Basic Nursing Concepts
Test Bank
Course Introduction
Basic Nursing Concepts provides an introduction to the foundational principles of nursing practice, emphasizing the core values, knowledge, and skills necessary for effective patient care. Students will explore essential topics such as the nursing process, patient safety, ethical and legal considerations, communication techniques, and basic health assessments. The course also covers the roles and responsibilities of nurses within the healthcare team, preparing students to deliver compassionate, evidence-based care in diverse clinical settings.
Recommended Textbook Essentials for Nursing Practice 8th Edition by Potter
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39 Chapters
1000 Verified Questions
1000 Flashcards
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Chapter 1: The Nursing Profession
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/7466
Sample Questions
Q1) A nurse wants to become an advanced practice registered nurse (APRN)and have a higher degree of independence.Which advanced roles could the nurse pursue? (Select all that apply.)
A) Clinical nurse specialist
B) Nurse manager
C) Nurse practitioner
D) Nurse midwife
E) Nurse anesthetist
Answer: A,C,D,E
Q2) A nurse is presenting at an interdisciplinary meeting about the multiple external forces that are influencing nursing today.Which examples should the nurse include? (Select all that apply.)
A) Health care reform
B) Threat of bioterrorism
C) Population demographics
D) Role of nurse manager
E) Nursing shortage
Answer: A,B,C,E
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Chapter 2: Health and Wellness
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A registered nurse is working in a community clinic that provides services for chronically ill patients.Which condition would be considered chronic?
A) Appendicitis
B) Pneumonia
C) Flu
D) Diabetes
Answer: D
Q2) A pregnant mother of two children has been experiencing severe morning sickness and fatigue.Friends and family members have been providing her family with meals,and her husband has been taking responsibility for the housework.This is an example of which type of behavior?
A) Illness
B) Wellness
C) Social
D) Antisocial
Answer: A
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4
Chapter 3: The Health Care Delivery System
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A 74-year-old patient was admitted to the hospital with diabetic ketoacidosis.How will the hospital be reimbursed by Medicare?
A) Based upon the diagnostic-related group
B) Based upon the cost of care
C) Based upon the actual length of stay
D) Based upon the number of medications
Answer: A
Q2) A college student with severe depression was recently admitted to the psychiatric ward of a local hospital.The family is concerned about the student finishing the college term.Which is the best information for the nurse to give regarding how long psychiatric patients are typically hospitalized?
A) A relatively short inpatient stay is followed by outpatient treatment.
B) A long inpatient hospitalization is normal for the majority of patients.
C) Patients with emotional or behavioral problems generally are not hospitalized.
D) Most are automatically placed in a long-term care facility.
Answer: A
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5
Chapter 4: Community-Based Nursing Practice
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Sample Questions
Q1) A nurse is practicing as a community health nurse.What is the primary focus of care for this nurse?
A) Providing care to subpopulations
B) Practicing care in existing services
C) Being a specialist in public health science
D) Having a case management certification
Q2) A community health nurse is assessing the structure of a community.Which component will the nurse assess?
A) Available health systems
B) Available colleges and schools
C) Geographical boundaries
D) Predominant religious groups
Q3) A nurse wants to use the most important competency in community nursing.Which competency should the nurse use?
A) Caregiver
B) Case manager
C) Educator
D) Epidemiologist
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6
Chapter 5: Legal Principles in Nursing
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30 Verified Questions
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Sample Questions
Q1) The nurse is caring for a patient who refuses to cooperate for a dressing change.The nurse tells the patient that he or she will tie the patient down if the patient does not hold still.Which action did the nurse commit?
A) Assault
B) Unintentional tort
C) Battery
D) Felony
Q2) A registered nurse was accused of patient abandonment when the nurse became angry,quit the job,and left the hospital before the end of the shift.This is an example of violating legal standards/guidelines set by which organization?
A) The State Department of Health
B) The Joint Commission
C) The State Board of Nursing
D) The National League for Nursing
Q3) Which chart entry by a nurse would require follow up?
A) 0815 Patient found on floor.
B) 0816 Patient assessed and helped back to bed.
C) 0818 Physician notified of incident.
D) 0820 Occurrence report completed.
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Page 7
Chapter 6: Ethics
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Sample Questions
Q1) A nurse is processing an ethical dilemma by focusing on relationships and stories of the participants.Which ethical system is the nurse using?
A) Deontology
B) Utilitarianism
C) Feminist ethics
D) Ethics of care
Q2) A nurse is teaching the staff about the International Council of Nurses Code of Ethics.Which major element of the Code should the nurse include in the teaching session?
A) People
B) Pride
C) Power
D) Problems
Q3) A nurse decides to withhold a medication because it will further lower a patient's respiratory rate.In this case,the nurse is practicing what principle?
A) Responsibility
B) Privacy
C) Ethics
D) Moral behavior
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Page 8
Chapter 7: Evidence-Based Practice
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Sample Questions
Q1) Which organization is preparing future nurses to have the knowledge,skills,and attitudes (KSAs)of evidence-based practices necessary to continuously improve the quality and safety of the health care systems within which they work?
A) The Joint Commission
B) Quality and Safety Education for Nurses' (QSEN)
C) The National Database of Nursing Quality Improvement (NDNQI)
D) The Agency for Health care Research and Quality (AHRQ)
Q2) A student nurse is looking for research articles that can be used to complete a research paper.Where can the nursing student look to quickly find out if an article is research or clinically based?
A) p value
B) Abstract
C) Analysis
D) Literature review
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9
Chapter 8: Critical Thinking
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Sample Questions
Q1) A student nurse is administering an enema with an instructor in the room.The patient states that he or she can no longer hold the enema solution.The student nurse acknowledges the patient's request and begins to tell the patient to go to the bathroom but asks the instructor if this is OK.The instructor suggests that the patient wait a few minutes to give the enema solution time to be absorbed into the bowel.In this situation the student nurse demonstrates what level of critical thinking according to Kataoka-Yahiro and Saylor's model?
A) Level 1: Basic
B) Level 2: Complex
C) Level 3: Commitment
D) Level 4: Expert
Q2) A new nurse who has just begun working for an oncology unit is frustrated with trying to figure out the relationships between a patient's problems and appropriate nursing interventions.What is the best tool that the nurse can use to synthesize data into meaningful information?
A) Concept map
B) Reflective journal
C) Plan of care
D) Intellectual standards
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Page 10
Chapter 9: Nursing Process
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A nurse is collecting data during the assessment of a patient.During the assessment,the nurse collects both subjective and objective data.Which information should the nurse consider as subjective data?
A) Heart rate of 96
B) Incisional erythema
C) Emesis of 150 mL
D) Sharp, burning pain
Q2) A nurse is teaching the staff about the phases of the interview process.Which information should the nurse include in the teaching session?
A) Orientation, working, termination
B) Orientation, assessment, evaluation
C) Planning, assessment, termination
D) Planning, assessment, evaluation
Q3) As a nurse is obtaining a health history from a patient,the nurse uses comments such as "go on." Which technique is the nurse using?
A) Cues
B) Inferences
C) Back-channeling
D) Termination
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Chapter 10: Informatics and Documentation
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A nurse began working at a local hospital and learned that the hospital had just instituted a "hand-off" protocol.What will the nurse be doing?
A) Performing transfer reports
B) Completing IV fluid flow sheets
C) Using standardized care plans
D) Reviewing laboratory reports
Q2) A new registered nurse is working on a pediatric unit in a large teaching hospital that uses focus charting with the acronym DAR.What will the nurse be charting?
A) Data, assessment, reaction
B) Data, assessment, recommendation
C) Data, actions, response
D) Data, actions, recovery
Q3) Which entry by the nurse demonstrates the most accurate and safe documentation of patient care?
A) "Sm. amt. of emesis."
B) "150 mL of cloudy dark yellow urine."
C) "Had a good day."
D) "Looks bad."
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12
Chapter 11: Communication
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25 Flashcards
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Sample Questions
Q1) Which technique by the nurse will facilitate communication with an older adult?
A) Have the TV play lightly in the background.
B) Ask several questions in a row.
C) Allow reminiscing.
D) Use long sentences.
Q2) A patient is being cared for by a nurse.The patient has questions regarding what time the surgery is scheduled.When the nurse responds to the question,the nurse is assuming which communication role?
A) Channel
B) Receiver
C) Message
D) Sender
Q3) A nurse who works for an oncology unit is preparing to bathe a patient who recently underwent surgery to remove an abdominal tumor.Before beginning the bath,the nurse explains the procedure.Which of the following best describes the nurse's communication role?
A) Channel
B) Receiver
C) Message
D) Sender
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Chapter 12: Patient Education
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24 Verified Questions
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Sample Questions
Q1) A patient recently had a stroke and suffered right-sided weakness.The patient is being discharged from a rehabilitation hospital after learning to use a walker.Which learning domain was primarily used to teach the patient to be independent with the walker?
A) Psychomotor
B) Affective
C) Cognitive
D) Motivational
Q2) A patient with newly diagnosed diabetes is being discharged from the hospital.The patient will be going to an outpatient diabetic center to learn more about diet,exercise,disease management,and insulin administration.Which statement made by the patient indicates that effective teaching can take place?
A) "I don't want to get sick again so I will do what is needed."
B) "I am so happy to be going home so I don't have to eat hospital food anymore."
C) "I will be glad when they find a cure for diabetes."
D) "I don't think I will need to take insulin for very long because I already feel better."
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Chapter 13: Managing Patient Care
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A registered nurse who works in a women's hospital assumes care for the same patients from the time they are admitted to the time they are discharged home.The nurse has associate nurses helping with the care.Which type of nursing care delivery model is the nurse using?
A) Team nursing
B) Primary care nursing
C) Case management
D) Total care
Q2) A nurse manager is interested in supporting more involvement of the staff nurses on the unit.What is one approach the nurse manager can take to facilitate this involvement?
A) Inform the staff of decisions made.
B) Use decentralized management.
C) Avoid unit goals.
D) Discourage input from other personnel.
Q3) Use the knowledge of one's own role and those of other professions to appropriately assess and address the health care needs of patients and populations served.
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Chapter 14: Infection Prevention and Control
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) There was an outbreak of Salmonella poisoning at a nursing home.Several residents were hospitalized as a result of their infections.What is the best term to describe this infection?
A) Exogenous infection
B) Endogenous infection
C) Community-acquired infection
D) Asepsis
Q2) The nurse is working for a postsurgical unit.He is caring for four postsurgical patients,all of whom have been in the hospital for 3 days or more.Which of the following patients should he be most concerned about regarding a health care-associated infection?
A) An asymptomatic elderly patient with bacteria in his urine
B) A middle-aged woman with a white blood cell count of 10,000/mm3
C) A young adult woman who is 1 day postoperative with redness at incision site
D) A middle-aged man with temperature of 101.3° F and complaints of malaise
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16
Chapter 15: Vital Signs
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Sample Questions
Q1) A 56-year-old grandmother has been admitted to the hospital with a fever of 103.2° F after caring for her 5-year-old granddaughter who also developed a fever.The health care provider has ordered blood cultures,antibiotics,antipyretics,a clear liquid diet,and a chest radiograph.Which of the orders should the nurse do first?
A) Administer antibiotic.
B) Administer antipyretic.
C) Draw blood cultures.
D) Apply water cooled blankets.
Q2) When patients with normal blood pressure experience a drop in blood pressure upon rising to an upright position and have symptoms of light-headedness or dizziness,the condition is known as:
A) hypertension.
B) hypotension.
C) orthostatic hypotension.
D) the pulse pressure.
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Chapter 16: Health Assessment and Physical Examination
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A woman went to the public health clinic with a fever that had persisted for several days.Upon palpation of the neck,a registered nurse found several large lymph nodes.What is the nurse's best response to this patient upon palpating her lymph nodes?
A) "There is no need to worry; enlarged lymph nodes are normal findings."
B) "Lymph nodes are not really significant because they really have no function."
C) "Most people have a few enlarged lymph nodes."
D) "Enlarged lymph nodes sometimes indicate an infection."
Q2) A student nurse is helping admit a 77-year-old man to the surgical floor of an acute care hospital.The patient has an abdominal tumor that is scheduled to be removed.He has had nothing by mouth (NPO)since midnight in preparation for his surgery.The student nurse notes that the patient's skin is very dry and scaly.Which of the following should the student nurse investigate further as the most likely cause for the patient's dry skin?
A) Excess humidity in the patient's living environment
B) The use of excessive soap when bathing
C) Lack of sun exposure leading to decreased stimulation of sweat glands
D) Decreased levels of stress
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Chapter 17: Administering Medications
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Sample Questions
Q1) The patient is admitted to the cardiac unit.Everyone admitted to the cardiac unit will have an EKG done unless otherwise ordered.This is an example of which type of order?
A) PRN
B) Standing
C) One-time
D) STAT
Q2) Factors that influence medication absorption are known as which of the following? (Select all that apply.)
A) Ability of a medication to dissolve
B) Blood flow
C) Body surface area
D) Water solubility of a medication
E) Lipid solubility of a medication
Q3) A patient is to receive two different kinds of insulin.What is the nurse's most appropriate action?
A) Prepare the regular (clear) insulin first.
B) Mix Lantus and Lente insulin in the same syringe.
C) Administer the rapid-acting insulin within 30 minutes of a meal.
D) Verify insulin dosage with another nurse after administration.
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Page 19
Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A patient is diagnosed with renal insufficiency.The results of an ABG analysis indicate metabolic acidosis.In metabolic acidosis,the nurse would expect the pH to decrease to less than _____ and the bicarbonate level to decrease to less than _____.
Q2) A nurse is caring for a patient who is suffering from kidney failure and is receiving peritoneal dialysis.The nurse explains that peritoneal dialysis works by instilling a solution into the abdomen that contains dextrose that will pull extra fluid into the abdominal cavity.What is the name of this process?
A) Diffusion
B) Osmosis
C) Filtration
D) Active transport
Q3) The patient is on a ventilator.The health care provider has indicated concern about the patient's acid-base status.The nurse anticipates that the health care provider will determine the acid-base levels via:
A) PaO2 measurement.
B) SaO2 levels.
C) chloride levels.
D) arterial blood gas analysis.
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Chapter 19: Caring in Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) When individuals become ill,there may be a story about the meaning of the illness.When a nurse listens,the patient is:
A) able to break the distress of illness.
B) unable to express what he actually needed when he was ill.
C) usually not able to determine what is at stake because of his illness.
D) able keep the nurse from prying into his more personal life.
Q2) A registered nurse who works for an orthopedic unit of an acute care hospital makes hourly rounds on his patients.He also closes the door and pulls the curtains around the beds of patients in semiprivate rooms before exposing them for treatments.This is an example of which of the following behaviors?
A) Human respect
B) Encouraging manner
C) Healing environment
D) Affiliation needs
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21
Chapter 20: Cultural Awareness
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Sample Questions
Q1) Cultural competence is the ongoing process in which a health care professional continuously strives to achieve the ability to work effectively within the cultural context.To do this effectively,what must the nurse do?
A) Understand the cultural norms of the patient's community.
B) See herself or himself as being culturally competent.
C) Face the reality that cultural competence can take up to a year to achieve.
D) View herself or himself as becoming culturally competent.
Q2) A nurse is in the process of admitting an ethnically diverse patient.To plan culturally competent care,what must the nurse do? (Select all that apply.)
A) Assume that cultural processes are the same within a social group.
B) Conduct a systematic cultural assessment.
C) Communicate effectively.
D) Negotiate world view differences.
Q3) The nurse is performing a cultural assessment on a patient.What does the nurse know about cultural assessments?
A) They are intrusive and time consuming.
B) They are not dependent on a trusting relationship.
C) They are rarely plagued by miscommunication.
D) They are based in similarities of behavior.
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Page 22
Chapter 21: Spiritual Health
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11 Flashcards
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Sample Questions
Q1) To assess,evaluate,and support a patient's spirituality the best action a nurse should take includes:
A) recognizing that spirituality does not enhance therapeutic relationships.
B) performing a definitive spiritual assessment once because spirituality does not vary.
C) focusing the assessment on religious doctrine and faith.
D) remembering that spirituality is very subjective.
Q2) A patient has been diagnosed with a terminal disease.Hope may be used effectively with this type of patient.Nurses can support a patient's use of hope because hope provides a:
A) system of organized beliefs and worship.
B) belief in a higher power, spirit guide, God, or Allah.
C) cultural connectedness, structure, and guidance in difficult times.
D) motivation to achieve and the resources to use toward that achievement.
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23
Chapter 22: Growth and Development
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26 Verified Questions
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Sample Questions
Q1) The nurse is caring for an older adult who seems depressed and states that "I hate going to Bingo.I'd really like to get back in shape.Maybe if I could join a health club,I could get back to feeling like myself." The nurse should do which of the following?
A) Inform the patient that at his age it's probably not a good idea to join a health club.
B) Recommend that the patient have a complete physical examination.
C) Explain that physical impairments would prevent any worthwhile exercising.
D) Tell the patient that at his age he would probably hurt himself.
Q2) This model of personality development is grounded in the belief that two internal biological forces drive the psychological change in a child: sexual (libido)and aggressive energies.Who is responsible for developing this theory?
A) Sigmund Freud
B) Jean Piaget
C) Erik Erikson
D) Lawrence Kohlberg
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Chapter 23: Self-Concept and Sexuality
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Body image is an important concept relative to psychosocial development.In dealing with body image issues,the nurse must do which of the following?
A) Understand that skinny people always see themselves as thin.
B) Realize that body image is never associated with self-esteem.
C) Recognize that physical changes always lead to changes in body image.
D) Be aware that female adolescents more frequently struggle with issues than males.
Q2) The patient is a 16-year-old teenager who is in the clinic for his annual check-up.During the assessment,the nurse asks the patient about his use of tobacco.Although he denies smoking,he tells the nurse that he dips snuff.He tells the nurse that he started last year because all his friends do it.The nurse recognized this as a stressor of which of the following?
A) Body image
B) Identity
C) Role performance
D) Sexuality
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Chapter 24: Family Context in Nursing
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Sample Questions
Q1) The parents of an 18-year-old who joined the military and is being deployed overseas,discuss with him how they plan to stay in touch and purchase a laptop computer for him to take with him so they can e-mail and use the webcam to see each other.What approach to stress does this family exhibit?
A) Resiliency
B) Hardiness
C) Heredity
D) Genetics
Q2) A student nurse is caring for a 4-year-old patient who has been admitted to the pediatric unit with acute asthma.As the student nurse admits the patient,he learns that both parents smoke in the home.The nurse plans to discuss with the parents the implications of smoking around the patient and to provide them with information on smoking cessation.This is an example of what approach to family nursing?
A) Family as context
B) Family as patient
C) Family as system
D) Family as a stagnated group
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Chapter 25: Stress and Coping
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Sample Questions
Q1) A patient who was injured in a motor vehicle accident is taken via ambulance to the emergency department.The nurse performing the physical assessment knows that,according to the general adaptation syndrome,the patient should be expected to exhibit:
A) increased blood flow to the intestines.
B) increased heart rate.
C) decreased blood pressure.
D) decreased blood glucose levels.
Q2) A patient and family attend a counseling session.The patient has become depressed after a job loss.The nurse leading the counseling session informs the patient and his family that this type of crisis is caused by:
A) situational factors.
B) maturational factors.
C) sociocultural factors.
D) compassion fatigue.
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Chapter 26: Loss and Grief
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Sample Questions
Q1) What should the nurse caring for a dying patient understand about the patient? (Select all that apply.)
A) The patient has the right to be in control.
B) The patient must be compliant with his medical regimen.
C) The patient should expect to be free from pain.
D) The patient should be lied to so as to maintain his sense of hope.
E) The patient has the right to die in peace and dignity.
Q2) The nurse is caring for a terminally ill patient.In order to provide optimal care,the nurse tries to anticipate patient needs.What does the nurse understand about this patient?
A) As patients approach death, they breathe more through their nose.
B) Eye blinking may increase as well as tear production.
C) Immobility and opioid medications can lead to diarrhea.
D) Anxiety in the dying may have a physical cause.
Q3) Which of the following would not be appropriate for a patient undergoing palliative care?
A) Insertion of a peripherally inserted central line
B) Chemotherapy
C) Radiation treatment
D) Knee replacement surgery
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Chapter 27: Exercise and Activity
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Sample Questions
Q1) Which of the following trouble points are common in the side-lying position? (Select all that apply.)
A) Lack of support for the feet
B) Lack of protection for pressure points for the ears, shoulders, anterior iliac spine, trochanter, and ankles
C) Adduction of the shoulder and hip joints
D) Hyperextension of the neck
E) Spinal curves out of normal alignment
Q2) A patient with arthritis is complaining of sensitivity and warmth in the elbow and wrist joints.To determine the degree of limitation or injury,the nurse can assess which of the following?
A) Posture
B) Activity tolerance
C) Body mechanics
D) Range of motion
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29
Chapter 28: Safety
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Sample Questions
Q1) In an outpatient surgery center,the preoperative nurse has the responsibility of starting IVs prior to the patients' surgeries.One of the surgeons who works at the center orders a different type of IV fluid than the rest of the surgeons.Which of the following should the nurse be most concerned about in this situation?
A) Procedure-related accident
B) Patient-inherent accident
C) Patient confusion from medications
D) Potential electrolyte imbalance
Q2) A patient has just undergone an abdominal aortic aneurysm repair.The patient is pulling at the Foley catheter,nasogastric tube,central line,and abdominal dressing and a wrist restraint is applied after an order is received.Later,the patient reports tingling and numbness in the fingers and hand.Which actions should the nurse take? (Select all that apply.)
A) Remove the restraint immediately.
B) Remind the patient this will decrease with time.
C) Notify the health care provider.
D) Medicate the patient for pain.
E) Stay with the patient.
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30
Chapter 29: Hygiene
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Sample Questions
Q1) A 25-year-old patient was admitted to the surgical floor wearing contact lenses.Assistive personnel ask the nurse if contact lenses need special attention.The nurse informs the assistive personnel that non-extended-wear contacts left in the eyes for an extended period of time can cause which of the following?
A) Blindness
B) Corneal injury
C) Otitis externa
D) Otitis media
Q2) A nursing student who is working on a postsurgical unit assisting patients with personal hygiene plans to provide a back rub to each of her patients.The nursing student discusses the importance of this activity because research demonstrates that it enhances patient comfort and relaxation with the nurse assigned to these patients.The nurse instructs her that back rubs would be contraindicated on which of the following patients?
A) A 56-year-old patient with a colon resection
B) A 45-year-old patient with a spinal cord injury
C) A 67-year-old patient with an appendectomy
D) A 24-year-old patient with an abdominal hysterectomy
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Chapter 30: Oxygenation
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Sample Questions
Q1) Which term should the nurse use to best describe the movement of air in and out of the patient's lungs?
A) Ventilation
B) Diffusion
C) Respiration
D) Perfusion
Q2) A health care worker received an annual tuberculosis test administered 56 hours ago.The injection site is very red and flat.The certified nurse who is reading the test should take which action?
A) Advise the health care worker another test must be done because the test was not read within the proper time.
B) Tell the health care worker the results are positive and cannot return to work.
C) Document the results as a negative reaction.
D) Measure the area in millimeters.
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Chapter 31: Sleep
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Sample Questions
Q1) Which of the following bedtime snack(s)helps to promote sleep in a patient?
A) Cereal and milk
B) A full meal
C) Chips and cola
D) Coffee and toast
Q2) A college student who is working in northern Alaska during the summer reports that he or she has an increase in difficulty sleeping since moving north.During a pre-employment physical,the patient asks the health care provider what could be causing this.The health care provider suspects the sleep disturbance is most likely because of which factor?
A) Stress of the new job
B) Increased daylight hours in Northern Alaska
C) Physical demands of the new job
D) Change in diet
Q3) Which of the following data are most important to assess if a patient is receiving sufficient sleep?
A) Hours of sleep each night
B) Sleep-wake pattern
C) Whether the patient feels rested
D) Number of times the patient awakens during sleep
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Chapter 32: Pain Management
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Sample Questions
Q1) A patient presents to the emergency department with a large leg laceration received in a bicycle accident.The nurse knows that the physician or health care provider chose a local anesthetic because of which of the following? (Select all that apply.)
A) The patient appears very apprehensive.
B) It has very few side effects.
C) The potential for hemorrhage precludes the use of IV anesthesia.
D) It produces temporary loss of sensation by inhibiting nerve conduction.
E) It allows sedative effects to calm the patient.
Q2) When a person cuts a finger,nerve impulses travel to the spinal cord along afferent peripheral nerve fibers.What is this process?
A) Transduction
B) Transmission
C) Perception
D) Modulation
Q3) Aspirin and ibuprofen are classified as:
A) narcotics.
B) nonopioids.
C) opioids.
D) nonsteroidal antiinflammatory analgesics.
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Page 34
Chapter 33: Nutrition
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Q1) The patient has been admitted to the cardiac unit with a diagnosis of heart failure.The patient is currently receiving furosemide (Lasix)and is on a low-sodium diet.Which of the following is the best way for the nurse to determine if the patient is retaining fluid?
A) Figuring the patient's body mass index
B) Calculating the patient's ideal body weight
C) Recording daily weights during hospitalization
D) Measuring all fluid intake
Q2) Which patients should be assessed for nutritional deficiencies? (Select all that apply.)
A) Patient who scored a 13 on the mini-nutritional assessment
B) Elderly patient on bed rest after surgery on the small intestines
C) Patient receiving an IV of 5% dextrose
D) School-aged patient with positive nitrogen balance
E) Middle-age patient with rashes and easily pluckable hair
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Chapter 34: Urinary Elimination
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Q1) The nurse on a rehabilitation unit is caring for a 77-year-old patient who had undergone total knee replacement surgery.Since surgery,the patient has had several instances of urinary incontinence.The health care provider is contemplating the order of a Foley catheter.What is the nurse's best response to this suggestion?
A) "Perhaps you could order intermittent straight catheter insertions instead?"
B) "I think it would be better to put a disposable undergarment on her."
C) "Could we try a toileting schedule before you order the Foley?"
D) "I think that is a good idea; it will prevent skin breakdown."
Q2) A 34-year-old patient is being seen in the ED for complaints of severe flank pain lasting for 2 days.The ED physician suspects that the patient has hydroureter.Which of the following tests would the nurse expect the health care provider to order?
A) KUB (kidney, ureter, bladder) radiography
B) IVP (intravenous pyelogram)
C) Endoscopy
D) Ultrasound renal bladder
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Chapter 35: Bowel Elimination
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Sample Questions
Q1) The nurse caring for several patients on the surgical unit of the hospital.The nurse knows that constipation can be a significant health hazard and encourages the postoperative patients to drink fluids.Which one of the following patients is most at risk from complications related to constipation?
A) A 35-year-old man with back surgery
B) A 47-year-old woman with an abdominal hysterectomy
C) A 29-year-old women with carpal tunnel surgery
D) A 77-year-old man with hip surgery
Q2) A student nurse is caring for a patient who has dehydration as a result of diarrhea.Diarrhea is a result of abnormally fast peristalsis in what organ?
A) Jejunum
B) Stomach
C) Duodenum
D) Colon
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Chapter 36: Immobility
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Sample Questions
Q1) A student nurse is caring for a young adult patient who is immobile with a back injury.On auscultation,the student nurse hears rhonchi in the lower lobes.The student nurse reports this symptom because the patient is developing which complication?
A) Increased lung expansion
B) Hypostatic pneumonia
C) Aspiration pneumonia
D) Increased diuresis
Q2) The nurse is observing a patient's posture while sitting,standing,and assessing gait.What is the rationale for the nurse's assessment?
A) To determine type of assistance with anthropometric measurements
B) To determine type of assistance with joint mobility
C) To determine type of assistance with range of motion (ROM)
D) To determine type of assistance with ambulation
Q3) Which patient is most likely to have developmental effects due to prolonged immobility?
A) Toddler patient in traction for a congenital skeletal anomaly
B) Young adult patient with burns on the hands
C) Teenage patient with a bacterial infection in isolation
D) Middle-age adult patient with a fractured ankle on crutches
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Page 38
Chapter 37: Skin Integrity and Wound Care
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Q1) The nurse is caring for a patient with a necrotic hip wound.Which dressing would be the best choice for the nurse to use on this type of wound to help with debridement?
A) Dry gauze
B) Transparent film
C) Hydrogel
D) Hydrocolloid
Q2) A patient's draining wound is pale and watery with a combination of plasma and red cells.How should the nurse document this finding?
A) Serous drainage
B) Purulent drainage
C) Sanguineous drainage
D) Serosanguineous drainage
Q3) An elderly patient has been admitted to the hospital for pneumonia.Which factor could put this patient at risk for a pressure ulcer?
A) A diet low in protein
B) Braden Scale results of 22
C) Primary health care provider orders that read "activity as tolerated"
D) Being repositioned every 2 hours
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Chapter 38: Sensory Alterations
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Q1) A 64-year-old house painter who is seeing his health care provider for his annual checkup.When the nurse asks the patient if they have any health concerns,the patient states,"I don't think my vision is as good as it used to be,things look more yellow than they used to." The nurse knows that this is a visual change in older adults caused by which of the following?
A) Iris yellows
B) Lens yellows
C) Retina is hypersensitive
D) Need for less light to see than when they were in young adulthood
Q2) A patient has been hospitalized for 5 days and has had no visitors.The nurse observes the patient to be bored,restless,and anxious.The nurse identifies this behavior as which of the following?
A) Sensory deficits
B) Sensory overload
C) Sensory deprivation
D) Changes in attitudes
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Chapter 39: Surgical Patient
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Sample Questions
Q1) The preoperative nurse who is providing patient teaching to a 49-year-old patient who is scheduled to undergo a right-side inguinal surgery repair.The nurse informs the patient that the American Society of Anesthesiologists recommend that patients undergoing surgery with a general anesthesia fast from meat and fried foods for how many hours before surgery?
A) 2
B) 4
C) 6
D) 8
Q2) A patient with a ruptured abdominal aortic aneurysm needs to have major surgery.The family asks the nurse what type of anesthesia the patient will receive.The best response is which of the following?
A) Local anesthesia
B) Regional anesthesia
C) Moderate sedation
D) General anesthesia
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