Maternal-Newborn Nursing Exam Preparation Guide
Course Introduction
Maternal-Newborn Nursing explores the principles and practices essential for providing comprehensive care to women and their families during pregnancy, childbirth, and the postpartum period. The course covers physiological, psychological, and social adaptations to pregnancy and birth, prenatal assessments, labor and delivery management, newborn care, and common complications affecting mothers and infants. Emphasis is placed on health promotion, patient education, cultural competence, and evidence-based nursing interventions to support optimal outcomes for both mothers and newborns. Students will gain foundational knowledge and clinical skills necessary for safe, ethical, and holistic maternal-newborn nursing practice.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume I.II and III 1st Edition by Pearson Services
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67 Chapters
2944 Verified Questions
2944 Flashcards
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Page 2
Chapter 1: Acid-Base Balance
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79 Verified Questions
79 Flashcards
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Sample Questions
Q1) The client is admitted to the emergency department (ED)with symptoms of a panic attack, including hyperventilation. Based on this data, the nurse plans care for which health problem?
A)Hypoventilation
B)Vomiting
C)Respiratory alkalosis
D)Memory loss
Answer: C
Q2) The nurse is caring for a client who is being mechanically ventilated. The current ventilator settings are: respiratory rate, 25 breaths per minute; tidal volume, 600 mL; FiO<sub>2</sub>, 30%; humidification 30 mg H<sub>2</sub>O/L. After being ventilated for 2 hours, arterial blood gas analysis reveals a pH of 7.20 and a PaCO<sub>2</sub> of 49 mmHg. Which change in ventilator settings should the nurse anticipate?
A)Increase in humidification of inspired air
B)Decrease of FiO<sub>2</sub> from 30% to 25%
C)Increased respiratory rate to 30 breaths per minute
D)Decreased tidal volume of each breath
Answer: C
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Page 3
Chapter 2: Cellular Regulation
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119 Verified Questions
119 Flashcards
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Sample Questions
Q1) During a routine physical examination of a client's lungs, the nurse notes a pink papule that is flat and erythematous with surface crusting on the client's upper chest. The nurse should notify the physician of this finding because the nurse suspects the papule might indicate what?
A)Squamous cell carcinoma
B)Basal cell carcinoma
C)Actinic keratosis
D)Malignant melanoma
Answer: B
Q2) A nurse is educating a client with anemia about the pathophysiological mechanisms of anemia. Which should be excluded in the nurse's teaching plan for this client?
A)Altered hemoglobin synthesis
B)Altered DNA synthesis
C)Decreased hemolysis
D)Bone marrow failure
Answer: C
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4
Chapter 3: Comfort
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Sample Questions
Q1) The nurse is reviewing the admission orders for an older adult client who is being admitted for a hysterectomy. The client, who has been diagnosed as having uterine cancer, has chronic pain caused by arthritis. The healthcare provider has prescribed long-acting oral narcotic medication to be administered every 4 hours. What should the nurse do when providing the medication to the client?
A)Administer the medication if the client requests it.
B)Administer the medication every 4 hours around the clock.
C)Consult the provider to order intravenous pain medication.
D)Administer the medication sparingly to avoid narcotic addiction.
Answer: B
Q2) The mother of three teenagers is diagnosed with fibromyalgia and asks the nurse to how to keep up with all of the children's activities. Which suggestion by the nurse is the most appropriate?
A)Attempt to attend all the functions of the children.
B)Negotiate with the children to alternate attendance of their functions.
C)Avoid attending any afterschool functions for the children.
D)Ask the children to limit their activities.
Answer: B
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Page 5
Chapter 4: Digestion
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Sample Questions
Q1) The nurse is providing care to an infant who underwent surgery for pyloric stenosis. Which actions by the nurse will decrease the risk for infection when caring for this infant? Select all that apply.
A)Monitor temperature every hour.
B)Place pressure on the incision.
C)Inspect the incision for redness, swelling, or discharge.
D)Auscultate the lungs to assess for any adventitious sounds.
E)Give the infant a tub bath.
Q2) A pediatric client is diagnosed with gastroesophageal reflux disorder (GERD). The nurse is observing a return demonstration of the caregiver preparing and feeding the infant formula. Which observation demonstrates correct procedure for preventing GERD symptoms?
A)Burping the infant after 4 ounces of formula are taken
B)Thinning the formula with water prior to feeding
C)Positioning the infant upright for a minimum of 30 minutes
D)Warming the formula prior to feeding
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Chapter 5: Elimination
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Sample Questions
Q1) The nurse is caring for an older adult client on a medical-surgical unit. The client tells the nurse, "I don't get any sleep at night because I have to get up and use the bathroom every couple of hours!" When providing an explanation for the nocturia, which statement by the nurse is the most appropriate?
A)"As you get older, there is a decrease in number of nephrons."
B)"As you get older, there is a decrease in the blood supply to your bladder."
C)"As you get older, you may have a decreased bladder capacity."
D)"As you get older, there is a decrease in cardiac output, causing these symptoms."
Q2) The nurse is caring for a client diagnosed with benign prostatic hyperplasia (BPH)who is experiencing an increase in symptoms. Which statement by the client would best explain the source of the increased symptoms?
A)"I have decreased oral intake at night."
B)"I recently had a vasectomy."
C)"I am using an over-the-counter cold medication for a cold."
D)"I am drinking very little caffeine."
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Page 7
Chapter 6: Fluids and Electrolytes
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Sample Questions
Q1) The nurse is preparing to discharge a client diagnosed with chronic kidney disease (CKD). The nurse is teaching the client and family about administering calcium acetate tablets by mouth with each meal at home. Which explanation about this medication is most appropriate for the nurse to include?
A)"The calcium acetate will lower your serum phosphate levels."
B)"The calcium acetate helps neutralize your gastric acids."
C)"The calcium acetate will help stimulate your appetite."
D)"The calcium acetate will decrease your serum creatinine levels."
Q2) The school nurse is preparing a class session for high school students on ways to maintain fluid balance during the summer months. Which interventions should the nurse recommend to decrease the risk of fluid imbalance? Select all that apply.
A)Drink diet soda.
B)Drink more fluids during hot weather.
C)Drink flat caffeine-free cola or ginger ale if vomiting.
D)Reduce the intake of coffee and tea.
E)Exercise between the hours of 10 a.m. and 2 p.m.
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8
Chapter 7: Health Wellness and Illness
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Sample Questions
Q1) Physical activity and exercise improve the functioning of many body systems. Exercise improves what normal body function of the gastrointestinal system?
A)Use of fatty acids
B)Insulin responsiveness
C)Peristalsis
D)Metabolic rate
Q2) A nurse is caring for a client with glossitis secondary to nutritional deficiencies. Based on this data, which is the priority focus of this client's care?
A)Upper lip
B)Upper teeth
C)Uvula
D)Tongue
Q3) A nursing diagnosis that indicates that a client wants to implement steps to promote health and wellness usually includes the word(s)
A)impaired.
B)ineffective.
C)risk for.
D)readiness for.
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9
Chapter 8: Immunity
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Sample Questions
Q1) The nurse is providing care to an adolescent client who presents at the clinic for a routine health assessment. Which immunizations should the nurse anticipate administering to the client during this visit? Select all that apply.
A)Herpes zoster vaccine
B)Papillomavirus vaccine
C)Rotavirus vaccine
D)Meningococcal vaccine
E)Hepatitis B vaccine
Q2) The client enters the outpatient clinic and states to the triage nurse, "I think I have the flu. I'm so tired, I have no appetite, and everything hurts." The triage nurse assesses the client and finds a butterfly rash over the bridge of the nose and on the cheeks. Based on this data, which diagnosis should the nurse anticipate?
A)Systemic lupus erythematosus
B)Fibromyalgia
C)Lyme disease
D)Gout
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Chapter 9: Infection
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Sample Questions
Q1) A labor and delivery nurse is providing care for a neonate in the first few minutes after birth. One action the nurse will take to promote eye health and prevent conjunctivitis in the infant is administration of A)oral tetracycline.
B)erythromycin as an eye ointment.
C)ceftriaxone as an eye drop.
D)parenteral acyclovir.
Q2) Which intervention should the nurse carry out to manage fever in a client with pneumonia? Select all that apply.
A)Increase the temperature of the room environment to prevent shivering.
B)Administer antipyretic medications.
C)Restrict fluids during periods of hyperthermia because of the risk of electrolyte imbalance.
D)Use ice packs and a tepid bath every 2 hours.
E)Promote frequent rest periods to increase energy reserve.
Q3) The provider has ordered fluid administration for a pediatric client with pneumonia. The client weighs 81.6 lb (37 kg). The nurse should expect to administer ________ mL of fluid per day for this client.
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Chapter 10: Inflammation
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Sample Questions
Q1) The nurse is caring for a client who receives H?-receptor antagonists for the treatment of peptic ulcer disease. Based on the nursing diagnosis Risk for Bleeding, which assessment finding should the nurse report immediately to the healthcare provider?
A)The client reports pain after 24 hours of treatment.
B)The client reports episodes of melena.
C)The client reports that he is constipated.
D)The client reports that he took Tums antacids with his H?-receptor antagonist.
Q2) The nurse is evaluating care provided to an older adult client with a history of cholecystitis 5 months ago. Which of the following statements on the part of the client indicates that the client met a goal in the plan of care?
A)"I have increased my intake of fat."
B)"I have been eating out often."
C)"I have been walking 1 mile every day."
D)"I have been able to gain 5 pounds on the new diet."
Q3) In the presence of inflammation, a client's erythrocyte sedimentation rate (ESR)
A)decreases due to the decreased proportion of fibrinogen in the blood.
B)decreases due to the increased proportion of fibrinogen in the blood.
C)increases due to the decreased proportion of fibrinogen in the blood.
D)increases due to the increased proportion of fibrinogen in the blood.
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Chapter 11: Intracranial Regulation
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Sample Questions
Q1) The nurse is determining ways to decrease environmental stimuli for a client with increased intracranial pressure. Which actions should the nurse take to support this client's care need? Select all that apply.
A)Limit the client's visitors.
B)Teach family to speak softly and minimize touching.
C)Elevate the head of the bed.
D)Raise pads and bedrails.
E)Keep the room dark and quiet.
Q2) Hydrocephalus results from an imbalance between production and absorption of which of the following?
A)Blood
B)Cerebrospinal fluid
C)Oxygen
D)Water
Q3) Which types of sports are most likely to cause concussion and traumatic brain injury?
A)Competitive
B)Energetic
C)High-impact
D)Team
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Chapter 12: Metabolism
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74 Flashcards
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Sample Questions
Q1) A nurse is caring for a client with end-stage liver disease. Which alterations should the nurse anticipate with this client? Select all that apply.
A)Elevated serum albumin levels due to increased protein synthesis
B)Decreased clotting factor levels due to impaired clotting factor production
C)Hyperglycemia due to disrupted glucose metabolism
D)Increased serum vitamin K due to impaired clearance of fat-soluble vitamins
E)Increased plasma oncotic pressure due to impaired protein metabolism
Q2) A client who is at risk for developing osteoporosis asks what can be done to decrease the risk of actually developing the disease. Which intervention would be the most beneficial for this client?
A)Decreasing the amount of calcium in the client's diet
B)Providing the client with assisted range of motion exercising twice daily
C)Increasing regular weight-bearing activities
D)Protecting the client's bones with strict bedrest
Q3) Restricted blood flow through the liver results in which condition?
A)Portal hypertension
B)Cirrhosis
C)Jaundice
D)Biliary atresia
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Page 14
Chapter 13: Mobility
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114 Flashcards
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Sample Questions
Q1) The nurse is evaluating care provided to a client recovering from hip replacement surgery. Which piece of documentation in the medical record indicates that the client has achieved the expected outcome for pain management?
A)The client states pain is a 6 on a numeric pain scale of 0 to 10 prior to evening care.
B)The client is crying and requesting pain medication prior to morning care.
C)The client is using a PCA pump around the clock and rates pain as a 2 on a numeric pain scale of 0 to 10.
D)The client refuses pain medication prior to physical therapy. Pain is rated as a 7 on a numeric pain scale of 0 to 10.
Q2) A client with a history of relapsing-remitting multiple sclerosis (MS)is expecting her first child. Which of the following nursing interventions would be indicated for this client?
A)Suggest the client seek reproductive counseling.
B)Tell the client to expect a period of remission after delivery.
C)Instruct the client to expect an exacerbation of symptoms while pregnant.
D)Discuss the client's options for pain control during labor, as her contractions will be especially severe.
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Page 15
Chapter 14: Nutrition
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Sample Questions
Q1) During a home visit, the nurse is assessing an older adult client. Which assessment findings support the nursing diagnosis Imbalanced Nutrition: Less than Body Requirements? Select all that apply.
A)Client reports a problem with dentures slipping while chewing.
B)Client complains of occasional dry mouth and problems with feelings of nausea.
C)Client's adult children arrive to eat dinner together several times a week.
D)Client is prescribed 15 medications.
E)Client's Social Security payments have gone down over the last year.
Q2) The nurse is preparing educational materials for a client with hypertension. Which of the following elements should the nurse include when preparing this material? Select all that apply.
A)Advising the client to avoid all sodium in the diet
B)Explaining the effects of sodium on blood pressure
C)Teaching the client how to read nutritional labels
D)Helping the client to recognize foods that are low in sodium
E)Showing the client how to follow the DASH eating plan
Q3) The nurse is performing a nutritional assessment of a client who weighs 185 lb and is 5 feet, 3 inches tall. This client's body mass index, rounded to the nearest hundredth, is
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Page 16
Chapter 15: Oxygenation
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Sample Questions
Q1) The nurse is developing a plan of care for a toddler diagnosed with respiratory syncytial virus (RSV). Which intervention is inappropriate for this client?
A)Offer small, frequent meals.
B)Encourage to ambulate frequently.
C)Encourage oral intake.
D)Monitor intake and output.
Q2) Which data supports the nurse's assessment that a newborn with acute respiratory distress syndrome (ARDS)is improving?
A)Increased PaCO<sub>2</sub>
B)Oxygen saturation of 92%
C)Pulmonary vascular resistance increases
D)Thick secretions from the respiratory tract
Q3) The nurse is providing care to a client recently diagnosed with chronic obstructive pulmonary disease (COPD). Which conditions will you include when you teach the client's family about the types of COPD?
A)Asthma and bronchitis
B)Asthma and emphysema
C)Bronchitis and emphysema
D)Emphysema and atelectasis
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Page 17
Chapter 16: Perfusion
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Sample Questions
Q1) The nurse has just completed the assessment of a client admitted with a gunshot wound to the femoral artery. Which is the priority nursing diagnosis for this client?
A)Deficient Fluid Volume
B)Ineffective Coping
C)Ineffective Airway Clearance
D)Decreased Cardiac Output
Q2) A nurse is caring for a client who was involved in a motor vehicle accident and has lost approximately 1,550 mL of blood. The nurse should recognize that the client's shock will be classified as:
A)Class I
B)Class II
C)Class III
D)Class IV
Q3) Which risk factor for hypertension is modifiable?
A)Age
B)Ethnicity
C)Family history
D)Tobacco use
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18
Chapter 17: Perioperative Care
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Sample Questions
Q1) The nurse is preparing a client for emergency surgery to repair liver and colon lacerations caused by a motor vehicle crash. Which information about this type of surgery will the nurse use to guide the client's care? Select all that apply.
A)An organ is going to be removed.
B)This is an emergency surgery.
C)The client will be hospitalized longer.
D)The client is at risk for blood loss.
E)The client is at risk for hypothermia.
Q2) A client presents with decreased blood volume, hypotension, tachycardia, and tachypnea during surgery. Which of the following intraoperative complications is most likely?
A)Hypovolemia
B)Hypervolemia
C)Hypokalemia
D)Hypernatremia
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Chapter 18: Sensory Perception
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Sample Questions
Q1) A nurse is caring for several pediatric clients who are affected by cataracts. Of these clients, which is the most obvious candidate for surgical removal of the cataract?
A)Two-month-old infant who is asymptomatic
B)Six-month-old infant with difficulty noticing toys or faces
C)Three-month-old infant with diminished reaction to bright light
D)One-month-old infant with no reaction to bright light and failure to notice toys or faces
Q2) What is vertigo?
A)Involuntary rapid eye movements
B)A feeling of rotation or imbalance
C)An infection of the vestibular nerve
D)Impaired olfaction
Q3) Foreign objects commonly cause what type of injuries among migrant farm workers?
A)Burns
B)Blunt trauma
C)Penetrating trauma
D)Abrasions
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20
Chapter 19: Sexuality
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Sample Questions
Q1) A menopausal client is concerned that intercourse with her spouse has become increasingly painful. What should the nurse explain about the changes in this client's body after menopause?
A)Cervical mucus is thicker.
B)Estrogen levels increase.
C)Sexual desire diminishes.
D)Vaginal lubrication decreases.
Q2) The nurse is caring for a young adult client who reports that she has painful periods. Which assessment findings suggest that this client is experiencing primary dysmenorrhea? Select all that apply.
A)Bleeding between menstrual periods
B)Headache
C)Fatigue
D)Diarrhea
E)Scant menses
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Chapter 20: Thermoregulation
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Sample Questions
Q1) The nurse is caring for a client admitted with minor burns and elevated body temperature after being in a house fire. What should be included in this client's plan of care to address the elevated body temperature? Select all that apply.
A)Providing blankets
B)Keeping the room temperature warm
C)Restricting fluids
D)Encouraging fluids
E)Lowering room temperature
Q2) The nurse is providing care to a client who has a body temperature of 94°F, an irregular heart rate, and low blood pressure. Which is the priority intervention for this client?
A)Elevate the client's legs.
B)Provide a heating pad to the client's lower back.
C)Elevate the head of the bed.
D)Administer warmed intravenous fluids.
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Chapter 21: Tissue Integrity
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Sample Questions
Q1) When planning care for a client at risk for developing pressure injuries, which intervention(s)should be included? Select all that apply.
A)Initiate a frequent toileting schedule.
B)Raise the client's heels off the bed.
C)Turn the client every 4 hours.
D)Use inflatable doughnut-style devices to reduce pressure on the sacrum.
E)Massage pressure areas with lotion every 4 hours.
Q2) A nurse working at a burn center is caring for a client with an electrical burn. According to the American Burn Association, how would this burn be classified?
A)Minor
B)Moderate
C)Major
D)Significant
Q3) Which of the following findings suggests that a wound is infected with pyogenic bacteria?
A)Sanguineous exudate
B)Serous exudate
C)Serosanguineous exudate
D)Purulent exudate
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Page 23
Chapter 22: Addiction
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Q1) A client is admitted to the emergency department with signs of drug use. The client reports ingesting Percocet and is currently experiencing respiratory depression. Based on this information, which prescription should the nurse anticipate for this client?
A)Diazepam
B)Haldol
C)Vitamin B<sub>12</sub>
D)Naloxone
Q2) A client with alcoholism is receiving court-ordered care in a residential treatment facility. After alcohol is discovered in her room, the client states, "It is not mine." Which responses by the nurse are appropriate in this situation? Select all that apply.
A)"You will lose your day pass privileges for this Sunday."
B)"We have a video of you accepting the alcohol from your brother."
C)"What do you think about sharing this at AA tonight?"
D)"You won't be allowed to go to dinner tonight."
E)"You have violated our behavior contract."
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Chapter 23: Cognition
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Sample Questions
Q1) Which is true regarding the aging process and cognition?
A)Generally, older adults' short-term memory changes significantly.
B)Generally, many older adults have increased difficulty finding and rapidly listing words.
C)The ability to use and understand word combinations declines steadily with age.
D)The ability to acquire practical information declines steadily with age.
Q2) The nurse is teaching the family of a client who has just been diagnosed with dementia. The family asks if there are treatments available that will cure the client. What would be the nurse's best response to the family?
A)"There are no treatments that will cure dementia at this time."
B)"Treatments to cure dementia include the use of vitamin E."
C)"Treatments to cure dementia involve hormone replacement therapy."
D)"There are no treatments that can slow the progression of the disease."
Q3) Damage to which region of the brain may result in loss of recent memory?
A)Neuron
B)Hippocampus
C)Cerebrum
D)Neurotransmitter
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Chapter 24: Culture and Diversity
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Q1) The nurse is reviewing the discharge instructions for administration of home medications with an older adult client. In considering the normal changes experienced with aging when developing a teaching plan for this client, what type of bias should the nurse be careful to avoid?
A)Relativism
B)Fundamentalism
C)Ageism
D)Multiculturalism
Q2) A nurse is working with a number of clients at a free clinic. Which client population is at the highest risk for low levels of healthcare?
A)Undocumented immigrants
B)Men who have protected sex with men
C)Men who have sex with women
D)Teenagers
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Chapter 25: Development
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Q1) The nurse is providing education to the parents of a child diagnosed with ASD. Which of the following healthcare professionals should the nurse tell the parents will take part in their child's care? Select all that apply.
A)Social services
B)Laboratory
C)Speech therapy
D)Play therapy
E)Public health agency
Q2) A child with cerebral palsy (CP)is scheduled for casting of the lower extremities. When instructing the parents about the purpose of the casts, which of the following will the nurse include in the teaching session? Select all that apply.
A)Promote skeletal alignment
B)Maintain stability
C)Improve muscle tone
D)Improve muscle function
E)Control involuntary movements
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Chapter 26: Family
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Q1) The nurse is observing a family counseling session that is focusing on the family members' communication patterns. Which observation indicates that there are existing or potential problems with family communication?
A)All members are participating in the discussion equally.
B)A few of the members just sit and listen.
C)Disagreements are ignored by the family leader.
D)The verbal communication is congruent with the nonverbal messages.
Q2) During a follow-up home visit, the nurse is evaluating the success of a family's ability to use internal resources to cope with the illness of a family member. Which observations by the nurse indicate that internal resources are being accessed? Select all that apply.
A)Next-door neighbor helping with family chores
B)Effective communication pattern
C)Skill in providing care to the ill family member
D)Church members stopping by with groceries
E)Center for Aging picking up the family member to take her to a physician's appointment
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Chapter 27: Grief and Loss
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Sample Questions
Q1) A client is hospitalized for suicidal ideations as a response to complicated grief. Which collaborative interventions can the nurse anticipate including in this client's care? Select all that apply.
A)Social service consult
B)Bereavement group
C)Antidepressant medication
D)Sleep medication
E)Psychotherapy
Q2) The nurse is caring for a client who has experienced fetal demise at 23 weeks' gestation and will have labor induced to deliver the fetus. The client's extended family insists on being present for the delivery. Which action is most appropriate for the nurse to take in this situation?
A)Ask the client about her preferences regarding the family's request.
B)Call security to escort the family out of the hospital.
C)Speak with the nurse manager about supporting the family's wishes.
D)Show the family to the waiting room.
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Chapter 28: Mood and Effect
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Sample Questions
Q1) The nurse understands that bipolar disorders affect clients differently across the lifespan. Which is true regarding bipolar disorder and lifespan considerations?
A)Children with bipolar disorders present with mood changes only.
B)Children with bipolar disorders rarely exhibit violent tempers.
C)Suicide risk does not increase in adolescents and teenagers who are diagnosed with bipolar disorders.
D)Lifetime prevalence of bipolar disorders in adolescents is 0-3%.
Q2) A nurse at a psychiatrist's office is reviewing the medication prescribed to several new clients for mood disorders. Which order would the nurse question?
A)A prescription for paroxetine for a 15-year-old boy with depression
B)A prescription for fluoxetine for a 14-year-old girl with depression
C)A prescription for sertraline for a 10-year-old boy with obsessive-compulsive disorder
D)A prescription for sertraline for an 11-year-old girl with depression
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Chapter 29: Self
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/45860
Sample Questions
Q1) The nurse is providing care to a client who has been diagnosed with anorexia nervosa. Which assessment findings indicate that the client has met some of the treatment goals related to the disease process? Select all that apply.
A)The client is observed wearing wrinkled clothes, listening to a portable music device, and staring out the window.
B)The client states that her menstrual cycle is regular and she is learning to prepare meals.
C)The client's vital signs are within normal limits.
D)The client's current weight is 75% of normal after 2 years of treatment.
E)The client is overheard telling her mother that she will eat dinner if her mother buys her new jeans.
Q2) To evaluate a client's personal identity, the nurse should consider what three aspects of the client's self?
A)Ideal self, private self, and public self
B)Ideal self, real self, and public self
C)Authentic self, presented self, and perceived self
D)Real self, goal self, and private self
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Chapter 30: Spirituality
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/45861
Sample Questions
Q1) The nurse is performing a holistic assessment of a client. Which observations indicate that the client is experiencing spiritual distress? Select all that apply.
A)The client is sitting in a chair before breakfast reading the Bible.
B)The client states he has lost his faith in God since he's gotten ill.
C)The client is watching a religious program on the television.
D)The client is crying, pacing, and mumbling about God being angry with him.
E)The client is overheard arguing with clergy about the existence of God.
Q2) A client who is scheduled for surgery wants to continue to wear a religious medallion. Which actions by the nurse support the client's religious needs? Select all that apply.
A)Keep the medallion on the client but remove it once anesthesia is provided.
B)Ask the client if wearing a medallion is going to ensure a successful surgery.
C)Document that the medallion is being worn by the client.
D)Suggest the client not wear the medallion because it will most likely be lost.
E)Explain that the medallion can be safety pinned to the client's gown.
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Chapter 31: Stress and Coping
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/45862
Sample Questions
Q1) Which hormone is one of the primary mediators of stress?
A)Glucagon
B)Cortisol
C)Serotonin
D)Somatostatin
Q2) A client complains about the stress of having to work long hours and missing daily exercise routines. Which response by the nurse is appropriate?
A)"There are other ways to reduce stress, such as meditation."
B)"Exercise helps reduce the impact of stress on the body and would be a good thing."
C)"Drinking a small glass of wine each day does help reduce stress."
D)"Maybe exercising, with all of the work, would be too much for your body anyway."
Q3) When caring for a client newly diagnosed with obsessive-compulsive disorder, which action by the nurse is appropriate?
A)Do not interrupt the ritual.
B)Interrupt the ritual.
C)Teach about antianxiety foods.
D)Teach ritual interruption skills.
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Chapter 32: Trauma
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/45863
Sample Questions
Q1) A child is admitted to the hospital with physical injuries. Which assessment findings would indicate that the child is a victim of abuse? Select all that apply.
A)Confusion
B)Missing teeth
C)Apprehension when other children cry
D)Abrasions to the mouth, lips, and genitalia
E)Dehydration
Q2) The nurse suspects a client is experiencing posttraumatic stress disorder when which are noted during the assessment process? Select all that apply.
A)Observed family member being raped and murdered
B)Restores antique automobiles as a hobby
C)Lives with spouse and has a garden
D)Has a history of anxiety disorder
E)Recently terminated from employment
Q3) Which of the following is a common element of abuse experienced by the victim?
A)Accidental injury
B)Feelings of control
C)Humiliation
D)Manipulation
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Page 34
Chapter 33: The Concept of Reproduction
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72 Flashcards
Source URL: https://quizplus.com/quiz/45864
Sample Questions
Q1) The nurse is planning care for a client who had a cesarean birth 4 hours ago. Which actions should be included in this client's plan of care? Select all that apply.
A)Encourage the use of breathing, relaxation, and distraction.
B)Encourage deep breathing and coughing every 2 to 4 hours.
C)Encourage to ambulate to the bathroom to void.
D)Discourage leg exercises.
E)Withhold all analgesics.
Q2) The nurse is providing care to a newborn born at 37 2/7 weeks' gestation. The newborn's weight is 1750 g (3 pounds, 10 ounces). What statement would the nurse use to describe these assessment findings?
A)Preterm appropriate for gestational age
B)Term appropriate for gestational age
C)Preterm small for gestational age
D)Term small for gestational age
Q3) A premature newborn's neuronal immaturity may contribute to what complication?
A)Apnea of prematurity
B)Patent ductus arteriosus
C)Respiratory distress syndrome
D)Anemia of prematurity
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Page 35
Chapter 34: Assessment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/45865
Sample Questions
Q1) What is one possible conclusion the nurse could draw after assessing a client with the Braden Scale?
A)The client is at risk for falls.
B)The client is at risk for pressure ulcers.
C)The client is at risk for malnutrition.
D)The client may be unable to complete activities of daily living.
Q2) The nurse is preparing to conduct a physical examination of a client's head and neck area. The client is paralyzed from the neck down. Which action by the nurse is appropriate when conducting the physical assessment of this area?
A)Supporting the client during the examination
B)Placing the client in an armless regular chair
C)Placing the client in Sims position
D)Placing the client in supine position
Q3) For which client would the Denver II tool not be an appropriate choice for the nurse to use during a well-child assessment?
A)A male client
B)A client aged 7 or older
C)A female client
D)A client aged 6 or younger
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Page 36
Chapter 35: Caring Interventions
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11 Flashcards
Source URL: https://quizplus.com/quiz/45866
Sample Questions
Q1) When a client's or family's wishes about a client's care clash with what the nurse believes would be the best possible care for the client, this could cause a conflict between caring interventions and what other nursing concept?
A)Accountability
B)Ethics
C)Quality Improvement
D)Communication
Q2) The family members of a recently deceased client wrote a letter to the unit manager, expressing their appreciation for the way the client was treated while dying in the hospital. The family mentioned characteristics that indicate the nurses were caring. What behaviors did the family most likely use to explain the caring actions of the nurses? Select all that apply.
A)Delivered care with style
B)Treated the client as a human being
C)Respected the client
D)Maintained client confidentiality
E)Established limits with the client
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Chapter 36: Clinical Decision Making
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/45867
Sample Questions
Q1) The home health nurse is visiting a client who is 2 weeks postoperative from a coronary artery bypass surgery. The client has lost 10 pounds, is continuing to experience pain, and is not eating. What should be the nurse's next action?
A)Examine the current interventions for pain relief.
B)Refer the client to social services.
C)Contact Meals on Wheels so that the client will eat.
D)Revise the goals in the current plan of care.
Q2) A client asks the student nurse to explain the pathophysiology of diabetes. The student nurse does not know the answer to this question. What should the student respond to the client?
A)"I do not know, but I will find out."
B)"You'll have to ask the doctor that question."
C)"Why do you need to know that?"
D)"I do not know."
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Chapter 37: Collaboration
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/45868
Sample Questions
Q1) An experienced nurse is delivering a presentation to a group of nursing students about the importance of collaboration in the healthcare environment. The nurse wants to use evidence from the literature to support her argument. Which of the following are documented benefits of collaboration that the nurse should discuss in her presentation? Select all that apply.
A)Improved client outcomes
B)Reduction in duplication of healthcare services
C)Increased overall cost of healthcare services
D)Decreased client morbidity and mortality
E)Higher level of job satisfaction
Q2) A nurse who is caring for an adult client in the intensive care unit (ICU)is given a verbal prescription by a first-year medical resident. The nurse determines that the best course of action is to check with the attending healthcare provider before implementing the prescription. What is the most likely reason why the nurse is experiencing conflict regarding this situation?
A)The resident seems unsure of the prescription.
B)The nurse only takes prescription orders from attending healthcare providers.
C)The nurse does not like first-year residents.
D)The nurse may not trust the resident to make the best care decisions.
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Page 39
Chapter 38: Communication
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54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/45869
Sample Questions
Q1) Traditional client records employ which of the following documentation systems?
A)Source-oriented record
B)Problem-oriented medical record
C)PIE model
D)Focus charting
Q2) The nurse is caring for a client who is having difficulty understanding the dressing changes that need to be completed in the home as part of postdischarge wound care. The client asks the nurse to demonstrate the procedure again and allow the client's spouse to perform the procedure while the nurse watches. What is the most likely outcome of this assertive request by the client?
A)A slightly increased chance that the wound will become infected due to exposure during dressing changes
B)Less compassionate care for the client due to the nurse's irritation by the request
C)A greater likelihood that the wound will heal appropriately
D)A guarantee that the spouse will change the dressings correctly
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Chapter 39: Managing Care
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/45870
Sample Questions
Q1) An older adult client tells the nurse, "I am worried about how I will pay for my hospital bill." The client is being discharged, is being referred to home healthcare, and the new plan of care involves extremely expensive drugs. Which response by the nurse is appropriate?
A)"You need to focus on recovering and not worry about finances."
B)"I'll have someone from the business office come and set up your payment plan."
C)"Don't worry. I'm sure everything will work out okay."
D)"Much of your care will be covered by Medicare."
Q2) A nurse-supervisor is encouraging nurses to delegate responsibilities whenever possible. Which criteria are used to determine tasks that can be delegated? Select all that apply.
A)Does the delegate have the appropriate skills to perform the task safely?
B)How busy are you?
C)Is the client frequently complaining?
D)Does the task require client education?
E)Is the task unpleasant?
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Chapter 40: Professional Behaviors
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/45871
Sample Questions
Q1) A nurse overhears two colleagues disparaging a client on a public elevator. Which action by the nurse is most appropriate?
A)Immediately ask the nurses to stop talking about clients in public.
B)Report the nurses' behavior to the unit manager.
C)Wait and speak to the nurses about their behavior in a private place.
D)Report the nurses' behavior to the hospital's risk manager.
Q2) During a staff meeting, the new nurse manager informs the staff that each nurse will be getting an email account that needs to be checked daily for information from the manager. Which responses to this policy would be expected of a "Generation X" nurse?
Select all that apply.
A)"Can we access the email account from home?"
B)"That sounds like a great idea."
C)"I would rather get the information directly from you."
D)"I would rather receive the information in a unit newsletter."
E)"Can we use this account to email one another?"
Q3) An individual's work ethic reflects his or her
A)belief in the importance and moral worth of work.
B)desire to advance in a chosen profession.
C)level of affective commitment to a profession.
D)degree of optimism with regard to the work environment.
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Chapter 41: Teaching and Learning
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/45872
Sample Questions
Q1) During the physical examination of a client who took a fall that fractured his hip, the nurse notices an impairment of the client's hearing, but that the client's visual acuity and motor function do not seem to be impaired. The client answers questions very precisely and readily grasps the meaning of everything the nurse says when the client can face the nurse. When teaching this client, the nurse should make it a priority to
A)make verbal instructions face to face with the client.
B)provide only written instructions.
C)use only visual media.
D)use only physical demonstrations with written instructions.
Q2) The nurse is conducting a class for a group of pregnant clients and wants to focus specifically on the risks of alcohol consumption for the developing fetus. Which topic should the nurse include with regard to safety of the fetus?
A)Human growth and development
B)Nutrition
C)Lifestyle modification
D)Stress management
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Chapter 42: Accountability
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A school nurse in a large urban high school regularly delivers presentations on nutrition, smoking cessation, and prevention of sexually transmitted infections (STIs). What area(s)of nursing competence is this nurse demonstrating? Select all that apply.
A)Health restoration
B)Health and wellness promotion
C)Caring for the dying
D)Illness prevention
E)Care cost savings
Q2) A nurse would like to implement an evidence-based practice change that will influence client care on the medical-surgical unit. The nurse works with the nurse manager and other members of the leadership team to write a new policy and produce educational materials for the unit's staff and clients. In carrying out these actions, the nurse is practicing which standard of professional performance?
A)Leadership
B)Collaboration
C)Evaluation
D)Collegiality
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Chapter 43: Advocacy
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18 Flashcards
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Sample Questions
Q1) The nurse is caring for a terminally ill pediatric client. The parents have decided to remove their child from life support. Which action by the nurse displays the role of client advocate?
A)Respecting the parents' decision
B)Telling the parents they are making the right decision
C)Asking to be assigned to a different client
D)Referring the parents to social services
Q2) A nurse is organizing a client advocacy committee focused on improvements in water quality to protect the health of vulnerable populations. As she examines her own workplace, what is a likely area of improvement for her to focus on?
A)Disposal of disinfectants
B)Oil spills
C)Pollution of water resources
D)Use of arsenic
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45
Chapter 44: Ethics
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/45875
Sample Questions
Q1) A client, learning that her baby has died in utero, is planning to carry the baby until natural delivery because abortion is against her religion. Which is the client demonstrating based on this data?
A)Fear of retribution
B)Morals
C)A healthy decision
D)Sound judgment
Q2) A nurse educator is explaining the idea of healthcare as a partnership between provider and client. Which are client responsibilities that some hospitals have included in their client bill of rights? Select all that apply.
A)Involving your family in your healthcare decisions
B)Reporting accurate and complete information about your health to your healthcare team
C)Answering questions asked by your healthcare team
D)Immediately paying all expenses not covered by insurance
E)Accepting the consequences if you fail to comply with instructions given to you
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Chapter 45: Evidence-Based Practice
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21 Flashcards
Source URL: https://quizplus.com/quiz/45876
Sample Questions
Q1) A nurse is planning a research project comparing the use of fingerstick blood glucose testing with the use of alternative sites for adult male clients. Which elements of the PICOT formulation of the clinical question still need to be defined? Select all that apply.
A)People
B)Issue
C)Comparison
D)Outcome
E)Time
Q2) A nursing student who is providing care for an assigned client knows that the information documented in the client's nursing care plan could potentially be used in research to optimize client care. Which type of research is used to convert research knowledge into healthcare applications for improved outcomes?
A)Translational research
B)Transformational research
C)Quantitative research
D)Qualitative research
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Chapter 46: Healthcare Systems
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/45877
Sample Questions
Q1) If more older adults live in Mississippi than elsewhere in the United States and clients in Massachusetts have much greater access to health services than clients elsewhere in the United States, then what does this imply about access of older adults to healthcare in Mississippi?
A)The likelihood is that more specialists serving older populations will work in Mississippi than in Massachusetts.
B)Their access to healthcare should be roughly equal to that of older adults living in Massachusetts but with a different mix of providers.
C)The need for services will be much greater for older adults in Mississippi than in Massachusetts due to a decreasing number of healthcare providers.
D)There will be much more robust rural services for older adults in Mississippi than in Massachusetts.
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Chapter 47: Health Policy
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/45878
Sample Questions
Q1) An older adult client experiences an extended hospitalization due to a chronic illness. The client states to the nurse, "I don't know how I can pay for this hospital stay and afford all of the new medication that I have been prescribed." Which response by the nurse is the most appropriate?
A)"I'll have someone from the business office come and talk to you about your bill."
B)"You need to focus on recovering and stop worrying about money."
C)"Much of your care will be covered by Medicare."
D)"Don't worry. I'm sure everything will work out okay."
Q2) A local health system implemented a number of health promotion policies and plans to prioritize health problems. The system must now evaluate the effectiveness of the interventions. Which groups are stakeholders in this initiative and would be involved in the evaluation process?
A)Only consumers who were directly affected by the services provided
B)Consumers, community leaders, and politicians
C)Only hospital and clinic personnel who administered healthcare needs
D)Healthcare providers employed by other health systems
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Chapter 48: Informatics
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26 Flashcards
Source URL: https://quizplus.com/quiz/45879
Sample Questions
Q1) In preparation for the next quality improvement committee meeting, the nurse accesses the clinical decision support system to run an outcomes report. How should the nurse anticipate the committee using this report?
A)To eliminate unnecessary care
B)To measure the length of hospital stays
C)To assist in modifying policies and procedures
D)To validate appropriate place of treatment
Q2) The nurse administrator of a local hospital is attending training on the new informatics system the hospital will be implementing. Which information should the nurse administrator be able to manage from the dashboard? Select all that apply.
A)Staffing
B)Budgets
C)Clients
D)Quality initiatives
E)Plans of care
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Chapter 49: Legal Issues
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36 Flashcards
Source URL: https://quizplus.com/quiz/45880
Sample Questions
Q1) A nurse educator is planning a class for a group of nursing students regarding risk management. Which information should the educator include in this presentation? Select all that apply.
A)Risk management seeks to prevent harm.
B)Risk management empowers clients.
C)Risk management controls the cost of supplies.
D)Risk management examines past mistakes and identifies potential hazards.
E)Risk management ensures that nurses are truthful.
Q2) A student nurse administers a medication to the wrong client while the instructor is with another student. Which statement by the instructor is most appropriate in this situation?
A)"You have placed the nursing student program in danger."
B)"You may be sued by the hospital for the extra care cost to the client."
C)"You are expected to practice like a licensed nurse."
D)"You have set a bad example for the other students."
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Chapter 50: Quality Improvement
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/45881
Sample Questions
Q1) Which statements best describe how a quality improvement process can contain healthcare costs? Select all that apply.
A)"Promoting safety increases the cost of care."
B)"Medication errors decrease the cost of care."
C)"High nurse-to-client ratios result in decreased readmission rates."
D)"Increased nursing staff has been linked to decreased infection rates."
E)"Use of computers increases the number of lawsuits."
Q2) Which statement correctly describes quality management?
A)Quality management compares nursing processes to accepted standards to prevent errors in treatment.
B)Quality management refers to systematic actions that lead to improvements in healthcare services.
C)Quality management is the degree to which health services increase the likelihood of desired health outcomes.
D)Quality management provides clients with appropriate service in a technically competent manner.
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Chapter 51: Safety
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32 Flashcards
Source URL: https://quizplus.com/quiz/45882
Sample Questions
Q1) What nursing intervention is appropriate for a client with dry and cracked feet?
A)Provide slippers for the client to wear at all times
B)Soak the client's feet in water several times daily
C)Apply lotion to the client's feet after bathing
D)Massage the client's feet daily
Q2) The nurse is caring for a client with a self-reported latex allergy. Which strategy can the nurse use to ensure the safety of this client?
A)Wear hypoallergenic gloves
B)Wear gloves with powder
C)Wash hands after taking gloves off
D)Keep beta adrenergic agonists on hand
Q3) The home healthcare nurse is traveling to a client's home for the first time. What observation would suggest a safety hazard for the nurse?
A)Neighbor walking a dog on a leash
B)Porch steps that are broken and rotting
C)Client medications on the kitchen counter
D)Absence of street lights in the neighborhood
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Chapter 52: Assessment
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Source URL: https://quizplus.com/quiz/45816
Sample Questions
Q1) A new client came to the clinic complaining of shortness of breath and fever. How long should the triage nurse count the peripheral pulse?
A)15 seconds
B)30 seconds
C)1 minute
D)2 minutes
Q2) Which is the most important question the nurse should ask a client before performing a routine musculoskeletal assessment?
A)"Do you exercise every day?"
B)"Do you have a history of any sports injuries?"
C)"Do you take a hot bath to relax your muscles?"
D)"Do you want pain medication before I begin?"
Q3) Which does the nurse observe during the assessment while documenting a Tanner Stage 5?
A)There is no pubic hair except for fine body hair.
B)Pubic hair is developing along the labia.
C)Pubic hair distribution extends to umbilicus.
D)Pubic hair appears on the inner aspect of the thigh.
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Chapter 53: Caring Interventions
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Source URL: https://quizplus.com/quiz/45818
Sample Questions
Q1) While giving the client a bath, the nurse notes the client has facial acne. What statement by the nurse will not be included when teaching the client about this condition?
A)"Use cool water when cleansing your face to close the pores."
B)"Wash your face frequently to remove oil and dirt."
C)"Avoid using oil-based creams on your face."
D)"Do not squeeze the lesions on your face."
Q2) The nurse delegates soft contact lens care to a UAP. Which action by the UAP requires the nurse to intervene?
A)Placing the client in semi-Fowler's position.
B)Placing the client's removed disposable lenses in the trash.
C)Placing the gloved thumb and forefinger directly on the soft lens on top of the eyeball.
D)Placing the gloved thumb on the client's lower eyelid and gloved index finger on the client's upper lid, pressing lightly on the eyeball.
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Chapter 54: Comfort
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Sample Questions
Q1) The nurse cares for a client with chronic pain who asks the nurse about using acupressure for pain relief. Which statements will the nurse include in the teaching regarding how this treatment works for pain relief. Select all that apply.
A)"The pressure compresses and splints irritated nerve endings."
B)"It redirects energy flow through pressure on meridian points."
C)"The therapy restores structural integrity and balance."
D)"The therapy reduces pain and increases endorphins."
E)"It manipulates muscles and realigns spinal column nerve function."
Q2) The nurse prepares to apply a TENS unit on a client who is experiencing pain. Place the steps of this procedure in the correct order.
A)With the unit off, plug the lead wires into the unit.
B)Insert the battery and test for functioning.
C)Turn the unit on and ensure the amplitude is set to zero.
D)Apply the electrodes to the client.
E)Increase the amplitude until the client notes discomfort.
F)Slowly decrease the amplitude until the client notes a pleasant sensation.
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Chapter 55: Elimination
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20 Flashcards
Source URL: https://quizplus.com/quiz/45823
Sample Questions
Q1) The nurse prepares to change a client's fecal ostomy pouch. Which assessments regarding the stoma are priority? Select all that apply.
A)Skin around the stoma.
B)Location of the stoma.
C)Appearance of the stoma.
D)Date of stoma placement.
E)Complications during placement of stoma.
Q2) A nurse attempts to obtain a urine sample from a client's ileal conduit. After correct sterile catheterization, no urine output is noted. How should the nurse respond?
A)Contact the health care provider.
B)Reinsert the catheter.
C)Ask the client to drink water.
D)Advance the catheter further in the stoma.
Q3) When placing the client on a bedpan, which position will the nurse place the client?
A)High-Fowler's
B)Semi-Fowler's
C)Upright
D)Supine
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Chapter 56: Fluids and Electrolytes
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23 Flashcards
Source URL: https://quizplus.com/quiz/45824
Sample Questions
Q1) A novice nurse performs care of a client's central line. Which action by the novice nurse requires intervention by the nurse preceptor?
A)Changing a clean gauze dressing that is 48 hours old.
B)Changing a clean transparent dressing that is 72 hours old.
C)Scrubbing the insertion site with antimicrobial solution for 30 seconds.
D)Placing an impregnated antimicrobial dressing on the insertion site.
Q2) The nurse attempts to secure and stabilize an IV catheter and dressing of an older adult client. Which nursing action is appropriate?
A)Use roll-type gauze to cover the IV site.
B)Apply skin protector solution prior to dressing the IV site.
C)Use extra tape to attach to the client's skin.
D)Apply lotion to the client's skin prior to dressing the IV site.
Q3) The nurse cares for a client with a central venous catheter. Which action by the nurse is incorrect when maintaining the client's central line?
A)Wiping the access port with an antimicrobial swab for 30 seconds.
B)Using a 5-mL syringe to flush the catheter.
C)Flushing the catheter before and after each dose of medication.
D)Using a push-pause-push motion to flush the catheter.
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58
Chapter 57: Infection
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Source URL: https://quizplus.com/quiz/45826
Sample Questions
Q1) The nurse is caring for a client in isolation. The nurse needs to remove the isolation gown and gloves after leaving the client's room. Place the steps in correct order for removing PPE.
A)Remove gloves.
B)Use the nondominant hand to pull sleeve wristlet over the dominant hand.
C)Grasp outside of gown through the sleeves at shoulders.
D)Using the dominant hand and grasping the clean part of the wristlet, pull sleeve wristlet over the nondominant hand.
E)Fold gown inside out and discard.
F)Pull gown down over the arms.
Q2) The nurse teaches an older adult client on methods of infection control. Which statement, specific to this client population, will the nurse include in the teaching?
A)"Ensure increased protein intake in order to maintain immune function."
B)"Inflammatory response increases with age."
C)"Immune function remains unchanged with age."
D)"Ensure adequate protein intake in order to maintain immune function."
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Chapter 58: Intracranial Regulation
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Source URL: https://quizplus.com/quiz/45829
Sample Questions
Q1) The nurse is caring for a client diagnosed with diabetic ketoacidosis and notes that the client's level of consciousness appears to be deteriorating. The nurse is aware that which assessments are a component of both the Glasgow Coma Score and the Full Outline of Un-Responsiveness (FOUR Score)Coma Scale? Select all that apply.
A)Brainstem reflexes
B)Ability to follow verbal commands
C)Abnormal breathing patterns
D)Pupil size
E)Types of motor responses
Q2) The nurse is assisting with a lumbar puncture of an infant who is irritable and feverish. The manometer indicates increased intracranial pressure and the cerebral spinal fluid appears cloudy. The nurse will institute which interventions as a result of these findings?
A)Prepare to send the infant for a CT scan to look for an area of bleeding.
B)Assess the infant's anterior fontanel for any bulging.
C)Place the child in respiratory isolation because of possible meningitis.
D)Administer an antipyretic and prepare to send the infant home.
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Page 60
Chapter 59: Metabolism
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Sample Questions
Q1) The nurse is caring for a client who has just been diagnosed with diabetes mellitus. The client tells the nurse that she went to the doctor with symptoms of a urinary tract infection and ended up being admitted with diabetes mellitus. She then tells the nurse that her father had diabetes and he ended up dying with kidney failure. The client says, "It looks like that's what is going to happen to me. My kidneys are already messed up." Which is the nurse's BEST response to this client's statement?
A)"It does appear that your disease is progressing quite quickly. Do you have anyone in your family who would donate a kidney for you?"
B)"I wouldn't worry about that right now. Your first job is to get used to having diabetes."
C)"Have you had any other symptoms of kidney failure such as edema or high blood pressure?"
D)"Your current infection was caused by the diabetes, but watching your blood sugar in the future will help prevent complications."
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Chapter 60: Mobility
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Sample Questions
Q1) The nurse is aware that clients who use the swing-to-gait for ambulation on a regular basis are at risk for development of which problem?
A)Atrophy of the arm muscles
B)Fractures of the feet
C)Atrophy of the leg muscles
D)Sciatic nerve injury
Q2) The nurse is preparing to do pin site care for a client in skeletal traction. It is noted that the site appears red and feels warm to the touch. What actions will the nurse perform in taking care of this situation? Select all that apply.
A)Notify the healthcare provider.
B)Refrain from disturbing the crusts around the pin until the healthcare provider can observe it.
C)Expect to obtain a culture and sensitivity specimen from the pin site.
D)Remove the client's traction weights until the healthcare provider sees the client.
E)Check the client's vital signs.
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Chapter 61: Nutrition
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Sample Questions
Q1) The nurse is assisting a client with swallowing difficulties to eat and should encourage the client to put how much food on the spoon at one time?
A)1/4 tsp
B)1 tsp
C)1 tbs
D)3 tbs
Q2) The nurse is caring for a client receiving total parenteral nutrition and will instruct the unlicensed assistive person (UAP)to complete which assessment every 4 hours?
A)Blood pressure
B)Pulse
C)Temperature
D)Pain level
Q3) The nurse is completing an anthropometric measurement of an individual and should use which instruments to complete this assessment?
A)Yard stick and scale
B)Yard stick and tape measure
C)Tape measure and ruler
D)Tape measure and skinfold caliper
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63
Chapter 62: Oxygenation
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Sample Questions
Q1) The nurse is caring for a client with pneumonia and should be most concerned about which assessment?
A)The client cannot remember which day it is.
B)The client's heart rate has risen from 72 to 78 bpm.
C)The client's pulse oximetry has decreased from 99% to 97%.
D)The client respiratory rate has risen from 16 to 20 breaths per minute.
Q2) The nurse is caring for a 4-year-old postoperative client who has been unable to understand the use of the incentive spirometer. The nurse should choose which activity that will assist the child to perform the same action as the spirometer?
A)Blowing out candles
B)Sucking on a straw
C)Filling up a balloon
D)Using bubbles
Q3) The nurse should encourage the client to use incentive spirometry prior to which procedure?
A)Ambulating the client
B)Preparing the client for a rest period
C)Removing the client's meal tray
D)Obtaining a sputum specimen
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Page 64
Chapter 63: Perfusion
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Sample Questions
Q1) The nurse is administering a blood transfusion to a client. Which should the nurse implement first when a client is complaining of chills and back pain within the first 15 minutes of this transfusion?
A)Infuse normal saline.
B)Give the client a blanket.
C)Stop the infusion.
D)Notify the charge nurse.
Q2) The client diagnosed with anemia has the following lab results: hemoglobin 7.8 g/dL, platelets 150,000, white blood cells 4.7, and hematocrit 23.4%. Which lab result indicates the transfusion worked after receiving 2 units of packed red blood cells?
A)Hemoglobin 11 g/dL
B)Platelets 130,000
C)White blood cells 5.3
D)Hematocrit 15%
Q3) How should the nurse calculate the heart rate from a rhythm strip?
A)Count the number of R waves in 30 large blocks and multiply by 10.
B)Count the number of small squares in a 3-second period and multiply by 0.20.
C)Count the number of large squares and multiply by 3.
D)Count the number of P waves in a 0.04 second and multiply by 5.
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Page 65
Chapter 64: Perioperative Care
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Q1) Immediately prior to placing the client on a gurney for surgery, the nurse asks the client to remove the partial plate dentures. The client becomes upset and states, "No one can see me without my teeth. I am so embarrassed by the way I look without them." What is the nurse's best response to the client?
A)"I realize this is hard for you to do. I will ask the nurse in surgery to remove them for you after you go to sleep."
B)"Why don't you take them out and drape this washcloth over your face so no one can see you without your teeth?"
C)"Leaving your teeth in during surgery may cause injury to you or your teeth. Here is the cup for your dentures. Take them out right before surgery and then you can place them back in your mouth as soon as you wake up."
D)"This is just something you have to put up with when you have surgery. No one knows you here so it won't be that embarrassing."
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Chapter 65: Reproduction
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Q1) The nurse is caring for a client at 33 weeks gestation who is being monitored for possible preeclampsia. The nurse prepares to check the client's patellar deep tendon reflex and places the client in which position?
A)Ask the client to lay on her left side with the right leg slightly bent and the nurse supporting the client's knee.
B)Request the client lie on her back with the knees bent and the nurse supports on the legs.
C)Sit the client up in bed with the knees bent and the feet resting on the bed.
D)Assist the client to a chair next to the bed and ask the client to cross her legs.
Q2) The nurse is attending the birth of a premature neonate and prepares to do the 1-minute Apgar score of this infant. Assessment data shows the infant has a heart rate of 98, is not crying, has some flexion of the extremities, has a grimace when stimulated, and is very pale. Which will the nurse record as the Apgar score?
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Chapter 66: Safety
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Sample Questions
Q1) Which statement by an older adult client to the nurse would indicate that the client is being abused? Select all that apply.
A)"I am so cold all of the time because I don't have any warm clothes."
B)"I think I have a sore on my bottom. No one ever cleans me after I use the bathroom."
C)"Please don't tell that lady that brought me here that I showed you my bruises."
D)"I wish I had someone else to bring me here. That lady is a terrible driver."
E)"The lady insists on using the cheap soap to wash my clothes. I hate the smell."
Q2) The nurse is caring for a client who becomes occasionally confused. When the client has a period of confusion, he attempts to pull out his Foley catheter. When the client is oriented, he likes to do crossword puzzles. After receiving an order for restraints, which would be the best place(s)to place the restraint in this client?
A)Around the client's elbows
B)Around the client's wrists
C)Around the client's fingers (using a mitt restraint)
D)Around the client's torso (using a vest-type restraint)
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Chapter 67: Tissue Integrity
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Sample Questions
Q1) The nurse is caring for an older adult client who was admitted to the hospital after having a stroke. The client was in extremely critical condition on admission to the emergency department and a Braden Risk Assessment Scale was not completed. On the client's fifth day of hospitalization, the nurse notes that the client has developed a stage one pressure injury on the elbow of the side affected by the stroke. Which is the implication of this situation in relation to reimbursement for care of the pressure injury?
A)Medicare will pay for the treatment because it was noticed while the client was still hospitalized.
B)Medicare will not pay for treatment because the pressure injury was not properly documented.
C)Medicare will pay for the treatment because pressure injuries are an expected outcome in a client who has had a stroke.
D)Medicare will not pay for treatment because an initial skin assessment was not completed, so it is assumed that the pressure injury was caused by improper care at the hospital.
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