Adult Health Nursing Study Guide Questions
Course Introduction
Adult Health Nursing focuses on the comprehensive care of adult patients experiencing a variety of acute and chronic health conditions. The course emphasizes the development of clinical reasoning and evidence-based practice skills necessary for assessment, planning, implementation, and evaluation of care. Students explore key concepts such as pathophysiology, pharmacology, and patient-centered interventions tailored to diverse adult populations across the healthcare continuum. Ethical considerations, interdisciplinary collaboration, health promotion, and patient education are central themes, preparing students to support adults in maintaining optimal health and managing illness.
Recommended Textbook
Fundamentals of Nursing 8th Edition by
Patricia A. Potter
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50 Chapters
1445 Verified Questions
1445 Flashcards
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Page 2
Chapter 1: Nursing Today
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which of the following resources guides faculty on structure and evaluation of the nursing curriculum?
A) ANA's Standards of Nursing Practice
B) Essentials of Baccalaureate Education
C) NLNAC Interpretive Guidelines
D) Standards of Professional Performance
Answer: B
Q2) The nurse is caring for her patients and is focused on managing their care as opposed to managing and performing skills.This nurse demonstrates which level of proficiency according to Benner?
A) Novice
B) Competent
C) Proficient
D) Expert Answer: C
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Page 3
Chapter 2: The Health Care Delivery System
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Sample Questions
Q1) The nurse is caring for a patient who has a diagnosis that she is not familiar with.The nurse uses reference materials and does a literature search to better understand the diagnosis.The nurse then utilizes this knowledge,along with the nurse's experience and patient preferences,to develop a plan of care.This is an example of the nurse using _____ to provide care for her patient.
A) Evidence-based practice
B) Research-based practice
C) Applied quality improvement
D) Nursing informatics
Answer: A
Q2) Health promotion programs focus on
A) Reducing the cost of health care.
B) Controlling risk factors for disease.
C) Immunizations.
D) Occupational health programs.
Answer: A
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Chapter 3: Community-Based Nursing Practice
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Sample Questions
Q1) Community-based nursing centers function as the first level of contact between members of a community and the health care delivery system.Ideally,health care services
A) Are provided where patients live.
B) Reduce the cost of health care for the patient.
C) Provide direct access to nurses.
D) Exclude interference from family or friends.
Answer: A,B,C
Q2) The student nurse is trying to determine what type of nurse she wants to be after graduation.In class,she states that community health nursing is probably not for her because community nursing focuses only on community issues such as preventing epidemics.The instructor's most appropriate response would be that community health nursing
A) Focuses on the health care of individuals, families, and groups in a community.
B) Focuses only on the health of a specific subgroup in a community.
C) Requires an advanced nursing degree, so the student need not worry.
D) Focuses only on maintaining the health of the community.
Answer: A
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Chapter 4: Theoretical Foundations of Nursing Practice
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Sample Questions
Q1) The nurse is making rounds and finds her older adult patient sobbing and obviously upset.She states that her doctor told her that she has cancer,and she does not want to die."What's the sense?" she says."I might as well die.I'm going to anyway.I guess that shows how useless I really am.Nobody wants an old lady around." The nurse notices that the patient's respirations have increased,and the tip of her nose and ear lobes are becoming cyanotic.The nurse assesses the patient and finds that the patient's pulse rate is over 150 beats per minute.According to Maslow's hierarchy of needs,the nurse should first
A) Call the physician to request a psychiatric consult.
B) Reassure the patient that she has value as a human being.
C) Place the patient on oxygen and try to calm her.
D) Call the patient's family to help her realize that she is wanted.
Q2) Nursing has its own body of knowledge that is both theoretical and practical.Which of the following is an example of theoretical knowledge?
A) Reflection on care experiences
B) Synthesis and integration of the art and science of nursing
C) Reflection on basic values and principles
D) Creating a narrow understanding of nursing practice
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Chapter 5: Evidence-Based Practice
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22 Flashcards
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Sample Questions
Q1) Qualitative nursing research is valuable in that it
A) Excludes all bias.
B) Uses randomization in structure.
C) Determines associations between variables and conditions.
D) Studies phenomena that are difficult to quantify.
Q2) The nurse is preparing to conduct research that will allow precise measurement of a phenomenon.Which of the following methods will provide the nurse with the right kind of data?
A) Experimental research
B) Surveys
C) Evaluation research
D) Phenomenology
E) Grounded theory
Q3) In reviewing literature for an evidence-based practice study,the nurse realizes that the most reliable level of evidence is the
A) Systematic review and meta-analysis.
B) Randomized control trial (RCT).
C) Case control study.
D) Control trial without randomization.
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Page 7
Chapter 6: Health and Wellness
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Sample Questions
Q1) The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in the drinking water of the community.In doing so,the nurse is fostering the concept of
A) Illness prevention.
B) Active health promotion.
C) Wellness education.
D) Passive health promotion.
Q2) The nurse is working in a clinic that is designed to provide health education and immunizations.As such,this clinic is designed to provide
A) Primary prevention.
B) Secondary prevention.
C) Tertiary prevention.
D) Diagnosis and prompt intervention.
Q3) The health care model that utilizes Maslow's hierarchy as its base is the _____ Model.
A) Health Belief
B) Health Promotion
C) Basic Human Needs
D) Holistic Health
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Page 8
Chapter 7: Caring in Nursing Practice
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Sample Questions
Q1) Providing "presence" involves "being there" and "being with." What does this involve?
A) Closeness and a sense of caring
B) Focusing on the task that needs to be done
C) Jumping in to provide patient comfort
D) Being there without an identified goal
Q2) The nurse is caring for a patient who has been sullen and quiet for the past three days.Suddenly,he says,"I'm really nervous about surgery tomorrow,but I'm more worried about how it will affect my family." What should the nurse do?
A) Assure the patient that everything will be all right and continue what she/he is doing.
B) Tell the patient that whatever happens is out of his control, so he shouldn't worry.
C) Stop what he/she is doing (if possible) and ask the patient to expand on his statement.
D) Contact hospital clergy to come and talk with the patient.
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Chapter 8: Caring for the Cancer Survivor
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Sample Questions
Q1) Nurses and other health care providers need to become more vigilant in recognizing cancer survivors and attempting to link them with the support and resources that they require because
A) All health care agencies provide survivorship care plans.
B) Survivorship care plans are reviewed with the patient after the patient goes home.
C) Many survivors are discharged with no survivor plan.
D) The plan does not deal with future cancer care.
Q2) The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer.The patient says that he can't wait until the therapy is done so that he can feel stronger,and asks the nurse about the value of cancer screening when his course of therapy is over.The nurse should inform the patient that cancer screening
A) Should be done on an ongoing schedule.
B) Probably will not be needed because the patient has been cured.
C) Usually is not done even if recommended by the health care provider.
D) Is not something that the health care provider should recommend.
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10
Chapter 9: Culture and Ethnicity
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Sample Questions
Q1) The nurse is caring for a patient who has emigrated from another country.The patient is in need of abdominal surgery but seems reluctant to sign the surgical permits.What is one tactic that the nurse should use?
A) Determine the family social hierarchy.
B) Encourage the patient to sign the permits.
C) Call the physician so that surgery can be canceled.
D) Impress on the patient that her life is in jeopardy.
Q2) Providing culturally congruent care means providing care that
A) Fits the patient's valued life patterns and set of meanings.
B) Is based on meanings generated by predetermined criteria.
C) Is the same as the values of the professional health care system.
D) Holds one's own way of life as superior to those of others.
Q3) Compare the following statements.Which are considered predominant in non-Western cultures?
A) Causes of illness are biomedical in nature.
B) Illness is an imbalance between humans and nature.
C) Caring patterns are based in self-care and self-determination.
D) Diagnoses are described as holistic.
E) Treatment of disease can be magico-religious based.
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Page 11
Chapter 10: Caring for Families
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Sample Questions
Q1) When focusing on older adults,the nurse must be aware that
A) Elder abuse happens in lower socioeconomic classes only.
B) Elders have the same social networks as younger people.
C) Caregivers may be spouses or middle-age children.
D) Caregiver stress is minimal when caring for a parent.
Q2) The nurse is caring for a patient in hospice.As she observes the family dynamics,she notes that the patient is getting adequate care,but the wife is not sleeping well and needs rest.The nurse also assesses the need for better family nutrition and meals assistance.The nurse discusses these assessments with the patient and his family and formulates a plan of care with them to address these issues.The nurse is utilizing which approach to family nursing practice?
A) Family as context
B) Family as patient
C) Family as system
D) Autocratic determination
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12
Chapter 11: Developmental Theories
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Sample Questions
Q1) The parents of a 14-year-old boy express concern over their child's rebellious behavior.The nurse should plan to respond to the parents' concern by informing them that their
A) Child should be referred to a juvenile correctional facility.
B) Child's behavior is normal because the adolescent is trying to adjust to his emerging identity.
C) Child's behavior is a matter of concern because he is likely conflicted about establishing companionship with a partner.
D) Child's behavior is expected because he is expressing his need to support future generations.
Q2) Jean Piaget's cognitive developmental theory focuses on four stages of development,including A) Formal operations.
B) Intimacy versus isolation.
C) Latency.
D) The postconventional level.
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13
Chapter 12: Conception Through Adolescence
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Sample Questions
Q1) The nursing student is preparing a teaching project for parents of school-aged children.Which statement correctly identifies health risks in this age group?
A) "School-aged children are more likely to suffer from unintentional injury."
B) "The risk for infection is not a major concern of this age group as immunity develops."
C) "Mental retardation, learning disorders, and malnutrition are prevalent across all socioeconomic categories."
D) "Poor nutrition and lack of immunizations continue to be health concerns for children of the poor."
Q2) The nurse knows that the mother of a newborn understands associated health risks to her baby when she states
A) "I need to moisten the umbilical cord every hour during the day until the cord falls off."
B) "I need to remind anyone who wants to hold the baby to wash their hands."
C) "I need to leave the blankets off the baby to prevent smothering."
D) "I can throw away the bulb syringe now because my baby is breathing on her own."
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14
Chapter 13: Young and Middle Adults
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Sample Questions
Q1) A patient states that she is pregnant and concerned because she does not know what to expect,and she wants her husband to play an active part in the birthing process.What should the nurse tell the patient?
A) Lamaze classes can prepare pregnant women and their partners for what is coming.
B) The frequency of sexual intercourse is key to helping the husband feel valued.
C) After the birth, the stress of pregnancy will disappear and will be replaced by relief.
D) After the baby is born, the wife should accept the extra responsibilities of motherhood.
Q2) When performing a thorough psychosocial assessment on a young adult,what must the nurse realize?
A) Having a job is the best way to relieve stress.
B) Although psychologically disturbing, stress does not lead to physical illness.
C) Change is inevitable and is not a factor in stress-related illness.
D) Psychosocial health is often related to job and family stress.
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Chapter 14: Older Adults
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Sample Questions
Q1) Which symptom is an expected cognitive change in the older adult patient?
A) Disorientation
B) Slower reaction time
C) Poor judgment
D) Loss of language skills
Q2) When comparing developmental tasks of middle-aged persons versus older adults,what should the nurse infer?
A) Learning to cope with loss is most common during the middle adult years.
B) After age 65, most older adults age both biologically and psychologically the same way.
C) All older adults will need nursing assistance to deal with loss.
D) Older adults fear and resent retirement as a disruption of their lifestyle.
Q3) Several theories on aging have been put forth,and the nurse should use these theories to
A) Guide nursing care.
B) Explain the stochastic view of genetically programmed physiological changes.
C) Select one theory to guide nursing care for all geriatric patients.
D) Understand the nonstochastic views of aging as the result of cellular damage.
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Page 16
Chapter 15: Critical Thinking in Nursing Practice
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Sample Questions
Q1) A nursing instructor needs to evaluate students' abilities to synthesize data and identify relationships between nursing diagnoses.Which learning assignment is best suited for this instructor's needs?
A) Concept mapping
B) Reflective journaling
C) Reading assignment with a written summary
D) Lecture and discussion
Q2) Critical thinking characteristics include
A) Considering what is important in a given situation.
B) Accepting one, established way to provide patient care.
C) Making decisions based on intuition.
D) Being able to read and follow physician's orders.
Q3) The critical thinking skill of evaluation in nursing practice can be best described as
A) Examining the meaning of data.
B) Reviewing the effectiveness of nursing actions.
C) Supporting findings and conclusions.
D) Searching for links between data and the nurse's assumptions.
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Chapter 16: Nursing Assessment
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Sample Questions
Q1) A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while moving around in bed.What is the nurse's best action in response to her observation?
A) Proceed to the next patient's room while making rounds.
B) Offer a massage because the patient does not want any more pain medicine.
C) Administer the pain medication ordered for moderate to severe pain.
D) Ask the patient about the facial grimacing with movement.
Q2) The nurse is attempting to prompt the patient to elaborate on her complaints of daytime fatigue.Which question should the nurse ask?
A) "Is there anything that you are stressed about right now?"
B) "What reasons do you think are contributing to your fatigue?"
C) "What are your normal work hours?"
D) "Are you sleeping 8 hours a night?"
Q3) A nurse using the problem-oriented approach to data collection will first
A) Complete an observational overview.
B) Disregard cues and complete the database questions in chronological order.
C) Focus on the patient's presenting situation.
D) Make accurate interpretations of the data.
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Page 18
Chapter 17: Nursing Diagnosis
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Sample Questions
Q1) A patient with a spinal cord injury is seeking to enhance his urinary elimination abilities by learning self-catheterization versus assisted catheterization by home health nurses and family members.The nursing diagnosis Readiness for enhanced urinary elimination is which type of diagnosis?
A) Actual
B) Risk
C) Health promotion
D) Wellness
Q2) A patient presents to the emergency department following a motor vehicle crash and suffers from a right femur fracture.The leg is stabilized in a full leg cast.Otherwise,the patient has no other major injuries,is in good health,and complains only of moderate discomfort.What is the most pertinent nursing diagnosis to be included in the plan of care based on the assessment data provided?
A) Posttrauma syndrome
B) Constipation
C) Urinary retention
D) Acute pain
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Chapter 18: Planning Nursing Care
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Sample Questions
Q1) Which of the following options correctly explains what the nurse should do with the plan of care for a patient after it is developed?
A) Place the original copy in the chart, so it cannot be tampered with or revised.
B) Communicate the plan of care to all health care professionals involved in the patient's care.
C) Send the plan of care to the administration office to be filed.
D) Send the plan of care to quality assurance for review.
Q2) A nurse is planning care for a patient with a nursing diagnosis of Impaired skin integrity.The patient needs many nursing interventions,including a dressing change,several intravenous antibiotics,and a walk.What factors does the nurse consider when prioritizing interventions?
A) Put all the patients' nursing diagnoses in order of priority.
B) Consider time as an influencing factor.
C) Set priorities based solely on physiological factors.
D) Utilize critical thinking.
E) Do not change priorities once they've been established.
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Chapter 19: Implementing Nursing Care
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Sample Questions
Q1) A patient visiting with family members in the waiting area tells the nurse that his stomach is not feeling good.Before intervening,what should the nurse do?
A) Ask the patient to return to his room so the nurse can inspect his abdomen.
B) Request that the family leave, so the patient can rest.
C) Ask the patient when his last bowel movement was and to lie down on the sofa.
D) Tell the patient that his dinner tray will be ready in 15 minutes.
Q2) What is the first intervention included on any patient's plan of care?
A) Determine patient outcomes and goals.
B) Prioritize the patient's nursing diagnoses.
C) Reassess the patient.
D) Assess for a patent airway.
Q3) Which of these interventions,to be included in the plan of care,is appropriate for the patient outcome that states,"The patient will verbalize a pain level at 3 or below on a 0 to 10 scale throughout this shift."?
A) Medicate the patient immediately after all procedures.
B) Discuss only nonpharmacological methods of pain relief.
C) Teach the patient about side effects of pain medications.
D) Medicate the patient based on previous shift assessment findings.
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Chapter 20: Evaluation
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Sample Questions
Q1) A patient was recently diagnosed with pneumonia.The nurse and the patient have established a goal that the patient will not experience shortness of breath with activity in 3 days with an expected outcome of having no secretions present in the lungs in 48 hours.Which of the following is an appropriate evaluative measure demonstrating progress toward this goal?
A) Nonproductive cough present in 4 days
B) Scattered rhonchi throughout all lung fields in 2 days
C) Respirations 30/minute in 1 day
D) Lungs clear to auscultation following use of inhaler
Q2) Identify elements of the evaluation process.
A) Setting priorities for patient care
B) Collecting subjective and objective data to determine whether criteria or standards are met
C) Ambulating 25 feet in the hallway with the patient
D) Documenting findings
E) Terminating, continuing, or revising the care plan
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Chapter 21: Managing Patient Care
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Sample Questions
Q1) Which organizational structure approach has fewer directors with managers accountable 24 hours for staff,budget,and day-to-day management?
A) Centralized management
B) Decentralized management
C) Business unit management
D) Matrix
Q2) With the current shortage of nursing faculty and nursing programs,which nursing care delivery model is least feasible in many agencies?
A) Total patient care
B) Primary nursing
C) Team nursing
D) Case management
Q3) A nurse observes a patient care technician using all these measures when taking vital signs.Which measure requires the nurse to intervene?
A) Palpates brachial artery before inflating blood pressure cuff
B) Counts respirations while palpating radial pulse
C) Inserts thermometer into sublingual pocket after patient sips water
D) Asks patient to relax arm before taking blood pressure
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Chapter 22: Ethics and Values
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Sample Questions
Q1) When people work together to solve ethical dilemmas,individuals must examine their own values.This step is crucial to ensure that
A) The group identifies the one correct solution.
B) Fact is separated from opinion.
C) Judgmental attitudes are not provoked.
D) Different perspectives are respected.
Q2) Which philosophy of health care ethics would be particularly useful when making ethical decisions about vulnerable populations?
A) Feminist ethics
B) Deontology
C) Bioethics
D) Utilitarianism
Q3) Ethical dilemmas are common occurrences when caring for patients.The nurse understands that dilemmas are a result of
A) Presence of conflicting values.
B) Hierarchical systems.
C) Judgmental perceptions of patients.
D) Poor communication with the patient.
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24
Chapter 23: Legal Implications in Nursing Practice
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Sample Questions
Q1) A 17-year-old patient,dying of heart failure,wants to have his organs removed for transplantation after his death.What action by the nurse is correct?
A) Prepare the organ donation form for the patient to sign while he is still oriented.
B) Instruct the patient to talk with his parents about his desire to donate his organs.
C) Notify the physician about the patient's desire to donate his organs.
D) Contact the United Network for Organ Sharing after talking with the patient.
Q2) The nurse calculates the medication dose for an infant on the pediatric unit and determines that the dose is twice what it should be.The pediatrician is contacted and says to administer the medication as ordered.What is the next action that the nurse should take?
A) Notify the nursing supervisor.
B) Check the chain of command policy for such situations.
C) Give the medication as ordered.
D) Give the amount calculated to be correct.
E) Contact the pharmacy for clarification.
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25
Chapter 24: Communication
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Sample Questions
Q1) A confused older adult patient is wearing thick glasses and a hearing aid.Which intervention is priority to facilitate communication?
A) Focus on tasks to be completed.
B) Allow time for the patient to respond.
C) Limit conversations with the patient.
D) Use gestures and other nonverbal cues.
Q2) Which situation will cause the nurse to intervene and follow up on the nurse aide's behavior?
A) The nurse aide is calling the older adult patient "honey."
B) The nurse aide is facing the older adult patient when talking.
C) The nurse aide cleans the older adult patient's glasses.
D) The nurse aide allows time for the older adult patient to respond.
Q3) Which technique will be most successful in ensuring effective communication? The nurse uses
A) Interpersonal communication to change negative self-talk to positive self-talk.
B) Small group communication to present information to an audience.
C) Intrapersonal communication to build strong teams.
D) Transpersonal communication to enhance meditation.
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26
Chapter 25: Patient Education
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Sample Questions
Q1) Which situation indicates to the nurse that the patient is ready to learn?
A) A patient has sufficient upper body strength to move from a bed to a wheelchair.
B) A patient has the ability to grasp and apply the elastic bandage.
C) A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.
D) A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe.
Q2) A patient has been taught how to cough and deep breathe.Which evaluation method is most appropriate?
A) Return demonstration
B) Computer instruction
C) Verbalization of steps
D) Cloze test
Q3) Which nursing action is most appropriate for assessing a patient's learning needs?
A) Assess the patient's total health care needs.
B) Assess the patient's health literacy.
C) Assess all sources of patient data.
D) Assess the goals of patient care.
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Chapter 26: Documentation and Informatics
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Sample Questions
Q1) A nurse in a long-term care setting that is funded by Medicare and Medicaid is completing standardized protocols for assessment and care planning and for meeting quality improvement within and across facilities.Which task did the nurse just complete?
A) A focused assessment/specific body system
B) The Resident Assessment Instrument/Minimum Data Set
C) An admission assessment and acuity level
D) An intake assessment form and auditing phase
Q2) A patient is being discharged home.Which information should the nurse include?
A) Acuity level
B) Community resources
C) Standardized care plan
D) Kardex
Q3) A nurse needs to begin discharge planning for a patient admitted with pneumonia and a congested cough.When is the best time the nurse should start discharge planning for this patient?
A) Upon admission
B) Right before discharge
C) After the congestion is treated
D) When the primary care provider writes the order
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Chapter 27: Patient Safety
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Sample Questions
Q1) The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous infusion.The nurse begins to develop a plan to care for the patient.Which nursing intervention should take priority?
A) Gather restraint supplies.
B) Try alternatives to restraint.
C) Assess the patient.
D) Call the physician for a restraint order.
Q2) A nurse is caring for an adult patient who has had a minor motor vehicle accident.The health history reveals that the patient is currently in the process of obtaining a divorce.Which of the following actions should the nurse take?
A) Agree upon and make time for the patient to talk.
B) Use active listening skills and therapeutic touch as appropriate.
C) Teach stress reduction strategies.
D) Inform patient that stressed individuals are more likely to have accidents.
E) Agree to witness telephone conversations with separated husband.
F) Refer the patient to the nurse's church marriage counselor.
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Chapter 28: Infection Prevention and Control
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Sample Questions
Q1) The nurse is caring for a patient in the hospital.The nurse observes the nursing assistant turning off the handle faucet with his hands.What professional practice supports the need for follow-up with the nursing assistant?
A) The nurse is responsible for providing a safe environment for the patient.
B) This is a key step in the procedure for washing hands.
C) Allowing the water to run is a waste of resources and money.
D) Different scopes of practice allow modification of procedures.
Q2) The nurse is caring for a patient who needs a protective environment.The nurse has provided the care needed and is now leaving the room.Select the correct order for removal of the personal protective equipment and associated tasks.(All answers are utilized.)
A) Remove eyewear/face shield and goggles.
B) Perform hand hygiene.
C) Remove gloves.
D) Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly.
E) Remove mask by strings; do not touch outside of mask.
F) Dispose of all contaminated supplies and equipment in designated receptacles.
G) Leave room and close the door.
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Page 30
Chapter 29: Vital Signs
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The nurse is assessing the patient and his family for probable familial causes of the patient's hypertension.The nurse begins by analyzing the patient's personal history,as well as family history and current lifestyle situation.Which of the following issues would be considered risk factors?
A) Obesity
B) Cigarette smoking
C) Recent weight loss
D) Heavy alcohol consumption
E) Low blood cholesterol levels
Q2) The patient is being encouraged to purchase a portable automatic blood pressure device so he can monitor his own blood pressure at home.What are some of the benefits of this?
A) Blood pressures can be obtained if pulse rates become irregular.
B) Patients can provide information about patterns to health care providers.
C) Patients can actively participate in their treatment.
D) Self-monitoring helps with compliance and treatment.
E) The risk of obtaining an inaccurate reading is decreased.
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Chapter 30: Health Assessment and Physical Examination
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Objective physical data describe air moving through small airways over the lung's periphery.The expected inspiratory-to-expiratory phase of this normal vesicular breath sound is which of the following?
A) The inspiratory phase lasts exactly as long as the expiratory phase.
B) The expiration phase is longer than the inspiration phase.
C) The expiration phase is two times longer than the inspiration phase.
D) The inspiratory phase is three times longer than the expiratory phase.
Q2) During a sexually transmitted illness presentation to high school students,the nurse recommends the HPV vaccine series to prevent
A) Cervical cancer.
B) Genital lesions.
C) Vaginal discharge.
D) Swollen perianal tissues.
Q3) Which is the best examination position for a complete geriatric physical examination on a weak patient with bilateral basilar pneumonia?
A) Prone position
B) Sims' position
C) Supine position
D) Lateral recumbent
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Page 32
Chapter 31: Medication Administration
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50 Flashcards
Source URL: https://quizplus.com/quiz/25780
Sample Questions
Q1) A patient is to receive medication through a nasogastric tube.What is the most important nursing action to ensure effective absorption?
A) Thoroughly shake the medication before administering.
B) After all medications are administered, flush tube with 15 to 30 mL of water.
C) Position patient in the supine position for 30 minutes.
D) Clamp suction for 30 to 60 minutes after medication administration.
Q2) The nurse is administering 250 mg of a medication elixir to the patient.The medication comes in a dose of 1000 mg/5 mL.How many milliliters should the nurse administer?
Q3) The nurse is planning to administer a tuberculin test with a 27-gauge,<sup>3</sup>/<sub>8</sub>-inch needle.The nurse should insert the needle at an angle of _____ degrees.
A) 15
B) 45
C) 90
D) 180
Q4) The patient is to receive amoxicillin (Moxatag)500 mg q8h; the medication is dispensed at 250 mg/5 mL.How many teaspoons would the nurse administer for one dose?
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Chapter 32: Complementary and Alternative Therapies
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25781
Sample Questions
Q1) Physiological symptoms of a stress response include all of the following except A) Constricted pupils.
B) Tachycardia.
C) Tachypnea.
D) Elevated blood pressure.
Q2) A patient describes practicing a complementary and alternative therapy involving concentrating and controlling his respiratory rate and pattern,recognizing that breath work is to yoga as
A) The "zone" is to acupressure.
B) Massage therapy is to Ayurveda.
C) Reiki therapy is to therapeutic touch.
D) Prayer is to tai chi.
Q3) In a cardiac dysrhythmia clinic,a patient inquires about using acupuncture to help alleviate stress.The nurse's best answer is which of the following?
A) "It is acceptable, but do not use electro-acupuncture."
B) "It is very clearly contraindicated."
C) "Do not allow needles near the heart."
D) "You do not look like you have an infection, so it will be OK."
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34
Chapter 33: Self-Concept
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20 Flashcards
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Sample Questions
Q1) The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment.An appropriate priority for a patient at this clinic would be
A) Identifying local self-help groups before being discharged from the program.
B) Staying away from all triggers that cause substance abuse.
C) Stating a plan to never be tempted by illicit substances after discharge.
D) Identifying personal areas of weakness to grow stronger.
Q2) While gathering an adolescent's health history,the nurse recognizes that the patient began to act out behaviorally and engage in risky behavior when her parents divorced.In considering an altered self-concept nursing diagnosis,the nurse would gather what information?
A) How long the parents were married
B) How the patient views her behaviors
C) Why the parents are divorcing
D) Why she is acting out of control
Q3) Identify the assessments suggestive of an altered self-concept.
A) Limping gait and large smile
B) Slumped posture and poor personal hygiene
C) Verbally responds when asked a question
D) Appropriately dressed with clean clothes
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Chapter 34: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/25783
Sample Questions
Q1) Which patient is most in need of a nurse's referral to adoption services?
A) A patient considering abortion for an unwanted pregnancy
B) An infertile couple religiously opposed to artificial insemination
C) A woman who suffered miscarriage during her first pregnancy
D) A couple who has been attempting conception for 3 months
Q2) A woman who has been in a monogamous relationship for the past 6 months presents to clinic with herpes on her labia.The patient is distraught because her partner must have cheated on her.Which response by the nurse is most effective in establishing an open rapport with a patient?
A) Share an anecdote.
B) Inform the patient that all encounters are confidential.
C) Tell the patient that she must be honest about every sexual experience she has had.
D) Ask the patient what concerns or fears she has related to the visit.
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Chapter 35: Spiritual Health
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25784
Sample Questions
Q1) The nurse is admitting a patient who is a member of the Seventh Day Adventist religion.The physician has written an order for specific tests to be done the next day,which is Saturday.The nurse should
A) Discuss the patient's beliefs about the Sabbath.
B) Order the tests without questioning.
C) Inform the physician that the tests cannot be performed.
D) Reorder the tests for Sunday.
Q2) The nurse is caring for a patient who is terminally ill with very little time left to live.The patient states,"I always believed that there was life after death.Now,I'm not so sure.Do you think there is?" The nurse states,"I believe there is." The nurse has attempted to A) Strengthen the patient's religion.
B) Provide hope.
C) Support the patient's agnostic beliefs.
D) Support the horizontal dimension of spiritual well-being.
Q3) In caring for the patient's spiritual needs,the nurse understands that A) Establishing presence is part of the art of nursing.
B) Presence involves "doing for" the patient.
C) A caring presence involves listening to the patient's wishes only.
D) The nurse must use her expertise to make decisions for the patient.
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Page 37
Chapter 36: The Experience of Loss, death, and Grief
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Sample Questions
Q1) A severely depressed patient cannot state any positive attributes to his or her life.The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life.The nurse is helping the patient to demonstrate which spiritual concept?
A) Time management
B) Hope
C) Charity
D) Faith
Q2) A terminally ill patient is experiencing constipation secondary to pain medication.What is the best way for the nurse to improve the patient's constipation problem?
A) Massage the patient's abdomen.
B) Contact the provider to discontinue pain medication.
C) Administer enemas twice daily for 7 days.
D) Use a stimulant laxative and increase fluid intake.
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38
Chapter 37: Stress and Coping
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Sample Questions
Q1) In a natural disaster relief facility,the nurse observes that an elderly man has a recovery plan,while a 25-year-old man is still overwhelmed by the disaster situation.These different reactions to the same situation would be explained best by which of the following?
A) Restorative care
B) Strong financial resources
C) Maturational and sociocultural factors
D) Immaturity and intelligence factors
Q2) While giving a lecture on attention-deficit/hyperactivity disorder,the nurse encourages which of the following to reduce children's stress regarding homework assignments?
A) Time management skills
B) Prevention of iron deficiency anemia
C) Routine preventative health visits
D) Speech articulation skills
Q3) Identify a sociocultural factor that can lead to developmental problems.
A) Family relocation
B) Childhood obesity
C) Prolonged poverty
D) Loss of stamina
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Chapter 38: Activity and Exercise
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30 Flashcards
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Sample Questions
Q1) The nurse is working with the patient in developing an exercise plan.The patient tells the nurse that she just will not participate in a formal exercise program.The nurse then suggests that exercise activities can be incorporated into activities of daily living.The patient seems to be agreeable to that concept.Of the following activities,which would be considered a moderate-intensity activity?
A) Doing laundry
B) Making the bed
C) Ironing
D) Folding clothes
Q2) The patient has been in bed for several days and needs to be ambulated.Before ambulation,the nurse
A) Removes the gait belt to allow for unrestricted movement.
B) Has the patient get up from bed before he has a chance to get dizzy.
C) Has the patient look down to watch his feet to prevent tripping.
D) Dangles the patient on the side of the bed.
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Chapter 39: Hygiene
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Sample Questions
Q1) The nurse is caring for a patient who refuses "AM care." When asked why,the patient tells the nurse that she always bathes in the evening.The nurse should
A) Defer the bath until evening and pass on the information to the next shift.
B) Tell the patient that she must bathe because that is the "normal" routine.
C) Explain to the patient the importance of maintaining morning hygiene practices.
D) Cancel hygiene for the day and attempt again in the morning.
Q2) The patient is being fitted with a hearing aid.In teaching the patient how to care for the hearing aid,the nurse instructs the patient to
A) Wear the hearing aid 24 hours per day except when sleeping.
B) Change the battery every day or as needed.
C) Avoid the use of hairspray, but aerosol perfumes are allowed.
D) Adjust the volume for a talking distance of 1 yard.
Q3) Of the following hearing aids,which interferes the most with wearing eyeglasses and using a phone?
A) In-the-canal hearing aid
B) In- the-ear hearing aid
C) Behind-the-ear hearing aid
D) They are all equally useful.
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Chapter 40: Oxygenation
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The nurse caring for a patient with ischemia to the left coronary artery would expect to find
A) Increased ventricular diastole.
B) Increased stroke volume.
C) Decreased preload.
D) Decreased afterload.
Q2) Which nursing diagnosis is the priority when caring for a patient with a traumatic brain injury who had a tracheostomy placed?
A) Risk for skin breakdown
B) Impaired gas exchange
C) Ineffective airway clearance
D) Risk for infection
Q3) The nurse recommends that a patient install a carbon monoxide detector in the home because
A) It is required by law.
B) Carbon monoxide tightly bonds to hemoglobin, causing hypoxia.
C) Carbon monoxide signals the cerebral cortex to cease ventilations.
D) Carbon monoxide combines with oxygen in the body and produces a deadly toxin.
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Chapter 41: Fluid, electrolyte, and Acid-Base Balance
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45 Verified Questions
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Sample Questions
Q1) The nurse would select the dorsal venous plexus of the foot as an IV site for which patient?
A) A 2-year-old child
B) A 22-year-old adult
C) A 50-year-old patient
D) An 80-year-old patient
Q2) The nurse would expect a patient with respiratory acidosis to have an excessive amount of
A) Carbon dioxide.
B) Bicarbonate.
C) Oxygen.
D) Phosphate.
Q3) When discontinuing a peripheral IV access,the nurse should
A) Use scissors to remove the IV site dressing and tape.
B) Keep the catheter parallel to the skin while removing it.
C) Apply firm pressure with sterile gauze during removal.
D) Stop the infusion before removing the IV catheter.
E) Wear sterile gloves and a mask.
F) Apply pressure to the site for 2 to 3 minutes after removal.
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Chapter 42: Sleep
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30 Flashcards
Source URL: https://quizplus.com/quiz/25791
Sample Questions
Q1) The nurse is discussing with a new mother the sleep requirements of a neonate.Which of these comments would indicate that the patient has an understanding of the neonate's sleeping pattern?
A) "I can't wait to get the baby home to play with the brothers and sisters."
B) "I will ask my mom to come after the first week, when the baby is more alert."
C) "I will get the baby on a sleeping schedule the first week while my mom is here."
D) "I won't be able to nap during the day because the baby will be awake."
Q2) The patient and the nurse discuss the need for sleep.After the discussion,the patient is able to state factors that hinder sleep.Which statements indicate that the patient has a good understanding of sleep?
A) "Drinking coffee at 7 PM could interrupt my sleep."
B) "Worry about work can disrupt my sleep."
C) "Exercising 2 hours before bedtime can decrease relaxation."
D) "Changing the time of day that I eat dinner can disrupt sleep."
E) "Taking an antacid can decrease sleep."
F) "Staying up late for a party can interrupt sleep patterns."
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44
Chapter 43: Pain Management
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Sample Questions
Q1) A nurse is providing medication education to a patient who just started taking ibuprofen,a nonselective nonsteroidal antiinflammatory drug (NSAID).Which statement made by the nurse best indicates how ibuprofen works?
A) "Ibuprofen helps to remove factors that cause or stimulate pain."
B) "Ibuprofen reduces anxiety, which will help you better cope with your pain."
C) "Ibuprofen helps to decrease the production of prostaglandins."
D) "Ibuprofen binds with opiate receptors to reduce your pain."
Q2) A nurse is caring for a patient who fell on the ice and has connective tissue damage in the wrist and hand.What does type of pain does the nurse document that the patient has?
A) Visceral pain
B) Somatic pain
C) Peripherally generated pain
D) Centrally generated pain
Q3) The nurse anticipates administering an opioid fentanyl patch to which patient?
A) A 15-year-old adolescent with a broken femur
B) A 30-year-old adult with cellulitis
C) A 50-year-old patient with prostate cancer
D) An 80-year-old patient with a broken hip
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Page 45
Chapter 44: Nutrition
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45 Flashcards
Source URL: https://quizplus.com/quiz/25793
Sample Questions
Q1) In measuring the effectiveness of nutritional interventions,the nurse should
A) Expect results to occur rapidly.
B) Not be concerned with physical measures such as weight.
C) Expect to maintain a course of action regardless of changes in condition.
D) Evaluate outcomes according to the patient's expectations and goals.
Q2) Dysphagia refers to difficulty when swallowing.Of the following causes of dysphagia,which is considered neurogenic?
A) Myasthenia gravis
B) Stroke
C) Candidiasis
D) Muscular dystrophy
Q3) Dietary reference intakes (DRIs)present evidence-based criteria for an acceptable range of amounts of vitamins and nutrients for each gender and age group.Components of DRIs include which of the following?
A) Estimated average requirement (EAR)
B) Recommended dietary allowance (RDA)
C) The Food Guide Pyramid
D) Adequate intake (AI)
E) The tolerable upper intake level (UL)
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Page 46
Chapter 45: Urinary Elimination
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) When caring for a patient with urinary retention,the nurse would anticipate an order for
A) Limited fluid intake.
B) A urinary catheter.
C) Diuretic medication.
D) A renal angiogram.
Q2) Which nursing diagnosis related to alternations in urinary function in an older adult should be a nurse's first priority?
A) Self-care deficit related to decreased mobility
B) Risk of infection
C) Anxiety related to urinary frequency
D) Impaired self-esteem related to lack of independence
Q3) An 86-year-old patient tells the nurse that she is experiencing uncontrollable leakage of urine.Which nursing diagnosis should the nurse include in the patient's plan of care?
A) Urinary retention
B) Hesitancy
C) Urgency
D) Urinary incontinence
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Page 47
Chapter 46: Bowel Elimination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25795
Sample Questions
Q1) A nurse is performing an assessment on a patient who has not had a bowel movement in 3 days.The nurse would expect which other assessment finding?
A) Hypoactive bowel sounds
B) Jaundice in sclera
C) Decreased skin turgor
D) Soft tender abdomen
Q2) After a patient returns from a barium swallow,the nurse's priority is to
A) Encourage the patient to increase fluids to flush out the barium.
B) Monitor stools closely for bright red blood or mucus, which indicates trauma from the procedure.
C) Inform the patient that his bowel movements are radioactive, and that he should be sure to flush the toilet three times.
D) Thicken all patient drinks to prevent aspiration.
Q3) Which physiological change can cause a paralytic ileus?
A) Chronic cathartic abuse
B) Surgery for Crohn's disease and anesthesia
C) Suppression of hydrochloric acid from medication
D) Fecal impaction
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Chapter 47: Mobility and Immobility
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Sample Questions
Q1) The nurse is assessing the way the patient walks.The manner of walking is known as the patient's
A) Activity tolerance.
B) Body alignment.
C) Range of motion.
D) Gait.
Q2) In preparing to create a nursing diagnosis for a patient who is immobile,it is important for the nurse to understand that
A) Physiological issues should be the major focus.
B) Psychosocial issues should be the major focus.
C) Developmental issues should be the major focus.
D) All dimensions are important to health.
Q3) The nurse is caring for an elderly patient with the diagnosis of urinary tract infection (UTI).The patient is confused and agitated.It is important for the nurse to realize that confusion in the elderly is
A) Not a normal expectation.
B) Purely psychological in origin.
C) Not a common manifestation with UTIs.
D) Acceptable and needs no further assessment.
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Page 49
Chapter 48: Skin Integrity and Wound Care
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who has experienced a total hysterectomy.Which nursing observation would indicate that the patient was experiencing a complication of wound healing?
A) The incision site has started to itch.
B) The incision site is approximated.
C) The patient has pain at the incision site.
D) The incision has a mass, bluish in color.
Q2) The nurse is caring for a postpartum patient.The patient has an episiotomy after experiencing birth.The physician has ordered heat to treat this condition,and the nurse is providing this treatment.This patient is at risk for
A) Infection.
B) Impaired skin integrity.
C) Trauma.
D) Imbalanced nutrition.
Q3) The nurse is completing an assessment of the skin's integrity,which includes
A) Pressure points.
B) All pulses.
C) Breath sounds.
D) Bowel sounds.
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Page 50
Chapter 49: Sensory Alterations
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29 Flashcards
Source URL: https://quizplus.com/quiz/25798
Sample Questions
Q1) A nurse is caring for a patient who is experiencing vertigo.Which nursing intervention would assist the patient in controlling the vertigo?
A) Increasing fluid intake to 3 liters a day
B) Watching television instead of reading books
C) Avoiding riding in vehicles and making sudden motions
D) Placing several antiemetic patches on the patient
Q2) The nurse would utilize the Snellen chart for assessment of which patient?
A) A patient who is having difficulty remembering how to perform familiar tasks
B) A patient who turns the television up as loud as possible
C) A patient who holds his newspaper 2 inches from his face
D) A patient who frequently reports the incorrect time from the clock across the room
Q3) Which nursing diagnosis addresses psychological concerns for a patient with both hearing and visual sensory impairment?
A) Self-care deficit
B) Risk for falls
C) Social isolation
D) Impaired physical mobility
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Chapter 50: Care of Surgical Patients
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25799
Sample Questions
Q1) The nurse is caring for a postoperative patient with a history of obstructive sleep apnea.The nurse monitors for which of the following?
A) Choking and noisy, irregular respirations
B) Shallow respirations
C) Moaning and reports of pain
D) Disorientation
Q2) The nurse is caring for a postoperative patient with an incision.Which of the following nursing interventions have been found to decrease wound infections?
A) Perform hand hygiene before and after contact with the patient.
B) Maintain normoglycemia.
C) Use hair clippers to remove hair.
D) Administer antibiotics within 30 to 60 minutes of incision time.
E) Provide bath and linen change daily.
F) Perform first dressing change 1 week postoperatively.
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