Basic Nursing Concepts
Test Questions
Course Introduction
This course provides an introduction to the foundational principles and concepts essential for the practice of nursing. Students will explore the roles and responsibilities of nurses within healthcare systems, basic human needs, patient-centered care, and the development of therapeutic communication skills. Emphasis will be placed on understanding the nursing process, fundamental ethical and legal considerations, and the importance of safety, infection control, and health promotion. Through a combination of theoretical knowledge and practical skills, students will gain a comprehensive understanding of basic nursing concepts necessary for providing effective patient care.
Recommended Textbook
Canadian Fundamentals of Nursing 6th Edition by Patricia A. Potter
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48 Chapters
1307 Verified Questions
1307 Flashcards
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Page 2
Chapter 1: Health and Wellness
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath.She is administered oxygen and breathing treatments,laboratory tests and blood gas measurements are performed,and electrocardiography is conducted.What level of preventive care is this patient receiving?
A)Primary prevention.
B)Secondary prevention.
C)Tertiary prevention.
D)Health promotion.
Answer: B
Q2) Since the early 1990s,which group has had the highest amount of absenteeism of all workers in Canada?
A)"White collar sector" workers.
B)Nurses.
C)Workers in the trades.
D)Transport and equipment operators.
Answer: B
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Chapter 2: The Canadian Health Care Delivery System
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Mr.Jones is 72 years old.He is ambulatory and is to be discharged from hospital after a total hip replacement,with requirements for daily physiotherapy and respiratory therapy.What is the most appropriate facility referral for the nurse to make?
A)A rehabilitation centre.
B)An assisted-living facility.
C)A community health clinic.
D)A home care agency.
Answer: D
Q2) To whom do the principles of the Canada Health Act of 1984 apply?
A)Members of the Canadian Armed Forces.
B)Insured residents of Canada.
C)Inmates of federal penitentiaries.
D)Royal Canadian Mounted Police (RCMP).
Answer: B
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Chapter 3: The Development of Nursing in Canada
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Where did the traditions of good nursing practice that anchor nursing in Canada originate?
A)England.
B)United States.
C)Germany.
D)New France.
Answer: D
Q2) What is a fundamental and guiding principle of French-Canadian hospitals that survived into the twentieth century?
A)Universal precautions are fundamental in preventing nosocomial infections.
B)Nursing is primarily focused on the tertiary level of care.
C)Nurses need to recognize the effects of their health,values,and beliefs on practice.
D)Care is accessible to all,regardless of their background,status in life,or ability to pay.
Answer: D
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Chapter 4: Community Health Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A group of teenage girls is receiving counselling about birth control and disease prevention.Why does the community health nurse provide such counselling?
A)Focusing on subpopulations leads to community health.
B)Community health nursing focuses on individuals only.
C)Community health nursing excludes direct care to subpopulations.
D)The focus is on preventing illness and unwanted pregnancy.
Q2) Of the following list of patients,which would be considered at high risk to be members of a vulnerable population? (Select all that apply. )
A)An immigrant who speaks only Chinese.
B)A truck driver from Central America who speaks limited English.
C)A 22-year-old pregnant woman.
D)A 15-year-old rape victim.
E)A 40-year-old schizophrenic.
Q3) When discussing social justice,how does the nurse describe it?
A)The focus of social justice is on disease prevention.
B)Social justice is used only with people in precarious situations.
C)Social justice is rooted in societal responsibility and fairness.
D)Social justice is a process to exercise the ability to enhance control.
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Chapter 5: Theoretical Foundations of Nursing Practice
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Interactionist theories focused on the relationships between nurses and their patients.Which of the following were interactionist theorists? (Select all that apply. )
A)Hildegard Peplau
B)Dorothea Orem
C)Joyce Travelbee
D)Evelyn Adam
E)Betty Neuman
Q2) A community health nurse is working with a variety of patients and decides to use a systems theory approach to help them to meet their health care needs.When using systems theory,the nurse focuses on which of the following?
A)The patient's interaction with his or her environment.
B)The hierarchy of the patient's human needs.
C)The patient's attitudes toward health behaviours.
D)The response of the patient to the process of growth and development.
Q3) How is the idea of a theory best explained?
A)"Mental maps" that make sense of information and decisional processes.
B)Mental formulations of objects or events.
C)Aspects of reality that can be consciously sensed.
D)A purposeful set of assumptions that identify relationships between concepts.
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Page 7
Chapter 6: Evidence-Informed Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) According to hospital policy,when starting an intravenous (IV)catheter,the nurse must first prepare the potential IV site with alcohol and dress it with a gauze dressing.The nurse has done a literature review and believes that evidence-informed practice dictates the use of a transparent dressing to prevent catheter dislodgement.What should the nurse do?
A)Begin to use transparent dressing instead of gauze dressings.
B)Bring findings to the policy and procedure committee.
C)Use transparent dressings on half of her IV starts and gauze on the other.
D)Continue following hospital policy without saying anything.
Q2) The extent to which the findings of a qualitative study are thought to be meaningful and applicable to similar cases or other situations is known as which of the following?
A)Credibility.
B)Transferability.
C)Validity.
D)Reliability.
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8
Chapter 7: Nursing Values and Ethics
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Ethical dilemmas are common occurrences in the care of patients.The nurse understands that dilemmas are a result of which of the following?
A)Presence of conflicting values.
B)Hierarchical systems.
C)Judgemental perceptions of patients.
D)Poor communication with the patient.
Q2) When individuals work together to solve ethical dilemmas,they must examine their own values.This step is crucial to ensure what?
A)The group identifies the one correct solution.
B)Fact is separated from opinion.
C)Judgemental attitudes are not provoked.
D)Different perspectives are respected.
Q3) The nurse is caring for a severely ill patient with acquired immune deficiency syndrome (AIDS)who now requires ventilator support.Which intervention is considered futile?
A)Administering the influenza vaccine.
B)Providing oral care every 5 hours.
C)Applying fentanyl patches as needed for pain.
D)Supporting the patient's lower extremities with pillows.
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Page 9
Chapter 8: Legal Implications in Nursing Practice
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Sample Questions
Q1) Because of an influenza epidemic among the nursing staff,a nurse has been moved from the ophthalmology unit to the general surgery unit.The supervisor recognizes that the nurse is inexperienced in this specialty.What should the nurse do?
A)Politely refuse to move,take the day off,and go home.
B)Ask to work with an experienced general surgery nurse.
C)Submit a report noting his or her dissatisfaction.
D)Notify the Canadian Nurses Association (CNA)of the issue.
Q2) The administration of medications in accordance with a prescriber's prescription is a basic nursing responsibility.The nurse is responsible for knowing: (Select all that apply).
A)Purpose of the medication.
B)Effect of the medication.
C)Cost of the medication.
D)Potential adverse effects of the medication.
E)Contraindications of the medication.
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Chapter 9: Global Health
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Sample Questions
Q1) The nurse is caring for an Indigenous patient who has had recent surgery.In the patient's culture,it is a sign of weakness to complain of pain.In the nurse's culture,people who are having pain ask for pain medicine.The nurse has assumed that the patient has not been having pain and does not need medication because he has not complained of pain.What is the nurse doing?
A)Utilizing cultural imposition by not asking the patient about his pain.
B)Striving to provide culturally congruent care by allowing the patient to suffer.
C)Operating from an emic world view of the patient's cultural beliefs.
D)Practising discrimination by not giving the patient pain medicine.
Q2) A nursing student is performing a cultural assessment of their patient.When the student asks,"Who makes the decisions for you or your family?" what is the nurse assessing?
A)Language and communication.
B)Caring beliefs and practices.
C)Socioeconomic status.
D)Social organization.
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Chapter 10: Indigenous Health
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20 Verified Questions
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Sample Questions
Q1) Which of the following populations has the highest rate of lung cancer in the world?
A)Indigenous people who live on reserves.
B)Métis who live in Quebec.
C)Indigenous elders.
D)The circumpolar Inuit population.
Q2) According to the records kept,it is estimated that at least how many children died from malnourishment,diseases such as tuberculosis (TB),and abuse at residential schools in Canada?
A)150.
B)1500.
C)3200.
D)5000.
Q3) A nurse caring for an Indigenous family is aware that globally,Indigenous peoples have much in common in terms of world views.How is the concept of time considered?
A)It is focused on minutes rather than days.
B)It is focused on years rather than months.
C)It is focused on seasons rather than hours.
D)It is focused on lunar cycles rather than months.
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Page 12
Chapter 11: Nursing Leadership, management, and
Collaborative Practice
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse on the unit is determining which activities may be delegated to an unregulated care provider (UCP).A number of factors are included in the nurse's decision.Assuming that the UCP is competent,the RN may safely delegate which of the following activities?
A)Ambulation of stable patients.
B)Documenting an admission history for a new patient.
C)Performance of the initial transfer of a postoperative patient.
D)Administering medications prepared by the RN.
Q2) The charge nurse asks an experienced nurse to admit a critically ill patient who arrives in the emergency department.What does this action exemplify?
A)Evaluation.
B)Supervision.
C)Assignment.
D)Delegation.
Q3) UCPs are allowed to perform tasks with patients in which situation?
A)When tasks are delegated by another UCP.
B)When asked by the patient.
C)With another UCP.
D)When tasks are delegated by an RN.
Page 13
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Chapter 12: Critical Thinking in Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Critical thinking characteristics include which of the following?
A)Considering what is important in a given situation.
B)Accepting one,established way to provide patient care.
C)Making decisions based on intuition.
D)Being able to read and follow prescriber orders.
Q2) Professional nurses are responsible for making clinical decisions in order to do what?
A)Prove traditional methods of providing nursing care to patients.
B)Take immediate action when a patient's condition worsens.
C)Apply clear textbook solutions to patients' problems.
D)Formulate standardized care plans for groups of patients.
Q3) While caring for a hospitalized older woman after hip surgery,the new graduate nurse is faced with the task of inserting an indwelling urinary catheter,which involves rotating the hip into a contraindicated position.The nurse exhibits critical thinking to perform this task by doing what?
A)Following textbook procedure.
B)Notifying the physician of the need for a urologist consult.
C)Adapting the positioning technique to the situation.
D)Postponing catheter insertion until the next shift.
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Page 14
Chapter 13: Nursing Assessment, diagnosis, and Planning
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) What is the purpose and distinction of using a concept map when a plan of care is implemented?
A)Quality assurance in the health care facility.
B)Multidisciplinary communication.
C)Provision of a standardized format for patient problems.
D)Identification of the relation of patient problems and interventions.
Q2) The nurse is caring for seven patients this shift.After completing their assessments,the nurse states that he doesn't know where to begin in developing care plans for these patients.Which of the following is an appropriate suggestion by another nurse?
A)"Choose all the interventions and perform them in order of time needed for each one."
B)"Make sure you identify the scientific rationale for each intervention first."
C)"Decide on goals and outcomes you have chosen for the patients."
D)"Begin with the highest priority diagnoses,and then select appropriate interventions."
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15
Chapter 14: Implementing and Evaluating Nursing Care
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26 Verified Questions
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Sample Questions
Q1) After assessing the patient and identifying the need for headache relief,the nurse administers acetaminophen (Tylenol)for the patient's headache.What is the nurse's next priority action for this patient?
A)Eliminate Acute pain from the nursing care plan.
B)Direct the unregulated care provider to ask if the patient's headache is relieved.
C)Reassess the patient's pain level in 30 minutes.
D)Revise the plan of care.
Q2) Which of these options is a patient outcome indicating positive progress toward resolving the nursing diagnosis of Acute confusion?
A)Side rails are up with bed alarm activated.
B)Patient denies pain while ambulating with assistance.
C)Patient wanders halls at night.
D)Patient correctly states names of family members in the room.
Q3) Another term for a collaborative nursing intervention is which of the following?
A)Dependent intervention.
B)Independent intervention.
C)Interdependent intervention.
D)Physician-initiated intervention.
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Chapter 15: Documenting and Reporting
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse is a member of an interdisciplinary team that uses critical pathways.According to the critical pathway,on day 2 of the hospital stay,the patient should be sitting in the chair.It is day 3,and the patient cannot sit in the chair.What should the nurse do?
A)Focus charting,using the DAR format.
B)Add this observation to the problem list.
C)Document the variance in the patient's record.
D)Report a positive variance in the next interdisciplinary team meeting.
Q2) A nurse has provided care to a patient.Which entry should the nurse document in the patient's record?
A)"Patient seems to be in pain and states,'I feel uncomfortable.'"
B)"Status unchanged,doing well."
C)"Left abdominal incision 5 cm in length without redness,drainage,or edema."
D)"Patient is hard to care for and refuses all treatments and medications.Family present."
Q3) A patient is being discharged home.Which information should the nurse include?
A)Acuity level.
B)Community resources.
C)Standardized care plan.
D)Kardex.
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Page 17
Chapter 16: Nursing Informatics and Canadian Nursing Practice
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Nurses can create discussion groups online with which current technology?
A)Skype.
B)Nurse ONE.
C)Nurse Connect.
D)COACH.
Q2) A patient has had several admissions to his local hospital for asthma and was recently transferred to another hospital to have hip replacement surgery.The benefit of a standardized EHR is
A)Timely access to health data.
B)Improved coordination of care.
C)Enhanced ability to work collaboratively with other organizations.
D)Enhanced ability to extract best practice data from published sources.
Q3) Which of the following Health Information: Nursing Component (HI:NC)can be described as the amount and type of nursing resource used to provide care?
A)Patient status.
B)Nursing interventions.
C)Nursing intensity.
D)Patient outcome.
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Chapter 17: Communication and Relational Practice
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Which types of patients can cause challenging communication situations? (Select all that apply. )
A)A male patient who is cooperative with treatments.
B)A female patient who is outgoing and flirty.
C)An older patient who is demanding.
D)An older patient who can see small print clearly.
E)A teenager frightened by the prospect of impending surgery.
F)A child who is developmentally delayed.
Q2) A confused older person is wearing thick glasses and a hearing aid.Which intervention is priority to facilitate communication?
A)Focus on tasks to be completed.
B)Allow time for the patient to respond.
C)Limit conversations with the patient.
D)Use gestures and other nonverbal cues.
Q3) What characterizes nurses who make the best communicators?
A)Developing critical thinking skills.
B)Liking different kinds of people.
C)Learning effective psychomotor skills.
D)Maintaining perceptual biases.
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Page 19
Chapter 18: Patient-Centred Care: Interprofessional
Collaborative Practice
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Sample Questions
Q1) A nurse is describing the antibiotic she is about to administer through a patient's central line.The patient accepts what the nurse is saying and is able to repeat it back.The patient does not internalize this information or ask questions.This is an example of which of the five ways of knowing?
A)Constructed knowing.
B)Received knowing.
C)Subjective knowing.
D)Perceived knowing.
Q2) Which way of knowing is primarily affected by the ideals that are significant or important to the person,the family,or the community?
A)Empirical knowing.
B)Aesthetic knowing.
C)Personal knowing.
D)Ethical knowing.
Q3) Who is the expert in the patient's management of illness?
A)The nurse.
B)The physician.
C)The patient.
D)The interprofessional team.
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Chapter 19: Family Nursing
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Sample Questions
Q1) Mrs.Lily is talking about her recent diagnosis of a chronic condition and how it has affected her emotionally,intellectually,socially,and spiritually.The nurse knows that this is referred to as which of the following?
A)Reflection.
B)Illness narrative.
C)Comprehensive honesty.
D)Complete life review.
Q2) When initiating the care of families,what is one factor that helps organize the family approach to the nursing process?
A)The view of all patients as unique individuals.
B)The realization that families have little effect on individuals.
C)The realization that individuals have little effect on families.
D)The realization that individuals have an effect on families.
Q3) In an assessment for signs of a healthy family,what would the nurse would expect to find?
A)Change is viewed as detrimental to family processes.
B)The response to stressors is passive.
C)The structure is flexible enough to adapt to crises.
D)Minimal influence is exerted on the environment.
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Page 21
Chapter 20: Patient Education
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Sample Questions
Q1) A patient had a stroke and must use a cane for support.A nurse is preparing to teach the patient about the cane.Which learning objective/outcome is most appropriate?
A)The patient will walk to the bathroom and back to bed using a cane.
B)The patient will understand the importance of using a cane.
C)The patient will learn how to use a cane.
D)The patient will know the correct use of a cane.
Q2) Which factors should the nurse assess to determine a patient's ability to learn?
A)Developmental capabilities and physical capabilities.
B)Sociocultural background and motivation.
C)Psychosocial adaptation to illness and active participation.
D)Stage of grieving and overall physical health.
Q3) After a teaching session on taking blood pressures,the nurse tells the patient,"You took that blood pressure like an experienced nurse." What type of reinforcement did the nurse use?
A)Material.
B)Activity.
C)Social.
D)Entrusting.
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Chapter 21: Developmental Theories
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Sample Questions
Q1) According to Piaget's formal operations level,what is a 13-year-old likely to do?
A)Hit other students to deal with environmental change.
B)Use play to understand her surroundings.
C)Question her parents about an upcoming presidential election.
D)Question where the ice is hiding when ice has melted in her drink.
Q2) A child is assessed as being extremely active,requiring a highly structured environment,and irregular in her habits.According to Chess and Thomas (1995),an accurate interpretation of the child's category of temperament is which of the following?
A)Easy child.
B)Difficult child.
C)Hyperactive child.
D)Slow-to-warm up child.
Q3) According to Piaget's theory of cognitive development,the nurse should allow a hospitalized 4-year-old patient to safely play with which item?
A)The pump administering intravenous (IV)fluids.
B)The blood pressure cuff.
C)A baseball bat.
D)A book to read alone in a quiet place.
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Chapter 22: Conception Through Adolescence
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Sample Questions
Q1) Immediate intervention is needed when the newborn exhibits which of the following?
A)A soft,protuberant abdomen.
B)Moulding.
C)Lack of reflexes.
D)Cyanotic hands and feet.
Q2) Which of these toys,if selected by the parent of a 10-month-old child,would indicate that the parent has a correct understanding of infant growth and development?
A)A game requiring two to four players.
B)Electronic games.
C)Small,plastic alphabet letters and magnets.
D)Plastic stacking rings.
Q3) Encouraging children to play a game of kickball would be best suited for which age group?
A)Infant.
B)Toddler.
C)Preschool.
D)School-aged.
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Chapter 23: Young to Middle Adulthood
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Sample Questions
Q1) A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and hot flashes.What should the nurse explain?
A)Those symptoms are normal when a woman undergoes the climacteric.
B)An assessment is not really needed because these problems are normal for older women.
C)The patient's age and symptoms point toward normal menopause.
D)The patient should stop regular exercise because that is probably causing her symptoms.
Q2) What should the nurse recognize when comparing the physical changes in young and middle adulthood?
A)Fertility issues do not occur in young adulthood.
B)Young adults are quite active but are at risk for illness in later years.
C)Young adults tend to suffer more from severe illness.
D)Exercise is less important in young adulthood than in middle adulthood.
Q3) What do changing norms and values about family life in Canada reveal?
A)Basic shifts in attitudes in Canadian society.
B)Greater resistance to cohabitation without marriage.
C)Decreased numbers of infants born to unmarried women.
D)Greater support and acceptance from the health care system.
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Page 25
Chapter 24: Older Persons
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Sample Questions
Q1) Which of these assessments of an older adult,who has a urinary tract infection,requires an immediate nursing intervention?
A)Presbycusis.
B)Confusion.
C)Death of a spouse 3 months ago.
D)Temperature of 36.4°C (97.6°F).
Q2) Which symptom is an expected cognitive change in the older person?
A)Disorientation.
B)Slower reaction time.
C)Poor judgement.
D)Loss of language skills.
Q3) As a patient ages,how should the nursing plan of care change?
A)It should be standardized because all geriatric patients have the same needs.
B)It needs to be individualized according to the patient's unique needs.
C)It should be based on chronological age alone.
D)It focuses on the disabilities that all aging persons face.
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Chapter 25: The Experience of Loss, death, and Grief
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Sample Questions
Q1) Mrs.Harrison's father died a week ago.Mr.Harrison is experiencing headaches and fatigue,and keeps shouting at his wife to turn down the television,although he has not done so in the past.Mrs.Harrison is having trouble sleeping and has no appetite.How should the nurse interpret these assessment findings as the basis for a follow-up assessment?
A)Mrs.Harrison is grieving and Mr.Harrison is angry.
B)Mrs.Harrison is ill and Mr.Harrison is grieving.
C)Both Mr.and Mrs.Harrison likely are in denial.
D)Both Mr.and Mrs.Harrison likely are grieving.
Q2) A nurse encounters a family whose adult child died last year.The parents are talking about the upcoming anniversary of their child's death.The nurse spends time with them discussing their child's life and death.The nurse's action best demonstrates which nursing principle?
A)Pain management technique.
B)Facilitating normal mourning.
C)Grief evaluation.
D)Palliative care.
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Chapter 26: Self-Concept
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Sample Questions
Q1) The developmental self-concept task known as initiative versus guilt would occur in which person?
A)A 3-week-old neonate.
B)A 5-year-old kindergarten student.
C)An 11-year-old student.
D)A 15-year-old high school student.
Q2) Identify the assessments suggestive of an altered self-concept.
A)Limping gait and large smile.
B)Slumped posture and poor personal hygiene.
C)Verbally responding when asked a question.
D)Appropriate dress with clean clothes.
Q3) A verbally abusive partner has made many negative comments to his significant other,the patient,over the years.In the crisis centre,the nurse would anticipate that the patient may have which of the following self-concept deficits?
A)Negative body image.
B)Role confusion.
C)Rigidity.
D)Yearning.
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Chapter 27: Sexuality
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Sample Questions
Q1) When responding to an adolescent girl's inquiry related to emergency contraception,the nurse tells her that the most effective method is which of the following?
A)Levonorgestrel for emergency contraception (LNG-EC).
B)Ulipristal acetate for emergency contraception (UPA-EC).
C)Hormonal intrauterine device.
D)Copper intrauterine device.
Q2) An adolescent female student who is sexually active visits the office of the school nurse.The nurse knows that teaching has been effective when the student states which of the following?
A)"My boyfriend is able to withdraw before ejaculation,and that prevents me from getting pregnant."
B)"I take my temperature every morning,and when it goes down for at least two days,we have unprotected sex."
C)"We use 'foam' before each time we have sex,and I haven't gotten pregnant yet."
D)"We use a condom with a water-based lubricant."
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Chapter 28: Spirituality in Health and Health Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36701
Sample Questions
Q1) Which statement about religion and spirituality is true?
A)Religion is a unifying theme in people's lives.
B)Spirituality is unique to the individual.
C)Spirituality encompasses religion.
D)Religion and spirituality are synonymous.
Q2) When asked about his religious affiliation,a patient responds,"That's personal;why do you want to know?" Which of the following is the most appropriate nursing response?
A)"You need not answer my question if you prefer not to share that information."
B)"By knowing your religious preferences,I can best meet your spiritual needs."
C)"All information that you provide will be kept in strict confidence."
D)"I did not mean to offend you;we ask that question of all of our new admissions."
Q3) The nurse is admitting a patient to the hospital.The patient states that he is a very spiritual person but does not practise any specific religion.What should the nurse understand about these statements?
A)That they are contradictory.
B)That they indicate a strong religious affiliation.
C)That they indicate a lack of faith.
D)That they are reasonable.
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Chapter 29: Stress and Adaptation
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Source URL: https://quizplus.com/quiz/36702
Sample Questions
Q1) The nursing student gave a wellness lecture on the importance of accurate assessment and intervention from a personal,family,and community perspective.The other nursing students enjoyed the lecture about which nursing theory?
A)Ego defence model.
B)Situational model.
C)Evidence-informed practice model.
D)Neuman's systems model.
Q2) After a natural disaster occurred,an emergency worker referred a family for crisis intervention services.One family member refused to attend the services,stating,"No way,I'm not crazy." The best response the nurse can give is which of the following?
A)"Many times,disasters can create mental health problems,so you really should participate with your family."
B)"Crisis intervention is a short-term problem-solving type of help,and seeking this help does not mean that you have a mental illness."
C)"Don't worry now.The psychiatrists are well trained to help."
D)"Crisis intervention will help your family communicate better."
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Chapter 30: Vital Signs
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Sample Questions
Q1) The thickness or viscosity of the blood affects the ease with which blood flows through small vessels.Examining what value might help determine the amount of blood viscosity?
A)Hematocrit.
B)Cardiac output.
C)Arterial size.
D)Blood volume.
Q2) When heat loss mechanisms of the body are unable to keep pace with excess heat production,the result is known as
A)Pyrexia.
B)The plateau phase.
C)The set point.
D)Becoming afebrile.
Q3) How does the posterior hypothalamus help control temperature?
A)By causing vasoconstriction.
B)By shunting blood to the skin and extremities.
C)By increasing sweat production.
D)By causing vasodilation.
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Chapter 31: Pain Assessment and Management
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Sample Questions
Q1) A nurse is caring for a patient who fell on the ice and has connective tissue damage in the wrist and hand.What type of pain is the patient experiencing?
A)Visceral pain.
B)Somatic pain.
C)Peripherally generated pain.
D)Centrally generated pain.
Q2) A nurse is caring for a patient who recently had an abdominal hysterectomy and states that she is experiencing severe pain.The patient's blood pressure is 110/60,and her heart rate is 60.In addition,the patient does not appear to be in any distress.Which response by the nurse is most therapeutic?
A)"Your vitals do not show that you are having pain;can you describe your pain?"
B)"You do not look like you are in pain."
C)"OK,I will go get you some narcotic pain relievers immediately."
D)"What would you like to try to alleviate your pain?"
Q3) The nurse anticipates administering an opioid fentanyl patch to which patient?
A)A 15-year-old adolescent with a broken femur.
B)A 30-year-old adult with cellulitis.
C)A 50-year-old patient with prostate cancer.
D)An 80-year-old patient with a broken hip.
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Page 33
Chapter 32: Health Assessment and Physical Examination
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Sample Questions
Q1) The patient presents to the clinic with dysuria and hematuria.How does the nurse proceed to assess for kidney inflammation?
A)Lightly palpating each abdominal quadrant.
B)Inspecting abdomen for abnormal movement or shadows,with indirect lighting.
C)Using deep palpation posteriorly.
D)Percussing posteriorly the costovertebral angle at the scapular line.
Q2) The advanced practice nurse is conducting a comprehensive eye examination on an 80-year-old African Canadian woman.Which of the following findings is an indication that the nurse should contact the patient's physician for further examination?
A)A thin white ring along the margin of the iris.
B)A black pupil.
C)Dilated pupils.
D)A black fundus of the eye.
Q3) What is the best term for breath sounds created by air moving through large lung airways?
A)Bronchovesicular.
B)Rhonchi.
C)Bronchial.
D)Vesicular.
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Page 34
Chapter 33: Infection Control
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Source URL: https://quizplus.com/quiz/36706
Sample Questions
Q1) The nurse is caring for a group of medical-surgical patients.Which patient is most at risk for developing an infection?
A)The patient who is in observation for chest pain.
B)The patient who is recovering from a right total hip arthroplasty.
C)The patient who has been admitted with dehydration.
D)The patient who has been admitted for stabilization of atrial fibrillation.
Q2) Which of these interventions would take priority and should be included in a plan of care for a patient who presents with pneumonia?
A)Observe the patient for decreased activity tolerance.
B)Assume that the patient is in pain and treat accordingly.
C)Maintain the ambient temperature at 18.3°C (65°F).
D)Provide the patient ice chips as requested.
Q3) A patient with diabetes presents to the clinic for a dressing change.The wound is located on the right foot and has purulent yellow drainage.Which of these interventions would be most appropriate for the nurse to provide?
A)Position the patient comfortably on the stretcher.
B)Explain the procedure for dressing change to the patient.
C)Don gloves and other appropriate personal protective equipment.
D)Review the medication list that the patient brought from home.
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Page 35
Chapter 34: Medication Administration
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Sample Questions
Q1) The patient is to receive phenytoin (Dilantin)at 0900 hours.The nurse knows that the ideal time to measure the trough level is when?
A)0800 hours.
B)0830 hours.
C)0900 hours.
D)0930 hours.
Q2) Which nursing action is the number one priority for ensuring that medication stays in the target therapeutic range?
A)Measuring the peak and trough levels at the same time each day.
B)Administering a double dose after a dose was missed.
C)Delivering the same amount of the drug at the same time each day.
D)Increasing absorption by holding all other medications 1 hour before administration.
Q3) A patient is at risk for aspiration.What nursing action is most appropriate?
A)Hold the patient's cup for him so he can concentrate on taking pills.
B)Thin out liquids so they are easier to swallow.
C)Give the patient a straw to control the flow of liquids.
D)Have the patient self-administer the medication.
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Page 36
Chapter 35: Complementary and Alternative Approaches in
Health Care
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Source URL: https://quizplus.com/quiz/36708
Sample Questions
Q1) Which of the following diets is believed to have anticancer properties and consists of 40 to 60% whole cereal grain,20 to 30% vegetables,and 5 to 10% beans?
A)Macrobiotic diet.
B)Gerson therapy.
C)Mediterranean diet.
D)Paleo diet.
Q2) Which of the following is considered a healing practice that promotes harmony within a community and in the physical and spiritual worlds through sweating and purging,herbal remedies,and shamanic healing?
A)Latin American practices.
B)Traditional Chinese medicine.
C)Ayurveda.
D)Traditional Indigenous medicine.
Q3) The complementary and alternative therapy that is known to alter immune function is which of the following?
A)Biofeedback.
B)Imagery.
C)Breath work.
D)Acupuncture.
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Chapter 36: Activity and Exercise
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Sample Questions
Q1) The nurse is developing an exercise program for older patients living in a nursing home.To develop a beneficial health promotion program,what must the nurse need to understand about older people?
A)Exercise is of very little benefit because the patients are old.
B)It is important to disregard their current interests in favour of exercise.
C)No physical benefit can be gained without a formal exercise program.
D)Adjustments to exercise programs may have to be made to prevent problems.
Q2) Bones perform five functions in the body: support,protection,movement,mineral storage,and hematopoiesis.In the discussion of body mechanics,which are the most important? (Select all that apply. )
A)Support.
B)Protection.
C)Movement.
D)Mineral storage.
E)Hematopoiesis.
Q3) In assisting the patient to exercise,which of the following should the nurse do?
A)Expect that pain will occur with exercise of unused muscle groups.
B)Set the pace for the exercise.
C)Force muscles or joints to go just beyond resistance.
D)Stop the exercise if the patient experiences pain.
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Chapter 37: Quality and Patient Safety
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/36710
Sample Questions
Q1) The nurse knows that children in late infancy and toddlerhood are at risk for injury from which of the following?
A)Learning to walk.
B)Trying to pull up on furniture.
C)Being dropped by a caregiver.
D)Growing ability to explore and oral activity.
Q2) A visiting nurse completes an assessment of the ambulatory patient in the home and determines the nursing diagnosis of Risk for injury related to decreased vision.On the basis of this assessment,the patient will benefit the most from which of the following actions?
A)Installing fluorescent lighting throughout the house.
B)Evaluating the need to reposition furniture.
C)Maintaining complete bed rest in a hospital bed with side rails.
D)Applying physical restraints.
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Chapter 38: Hygiene
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Sample Questions
Q1) The patient is being fitted with a hearing aid.In teaching the patient how to care for the hearing aid,the nurse instructs the patient to do which of the following?
A)Wear the hearing aid 24 hours per day except when sleeping.
B)Change the battery every day or as needed.
C)Avoid the use of hairspray,but aerosol perfumes are allowed.
D)Adjust the volume for a talking distance of 1 metre.
Q2) Of the following interventions,which would be the most important for preventing skin impairment in a mobile patient with local nerve damage?
A)Turning the patient every 2 hours.
B)Limiting caloric and protein intake.
C)Inserting an indwelling urinary catheter.
D)Assessing for pain while the patient is bathing.
Q3) The nurse is caring for a patient who has head lice (pediculosis capitis).What should the nurse know about treating this condition?
A)Products containing lindane are most effective.
B)Head lice may spread to furniture and other people.
C)Treatment must be repeated in 7 to 10 days.
D)Manual removal is not a realistic option as treatment.
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Chapter 39: Cardiopulmonary Functioning and Oxygenation
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Sample Questions
Q1) What is the structure that is responsible for returning oxygenated blood to the heart?
A)Pulmonary artery.
B)Pulmonary vein.
C)Superior vena cava.
D)Inferior vena cava.
Q2) The nurse knows that a myocardial infarction is an occlusion of what blood vessel?
A)Pulmonary artery.
B)Ascending aorta.
C)Coronary artery.
D)Carotid artery.
Q3) Upon auscultation,the nurse hears a whooshing sound at the fifth intercostal space.What does this sound represent?
A)The beginning of the systolic phase.
B)The opening of the aortic valve.
C)S3,the third heart sound.
D)Regurgitation of the mitral valve.
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Chapter 40: Fluid, electrolyte, and Acid-base Balances
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Sample Questions
Q1) The nurse would select the dorsal venous plexus of the foot as an IV site for which patient?
A)A 2-year-old child.
B)A 22-year-old adult.
C)A 50-year-old patient.
D)An 80-year-old patient.
Q2) A patient informs the nurse that he has the type of diabetes that does not have to do with "blood sugar." The nurse advises the patient to make which dietary change?
A)Drink plenty of fluids throughout the day to stay hydrated.
B)Avoid food high in acid to avoid metabolic acidosis.
C)Reduce the quantity of carbohydrates ingested to lower blood glucose levels.
D)Include a serving of dairy in each meal to elevate calcium levels.
Q3) The nurse is caring for a patient with sepsis.The plan of care for the patient is to administer antibiotics three times a day for 4 weeks.What device will be used to administer these antibiotics?
A)A continuous infusion.
B)A peripheral catheter with a heparin lock.
C)A peripherally inserted central catheter (PICC)line.
D)An implanted port catheter.
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Page 42
Chapter 41: Sleep
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Sample Questions
Q1) Which of the following information provided by the patient's bed partner is most associated with sleep apnea?
A)Restlessness.
B)Talking during sleep.
C)Sleepwalking.
D)Excessive snoring.
Q2) As a result of recent studies regarding infant safety during sleep,which of the following instructions does the nurse give the parents?
A)Provide a stuffed toy for comfort.
B)Apply a loose-fitting plastic mattress cover.
C)Place the infant on his or her back.
D)Use small pillows in the crib.
Q3) Which of the following instructions does the nurse give the patient in teaching methods to promote positive sleep habits at home?
A)Use the bedroom only for sleep or sexual activity.
B)Eat a large meal 1 to 2 hours before bedtime.
C)Exercise vigorously before bedtime.
D)Stay in bed if sleep does not come after 30 minutes.
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Chapter 42: Nutrition
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Sample Questions
Q1) Before giving the patient an intermittent tube feeding,what should the nurse do?
A)Make sure that the tube is secured to the gown with a safety pin.
B)Have the tube feeding at room temperature.
C)Inject air into the stomach via the tube and auscultate.
D)Place the patient in a supine position.
Q2) The nurse is providing home care for a patient who has acquired immune deficiency syndrome (AIDS).In preparing meals for this patient,what should the nurse do?
A)Provide small,frequent nutrient-dense meals.
B)Encourage intake of fatty foods to increase caloric intake.
C)Prepare hot meals because they are more easily tolerated.
D)Avoid salty foods and limit liquids to preserve electrolytes.
Q3) The patient has just started enteral feedings but is complaining of abdominal cramping.What should the nurse do?
A)Slow the rate of tube feeding.
B)Instill cold formula to "numb" the stomach.
C)Place the patient in a supine position.
D)Change the tube feeding to a high-fat formula.
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Page 44
Chapter 43: Urinary Elimination
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Sample Questions
Q1) When reviewing laboratory results,the nurse should immediately notify the health care provider about which finding?
A)Glomerular filtration rate of 20 mL/min
B)Urine output of 80 mL/hr
C)pH of 6.4
D)Protein level of 2 mg/100 mL
Q2) While receiving a shift report on a patient,the nurse is informed that the patient has urinary incontinence.Upon assessment,what would the nurse expect to find?
A)An in-dwelling Foley catheter.
B)Reddened irritated skin on the buttocks.
C)Tiny blood clots in the patient's urine.
D)Foul-smelling discharge indicative of a UTI.
Q3) Which of the following symptoms are most closely associated with uremic syndrome? (Select all that apply. )
A)Fever.
B)Nausea and vomiting.
C)Headache.
D)Altered mental status.
E)Dysuria.
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Page 45
Chapter 44: Bowel Elimination
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Sample Questions
Q1) A nurse is educating a patient on how to irrigate an ostomy bag.Which statement by the patient indicates the need for further instruction?
A)"I can use a Fleet enema to save money because it contains the same irrigation solution."
B)"Sitting on the toilet lets the irrigation sleeve eliminate into the bowl."
C)"I should never attempt to reach into my stoma to remove fecal material."
D)"Using warm tap water will reduce cramping and discomfort during the procedure."
Q2) The nurse knows that a bowel elimination schedule would be most beneficial in the plan of care for which patient?
A)A 40-year-old patient with an ileostomy.
B)A 25-year-old patient with Crohn's disease.
C)A 30-year-old patient with C.difficile infection.
D)A 70-year-old patient with stool incontinence.
Q3) The nurse knows that the ideal time to change an ostomy pouch is when?
A)Before the patient eats a meal,when the patient is comfortable.
B)When the patient feels that he or she needs to have a bowel movement.
C)When ordered in the patient's chart.
D)After the patient has ambulated the length of the hallway.
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Chapter 45: Mobility and Immobility
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Source URL: https://quizplus.com/quiz/36718
Sample Questions
Q1) The nurse is aware that patients who are immobile are at increased risk of developing deep vein thromboses (DVTs).Because of this,what action does the nurse take?
A)Make sure that elastic stockings are not removed.
B)Measure the calf circumference of both legs.
C)Dorsiflex the foot while assessing for patient discomfort.
D)Measure both ankles to determine size.
Q2) The nurse is admitting a patient who has had a stroke.The physician writes orders for "ROM as needed." What does the nurse understand about this situation?
A)The nurse will have to move all the patient's extremities.
B)The patient is unable to move his extremities.
C)Further assessment of the patient is needed.
D)The patient needs to restrict his mobility as much as possible.
Q3) In applying for a job on a nursing unit that requires frequent patient positioning,of what should the nurse should be aware?
A)That nurses are at low risk for back injury.
B)That nurses are especially at risk for upper back injuries.
C)That nurses should be aware of agency policies.
D)That nurses should not need to use assistive devices.
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Page 47
Chapter 46: Skin Integrity and Wound Care
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Sample Questions
Q1) Which nursing observation would indicate that the patient was at risk for pressure injury formation?
A)The patient ate two thirds of breakfast.
B)The patient has fecal incontinence.
C)The patient has a raised red rash on the right shin.
D)The patient's capillary refill is less than 2 seconds.
Q2) The nurse is caring for a patient who has a stage 4 pressure injury and is awaiting plastic surgery consultation.Which of the following specialty beds would be most appropriate?
A)Standard mattress.
B)Nonpowered redistribution air mattress.
C)Low-air-loss therapy unit.
D)Lateral rotation.
Q3) The nurse is caring for a patient who has undergone a laparoscopic appendectomy.The nurse recalls that this type of wound heals by which process?
A)Tertiary intention.
B)Secondary intention.
C)Partial-thickness repair.
D)Primary intention.
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Page 48
Chapter 47: Sensory Alterations
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Sample Questions
Q1) Which nursing assessment best measures cognitive functioning?
A)Administering a Mini-Mental Status Examination (MMSE).
B)Asking the patient his name,where he is,and what month it is.
C)Asking the patient's family if the patient is behaving normally.
D)Evaluating the patient's ability to read the newspaper.
Q2) The nurse is creating a plan of care for a patient with glaucoma.Which nursing diagnosis addresses the complication of the sensory deficit that places the patient at greatest risk for injury?
A)Risk for falls.
B)Body image disturbance.
C)Social isolation.
D)Fear.
Q3) A patient has hyperesthesia associated with a neurological trauma.Which one of the following is an appropriate nursing intervention in regard to the patient's sense of touch?
A)Reminding the patient of the need to have frequent tactile contact.
B)Keeping the patient loosely covered with sheets and blankets.
C)Allowing the patient to lie motionless.
D)Using touch as a form of therapy.
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Chapter 48: Care of Surgical Patients
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Sample Questions
Q1) The nurse explains the pain relief measures available after surgery during preoperative teaching for a surgical patient.Which of the following comments from the patient indicates the need for additional education on this topic?
A)"I will take the pain medication as the physician prescribes it."
B)"I will be asked to rate my pain on a pain scale."
C)"I will have minimal pain because of the anaesthesia."
D)"I will take my pain medications before doing postoperative exercises."
Q2) The nurse is caring for a patient in the PACU.The patient has developed profuse bleeding from the surgical site,and the surgeon has determined the need to return to the operative area.This procedure would be classified as which of the following?
A)Elective.
B)Urgent.
C)Emergency.
D)Major.
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