Nursing Foundations
Final Test Solutions
Course Introduction
Nursing Foundations introduces students to the core principles, concepts, and values that underpin the practice of professional nursing. This course covers the history and evolution of nursing, fundamental nursing theories, ethical and legal responsibilities, and the role of nurses in promoting health and well-being across diverse populations. Learners will explore essential skills such as effective communication, critical thinking, patient-centered care, and basic clinical procedures crucial for safe and competent practice. Emphasizing evidence-based approaches, this course also prepares students to function as integral members of the healthcare team while fostering a commitment to lifelong learning and professional growth in nursing.
Recommended Textbook Essentials for Nursing Practice 8th Edition by Potter
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39 Chapters
1000 Verified Questions
1000 Flashcards
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Chapter 1: The Nursing Profession
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A registered nurse is required to participate in a simulation to learn how to triage patients who are arriving to the hospital after exposure to an unknown gas.This is an example of a response to what type of influence on nursing?
A) Workplace hazards
B) Nursing shortage
C) Professionalism
D) Emergency preparedness
Answer: D
Q2) A patient does not want the treatment that was prescribed.The nurse helps the patient talk to the primary health care provider and even talks to the primary health care provider when needed.The nurse is acting in which professional role?
A) Educator
B) Manager
C) Advocate
D) Provider of care
Answer: C
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Chapter 2: Health and Wellness
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A nurse is assessing a patient's risk factors for heart disease and finds that the patient has several risk factors.How should the nurse interpret this finding?
A) The patient needs surgery for heart disease.
B) The patient has a genetic disease.
C) The patient will develop the disease.
D) The patient has an increased chance to develop the disease.
Answer: D
Q2) Which order should the nurse prioritize care for the patient using Maslow's theory from lower-level needs to higher-level needs?
A-Self-esteem
B-Physiological needs
C-Self-actualization
D-Love and belonging
E-Safety and security
A) b, e, d, a, c
B) d, b, c, a, e
C) b, e, d, c, a
D) d, b, a, c, e
Answer: A
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4
Chapter 3: The Health Care Delivery System
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A patient states that he or she cannot afford health care insurance for the family because of a low income.What is the best form of insurance available for this patient?
A) Medicaid
B) Medicare
C) Private insurance
D) A managed care organization
Answer: A
Q2) What is the most appropriate time for the nurse to begin discharge planning with a patient?
A) The day of patient discharge from the health care agency
B) As soon as the insurance provider has been identified
C) When the health care provider writes the discharge order
D) When the patient is admitted to the health care agency
Answer: D
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Chapter 4: Community-Based Nursing Practice
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A community-based nurse is working with a family.The nurse needs to be knowledgeable in what key areas? (Select all that apply.)
A) Family theory
B) Group dynamics
C) Political affiliations
D) Cultural diversity
E) Communication principles
Q2) A student nurse is beginning the community-based primary care rotation.The student nurse anticipates that the assignment in community-based health care will most likely be at which organization?
A) An acute care hospital
B) A rehabilitation hospital
C) A nursing home
D) A high school
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6
Chapter 5: Legal Principles in Nursing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who refuses to cooperate for a dressing change.The nurse tells the patient that he or she will tie the patient down if the patient does not hold still.Which action did the nurse commit?
A) Assault
B) Unintentional tort
C) Battery
D) Felony
Q2) Which chart entry by a nurse would require follow up?
A) 0815 Patient found on floor.
B) 0816 Patient assessed and helped back to bed.
C) 0818 Physician notified of incident.
D) 0820 Occurrence report completed.
Q3) A patient falls out of bed because the nurse did not raise the side rails.Which action did the nurse commit?
A) Felony
B) Assault
C) Battery
D) Negligence
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Chapter 6: Ethics
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The code of ethics for nursing sets forth ideals of nursing conduct and was developed by what organization?
A) The Board of Nursing
B) The American Medical Association
C) The National League for Nursing
D) The American Nurses Association
Q2) A nurse is working with the parents of a seriously ill newborn.Surgery has been proposed for the infant,but the chances of success are unclear.To help the parents resolve this conflict,which steps should the nurse take to process the ethical dilemma?
(Select all that apply.)
A) Identifying people who can solve this dilemma
B) Gathering all relevant information surrounding this dilemma
C) Clarifying own values and opinions about the issues
D) Consulting a professional ethicist regarding how to proceed with this dilemma
E) Considering possible courses of action
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8
Chapter 7: Evidence-Based Practice
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A registered nurse questioned the nurses on the neonatal intensive care unit about the practice of kangaroo care for neonates.The nurse had read literature supporting the practice,but the nurses that work on the neonatal unit stated that they had never done anything like that at their institution.The nurse continued to ask questions and began a literature review.Which behavior was the nurse demonstrating?
A) Variables
B) Peer review
C) Evidence-based practice
D) Process measurement
Q2) A nurse is describing types of performance improvement models.Which information should the nurse include? (Select all that apply.)
A) Six Sigma
B) Balanced scorecard
C) Plan-Do-Study-Act
D) Root cause analysis
E) Human subjects committee
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9
Chapter 8: Critical Thinking
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26 Flashcards
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Sample Questions
Q1) A registered nurse is explaining a procedure to a patient who speaks another language.Which action by the nurse reflects critical thinking?
A) Teach with unfamiliar explanations.
B) Explain using medical jargon.
C) Use vague descriptions.
D) Obtain an interpreter.
Q2) Which situation represents a nurse using clinical decision-making skills?
A) Collecting information about a patient and coming to a conclusion about his or her health problems
B) Developing a new idea based on experience and knowledge over time
C) Selecting appropriate treatment after forming diagnostic conclusions
D) Clarifying the problem and analyzing possible causes
Q3) Which information indicates the nurse has a correct understanding of critical thinking?
A) It is a continuous process characterized by open-mindedness.
B) It is the same thing as the nursing process.
C) It is a haphazard method of providing nursing care.
D) It is moving from writing a plan of care to thinking.
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Chapter 9: Nursing Process
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) As a nurse is obtaining a health history from a patient,the nurse uses comments such as "go on." Which technique is the nurse using?
A) Cues
B) Inferences
C) Back-channeling
D) Termination
Q2) A postoperative patient has denied the need for pain medication.The nurse has noted that the patient describes the pain as a "1" on a 0 to 10 scale.The nurse also notes that the patient grimaces when he or she changes position and guards the incision.The nurse believes that the patient is experiencing pain based on the information gathered in the assessment.What is this phenomenon known as?
A) Cue
B) Inference
C) Diagnosis
D) Health pattern
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11
Chapter 10: Informatics and Documentation
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A nurse is using a computer to locate and review laboratory test results,and chart and order sterile supplies.What type of system is the nurse using?
A) Clinical information system
B) Computerized provider order entry system
C) Administrative information system
D) Clinical decision support system
Q2) A nurse records the following at 1800: patient states that the abdominal pain is worse now than last night-Betty Smith,RN.The nurse is using which type of charting?
A) PIE documentation
B) SOAP documentation
C) Narrative charting
D) Charting by exception
Q3) Which action should the nurse take when handling and disposing of patient information?
A) Keep patient information to take home for disposal.
B) Use programmed speed-dial keys when faxing.
C) Throw hand-written notes about the patient in the trash.
D) Place fax machines in a public place.
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Chapter 11: Communication
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse gives a hand-off report to the oncoming staff nurse.Which type of communication does this illustrate?
A) Gossip
B) Validation
C) Interpersonal
D) Intrapersonal
Q2) A nurse is caring for a patient who is having abdominal pain and is experiencing difficulty sleeping.The nurse sits at the bedside of the patient and takes the patient's hand.The patient quickly pulls back.How should the nurse interpret this patient's behavior?
A) The patient is uncomfortable with being touched.
B) The patient is unable to express feelings.
C) The patient has impaired social skills with others.
D) The patient has difficulty with nonverbal communication.
Q3) Which behavior by the nurse would be considered most professional?
A) Addressing a patient by "dear"
B) Wearing small earrings
C) Being task oriented
D) Avoiding troublesome patients
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Page 13
Chapter 12: Patient Education
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse is discharging a patient who required teaching about how to change a foot dressing.The nurse wants to ensure that the patient understands the signs and symptoms of infection and is preparing written materials the patient can take home and refer to as needed.Because the nurse does not know the patient's reading ability,at which grade level should the nurse prepare the written materials?
A) Fifth
B) Sixth
C) Eighth
D) Ninth
Q2) A nurse is preparing to take a 5-year-old child's blood pressure.What is the best way for the nurse to reduce the child's anxiety about this procedure?
A) Do nothing because the more fuss that is made about a procedure, the more anxiety it causes the patient.
B) Explain to the patient that the blood pressure is a vital sign that the doctor has ordered.
C) Tell the child that the blood pressure cuff will "hug" the arm.
D) Ask the child's mother to step outside the room because children frequently do better when alone.
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Chapter 13: Managing Patient Care
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A patient is admitted to the hospital for hip replacement surgery after falling at home and breaking a hip.The patient has developed pneumonia while in the hospital and has required frequent suctioning from the tracheostomy.The nurse decides to delegate I&O to the unlicensed assistive personnel but does not delegate suctioning.This is an example of which of the five rights of delegation?
A) Right task
B) Right direction/communication
C) Right intervention
D) Right supervision
Q2) A newly graduated nurse has been assigned to work with one assistive personnel staff member.When delegating skills,which guidelines should the nurse use? (Select all that apply.)
A) Assign just bed making skills and feeding tasks.
B) Assess the knowledge of the assistive personnel.
C) Match tasks to the assistant's skills.
D) Have the nursing assistant document assessment findings.
E) Assess skill levels of assistive personnel.
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Chapter 14: Infection Prevention and Control
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A senior nursing student is working on a community health project for the local homeless shelter.There are several indigent men who come to the shelter in cold weather to sleep for the night.The student nurse knows that these men do not bathe on a regular basis.One of the men has been sick several times recently with skin infections.Which of the following is the best way for the student nurse to explain the importance of personal hygiene to this individual?
A) "You don't have to shower every day. You only need to take a shower when you feel like you're going to be sick."
B) "Take a shower. If you don't take a shower, you will continue to get sick."
C) "Showering regularly will remove germs that cause skin infections. What do you think we should do about these skin infections of yours?"
D) "Showering with warm water is enough to wash away bacteria. Soap is not needed if you don't like it."
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Chapter 15: Vital Signs
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) The young mother of an 8-month-old patient brought her daughter to the clinic after taking the little girl's temperature rectally and obtaining a reading of 100.4° F.The mother was concerned that her daughter might be ill.Which of the following is the best response?
A) "Children usually run lower rather than higher temperatures when ill."
B) "Because of her age, it is probably a bacterial infection."
C) "Rectal temperatures are higher than temperatures obtained orally."
D) "When taking multiple temperatures, the sites should be rotated."
Q2) To determine the patient's actual temperature,the nurse is aware that:
A) the patient's core temperature is not affected by environmental temperature
B) surface temperatures are the most stable
C) circadian rhythms keep the body temperature stable throughout the day.
D) gender and age have no effect on body temperature.
Q3) Blood pressure depends on the interrelationships of which of the following? (Select all that apply.)
A) Cardiac output
B) Peripheral vascular resistance
C) Blood volume
D) Blood viscosity
E) Pulse pressure
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Chapter 16: Health Assessment and Physical Examination
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) An older adult patient complains of thirst,headache,and weight loss.The patient appears emaciated.On physical assessment the nurse finds that the patient's skin does not return to normal shape after being assessed.This finding is consistent with which of the following?
A) Pallor
B) Cyanosis
C) Erythema
D) Poor skin turgor
Q2) A nurse is preparing to perform a physical examination on a patient who has mobility issues.In preparing for the examination,the nurse should do which of the following?
A) Be sure that a well-equipped examination room is available.
B) Tune the radio to the nurse's favorite station to relax the patient.
C) Perform thorough hand hygiene before preparing equipment.
D) Instruct the patient on the safest way to transfer onto the examination table.
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18
Chapter 17: Administering Medications
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) Which of the following are the basic units of measurement in the metric system? (Select all that apply.)
A) Meter
B) Teaspoon
C) Liter
D) Tablespoon
E) Gram
Q2) A patient is to receive two different kinds of insulin.What is the nurse's most appropriate action?
A) Prepare the regular (clear) insulin first.
B) Mix Lantus and Lente insulin in the same syringe.
C) Administer the rapid-acting insulin within 30 minutes of a meal.
D) Verify insulin dosage with another nurse after administration.
Q3) The health care provider orders pain medication to be given to a patient when the patient needs it to control pain.What is this called?
A) PRN order
B) Standing order
C) One-time order
D) STAT order
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Page 19
Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse suspects that the patient is experiencing a blood transfusion reaction.The nurse stops the infusion but is concerned about losing the IV line if blood clots in the catheter.The nurse should:
A) replace the entire transfusion line with a new set primed with normal saline.
B) turn off the blood and turn on the normal saline infusion to flush the tubing.
C) discontinue the IV and start a new IV of lactated Ringer's in the other extremity.
D) maintain the patency of the current IV line by hanging a new IV bag of D5W.
Q2) A nurse is mentoring a new nurse who is learning to start IVs.The nurse tells the new nurse that in case the patient needs subsequent venipuncture sites,the best place to initially start an IV is the:
A) antecubital vein of the patient's nondominant arm.
B) most appropriate distal vein on the nondominant arm.
C) most appropriate proximal vein available on either arm.
D) antecubital vein of the patient's dominant arm.
Q3) Yesterday morning the patient weighed 169.4 lb (77 kg).This morning the patient weighs 171.6 lb (78 kg).The nurse determines that the patient has gained _____ liter(s)of fluid.
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Page 20
Chapter 19: Caring in Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A female patient has just found a large lump in her breast.The health care provider needs to perform a breast biopsy.The nurse assists the patient into the proper position and offers support during the biopsy.What is the nurse doing?
A) Creating a healing environment
B) Fulfilling affiliation needs
C) Providing a sense of presence
D) Demonstrating an encouraging manner
Q2) The patient was admitted to the hospital with advanced-stage cancer.As the nurse was admitting her,the patient told her about how her little dog learned a new trick,and could play dead when she said "bang-bang." Why did the nurse listen attentively to the patient's story?
A) She knew it was easy to do and she had nothing else to do at that time.
B) It was little more than two people talking back and forth.
C) She knew it was probably not going to affect the patient-nurse relationship.
D) She knew it was a way to know and respond to what matters to the patient.
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21
Chapter 20: Cultural Awareness
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12 Verified Questions
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Sample Questions
Q1) Health care regulatory agencies,national think tanks,and government agencies expect health care organizations to incorporate cultural competence into policies and practices to ensure effective communication,patient safety and quality,and patient-centered care.Some examples of such organizational policies and practices include which of the following? (Select all that apply.)
A) Instituting a requirement for all staff to be trained in cultural competence
B) Maintaining the traditional description of family in written policies
C) Enforcing strict visitation policies and practices
D) Ensuring that persons who are deaf or speak limited English have access to an interpreter
E) Embedding health literacy principles in written and verbal communication
Q2) The nurse is caring for a patient of a culture different from her own.To provide culturally competent care for this patient,what does the nurse need to do?
A) Not be curious about other ways of being in the world
B) Understand the forces that influence her own world view
C) Recognize that she must not hold any bias toward the patient
D) Have no predispositions relative toward the patient's culture
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Page 22
Chapter 21: Spiritual Health
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A patient refuses to remove a specific spiritual garment for daily bathing.The most appropriate action for the nurse would be to:
A) remove the article anyway because the garment hinders daily care delivery.
B) respect the patient's wishes and work around it.
C) explain to the patient that the garment has no real spiritual value.
D) identify the refusal as a sign of spiritual distress.
Q2) When caring for patients,a nurse must understand the difference between religion and spirituality.Religious care helps patients maintain their faithfulness to:
A) their belief systems and worship practices.
B) a relationship to a higher being or life force.
C) a sense of connectedness.
D) the awareness of one's inner self.
Q3) A nurse is caring for a patient with a debilitating chronic illness.The patient mentions several times that faith would guide her healing.The nurse knows that faith can best be defined as a:
A) system of organized beliefs and worship.
B) relationship with a higher power, authority, or spirit.
C) source of energy needed to cope with difficult situations.
D) multidimensional concept that gives comfort while a person endures hardship.
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Page 23
Chapter 22: Growth and Development
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) ______ is the measurable aspect of a person's increase in physical dimensions.
A) Growth
B) Development
C) Maturation
D) The latency stage of development
Q2) According to one theorist,moral development depends on the child's ability to accept social responsibility and to integrate personal principles of justice and fairness.Which of the following individuals is responsible for the theory of moral development?
A) Sigmund Freud
B) Jean Piaget
C) Erik Erikson
D) Lawrence Kohlberg
Q3) ______ is an interaction of biological,sociological,and psychological forces.
A) Growth
B) Development
C) Maturation
D) The latency stage of development
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Chapter 23: Self-Concept and Sexuality
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18 Verified Questions
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Sample Questions
Q1) A middle-age female model is admitted for a double mastectomy.On admission the nurse notes that she is depressed and withdrawn.The most appropriate patient-centered nursing intervention(s)might be which of the following? (Select all that apply.)
A) Use a positive and matter-of-fact approach to care.
B) Include the patient in decision making about her care.
C) Be aware of nonverbal behaviors when providing care.
D) Focus on the task when an unpleasant task must be done.
E) Focus matter-of-fact statements on positive aspects of patient healing.
Q2) The nurse is caring for a patient who has been diagnosed with chronic pain.The nurse is especially concerned about the patient's self-concept because chronic pain does which of the following?
A) Normally has no effect on the ability to function once patients learn to deal with it
B) Can often cause increased irritability that can affect self-concept
C) Often leads to increased sleep as patients try to "escape" the pain
D) Requires pain medication that prevents self-concept alterations
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25
Chapter 24: Family Context in Nursing
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Sample Questions
Q1) When a family is in a transitional phase of the life cycle perspective (e.g.,birth of a first child),it is important for the nurse to do which of the following?
A) Accept that this is usually a time of decreased stress and anxiety.
B) Use the knowledge of stress and coping to assist in family care.
C) Explain that the health of one family member does not depend on the family system.
D) Draw on psychological theory as the major basis for family care.
Q2) A patient comes from a close-knit extended family.If the patient's family functions as context,what does the nurse need to evaluate?
A) Attainment of health of an individual member in a specific environment
B) Family processes
C) Family relationships
D) The family member and unit
Q3) Domestic violence includes which of the following? (Select all that apply.)
A) Only live-in partners
B) Dating relationships
C) Spouses
D) The elderly almost exclusively
E) Child abuse
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26
Chapter 25: Stress and Coping
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Sample Questions
Q1) A new nurse is looking for a staff nurse position.She had several instances during clinical rotations in nursing school in which she was late because she studied until the early hours of the morning.According to her circadian rhythm she would be best suited for which of the following positions?
A) Full-time 8-hour day/evening rotation
B) Part-time 12-hour day/night rotation position
C) Full-time 12-hour night position
D) Full-time 8-hour day position
Q2) The nurse is assigned a patient who has experienced the alarm reaction and continues to recover.The nurse knows that the primary hormone impacting the stress response in the resistance stage of the general adaptation syndrome is:
A) vasopressin.
B) adrenaline.
C) noradrenaline.
D) cortisol.
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Chapter 26: Loss and Grief
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Sample Questions
Q1) A widow,whose spouse died 3 years ago,has recently started dating and is thinking about going back to school to complete a degree she had started at an earlier age.Which of Bowlby's phases of mourning best describes this behavior?
A) Numbing
B) Yearning and searching
C) Disorganization and despair
D) Reorganization
Q2) A businessman has been diagnosed with multiple sclerosis and has poor prognosis because the disease is progressing very quickly.To help the patient maintain a sense of hope,what should the nurse do?
A) Help the patient set realistic goals.
B) Assure the patient that he will be well cared for and does not need to do anything.
C) Impress on the family the importance of limiting visiting hours to provide rest.
D) Withhold negative information about the patient's disease processes.
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Chapter 27: Exercise and Activity
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Sample Questions
Q1) A small business owner has noted an increase in back injuries at his company in recent years.During a discussion with an occupational health nurse,knowledge of statistical information regarding this trend throughout the country is exchanged.The occupational health nurse explains that the most common back injury is caused by a strain to which of the following muscle groups?
A) Lumbar
B) Cervical
C) Thoracic
D) Trapezius
Q2) The nurse is assigned to a 67-year-old comatose patient.To minimize the risk for aspiration,the nurse should avoid placing the patient in what position?
A) Semi-Fowler's
B) Sims'
C) Supine
D) Lateral
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Chapter 28: Safety
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Sample Questions
Q1) A nursing student is volunteering with a local agency to help prepare the community for a potential bioterrorist attack.On which of the following threats would be the nursing student's primary focus?
A) Hurricane
B) Earthquake
C) Anthrax
D) Tornado
Q2) An 85-year-old retired man with arthritis has recently been prescribed a new medication by his health care provider for pain management.The health care provider identifies that the patient is currently taking 13 different medications on a daily basis.The health care provider is concerned about the patient's safety in the home.Which of the following is most important to assess?
A) Marital status
B) Potential for falls
C) Skin breakdown
D) Cultural beliefs
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Chapter 29: Hygiene
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Sample Questions
Q1) The nursing assistive personnel (NAP)has been delegated the task of changing a postsurgical patient's bed.The NAP miscalculated the amount of linen needed and took more than needed.What is the best thing for the NAP to do with the unused linen?
A) Replace it in the linen closet.
B) Leave it in the room on the bedside table.
C) Use it in another patient's room.
D) Place it in a laundry bag to be laundered.
Q2) A 25-year-old patient was admitted to the surgical floor wearing contact lenses.Assistive personnel ask the nurse if contact lenses need special attention.The nurse informs the assistive personnel that non-extended-wear contacts left in the eyes for an extended period of time can cause which of the following?
A) Blindness
B) Corneal injury
C) Otitis externa
D) Otitis media
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Chapter 30: Oxygenation
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Sample Questions
Q1) A patient with a tracheostomy is experiencing thick and tenacious secretions.To maintain this patient's airway,what is the most appropriate action for the nurse?
A) Tracheal suctioning
B) Oropharyngeal suctioning
C) Nasotracheal suctioning
D) Orotracheal suctioning
Q2) Which term should the nurse use to best describe the movement of air in and out of the patient's lungs?
A) Ventilation
B) Diffusion
C) Respiration
D) Perfusion
Q3) A patient with pulmonary congestion needs to cough to clear secretions.The nurse instructs the patient to inhale and perform a series of coughs during exhalation.What type of cough did the nurse teach the patient?
A) Quad
B) Huff
C) Cascade
D) Splinting
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Chapter 31: Sleep
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Sample Questions
Q1) A primary health care provider has diagnosed the patient with having a parasomnia.The patient asks the nurse to explain what that means.What is the best explanation?
A) A person is unable to breathe and sleep at the same time.
B) It is a sleep disorder that produces abnormal sleep movements.
C) It is a rare dysfunction of the mechanism that regulates sleep and wake states.
D) It is a sudden muscle weakness occuring during intense emotions.
Q2) A patient asks the nurse to explain how sleep occurs.The nurse explains to the patient that the physiology of sleep is a complex process.However,in simple terms,what is the nurse's best response?
A) Circadian sleep rhythm controls sleep.
B) Sleep occurs when a person's basal metabolic rate falls.
C) Sleep is a dreaming process.
D) Interrelated mechanisms of the brain control wake and sleep cycles.
Q3) Which of the following bedtime snack(s)helps to promote sleep in a patient?
A) Cereal and milk
B) A full meal
C) Chips and cola
D) Coffee and toast
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Chapter 32: Pain Management
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25 Flashcards
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Sample Questions
Q1) When a person accidentally touches a hot pan,their protective reflex causes them to immediately withdraw their hand from the hot pan.This protective reflex is known as which of the following?
A) Transduction
B) Transmission
C) Perception
D) Modulation
Q2) A terminally ill patient with cancer is experiencing increased pain.Nursing implications used to care for this patient include which of the following?
A) Giving medications as needed
B) Using the World Health Organization three-step approach
C) Using a holistic approach to pain management
D) Holding regular doses to prevent life-threatening side effects
Q3) When a person cuts a finger,nerve impulses travel to the spinal cord along afferent peripheral nerve fibers.What is this process?
A) Transduction
B) Transmission
C) Perception
D) Modulation
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Chapter 33: Nutrition
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Sample Questions
Q1) A new mother is breastfeeding her infant.The nurse asks the mother if she is getting the correct amounts of dietary reference intakes.Which statement from the mother indicates a correct understanding of dietary guidelines?
A) "I am not concerned about dietary guidelines or a strict diet."
B) "I am taking the vitamin doses according to the television advertisements."
C) "I am only taking one multiple vitamin a day and eating whatever I want."
D) "I am eating the correct amount of food according to the recommended dietary allowances and adequate intakes."
Q2) A patient who has high cholesterol asks the nurse if there is a need to limit all fat in the diet to lower cholesterol.What is the nurse's best response?
A) "You should limit the amount of monounsaturated fats."
B) "You should limit the amount of unsaturated fatty acids."
C) "You should limit the amount of saturated fats."
D) "You should not limit the amount of any kind of fat."
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Chapter 34: Urinary Elimination
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Sample Questions
Q1) A mother has brought her 3-year-old child to the clinic for an annual well-child checkup.The mother tells the nurse that the child is in the process of being potty trained.The child will state that the need to go to the bathroom,but refuses to go on the toilet.What is the nurse's best response?
A) "This occurs because the child might be frightened of falling in the toilet."
B) "It is recommended that you try putting her in 'time-out' if she continues to refuse to sit on the toilet."
C) "Sometimes children at that age see urine and feces as part of themselves."
D) "Stop, your child is too young to worry about potty-training."
Q2) A patient with a Foley catheter needs a urine sample for culture and sensitivity.What is the most appropriate action for the nurse to take?
A) Disconnect the drainage tube from the catheter.
B) Open the drainage bag and withdraw urine.
C) Withdraw urine from the closed system drainage bag.
D) Insert a sterile blunt cannula in the catheter port to withdraw urine.
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Chapter 35: Bowel Elimination
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Sample Questions
Q1) A student nurse is caring for a patient who has dehydration as a result of diarrhea.Diarrhea is a result of abnormally fast peristalsis in what organ?
A) Jejunum
B) Stomach
C) Duodenum
D) Colon
Q2) The home health nurse is visiting a 67-year-old widow who lives at home by herself.The patient voices a concern about constipation.What is the best way for the nurse to approach the patient's concern?
A) "Tell me why you think you are constipated."
B) "Have you noticed that your stools are hard?"
C) "How frequently are you having a bowel movement?"
D) "What color is your stool?"
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Chapter 36: Immobility
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Sample Questions
Q1) A nurse notes a typical cardiovascular change in an immobilized postoperative patient.Which of the following did the nurse find upon assessment?
A) Atelectasis
B) Negative nitrogen balance
C) Orthostatic hypotension
D) Bleeding
Q2) Which patient is most at risk for developing a urinary tract infection?
A) Teenage comatose patient on a ventilator lying supine
B) Middle-age adult after abdominal surgery sitting in a chair
C) Elderly adult with Alzheimer disease who is wandering at night
D) Middle-age adult postcardiac catheterization being discharged home
Q3) When completing the assessment of an immobilized patient,the most likely place for the nurse to assess edema includes which of the following? (Select all that apply.)
A) Face
B) Feet
C) Sacrum
D) Abdomen
E) Legs
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Chapter 37: Skin Integrity and Wound Care
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Sample Questions
Q1) When a patient has full-thickness loss but the depth is unknown,how should the nurse classify this pressure ulcer?
A) Stage/Category III
B) Unstageable
C) Suspected deep tissue injury
D) Stage/Category IV
Q2) An elderly patient who resides in a nursing home is suffering from a respiratory infection.During the illness,the patient has become incontinent of both urine and stool.The nursing staff used a special cleanser on the perineum,put a moisture barrier on the exposed area,and used absorbent briefs to prevent the skin from becoming soft because of the moisture.What was the staff trying to prevent?
A) Maceration
B) Dehiscence
C) Evisceration
D) Debridement
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Chapter 38: Sensory Alterations
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Sample Questions
Q1) The student nurse is assisting an elderly patient to get ready for bed.The patient states,"Please make sure you clean my hearing aids." The student nurse knows it is important to keep in mind which of the following when cleaning a hearing aid?
A) Keep the battery in the machine when turned off.
B) Store the hearing aid on the overnight table for easy access at night.
C) Clean the hearing aid with hot water.
D) Use a soft dry cloth to wipe the hearing aid.
Q2) An older adult patient has been admitted to a busy medical unit.To control environmental stimuli a nurse should do which of the following?
A) Leave the hospital room lights on at all times.
B) Turn off bedside equipment not in use.
C) Leave the window curtains closed at all times.
D) Leave the door open so the patient can hear the staff and feel secure.
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Chapter 39: Surgical Patient
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Sample Questions
Q1) A patient is awaiting surgery.The nurse's best rationale for assessing vital signs is to do which of the following?
A) Assess the patient's anxiety level.
B) Determine the patient's basal temperature.
C) Establish a baseline for vital signs comparisons.
D) Assess for any changes that may indicate infection.
Q2) A patient with a ruptured abdominal aortic aneurysm needs to have major surgery.The family asks the nurse what type of anesthesia the patient will receive.The best response is which of the following?
A) Local anesthesia
B) Regional anesthesia
C) Moderate sedation
D) General anesthesia
Q3) A nurse working in an ambulatory care surgery center is preparing to discharge a postoperative patient.The nurse knows that the convalescence period will occur:
A) 1 to 2 hours after surgery.
B) at home.
C) once the patient has been monitored overnight in the hospital.
D) 2 to 4 hours after surgery.
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