Concept-Based Nursing Practice Test
Questions
Course Introduction
Concept-Based Nursing Practice is designed to introduce students to a holistic approach to patient care by focusing on key concepts that underpin nursing practice rather than on rote memorization of tasks and procedures. This course explores essential concepts such as health, illness, patient-centered care, clinical reasoning, communication, evidence-based practice, and professional ethics. Students engage in case studies and hands-on activities that emphasize critical thinking, prioritization, and decision-making in a variety of healthcare settings. By mastering these concepts, students develop the skills needed to provide safe, effective, and compassionate care to diverse populations throughout the lifespan.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume I 2nd Edition by Pearson Education
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21 Chapters
1184 Verified Questions
1184 Flashcards
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Chapter 1: Acidbase Balance
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/35006
Sample Questions
Q1) The nurse is caring for a client admitted with renal failure and metabolic acidosis.Which clinical manifestation would indicate to the nurse that planned interventions to relieve the metabolic acidosis have been effective?
A) Decreased respiratory depth
B) Palpitations
C) Increased deep tendon reflexes
D) Respiratory rate of 38
Answer: A
Q2) A client with injuries from a motor vehicle crash is intubated for respiratory support.The nurse notes that the client is fighting the ventilator and attempting to pull out the endotracheal tube.What should the nurse do to reduce this client's risk of developing respiratory alkalosis?
A) Administer a sedative as prescribed.
B) Apply wrist restraints.
C) Teach the client to take slow, deep breaths.
D) Discuss removing the endotracheal tube with the healthcare provider.
Answer: A
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3
Chapter 2: Cellular Regulation
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114 Verified Questions
114 Flashcards
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Sample Questions
Q1) A pediatric nurse is caring for a child with acute lymphoblastic leukemia (ALL).When providing education to the child's parents regarding this disease,which topics should the nurse include? Select all that apply.
A) ALL is characterized by abnormal proliferation of all bone marrow elements.
B) This form of leukemia is the most common type among children and adolescents.
C) Most cases of ALL result from the malignant transformation of B cells.
D) This form of leukemia is very rarely seen in children.
E) The onset of ALL is usually gradual.
Answer: B,C
Q2) A nurse is educating a client with anemia about the pathophysiological mechanisms of anemia.Which should be excluded in the nurse's teaching plan for this client?
A) Altered hemoglobin synthesis.
B) Altered DNA synthesis.
C) Decreased hemolysis.
D) Bone marrow failure.
Answer: C
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4
Chapter 3: Comfort
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A client reports feeling tired and not refreshed after sleeping even when everyone at home laughs about her loud snoring at night.What should the nurse suspect as being the cause of this client's fatigue?
A) Insomnia
B) Depression
C) Thyroid disorder
D) Sleep apnea
Answer: D
Q2) An adult client diagnosed with sleep apnea has been prescribed a continuous positive airway pressure (CPAP)machine as treatment.The nurse is instructing the client on how to use the machine.Which instruction should the nurse include?
A) Any size mask will work.
B) Straps can be loose, if that feels more comfortable.
C) Use relaxation exercises to reduce uncomfortable feelings from the mask.
D) Do not use a humidifier at the same time.
Answer: C
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Chapter 4: Digestion
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which intervention would best improve diet adherence of an older Hispanic immigrant recently diagnosed with gastroesophageal reflux disorder (GERD)?
A) Scheduling low-fat meal deliveries to the home
B) Providing printed diet information in Spanish
C) Interviewing the client to assess his current diet
D) Giving a list of foods to avoid to the client's wife
Q2) A school-age child,recently diagnosed with celiac disease,is underweight,vitamin-deficient,anemic,and experiences frequent diarrhea.In addition to removing gluten from his diet,what other recommendations will the nurse provide for this child and family? Select all that apply.
A) Fat restriction
B) A high-carbohydrate diet
C) Vitamin supplements
D) High-calorie diet
E) High protein diet
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6
Chapter 5: Elimination
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64 Flashcards
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Sample Questions
Q1) A client is admitted to the emergency department and diagnosed with urinary calculi after experiencing symptoms for 1 week.When planning care for this client,which nursing diagnosis is the most appropriate?
A) Risk for Constipation
B) Risk for Disuse Syndrome
C) Imbalanced Nutrition
D) Activity Intolerance
Q2) A novice nurse is providing care to clients on a urology unit.When providing care to a group of clients,which client does the novice nurse identify as being at the greatest risk for developing urinary stones?
A) A 35-year-old female with quadriplegia from an auto accident
B) A 65-year-old male with a recent history of myocardial infarction
C) A 50-year-old male with type II diabetes mellitus
D) A 25-year-old female with several episodes of urinary infection
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Chapter 6: Fluids and Electrolytes
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A client with acute renal failure has jugular vein distention,lower extremity edema,and elevated blood pressure.Based on this data,which nursing diagnosis is the most appropriate?
A) Ineffective Renal Tissue Perfusion
B) Excess Fluid Volume
C) Risk for Altered Cardiac Perfusion
D) Risk for Infection
Q2) The nurse is planning care for a client admitted with heart failure.Based on this diagnosis,which type of renal failure is the client at an increased risk for experiencing?
A) Prerenal hypovolemia
B) Intrarenal glomerular injury
C) Intrarenal acute tubular necrosis
D) Prerenal low cardiac output
Q3) A child weighing 33 lbs.who is diagnosed with dehydration is prescribed to receive 50 mL/kg of oral fluids for the next 4 hours.How many total mL of fluid should the nurse provide to the client? Calculate to the nearest whole number.
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Chapter 7: Health, wellness, illness, and Injury
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A community health nurse is educating a group of clients on the difference between illness and disease.Which statements are appropriate for the nurse to include in the educational session? Select all that apply.
A) "An individual can have a disease and not feel ill."
B) "Illness is synonymous with disease."
C) "Illness is an alteration in body function, where disease is highly subjective."
D) "An individual can feel ill without disease."
E) "Illness and disease are never related to one another."
Q2) A nurse is caring for a 50-year-old client performing aerobic exercise in the cardiac rehabilitation office.The nurse calculates the client's target heart rate as
Q3) The nurse conducts teaching for a client recently diagnosed with type 2 diabetes mellitus.At the conclusion of the session,which client statement shows that teaching has been effective?
A) "I will take medication for a week for this acute illness."
B) "I will have to take insulin for this disease for my entire life."
C) "This chronic disease will become worse and lead to death."
D) "I will have to make dietary changes to manage this chronic disease."
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9
Chapter 8: Immunity
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) A client,recently diagnosed with rheumatoid arthritis (RA),asks the nurse whether RA will affect her in other ways.When responding to the client,which systems will the nurse include as possibly being affected by the diagnosis? Select all that apply.
A) Respiratory
B) Cardiovascular
C) Exocrine
D) Reproductive
E) Hematologic
Q2) The nurse is completing a health screening for a school-age child with rheumatoid arthritis (RA).The parents ask the nurse to recommend activities that will promote exercise for their child.Which recommendation by the nurse is the most appropriate?
A) Swimming
B) Football
C) Softball
D) Basketball
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Chapter 9: Infection
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75 Verified Questions
75 Flashcards
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Sample Questions
Q1) The nurse is teaching a child care class for mothers of young children.What should the nurse teach as being the most common mode of transmission of infectious disease?
A) Children who are playing board games
B) Children who are sitting together eating meals
C) Children who are playing with the same toy
D) Children who don't wash their hands after using the bathroom
Q2) The nurse is assessing clients in the eye clinic who have eye infections.For which client with conjunctivitis should the nurse be most concerned?
A) The client from Iran
B) The client from Brazil
C) The client from New York City
D) The client from Florida
Q3) The nurse is teaching a class on infection control.Which nursing measure is most appropriate in breaking a link in the chain of infection?
A) Place contaminated linens in a paper bag.
B) Use personal protective equipment (PPE).
C) Cover one's cough by placing the mouth in the hand.
D) Wear sterile gloves for client care.
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11
Chapter 10: Inflammation
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54 Verified Questions
54 Flashcards
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Sample Questions
Q1) List the pathophysiology processes involved in appendicitis in sequential order.
A) The appendix becomes distended with fluid secreted by its mucosa.
B) Obstruction of the proximal lumen of the appendix is apparent.
C) Purulent exudate formed causes further distention of the appendix.
D) Pressure within the lumen of the appendix increases.
E) Tissue necrosis and gangrene result.
Q2) The nurse has identified the diagnosis Excess Fluid Volume as appropriate for a client with acute glomerulonephritis.What should the nurse assess to learn the most accurate indication of this client's fluid balance?
A) Vital signs
B) Intake and output records
C) Daily weight
D) Serum sodium levels
Q3) A child who is hospitalized with acute glomerulonephritis experiences blurred vision and headache while in the playroom.Which action by the nurse is the most appropriate?
A) Reassure the child and encourage bed rest until the headache improves.
B) Obtain the child's blood pressure and notify the physician.
C) Check the urine to see if hematuria has increased.
D) Obtain serum electrolytes and send a urinalysis to the lab.
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Page 12
Chapter 11: Intracranial Regulation
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse is determining ways to decrease environmental stimuli for a client with increased intracranial pressure.What actions should the nurse take to support this client's care need? Select all that apply.
A) Limit the client's visitors.
B) Teach family to speak softly and minimize touching.
C) Elevate the head of the bed.
D) Provide all care quickly at one time to provide periods of rest.
E) Keep the room dark and quiet.
Q2) The nurse is reviewing results of diagnostic testing performed on a client with increased intracranial pressure (ICP)in preparation for an evaluation to be done by the healthcare provider during morning rounds.Which diagnostic test results should the nurse make available to the healthcare provider for review? Select all that apply.
A) Bronchoscopy results
B) MRI result
C) Head CT scan with and without contrast
D) Electroencephalogram
E) Complete blood count of the cerebrospinal fluid
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Chapter 12: Metabolism
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) The nurse is providing care for a young adult client with exophthalmos.Which nursing diagnosis would be the most appropriate for this client?
A) Disturbed Body Image
B) Ineffective Coping
C) Risk for Injury
D) Activity Intolerance
Q2) The nurse is caring for a client who is prescribed calcitonin-human (Cibacalcin)nasal spray.Which teaching point should the nurse include in this client's plan of care?
A) Take 2 hours before meals or 1 hour after meals.
B) Alternate nostrils used daily.
C) Take on an empty stomach in the morning with water.
D) Remain in an upright position for 30 minutes after taking.
Q3) The nurse is caring for a client with cirrhosis of the liver.Which information in the client's health history supports the current medical diagnosis?
A) Smokes two packs of cigarettes per day.
B) Drinks a six-pack of beer each evening.
C) Eats salads for lunch every day.
D) Plays on an adult softball team several times a week.
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Page 14
Chapter 13: Mobility
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88 Verified Questions
88 Flashcards
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Sample Questions
Q1) A client with osteoarthritis of the knees and hips returns for a 3-month follow-up with the provider.The nurse calculates that the client's BMI is now 22.The reports starting a water aerobics and step aerobics program three times per week.The client is also using hot packs for edema for 20 minutes and cold packs for pain for 40 minutes daily.After evaluating the client's actions,the nurse plans which follow-up interventions? Select all that apply.
A) Reinforce the correct use of hot packs.
B) Educate on low-impact exercise modes.
C) Explain the risk of injury using cold packs.
D) Counsel on continued weight loss.
E) Congratulate on starting water aerobics.
Q2) The school nurse is conducting a screening on back safety for school-age clients who are in the 6th grade.The nurse brings a scale and weighs all the children and their backpacks behind a screen for privacy.One client weighs 40 kg and the backpack weighs 8 kg.Which intervention is appropriate for this client?
A) Tell the student that the backpack is not too heavy for his weight.
B) Budget for rolling backpacks for all the students.
C) Explain the risks of heavy backs and alternatives to the student's parents.
D) Tell the student that to take some items out of the backpack.
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Page 15
Chapter 14: Nutrition
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) The nurse is preparing educational materials for a client with hypertension.Which dietary changes should the nurse focus when preparing this material? Select all that apply.
A) Avoiding all sodium in the diet
B) Explaining the effects of sodium on blood pressure
C) Teaching how to read nutritional labels
D) Recognizing foods that are low in sodium
E) Using the DASH eating plan
Q2) During a home visit,the nurse is concerned that an older client is at risk for nutritional health problems.Which data collected during the home visit caused the nurse to come to this conclusion? Select all that apply.
A) Client's spouse recently died.
B) Client prepared a stew on the weekend and has been eating it for 4 days.
C) Client's adult children arrive to eat dinner together several times a week.
D) Client is prescribed 15 medications.
E) Client's Social Security payments have gone down over the last year.
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Chapter 15: Oxygenation
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76 Verified Questions
76 Flashcards
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Sample Questions
Q1) A nurse is preparing to educate a group of parents on sudden infant death syndrome (SIDS).Which should the nurse include when presenting significant stressors that contribute to SIDS? Select all that apply.
A) Prone sleeping
B) Side sleeping
C) Face-down sleeping
D) Bed sharing
E) Supine sleeping
Q2) A client with a respiratory rate of 8 breaths per minute has an oxygen saturation of 82%.Which nursing diagnosis is a priority for this client?
A) Risk for Infection
B) Impaired Spontaneous Ventilation
C) Risk for Acute Confusion
D) Decreased Cardiac Output
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Chapter 16: Perfusion
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154 Verified Questions
154 Flashcards
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Sample Questions
Q1) A nurse is caring for a client suspected of a cocaine-induced myocardial infarction (MI).When asked to describe how cocaine can induce an MI,which rationale will the nurse use to respond?
A) Significantly increases the serum triglyceride level, leading to the development of an atheroma.
B) Alters the body's clotting mechanisms, leading to thrombus formation.
C) Increases sympathetic nervous system stimulation, increasing blood pressure and vasoconstriction.
D) Alters electrolyte balance, leading to arrhythmias.
Q2) A client is receiving intravenous nitroprusside (Nipride)for shock.Which adverse reactions will the nurse assess this client for when administering the infusion? Select all that apply.
A) Muscle spasms
B) Tachycardia
C) Confusion
D) Gastrointestinal bleeding
E) Disorientation
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18
Chapter 17: Perioperative Care
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Sample Questions
Q1) The postoperative nurse is planning care for a client recovering from major thoracic surgery.Which nursing diagnoses should the nurse select to plan for this client's immediate care needs? Select all that apply.
A) Risk for Impaired Gas Exchange
B) Risk for Decreased Cardiac Output
C) Risk for Ineffective Airway Clearance
D) Risk for Imbalanced Nutrition: Less than Body Requirements
E) Risk for Imbalanced Fluid Volume
Q2) The postoperative care nurse reviews the documentation from the intraoperative phase and determines that several areas are missing.Which areas did the nurse identify as being missing from the intraoperative documentation? Select all that apply.
A) Pain assessment
B) Start and stop times of anesthesia
C) Medication review
D) Antibiotic infusion times
E) Start and stop times of the procedure
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19
Chapter 18: Sensory Perception
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) The nurse is planning the care for a client with peripheral neuropathy.Which interventions would assist with disturbed sensory perception? Select all that apply.
A) Frequent rest periods
B) Smoking cessation
C) Frequency of pain medication
D) Relaxation techniques
E) Nutrition
Q2) A client tells the nurse about having increasing difficulty seeing the print while reading a newspaper.Which tool will the nurse use when assessing this client?
A) Rosenbaum eye chart
B) Penlight
C) Cover-uncover test
D) Snellen eye chart
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Chapter 19: Sexuality
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A public health nurse is educating a group of adults regarding sexually transmitted infections.Which is an appropriate statement by the nurse?
A) "Males have higher rates of gonorrhea and Chlamydia, whereas women have higher rates of syphilis."
B) "Men are disproportionately affected by STIs compared to women and infants."
C) "Women often experience few early manifestations of the infection, delaying diagnosis and treatment."
D) "The incidence of STIs is highest among young Caucasian females."
Q2) A client experiencing menopause voices an interest in using alternative and complementary therapies to manage symptoms.What initial response by the nurse is indicated?
A) "What types of therapies are of interest to you?"
B) "Those seldom work."
C) "Have you discussed this with your physician?"
D) "Many women report success with these measures."
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21
Chapter 20: Thermoregulation
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30 Flashcards
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Sample Questions
Q1) The nurse assesses a client's temperature to be 99.8°F.Which nursing diagnosis would be appropriate for the client at this time?
A) Hyperthermia
B) Anxiety
C) Risk for Imbalanced Body Temperature
D) Deficient Fluid Volume
Q2) The mother of preschool-age client tells the nurse that the client has frequent fevers.Which response by the nurse is appropriate?
A) "Fevers are most frequently seen in children because of developing immunity."
B) "This is unusual because common diseases of childhood rarely result in fevers."
C) "Your child must be around people with illnesses."
D) "Your child's immunity is compromised."
Q3) An older adult client with a history of congestive heart failure (CHF)has a low-grade fever.Which action by the nurse is appropriate?
A) Provide warm blankets.
B) Restrict fluids.
C) Encourage getting out of bed to ambulate.
D) Notify the healthcare provider.
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Chapter 21: Tissue Integrity
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Sample Questions
Q1) A middle-age adult client states to the nurse "I do want to have liver spots like my parents did as they got older".Which instruction by the nurse is appropriate?
A) Spend at least 15 minutes each day in the sun.
B) Increase the intake of calcium.
C) Increase the intake of dietary fat.
D) Avoid the sun or use a sunscreen to reduce skin damage.
Q2) A client shows the nurse an area of erythema,swelling,and lesions under a wedding ring.Based on this data,which condition does the nurse suspect?
A) Psoriasis
B) Allergic contact dermatitis
C) Eczema
D) Irritant contact dermatitis
Q3) A client has a wound of the left lateral aspect of the thigh.Which action by the nurse promotes wound healing for this client?
A) Positioning to keep weight off of the wound
B) Positioning with weight directly on the wound
C) Restricting fluids
D) Enforcing strict bedrest
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