Introduction to Nursing Practice Test Preparation
Course Introduction
Introduction to Nursing Practice provides students with a foundational understanding of the roles, responsibilities, and essential skills of professional nurses within diverse healthcare settings. The course emphasizes core nursing concepts, ethical standards, patient-centered care, communication strategies, and safety principles. Through a combination of theoretical learning and hands-on clinical experiences, students explore basic assessment techniques, documentation, and the nursing process. This course prepares students to apply evidence-based practices and critical thinking, fostering the development of effective, compassionate, and competent nursing professionals.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman
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52 Chapters
1464 Verified Questions
1464 Flashcards
Source URL: https://quizplus.com/study-set/3958
Page 2
Chapter 1: Historical and Contemporary Nursing Practice
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/79320
Sample Questions
Q1) The nurse is interested in specializing in forensics.What should the nurse expect to learn prior to assuming the role of a forensics nurse?
(Select all that apply)
A)Knowledge about the legal system
B)Approaches to collecting evidence
C)Budgeting,staffing,and planning programs
D)Information necessary when providing testimony in court
E)Training in identification,evaluation,and documentation of injuries
Answer: A,B,D,E
Q2) The nurse has been asked to participate on the hospital's Shared Governance Committee.To which nurse leader should the nurse attribute the ability for nurses to control the profession?
A)Mary Breckinridge
B)Lavinia Dock
C)Margaret Higgins Sanger
D)Virginia Henderson
Answer: B
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Chapter 2: Evidence-Based Practice and Research in Nursing
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/79319
Sample Questions
Q1) The nurse using evidence-based practice to guide care has identified a study in which the findings would be appropriate to address a client's health care need.What actions should the nurse take before implementing these findings?
(Select all that apply)
A)Ask the client if the findings can be used.
B)Immediately apply the findings to client care.
C)Examine how the findings fit with the client's health needs.
D)Determine if resources are available to implement the findings.
E)Identify organization policies to support or address the findings.
Answer: A,C,D,E
Q2) A group of nurses is researching how care providers of Stage I/II Alzheimer's clients use prior coping skills in dealing with their current situation.Which qualitative research tradition are these nurses using?
A)Grounded theory
B)Ethnography
C)Phenomenology
D)Substantive dimension
Answer: C
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Chapter 3: Nursing Theories and Conceptual Frameworks
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Nursing staff members from an acute psychiatric unit have been asked to establish a nurse theorist they can easily identify with in their practice.Understanding the importance of developing a therapeutic relationship between themselves and their clients,especially in this unit,to which theorist would they most likely be drawn?
A)Florence Nightingale
B)Hildegard Peplau
C)Jean Watson
D)Dorothea Orem
Answer: B
Q2) A client with a postoperative infection is afebrile but still receiving IV antibiotics.The nurse should realize that this client is receiving which level of prevention?
A)Primary
B)Secondary
C)Tertiary
D)Critical
Answer: B
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Chapter 4: Legal Aspects of Nursing
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse documents in a client's medical record: "The client is a drug addict and is always asking for more medication than what is necessary." With what might the nurse be charged?
A)Defamation
B)Slander
C)Libel
D)Incompetence
Q2) A client woke in the middle of the night,confused and unaware of the surroundings.Although the call light was within reach,the client got out of bed unassisted,tripped on the bedside chair,and fell.Which element of malpractice should the client's attorney realize is missing in this case?
A)Foreseeability
B)Damages
C)Injury
D)Duty
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6
Chapter 5: Values, Ethics, and Advocacy
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nurse manager has a staff nurse who observes certain religious holidays.The manager tries to make sure that these observances can be met if possible.Which value is the manager practicing?
A)Human dignity
B)Social justice
C)Autonomy
D)Altruism
Q2) A student is attending a school with a high first-time pass rate on the NCLEX .Which student statement articulates a belief that the nursing student has about faculty in the program?
A)Expect high academic standards from their students
B)Are concerned with job placement of their graduates
C)Are most concerned with the successful licensure of each student
D)Work hard to make sure students are successful
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Chapter 6: Health Care Delivery Systems
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is reviewing sources of federal funding for health care services provided to clients.For which clients should the nurse recognize as most likely having health care paid through a federal funding source?
(Select all that apply)
A)35-year-old self-employed house painter
B)72-year-old retired schoolteacher
C)52-year-old nurse who runs the family farm
D)29-year-old mentally challenged sheltered workshop employee
E)40-year-old factory worker
Q2) The nurse is reviewing the Healthy People 2020 primary goals.Which plan should the nurse realize is in alignment with one of the goals?
A)Providing free screening to schoolchildren
B)Opening a wellness clinic
C)Developing better insurance controls
D)Developing new pharmacological treatments
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Chapter 7: Community Nursing and Care Continuity
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is explaining the difference between community and population to a group of community members.What should the nurse use as an example for population?
A)Commuters on the subway
B)A grade school class
C)Graduating nursing students
D)A group of employees at a local plant
Q2) A public health nurse is working with a group of home health nurses in an isolated,mountainous region where access to smaller communities and individuals is quite difficult,especially in the winter and early spring-seasons when the health needs of these individuals are quite high.The public health nurse has set up video conferencing and video clinics for these home health nurses regarding various client teaching and health promotion activities.What activity did the public health nurse conduct?
A)Community-based nursing
B)Parish nursing
C)Telenursing
D)Collaborative health care
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9
Chapter 8: Home Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The home health nurse has scheduled a visit to a client who lives in a neighborhood that is known to be unsafe because of gang activity.Before going to the client's home,what should the nurse do?
A)Call for an escort.
B)Call the client to let the client know the nurse is on the way.
C)Ask if the client could meet the nurse at the agency.
D)Take a second nurse along on the visit.
Q2) During a home visit,the nurse explains the procedures for preventing infection in a central venous access device to the spouse who watches while the nurse hooks the client to the medication infusion.Which role is the nurse performing at this time?
A)Caregiver
B)Advocate
C)Educator
D)Coordinator
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Chapter 9: Electronic Health Records and Information
Technology
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse needs to complete mandatory continuing education on client safety as part of a regulatory requirement for the hospital.Which computerized approach should the nurse consider to complete this required education?
A)Complete a computerized tutorial on client safety
B)Read information on safety from a web site
C)Review the online hospital policies about client safety
D)Complete a literature review on client safety
Q2) The nurse enrolled in graduate courses is able to continue studies while visiting abroad.What has this nurse's nursing school implemented to make this possible?
A)Classroom technology
B)Distance learning
C)CAI
D)Informatics
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11
Chapter 10: Critical Thinking and Clinical Reasoning
Preview As Pdf
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse completes collecting data from a client and determines a list of problems.Which step in the nursing process should the nurse perform next?
A)Assess
B)Diagnose
C)Plan
D)Evaluate
Q2) The staff nurse asks why unlicensed assistive personnel are responsible for stocking the unit refrigerator with refreshments when dietary personnel place the items on the shelf in the kitchen.What characteristic of critical thinking is this nurse demonstrating?
A)Curiosity
B)Clinical reasoning
C)Setting priorities
D)Developing rationales
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12
Chapter 11: Assessing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) During an assessment interview,the client states that an elective surgical procedure will not be done because it does not fit into the client's life goals.Into which of Gordon's functional health patterns should the nurse identify this client's comment?
A)Cognitive/perceptual pattern
B)Coping/stress-tolerance pattern
C)Health-perception/health-management pattern
D)Value/belief pattern
Q2) A client has been admitted for acute dehydration,secondary to nausea and diarrhea.When is the best time for the nurse to conduct this client's interview?
A)As soon as the client gets to the floor
B)After the client has settled in and been oriented to the room
C)When the family is available to help
D)After the client has been medicated
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13
Chapter 12: Diagnosing
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse selects the nursing diagnosis of Enhanced readiness for spiritual well-being for a family.Which data cluster did the nurse use to support this diagnosis?
A)The family visits different congregations,the parents have been reflecting on their own spiritual upbringings,and the children are questioning rituals of their friends and friends' families.
B)The children attend Sunday school classes,one parent always attends services with the children,and the parents attempt interaction with congregational activities.
C)The grandparents go to weekly services and have formal interaction with clergy.
D)The children have attended private,religious schools,and the parents are involved in the school's activities.
Q2) The nurse has completed the initial assessment of a client and has analyzed and clustered the data.What should the nurse complete next in the diagnostic process?
A)Formulate a diagnosis.
B)Verify the data.
C)Research collaborative and nursing-related interventions.
D)Identify the client's problem,health risks,and strengths.
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Chapter 13: Planning
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/79308
Sample Questions
Q1) The nurse identifies the diagnosis Risk for aspiration,related to neuromuscular dysfunction for a client who experienced a cerebrovascular accident.Which intervention should the nurse identify as including a rationale?
A)Have suction equipment available at all times.
B)Clear secretions from oral/nasal passageways as needed.
C)Keep client in low-Fowler's position to prevent reflux.
D)Provide frequent assessment for presence of obstructive material in mouth and throat.
Q2) A client is scheduled for elective hip replacement and will be admitted postoperatively to the orthopedic unit for care.What should the nurses use to help plan this client's care?
A)Informal nursing care plan
B)Formal nursing care plan
C)Standardized care plan
D)Individualized care plan
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15
Chapter 14: Implementing and Evaluating
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse provides care to clients admitted to a mental health facility who exhibit paranoid behavior.Which skill should the nurse use when caring for these clients?
A)Cognitive
B)Interpersonal
C)Technical
D)Therapeutic
Q2) A client has the goal statement "Client will have clear lung sounds bilaterally within 3 days." One intervention to meet this goal is for the nurse to teach the client to cough and deep breathe and have the client do this several times every 2 hours.At the end of the third day,the client's lungs are indeed clear.What should the nurse do to relate the intervention to the outcome?
A)Ask how many times per day the client practiced the coughing and deep breathing exercises.
B)Tell the client that the lungs are clear.
C)Document the assessment findings to show the effectiveness of the intervention.
D)Write this evaluation statement: Goal met,lung sounds clear by third day.
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Chapter 15: Documenting and Reporting
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse working in a hospital that utilizes a charting by exception (CBE)documentation system notes that a client did not require care in all of the areas identified on a flow sheet.What action should the nurse take?
A)Leave the areas blank.
B)Leave the areas blank,but then add an extensive explanation in the progress notes section of the chart.
C)Write N/A on the flow sheet in the areas that are not applicable to that client.
D)Make sure this information gets passed along in the shift report.
Q2) A hospital is not able to be reimbursed for care a particular client received while in the emergency department.The client came in with chest pain,which was later diagnosed as gastric reflux.Which problem with documentation might have caused the lack of reimbursement?
A)The client's record contained an incorrect DRG.
B)The client was charged for an ECG.
C)A code cart was opened and the client was charged for medications opened but not used.
D)The physician made a diagnostic mistake.
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Page 17
Chapter 16: Health Promotion
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/79305
Sample Questions
Q1) A client has received a high score on the Life-Change Index.For which part of the client's assessment should the nurse use this information?
A)Life stress review
B)Social support systems review
C)Lifestyle assessment
D)Health beliefs review
Q2) A client with diabetes wants to have better control over her blood sugar levels.She has set a goal that she will have laboratory values that reflect this,and she has been monitoring her blood sugar twice a day for the past month.Along with regular checks,she has kept all appointments with her nutritionist.This client is modeling which stage of health behavior change?
A)Termination stage
B)Maintenance stage
C)Contemplation stage
D)Action stage
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Chapter 17: Health, Wellness, and Illness
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/79304
Sample Questions
Q1) The nurse determines that an older client is in the medical care contact stage of an illness.What did the client demonstrate to cause the nurse to make this decision?
(Select all that apply)
A)The client asked if the illness can be treated or recovery is possible.
B)The client asked if the symptoms experienced are a part of an illness.
C)The client asked if the symptoms can be explained in plain language.
D)The client stated that the illness is not acceptable and wants a second opinion.
E)The client stated that treatment is accepted and will be completed as identified.
Q2) The nurse educator is reviewing internal variables that affect people's health status.On which variables is this nurse focusing? Select all that aply.
A)Genetic makeup
B)Age
C)Developmental level
D)Environment
E)Spiritual and religious beliefs
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Chapter 18: Culturally Responsive Nursing Care
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/79303
Sample Questions
Q1) The school nurse is conducting head lice screenings.Before checking the head of an Asian child,the nurse should first take which action?
A)Ask permission.
B)Make sure the child understands the reason for the contact.
C)Put gloves on.
D)Ask the child to wait until last,to avoid embarrassing the child.
Q2) The nurse is concerned that many ethnically diverse clients are not receiving a consistently high level of health care within a community.What information should the nurse access to learn how to improve these clients' level of health care?
(Select all that apply)
A)The National Partnership for Action to End Health Disparities website
B)The National Stakeholder Strategy for Achieving Health Equity goals
C)The Office of Minority Health's standards for cultural and linguistic programs
D)The National Center on Minority Health and Health Disparities mission statement
E)The Centers for Disease Control and Prevention website for employment opportunities
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Chapter 19: Complementary and Alternative Healing Modalities
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/79302
Sample Questions
Q1) A client has been diagnosed with post-traumatic stress syndrome and has difficulty sleeping because of recurrent nightmares.In working with this client to overcome the problem,what should the nurse implement as part of therapy?
A)Guided imagery
B)Hypnotherapy
C)Yoga
D)Meditation
Q2) A nurse is helping a hospice client who has had difficulty with making end-of-life decisions.The nurse has encouraged the client to focus on her self-worth,her accomplishments,and having positive self-esteem in order to process through some of these decisions.The nurse is helping the client to achieve balance in which component?
A)Environmental
B)Physical
C)Mental
D)Spiritual
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Chapter 20: Concepts of Growth and Development
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/79301
Sample Questions
Q1) A community health nurse is planning adult health education classes.According to Erikson's stages of development,the nurse should address which task with this age group?
A)Industry versus inferiority
B)Identity versus role confusion
C)Intimacy versus isolation
D)Generativity versus stagnation
Q2) A young adult has never lived away from his parents and feels unable to make decisions on his own.According to Freud's theory of development,the nurse should suspect that this person would be fixated at which stage of development?
A)Phallic
B)Latency
C)Genital
D)Anal
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22
Chapter 21: Promoting Health From Conception Through
Adolescence
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) New parents ask if their 8-month-old baby is performing activities that are expected at this age.What should the nurse suggest to screen this baby's developmental level?
A)The Denver Developmental Screening Test (DDST-II)
B)Growth and development charts from the Centers for Disease Control and Prevention (CDC)
C)Assessment tools utilized by the state education department
D)The Apgar scoring system
Q2) A toilet-trained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and is having incontinent accidents during the day.How should the nurse address the parent's concern about this behavior?
A)"Maybe your child should be seen by a specialist,just to make sure there are no physical problems."
B)"It is normal for some children to go through a stage of regression after separation from their family or after an acute illness.Try not to be too discouraged."
C)"You'll have to be very strict with discipline,so your child knows this behavior is not acceptable."
D)"I'd be upset too.It must be hard to go back to using diapers."
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Page 23
Chapter 22: Promoting Health in Young and Middle-Aged Adults
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/79299
Sample Questions
Q1) The nurse is providing assistance at a community health fair for middle-aged clients.Which information should the nurse use when working with this group of clients?
A)The middle-aged person has decreased intellectual and cognitive abilities as a result of the normal aging process.
B)Adults make the transition into this stage easily and without problems.
C)Physical capabilities and functions decrease with age,but mental and social capacities tend to increase in the latter part of life.
D)Cognitive and intellectual abilities are somewhat decreased due to slower reaction time,loss of memory,and changes in perception and problem solving.
Q2) During an educational session regarding physical changes of the middle-aged adult,a participant asks about typical weight changes.How should the nurse respond?
A)"Weight loss is no different during this time than at any other time of your life."
B)"Metabolism slows during middle age,which may result in weight gain."
C)"As long as you exercise appropriately,weight loss will be ensured."
D)"Weight loss is always a good idea,regardless of your age."
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Page 24
Chapter 23: Promoting Health in Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A group of older clients is interested in living options available in the community when they may need some assistance with their daily needs.What should the nurse suggest as possibilities to meet these needs?
A)Adult foster care
B)Group homes
C)Retirement villages
D)Long-term care facilities
E)Adult day-care centers
Q2) A nurse is working with clients in an assisted living facility.In the past month,there have been several deaths among the residents and their spouses.In helping the remaining residents deal with these deaths,the nurse understands that adjustment may be easier for which resident?
A)A resident who spent most of her days attending to her partner who is now deceased
B)A resident who had a wide circle of friends,besides her spouse
C)A resident who was not inclined to participate in any activities offered at the facility
D)A resident who started to become more dependent on the nursing staff at the facility
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Chapter 24: Promoting Family Health
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse has been working with a family at the community health office and is concerned about signs of family violence.Which finding should the nurse identify as most concerning?
A)The baby always seems to have a cold.
B)One of the children never speaks and seems "on guard" when in the presence of a parent.
C)The family's clothes are relatively clean,but the children usually have some kind of dirt stain on their shirts or pants.
D)The family does not have a regular physician.
Q2) A nurse is working with a particular cultural group in which it is not uncommon for grandparents to live with their married children and to assist with child-rearing and discipline issues.For which type of family should the nurse plan care for these clients?
A)Two-career family
B)Blended family
C)Intragenerational family
D)Traditional family
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Chapter 25: Caring
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is identifying strategies to support a client's empowerment.What strategies should the nurse use?
(Select all that apply)
A)Making it possible for the client diagnosed with mild Alzheimer's disease to continue to dance regularly,as it has always been a passion of hers
B)Being sure to polish the client's nails now that she is not able to do it herself,as it has always been important to her that she "have pretty hands"
C)Suggesting to a client's family members that they should insist that the client move into an assisted living facility so as to ensure her safety
D)Helping the client's family identify community support services that will make it possible for the client to remain in her own home
E)Encouraging the client to use a walker and stay indoors,"just in case she might fall"
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Chapter 26: Communicating
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Sample Questions
Q1) The nurse is beginning a helping relationship with a newly admitted client.Which behaviors should the nurse demonstrate that support this type of relationship?
(Select all that apply)
A)Becoming familiar with the client's social history by reading the admission interview
B)Orienting the client to the physical layout of the facility as well as to the facility's policies
C)Gaining the client's trust by consistently keeping promises to return and "visit"
D)Respecting the client's wish to be alone after hearing about the loss of a family friend
E)Asking to remain with the client when he is experiencing symptoms of the flu
Q2) A nurse needs to evaluate the effectiveness of a teaching session with a client.Which approach would provide the best feedback?
A)Client communication
B)Process recording
C)Therapeutic communication
D)Verbal communication
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Chapter 27: Teaching
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Sample Questions
Q1) At the completion of a teaching session,the nurse wants to evaluate the effectiveness of instruction.In a situation where the client was learning a bandaging technique,which would be the most effective evaluation?
A)Shared by the nurse and client
B)A return demonstration by the client
C)When the nurse is satisfied that the client can complete the technique
D)If the wound heals
Q2) A client who is legally blind requires vitamin B<sub>12</sub> injections every 2 weeks and insists on self-administration.What is the best way for the nurse to assist this client?
A)Teach the spouse to draw up the medication,then the client can give the injection.
B)Make sure that the injection is scheduled during a visit,so the nurse can supervise.
C)Prefill syringes with the correct dose,so the client can use them for self-administration.
D)Schedule the client's clinic appointments in accordance with the dosing schedule,then give the injection when the client is at the clinic.
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Chapter 28: Leading, Managing, and Delegating
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Sample Questions
Q1) The nurse practices responsibility when functioning in the role of manager of a care area.What will the nurse manager demonstrate as evidence of responsibility? (Select all that apply)
A)Effective utilization of resources
B)Communication to subordinates
C)Implementation of organizational goals and objectives
D)Problem solving
E)Managing the work team
Q2) The nurse has been promoted to the role of manager for a client care area.What responsibilities of the nurse will this new role include? (Select all that apply)
A)Accomplish the goals of the organization.
B)Use the organization's resources efficiently.
C)Ensure effective client care.
D)Ensure compliance with regulatory standards.
E)Manage relationships.
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Chapter 29: Vital Signs
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Sample Questions
Q1) The nurse is preparing to assess a client's blood pressure.Which artery will the nurse use for this assessment?
A)Brachial
B)Femoral
C)Radial
D)Ulnar
Q2) The nurse is planning to assess a client's pulse.What characteristics should the nurse include in this assessment?
(Select all that apply)
A)Rate
B)Rhythm
C)Volume
D)Tone
E)Viscosity
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Chapter 30: Health Assessment Preview As Pdf
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is concerned that an older client has nutritional deficiencies.What did the nurse find when assessing this client's nails to make this clinical decision?
(Select all that apply)
A)White spots
B)Curved nails
C)Deep purple areas
D)Spoon-shaped nails
E)Bands across the nails
Q2) The nurse is performing a lung assessment on a client with suspected pneumonia.Which finding should the nurse report to the physician immediately?
A)Chest symmetrical
B)Breath sounds equal bilaterally
C)Asymmetrical chest expansion
D)Bilateral symmetric vocal fremitus
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Chapter 31: Asepsis
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30 Flashcards
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Sample Questions
Q1) The nurse is preparing a presentation on standard precautions.Which statement should the nurse include in the presentation?
A)Cut the needle off a syringe after using it to give a client an injection.
B)Dispose of blood-contaminated materials in a biohazard container.
C)Gloves should not be worn for client care unless body fluids are seen.
D)Wear a mask when in direct contact with all clients.
Q2) A client diagnosed with an infectious disease asks the nurse how the infection "got inside" her body.Which responses would be appropriate for the nurse to make?
(Select all that apply)
A)"It depends on the number of organisms present to cause a disease."
B)"It depends on how aggressive the organisms are to cause a disease."
C)"It depends upon how the organisms get inside the body to cause a disease."
D)"It depends upon where the person is at the time the disease is present."
E)"It depends upon where the person works."
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Chapter 32: Safety
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Questions
Q1) While eating in a restaurant,a nurse notices that a customer at the next table begins to clutch his throat while eating a steak.What should the nurse do first?
A)Ask the customer if he is choking.
B)Attempt to give five back blows.
C)Perform the Heimlich maneuver.
D)Start chest compressions.
Q2) The nurse is preparing to assess a client who has a history of falls.Which methods should the nurse use to assess this client's risk for injury?
(Select all that apply)
A)Cognitive awareness
B)Mobility
C)Nursing history
D)Physical examination
E)Health status
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Chapter 33: Hygiene
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Q1) During the morning bath of a client,the nurse identifies areas of erythema below the client's breasts.What should the nurse do to enhance comfort and healing for the client?
A)Wash the skin carefully.
B)Apply alcohol-free lotion.
C)Wash the area without soap.
D)Remove hair in the area.
Q2) During an assessment,the nurse learns a client has soft contact lenses that have not been removed or cleaned for weeks.What should the nurse do?
A)Nothing,because these types of lenses can be worn for months.
B)Remove the client's lenses,wrap in tissue,and place in the bedside table.
C)Assist the client to remove and clean the contacts.
D)Ask the physician for ophthalmology consult because the client will need help removing the lenses.
Q3) A client's hearing aid needs to be removed.What action should the nurse perform?
A)Assist the client with removal when necessary.
B)Instruct the client to remove the aid in the sunroom.
C)Leave the aid in place when bathing.
D)Send the aid home with the family.
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Chapter 34: Diagnostic Testing
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Q1) The nurse is providing care to a client during the posttest phase of diagnostic testing.What will the nurse do during this phase?
(Select all that apply)
A)Provide emotional and physical support to the client.
B)Compare the previous and current test results.
C)Prepare the client for the test.
D)Modify nursing interventions as necessary.
E)Report the results to appropriate health team members.
Q2) A client is scheduled to have abdominal ascites fluid removed.What should the nurse instruct the client about this procedure?
A)A catheter will be inserted into the bladder.
B)A liver biopsy will be done.
C)An abdominal paracentesis will be done.
D)A thoracentesis will be done.
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Chapter 35: Medications
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Q1) The nurse is providing discharge teaching for a client who is being dismissed with prescriptions for a bronchodilator inhaler and a corticosteroid inhaler.What information should the nurse provide regarding the dosage schedule for these two medications?
A)Always use the corticosteroid inhaler first.
B)Use the bronchodilator first.
C)It makes no difference which inhaler is used first.
D)Use the inhalers on alternate days,not on the same day.
Q2) Upon aspirating a saline lock prior to administering intravenous medication,the nurse notes that there is no blood return.What nursing action should be taken?
A)Discontinue this infiltrated lock and restart another site for medication administration.
B)Slowly infuse 1 mL of saline into the lock,assessing for infiltration.
C)Reinsert the needle into the lock and aspirate using more pressure.
D)Pull the intravenous catheter out 1/8 inch and attempt aspiration.
Q3) The client has required 2 sublingual nitroglycerine tablets that are gr 1/150 per tablet.How many mg of nitroglycerine did the client receive?
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Chapter 36: Skin Integrity and Wound Care
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Q1) The adult client is incontinent and wears incontinence briefs when using the wheelchair.An irritated rash has developed in the perianal area.What care should the nurse provide?
A)Wash the area with soap and hot water at every brief change.
B)Apply a petroleum-based cream to the area after cleaning.
C)Wipe the skin with an alcohol-free barrier film agent after cleaning.
D)Keep the client in bed on absorbent pads until the area clears.
Q2) The nurse documents that a client's postoperative wound is purosanguinous.What did the nurse assess in this client's wound?
A)Water and red blood cells
B)Pus and red blood cells
C)Watery drainage
D)Pus
Q3) The nurse is selecting dressings for a clean abdominal incision that will be allowed to heal by secondary intention.What principles should the nurse use in choosing this dressing?
A)Materials used in dressing this wound should keep the wound bed moist.
B)The dressing should allow good air circulation through the wound.
C)Dressings should be simple as they will be changed at least every 4 hours.
D)Absorbent material to wick exudates away and support drying should be used.
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Chapter 37: Perioperative Nursing
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Sample Questions
Q1) The nurse is preparing to instruct a client on leg exercises to be used when recovering from abdominal surgery.What should the nurse determine before beginning this teaching?
(Select all that apply)
A)Type of surgery
B)Time of surgery
C)Postoperative diet
D)Preoperative orders
E)Name of the surgeon
Q2) The nurse has identified the goals of maintaining client safety and homeostasis during the intraoperative phase of client care.What nursing activities would support these goals?
(Select all that apply)
A)Maintain the sterile field.
B)Perform instrument counts.
C)Instruct in postoperative exercises.
D)Position the client appropriately for surgery.
E)Perform preoperative skin preparation.
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Chapter 38: Sensory Perception
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Sample Questions
Q1) During review of admission data,the nurse learns that the new client has impairment of kinesthetic sensation.Which nursing intervention should be planned for this client?
A)Use the clock face as a format for describing the position of food on meal trays.
B)Provide all teaching materials in very large font.
C)Ensure that the client has assistance when ambulating.
D)Use only nonirritating soaps for bathing.
Q2) The nurse is caring for a client who has difficulty hearing conversation.What intervention should the nurse implement?
A)Use short phrases.
B)Overarticulate words.
C)Vary the volume of the voice.
D)Face the client during conversation.
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Chapter 39: Self-Concept
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Q1) The nurse and client had set the following expected outcome: "At the next clinic visit,the client will report participation in three activities to increase self-esteem." At today's visit,the client is unable to meet the stated outcome.What should be the nurse's next action?
A)Explore the possible reasons for not meeting the outcome.
B)Reevaluate the accuracy of the outcome statement.
C)Collaborate with the client to write a new expected outcome.
D)Identify new interventions to help the client achieve the outcome.
Q2) The nurse working in a long-term care facility notices that one of the residents has had a recent decline in self-esteem.What intervention would be appropriate for this resident?
A)Ask the resident for advice in setting up an activity in the dayroom.
B)Keep the resident too busy to dwell in the past.
C)Don't allow the resident to talk about minor concerns.
D)Meet with the social worker to plan all of the client's care.
Q3) Which statement,made by the client,would indicate a "me-centered" self-concept?
A)"I couldn't stand to disappoint my parents."
B)"My sister is so much smarter than I am."
C)"My future is based on the decisions I make today."
D)"The world has always been against people like me."
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Chapter 40: Sexuality
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Sample Questions
Q1) A client is concerned because he was unable to achieve an erection during his last sexual encounter with his wife.He tells the nurse that he has worried about becoming impotent because he had a sexually transmitted infection as a young adult.What is the nurse's best response to this client's concerns?
A)Sexually transmitted infections may result in sexual problems in adults.
B)Erectile dysfunction is the correct term for the inability to achieve or sustain an erection.
C)An occasional incident like this is normal and common and there is no reason to be concerned.
D)The medical diagnosis of erectile dysfunction is not made until the man has erection difficulties in 25% or more of his interactions.
Q2) A research article the nurse is reading discusses the prevalence of androgyny in persons 20 to 30 years old.What should the nurse keep in mind when caring for clients who are androgynous?
A)They do not limit behaviors to one gender over the other.
B)They are attracted to people of the same gender.
C)They often repress their sexual feelings.
D)They hold rigid stereotyped gender role expectations.
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Page 42
Chapter 41: Spirituality
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Sample Questions
Q1) The newly hired nurse notices that coworkers routinely pray with clients and their families.The nurse has never been particularly religious or spiritual and is unaccustomed to praying,but holds no strong feeling against prayer.What is the best strategy for the nurse to plan for such situations?
A)Try to ensure assignment to clients who are unlikely to request prayer.
B)Arrange to have a coworker substitute for the nurse in these prayer situations.
C)Memorize two or three short,formal prayers to use when prayer is requested.
D)Just stand silently at the bedside and let others in the room do the praying.
Q2) A client who is devoutly Jewish is hospitalized during Yom Kippur,a time when many of the Jewish faith fast.The client expresses a desire to follow this religious pattern.How should the nurse respond to this wish?
A)Support the client's desires to the extent possible.
B)Remind the client that most religions excuse persons who are ill from fasting.
C)Attempt to convince the client to ignore the tradition due to illness.
D)Tell the client that the physician must make this decision.
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Chapter 42: Stress and Coping
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Sample Questions
Q1) A client asks what changes can be made to dietary intake to reduce the effects of stress.What changes should the nurse encourage the client to make?
(Select all that apply)
A)Reduce sugar intake.
B)Eliminate excess salt.
C)Reduce caffeine intake.
D)Avoid vitamin supplements.
E)Follow a low-fat eating plan.
Q2) After hearing the diagnosis of cancer,a client becomes withdrawn and refuses to talk with friends or family.The nurse realizes this client is demonstrating which type of reaction to stress?
A)Stimulus
B)Response
C)Combination
D)Transaction
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Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) The nurse is caring for the family of a terminally ill client.The family members have been tearful and sad since the diagnosis was given.What is the best nursing diagnosis problem statement for this family?
A)Anticipatory Grieving
B)Dysfunctional Grieving
C)Hopelessness
D)Caregiver Role Strain
Q2) A client who has just been diagnosed with a slowly progressive terminal illness asks the nurse about the availability of hospice services.What information should the nurse share with this client?
A)When clients are designated as terminally ill,they are automatically assigned to hospice care.
B)Hospice services are generally reserved for those who have a life expectancy of 6 months or less.
C)Only those clients with private insurance can receive hospice benefits.
D)Provision of hospice services is reserved only for those who refuse other palliative treatments.
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Chapter 44: Activity and Exercise
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Sample Questions
Q1) The nurse is caring for a client diagnosed with early osteoporosis.Which intervention is most applicable for this client?
A)Institute an exercise plan that includes weight-bearing activities.
B)Increase the amount of calcium in the client's diet.
C)Protect the client's bones with strict bed rest.
D)Provide the client with assisted range-of-motion exercising twice daily.
Q2) The newly admitted client has contractures of both lower extremities.What nursing intervention should be included in this client's plan of care?
A)Frequent position changes to reverse the contractures
B)Exercises to strengthen flexor muscles
C)Range-of-motion exercises to prevent worsening of contractures
D)Weight-bearing activities to stimulate joint relaxation
Q3) The client who is unconscious is developing foot drop.What nursing action is indicated?
A)Place high-topped shoes on the client while in bed.
B)Keep the linens on the end of the bed turned back to expose the feet.
C)Use only the prone and Sims positions for client positioning.
D)Use a device to elevate the linens off the feet.
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Chapter 45: Sleep
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Sample Questions
Q1) The parents of a 6-month-old tell the nurse that they are exhausted because their baby wakes up several times every night.What advice should the nurse give these parents?
A)Be certain that the baby is truly awake before picking him up for feeding.
B)Let the baby "cry it out" for a few nights until he can sleep through the night.
C)Continue to respond to the baby whenever he is restless during the night.
D)Bring the baby in for a possible sleep study to check for sleeping disorders.
Q2) A client tells the nurse that because of work and life responsibilities,sleep has "become optional." What is the best response the nurse should make to this client?
A)"Be sure to get extra sleep when you can."
B)"A lack of sleep can affect hormone levels and bodily functions."
C)"Everyone has different needs for sleep to in order to function."
D)"You must be very productive."
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Chapter 46: Pain Management
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Sample Questions
Q1) A client's pain level is assessed as being severe.Which intervention would be the most applicable for the client at this time?
A)Provide NSAID medication as prescribed.
B)Coach the client with guided imagery.
C)Suggest the client read or watch television until the pain subsides.
D)Provide opioid analgesic as prescribed.
Q2) The nurse is caring for a client receiving pain medication through an epidural catheter.What should the nurse include to ensure safety when caring for this client? (Select all that apply)
A)Secure all tubing connections with gauze.
B)Apply tape over all injection ports on the tubing.
C)Cleanse the insertion site with alcohol swabs once a day.
D)Label the tubing,infusion bag,and pump with the word "epidural."
E)Post a sign above the client's bed indicating that an epidural is being used.
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Chapter 47: Nutrition
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Sample Questions
Q1) The nurse is instructing a client on foods that are considered complete proteins.What will the nurse include in these instructions?
(Select all that apply)
A)Meat
B)Gelatin
C)Eggs
D)Chicken
E)Fish
Q2) The nurse has delegated administration of tube feeding to a specially trained UAP.What action should be taken by the nurse in regard to this delegation?
A)Order the equipment to give the feeding.
B)Check the tube for placement.
C)Set up the equipment and mix the feeding.
D)Regulate the rate of the feeding.
Q3) A client is prescribed a 1600-calorie diet.Of this diet,30% of the intake should be protein,20% fat,and 50% carbohydrates.How many grams of carbohydrates should the client ingest every day?
Calculate to the nearest whole number.
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Chapter 48: Urinary Elimination
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Sample Questions
Q1) A UAP has applied a condom catheter to a client.The nurse should document what information about this procedure?
(Select all that apply)
A)Number of ml of fluid used to inflate the balloon
B)Location of the drainage bag
C)Name of the UAP who applied the device
D)Time and date that the condom catheter was applied
E)Integrity of the penis
Q2) A client is instructed on the care of an indwelling urinary catheter.Which returned demonstration by the client indicates that teaching has been effective?
A)The client empties the drainage bag once a day.
B)The client hangs the drainage bag on the towel rod.
C)The client refuses drinks one to two 8-ounce glasses of fluid each day.
D)The client takes a shower each day.
Q3) A client with an indwelling urinary catheter is prescribed to receive sterile normal saline bladder irrigation at 100 mL/hr.After an 8-hour shift the nurse measures the client's output as being 1425 mL.What is the client's urine output for the 8-hour shift?
Calculate to the nearest whole number.
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Chapter 49: Fecal Elimination
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Sample Questions
Q1) The nurse is caring for a client who experiences frequent bouts of diarrhea.What should the nurse instruct the client to do?
A)Change the daily routine.
B)Decrease fluid consumption.
C)Increase fiber in the diet.
D)Note the precipitating event.
Q2) A client has received a return-flow enema.What should the nurse document about this procedure?
(Select all that apply)
A)Number of times the solution was changed.
B)Type of solution.
C)Length of time the solution was retained.
D)The amount,color,and consistency of the return.
E)Client relief of flatus and abdominal distention.
Q3) While administering an enema,the client complains of abdominal cramping.What should the nurse do?
A)Raise the height of the solution container.
B)Clamp the flow for 30 seconds,and restart at a slower rate.
C)Discontinue the enema infusion.
D)Assist the client to a supine position.
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Chapter 50: Oxygenation
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Sample Questions
Q1) The nurse is assessing an older client.What effects of aging should the nurse keep in mind during this assessment?
(Select all that apply)
A)Decreased cough reflex
B)Stiffening of blood vessels
C)Alteration in protein synthesis
D)Dry mucous membranes
E)Increased risk of aspiration
Q2) A client who is being mechanically ventilated has copious amounts of secretions ranging from thick and tenacious to frothy.In preparing to suction this client,the nurse should take which action?
A)Hyperventilate the client using the settings on the mechanical ventilator.
B)Hyperventilate the client using a manual resuscitator.
C)Avoid hyperventilation,but instill normal saline into the endotracheal tube.
D)Avoid hyperventilation and increase the oxygen to 100% for several breaths.
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Chapter 51: Circulation
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Q1) After a cardiac catheterization,an infant is diagnosed with a malformation of the mitral valve.The nurse will monitor the client for the development of a problem associated with the delivery of
A)oxygenated blood to the body.
B)deoxygenated blood to the lung.
C)oxygenated blood to the right atrium.
D)deoxygenated blood to the left ventricle.
Q2) After an assessment,the nurse determines that a client's sequential compression devices need to be removed.What should the nurse document about this client's status in the medical record?
A)Client ambulating without assistance.
B)Client complains of numbness,tingling,and leg pain with the sequential compression devices.
C)Client requested devices to be removed.
D)Client to wear sequential compression devices during sleep.
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Chapter 52: Fluid, Electrolyte, and Acidbase Balance
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Q1) Ten minutes after the transfusion of a unit of packed red blood cells was initiated,the client complains of a headache.The nurse assesses that the client has slight shortness of breath and feels warm to the touch.What action by the nurse is priority?
A)Notify the client's physician.
B)Discontinue the transfusion.
C)Slow the rate of the transfusion.
D)Prepare to resuscitate the client.
Q2) The nurse initiates a blood transfusion for a client.What action should the nurse take next?
A)Stay with the client and closely observe him for the first 5 to 10 minutes of the transfusion.
B)Assign the UAP to sit with the client for 15 minutes.
C)Advise the client to notify the nurse if he experiences any chilling,nausea,flushing,or rapid heart rate.
D)Return to the room and take a set of vital signs in 15 minutes.
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