Course Introduction
Basic Nursing Skills Review
Questions
Basic Nursing Skills introduces students to the foundational concepts and practical techniques essential for beginning a career in nursing. The course emphasizes the development of core competencies in patient care, including vital sign measurement, hygiene and comfort procedures, infection control, basic assessment techniques, communication strategies, and documentation. Through a combination of classroom instruction, laboratory practice, and clinical experiences, students gain the knowledge and confidence necessary to provide safe, effective, and compassionate care to diverse populations in a variety of healthcare settings.
Recommended Textbook
Fundamentals of Nursing 9th Edition by Potter
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50 Chapters
1588 Verified Questions
1588 Flashcards
Source URL: https://quizplus.com/study-set/175 Page 2
Chapter 1: Nursing Today
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2380
Sample Questions
Q1) Which nurse most likely kept records on sanitation techniques and the effects on health?
A) Florence Nightingale
B) Mary Nutting
C) Clara Barton
D) Lillian Wald
Answer: A
Q2) A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, "I have no idea what is going to happen. I couldn't ask any questions." The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying?
A) Manager
B) Patient educator
C) Patient advocate
D) Clinical nurse specialist
Answer: C
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Chapter 2: The Health Care Delivery System
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session?
A) Increased spread of communicable diseases
B) Increased homogeneous mix of nursing staff
C) Decreased poverty and increased "health tourism"
D) Decreased urbanization as populations shift to the suburbs
Answer: A
Q2) Which finding indicates the \(\bold{best}\) quality improvement process?
A) Staff identifies the wait time in the emergency department is too long.
B) Administration identifies the design of the facility's lobby increases patient stress.
C) Director of the hospital identifies the payment schedule does not pay enough for overtime.
D) Health care providers identify the inconsistencies of some of the facility's policy and procedures.
Answer: A
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4
Chapter 3: Community-Based Nursing Practice
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse attended a seminar on community-based health care. Which information indicates the nurse has a good understanding of community-based health care?
A) It occurs in hospitals.
B) Its focus is on ill individuals.
C) Its priority is health promotion.
D) It provides services primarily to the poor.
Answer: C
Q2) The instructor is teaching student nurses about identifying members of vulnerable populations when the nursing student asks, "Why is it that not all poor people are considered members of vulnerable populations?" How should the nurse respond?
A) "All poor people are members of a vulnerable population."
B) "Poor people are members of a vulnerable population only if they take drugs."
C) "Poor people are members of a vulnerable population only if they are homeless."
D) "Members of vulnerable groups frequently have a combination of risk factors."
Answer: D
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Chapter 4: Theoretical Foundations of Nursing Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse is using nursing theory and the nursing process simultaneously to plan nursing care. How will the nurse use nursing theory and the nursing process in practice?
A) Nursing theory can direct how a nurse uses the nursing process.
B) Nursing theory requires the nursing process to develop knowledge.
C) Nursing theory with the nursing process has a minor role in professional nursing.
D) Nursing theory combined with the nursing process is specific to certain ill patients.
Q2) Which behavior from a nurse indicates the nurse is using Nightingale's theory to plan nursing care?
A) Knows all about the disease processes affecting patients
B) Focuses on medication administration and treatments
C) Thinks about the patients and patients' environments
D) Considers nursing knowledge and medicine the same
Q3) Which action indicates the nurse is using the nursing process in patient care?
A) Generates nursing knowledge for use in nursing practice.
B) Conceptualizes an aspect of nursing to predict nursing care.
C) Develops nursing care as a specific, distinct phenomenon.
D) Delivers nursing care using a systematic approach.
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Chapter 5: Evidence-Based Practice
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2384
Sample Questions
Q1) Before conducting any study with human subjects, the nurse researcher must obtain informed consent. What must the nurse researcher ensure to obtain informed consent? (Select all that apply.)
A) Gives complete information about the purpose
B) Allows free choice to participate or withdraw
C) Understands how confidentiality is maintained
D) Identifies risks and benefits of participation
E) Ensures that subjects complete the study
Q2) The nurse is preparing to conduct research that will allow precise measurement of a phenomenon. Which methods will provide the nurse with the right kind of data? (Select all that apply.)
A) Surveys
B) Phenomenology
C) Grounded theory
D) Evaluation research
E) Nonexperimental research
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Chapter 6: Health and Wellness
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2385
Sample Questions
Q1) Upon completion of the assessment, the nurse finds that the patient has quit drinking and has been alcohol free for the past 2 years. Which stage \(\bold{best}\) describes the nurse's assessment finding?
A) Contemplation
B) Maintenance
C) Preparation
D) Action
Q2) A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
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Chapter 7: Caring in Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/2386
Sample Questions
Q1) A nurse cares for patients. Which areas does caring influence? (Select all that apply.)
A) The way in which patients feel
B) The way in which patients learn
C) The way in which patients think
D) The way in which patients study
E) The way in which patients behave
Q2) Which actions by the nurse indicate compassion and caring to patients? (Select all that apply.)
A) Saying "I'm here"
B) Including the family in care
C) Staying with the patient during a bedside test
D) Relying on monitors and technology
E) Refining work processes on the unit
Q3) Interpersonally
A)Connection with others
B)Connection with higher power
C)Connection with oneself
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Chapter 8: Caring for the Cancer Survivor
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/2387
Sample Questions
Q1) The nurse is caring for a patient with known coronary artery disease who has recently been diagnosed with lung cancer. What should the nurse do?
A) Focus the assessment solely on the cancer diagnosis since it is the newer diagnosis.
B) Ask questions about cardiac symptoms and their relationship to the cancer.
C) Ignore symptom management and focus on palliative care.
D) Say nothing because cancer survivors dislike prying.
Q2) The self-caregiving pattern
A)Patients and caregivers share activities of care.
B)Family provides most of the care because the patient is unable.
C)Patients mostly care for self with caregivers in a standby role.
Q3) A nurse is assessing a cancer survivor for chemotherapy-induced peripheral neurotoxicity (CPIN). Which assessment finding is consistent with CPIN?
A) Hearing loss
B) Devastating depression
C) Extreme loss of motor functioning
D) Numbness and tingling in hands and feet
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Chapter 9: Cultural Awareness
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2388
Sample Questions
Q1) A nurse is performing a cultural assessment using the ETHNIC mnemonic for communication. Which area will the nurse assess for the "H"?
A) Health
B) Healers
C) History
D) Homeland
Q2) The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse is working with an interpreter. Which action should the nurse take?
A) Use long sentences when talking.
B) Look at the patient when talking.
C) Use breaks in sentences when talking.
D) Look at only nonverbal behaviors when talking.
Q3) A nurse is working at a health fair screening people for liver cancer. Which population group should the nurse monitor \(\bold{most}\) closely for liver cancer?
A) Hispanic
B) Asian Americans
C) Non-Hispanic Caucasians
D) Non-Hispanic African-Americans
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11
Chapter 10: Caring for Families
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/2389
Sample Questions
Q1) A nurse is caring for a patient from a motor vehicle accident. Which action by the unlicensed assistive personnel will cause the nurse to intervene?
A) Tells the family not to leave the bedside
B) Offers the family a sandwich
C) Gives the family a blanket
D) Sits with the family
Q2) The nurse is caring for an older adult patient who has no apparent family. When questioned about family and the definition of family, the patient states, "I have no family. They're all gone." When asked, "Who prepares your meals?" the patient states, "I do, or I go out." Which approach should the nurse use for this patient?
A) Family as context
B) Family as patient
C) Family as system
D) Family as caregiver
Q3) Who is the "peacekeeper" of the family?
A)Intimacy expression
B)Social support
C)Roles
D)Family nurturing
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Page 12
Chapter 11: Developmental Theories
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2390
Sample Questions
Q1) A nurse is assessing a 17-year-old adolescent's cognitive development. Which behavior indicates the adolescent has reached formal operations?
A) Uses play to understand surroundings
B) Discusses the topic of justice in society
C) Hits other students to deal with environmental change
D) Questions where the ice is hiding when ice has melted in a drink
Q2) A nurse is caring for a young adult after surgery. Which action by the nurse will be \(\bold{priority}\)?
A) Allow involvement of peers
B) Allow involvement of partner
C) Allow involvement of volunteer activities
D) Allow involvement of consistent schedule
Q3) A nurse is caring for a 4-year-old patient. Which object will the nurse allow the child to play with safely to foster cognitive development?
A) The pump administering intravenous fluids
B) A book to read alone in a quiet place
C) The blood pressure cuff
D) A baseball bat
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Chapter 12: Conception Through Adolescence
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2391
Sample Questions
Q1) A nurse is teaching the parents of a school-aged child about accidents most common in this age group. Which topic should the nurse address?
A) Falls
B) Fires
C) Drownings
D) Poisonings
Q2) A mother has delivered a healthy newborn. Which action is priority?
A) Encourage close physical contact as soon as possible after birth.
B) Isolate the newborn in the nursery during the first hour after delivery.
C) Never leave the newborn alone with the mother during the first 8 hours after delivery.
D) Do not allow the newborn to remain with parents until the second hour after delivery.
Q3) A nurse performs an assessment on a healthy newborn. Which assessment finding will the nurse document as normal?
A) Cyanosis of the feet and hands for the first 48 hours
B) Triangle-shaped anterior fontanel
C) Sporadic motor movements
D) Weight of 4800 grams
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14
Chapter 13: Young and Middle Adults
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is teaching a class to pregnant women about common physiological changes during pregnancy. Which information should the nurse include in the teaching session?
A) Pregnancy is not a time to be having sexual activity.
B) Urinary frequency will occur early in the pregnancy.
C) Breast tenderness should be reported as soon as possible.
D) Late in the pregnancy Braxton Hicks contraction may occur.
Q2) Agricultural workers
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
Q3) Insulators
A)Liver disease
B)Carpal tunnel syndrome
C)Asbestosis
D)Farmer's lung
E)Bladder cancer
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Page 15
Chapter 14: Older Adult
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2393
Sample Questions
Q1) What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?
A) Have the family members evaluate nursing home staff according to their ability to get tasks done efficiently and safely.
B) Make sure that nursing home staff members get patients out of bed and dressed according to staff's preferences.
C) Explain that it is important for the family to visit the center and inspect it personally.
D) Suggest a nursing center that has standards as close to hospital standards as possible.
Q2) Body image
A)Respecting the older adult's uniqueness
B)Improving level of awareness
C)Listening to the patient's past recollections
D)Accepting describing of patient's perspective
E)Offering help with grooming and hygiene
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16
Chapter 15: Critical Thinking in Nursing Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A patient is having trouble reaching the water fountain while holding on to crutches. The nurse suggests that the patient place the crutches against the wall while stabilizing him or herself with two hands on the water fountain. Which critical thinking attitude did the nurse use in this situation?
A) Humility
B) Creativity
C) Risk taking
D) Confidence
Q2) Which patient scenario of a surgical patient in pain is most indicative of critical thinking?
A) Administering pain-relief medication according to what was given last shift
B) Offering pain-relief medication based on the health care provider's orders
C) Asking the patient what pain-relief methods, pharmacological and nonpharmacological, have worked in the past
D) Explaining to the patient that self-reporting of severe pain is not consistent with the minor procedure that was performed
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Chapter 16: Nursing Assessment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse is gathering information about a patient's habits and lifestyle patterns. Which method of data collection will the nurse use that will best obtain this information?
A) Carefully review lab results.
B) Conduct the physical assessment.
C) Perform a thorough nursing health history.
D) Prolong the termination phase of the interview.
Q2) While interviewing an older female patient of Asian descent, the nurse notices that the patient looks at the ground when answering questions. What should the nurse do?
A) Consider cultural differences during this assessment.
B) Ask the patient to make eye contact to determine her affect.
C) Continue with the interview and document that the patient is depressed.
D) Notify the health care provider to recommend a psychological evaluation.
Q3) Provokes
A)Where is the pain located?
B)What causes the pain?
C)Does it come and go?
D)What does the pain feel like?
E)What is the rating on a scale of 0 to 10?
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18
Chapter 17: Nursing Diagnosis
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2396
Sample Questions
Q1) Which diagnosis will the nurse document in a patient's care plan that is NANDA-I approved?
A) Sore throat
B) Acute pain
C) Sleep apnea
D) Heart failure
Q2) A new nurse writes the following nursing diagnoses on a patient's care plan. Which nursing diagnosis will cause the nurse manager to intervene?
A) Wandering
B) Hemorrhage
C) Urinary retention
D) Impaired swallowing
Q3) Which question would be \(\bold{most}\) appropriate for a nurse to ask a patient to assist in establishing a nursing diagnosis of Diarrhea?
A) "What types of foods do you think caused your upset stomach?"
B) "How many bowel movements a day have you had?"
C) "Are you able to get to the bathroom in time?"
D) "What medications are you currently taking?"
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19
Chapter 18: Planning Nursing Care
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21 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications. Which outcome is most appropriate for the nurse to include in the plan of care?
A) Patient will have one soft, formed bowel movement by end of shift.
B) Patient will walk unassisted to bathroom by the end of shift.
C) Patient will be offered laxatives or stool softeners this shift.
D) Patient will not take any pain medications this shift.
Q2) A charge nurse is reviewing outcome statements using the SMART approach. Which patient outcome statement will the charge nurse praise to the new nurse?
A) The patient will ambulate in hallways.
B) The nurse will monitor the patient's heart rhythm continuously this shift.
C) The patient will feed self at all mealtimes today without reports of shortness of breath.
D) The nurse will administer pain medication every 4 hours to keep the patient free from discomfort.
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Chapter 19: Implementing Nursing Care
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2398
Sample Questions
Q1) The nurse is teaching a new nurse about protocols. Which information from the new nurse indicates a correct understanding of the teaching?
A) Protocols are guidelines to follow that replace the nursing care plan.
B) Protocols assist the clinician in making decisions and choosing interventions for specific health care problems or conditions.
C) Protocols are policies designating each nurse's duty according to standards of care and a code of ethics.
D) Protocols are prescriptive order forms that help individualize the plan of care.
Q2) A nurse is reviewing a patient's care plan. Which information will the nurse identify as a nursing intervention?
A) The patient will ambulate in the hallway twice this shift using crutches correctly.
B) Impaired physical mobility related to inability to bear weight on right leg.
C) Provide assistance while the patient walks in the hallway twice this shift with crutches.
D) The patient is unable to bear weight on right lower extremity.
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Chapter 20: Evaluation
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/2399
Sample Questions
Q1) The nurse is evaluating whether patient goals and outcomes have been met for a patient with physical mobility problems due to a fractured leg. Which finding indicates the patient has met an expected outcome?
A) The nurse provides assistance while the patient is walking in the hallways.
B) The patient is able to ambulate in the hallway with crutches.
C) The patient will deny pain while walking in the hallway.
D) The patient's level of mobility will improve.
Q2) A goal for a patient with diabetes is to demonstrate effective coping skills. Which patient behavior will indicate to the nurse achievement of this outcome?
A) States feels better after talking with family and friends
B) Consumes high-carbohydrate foods when stressed
C) Dislikes the support group meetings
D) Spends most of the day in bed
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22
Chapter 21: Managing Patient Care
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23 Flashcards
Source URL: https://quizplus.com/quiz/2400
Sample Questions
Q1) Which staff member does the nurse assign to provide morning care for an older-adult patient who requires assistance with activities of daily living?
A) Licensed practical nurse
B) Cardiac monitor technician
C) Nursing assistive personnel (NAP)
D) Another registered nurse on the floor
Q2) A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistive personnel. The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus. Which action should the nurse take next?
A) Ask the nursing assistive personnel to observe while the nurse performs catheter care.
B) Leave the room and ask the nursing assistive personnel to go back and perform proper catheter care.
C) Tell the nursing assistive personnel that catheter care is sloppy.
D) Remove the catheter.
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23
Chapter 22: Ethics and Values
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/2401
Sample Questions
Q1) A nurse is a member of the ethics committee. Which purposes will the nurse fulfill in this committee? (Select all that apply.)
A) Education
B) Case consultation
C) Purchasing power
D) Direct patient care
E) Policy recommendation
Q2) The nurse values autonomy above all other principles. Which patient assignment will the nurse find most difficult to accept?
A) Older-adult patient who requires dialysis
B) Teenager in labor who requests epidural anesthesia
C) Middle-aged father of three with an advance directive declining life support
D) Family elder who is making the decisions for a young-adult female member
Q3) The nurse is caring for a dying patient. Which intervention is considered futile?
A) Giving pain medication for pain
B) Providing oral care every 5 hours
C) Administering the influenza vaccine
D) Supporting lower extremities with pillows
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Chapter 23: Legal Implications in Nursing Practice
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2402
Sample Questions
Q1) An obstetric nurse comes across an automobile accident. The driver seems to have a crushed upper airway, and while waiting for emergency medical services to arrive, the nurse makes a cut in the trachea and inserts a straw from a purse to provide an airway. The patient survives and has a permanent problem with vocal cords, making it difficult to talk. Which statement is true regarding the nurse's performance?
A) The nurse acted appropriately and saved the patient's life.
B) The nurse stayed within the guidelines of the Good Samaritan Law.
C) The nurse took actions beyond those that are standard and appropriate.
D) The nurse should have just stayed with the patient and waited for help.
Q2) A nurse is teaching the staff about professional negligence or malpractice. Which criteria to establish negligence will the nurse include in the teaching session? (Select all that apply.)
A) Injury did not occur.
B) That duty was breached.
C) Nurse carried out the duty.
D) Duty of care was owed to the patient.
E) Patient understands benefits and risks of a procedure.
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Page 25
Chapter 24: Communication
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/2403
Sample Questions
Q1) A smiling patient angrily states, "I will not cough and deep breathe." How will the nurse interpret this finding?
A) The patient's denotative meaning is wrong.
B) The patient's personal space was violated.
C) The patient's affect is inappropriate.
D) The patient's vocabulary is poor.
Q2) T
A)Nurse describes procedures and tests.
B)Nurse lets the patient know how long the procedure will last.
C)Nurse recognizes the person with a positive attitude.
D)Nurse thanks the patient.
E)Nurse tells the patient "I am an RN and will be managing your care."
Q3) The nurse asks a patient where the pain is, and the patient responds by pointing to the area of pain. Which form of communication did the patient use?
A) Verbal
B) Nonverbal
C) Intonation
D) Vocabulary
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Chapter 25: Patient Education
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2404
Sample Questions
Q1) A nurse is trying to help a patient begin to accept the chronic nature of diabetes. Which teaching technique should the nurse use to enhance learning?
A) Lecture
B) Role play
C) Demonstration
D) Question and answer sessions
Q2) A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess to determine a patient's ability to learn?
A) Sociocultural background and motivation
B) Stage of grieving and overall physical health
C) Developmental capabilities and physical capabilities
D) Psychosocial adaptation to illness and active participation
Q3) A nurse is teaching a patient about heart failure. Which environment will the nurse use?
A) A darkened, quiet room
B) A well-lit, ventilated room
C) A private room at 85° F temperature
D) A group room for 10 to 12 patients with heart failure
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Chapter 26: Documentation and Informatics
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34 Flashcards
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Sample Questions
Q1) A patient is being discharged home. Which information should the nurse include?
A) Acuity level
B) Community resources
C) Standardized care plan
D) Signature for verbal order
Q2) A nurse exchanges information with the oncoming nurse about a patient's care. Which action did the nurse complete?
A) A verbal report
B) An electronic record entry
C) A referral
D) An acuity rating
Q3) A nurse in a long-term care setting that is funded by Medicare and Medicaid is completing standardized protocols for assessment and care planning for reimbursement. Which task is the nurse completing?
A) A minimum data set
B) An admission assessment and acuity level
C) A focused assessment/specific body system
D) An intake assessment form and auditing phase
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28
Chapter 27: Patient Safety and Quality
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44 Flashcards
Source URL: https://quizplus.com/quiz/2406
Sample Questions
Q1) A nurse is teaching the patient and family about wound care. Which technique will the nurse teach to best prevent transmission of pathogens?
A) Wash hands
B) Wash wound
C) Wear gloves
D) Wear eye protection
Q2) A homeless adult patient presents to the emergency department. The nurse obtains the following vital signs: temperature 94.8° F, blood pressure 106/56, apical pulse 58, and respiratory rate 12. Which vital sign should the nurse address immediately?
A) Respiratory rate
B) Temperature
C) Apical pulse
D) Blood pressure
Q3) Which activity will cause the nurse to monitor for equipment-related accidents?
A) Uses a patient-controlled analgesic pump
B) Uses a computer-based documentation record
C) Uses a measuring device that measures urine
D) Uses a manual medication-dispensing device
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Chapter 28: Immobility
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Sample Questions
Q1) Torticollis
A)Lateral-S- or C-shaped spinal column with vertebral rotation
B)Legs curved inward so knees come together as person walks
C)One or both legs bent outward at knee
D)Inclining of head to affected side
E)Exaggeration of anterior convex curve of lumbar spine
F)Increased convexity in curvature of thoracic spine
Q2) The patient has the nursing diagnosis of Impaired physical mobility related to pain in the left shoulder. Which \(\bold{priority}\) action will the nurse take?
A) Encourage the patient to do self-care.
B) Keep the patient as mobile as possible.
C) Encourage the patient to perform ROM.
D) Assist the patient with comfort measures.
Q3) A nurse is caring for a patient with osteoporosis and lactose intolerance. What will the nurse do?
A) Encourage dairy products.
B) Monitor intake of vitamin D.
C) Increase intake of caffeinated drinks.
D) Try to do as much as possible for the patient.
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Page 30
Chapter 29: Infection Prevention and Control
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46 Flashcards
Source URL: https://quizplus.com/quiz/2408
Sample Questions
Q1) The nurse is caring for a patient on contact precautions. Which action will be most appropriate to prevent the spread of disease?
A) Place the patient in a room with negative airflow.
B) Wear a gown, gloves, face mask, and goggles for interactions with the patient.
C) Transport the patient safely and quickly when going to the radiology department.
D) Use a dedicated blood pressure cuff that stays in the room and is used for that patient only.
Q2) Which interventions utilized by the nurse will indicate the ability to recognize a localized inflammatory response?
A) Vigorous range-of-motion exercises
B) Turn, cough, and deep breathe
C) Orient to date, time, and place
D) Rest, ice, and elevation
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Chapter 30: Vital Signs
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/2409
Sample Questions
Q1) A nurse is caring for a group of patients. Which patient will the nurse see first?
A) A crying infant with P-165 and R-54
B) A sleeping toddler with P-88 and R-23
C) A calm adolescent with P-95 and R-26
D) An exercising adult with P-108 and R-24
Q2) The nurse is working the night shift on a surgical unit and is making 4:00 AM rounds. The nurse notices that the patient's temperature is 96.8° F (36° C), whereas at 4:00 PM the preceding day, it was 98.6° F (37° C). What should the nurse do?
A) Call the health care provider immediately to report a possible infection.
B) Administer medication to lower the temperature further.
C) Provide another blanket to conserve body temperature.
D) Realize that this is a normal temperature variation.
Q3) When taking the pulse of an infant, the nurse notices that the rate is 145 beats/min and the rhythm is regular. How should the nurse interpret this finding?
A) This is normal for an infant.
B) This is too fast for an infant.
C) This is too slow for an infant.
D) This is not a rate for an infant but for a toddler.
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32
Chapter 31: Health Assessment and Physical Examination
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/2410
Sample Questions
Q1) A nurse is caring for a group of patients. Which patient will the nurse see first?
A) An adult with an S<sub>4</sub> heart sound
B) A young adult with an S<sub>3</sub> heart sound
C) An adult with vesicular lung sounds in the lung periphery
D) A young adult with bronchovesicular breath sounds between the scapula posteriorly
Q2) A school nurse recognizes a belt buckle-shaped ecchymosis on a 7-year-old student. When privately asked about how the injury occurred, the student described falling on the playground. Which action will the nurse take next?
A) Talk to the principal about how to proceed.
B) Disregard the finding based upon child's response.
C) Interview the patient in the presence of the teacher.
D) Contact social services and report suspected abuse.
Q3) A nurse is preparing to perform a lung assessment on a patient and discovers through the nursing history the patient smokes. The nurse figures the pack-years for this patient who has smoked two and a half (2 1/2) packs a day for 20 years. Which value will the nurse record in the patient's medical record? Record answer as a whole number. _________ pack-years
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Chapter 32: Medication Administration
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50 Flashcards
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Sample Questions
Q1) A nurse is attempting to administer an oral medication to a child, but the child refuses to take the medication. A parent is in the room. Which statement by the nurse to the parent is best?
A) "Please hold your child's arms down, so I can give the full dose."
B) "I will prepare the medication for you and observe if you would like to try to administer the medication."
C) "Let's turn the lights off and give your child a moment to fall asleep before administering the medication."
D) "Since your child loves applesauce, let's add the medication to it, so your child doesn't resist."
Q2) An older-adult patient needs an IM injection of antibiotic. Which site is best for the nurse to use?
A) Deltoid
B) Dorsal gluteal
C) Ventrogluteal
D) Vastus lateralis
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Chapter 33: Complementary and Alternative Therapies
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27 Flashcards
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Sample Questions
Q1) A nurse is teaching a patient about meridians. Which technique is the nurse preparing the patient to receive?
A) Acupuncture
B) Naturopathic
C) Latin American traditional healing
D) Native American traditional healing
Q2) A nurse is describing the therapeutic effects of imagery. Which information should the nurse include in the teaching session? (Select all that apply.)
A) Controls pain
B) Decreases nightmares
C) Improves social anxiety disorders
D) Helps with irritable bowel syndrome
E) Reduces relapses in alcohol treatment
Q3) A Native American patient is asking for a spiritual healer. Which person should the nurse try to contact for the patient?
A) Shaman
B) Vitalist
C) Ayurvedic
D) Curanderismo
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Page 35
Chapter 34: Self-Concept
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25 Flashcards
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Sample Questions
Q1) A 9-year-old is proudly telling the nurse about mastering the yellow belt in a martial arts class. Which developmental stage is the child exhibiting?
A) Initiative versus guilt
B) Industry versus inferiority
C) Identity versus role confusion
D) Autonomy versus shame and doubt
Q2) A nurse grimaces while changing a patient's colostomy bag. Which effect will the nurse's behavior \(\bold{most}\) likely have on the patient?
A) Assist recovery by using honest communication.
B) Motivate the patient to increase physical activity.
C) Promote development of a negative body image.
D) Develop a kind nickname for the colostomy bag.
Q3) A nurse is teaching a patient about self-concept. Which information from the patient indicates the nurse needs to follow up about components of self-concept?
A) One component is identity.
B) One component is coping.
C) One component is body image.
D) One component is role performance.
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Chapter 35: Sexuality
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23 Flashcards
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Sample Questions
Q1) A nurse is using the PLISSIT model when caring for a patient with dyspareunia from diminished vaginal secretions. The nurse suggests using water-soluble lubricants. Which component of PLISSIT is the nurse using?
A) P
B) LI
C) SS
D) IT
Q2) A nurse is caring for a patient with dyspareunia. In which order will the nurse provide care, starting with the first step?
1) Determine which signs and symptoms of dyspareunia the patient has.
2) Mutually decide upon goals and objectives for dyspareunia.
3) Ask the patient if the dyspareunia is improving.
4) Develop a nursing diagnosis for the patient.
5) Use resources to help resolve the problem.
A) 5, 3, 1, 4, 2
B) 1, 4, 2, 5, 3
C) 3, 1, 4, 2, 5
D) 4, 2, 5, 3, 1
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Chapter 36: Spiritual Health
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25 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who is an agnostic. Which information should the nurse consider when planning care for this patient?
A) The patient is devoid of spirituality.
B) The patient does not believe in God.
C) The patient believes there is no known ultimate reality.
D) The patient finds no meaning through relationship with others.
Q2) A nurse hears the following comments from different patients. Which patient comment does the nurse identify as faith?
A) I go to church every Sunday.
B) I believe there is life after death.
C) I have something to look forward to each day.
D) I get a feeling of awe when looking at the sunset.
Q3) A nurse is providing spiritual care to patients. Which action is essential for the nurse to take?
A) Know one's own personal beliefs.
B) Learn about other religions.
C) Visit churches, temples, mosques, or synagogues.
D) Travel to other areas that do not have the same beliefs.
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Chapter 37: The Experience of Loss, Death, and Grief
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Sample Questions
Q1) A palliative team is caring for a dying patient in severe pain. Which action is the priority?
A) Provide postmortem care for the patient.
B) Support the patient's nurse in grieving.
C) Teach the patient the stages of grief.
D) Enhance the patient's quality of life.
Q2) A patient's father died a week ago. Both the patient and the patient's spouse talk about the death. The patient's spouse is experiencing headaches and fatigue. The patient is having trouble sleeping, has no appetite, and gets choked up most of the time. How should the nurse interpret these findings as the basis for a follow-up assessment?
A) The patient is dying and the spouse is angry.
B) The patient is ill and the spouse is malingering.
C) Both the patient and the spouse are likely in denial.
D) Both the patient and the spouse are likely grieving.
Q3) A nurse is providing postmortem care. Which action will the nurse take?
A) Leave dentures in the mouth.
B) Lower the head of the bed.
C) Cover the body with a sterile sheet.
D) Remove all tubes for an autopsy.
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Page 39
Chapter 38: Stress and Coping
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21 Flashcards
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Sample Questions
Q1) A female teen with celiac disease continues to eat food she knows will make her ill several hours after ingestion. While planning care, the nurse considers maturational and tertiary-level interventions. Which intervention will the nurse add to the care plan?
A) Teach the teen about the food pyramid.
B) Administer antidiarrheal medications with meals.
C) Gently admonish the teen and her parents regarding the consistently poor diet choices.
D) Assist the teen in meeting dietary restrictions while eating foods similar to those eaten by her friends.
Q2) A nurse is teaching the staff about the general adaptation syndrome. In which order will the nurse list the stages, beginning with the first stage?
1) Resistance
2) Exhaustion
3) Alarm
A) 3, 1, 2
B) 3, 2, 1
C) 1, 3, 2
D) 1, 2, 3
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Chapter 39: Activity and Exercise
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34 Flashcards
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Sample Questions
Q1) An adolescent tells the nurse that a health professional said the fibrous tissue that connects bone and cartilage was strained in a sporting accident. On which structure will the nurse focus an assessment?
A) Tendon
B) Ligament
C) Synergistic muscle
D) Antagonistic muscle
Q2) A nurse is following the no-lift policy when working to prevent personal injury. Which type of personal back injury is the nurse most likely trying to prevent?
A) Thoracic
B) Cervical
C) Lumbar
D) Sacral
Q3) A nurse is assisting the patient to perform isometric exercises. Which action will the nurse take?
A) Encourage wearing tight shoes.
B) Set the pace for the exercise session.
C) Stop the exercise if pain is experienced.
D) Force muscles or joints to go just beyond resistance.
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Page 41
Chapter 40: Hygiene
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Sample Questions
Q1) The nurse is caring for an older-adult patient with Alzheimer's disease who is ambulatory but requires total assistance with activities of daily living (ADLs). The nurse notices that the patient is edentulous. Which area should the nurse assess?
A) Assess oral cavity.
B) Assess room for drafts.
C) Assess ankles for edema.
D) Assess for reduced sensations.
Q2) A nurse is providing AM care to patients. Which action will the nurse take?
A) Soaks feet of patient with peripheral vascular disease
B) Applies CHG solution to wash perineum of patient with a stroke
C) Cleanses eye from outer canthus to inner canthus of patient with diabetes
D) Uses long, firm stroke to wash legs of patient with blood-clotting disorder
Q3) A nursing assistive personnel (NAP) is providing AM care to patients. Which action by the NAP will require the nurse to intervene?
A) Not offering a backrub to a patient with fractured ribs
B) Not offering to wash the hair of a patient with neck trauma
C) Turning off the television while giving a backrub to the patient
D) Turning patient's head with neck injury to side when giving oral care
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Chapter 41: Oxygenation
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51 Flashcards
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Sample Questions
Q1) The patient has right-sided heart failure. Which finding will the nurse expect when performing an assessment?
A) Peripheral edema
B) Basilar crackles
C) Chest pain
D) Cyanosis
Q2) A nurse is preparing a patient for nasotracheal suctioning. In which order will the nurse perform the steps, beginning with the first step?
1) Insert catheter.
2) Apply suction and remove.
3) Have patient deep breathe.
4) Encourage patient to cough.
5) Attach catheter to suction system.
6) Rinse catheter and connecting tubing.
A) 1, 2, 3, 4, 5, 6
B) 4, 5, 1, 2, 3, 6
C) 5, 3, 1, 2, 4, 6
D) 3, 1, 2, 5, 4, 6
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43
Chapter 42: Fluid, Electrolyte, and Acid-Base Balance
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51 Flashcards
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Sample Questions
Q1) A nurse has just received a bag of packed red blood cells (RBCs) for a patient. What is the longest time the nurse can let the blood infuse?
A) 30 minutes
B) 2 hours
C) 4 hours
D) 6 hours
Q2) A patient presents to the emergency department with reports of vomiting and diarrhea for the past 48 hours. The health care provider orders isotonic intravenous (IV) therapy. Which IV will the nurse prepare?
A) 0.225% sodium chloride (1/4 NS)
B) 0.45% sodium chloride (1/2 NS)
C) 0.9% sodium chloride (NS)
D) 3% sodium chloride (3% NaCl)
Q3) The nurse is reviewing laboratory results. Which cation will the nurse observe is the most abundant in the blood?
A) Sodium
B) Chloride
C) Potassium
D) Magnesium
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Page 44
Chapter 43: Sleep
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36 Flashcards
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Sample Questions
Q1) The nurse is providing an educational session on sleep regulation for new nurses in the Sleep Disorder Treatment Center. Which statement by the nurses will best indicate that the teaching is effective?
A) "If the patient has a disease process in the central nervous system, it can influence the functions of sleep."
B) "If the patient has a disease process in the cranial nerves, it can influence the functions of sleep."
C) "If the patient has an interruption in the urinary pathways, it can influence the functions of sleep."
D) "If the patient has an interruption in the spinal reflexes, it can influence the functions of sleep."
Q2) A patient has obstructive sleep apnea. Which assessment is the \(\bold{priority}\)?
A) Gastrointestinal function
B) Neurological function
C) Respiratory status
D) Circulatory status
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Chapter 44: Pain Management
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Sample Questions
Q1) The nurse is caring for a patient who suddenly experiences chest pain. What is the nurse's first priority?
A) Call the rapid response team.
B) Start an intravenous (IV) line.
C) Administer pain-relief medications.
D) Ask the patient to rate and describe the pain.
Q2) A nurse receives an order from a health care provider to administer hydrocodone and acetaminophen (Vicodin ES 7.5/750), to a patient who is experiencing 8/10 postsurgical pain. The order is to give 2 tablets every 6 hours by mouth as needed for pain. What is the nurse's next best action?
A) Give the Vicodin ES to the patient immediately because the patient is experiencing severe pain.
B) Ask the health care provider for a nonsteroidal antiinflammatory drug (NSAID) order.
C) Ask the health care provider to verify the dosage and frequency of the medication.
D) Give the Vicodin ES in addition to playing soothing music for the patient.
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Chapter 45: Nutrition
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Sample Questions
Q1) The patient is asking the nurse about the best way to stay healthy. The nurse explains to the patient which teaching points? (Select all that apply.)
A) Increase physical activity.
B) Keep total fat intake to 10% or less.
C) Maintain body weight in a healthy range.
D) Choose and prepare foods with little salt.
E) Increase intake of meat and other high-protein foods.
Q2) A nurse is teaching a patient about proteins that must be obtained through the diet and cannot be synthesized in the body. Which term used by the patient indicates teaching is successful?
A) Amino acids
B) Triglycerides
C) Dispensable amino acids
D) Indispensable amino acids
Q3) The patient has H. pylori. Which action should the nurse take?
A) Encourage avoidance of wheat and oats.
B) Encourage milkshakes as a nutritious snack.
C) Encourage completion of antibiotic therapy.
D) Encourage nonsteroidal antiinflammatory drugs.
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Page 47
Chapter 46: Urinary Elimination
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44 Flashcards
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Sample Questions
Q1) The nurse, upon reviewing the history, discovers the patient has dysuria. Which assessment finding is consistent with dysuria?
A) Blood in the urine
B) Burning upon urination
C) Immediate, strong desire to void
D) Awakes from sleep due to urge to void
Q2) A patient has fallen several times in the past week when attempting to get to the bathroom. The patient gets up 3 or 4 times a night to urinate. Which recommendation by the nurse is most appropriate in correcting this urinary problem?
A) Limit fluid and caffeine intake before bed.
B) Leave the bathroom light on to illuminate a pathway.
C) Practice Kegel exercises to strengthen bladder muscles.
D) Clear the path to the bathroom of all obstacles before bedtime.
Q3) The patient is taking phenazopyridine. When assessing the urine, what will the nurse expect?
A) Red color
B) Orange color
C) Dark amber color
D) Intense yellow color
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Page 48
Chapter 47: Bowel Elimination
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42 Flashcards
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Sample Questions
Q1) A guaiac test is ordered for a patient. Which type of blood is the nurse checking for in this patient's stool?
A) Bright red blood
B) Dark black blood
C) Microscopic
D) Mucoid
Q2) Which nursing intervention is \(\bold{most}\) effective in promoting normal defecation for a patient who has muscle weakness in the legs?
A) Administer a soapsuds enema every 2 hours.
B) Use a mobility device to place the patient on a bedside commode.
C) Give the patient a pillow to brace against the abdomen while bearing down.
D) Elevate the head of the bed 20 degrees 60 minutes after breakfast while on bedpan.
Q3) The nurse is managing bowel training for a patient. To which patient is the nurse \(\bold{most}\) likely providing care?
A) A 25-year-old patient with diarrhea
B) A 30-year-old patient with Clostridium difficile
C) A 40-year-old patient with an ileostomy
D) A 70-year-old patient with stool incontinence
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Chapter 48: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is cleansing a wound site. As the nurse administers the procedure, which intervention should be included?
A) Allow the solution to flow from the most contaminated to the least contaminated.
B) Scrub vigorously when applying noncytotoxic solution to the skin.
C) Cleanse in a direction from the least contaminated area.
D) Utilize clean gauze and clean gloves to cleanse a site.
Q2) The nurse is caring for a patient who is at risk for skin impairment. The patient is able to sit up in a chair. The nurse includes this intervention in the plan of care. How long should the nurse schedule the patient to sit in the chair?
A) At least 3 hours
B) Less than 2 hours
C) No longer than 30 minutes
D) As long as the patient remains comfortable
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Chapter 49: Sensory Alterations
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30 Flashcards
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Sample Questions
Q1) A nurse is working to prevent blindness. Which preventive action is a \(\bold{priority}\)?
A) Screen young adults early for visual impairments.
B) Include rubella and syphilis screening in the preconception care plan.
C) Instruct parents to report reduced eye contact from their child immediately.
D) Administer eye prophylactic antibiotics to newborns within 24 hours after birth.
Q2) A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?
A) Risk for falls
B) Self-care deficit
C) Social isolation
D) Impaired physical mobility
Q3) A nurse is caring for an older adult. Which sensory change will the nurse identify as normal during the assessment?
A) Impaired night vision
B) Difficulty hearing low pitch
C) Heightened sense of smell
D) Increased taste discrimination
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Chapter 50: Care of Surgical Patients
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Sample Questions
Q1) The nurse is caring for a patient in the postanesthesia care unit. The patient has developed profuse bleeding from the surgical site, and the surgeon has determined the need to return to the operative area. How will the nurse classify this procedure?
A) Major
B) Urgent
C) Elective
D) Emergency
Q2) The nurse has administered a preoperative medication to the patient going to surgery. Which action will the nurse take \(\bold{next}\)?
A) Notify the operating suite that the medication has been given.
B) Instruct the patient to call for help to go to the restroom.
C) Waste any unused medication according to policy.
D) Ask the patient to sign the consent for surgery.
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