Introduction to Professional Nursing Review Questions
Course Introduction
Introduction to Professional Nursing provides an overview of the foundational concepts, roles, and responsibilities essential to the nursing profession. The course covers the history and evolution of nursing, ethical and legal principles, communication skills, and the importance of evidence-based practice. Students are introduced to the healthcare delivery system, standards of practice, and interprofessional collaboration. Emphasis is placed on the development of critical thinking, cultural competence, and the core values of compassionate, patient-centered care. This course prepares students to begin their journey as professional nurses within an ever-changing healthcare environment.
Recommended Textbook
Fundamentals of Nursing Active Learning for Collaborative Practice 1st Edition by Yoost
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42 Chapters
1050 Verified Questions
1050 Flashcards
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Chapter 1: Nursing, Theory, and Professional Practice
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Sample Questions
Q1) A nursing class volunteers to serve hot meals at a local homeless shelter on a Saturday afternoon. This focus on serving the community is called:
A) Altruism.
B) Accountability.
C) Autonomy.
D) Advocate.
Answer: A
Q2) Which nurse established the American Red Cross during the Civil War?
A) Dorothea Dix
B) Linda Richards
C) Lena Higbee
D) Clara Barton
Answer: D
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Chapter 2: Values, Beliefs, and Caring
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Sample Questions
Q1) A group of students are discussing the history of nursing. A student states, "Yea, nurses used to be called the doctor's handmaiden." This type of comment is known as a:
A) prejudice.
B) generalization.
C) stereotype.
D) belief.
Answer: C
Q2) The nurse is preparing to perform a health history interview with a non-English speaking patient. An interpreter has been assigned to assist in the translation. Which action by the nurse indicates understanding the guidelines for working with an interpreter?
A) Use short sentences and allow time for translation.
B) Ask the interpreter to use third person.
C) Look at the interpreter during the interview.
D) Suggest the use of paraphrasing whenever possible.
Answer: A
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4
Chapter 3: Communication
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Sample Questions
Q1) A helping relationship develops through ongoing, purposeful interaction between a nurse and a patient. Nurse-patient relationships focus on: (Select all that apply.)
A) building trust.
B) demonstrating empathy.
C) tearing down boundaries.
D) developing a plan of care.
Answer: A, B, D
Q2) The nurse is admitting a patient with a foul smelling leg wound. Which behavior by the nurse indicates an understanding of appropriate body language?
A) Using hand gestures to enhance verbal communication
B) Standing at the end of the bed with arms crossed
C) Facial grimacing at the sight of the wound
D) Gentle touching of the patient's shoulder
Answer: D
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Chapter 4: Critical Thinking in Nursing
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Sample Questions
Q1) The nurse is reviewing the last 3 days of a patient's pain history and notes that the pain level has remained constant. The nurse validates the pain level with the patient and decides to contact the physician for further orders. In this scenario the nurse is using the process of:
A) decision making.
B) reasoning.
C) problem solving.
D) judgment.
Q2) The nurse is preparing to teach Foley insertion techniques to a group of graduate nurses. Which of the following teaching-learning strategies would the nurse find most useful in teaching this skill?
A) Concept mapping
B) Simulation
C) Role playing
D) Literature review
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Chapter 5: Introduction to the Nursing Process
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Sample Questions
Q1) A new community health nurse observes that a patient has generalized itching and a red rash after touching a latex glove. The nurse asks the manager if there is a document written by the physician for this type of reaction. The nurse is referring to a: A) protocol.
B) clinical pathway.
C) standing order.
D) care map.
Q2) The nurse is attempting to develop nursing diagnoses for her patient. The nurse understands that nursing diagnoses: (Select all that apply.)
A) identify actual or potential problems as well as responses to a problem.
B) require naming patient problems using nursing diagnostic labels.
C) utilize objective data since subjective data are often inaccurate.
D) includes unvalidated data to determine an accurate and thorough diagnosis.
E) are similar to medical diagnoses since they both are labels for diseases.
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Chapter 6: Assessment
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Sample Questions
Q1) The nurse is performing her initial assessment of the day when she notices that the patient has a facial droop that he did not have yesterday and that was not reported in the hand-off report from the night nurse. The nurse proceeds to assess the neurological status of the patient. This type of assessment is known as:
A) an emergency assessment.
B) a focused assessment.
C) a complete physical examination.
D) a comprehensive assessment.
Q2) The nurse is documenting data collected during a health assessment interview. Which statement indicates subjective data?
A) "My last bowel movement was 4 days ago."
B) Abdomen distended; firm and tender.
C) Dark colored; hard pellet-shaped stool.
D) Color pink. Skin warm and dry. No sign of discomfort.
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Chapter 7: Nursing Diagnosis
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Sample Questions
Q1) The nurse in an outpatient clinic obtains a blood pressure of 190/88 mm Hg on a patient diagnosed with high blood pressure. The patient tells the nurse, "My blood pressure medicine is really expensive. Do you think I really need it?" The nurse assumes the patient is not taking the medication based on the blood pressure result and the patient's statement and chooses noncompliance as a diagnostic label. The action by the nurse is an example of:
A) clustering unrelated data in the diagnostic statement.
B) selecting erroneous data for use in the diagnostic statement.
C) using medical diagnoses in the diagnostic statement.
D) identifying multiple problems within one diagnostic statement.
Q2) The nurse is caring for a complex patient needing physical and emotional support. As the primary care giver, the nurse:
A) is ultimately responsible for assessment of patient needs and progress.
B) delegates to people who know what they are doing and operate independently.
C) provides total care to the patient after getting direction from other disciplines.
D) understands that the patient is ultimately responsible for failure or success.
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Chapter 8: Planning
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Sample Questions
Q1) The nurse is caring for a patient who has undergone abdominal surgery. The patient stated prior to surgery that "I don't think I'll be able to handle this if I get a colostomy. I wouldn't know how to manage it." There is no "next of kin" listed in the patient's record. The patient is complaining of severe surgical pain. The nurse is correct when addressing which nursing diagnosis first?
A) Pain
B) Alteration in body image
C) Knowledge deficit
D) Risk for falls
Q2) The nurse recognizes which of the following as a barrier to achieving goals?
A) The effects of pain and/or clinical depression
B) Patient involvement in setting patient goals
C) Family involvement in setting patient goals
D) Realistic expectations of the patient's capabilities.
Q3) Which of the following is a correctly written example of a short-term goal?
A) By attending the gym, the patient will lose 50 lb in 1 year.
B) In 6 months, patient will be able to ambulate 1 mile without shortness of breath.
C) Patient will be able to change his colostomy bag within 6 weeks of surgery.
D) With diet and exercise, the patient will lose 1 lb this week.
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Page 10
Chapter 9: Implementation and Evaluation
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Sample Questions
Q1) Repositioning a patient, providing hygiene, and active listening are examples of:
A) dependent interventions.
B) independent nursing interventions.
C) standing orders.
D) counseling.
Q2) The nursing process is an attempt to meet patient needs. As such, it:
A) is linear in nature.
B) is dynamic and cyclic.
C) requires care plans to be re-evaluated occasionally.
D) does not allow care plans to be modified.
Q3) The nurse is considering asking the patient for permission to involve the patient's family members in the teaching plan for the patient. Which of the following is the best rationale to support this involvement?
A) Involving the family in effective teaching empowers the patient and their support system.
B) Teaching family members decreases the number of questions they may ask.
C) Educated family members choose not to become part of the health care process.
D) The education is interesting although family do not usually care for patients after discharge.
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Page 11
Chapter 10: Documentation, Electronic Health Records, and Reporting
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Sample Questions
Q1) The patient has fallen when trying to climb out of bed. The nurse:
A) needs to complete an incident report as a risk management document.
B) completes an incident report since it is a permanent part of the medical record.
C) must document that an incident report was completed in the medical record.
D) should say nothing about the incident in the medical record.
Q2) The nurse is charting using the DAR charting system. This form of charting requires documentation about: (Select all that apply.)
A) the patient problems.
B) subjective data.
C) any actions initiated.
D) objective data.
E) the patient's response to interventions.
Q3) Nursing documentation is an important part of effective communication among nurses and with other health care providers. As such, the nurse:
A) documents facts.
B) documents how he/she feels about the care being provided.
C) documents in a "block" fashion once per shift.
D) double documents as often as possible in order to not miss anything.
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Chapter 11: Ethical and Legal Considerations
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29 Verified Questions
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Sample Questions
Q1) The nurse is providing care to a patient experiencing pain. The nurse assesses the pain and promptly administers the ordered analgesics as promised to the patient. This nurse has applied:
A) autonomy.
B) accountability.
C) confidentiality.
D) fidelity.
Q2) Each state has a nurse practice act that establishes the standards of care required for legal nursing practice. In order to protect herself/himself from litigation, the nurse should understand that:
A) laws create liability issues for nurses.
B) licensure laws are devised to protect the nurse.
C) the nurse is not responsible for other disciplines' mistakes.
D) keeping current with changing laws can protect the nurse.
Q3) "First, do no harm" defines what ethical principle?
A) Beneficence
B) Justice
C) Fidelity
D) Nonmaleficence
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Page 13
Chapter 12: Leadership and Management
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Sample Questions
Q1) The nurse has a question regarding scope of practice and delegation. Where should the nurse seek clarification? (Select all that apply.)
A) The state's Nurse Practice Act
B) Theory X management
C) Nurse's Code of Ethics
D) The NCSBN website
E) NCSBN journal articles
Q2) The nurse manager of a unit is sharing the most recent results of a patient satisfaction survey to motivate staff. This nurse manager is a _________________leader.
A) Transformational
B) Transactional
C) Situational
D) Autocratic
Q3) Which of the following was delegated inappropriately?
A) Personal hygiene by the UAP
B) Assistance with eating breakfast by the UAP
C) Assistance with toileting by the UAP
D) Interpretation of abnormal vital signs by the UAP
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Page 14
Chapter 13: Evidence-Based Practice and Nursing Research
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Sample Questions
Q1) The nurse has identified a research problem. What is the next step for this student?
A) Conduct a literature review.
B) Address ethical procedures.
C) Collect data.
D) Analyze data.
Q2) When applying research to practice, the nurse finds that:
A) it is usually easy to access information at the bedside.
B) research articles are clear in defining nursing practice.
C) bedside care is not directly related to research.
D) nursing research should be used to improve care.
Q3) The American Nurses Association (ANA) standards of professional performance require nurses to use research findings in practice. This means that nurses:
A) need to regulate their practice according to the latest journal articles.
B) nurses need to use the best available evidence to guide practice decisions.
C) nurses only need to participate in research while in advanced practice.
D) may use evidence-based practice to develop procedures but not policies.
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Chapter 14: Health Literacy and Patient Education
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Sample Questions
Q1) In addressing patient education, the nurse recognizes that patient education is a process involving: (Select all that apply.)
A) assessment.
B) diagnosis.
C) planning.
D) implementation and evaluation.
E) reliance on evidence-based practice (EBP).
Q2) Ongoing evaluation of patient education occurs by:
A) each member of the health care team who provides teaching.
B) the nurse who evaluates the patient's physical abilities.
C) the patient stating that he understands the instruction.
D) not allowing review so the focus remains forward.
Q3) The nurse is working with a diabetic patient, and is attempting to teach psychomotor skills. This is occurring when the nurse has the patient:
A) verbally describe his feelings about diabetes.
B) answer three of five true-or-false questions about diabetes.
C) identify 3 positive lifestyle changes to manage blood sugar.
D) draw up and self-inject insulin correctly.
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Chapter 15: Nursing Informatics
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Sample Questions
Q1) The home health nurse provides care for a patient with congestive heart failure. Daily the patient weighs himself and takes his own temperature, pulse, respirations and blood pressure. That information is sent as electronic data to the patient's physician and nurse daily to make adjustments to the plan of care as indicated. This is an example of:
A) telehealth nursing.
B) computerized decision support system (DSS).
C) computerized provider order entry (CPOE).
D) point of care technology.
Q2) The focus of nursing informatics is:
A) direct patient care.
B) increasing documentation time.
C) the introduction of different EHRs.
D) how patient care can be improved.
Q3) Computerized provider order entry (CPOE):
A) allows orders to be communicated to the appropriate department.
B) creates an intermediary for order transcription.
C) slows documentation and provider communication.
D) may lead to increased ordering and transcription errors.
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Chapter 16: Health and Wellness
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Sample Questions
Q1) The nurse caring for a patient with chronic pain uses guided imagery, therapeutic touch, and relaxation techniques as interventions for pain. The nurse is using what type of approach?
A) Holistic
B) Eastern holistic
C) Risk factor reduction
D) Health protection
Q2) The nurse is reviewing recommendations for screenings. Recommendations state that: (Select all that apply.)
A) women ages 21 to 29 should have a Pap test every 3 years.
B) self-breast exams should be addressed with male and female patients.
C) adolescent males should perform monthly self-testicular exams.
D) women ages 30 to 65 should receive Pap tests every 10 years.
E) after a total hysterectomy, Pap testing should be more frequent.
Q3) When caring for patients with chronic illness, the nurse needs to:
A) help the patient face the reality that he will not get better.
B) emphasize to the patient that the illness is not his fault.
C) emphasize improving quality of life through preventive behaviors.
D) acknowledge the limitations placed on the patient by his suffering.
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Page 18
Chapter 17: Human Development: Conception through Adolescence
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Sample Questions
Q1) A school-aged child is scheduled for a minor procedure and is very nervous. What response by the nurse is best?
A) Reassure the child the procedure is too minor to worry about.
B) Read the child a pamphlet about what to expect during the procedure.
C) Tell the child you will have the provider "put her to sleep" during the procedure.
D) Explain the procedure and what to expect in simple terms.
Q2) A pregnant woman in her second trimester is scheduled for quad testing. What conditions does the nurse explain are screened for in this assessment? (Select all that apply.)
A) Blood clotting abnormalities
B) Neural tube defects
C) Heart abnormalities
D) Trisomy 18
E) Trisomy 21
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19
Chapter 18: Human Development Young Adult to Older Adult
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Q1) The student of adult development learns that cognitive abilities improve during the young adult stage because of the influence of which experiences? (Select all that apply.)
A) Physical growth of the brain
B) Formal education
C) Occupational training
D) Overall life experiences
E) Specific profession chosen
Q2) The nurse working in long-term care knows that there are multiple theories regarding aging. The one the nurse most identifies with proposes that the body's cells are leading to damaged organs and organ systems. This description is congruent with which theory?
A) Cross-linking theory of aging
B) Wear-and-tear theory
C) Gould's theory on adult development
D) Senescence theory of aging
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Chapter 19: Vital Signs
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Q1) The nurse assessing respirations understands that problems in what organs can directly affect the process of respiration? (Select all that apply.)
A) Brain
B) Lungs
C) Heart
D) Liver
E) Skeletal muscle
Q2) A patient returned from a procedure and has vital sign measurements ordered every hour. The patient's blood pressure has dropped from 132/82 mm Hg an hour ago to 90/66 mm Hg. What action by the nurse is most appropriate?
A) Take the vital signs again in another hour.
B) Document the findings in the patient's chart.
C) Have another nurse recheck the vital signs.
D) Plan to take the vital signs more often.
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21
Chapter 20: Health History and Physical Assessment
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Q1) A nurse is conducting a physical examination using palpation. Which assessments might the nurse note? (Select all that apply.)
A) Rebound tenderness: tenderness long after palpation
B) Crepitation: crackling or rubbing
C) Guarding: holding the nurse's hands away from the body
D) Turgor: tension caused by fluid content
E) Consistency: organ location and size
Q2) A nurse is assisting a patient who is having an examination of the female genitalia. What action by the nurse is best?
A) Get the provider; assist patient into lithotomy position.
B) Assist the patient into lithotomy position; get the provider.
C) Get the provider; assist patient into Sims position.
D) Assist the patient into Sims position; get the provider.
Q3) A nurse observes a patient sitting up in bed, leaning forward with the arms braced against the over-the-bed table. What action by the nurse is best?
A) Assess the patient for a barrel-chest appearance.
B) Palpate the patient's abdomen for tenderness.
C) Inspect the patient's spine for deformities.
D) Ask the patient if he/she is experiencing dizziness.
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Page 22
Chapter 21: Ethnicity and Cultural Assessment
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Q1) The student studying culture learns that which are characteristics of all cultures? (Select all that apply.)
A) Integrated systems
B) Shared
C) Learned
D) Symbolic
E) Inherited
Q2) A nurse is working with a patient who has limited English proficiency. What action by the nurse is best?
A) Use a qualified interpreter.
B) Ask family members to translate.
C) Use drawings and pictures.
D) Speak in simple sentences.
Q3) What does the nursing student learn about race?
A) It is biologically based.
B) It is a social construct.
C) It is chosen by the person.
D) It helps establish superiority.
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23
Chapter 22: Spiritual Health
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Q1) A patient died suddenly in the emergency department. Which action by the nurse best provides the family connection with others?
A) Offering the family written information on grief support groups.
B) Asking the family if there is someone the nurse can call for them.
C) Having the hospital social worker or chaplain sit with the family.
D) Offering to stay with the family during this difficult time.
Q2) A patient who claims to be very involved in church is near death. What action by the nurse is best?
A) Get permission to contact the religious leader.
B) Allow the family to stay at the patient's bedside.
C) Call the hospital chaplain to come to the bedside.
D) Ask if the patient and family want to pray.
Q3) The charge nurse overhears a new nurse telling a patient that he should no longer follow his vegetarian diet because his protein needs are so high and because "God made animals for us to eat." What action by the charge nurse is best?
A) No action is necessary for the charge nurse to take.
B) Reinforce the nurse's teaching on proper diet.
C) Offer to call the dietitian to work with the patient.
D) Privately speak to the nurse about this conversation.
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Page 24
Chapter 23: Public Health, Community Base, and Home Health Care
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Q1) A community was devastated by a tornado several months ago. What nursing diagnosis would be most appropriate for the nurse to consider?
A) Social isolation
B) Deficient community resources
C) Ineffective community coping
D) Deficient community health
Q2) The nurse explains to the patient that which services will be covered under Medicare? (Select all that apply.)
A) Infusion therapy
B) Ostomy management
C) Renal dialysis
D) Grocery shopping
E) Chemotherapy
Q3) The nurse has implemented a community-wide immunization program for seasonal influenza. Once the program has ended, what action by the nurse is best?
A) Begin planning for next year's program.
B) Send mail surveys to participants.
C) Determine financial gains or losses.
D) Evaluate the program and outcomes.
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Chapter 24: Human Sexuality
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Q1) A nurse is planning an educational event of safer sex. What topics does the nurse include? (Select all that apply.)
A) Proper use of condoms
B) Avoidance of risky behaviors
C) Need for routine examinations
D) Avoidance of homosexual activity
E) Symptoms of common STDs
Q2) A woman complains that her partner threatens her and berates her in front of the children. She denies being in an abusive relationship or being the victim of physical violence. What action by the nurse is best?
A) Tell the woman to leave the abusive partner.
B) Educate the woman on forms of domestic abuse.
C) Help the woman work on a physical safety plan.
D) Insist the woman take written information.
Q3) The nurse learns that spermatozoa are produced in which sexual organ?
A) Scrotum
B) Testes
C) Glans
D) Prostate
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Chapter 25: Safety
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Q1) The nurse is educating the patient about the proper disposal of medications in the home. Which statement by the patient indicates she has a good understanding of the information?
A) "Remove the label from the bottle and throw in the trash."
B) "Flush the medication."
C) "Mix the medications with kitty litter and place the mixture in a jar and put the jar in the trash."
D) "Dissolve the medication in water and pour down the drain."
Q2) The nurse is caring for a confused, combative patient. Which action would be considered last by the nurse to control behavior of the client?
A) Orient the patient frequently.
B) Apply restraints.
C) Move the patient to a room close to the nurse's station.
D) Encourage the family to spend time with the patient.
Q3) The nurse knows that which of the following is not used to assess fall risk?
A) Glasgow Falls Scale
B) Johns Hopkins Hospital Fall Assessment Tool
C) Morse Fall Scale
D) Hendrich II Fall Risk Model
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Page 27
Chapter 26: Asepsis and Infection Control
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Q1) The nurse is explaining to the patient why she is receiving antibiotics. Her answer would be correct if she stated antibiotics are effective against which microorganism?
A) Viruses
B) Fungi
C) Parasites
D) Bacteria
Q2) The patient is on protective precautions. Which is true regarding these precautions? (Select all that apply.)
A) A positive-pressure room with a HEPA filtration system is required.
B) Special respirator masks should be available and one size fits all.
C) No live plants are allowed in the room.
D) The patient may eat any foods desired.
Q3) The nurse knows that standard precautions are indicated for: (Select all that apply.)
A) all patients.
B) patients with HIV.
C) patients with MRSA.
D) patients with tuberculosis.
E) None of the above.
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Chapter 27: Hygiene and Personal Care
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Sample Questions
Q1) Which tool is used to determine risk for impaired skin integrity?
A) Braden scale
B) Glasgow scale
C) Vanderbilt scale
D) MMSE scale
Q2) The nurse is bathing a patient and notes reddened skin above the coccyx. Which action by the nurse is appropriate? (Select all that apply.)
A) Apply a barrier cream and massage the area.
B) Document and describe the area and report to the physician.
C) Wash and dry the area and position patient without pressure on coccyx.
D) Report the area to the charge nurse.
Q3) Regarding denture care, what action by the nurse is inappropriate?
A) Carrying the dentures to the sink wrapped in a paper towel.
B) Placing a towel in the sink and brushing the dentures over the towel.
C) Brushing the dentures as the nurse would the teeth of a conscious patient.
D) Applying adhesive, then inserting upper and then lower dentures.
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Chapter 28: Activity, Immobility, and Safe Movement
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Q1) The nurse is providing discharge education for her patient who is going home with a walker. Which statement by the patient indicates a good level of understanding of safety in the home? (Select all that apply.)
A) "I need to remove the throw rugs."
B) "I should make sure I only take a bath."
C) "I cannot use the stairs."
D) "I need to place a nonskid mat in front of the kitchen sink."
Q2) The nurse correctly selects which intervention to avoid causing shear or friction when moving a patient in bed?
A) Using an airflow bed
B) Using a slide board
C) Using a trochanter roll
D) Using a gel mattress
Q3) The nurse is correctly demonstrating the use of a transfer belt when engaging in the following: (Select all that apply.)
A) The belt is placed around the patient's hips.
B) The belt is secure, leaving only enough room for the nurse to grasp the belt.
C) The nurse stands on the weaker side.
D) The nurse holds the belt on the side of the patient.
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Page 30
Chapter 29: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse knows that mechanical debridement involves all of the following except:
A) wet to dry dressings.
B) whirlpool baths.
C) damp to dry dressing.
D) enzymatic dressing.
Q2) The nurse knows the following types of wounds heal by tertiary intention:
A) An acute wound in which the patient has sutures placed when it happened
B) A pressure ulcer that was treated with dressing changes and healed
C) An acute wound in which surgical glue was used to close the wound
D) A wound that was left open initially and closed later with sutures
Q3) The nurse is delegating care of a patient with a chronic nonsterile wound to a UAP. The delegation is inappropriate if:
A) the nurse asks the UAP to assess the wound.
B) the nurse asks the UAP to report increased wound drainage.
C) the nurse asks the UAP to observe changes in dietary intake.
D) the nurse asks the UAP to change the dressing.
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Chapter 30: Nutrition
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Sample Questions
Q1) The nurse is educating her patient about who has just been placed on a renal diet. Which statement by the patient indicates a need for further education?
A) "I need to eat a low-sodium diet."
B) "I can have limited amounts of meat."
C) "I can drink unlimited cola if it is diet."
D) "I should avoid or limit bananas."
Q2) The nurse knows that initial verification of a nasogastric placement is important. Which method is considered the only reliable method to determine enteral tube placement?
A) Auscultation of air bolus
B) Measurement of pH of the aspirate
C) Radiographic image
D) Aspirate contents to visually inspect appearance
Q3) The nurse is caring for an adolescent patient with anorexia nervosa. She knows the best treatment option is:
A) hospitalization with skill nursing care.
B) compulsory tube feedings.
C) individually determined by a collaborative team.
D) outpatient treatment.
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Page 32
Chapter 31: Cognitive and Sensory Alterations
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Q1) An appropriate goal for a patient with the diagnosis of acute confusion is:
A) the patient will use the call light before getting out of bed within 48 hours.
B) the patient will use a calendar to remember the date within 48 hours.
C) the patient will respond appropriately to questions about place within 48 hours.
D) the patient will remain within the unit while in long-term care.
Q2) The nurse is delegating care to an unlicensed assistive personnel (UAP) to a patient who has sensory overload. Which statement by the UAP indicates a need for further orientation?
A) "I should keep the noise levels low."
B) "I should schedule all the care together."
C) "I should keep the room well lit."
D) "I should allow the family to visit."
Q3) An appropriate goal for a patient with a diagnosis of social isolation is:
A) the patient will participate in cognitive exercises.
B) the patient will interact with other residents during activities.
C) the patient will communicate basic needs through use of photos.
D) the patient will remain within the unit while in long-term care.
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Page 33
Chapter 32: Stress and Coping
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Q1) The nurse knows an appropriate goal for Stress overload is:
A) The patient will attend a weekly support group.
B) The patient will discuss possible coping strategies during weekly office visits.
C) The patient will discuss strategies for coping with relationship violence within 24 hours.
D) The patient's family will use respite care once a week for the next month.
Q2) The nurse knows that when patients are experiencing stress, the following change can be seen in their signs and symptoms: (Select all that apply.)
A) Increase in heart rate
B) Increase in gastric motility
C) Pupil dilation
D) Decrease in blood pressure
E) Increase in respiratory rate
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34
Chapter 33: Sleep
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Q1) The nurse is providing discharge instructions to a patient who has had sleep alterations. The following statements by the patient indicate further education is needed.
A) "I should avoid drinking caffeine too close to bedtime."
B) "I should not eat anything too close to bedtime."
C) "I should exercise regularly to help with sleeping."
D) "I can gain weight if I don't sleep enough."
Q2) The nurse is providing discharge education for a patient with restless leg syndrome. The following statement by the patient indicates a need for further education:
A) "I should avoid all caffeine."
B) "I can using leg massage and knee bends."
C) "Taking magnesium supplements may be helpful."
D) "Taking a walk regularly may be helpful."
Q3) The nurse knows an appropriate goal for the nursing diagnosis Disturbed sleep pattern during hospitalization is:
A) the patient will fall asleep within 15 minutes of going to bed.
B) the patient will report an ability to concentrate on tasks.
C) the patient will repeat medication instructions on discharge.
D) the patient will be able to sleep for at least 2 hours at a time.
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Chapter 34: Diagnostic Testing
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Q1) The nurse is caring for an elderly patient with dementia. Which laboratory finding indicates to the nurse that that patient is often forgetting to eat meals?
A) Serum bilirubin 0.4 mg/dL
B) PLT (platelet count) 425,000/mm\(^{3}\)
C) Serum cholesterol 175 mg/dL
D) Albumin 1.4 g/dL
Q2) The nurse is caring for a patient who will be undergoing flexible sigmoidoscopy testing to screen for colon cancer. What goal will the nurse include in the patient's plan of care?
A) Patient will verbalize understanding of pre-procedure preparation to be completed at home the day before the test.
B) Patient will feel comfortable about the upcoming test and have trust in the health care providers.
C) Patient will learn common side effects of the medications used to prepare the GI tract for endoscopy testing.
D) Patient will realize how important regular sigmoidoscopy testing is in the prevention of colon cancer.
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Page 36
Chapter 35: Medication Administration
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Sample Questions
Q1) The nurse is caring for a patient who is NPO with a new PEG (percutaneous endoscopic gastrostomy) tube. Which of the patient's medications can the nurse administer through the tube? (Select all that apply.)
A) Edluar (zolpidem tartrate) sublingual tablet 5 mg nightly at bedtime
B) Ondansetron (Zofran) oral disintegrating tablet 8 mg q 8 hours PRN nausea
C) Ceclor (cefaclor for oral suspension) 250 mg q 6 hours
D) Oxymorphone hydrochloride extended release (Opana ER) 40 mg q 12 hours
E) Phenytoin (Dilantin) chewable tablet 100 mg q 12 hours
F) Potassium chloride oral solution 20 mEq daily
Q2) The nurse makes a medication error. Which action will the nurse take first?
A) Prepare an incident report so that the facility can determine the cause of the error.
B) Explain to the patient that a medication error has occurred, and notify the nurse manager.
C) Assess the patient for any adverse reactions and notify the prescriber.
D) Document the medication given, how the patient responded, and the corrective actions taken.
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Chapter 36: Pain Management
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Q1) The nurse is caring for a patient who only speaks a foreign language. What is the best method for the nurse to assess the patient's pain level?
A) Perform a pain assessment using a translator.
B) Check the patient's vital signs and pulse oximetry.
C) Check the patient's respiratory rate, depth, and rhythm.
D) Look to see if the patient appears to be resting comfortably.
Q2) Which assessment question helps the nurse determine the character of the patient's pain?
A) "What does the pain feel like, i.e. stabbing, burning or throbbing?"
B) "When did the pain first start?"
C) "What interventions make the pain better?"
D) "Is there any pattern to when the pain occurs?"
Q3) The nurse administered 100 mcg sublingual fentanyl spray (Subsys) at 10:00 A.M. to a patient experiencing severe breakthrough pain. At what time will the nurse ask the patient if pain relief was obtained?
A) 10:30 A.M.
B) 11:00 A.M.
C) 11:30 A.M.
D) 12:00 noon
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Page 38
Chapter 37: Perioperative Nursing Care
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Q1) The nurse is caring for a patient who is headed to the operating room for abdominal surgery. Which goal is appropriate for the nursing diagnosis risk for Perioperative positioning injury?
A) Patient will deny numbness or tingling in extremities after surgical procedure.
B) Patient will maintain urine output of at least 30 mL/hour during and after surgery.
C) Patient will maintain elastic skin turgor as well as moist tongue and mucus membranes.
D) Patient will have no emesis and deny nausea following arousal from general anesthesia.
Q2) The nurse is caring for a patient who has just been brought to the postoperative unit following major surgery. The patient has many tubes and monitors in place. Which will the nurse assess first?
A) The patient's intravenous lines
B) The patient's urinary catheter
C) The patient's nasogastric tube
D) The patient's endotracheal tube
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Chapter 38: Oxygenation and Tissue Perfusion
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Q1) The nurse is caring for a patient with advanced COPD who reports feeling short of breath. The nurse notes that the patient's lung sounds are diminished bilaterally and the patient's pulse oximetry is 91% on 2 L/min oxygen via nasal cannula. What actions will the nurse take to make the patient more comfortable? (Select all that apply.)
A) Increase the patient's oxygen to 4 L/min via nasal cannula.
B) Suction the patient's airway using sterile technique.
C) Maintain eye contact and provide calm reassurance.
D) Turn the patient onto the side for postural drainage.
E) Administer the ordered nebulized bronchodilator.
F) Elevate the head of the patient's bed to fully upright.
Q2) The nurse is performing a respiratory assessment on a patient. Which assessment findings indicate to the nurse that the patient has a history of long-standing chronic respiratory disease? (Select all that apply.)
A) All of the patient's fingernails are noticeably clubbed.
B) The patient needs to sleep on at least four to five pillows at night.
C) The patient's chest has equal antero-posterior and transverse diameters.
D) The patient's lower legs have large areas of brownish spotted discoloration.
E) The patient reports puffiness of both feet when standing for long periods.
F) The patient's forced vital capacity test result is 3.8 L of air.
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Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
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Q1) The nurse is caring for a patient who has a serum magnesium level of 0.8 mEq/L. Which is the highest priority goal to include in the patient's plan of care?
A) The patient will maintain urine output of at least 30 mL/hr.
B) The patient will verbalize the importance of sufficient dietary intake of magnesium.
C) The patient's oral mucous membranes will remain free of ulceration and pain.
D) The patient will remain alert and oriented x3 with no confusion or seizure activity.
Q2) The nurse is reviewing the patient's laboratory results. Which result must be communicated to the physician immediately?
A) Serum chloride level 85 mEq/L
B) Serum sodium level 134 mEq/L
C) Serum potassium level 6.8 mEq/L
D) Serum magnesium level 2.3 mEq/L
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Chapter 40: Bowel Elimination
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Q1) The nurse is caring for a patient who has not had a bowel movement for 2 days. Which is the priority nursing intervention for this patient?
A) Obtain an order to administer a soap suds cleansing enema.
B) Teach the patient how to use the Valsalva maneuver.
C) Discontinue medications that can cause constipation.
D) Assess the patient's usual pattern of bowel movements.
Q2) The nurse is caring for a patient who is to have testing for fecal occult blood. What step will the nurse perform during this testing?
A) Keep the patient on a clear liquid diet for 72 hours.
B) Send the samples to the laboratory while they are still warm.
C) Inform the patient that several stool samples will be needed.
D) Use a sterile container when collecting the stool samples.
Q3) The nurse is caring for a patient who will be undergoing upper GI series testing the next day. Which instruction will the nurse provide to the patient about the upcoming exam?
A) "The back of your throat will be sprayed with numbing medicine."
B) "You will need to have a clear liquid diet and take a laxative tonight."
C) "You will be given a milky liquid to drink shortly before the test starts."
D) "You should not take your dose of warfarin (Coumadin) tonight."
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Page 42
Chapter 41: Urinary Elimination
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Q1) The nurse is caring for a postoperative patient whose urinary catheter was removed 8 hours previously. The patient has not been able to void since the catheter was removed and now reports suprapubic pain. What is the priority action of the nurse?
A) Encourage oral fluid intake and administer a diuretic.
B) Obtain a urine sample to test for culture and sensitivity.
C) Carefully calculate the patient's daily intake and output.
D) Obtain an order to straight-catheterize the patient.
Q2) The nurse is caring for a patient with diabetes insipidus. The patient has constant severe thirst, drinks fluids continuously, and voids 3 to 4 L of clear yellow urine daily. Which term will the nurse use in the record to describe this patient's urinary output?
A) Anuria
B) Oliguria
C) Polyuria
D) Enuresis
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Chapter 42: Death and Loss
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Q1) The hospice nurse is caring for a terminally ill patient. The patient's son is distraught because the patient will probably die within the next few days and there is nothing he can do about it. What is the most appropriate nursing diagnosis for the patient's son at this time?
A) Chronic sorrow r/t impending death of mother
B) Impaired religiosity r/t difficulty adhering to religious beliefs
C) Powerlessness r/t progression of mother's terminal illness
D) Complicated grieving r/t desired avoidance of mourning
Q2) The nurse is caring for an emergency room patient who died as a result of a mishap with a loaded gun. The patient's body will be transported to the coroner's office for an autopsy. Which items will the nursing staff remove from the body before it leaves the hospital?
A) Endotracheal tube
B) Foley catheter and IV line
C) Dentures
D) Necklace and watch
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