritis with severe nausea,vomiting,and diarrhea
B) Widespread tissue ischemia caused by cardiogenic shock
C) Respiratory failure caused by pneumonia with pleural effusions
D) Hyperventilation after a panic attack
Q2) The nurse is caring for a patient who is at risk for fluid overload as a result of a history of congestive heart failure.Which intervention will the nurse teach the patient to perform at home to monitor fluid balance?
A) "Check to make sure that your urine is a bright yellow color."
B) "Weigh yourself every morning before breakfast."
C) "Count your heart rate every evening before you go to bed."
D) "Drink plain water rather than soda,coffee,or fruit juice."
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Chapter 40: Bowel Elimination
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Q1) The nurse is caring for a patient who is recovering from bowel surgery.Which assessment finding best indicates that the bowel is starting to resume function and the patient will be able to resume oral intake soon?
A) The patient has bowel sounds x 4 quadrants and is passing gas.
B) The patient has no nausea,and abdominal pain is minimal.
C) The patient feels hungry for chicken soup and hot tea.
D) The patient's nasogastric tube was discontinued the previous day.
Q2) A student nurse is working with a preceptor to administer an enema to the patient.Which action by the student prompts intervention and redirection by the preceptor?
A) Water-soluble lubricant is applied to the end of the enema tubing.
B) The enema tubing is primed with solution that has been warmed.
C) The patient is positioned comfortably in the right side-lying Sims position.
D) The patient's bedpan is put at the bedside in preparation for use.
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Chapter 41: Urinary Elimination
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Sample Questions
Q1) The nurse is caring for a patient who is to undergo computed tomography (CT)of the kidneys and ureters.Which assessment finding by the nurse must be reported to the physician and radiologist before the patient has the procedure?
A) The patient is allergic to bananas and latex.
B) The patient thinks that she might be pregnant.
C) The patient has a family history of bladder cancer.
D) The patient currently has a urinary tract infection.
Q2) The nurse is caring for a patient who has urinary frequency.Which nursing diagnosis is the highest priority for this patient?
A) Risk for compromised human dignity r/t occasional incontinence
B) Risk-prone health behavior r/t living alone at home with nocturia
C) Risk for contamination r/t urine contact with perineal area skin
D) Risk for falls r/t hurried trips to the bathroom during the day and night
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Chapter 42: Death and Loss
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Q1) The nurse is caring for a male Islamic patient who has just died.Which action is the priority for the nurse to take when postmortem care is provided?
A) Arranging for embalming to preserve the body until burial
B) Arranging for male staff to gently wash the patient's body
C) Arranging for transportation of the body to the crematorium
D) Preparing the room so that the family can say the rosary at the bedside
Q2) The nurse is caring for a patient who has just died in a motor vehicle accident.What is the priority action of the nurse before the patient's family arrives to see the patient's body?
A) Gently wash the body and provide perineal care.
B) Remove the patient's dentures and jewelry.
C) Ensure that the death certificate has been signed.
D) Determine which funeral home will pick up the body.
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