Basic Nursing
Chapter Exam Questions
Course Introduction
Basic Nursing provides an introduction to the essential principles and practices of nursing, focusing on the foundational knowledge and skills required for safe, effective patient care. The course covers topics such as patient assessment, vital signs monitoring, hygiene, mobility, infection control, communication, and documentation. Emphasizing ethical and compassionate care, Basic Nursing prepares students to support patients' physical and emotional well-being while working as part of a healthcare team. Through lectures, demonstrations, and clinical experiences, students develop critical thinking and hands-on proficiencies necessary for entry-level nursing roles.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman
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Chapter 1: Historical and Contemporary Nursing Practice
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Q1) A seasoned nurse is a mentor for a new graduate.Which of the standards of professional performance is the seasoned nurse practicing?
A)Collaboration
B)Leadership
C)Collegiality
D)Evaluation
Answer: C
Q2) The nurse is creating a community education program on health promotion and wellness.Which topic should the nurse use for this program?
A)Prenatal and infant care
B)Prevention of sexually transmitted disease
C)Exercise class for clients who have had a stroke
D)Home accident prevention
Answer: D
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Chapter 2: Evidence-Based Practice and Research in Nursing
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Sample Questions
Q1) The nurse using evidence-based practice to guide care has identified a study in which the findings would be appropriate to address a client's health care need.What actions should the nurse take before implementing these findings?
(Select all that apply)
A)Ask the client if the findings can be used.
B)Immediately apply the findings to client care.
C)Examine how the findings fit with the client's health needs.
D)Determine if resources are available to implement the findings.
E)Identify organization policies to support or address the findings.
Answer: A,C,D,E
Q2) The nurse researcher is testing the effects of a new dressing preparation on certain participants,while continuing to use older but more familiar products on others.Which type of research design is the nurse using?
A)Quasi-experimental
B)Experimental
C)Nonexperimental
D)Pilot study
Answer: B
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Page 4
Chapter 3: Nursing Theories and Conceptual Frameworks
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Sample Questions
Q1) A client is being seen in the clinic for the final follow-up appointment after an extensive course of rehabilitation.According to Neuman's model,which level of intervention should the nurse realize this patient is experiencing?
A)Primary prevention
B)Secondary prevention
C)Resistant prevention
D)Tertiary prevention
Answer: D
Q2) The nurse is planning client care while keeping in mind Orem's self-care deficit theory.Which methods of helping should the nurse include when determining the best care for the client?
(Select all that apply)
A)Balancing rest
B)Teaching
C)Supporting
D)Guiding
E)Preventing hazards to life
Answer: B,C,D,E
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Chapter 4: Legal Aspects of Nursing
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Sample Questions
Q1) A nurse on the unit notices that a co-worker exhibits a pattern of behavior suggestive of drug abuse.What should the nurse do?
A)Report the situation to the unit charge nurse.
B)Send an anonymous letter to the director of nursing.
C)Let other co-workers know about the situation.
D)Report the situation,then let management take care of it.
Q2) The nurse forgets to put the call light within the client's reach and then leaves the room.The client reaches for it and falls out of bed.With what should the nurse expect to be charged?
A)Assault
B)Battery
C)Negligence
D)Criminal intent
Q3) A nurse's co-worker makes a practice of telling offensive jokes or stories with a sexual undertone during the shift.Which action should the nurse take first?
A)Ignore the co-worker and walk away.
B)Report the incident to the nurse manager.
C)Tell the co-worker to stop the activity because the conduct is offensive.
D)Ask to be scheduled opposite this co-worker.
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Page 6
Chapter 5: Values, Ethics, and Advocacy
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Sample Questions
Q1) A student is attending a school with a high first-time pass rate on the NCLEX .Which student statement articulates a belief that the nursing student has about faculty in the program?
A)Expect high academic standards from their students
B)Are concerned with job placement of their graduates
C)Are most concerned with the successful licensure of each student
D)Work hard to make sure students are successful
Q2) The school of nursing professor is preparing a classroom activity to assist the students in acquiring professional values.Which actions should the professor select for this assignment?
(Select all that apply)
A)Discuss codes of ethics with the students.
B)Recommend that the students avoid ethical issues.
C)Encourage the students to discuss experiences.
D)Invite other professors to participate in a discussion.
E)Have the students interview each other about experiences.
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Chapter 6: Health Care Delivery Systems
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Sample Questions
Q1) A 68-year-old client is concerned about paying for extended hospitalization and expensive medications to treat his health problem.What should the nurse respond to this client?
A)"Don't worry.I'm sure everything will work out OK."
B)"You need to focus on recovering,not worrying about finances."
C)"Much of your care will be covered by Medicare."
D)"I'll have someone from the business office come and talk to you about your bill."
Q2) The spouse of a client diagnosed with Stage I/II Alzheimer's disease must continue to work full-time.The spouse tells the occupational health nurse that the client has started to wander outside the house,forgets to turn off the stove after preparing food,and tries to drive the car if the keys are available.What should the nurse recommend for this family?
A)The client should be placed in long-term care.
B)The spouse should consider early retirement.
C)The client should be placed in an adult day-care environment.
D)An increase in the client's medications should be considered to slow the progress of the disease.
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Chapter 7: Community Nursing and Care Continuity
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Sample Questions
Q1) After implementing health promotion activities and plans to prioritize health problems,the community must evaluate the effectiveness of the interventions.Which groups should be involved in this process?
A)Health care providers at the community level
B)Hospital and clinic personnel who administered health care needs
C)Health care providers,consumers,community leaders,and politicians
D)Those consumers who were directly affected by the services provided
Q2) Several nurses are working with other health care providers to provide care for a group of community members who have complications of diabetes mellitus and require extensive dressing changes and comprehensive education.In what capacity are the nurses and care providers working?
A)Collaboration
B)Case management
C)Health promotion
D)Health education
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Chapter 8: Home Care
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Sample Questions
Q1) While assessing a client's environment for safety concerns,the nurse finds that most of the rooms in the house have only one outlet with various cords entering the outlet.When this concern is shared with the client and spouse,they state that "this is the way we've lived for years." What should the nurse do?
A)Provide telephone numbers for local electricians.
B)Continue to persuade the client to have the home rewired.
C)Not bring the subject up again.
D)Document the findings and the client and spouse's response to the concern.
Q2) The nurse would like to admit a client to home health care,but is worried about insurance reimbursement.What client action is causing the nurse to if home care can be prescribed for this client?
A)Lives with a spouse
B)Needs skilled care
C)Needs intermittent care
D)Drives a car for trips to the barber
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Chapter 9: Electronic Health Records and Information Technology
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Sample Questions
Q1) The nurse is beginning a physical assessment of a client who is freelance computer information technologist.On which areas should the nurse place particular emphasis during this assessment?
(Select all that apply)
A)Vision
B)Hearing
C)Back flexibility
D)Hand range of motion
E)Range of motion of arms
Q2) A small nursing program has limited access to clinical sites,especially those with specialty areas.What should the nurse educators consider as an option to allow students "hands-on" simulated clinical experience in these areas?
A)A field trip to a larger nursing institution
B)Videos
C)CAI
D)Workbook with written study guides
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11
Chapter 10: Critical Thinking and Clinical Reasoning
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Sample Questions
Q1) The nurse who just moved from an urban area to a sparsely populated rural area understands that certain customs and practices the nurse follows may be quite foreign to the people in the new area.Which attitude of critical thinking is the nurse demonstrating?
A)Fair-mindedness
B)Insight into egocentricity
C)Intellectual humility
D)Intellectual courage to challenge the status quo and rituals
Q2) The nurse systematically tries a variety of products to help with healing of a client's wound.Which problem-solving method is the nurse using?
A)Intuition
B)Scientific method
C)Research process
D)Trial and error
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Chapter 11: Assessing
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Sample Questions
Q1) The nurse suspects that a client with a history of injuries is a victim of abuse.What did the nurse use to come to this conclusion?
A)Observation of cues
B)Validation
C)Inference
D)Judgment
Q2) The nurse manager observes a new graduate nurse complete assessment activities for a newly admitted client.Which actions indicate that the graduate needs assistance with the assessment process?
(Select all that apply)
A)Reviews client record
B)Establishes a database
C)Performs nursing actions
D)Reviews nursing literature
E)Determines client's strengths,risks,and problems
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13
Chapter 12: Diagnosing
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Q1) A client is diagnosed with pneumonia and has been hospitalized for several days.Which nursing diagnosis should the nurse identify as a priority for this client?
A)Altered oral mucous membranes,related to dry mouth
B)Activity intolerance,related to oxygen supply imbalance
C)Knowledge deficit,related to medication regimen
D)Ineffective airway clearance,related to increased secretions
Q2) An experienced nurse has just walked into the room of a newly assigned client.Which observation should the nurse use to include a new nursing diagnosis in this client's plan of care?
A)The client's eyes are closed.
B)The client's skin is pale and mottled.
C)The client's spouse is asleep in the chair next to the bed.
D)The television is on and the volume is turned up.
Q3) The nurse is preparing to write nursing diagnoses for a client.What should the nurse recall about the NANDA label?
A)Must contain three components
B)Describes the health problem for which nursing therapy is given
C)Helps define medical diagnoses for nursing
D)Promotes a taxonomy of nursing
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Page 14
Chapter 13: Planning
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Sample Questions
Q1) A client is admitted for complications following a routine diagnostic procedure of the colon.Which type of care plan will most likely be implemented for this client?
A)Informal nursing care plan
B)Formal nursing care plan
C)Standardized care plan
D)Individualized care plan
Q2) The nurse identifies for a client the nursing diagnosis "Fluid volume deficit,related to active fluid loss,secondary to diarrhea." What would be and appropriate goal statement for this diagnosis?
A)Client will drink more fluids by tomorrow.
B)Client will have good skin turgor.
C)Client will have moist mucous membranes.
D)Client will have intake of at least 1000 mL within 24 hours.
Q3) A discharge goal for a client is to have improved mobility.Which outcome statement did the nurse write appropriately?
A)Client will ambulate without a walker by 6 weeks.
B)Client will ambulate freely in house.
C)Client will not fall.
D)Client will have freer movement in daily activities.
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Page 15
Chapter 14: Implementing and Evaluating
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Sample Questions
Q1) On one of the first days working alone,the new nurse with limited patient teaching experience needs to instruct tracheostomy care to a client and spouse.What action should the nurse take?
A)Ask the nurse mentor to assist with the teaching after reviewing the procedure.
B)Read the policy and procedure manual before the teaching session.
C)Do the best the nurse can by remembering what was taught in nursing school.
D)Ask for a different assignment until the nurse feels comfortable with this one.
Q2) A client is prescribed a medication that the nurse has never administered and information about the medication is not in the drug reference manual.What should the nurse do?
A)Follow the physician's orders as written and give the medication.
B)Call the pharmacy and do further investigating before administering the medication.
C)Ask the client about this medication.
D)Call the physician and ask what the medication is and what it is for.
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16
Chapter 15: Documenting and Reporting
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Sample Questions
Q1) Before providing care,the nurse reviews the client's pertinent history,daily treatments,diagnostic procedures,allergies,problems,and other information.Which form should the nurse review to learn all of this information?
A)The client's medical record
B)The MAR (medication administration record)
C)The written care plan
D)The Kardex
Q2) When responding to a call light,the nurse finds a client lying on the floor,with the bed linens around the legs.Which chart entry should the nurse document for this finding?
A)Client fell out of bed,but did push the call button for assistance.
B)Client became tangled in the bed linens,then called for assistance after falling out of bed.
C)Recorder responded to client's call light,upon entering the room,found client on floor.
D)Client found on floor,appeared to have fallen out of bed as a result of getting tangled in bed linens.
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Chapter 16: Health Promotion
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Sample Questions
Q1) A client has been working hard in rehabilitation following a traumatic brain injury.She has a weak support system in that her family lives a far distance away and her coworkers are not involved.On which behavior-specific cognitions should the nurse focus to assist this client with success in the rehabilitation program?
A)Situational influences
B)Perceived benefits of action
C)Perceived barriers to action
D)Interpersonal influences
Q2) The nurse is structuring activities that take a client's developmental stage into consideration.Which activities should the nurse include?
(Select all that apply)
A)Implementing seizure precautions
B)Creating a schedule for daily wound care
C)Monitoring intake,output,and daily weights
D)Preparing newborn care classes for new parents
E)Scheduling instruction sessions on self-administration of insulin
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18
Chapter 17: Health, Wellness, and Illness
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Sample Questions
Q1) A nurse educator is explaining the concept of health and parallels this with interruption of body systems and symptoms of disease or injury.This educator is interpreting health according to which model?
A)Health-illness continua
B)Eudemonistic
C)Adaptive
D)Clinical
Q2) The nurse case manager is concerned about a particular client being discharged from the hospital.Which factors should alert the nurse to possible problems with this client's adherence to treatment?
A)The prescribed therapy is costly and of unknown duration.
B)The therapy will require no lifestyle changes of the client.
C)The client has not had difficulty understanding the regimen.
D)The client's culture is supportive of Western medicine.
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19
Chapter 18: Culturally Responsive Nursing Care
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Q1) A home health client participates in cultural health practices that the nurse feels may be detrimental to his health.In order to remain attentive to cultural sensitivity and provide appropriate cultural nursing care,the nurse should take which action?
A)Explain the right and wrong of the client's treatment and try to persuade him to follow the scientific perspective.
B)Have the client's physician explain the care to the client in a firm but gentle manner.
C)Validate the client's practices and understand that for this client,it may be beneficial to continue with his preferences.
D)Try to negotiate with the client by exploring his views and then provide relevant scientific information.
Q2) A female client is being discharged after a lengthy hospitalization.The family is from a male-dominated culture.Before discharge instructions are given,which action should the nurse take?
A)Make sure instructions are understood by the client.
B)Arrange for teaching when the spouse is available.
C)Make sure that the physician gives the instructions.
D)Ask the client when the best time for teaching would be.
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Page 20
Chapter 19: Complementary and Alternative Healing
Modalities
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Sample Questions
Q1) A client was in a motor vehicle crash where he sustained injury to his spinal cord that has resulted in difficulty with balance and holding his posture.Which should the nurse suggest the client consider?
A)Animal-assisted therapy
B)Hypnotherapy
C)Chelation therapy
D)Detoxification
Q2) The nurse is instructing a client on meditation and relaxation.Which information should the nurse include in this teaching?
(Select all that apply)
A)"Perform these techniques at least 2 hours after eating so as to concentrate all your body's energies."
B)"Practice these techniques in a comfortable,upright position."
C)"Remember to relax your muscles after you have successfully tightened a muscle group."
D)"Find a quiet,peaceful place to meditate."
E)"Set aside 60 minutes daily for meditation and relaxation."
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21
Chapter 20: Concepts of Growth and Development
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Sample Questions
Q1) The nurse is exploring the behavior of children and how they interpret right from wrong or bad from good.Which theorist should the nurse study to learn this information?
A)Vygotsky
B)Skinner
C)Kohlberg
D)Piaget
Q2) After analyzing behavior,the nurse determines that a client is demonstrating defense mechanisms.According to Freud,what should the nurse realize as being the cause of this behavior?
(Select all that apply)
A)Anxiety created by conflicts
B)Activation of the conscience
C)Conflict between the id's impulses
D)Immediate pleasure and gratification
E)Underlying motivation for development
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Chapter 21: Promoting Health From Conception Through
Adolescence
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Q1) A teenage girl spends most of her free time with friends.In sharing their concerns about this behavior with the school nurse,the parents are worried about their child seeming to draw away from them.What should the nurse respond to the parents?
A)"You should really keep better track of your child.It's hard to tell what kinds of trouble she may be getting into."
B)"Independence is really important for this age group.Try to be extra attentive when your child does spend time at home."
C)"Use stricter guidelines for curfew and punishment if curfew is broken."
D)"Is it possible that your child might be taking drugs?"
Q2) A school nurse is implementing a program to promote psychosocial development among adolescent teens at a high school.Which activity should the nurse include?
A)Career planning
B)Establishing peer groups
C)Playing musical instruments
D)Determining a value system
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Chapter 22: Promoting Health in Young and Middle-Aged Adults
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Q1) The nurse working in a community health office that is often frequented by young adults is assessing clients for suicide.Which factors should the nurse identify as indicating a problem in this area?
A)Decreased interest in work
B)Weight loss
C)Depression
D)Brain dysfunction,including tumors
E)Sleep disturbances
Q2) A group of middle-aged clients is inquiring about nutrition-related health problems inherent in their age group.In order to best address these concerns of this specific age group,the nurse should take which action?
A)Provide information,including a website,regarding-age specific diet plans.
B)Give all clients a handout on diets recommended by the ADA.
C)Tell the clients to check with their physician before dieting.
D)Have them write to the U.S.Department of Agriculture for more information.
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24
Chapter 23: Promoting Health in Older Adults
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Q1) In planning any health program for elderly adults,the nurse will implement Erikson's theory of task development.The nurse realizes that in this stage of life,the successful completion of the task allows the person to
A)have a feeling of satisfaction from past accomplishments.
B)make connections with the younger generation.
C)wish he or she could live life over again.
D)live out his or her last years in physical health.
Q2) The elderly client comes to the clinic reporting gastrointestinal problems,including frequent constipation and indigestion,but denies any recent weight loss.The nurse initially recognizes that these symptoms
A)indicate a concern and could be caused by cancer.
B)indicate the need for an upper and lower GI x-ray series.
C)could be related to normal changes in muscle tone and activity.
D)are probably indicative of a gastric ulcer or colitis.
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Chapter 24: Promoting Family Health
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Q1) The nurse is planning to use the structural-functional theory when assessing a family new to a community.What should the nurse include when conducting this assessment?
(Select all that apply)
A)Individuals in the family
B)The family's sense of purpose
C)Relationships among family members
D)Strategies to restrict outside influences on the family
E)The approach the family uses to socialize new family members
Q2) A nurse is conducting a family assessment and is focusing,for the moment,on the family members' communication patterns.Which observation indicates that there are existing or potential problems with family communication?
A)All members are participating in the discussion equally,some quite vocally.
B)The verbal communication is congruent with the nonverbal messages.
C)A few of the members just sit and listen.
D)Disagreements are not addressed among members;rather,they are ignored by the person who does the most talking.
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Chapter 25: Caring
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Q1) A nurse educator is teaching students about the philosophy of caring in nursing and states that nurses can only be truly caring if they are true to themselves first.This action then emphasizes the importance of nurses knowing themselves,which brings about a process that allows the nurse to be with another person.Whose theory is the educator using to teach the concept of caring?
A)Roach
B)Ray
C)Boykin and Schoenhofer
D)Watson
Q2) A new nurse has just started work on an oncology unit.One of the clients has decided to discontinue treatment,even though he understands that his life will be shortened extensively if he does.The nurse is having difficulty with this situation and decides to approach a seasoned nurse for insight and a way to help support this particular client.The nurse is exemplifying which aspect of caring?
A)Hope
B)Humility
C)Honesty
D)Patience
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Chapter 26: Communicating
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Q1) The nurse is identifying communication strategies for a client unable to speak.What would be appropriate for the client in this situation?
A)Using a picture board to facilitate communication
B)Facing the client when speaking
C)Employing an interpreter
D)Making sure that the language spoken is the client's dominant language
Q2) The nurse is engaging a client in the introductory phase of the helping relationship.Which stages will be completed during this phase?
(Select all that apply)
A)Opening the relationship
B)Clarifying the problem
C)Structuring and formulating the contract
D)Planning before the interview
E)Understanding thoughts and feelings
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Chapter 27: Teaching
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Q1) The nurse serves as an educator of other health care personnel.In what capacity will this nurse participate in education?
(Select all that apply)
A)Preceptor of new graduate nurses
B)Instructing a part of the critical care course
C)Clinical instruction of nursing students
D)One-to-one teaching of clients
E)Teaching grandparents how to care for children
Q2) A client needs discharge teaching regarding the use of a walker before going home.The client's room is small and adjacent to a soda machine and small lounge area.In planning a teaching session,which is the best thing the nurse can do?
A)Wait until just prior to discharge,then do the teaching in the hospital lobby.
B)Close the door to the client's room and make sure there is no clutter on the floor before the teaching session begins.
C)Take the client to a larger area (treatment room,for example)for teaching,then evaluate on the way back to the client's room.
D)Make sure a physical therapist is available to do the teaching and can see the client before discharge.
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Chapter 28: Leading, Managing, and Delegating
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Q1) The manager determines that a new graduate nurse needs additional training on the principles of delegation.What delegation to unlicensed assistive personnel did the manager observe to make this decision?
(Select all that apply)
A)Bathing a patient recovering from surgery
B)Weighing a patient who is prescribed diuretics
C)Discharge instruction teaching
D)Transferring and ambulating a client after hip replacement surgery
E)The care of an intravenous access device
Q2) The nursing staff is informed that the current system of record keeping is going to be changed to make it more efficient.In which stage of change is the nursing staff?
A)Refreezing
B)Unfreezing
C)Moving
D)Drift
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Chapter 29: Vital Signs
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Q1) The nurse needs to measure the temperature of a client who has a history of heart disease and has eaten a bowl of vegetable soup 45 minutes ago.Which site should the nurse use?
A)Axilla
B)Oral
C)Popliteal
D)Rectal
Q2) Even though a UAP is available to assist with vital sign assessment,the nurse is going to conduct these assessments independently in which situations?
(Select all that apply)
A)Client who complains of chest pain
B)Client returning from surgery
C)Prior to administering a medication that affects blood pressure
D)Client who complains of dizziness after ambulating.
E)Client being admitted to the care area
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Chapter 30: Health Assessment Preview As Pdf
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29 Verified Questions
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Sample Questions
Q1) The nurse is performing a lung assessment on a client with suspected pneumonia.Which finding should the nurse report to the physician immediately?
A)Chest symmetrical
B)Breath sounds equal bilaterally
C)Asymmetrical chest expansion
D)Bilateral symmetric vocal fremitus
Q2) The nurse is utilizing the technique of inspection during a physical examination with a client.When using this technique,the nurse will take which actions?
(Select all that apply)
A)Visually observe a body area.
B)Obtain information through the sense of smell.
C)Obtain information through the sense of hearing.
D)Examine the body through the use of touch.
E)Strike the body to elicit a sound from a body part.
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Chapter 31: Asepsis
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Sample Questions
Q1) The nurse is preparing to leave a client's isolation room.Which action should the nurse take first when removing a grossly soiled gown?
A)Grasp the sleeve of the dominant arm,and remove it with a gloved hand.
B)Release the neck ties of the gown and allow the gown to fall forward.
C)Untie the strings at the neck first.
D)Untie the strings at the waist first.
Q2) The nurse is planning care for a client.Which intervention would be appropriate to reduce the risk of infection?
A)Assess vital signs only once daily.
B)Raise the temperature in the client's room.
C)Wash hands.
D)Wear a mask for all client care.
Q3) The nurse is preparing to remove soiled gloves.What action should the nurse take first?
A)Drop the gloves into the appropriate waste receptacle.
B)Ease the fingers into the gloves.
C)Grasp the outside of the nondominant glove.
D)Hook the bare thumb inside the other glove.
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Chapter 32: Safety
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Sample Questions
Q1) The nurse is planning care for a client who is prone to falling.Which nursing diagnoses should the nurse use for this client?
A)Deficient Knowledge
B)Risk for Injury
C)Risk for Disuse Syndrome
D)Risk for Suffocation
Q2) The nurse is evaluating teaching provided to a client about home safety.Which observation indicates that teaching has been effective?
A)Smoke alarm functioning with new batteries installed
B)Scatter rugs located in the kitchen and bathroom only
C)Cord for a space heater stretched across a hallway
D)Light bulbs burned out in the bathroom and living room
Q3) The nurse is preparing materials to instruct the parents of a newborn.What should the nurse identify as a safety hazard in an infant?
A)Exposure to alcohol consumption
B)Drowning
C)Pedestrian accidents
D)Suffocation in the crib
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Chapter 33: Hygiene
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Sample Questions
Q1) A client's hearing aid needs to be removed.What action should the nurse perform?
A)Assist the client with removal when necessary.
B)Instruct the client to remove the aid in the sunroom.
C)Leave the aid in place when bathing.
D)Send the aid home with the family.
Q2) The nurse is preparing to provide a morning bath to a client diagnosed with dementia.What can the nurse do to ensure a positive bathing experience for the client?
(Select all that apply)
A)Move slowly.
B)Be flexible.
C)Help the client feel in control.
D)Avoid stopping once the bath is started.
E)Be prepared.
Q3) The nurse is preparing to shave a client.Which action step should the nurse consider when providing this care?
A)Assist the client to a prone position.
B)Pull the skin taut with the dominant hand.
C)Rinse the razor after each stroke.
D)Use long strokes.
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Page 35
Chapter 34: Diagnostic Testing
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Sample Questions
Q1) Unlicensed assistive personnel (UAP)will be conducting a test on a client's urine.What should the nurse instruct the UAP about the test?
(Select all that apply)
A)Nothing,because the UAP can perform urine testing.
B)Remind the UAP to tell the client the results of the test.
C)Notify the physician with the results of the test.
D)Report the results of the test to the nurse.
E)Save the urine,in case the nurse wants to repeat the test.
Q2) A client is scheduled for a bronchoscopy.What should the nurse instruct the client about this procedure?
(Select all that apply)
A)Tissue samples may be taken for biopsy.
B)Eating will not be permitted for 12 hours.
C)A local anesthetic is sprayed on the throat.
D)Bed rest for 8 hours is necessary after the test.
E)Informed consent is required for this procedure.
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Chapter 35: Medications
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Sample Questions
Q1) The nurse determines that the effectiveness of a medication is not as great when provided to female clients as it is with male clients.The nurse suspects that this difference in effectiveness is because of which factor?
(Select all that apply)
A)Occupation
B)Hormones
C)Fat amount
D)Physical activity status
E)Fluid level
Q2) The nurse has provided an otic medication to a client.What should the nurse document about this medication's administration?
(Select all that apply)
A)Name of the drug
B)The strength
C)The appetite of the client
D)The number of drops
E)The response of the client
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Chapter 36: Skin Integrity and Wound Care
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34 Flashcards
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Sample Questions
Q1) After completing a scheduled every-2-hour turn by turning the client to the left side,the nurse notices a reddened area over the coccyx.The area blanches when the nurse compresses it with thumb pressure.One hour later,the nurse reassesses the area and finds the redness has disappeared.How should the nurse document this area?
A)Reactive hyperemia
B)Stage I pressure ulcer
C)Stage II pressure ulcer
D)Stage III pressure ulcer
Q2) While changing a client's dressing,the nurse notes thick yellow-green drainage on the gauze.How should the nurse document this wound's drainage?
A)Purulent
B)Serous
C)Sanguineous
D)Serosanguinous
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Chapter 37: Perioperative Nursing
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Sample Questions
Q1) The nurse is admitting a client to the medical-surgical unit following a cholecystectomy.Which assessment should the nurse perform first?
A)Level of consciousness
B)Dressing
C)Drains
D)Skin color
Q2) The nurse is completing a preoperative assessment with a client.What should this assessment include?
(Select all that apply)
A)Current health status
B)Allergies
C)Current medications
D)Mental status
E)Respiratory rate
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Chapter 38: Sensory Perception
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Sample Questions
Q1) A client has been treated for diabetes mellitus since childhood.Currently,the client's blood glucose reading is 180 mg/dl.For which sensory disturbance should the nurse assess in this client?
A)Loss of ability to taste
B)Hearing loss
C)Vision loss
D)Loss of ability to smell
Q2) The nurse is assisting a visually impaired client with ambulation.How should the nurse proceed with this intervention?
A)Walk slightly behind the client.
B)Walk 1 foot in front of the client.
C)Walk on the right side of the client.
D)Walk on the left side of the client.
Q3) The nurse suspects that the client has a hearing disorder;however,the client denies not being able to hear.What initial assessment technique should the nurse employ?
A)Schedule a Weber and Rinne test.
B)Observe the client's interaction with significant others.
C)Use an otoscope to visualize the inner ear.
D)Confront the client with the nurse's suspicion.
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Page 40
Chapter 39: Self-Concept
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Sample Questions
Q1) A client who has recently lost 75 pounds continues to dress in loose,baggy clothing and frequently talks about being fat.The nurse realizes this finding most likely indicates
A)role confusion.
B)body image disturbance.
C)fear of success.
D)lack of education.
Q2) Which statement should the nurse make first when assessing a client's self-concept?
A)"Describe yourself as a person."
B)"Tell me about your family."
C)"Describe what you do when you have free time."
D)"Tell me about the work you do."
Q3) Which statement,made by the client,would indicate a "me-centered" self-concept?
A)"I couldn't stand to disappoint my parents."
B)"My sister is so much smarter than I am."
C)"My future is based on the decisions I make today."
D)"The world has always been against people like me."
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Chapter 40: Sexuality
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Source URL: https://quizplus.com/quiz/79281
Sample Questions
Q1) A nurse colleague learns that a grandchild's day-care center is planning a class on sexuality for 3- and 4-year-olds.Discussion of this plan should include what concept?
A)At this age,education regarding sexuality should come from parents.
B)Children are sexual beings from before birth.
C)Understanding the body and sexuality are a part of growth and development.
D)Sexual activity is beginning at earlier and earlier ages.
Q2) A client experienced female circumcision as a puberty ritual while living in Africa as a child.For which health problem should the nurse monitor the client as an adult?
A)Early menopause
B)Increased menstrual flow
C)Chronic urinary tract infection
D)Tendency for postpartum hemorrhage
Q3) The nurse enters the room and finds the adult client masturbating.What action should the nurse take?
A)Tell the client that masturbation is harmful to sexual well-being.
B)Say "excuse me" and leave the room.
C)Request that the client stop so that care can be provided.
D)Ask the client if there are any sexual concerns that should be discussed.
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Chapter 41: Spirituality
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31 Flashcards
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Sample Questions
Q1) The nurse has developed a strong rapport with a client whose medical care necessitates transfusion of multiple units of blood.The client has a religious objection to this treatment even though it is necessary to sustain life.What action should the nurse take?
A)Use the rapport established to influence the client to accept the blood transfusions.
B)Explain the scientific reasons that blood transfusions are necessary and why refusal is dangerous.
C)Encourage the client,the physician,and the client's spiritual adviser to discuss this conflict and any possible alternative therapies.
D)Suggest to the client that as the illness progresses,the blood will probably be transfused despite religious objections.
Q2) During the morning bath,the client asks if the nurse is religious and believes in God.What would be most helpful for the nurse to consider in formulating a response to this ?
A)The nurse's personal life is none of the client's business.
B)Religion and politics are two subjects not discussed in polite interactions.
C)Will sharing this information positively contribute to the relationship?
D)What is the culture of the facility regarding self-disclosure?
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Page 43
Chapter 42: Stress and Coping
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36 Flashcards
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Sample Questions
Q1) While assessing a client's ability to cope after being diagnosed with a chronic illness,the client admits to an increase in drinking and smoking.The nurse recognizes the client is utilizing which type of coping strategy?
A)Short term
B)Long term
C)Adaptive
D)Effective
Q2) The new nurse feels overwhelmed by the demands of working on a busy acute care unit and maintaining a growing family.What strategy should this nurse employ to lessen this stress?
A)Spend the lunch hour completing documentation while eating a sandwich.
B)Set the alarm earlier in order to get to work early.
C)Focus on work instead of on family until more familiar with the environment.
D)Differentiate between "have to do" and "nice to do" at work.
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Chapter 43: Loss, Grieving, and Death
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Source URL: https://quizplus.com/quiz/79278
Sample Questions
Q1) The nurse critically evaluates various models of grief used for terminally ill clients and their families.What should the nurse recognize when applying these models to individual cases?
A)The Kübler-Ross model is primarily used to describe anticipatory grief.
B)No clear timetables exist,nor are there clear-cut stages of grief.
C)The models serve as clear and definitive predictors of grief behaviors.
D)There is strong research proving that these models are not useful for many dying clients.
Q2) The nurse is planning care to help a client work through the grieving process.What would be appropriate to include in this plan of care?
(Select all that apply)
A)Listen to the client.
B)Clarify and reflect the client's feelings.
C)Reassure the client that all will be well.
D)Be silent.
E)Provide advice to the client.
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Chapter 44: Activity and Exercise
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Sample Questions
Q1) The client has a history of postural hypotension.Which activities should the nurse advise this client as likely to cause postural hypotension?
(Select all that apply)
A)Hot baths
B)Heavy meals
C)Use of a rocking chair
D)Moving in bed
E)Bending down to the floor
Q2) During a prenatal visit,the nurse is instructing a newly pregnant client in regard to exercise.What advice is best for the nurse to give this client?
A)Pregnant clients can exercise if exercise was a part of their life prior to pregnancy.
B)Due to the stress of a growing fetus,exercise should be limited to no more than 10 minutes per day.
C)Healthy pregnant women should exercise at least 30 minutes on most if not all days.
D)The pregnant woman's exercise should actually increase above normal recommended levels to prevent water weight gain.
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Chapter 45: Sleep
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Sample Questions
Q1) The parents of a 6-month-old tell the nurse that they are exhausted because their baby wakes up several times every night.What advice should the nurse give these parents?
A)Be certain that the baby is truly awake before picking him up for feeding.
B)Let the baby "cry it out" for a few nights until he can sleep through the night.
C)Continue to respond to the baby whenever he is restless during the night.
D)Bring the baby in for a possible sleep study to check for sleeping disorders.
Q2) The mother of a newborn tells the nurse,"I am concerned about my baby.When she first goes to sleep,her eyes dart around under her eyelids,she doesn't breathe regularly,and she sometimes twitches." What advice should the nurse give this mother?
A)Please bring your baby in immediately for a checkup.
B)These are common behaviors in newborns and are normal.
C)You should ask the physician about these symptoms at your next checkup.
D)If your baby does this again,take her to the emergency department.
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Chapter 46: Pain Management
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Sample Questions
Q1) A client is prescribed a medication that is a blend of an opioid analgesic with an NSAID.The nurse realizes that this medication will have which effects on the client?
(Select all that apply)
A)Encourage the development of tolerance.
B)Encourage the development of addiction.
C)Maximize pain control while minimizing toxicity.
D)Maximize pain control while minimizing side effects.
E)Reduce the onset of pseudoaddiction.
Q2) The nurse is caring for a client who is using morphine through patient-controlled analgesia (PCA).What medication should the nurse have readily available?
A)Naloxone hydrochloride (Narcan)
B)Acetaminophen (Tylenol)
C)Diphenhydramine hydrochloride (Benadryl)
D)Normal saline
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Chapter 47: Nutrition
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Sample Questions
Q1) As the nasogastric tube is passed into the oropharynx,the client begins to gag and cough.What is the correct nursing action?
A)Remove the tube and attempt reinsertion.
B)Give the client a few sips of water.
C)Use firm pressure to pass the tube through the glottis.
D)Have the client tilt the head back to open the passage.
Q2) A client reports following the "food pyramid" to guide nutritional intake.How should the nurse evaluate this information?
A)Because this food pyramid is produced by the U.S.Department of Agriculture,the client is likely consuming necessary levels of all essential nutrients.
B)The food pyramid is most useful when applied to the nutritional intake of children.
C)The food pyramid is not very useful because it does not take fluid intake and combination foods into consideration.
D)Following the appropriate food pyramid is helpful,but there are additional factors to consider in a balanced diet.
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Chapter 48: Urinary Elimination
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Sample Questions
Q1) The nurse is assessing a client's urinary elimination.Which factor should the nurse keep in mind as influencing this elimination?
A)Age
B)Body image
C)Knowledge
D)Socioeconomic status
Q2) A client is prescribed propranolol (Inderal).What should the nurse instruct the client about this medication?
A)The medication should be discontinued abruptly.
B)Notify the physician if you experience urinary retention.
C)Take a laxative every day.
D)Take the medication on an empty stomach.
Q3) The nurse has completed closed irrigation of a client's retention catheter.What specific information should the nurse document about this procedure?
A)Number of ml of solution used to inflate the balloon of the catheter
B)Abnormal drainage,such as blood clots,pus,or mucous shreds
C)Location of the draining bag
D)Technique used to conduct the irrigation
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Chapter 49: Fecal Elimination
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35 Flashcards
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Sample Questions
Q1) The nurse is taking care of a client who states that he ignores the urge to defecate when he is at work.Which response should the nurse make to explain why this practice should be changed?
A)"If you continue to ignore the urge to defecate,the urge is ultimately lost."
B)"It is best to suppress the urge rather than suffer embarrassment at work."
C)"This is a common practice,and it will strengthen the reflex later."
D)"You will get the urge later;don't worry."
Q2) The nurse is delegating activities regarding fecal elimination to unlicensed assistive personnel (UAP).Which activity can UAP safely perform to meet a client's fecal elimination needs?
A)Provide a fracture pan to a client on bed rest.
B)Provide a client who has a fecal impaction and prolapsed rectum with a cleansing enema.
C)Change a client's ostomy device.
D)Irrigate a client's ostomy.
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Chapter 50: Oxygenation
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Sample Questions
Q1) A client who is being mechanically ventilated has copious amounts of secretions ranging from thick and tenacious to frothy.In preparing to suction this client,the nurse should take which action?
A)Hyperventilate the client using the settings on the mechanical ventilator.
B)Hyperventilate the client using a manual resuscitator.
C)Avoid hyperventilation,but instill normal saline into the endotracheal tube.
D)Avoid hyperventilation and increase the oxygen to 100% for several breaths.
Q2) Before administering the prescribed medication propranolol (Inderal)to a client,the nurse contacts the health care provider to the order.What health problems did the client have that caused the nurse to the medication order? (Select all that apply)
A)COPD
B)Asthma
C)Arthritis
D)Gastritis
E)Heart failure
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Chapter 51: Circulation
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Sample Questions
Q1) What dietary teaching should the nurse provide to the client who has homocysteine elevation?
A)Reduce salt intake.
B)Take a B-complex vitamin supplement daily.
C)Increase fluid intake to 2,000 mL per day.
D)Avoid alcohol intake.
Q2) The nurse determines that UAP can apply sequential compression devices to a client when what is observed?
A)The devices are left off for 1 hour after morning care.
B)The alarm is turned off.
C)The tubing is not kinked.
D)Ankle pressure is set at 100 mm Hg.
Q3) The nurse assessing a 1-day-old infant discovers the heart rate is 140 and irregular.What action should the nurse take?
A)Immediately contact the infant's physician.
B)Prepare to resuscitate the infant.
C)Note this normal finding in the infant's medical record.
D)Stimulate the infant gently.
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Chapter 52: Fluid, Electrolyte, and Acidbase Balance
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Sample Questions
Q1) A client has orders for the administration of IV fluid at a "keep vein open" rate in preparation for administration of IV antibiotics starting at noon.When the nurse goes to the room to start the IV,the UAP is preparing to bathe the client.What should the nurse do?
A)Instruct the UAP to wait until the IV is started to bathe the client.
B)Let the UAP start the bath on the opposite side of where the nurse will be starting the IV.
C)Tell the UAP to notify the nurse as soon as the bath is completed.
D)Give the UAP permission to skip the client's bath for today.
Q2) The nurse is caring for a client who is being mechanically ventilated.Arterial blood gas analysis reveals respiratory acidosis.Which change in ventilator settings should the nurse anticipate?
A)Decrease in oxygen delivery
B)Decreased tidal volume of each breath
C)Increased respiratory rate
D)Increase in humidification of inspired air
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