Professional Nursing Practice
Test Bank
Course Introduction
Professional Nursing Practice introduces students to the fundamental roles, responsibilities, and values of the nursing profession within diverse healthcare settings. The course emphasizes person-centered care, evidence-based practice, interprofessional collaboration, and ethical decision-making, equipping students with the essential knowledge and skills to provide safe, competent, and compassionate care. Students will explore legal and regulatory frameworks, standards of practice, effective communication strategies, and cultural competence, preparing them to meet the complex health needs of individuals, families, and communities.
Recommended Textbook
Fundamentals of Nursing Active Learning for Collaborative Practice 1st Edition by Yoost
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42 Chapters
1050 Verified Questions
1050 Flashcards
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Page 2
Chapter 1: Nursing, Theory, and Professional Practice
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2176
Sample Questions
Q1) A newly licensed registered nurse is curious about the scope of care that she has in caring for patients undergoing conscious sedation. Which would be the best source of information?
A) National Student Nurses Association
B) Nurse Practice Act
C) ANA Standards of Professional Performance
D) National League for Nursing
Answer: B
Q2) The nurse documents that patient laboratory results often take 4 hours to populate into the electronic medical record. The lengthy time frame has contributed to delayed antibiotic administration. From this point, what should the nurse do to produce change using the evidence-based process? (Select all that apply.)
A)Assess the need for change and identify a problem.
B)Reconstruct the information into an answerable question.
C)Review pertinent journal articles from the literature search.
D)Apply the findings to clinical practice through collaboration.
Answer: B, C, D
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3
Chapter 2: Values, Beliefs, and Caring
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Touch is the intentional physical contact between two or more people. It occurs so often in patient care situations that it has been deemed to be an essential and universal component of nursing care. Task-oriented touch occurs when the nurse: (Select all that apply.)
A) holds the patient's hand during a painful procedure.
B) gives the patient an injection to treat discomfort.
C) starts an intravenous (IV) line for fluid administration.
D) inserts a nasogastric tube to decompress the patient's stomach.
E) shakes the patient's hand in order to establish rapport.
Answer: B, C, D
Q2) The nurse is planning to change a dressing on an anxious patient. The best approach for the nurse is to:
A) ask another staff member to perform the task.
B) tell the patient the dressing change will take 30 minutes.
C) schedule a time in collaboration with the patient.
D) review the physician's order prior to the procedure.
Answer: C
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Page 4
Chapter 3: Communication
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nursing student is writing a report on the use of nonverbal techniques to encourage therapeutic communication. Which examples should be included in the report? (Select all that apply.)
A) Providing a backrub
B) Remaining silent
C) Avoiding distracting body movements
D) Facing the patient
E) Nodding
Answer: A, B, C, D
Q2) A patient complains that several staff members entered the room during the morning bath without knocking. Which component of professional nursing communication has been violated in this scenario?
A) Collaboration
B) Advocacy
C) Assertiveness
D) Respect
Answer: D
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Chapter 4: Critical Thinking in Nursing
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse has been hired for her first job and is nervous about making errors in clinical judgment. It is important for the nurse to realize that clinical reasoning and the ability to make decisions in a clinical setting:
A) has been instilled in the content covered in nursing school.
B) is solely based in clinical experience.
C) develops over time with increased knowledge and expertise.
D) is an expectation of all nurses regardless of experience.
Q2) The nurse is planning care for a group of patients. Which of the following activities may be delegated to unlicensed assistive personnel?
A) Analysis of the patient's physical condition
B) Morning vital signs, height, and weight.
C) Evaluation of whether colostomy drainage is normal
D) Determining patient readiness for postsurgical learning
Q3) To develop critical thinking, the nurse needs to develop a critical-thinking character that includes:
A) developing honesty and confidence.
B) learning from experiences.
C) enhancing self-reliance.
D) growing a "thick skin" to withstand criticism.
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Page 6
Chapter 5: Introduction to the Nursing Process
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The charge nurse is discussing a patient's care plan during a team meeting. The team determines that the patient has not met the goal of "ambulating to the nurse's station twice a day" and decides to revise the plan. Which of the following characteristics of the nursing process most represents this decision?
A) Organization
B) Dynamics
C) Adaptability
D) Outcome orientation
Q2) The community health nurse is applying the nursing process to the care of patients with coronary artery disease. The nurse determines that most of the patients eat high-fat meals from the local fast-food restaurant and plans a nutrition workshop. The nurse is applying the nursing process characteristic of:
A) organization.
B) dynamics.
C) adaptability.
D) collaboration.
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Chapter 6: Assessment
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Sample Questions
Q1) After the patient's data are collected, validated, and interpreted, the nurse organizes the information in a framework (format) that facilitates access by all members of the health care team. The framework that provides the most holistic view of the patient's condition is:
A) the head-to-toe pattern
B) Marjory Gordon's Functional Health Patterns.
C) the cephalic-caudal pattern.
D) the body systems model.
Q2) The unlicensed nursing assistive person (UAP) reports to the nurse that a patient is crying during a comedy show on television. The nurse's best response should be:
A) "Maybe the patient doesn't think the show is funny."
B) "Don't worry about it. Her daughter says this is normal."
C) "I will go visit her right away and see what is going on."
D) "Just document what you observe in your notes."
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Chapter 7: Nursing Diagnosis
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25 Flashcards
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Sample Questions
Q1) The nurse in an outpatient clinic obtains a blood pressure of 190/88 mm Hg on a patient diagnosed with high blood pressure. The patient tells the nurse, "My blood pressure medicine is really expensive. Do you think I really need it?" The nurse assumes the patient is not taking the medication based on the blood pressure result and the patient's statement and chooses noncompliance as a diagnostic label. The action by the nurse is an example of:
A) clustering unrelated data in the diagnostic statement.
B) selecting erroneous data for use in the diagnostic statement.
C) using medical diagnoses in the diagnostic statement.
D) identifying multiple problems within one diagnostic statement.
Q2) The nurse is caring for a Vietnamese-American admitted to the intensive care unit as a result of malnutrition. The patient is unable to walk because of his malnutrition, and he has developed a pressure ulcer from lying in bed constantly without changing positions. The family believes that the patient is depressed and that is why he stopped getting up. When planning this patient's care, the nurse should:
A) develop multiple nursing diagnoses.
B) develop only one nursing diagnosis to aid in focusing.
C) focus on the physical issues facing this patient.
D) deal primarily with the patient's psychological needs.
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Page 9
Chapter 8: Planning
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25 Flashcards
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Sample Questions
Q1) 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.
Q2) The nurse is caring for a patient who has undergone abdominal surgery. The patient stated prior to surgery that "I don't think I'll be able to handle this if I get a colostomy. I wouldn't know how to manage it." There is no "next of kin" listed in the patient's record. The patient is complaining of severe surgical pain. The nurse is correct when addressing which nursing diagnosis first?
A) Pain
B) Alteration in body image
C) Knowledge deficit
D) Risk for falls
Q3) Which of the following is a correctly written example of a short-term goal?
A) By attending the gym, the patient will lose 50 lb in 1 year.
B) In 6 months, patient will be able to ambulate 1 mile without shortness of breath.
C) Patient will be able to change his colostomy bag within 6 weeks of surgery.
D) With diet and exercise, the patient will lose 1 lb this week.
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Page 10
Chapter 9: Implementation and Evaluation
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is considering asking the patient for permission to involve the patient's family members in the teaching plan for the patient. Which of the following is the best rationale to support this involvement?
A) Involving the family in effective teaching empowers the patient and their support system.
B) Teaching family members decreases the number of questions they may ask.
C) Educated family members choose not to become part of the health care process.
D) The education is interesting although family do not usually care for patients after discharge.
Q2) The registered nurse is providing an independent nursing intervention when:
A) administering oral medications.
B) administering oxygen.
C) providing emotional support.
D) administering intravenous medication.
Q3) In implementing research-based interventions, the nurse realizes that:
A) implementation of evidence-based care is unique to the nursing profession.
B) evidence-based practice is based entirely in nursing research.
C) evidence-based care is focused on practices and not outcomes.
D) nurses must read recent literature and remain current in practice
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Page 11
Chapter 10: Documentation, Electronic Health Records, and Reporting
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is charting using the DAR charting system. This form of charting requires documentation about: (Select all that apply.)
A) the patient problems.
B) subjective data.
C) any actions initiated.
D) objective data.
E) the patient's response to interventions.
Q2) Standardized nursing terminologies such as the North American Nursing Diagnosis Association-International (NANDA-I) nursing diagnoses, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) may be used in the documentation process. Use of standardized language: (Select all that apply.)
A) provides consistency.
B) improves communication among nurses while excluding non-nurses.
C) increases the visibility of nursing interventions.
D) enhances data collection.
E) supports adherence to care standards.
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Chapter 11: Ethical and Legal Considerations
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2186
Sample Questions
Q1) The nurse is providing care to a patient experiencing pain. The nurse assesses the pain and promptly administers the ordered analgesics as promised to the patient. This nurse has applied:
A) autonomy.
B) accountability.
C) confidentiality.
D) fidelity.
Q2) Nurses are consistently considered to be honest and ethical professionals by most respondents in an annual Gallup poll. This is because professional nurses understand that ethics are:
A) internal values developed outside the influence of societal norms.
B) influenced by family, friends, and socioeconomics, among other variables.
C) societal in nature and do not involve personal influences.
D) totally independent from a person's character.
Q3) The nurse has been involved sexually with a patient. This is considered an act of:
A) malpractice.
B) libel.
C) slander.
D) battery.
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Page 13
Chapter 12: Leadership and Management
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) 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.
Q2) The nurse manager is considered a "great communicator." She can be found on the unit talking with staff, keeping them informed and asking their opinions. She believes that her nurses are motivated by internal means and that they want to participate in making decisions about the unit although the final decision always rests with her. This nurse manager is what type of leader?
A) Autocratic
B) Democratic
C) Bureaucratic
D) Laissez-faire
Q3) An effective manager must: (Select all that apply.)
A) understand the concepts of budgeting.
B) run a unit efficiently without regard to cost.
C) be able to staff the unit effectively.
D) be adept at information management.
E) achieve desired outcomes in any way possible.
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Chapter 13: Evidence-Based Practice and Nursing Research
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25 Verified Questions
25 Flashcards
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Sample Questions
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) The nurse is conducting a literature review to determine the statistical results of all related studies. This type of review is known as:
A) a meta-analysis.
B) an integrative literature review.
C) a systematic review.
D) grounded theory research.
Q3) An institutional review board (IRB) is a review committee established to:
A) approve research involving animal subjects.
B) approve research that is not government funded.
C) function differently than scholarly journals do.
D) protect the rights of human research subjects.
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Chapter 14: Health Literacy and Patient Education
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is preparing to provide preoperative teaching to a patient who is deaf. To ensure proper learning, the nurse may:
A) use printed materials.
B) provide unamplified recorded materials.
C) use a family member to interpret.
D) place an interpreter behind the patient.
Q2) In preparing to teach the patient, the nurse must consider: (Select all that apply.)
A) background.
B) race.
C) pain level.
D) emotional status.
E) readiness to learn.
Q3) During patient teaching led by the nurse with goals established through cooperation of the nurse and patient, the patient asks questions as needed and the nurse answers. This is known as:
A) formal teaching.
B) informal teaching.
C) both formal and informal teaching.
D) psychomotor teaching.
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Page 16
Chapter 15: Nursing Informatics
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The director of nursing on a medical-surgical floor has met education and experience requirements in nursing informatics. The nurse might expect administration to request that he/she pursue:
A) technical competencies.
B) utility competencies.
C) certification from ANCC.
D) leadership competencies.
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 patient asks the nurse about how to evaluate websites and standards used to evaluate Internet health sites. The nurse appropriately refers the patient to:
A) World Health Organization.
B) the U.S. Food and Drug Administration.
C) the Internet Healthcare Coalition.
D) the U.S. Federal Trade Commission.
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17
Chapter 16: Health and Wellness
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Sample Questions
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) Several models exist that describe the relationship between health and wellness. The model used to understand the interrelationship between elements of basic requirements for survival and the desires that drive personal growth and development and is represented as a pyramid is:
A) Maslow's hierarchy of needs.
B) Health Belief Model.
C) Health Promotion Model.
D) Holistic Health Model.
Q3) The use of seatbelts and airbags in automobiles is an example of:
A) secondary prevention.
B) tertiary prevention.
C) holistic care model.
D) primary prevention.
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Page 18
Chapter 17: Human Development: Conception through Adolescence
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Sample Questions
Q1) A nurse is assessing a 12-month-old at a well-baby visit. For what developmental milestones does the nurse assess this child? (Select all that apply.)
A) Sitting up by himself or herself
B) Transferring objects from one hand to the other
C) Able to roll around on the floor
D) Using fingers as a pincer to grasp objects
E) Trying to imitate words he hears others say
Q2) A father expresses frustration that his school-aged child is suddenly "sick all the time." What action by the nurse is best?
A) Encourage the father to give the child a multivitamin each day.
B) Explain that illness is frequent in this age group because of exposure to others.
C) Encourage the father to discuss testing the child's immunity with the provider.
D) Make sure the parents are washing their hands frequently in the home.
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Chapter 18: Human Development Young Adult to Older Adult
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Sample Questions
Q1) A community nurse is working with a family that consists of a middle-aged adult, an older parent with dementia, and two school-aged children. Which assessment by the nurse is most important for this family?
A) Stress-relieving methods
B) Child care arrangements
C) Functional ability of the older adult
D) Knowledge of health screening needs
Q2) A nurse is planning a community event in which participants will be assessed for their risk of having a stroke. Which site does the nurse choose to access the highest-risk population?
A) Community elder center
B) African-American church
C) Synagogue in a rural area
D) Asian-American grocery store
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Chapter 19: Vital Signs
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Sample Questions
Q1) A nurse is caring for a patient who has a high temperature. The nurse plans to help the patient regain a normal temperature through conduction. What technique does the nurse use?
A) Placing a cooling fan in the patient's room
B) Putting ice packs in the patient's axillae
C) Spraying the patient with a fine mist of water
D) Turning the temperature down in the room
Q2) A nursing student is caring for a patient with metabolic acidosis. The student asks the registered nurse why the patient's respiratory rate is so high. What response by the nurse is best?
A) "The patient's metabolic rate is increased from being ill."
B) "The lungs are trying to rid the body of extra carbon dioxide."
C) "The patient is trying to reduce his temperature through panting."
D) "Patients who are acutely ill often have abnormal vital signs."
Q3) The nurse receives a handoff report on four patients. Which patient should the nurse assess first?
A) Pain rating 4/10 after pain medication
B) Blood pressure 102/62 mm Hg
C) Pulse 42 beats/min
D) Respiratory rate 18 breaths/min
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Chapter 20: Health History and Physical Assessment
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Sample Questions
Q1) 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.
Q2) A nurse has assessed a patient's capillary refill, which was 5 seconds. What action by the nurse is most appropriate?
A) Document the findings and continue the examination.
B) Ask the patient about the use of artificial nails.
C) Ask the patient about his/her occupation.
D) Assess the patient for signs of hypoxia.
Q3) The nurse is planning to educate four patients on preventing skin cancer and early warning signs. Which patient is the priority for this education?
A) Adolescent who uses a tanning bed
B) Middle-aged adult who walks for fitness
C) Older woman who sits in the sun for 10 minutes daily
D) Person who works indoors under fluorescent lights
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Chapter 21: Ethnicity and Cultural Assessment
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Sample Questions
Q1) A patient refuses to take his blood pressure medication because "I feel totally fine and don't need it." What action by the nurse is best?
A) Assess the patient's time orientation.
B) Document the patient's non-compliance.
C) Educate the patient about the medication.
D) Warn the patient about possible complications.
Q2) A patient from an unfamiliar culture appears disinterested when the physician is telling her about options for treatment of a new diagnosis. After the physician leaves, the nurse attempts to talk to the patient and notices the same behavior. What action by the nurse is best?
A) Give the patient the information in writing to read later.
B) Ask the patient about the meaning of the patient's behavior.
C) Investigate nonverbal communication patterns of this group.
D) Leave the patient alone to come to terms with the diagnosis.
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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Page 23
Chapter 22: Spiritual Health
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Sample Questions
Q1) A patient who claims to be very involved in church is near death. What action by the nurse is best?
A) Get permission to contact the religious leader.
B) Allow the family to stay at the patient's bedside.
C) Call the hospital chaplain to come to the bedside.
D) Ask if the patient and family want to pray.
Q2) A patient died suddenly in the emergency department. Which action by the nurse best provides the family connection with others?
A) Offering the family written information on grief support groups.
B) Asking the family if there is someone the nurse can call for them.
C) Having the hospital social worker or chaplain sit with the family.
D) Offering to stay with the family during this difficult time.
Q3) The nurse is caring for four patients. Which one should the nurse assess for spirituality needs as a priority?
A) New mother, older child at home
B) Faces terminal diagnosis
C) Needs to change medications
D) Pleasant but quiet
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Chapter 23: Public Health, Community Base, and Home Health Care
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Sample Questions
Q1) A nurse is assessing social determinants of health. Which does the nurse include in the assessment? (Select all that apply.)
A) Vaccination compliance
B) Family structure
C) Communication patterns
D) Roles for women
E) Education
Q2) The nurse has implemented a community-wide immunization program for seasonal influenza. Once the program has ended, what action by the nurse is best?
A) Begin planning for next year's program.
B) Send mail surveys to participants.
C) Determine financial gains or losses.
D) Evaluate the program and outcomes.
Q3) A nurse is completing an OASIS assessment on a patient. What data would be most important for the nurse to assess?
A) Presence of grocery stores nearby
B) Safety concerns within the home
C) Number and kind of pets
D) Proximity to a health care facility
25
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Chapter 24: Human Sexuality
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Sample Questions
Q1) A nurse is planning sexuality education programs. Which topics are important to each age group? (Select all that apply.)
A) Adolescents: contraception
B) Adolescents: infertility
C) Young adults: conception
D) Middle adulthood: sexual dysfunction
E) Old age: decreased sexuality
Q2) A patient is recovering from colostomy surgery and states, "I guess I'll never be able to have sex again who would want me?" What nursing diagnosis is most important for this patient?
A) Sexual dysfunction
B) Ineffective sexuality pattern
C) Knowledge deficit
D) Ineffective coping
Q3) The nurse learns that spermatozoa are produced in which sexual organ?
A) Scrotum
B) Testes
C) Glans
D) Prostate
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Chapter 25: Safety
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Sample Questions
Q1) The patient has a nursing diagnosis of risk for falls. Which goal is most important?
A) Patient will ambulate twice a day.
B) Patient will have no symptoms of infection.
C) Patient will perform activities of daily living.
D) Patient will have no injuries during hospital stay.
Q2) The nurse is working with a student nurse to teach her about restraint use in patients. Which statement by the student nurse indicates a learning need regarding restraints?
A) "Having all four side rails up on the bed is considered a restraint."
B) "The use of restraints has been shown to decrease fall-related injuries."
C) "Death has been associated with the use of restraints."
D) "Medications administered to control behavior are considered a chemical restraint."
Q3) Which statement by the nurse correctly identifies the UAP role in patient restraint use?
A) "The UAP can perform initial assessment."
B) "The UAP can apply a restraint."
C) "The UAP can assist with applying and monitoring of a physical restraint."
D) "The UAP can contact the physician and request an order for restraints."
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Chapter 26: Asepsis and Infection Control
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Sample Questions
Q1) The nurse is teaching a group of patient about diseases such as Rocky Mountain Spotted Fever that are transmitted by ticks. The nurse's explanation would be correct if she states that the tick functions as:
A) vectors.
B) bacteria.
C) viruses.
D) fungi.
Q2) The nurse is planning care for an elderly patient. The nurse recognizes the patient is at risk for respiratory infections based on which factors? (Select all that apply.)
A) Decreased cough reflex
B) Decreased lung elasticity
C) Increased activity of the cilia
D) Abnormal swallowing reflex
E) Increased sputum production
Q3) The antigen-antibody reaction is an example of what type of immunity?
A) Humoral
B) Cellular
C) Innate
D) Passive
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Page 28
Chapter 27: Hygiene and Personal Care
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Sample Questions
Q1) The nurse is demonstrating cultural sensitivity in performing perineal care when he/she does the following: (Select all that apply.)
A) The male nurse delegates perineal care of a female patient to the female UAP.
B) The male nurse asks a female patient if she would prefer a female to perform care.
C) The nurse approaches the care in a sensitive, professional manner.
D) The nurse assesses cultural preferences of the patient prior to care.
Q2) The nurse is assisting her patients with hygiene care. She knows that this includes the following: (Select all that apply.)
A) Bathing
B) Oral care
C) Perineal care
D) Foot care
E) Patient communication
F) None of the above
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Chapter 28: Activity, Immobility, and Safe Movement
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Sample Questions
Q1) The nurse knows the following items should be included in the documentation of the patient on falls precautions: (Select all that apply.)
A) History of any falls
B) Falls risk assessment scores
C) Patient and family education
D) Use of assist devices
E) Any fall or reported fall
F) None of the above
Q2) The nurse is preparing to reposition the patient in bed. What is the first step in this process?
A) Position the patient's arms across his/her chest.
B) Lower the side rails.
C) Grasp the draw sheet.
D) Raise the bed to a working height.
Q3) The nurse knows active assistive range of motion is:
A) when the patient is able to independently move all joints.
B) when the patient is able to partially move all joints.
C) when the caregiver must move the patient's joints.
D) when the patient is performing isotonic exercises.
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Page 30
Chapter 29: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse knows the most appropriate goal for a patient with a stage III pressure ulcer who has a nursing diagnosis of Impaired skin integrity is:
A) the wound will be completely healed in 72 hours.
B) the wound will show signs of healing within 2 weeks.
C) the patient will develop no new pressure ulcers.
D) the patient will ambulate twice a day.
Q2) The nurse knows the following wound would be classified as a closed wound:
A) A large bruise on the side of the face
B) A surgical incision that is sutured closed
C) A puncture wound that is healing
D) An abrasion on the leg
Q3) 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.
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Page 31
Chapter 30: Nutrition
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Sample Questions
Q1) The nurse is measuring his patient's height. Which of the following steps of the procedure indicates a need for further education on this skill?
A) He instructs the patient to remove his shoes.
B) He measures from the top of the patient's head to the bottom of the patient's foot arch.
C) He positions the head against the headboard or measuring device.
D) He makes sure the patient is standing erect.
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 the above
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32
Chapter 31: Cognitive and Sensory Alterations
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Q1) 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."
Q2) You are providing education to the family of a patient being discharged with dementia. Which statement by the family indicates a good level of understanding of dementia? (Select all that apply.)
A) "The condition is permanent and has an acute onset."
B) "Alzheimer's is the most common type of dementia."
C) "The condition worsens over time."
D) "I should observe for wandering behavior."
E) "Agitation can be worse in the evening."
Q3) 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.
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Page 33
Chapter 32: Stress and Coping
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Q1) The nurse is caring for a patient who is undergoing a major cardiac procedure. The patient tells you her heart is racing and she feels nauseated. You know this is part of hormone response known as:
A) sense of coherence.
B) stress appraisal.
C) fight or flight.
D) sympathoadrenal response.
Q2) The nurse is providing discharge instructions for a patient with multiple sclerosis (an autoimmune disease). Which discharge instruction is aimed at preventing a future exacerbation?
A) Engage in some form of exercise as tolerated.
B) Avoid highly stressful situations.
C) Check your skin regularly for pressure sores.
D) Eat a diet with lots of fiber.
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Chapter 33: Sleep
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Q1) The nurse knows an appropriate goal for the nursing diagnosis Disturbed sleep pattern during hospitalization is:
A) the patient will fall asleep within 15 minutes of going to bed.
B) the patient will report an ability to concentrate on tasks.
C) the patient will repeat medication instructions on discharge.
D) the patient will be able to sleep for at least 2 hours at a time.
Q2) The nurse knows an appropriate goal for the nursing diagnosis Sleep deprivation is:
A) the patient will remain asleep for 6 to 7 hours consistently for 1 week.
B) the patient will fall asleep within 15 minutes of going to bed.
C) the patient will report an ability to concentrate on tasks.
D) the patient will repeat medication instructions on discharge.
Q3) 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
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35
Chapter 34: Diagnostic Testing
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Q1) The nurse is caring for a patient who has been having abdominal pain. The doctor suspects that the patient may have an abdominal aortic aneurysm. Which tests would confirm the doctor's suspicion? (Select all that apply.)
A) Magnetic resonance imaging (MRI) scan
B) Needle aspiration with biopsy
C) Fiberoptic endoscopy
D) Computed tomography (CT) scan
E) Flexible sigmoidoscopy
F) Thoracentesis
Q2) The nurse is caring for an elderly patient with dementia. Which laboratory finding indicates to the nurse that that patient is often forgetting to eat meals?
A) Serum bilirubin 0.4 mg/dL
B) PLT (platelet count) 425,000/mm\(^{3}\)
C) Serum cholesterol 175 mg/dL
D) Albumin 1.4 g/dL
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Chapter 35: Medication Administration
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Q1) The nurse administers a medication to a patient. Shortly afterward, the patient develops an itchy rash all of his body and reports feeling very unwell. What is the priority action of the nurse?
A) Leave the patient to notify the physician and the pharmacist.
B) Determine if the patient is having any difficulty breathing.
C) Document the reaction in the patient's chart.
D) Obtain an order for hydrocortisone cream to relieve the itching.
Q2) The nurse is noting an order for a medication to be given TID. Which times will the nurse plan to administer the medication to the patient?
A) 9 A.M., 1 P.M., 5 P.M. and 10 P.M.
B) 9 A.M. and 9 P.M.
C) 9 A.M., 1 P.M. and 5 P.M.
D) Nightly before the patient goes to sleep
Q3) Which of the following medication orders is to be administered PRN?
A) Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep
B) Prednisone 10 mg PO today, then taper down 1 mg each day for the next 10 days
C) Humulin R 10 units subcutaneously before each meal and at bedtime
D) Kefzol (Ancef) 1 g IVPB 30 minutes prior to surgery
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Chapter 36: Pain Management
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Q1) The nurse is caring for a patient who has been taking ibuprofen (Advil, Motrin) 800 mg TID for the last several months to relieve arthritis pain in her knees. Which assessment finding must be reported to the physician promptly?
A) The patient has abdominal pain and pale skin.
B) The patient has constipation and takes stool softeners daily.
C) The patient enjoys a glass of wine every Friday and Saturday evening.
D) The patient has gained 15 lb in the last 3 months.
Q2) The nurse administered 100 mcg sublingual fentanyl spray (Subsys) at 10:00 A.M. to a patient experiencing severe breakthrough pain. At what time will the nurse ask the patient if pain relief was obtained?
A) 10:30 A.M.
B) 11:00 A.M.
C) 11:30 A.M.
D) 12:00 noon
Q3) Which patient is best suited for PCA analgesia?
A) A patient who is confused after a head injury
B) A patient recovering from total hysterectomy surgery
C) A patient who has severe psychogenic pain
D) A patient with arthritis who is unable to push the nurse call button
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Page 38
Chapter 37: Perioperative Nursing Care
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Q1) The nurse is caring for a patient who has just been brought to the postoperative unit following major surgery. The patient has many tubes and monitors in place. Which will the nurse assess first?
A) The patient's intravenous lines
B) The patient's urinary catheter
C) The patient's nasogastric tube
D) The patient's endotracheal tube
Q2) The nurse is caring for a male patient who will soon have open heart surgery. The patient's chest is covered with thick hair so the surgical technician comes in to shave the patient's skin near the operative site. Which action by the technician requires intervention by the nurse to correct the technique?
A) A straight safety razor and antibiotic foam is used
B) Disposable electric trimmers are used to trim the hair
C) Antibacterial soap is used prior to hair removal
D) Only the hair directly around the surgical site is removed
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Chapter 38: Oxygenation and Tissue Perfusion
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Q1) 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."
Q2) The nurse is caring for a patient who has been intubated with an oral endotracheal tube for several weeks. The physicians predict that the patient will need to remain on a ventilator for at least several more weeks before he will be able to maintain his airway and breathe on his own. What procedure does the nurse anticipate will be planned for the patient to facilitate his recovery?
A) Placement of a tracheostomy tube
B) Diagnostic thoracentesis
C) Pulmonary angiogram
D) Lung transplantation surgery
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Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
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Q1) The nurse is reviewing the patient's laboratory results. Which result must be communicated to the physician immediately?
A) Serum chloride level 85 mEq/L
B) Serum sodium level 134 mEq/L
C) Serum potassium level 6.8 mEq/L
D) Serum magnesium level 2.3 mEq/L
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 taking narcotic pain medication after surgery. Which breakfast choices will help prevent constipation and promote return to regular bowel function?
A) Raisin bran with skim milk, fresh fruit, and wheat toast
B) Pancakes with maple syrup, bacon, and coffee with cream
C) Omelet with cheddar cheese, green pepper, and onions
D) Bagel with cream cheese, and strawberry non-fat yogurt
Q2) The nurse is caring for a patient who has not had a bowel movement for 2 days. Which is the priority nursing intervention for this patient?
A) Obtain an order to administer a soap suds cleansing enema.
B) Teach the patient how to use the Valsalva maneuver.
C) Discontinue medications that can cause constipation.
D) Assess the patient's usual pattern of bowel movements.
Q3) The nurse is caring for a patient who has an ileostomy. Which nursing diagnosis has the highest priority for the patient?
A) Impaired skin integrity r/t localized skin irritation from liquid stool
B) Social isolation r/t potential leakage of stool from ostomy appliance
C) Knowledge deficit r/t care and maintenance of ostomy appliance
D) Disturbed body image r/t presence of stoma and altered elimination
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Page 42
Chapter 41: Urinary Elimination
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Q1) The nurse is caring for a patient who reports an urgent need to urinate but is unable to pass more than a few drops of urine on the toilet. Which is the priority assessment to be performed by the nurse?
A) Bladder scan to determine the amount of urine in the bladder
B) Auscultation to assess circulation through the right and left renal arteries
C) Bimanual palpation to assess for possible enlargement of the kidneys
D) Calculate the patient's intake and output to check for fluid volume deficit
Q2) The nurse is caring for a patient with the nursing diagnosis of Urge urinary incontinence related to urinary tract infection. Which statement is appropriate for the "as evidenced by" portion of the patient's diagnosis?
A) Sudden leakage of urine when patient is unable to get to the toilet in time.
B) Continuous urine flow from the bladder regardless of attempts to use the toilet
C) Leakage of urine from the bladder when the patient coughs, sneezes, or laughs
D) Leakage of urine because the patient is unable to indicate need to use the toilet
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Chapter 42: Death and Loss
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Q1) The nurse is caring for a patient who just died after a lengthy illness. Which portions of postmortem care may be delegated to the nursing assistant? (Select all that apply.)
A) Gently washing the body and closing the patient's eyes
B) Offering support and empathy to the patient's family members
C) Documenting the patient's time of death in the medical record
D) Notifying all of the patient's consulting physicians of the patient's death
E) Removing the patient's hospital ID band, IV lines, and urinary catheter
F) Gathering the patient's belongings so they may be taken home by the family
Q2) The hospice nurse is caring for a father and his children following the death of their mother. The father is having difficulty taking on the responsibilities and duties that were previously done by his wife, especially relating to and communicating with his teenage daughters. Which nursing diagnosis best describes the family's situation at this time?
A) Impaired parenting r/t inappropriate child care arrangements
B) Ineffective denial r/t new and unpleasant reality of single parenting
C) Interrupted family processes r/t father's caregiving role changes
D) Disturbed thought processes r/t father's feelings of grief over loss of wife
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