Nursing Foundations Practice Exam
Course Introduction
Nursing Foundations is an introductory course designed to provide students with a comprehensive understanding of the fundamental principles and concepts of nursing practice. Emphasizing the roles, responsibilities, and professional standards of nurses, the course covers key topics such as basic nursing skills, patient care techniques, ethical and legal considerations, communication, and the nursing process. Through theoretical instruction and practical experience, students develop essential skills in assessment, planning, intervention, and evaluation, laying the groundwork for safe and effective patient care across various healthcare settings.
Recommended Textbook
Fundamentals of Nursing Two Volume Set 3rd Edition by Judith M. Wilkinson
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46 Chapters
1461 Verified Questions
1461 Flashcards
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Page 2
Chapter 1: Evolution of Nursing Thought Action
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) To reflect the changes in healthcare and nurses' expanded roles,the International Council of Nurses revised the definition of nursing.Which statements are consistent with the revised definition of nursing?
A) Nursing encompasses the autonomous and collaborative care of others.
B) Nursing includes the care of ill, disabled, and dying people.
C) Participation in shaping health policy is a nursing role.
D) Registered nurses use the nursing process to plan and individualize care.
Answer: A,B,C
Q2) The patient in the ambulatory clinic asks the nurse in the billing office,"Why do I have to pay $10.00 for this visit when I have insurance?" What is the nurse's most appropriate response?
A) "I don't know how your insurance works. You need to pay this and follow up with your insurance company."
B) "This a co-payment you are required to pay per clinic visit as described in your insurance plan."
C) "Healthcare is expensive and insurance companies can't pay all of the costs."
D) "This is part of your insurance premium that you pay monthly."
Answer: B
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Page 3
Chapter 2: Critical Thinking: Nursing Process
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following is an example of practical knowledge? Assume all are true.
A) The tricuspid valve is located between the right atrium and ventricle of the heart.
B) The pancreas does not produce enough insulin in type 1 diabetes.
C) When assessing the abdomen, you should auscultate before palpating.
D) Research shows pain medication given intravenously acts faster than medication given by other routes.
Answer: C
Q2) It is important for nurses to be critical thinkers because:
A) All clients are unique and have individual needs and differences
B) All nursing actions are based on theoretical knowledge
C) Nurses choose their actions primarily by following professional guidelines
D) Nurses provide care based on individual client preferences
Answer: A
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Chapter 3: Nursing Process: Assessment
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Which of the following statements are true regarding professional standards of nursing assessment? Select all that apply.
A) Assessment is a professional nursing responsibility.
B) Assessment helps the nurse identify problems and assign priorities for patient care.
C) Assessment helps the nurse formulate the medical diagnosis.
D) Only patients complaining of pain need to be assessed for pain.
E) Parts of nursing assessments can be delegated according to state practice acts and agency policies.
Answer: A,B,E
Q2) What makes a nursing history different from a medical history?
A) A nursing history focuses on the patient's responses to the health problem.
B) The same information is gathered in both; the difference is in who obtains the information.
C) A nursing history is gathered using a specific format.
D) A medical history collects more in-depth information.
Answer: A
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5
Chapter 4: Nursing Process: Diagnosis
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse documents in the progress notes: "Admitted to emergency department accompanied by wife.Patient is alert and oriented,blood pressure is 120/80 mm Hg,and pulse is 80 beats/min.The patient is anxious.He becomes nervous and when asked about his smoking history." Which statement from the nurse's note is the best example of an inference?
A) Blood pressure reading 120/80 mm Hg
B) Patient is accompanied by wife.
C) Patient has a history of smoking.
D) The patient is anxious.
Q2) Which of the following most accurately describes nursing diagnoses? A nursing diagnosis:
A) Supports the nurse's diagnostic reasoning
B) Supports the client's medical diagnosis
C) Identifies a client's response to a health problem
D) Identifies a client's health problem
Q3) The diagnostic label,or patient problem,is used primarily to suggest:
A) Client goals
B) Cue clusters
C) Interventions
D) Etiology
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Chapter 5: Nursing Process: Planning Outcomes
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) How are standardized (model)care plans similar to unit standards of care?
Standardized (model)care plans :
A) Describe the care needed by patients in defined situations
B) Include specific goals and nursing orders
C) Become a part of the patient's comprehensive care plan
D) Usually describe ideal nursing care
Q2) The nurse is individualizing Mr.Wu's plan of care by writing a plan for his nursing diagnosis of Anxiety.The nurse needs to write goals/outcomes on the plan of care because outcomes describe:
A) Desirable changes in the patient's health status
B) Specific patient responses to medical interventions
C) Specific nursing behaviors to improve a patient's health
D) Criteria to evaluate the appropriateness of a nursing diagnosis
Q3) How is NOC different from the Omaha System?
A) NOC can be used to write health restoration outcomes.
B) NOC can be used in all specialty and practice areas.
C) NOC can be used for individuals, families, or groups.
D) NOC formulates goals based on nursing diagnoses.
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Chapter 6: Nursing Process: Planning Interventions
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20 Flashcards
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Sample Questions
Q1) Which of the following is the best example of a well-written nursing order?
A) Provide emotional support to patient and family as needed.
B) Bathe patient every day.
C) Follow fluid restriction of 1,500 mL per day.
D) Insert Foley catheter if patient has not voided within 8 hours.
Q2) Which definition best describes a critical pathway?
A) Standardized plan of care for frequently occurring conditions
B) Systematically developed statement to assist practitioners and patients in decision making
C) Systematic review of clinical evidence for an intervention
D) Set of interrelated concepts that describes or explains something
Q3) Which of the following best describes evidence-based practice?
A) Tool developed by a healthcare organization for its own use to guide best nursing practice
B) An approach that uses the best scientific data to guide nursing practice
C) Nurses who uses clinical judgment and expertise to guide nursing practice
D) A method of practice that uses tradition and folklore interventions to guide practice
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8
Chapter 7: Nursing Process: Implementation Evaluation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) When should the nurse collect evaluation data for this expected outcome? "Patient will maintain urine output of at least 30 mL/hour."
A) At the end of the shift
B) Every 24 hours
C) Every 4 hours
D) Every hour
Q2) Which of the following is the most valid criterion for determining the status of a patient's anxiety at discharge? The patient:
A) Has a relaxed facial expression
B) Reports that he feels more relaxed today
C) Shows no physiological signs of anxiety (e.g., pallor)
D) Asks no further questions about home care
Q3) The certified nursing assistant (CNA)is feeding a patient and notes that the patient is having difficulty swallowing.She reports this to the primary registered nurse.What should the nurse do first?
A) Assign the task to a more experienced CNA
B) Feed the patient herself
C) Assess the patient and place on NPO status
D) Call the primary care provider
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Page 9
Chapter 8: Evidence-Based Practice: Theory Research
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) In his later work,Maslow identified growth needs that must be met before reaching self-actualization.These needs include:
A) Cognitive and aesthetic needs
B) Love and belonging needs
C) Safety and security needs
D) Physiological and self-esteem needs
Q2) The nurse researcher is conducting a study.In preparation for the study,she will be developing a method for participants' identification while securing their privacy and confidentiality.What is the best method the researcher can use for participant identification and securing privacy and confidentiality?
A) Use a code number for each participant
B) Use participant initials only
C) Use gender and age only
D) Use participant surname only
Q3) Which commonly accepted practice came out of the Framingham study? Use of:
A) Mammography in breast cancer screening
B) Colonoscopy in colon cancer screening
C) Pap testing in cervical cancer screening
D) Digital rectal examination in prostate cancer screening
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Page 10
Chapter 9: Life Span: Infancy Through Middle Adulthood
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A 38-year-old client comes into the clinic for a health examination.Knowing the psychosocial development tasks and common health problems for this age group,it would be most important for the nurse to ask:
A) Whether the client has episodes of feeling depressed
B) Whether the client practices safe sex
C) About the client's exercise habits
D) About the health history of the client's parents
Q2) A father brings his toddler to the clinic for well-child care.Which of the following would be most important for the nurse to assess?
A) How successful the child is with potty training
B) How the child acts when you enter the room
C) Whether the child is using eating utensils
D) Whether the home is childproof
Q3) According to Erikson,which of the following must a middle-aged adult do to be prepared for the final stages of life? The adult must:
A) Accept the fact that she is getting older
B) Reconcile that death is a part of life
C) Feel she has made a contribution to society
D) Have had a meaningful and intimate relationship
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Page 11
Chapter 10: Life Span: Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The home health nurse is seeing an 80-year-old patient for the first time at his home.In developing a home plan of care,what is the nurse's highest priority for this visit?
A) Assessing the proximity of family members
B) Planning for a nutritious diet
C) Planning activities for functional status
D) Assessing the home for safety
Q2) Many older adults suffer from chronic health problems.Which of the following are the most common and costly chronic problems in the older adult? Select all that apply.
A) Heart disease
B) Diabetes
C) Alzheimer's disease
D) Pneumonia
Q3) Which of the following is the most common major challenge for older adults?
A) Dealing with the needs of their children
B) Chronic health problems leading to the loss of independence
C) Loss of the ability to reminisce about the past
D) Decline of intellectual abilities
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12
Chapter 11: Experiencing Health Illness
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which of the following is most reflective of a life change for managing chronic illness?
A) Beginning self-injection of insulin for diabetes
B) Taking an antibiotic for a streptococcus throat infection
C) Going to the gym for an exercise program
D) Taking a pain medication after a tooth extraction
Q2) Having someone physically present during times of illness removes the sense of aloneness during the illness.
A)True
B)False
Q3) What type of loss is most common among patients who are hospitalized for complex health conditions?
A) Privacy
B) Dignity
C) Functional
D) Identity
Q4) Health is defined as the absence of illness related to mind,body,and spirit.
A)True
B)False
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Chapter 12: Stress Adaptation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A client approaches the nurse in the health clinic and states,"I have been dealing with my husband's illnesses for years.Now my children want me to start babysitting for my grandchildren.I don't know whether I can handle all this." What is the nurse's interpretation of this woman's statements?
A) Some events are producing more stress for her than other events.
B) Her coping abilities are extended to her limit and she is unable to cope.
C) When there are many stressors or when stressors continue for a long period of time, adaptation is more likely to fail.
D) Coping strategies that she has used in the past are no longer successful for her now.
Q2) Before entering the room of a patient who is angry and yelling,the nurse removes her stethoscope from around her neck.The best rationale for doing so is that the stethoscope:
A) Could be used by the patient to hurt her
B) Might cause the patient not to trust her
C) Would distract her from focusing on the patient
D) Will function as another stressor for the patient
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Chapter 13: Psychosocial Health Illness
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Which statement best describes self-esteem?
A) View of oneself as a unique human being
B) One's mental image of one's physical self
C) One's overall view of oneself
D) How well one likes oneself
Q2) The nurse is updating a care plan for a patient who has a nursing diagnosis of Anxiety.Which patient behavior might suggest that the problem is resolving?
A) Pacing in the hallway at intervals
B) Using relaxation techniques
C) Speaking rapidly when spoken to
D) Avoiding eye contact
Q3) Which response by the patient demonstrates an internal locus of control?
A) "My blood sugar wouldn't be out of control if my wife prepared better foods."
B) "I knew I shouldn't have come to this hospital; I'd be better if I hadn't."
C) "God must be getting even with me for my past behavior."
D) "I'm just glad to be alive; the accident could've been a lot worse."
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Chapter 14: The Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which of the following suggest that a family health problem may exist? Select all that apply.
A) Family members respect each other's need for privacy.
B) Family members enact decisions made by the most powerful member.
C) Family members do not consider that a conflict has been resolved until everyone agrees.
D) Family members set boundaries between family members.
Q2) The parents of three children,aged 3,6,and 8 years,comment that although the children are close in age,they each seem to have different needs.The nurse teaches the parents what tasks the children should accomplish based on the different age groups and provide strategies to help meet the children's needs.Which theory best explains the nurse's teaching plan?
A) General systems theory
B) Family interactional theory
C) Family as a context theory
D) Developmental theory
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16
Chapter 15: Culture Ethnicity
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Sample Questions
Q1) A Spanish-speaking patient in the hospital is getting ready surgery and needs to sign the surgical consent form.Existing regulations determine the healthcare organization's responsibility for obtaining informed consent from this patient.The healthcare organization is required to do which of the following?
A) Provide a licensed interpreter
B) Provide a translator approved by the organization
C) Ensure adequate resources to comply with informed consent requirements
D) Choose an interpreter, a translator, or a family member to interpret
Q2) The nurse is beginning her assessment on a 35-year-old woman.The patient appears to be of Asian descent.As part of the nurse's cultural assessment,what question is most appropriate for the nurse to ask pertaining to race prior to documenting the patient's race?
A) "You appear to be Asian. Am I correct?"
B) "Can you tell me a little about your oriental background?"
C) "What race do you identify with and what name do you call it?"
D) "Which Asian country are you from?
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Chapter 16: Spirituality
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Sample Questions
Q1) A patient of Orthodox Jewish faith is admitted to the hospital with heart failure on Yom Kippur.The physician prescribes digoxin 0.25 mg to be given orally for this patient.Based on the patient's religious affiliation,which of the following actions should the nurse take?
A) Administer the medication as prescribed.
B) Hold the medication until after Yom Kippur.
C) Explain the importance of taking the medication despite the holiday.
D) Ask the physician to change the route of administration.
Q2) What is meant by the nurse's being "present" with a patient? Select all that apply.
A) Being open to patient's beliefs and concerns
B) Setting the agenda and leading discussions
C) Allowing the patient to tell stories about his illness
D) Using active listening skills
Q3) Which special consideration may the nurse need to make when caring for a female Rastafarian patient?
A) Allow the patient to wear her own clothing.
B) Provide a diet that is caffeine free.
C) Allow the patient to wear jewelry with religious symbols.
D) Provide free-flowing water for bathing.
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Page 18
Chapter 17: Loss,Grief, Dying
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26 Verified Questions
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Sample Questions
Q1) Which intervention is appropriate for a client receiving palliative care? Choose all that apply.
A) Surgical insertion of a device to decrease the workload of the heart in a patient awaiting heart transplantation
B) Administering IV dopamine to raise blood pressure of a patient with end-stage lung cancer
C) Providing moisturizing eye drops to an unconscious patient whose eyes are dry
D) Administering a medication to relieve the nausea of a patient with end-stage leukemia
Q2) The mother of a preschool child dies suddenly of a ruptured cerebral aneurysm.What recommendation should the nurse make to the family regarding how to most therapeutically care for the child?
A) Take the child to the funeral even if he is frightened.
B) Notify the physician immediately if the child shows signs of regression.
C) Spend as much time as possible with the child.
D) Provide distraction whenever the child begins to express feelings of sadness.
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Chapter 18: Documenting Reporting
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Sample Questions
Q1) What is the deadline after admission for using the Minimum Data Set to evaluate a newly admitted resident is of a long-term care facility?
A) 14 days
B) 3 days
C) 2 days
D) 24 hours
Q2) Which statement(s)by the new graduate nurse indicates a need for further instruction about documentation? Select all that apply.
A) "I can wait until the end of the shift to document my care."
B) "Charting every 2 hours is the most appropriate way to document nursing care."
C) "I find it easier to chart before I go to lunch, and then after my shift report."
D) "I should chart as soon as possible after nursing care is given."
Q3) Which set of topics makes up a handoff report given in a recommended format?
A) Data-action-response (DAR)
B) Subjective-objective-assessment-plan (SOAP)
C) Situation-background-assessment-recommendation (SBAR)
D) Patient-diagnosis-medications-activity
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Page 20
Chapter 19: Teaching Learning
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Sample Questions
Q1) An older adult patient who underwent bowel resection is recovering from surgery without complication.He ambulates in the hallway and requires little analgesia for pain.During the healthcare team's morning rounds,the surgeon informs the patient that the lesion removed was cancerous.Which factor will likely be the patient's most significant obstacle for learning?
A) The patient's baseline physical condition
B) A negative environmental influence
C) Anxiety associated with the new diagnosis
D) Reduced ability to understand the diagnosis
Q2) Which teaching strategy is typically most effective for presenting information to large groups?
A) Distributing printed materials
B) Lecturing using audiovisual format
C) Online sources of information
D) Role modeling
Q3) Which statement by the patient demonstrates health literacy?
A) "I speak and understand little English but will do what I am told."
B) "I will take my medications after I ask the nurse a few questions."
C) "I have not taken my prescribed antibiotics because I can't read the labels."
D) "I stopped my medications when I started feeling better."
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Chapter 20: Measuring Vital Signs
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Sample Questions
Q1) The nurse is assessing vital signs for a client after a surgical procedure on the left leg.IV fluids are infusing.It would be most important for the nurse to:
A) Compare the left pedal pulse with the right pedal pulse
B) Count the client's respiratory rate for 1 full minute
C) Take the blood pressure in the arm without an IV
D) Take an oral temperature with an electronic thermometer
Q2) A client's vital signs 4 hours ago were temperature (oral)101.4°F (38.6°C),heart rate 110 beats/min,respiratory rate 26 breaths/min,and blood pressure 124/78 mm Hg.The temperature is now 99.4°F (37.4°C).Based only on the expected relationship between temperature and respiratory rate,the nurse might best anticipate the client's respiratory rate to be:
A) 16
B) 18
C) 20
D) 22
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22
Chapter 21: Communication Therapeutic Relationships
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Sample Questions
Q1) Which of the following statements are reflective of barriers to communication? Select all that apply.
A) "I see you had a heart attack. Why are you still smoking?"
B) "I know you are having pain in your knee. I will check your vital signs before getting your pain medications."
C) "The nursing assistant told me you are having back pain. I'll get your pain medication now."
D) "Tell me a little more about the chest pain you were having at home."
E) "Let's talk about all the possible causes and treatments for chest pain."
F) None of the above
Q2) Which statement or question by the nurse indicates that the nurse-patient relationship is entering the termination phase?
A) "I'll be admitting you to our nursing unit as soon as I obtain your health history."
B) "You seem upset today. Would you like to talk about whatever is bothering you?"
C) "I'm leaving for the day. Is there anything I can do for you before I leave?"
D) "Hello. My name is Leslie and I'm going to be your nurse today."
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Chapter 22: Health Assessment
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Sample Questions
Q1) A female patient has excessive facial hair.The nurse should document this finding as:
A) Alopecia
B) Albinism
C) Hirsutism
D) Lanugo
Q2) The nurse notes ptosis in a patient who just arrived in the emergency department.The nurse quickly triages the patient because she knows that this finding,along with other symptoms,might suggest:
A) Hyperthyroidism
B) Stroke
C) Glaucoma
D) Macular degeneration
Q3) Which test should the patient undergo when the Weber test is positive?
A) Romberg test
B) Rinne test
C) Pure tone audiometry
D) Tympanometry
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Chapter 23: Promoting Asepsis Preventing Infection
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Sample Questions
Q1) A patient is admitted to the hospital with tuberculosis.Which precautions must the nurse institute when caring for this patient?
A) Droplet transmission
B) Airborne transmission
C) Direct contact
D) Indirect contact
Q2) What type of immunity is provided by intravenous (IV)administration of immunoglobulin G?
A) Cell mediated
B) Passive
C) Humoral
D) Active
Q3) The nurse is removing personal protective equipment (PPE).Which item should be removed first?
A) Gown
B) Gloves
C) Face shield
D) Hair covering
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25
Chapter 24: Promoting Safety
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Sample Questions
Q1) The nurse suspects a 3-year-old child who is coughing vigorously has aspirated a small object.Which action should the nurse take first?
A) Encourage the child to continue coughing.
B) Deliver upward abdominal thrusts with a fisted hand.
C) Deliver five rapid back blows between the shoulder blades.
D) Perform a blind finger sweep of the child's mouth.
Q2) While eating in the hospital cafeteria,the nurse sees a visitor display the "universal sign of choking." Her first action is to:
A) Page a "Code Blue" emergency.
B) Immediately perform five abdominal thrusts.
C) Assess for ineffective breathing by asking, "Are you choking?"
D) Deliver four sharp back blows between the scapulae.
Q3) The nurse will teach the community-based client that the most common cause of injury related to a house fire is/are:
A) Explosion
B) Falls from second-story windows
C) Thermal damage to skin and body surfaces
D) Smoke inhalation injury
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26
Chapter 25: Facilitating Hygiene
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Sample Questions
Q1) During the bath,the nurse observed that the patient has dry skin.The best action by the nurse is to:
A) Bathe the patient more frequently.
B) Use an emollient on the dry skin.
C) Massage the skin with warm water.
D) Discourage fluid intake.
Q2) The patient is sitting in a chair at the bedside.The nurse is preparing to remove the patient's artificial eye.What should the nurse ask the patient to do to best position him for this procedure?
A) Lean forward and rest the arms on the overbed table.
B) Sit back in the chair and tilt the head back.
C) Move to the bed and lie down.
D) Stand up and lean over the bed.
Q3) Which area(s)should the nurse inspect when assessing for cyanosis in a dark-skinned patient? Select all that apply.
A) Buccal mucosa
B) Around the lips
C) Palms
D) Tongue
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Page 27
Chapter 26: Administering Medications
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Sample Questions
Q1) The nurse mixes two medications together in one syringe and is preparing to administer them to her patient.On entering the patient's room,the nurse notices that the medication looks cloudy and there are some particles floating in the mixture.What is the most appropriate action by the nurse?
A) Notify the pharmacist before proceeding.
B) Check for medication compatibility.
C) Discard the medications and syringe.
D) Remix the medications in a different syringe.
Q2) What is/are the primary roles of the Food and Drug Administration (FDA)? Select all that apply.
A) Regulate the testing, manufacture, and sale of all medications
B) Monitor safety and effectiveness of medications available to consumers
C) Manage the storage and handling of controlled substances
D) Manage the sale and regulation of all herbal remedies
Q3) Teratogenic drugs should be avoided in which patient population?
A) Pregnant women
B) Elderly
C) Children
D) Adolescents
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Page 28
Chapter 27: Nutrition
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Sample Questions
Q1) While the nurse is performing a nutritional assessment her patient states,"I am on a vegan diet.I have been a vegan for 10 years.What do think?" What is the best response by the nurse?
A) "Is this a religious or cultural requirement for you?"
B) "It is fine; however, you may not be getting all the nutrients you need."
C) "Can you tell me about the foods you eat along with any other supplements you take?"
D) "I think it is your right to be on whatever diet you would like to be on."
Q2) Which portion of a nutritional assessment must the registered nurse complete?
A) Analyzing the data
B) Obtaining intake and output
C) Weighing the patient
D) Obtaining the history
Q3) Which laboratory test result most accurately reflects a patient's nutritional status?
A) Albumin
B) Prealbumin
C) Transferrin
D) Hemoglobin
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Chapter 28: Urinary Elimination
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40 Flashcards
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Sample Questions
Q1) A patient is prescribed furosemide (Lasix),a loop diuretic,for treatment of congestive heart failure.The patient is at risk for which electrolyte imbalance associated with use of this drug?
A) Hypocalcemia
B) Hypokalemia
C) Hypomagnesemia
D) Hypophosphatemia
Q2) A client has just voided 50 mL,yet reports that his bladder still feels full.The nurse's next actions should include which of the following? Select all that apply.
A) Palpating the bladder height
B) Obtaining a clean-catch urine specimen
C) Performing a bladder scan
D) Asking the patient about his recent voiding history
E) Inserting a straight catheter to measure residual urine
Q3) Which task can the nurse safely delegate to the nursing assistive personnel?
A) Palpating the bladder of a patient who is unable to void
B) Administering a continuous bladder irrigation
C) Providing indwelling urinary catheter care
D) Obtaining the patient's history and physical assessment
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Page 30
Chapter 29: Bowel Elimination
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/47150
Sample Questions
Q1) Which action should the nurse take to assess a 2-year-old child for pinworms?
A) Press clear cellophane tape against the anal opening at night to obtain a specimen.
B) Collect a freshly passed stool from a diaper using a wooden specimen blade.
C) Place a smear of stool on a slide and add two drops of reagent.
D) Prepare the patient for a flat plate (x-ray) of the abdomen.
Q2) A patient is diagnosed with an intestinal infection after traveling abroad.The nurse should encourage the intake of which food to promote healing?
A) Yogurt
B) Pasta
C) Oatmeal
D) Broccoli
Q3) Considering normal developmental and physical maturation in children,for which age would a goal of "Achieves bowel control by the end of this month" be most realistic?
A) 18 months
B) 3 years
C) 4 years
D) 5 years
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Chapter 30: Sensation,Perception, Cognition
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/47151
Sample Questions
Q1) Which step should the nurse take first when performing otic irrigation in an adult?
A) Warm the irrigation solution to room temperature.
B) Position the patient so she is sitting with her head tilted away from the affected ear.
C) Straighten the ear canal by pulling up and back on the pinna.
D) Place the tip of the nozzle into the entrance of the ear canal.
Q2) Sensory changes that occur with aging include which of the following? Select all that apply.
A) Decreased number of nerve conduction fibers results in slower reflexes.
B) The lens of eye becomes less flexible and less able to focus on near objects.
C) Taste buds atrophy and decrease in number, causing decreased ability to perceive taste.
D) Impaired regulation of body temperature causes an increased risk for seizures.
E) The amount and waxiness of cerumen increases with aging.
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Chapter 31: Pain
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Sample Questions
Q1) A patient who sustained rib fractures in a motor vehicle accident is stating that his pain medication is ineffective.Inadequate pain control places this patient at risk for which complication?
A) Metabolic alkalosis
B) Pneumothorax
C) Pneumonia
D) Hemothorax
Q2) A patient receiving an epidural analgesic complains of a headache.Which of the following should the nurse suspect?
A) Catheter migration
B) Local anesthesia toxicity
C) Common side effect of the analgesic
D) Dural puncture
Q3) To provide the most analgesic effect,a medication should bind with and block the pain impulse especially at which of the following opioid receptor sites?
A) Mu
B) Delta
C) Kappa
D) Sigma
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Page 33
Chapter 32: Physical Activity Mobility
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37 Flashcards
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Sample Questions
Q1) The nurse teaching a patient about ways to regain strength after a period of prolonged immobility advises the patient to seek assistance from a physical therapist.Which type of exercise is performed using specialized apparatuses that use resistance at a constant,preset speed?
A) Isokinetic
B) Isometric
C) Isotonic
D) Isomorphic
Q2) What action is most important in limiting the nurse's risk of back injuries?
A) Use good body mechanics at all times.
B) Work with another nurse or an aide when lifting and turning patients.
C) Avoid manual lifting by using assistive devices as often as possible.
D) Develop a lift team at the clinical site.
Q3) The nurse assessing the mobility of a patient with Parkinson's disease might expect to observe which type of gait?
A) Antalgic
B) Propulsive
C) Scissors
D) Steppage
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Page 34
Chapter 33: Sexual Health
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47154
Sample Questions
Q1) The emergency room nurse receives a male patient experiencing an acute myocardial infarction (heart attack)who is dressed in his wife's bra,panties,and nightgown.What is the most accurate inference the nurse can make about the patient with this data? The patient:
A) is transsexual
B) is a transvestite
C) is homosexual
D) has gender confusion
Q2) A client confides to you that he feels guilty because when he has intercourse with his girlfriend,he pretends that she is a certain female actress.What is your best response?
A) "This behavior is known as a voyeuristic disorder and is perfectly normal."
B) "Are there problems in your relationship with your girlfriend?"
C) "I can provide you with a referral to a sexual counselor who can help you work through these guilt feelings."
D) "Fantasy before or during sexual intercourse can add excitement to a relationship."
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35
Chapter 34: Sleep and Rest
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19 Flashcards
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Sample Questions
Q1) What is the purpose of using a sleep diary?
A) Identify sleep-rest patterns over a 1-year period.
B) Note the trend in sleep-wakefulness patterns over a 2-week period.
C) Note typical sleep habits and most common daily routines.
D) Examine the patterns of sleep during the night and naps during the day.
Q2) A patient states that many of his friends told him to ask for Valium or Ativan to help him sleep while hospitalized.The nurse knows that nonbenzodiazepines (such as Ambien)are often preferred over benzodiazepines (Ativan or Valium).Why is this?
A) Benzodiazepines are eliminated from the body faster than are nonbenzodiazepines, so they do not provide a full night of sleep.
B) Nonbenzodiazepines cause daytime sleepiness, allowing people to rest throughout the day.
C) Benzodiazepines produce daytime sleepiness and alter the sleep cycle.
D) Nonbenzodiazepines remain in the body longer than do benzodiazepines.
Q3) ____________________ disorders are those that occur when signs and symptoms of a disease appear or become worse during sleep.
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Chapter 35: Skin Integrity-Wound Healing
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48 Flashcards
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Sample Questions
Q1) Why is an accurate description of the location of a wound important? Select all that apply.
A) Influences the rate of healing
B) Determines the appropriate treatment choice
C) Will affect the frequency of dressing changes
D) Affects patient movement and mobility
Q2) Your patient has multiple open wounds that require treatment.When performing dressing changes,you should:
A) Remove all of the soiled dressings before beginning wound treatment
B) Cleanse wounds from most contaminated to least contaminated
C) Treat wounds on the patient's side first, then the front and back of the patient
D) Irrigate wounds from least contaminated to most contaminated
Q3) What is a common characteristic of aging skin?
A) Increased permeability to moisture
B) Diminished sweat gland activity
C) Reduced oxygen-free radicals
D) Overproduction of elastin
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Chapter 36: Oxygenation
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36 Flashcards
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Sample Questions
Q1) The nurse administers an antitussive/expectorant cough preparation to a patient with bronchitis.Which of the following responses indicates to the nurse that the medication is effective?
A) The amount of sputum the patient expectorates decreases with each dose administered.
B) Cough is completely suppressed, and she is able to sleep through the night.
C) Dry, unproductive cough is reduced, but her voluntary coughing is more productive.
D) Involuntary coughing produces large amounts of thick yellow sputum.
Q2) Which of the following blood levels normally provides the primary stimulus for breathing?
A) pH
B) Oxygen
C) Bicarbonate
D) Carbon dioxide
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38
Chapter 37: Circulation
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Sample Questions
Q1) The nurse is preparing patient teaching for a patient diagnosed with peripheral edema secondary to right-sided heart failure.What intervention will promote circulation and reduce edema in the lower extremities?
A) Encourage frequent ambulation.
B) Administer antihypertensive medications.
C) Encourage vigorous exercise for 30 minutes a day.
D) Administer oxygen when short of breath.
Q2) As the nurse caring for a patient who has suffered a myocardial infarction that has damaged the sinoatrial (SA)node,you should plan to monitor for which of the following potential complications? Select all that apply.
A) Decreased heart rate
B) Increased heart rate
C) Decreased cardiac output
D) Decreased strength of ventricular contractions
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Chapter 38: Fluids,Electrolytes, Acidbase Balance
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Sample Questions
Q1) A patient has been diagnosed with hypovolemia.Which prescriptions for hydration should the nurse question? Select all that apply.
A) 0.9% (normal) saline at 100 mL/hr
B) Lactated Ringer's solution at 100 mL/hr
C) D<sub>50</sub>W at 100 mL/hr
D) D<sub>5</sub>W solution at 100 mL/hr
Q2) A new father begins to hyperventilate as his baby is about to be born; he becomes light headed.The nurse instructs him to breathe into the paper bag until his breathing slows down.When he feels better he asks the nurse why using the paper bag helped him.What is the nurse's best response? "Breathing into the paper bag allowed you to
A) Rebreathe carbon dioxide to correct respiratory alkalosis"
B) Reduce carbon dioxide to correct respiratory acidosis"
C) Rebreathe carbon dioxide to correct metabolic alkalosis"
D) Reduce carbon dioxide to correct metabolic acidosis"
Q3) Identify the mechanisms involved in acid-base balance.Select all that apply.
A) Respiratory mechanisms
B) Active transport mechanisms
C) Renal mechanisms
D) Buffer systems
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Page 40
Chapter 39: Perioperative Care
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37 Flashcards
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Sample Questions
Q1) The patient is scheduled for an outpatient cholecystectomy (gall bladder removal)in 2 weeks.Based on the patient's history,the nurse includes which of the following in the preoperative plan of care?
A) Tell the patient to avoid smoking on the day of surgery.
B) Use a safety razor to shave the abdomen the day before surgery.
C) Ask the surgeon to prescribe antibiotics to be given preoperatively.
D) Tell the patient to inform the surgeon of allergies and chronic health conditions.
Q2) When asked to sign the surgical consent form,the patient has questions.The nurse notifies the surgeon,who talks with the patient again and then tells the nurse the questions have been answered.When the nurse again explains the purpose of the consent form to the patient,the patient says,"The doctor says this surgery is necessary.Do you think it is really necessary?" What is the nurse's best response?
A) "The doctor wouldn't schedule the surgery if it wasn't necessary."
B) "There are probably nonsurgical treatments, but they may not be as effective."
C) "This is a decision only you can make. What concerns do you have?"
D) "I think it is necessary, but I can call the doctor back if you want further information."
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Chapter 40: Leading Managing
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24 Flashcards
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Sample Questions
Q1) The unit nurse manager notices that nurse retention has steadily declined since she assumed the management position.What is the most appropriate action for the nurse manager to take?
A) Assess the staff's perception of the manager's leadership style.
B) Throw monthly pizza parties for the unit.
C) Give all of the nurses on the unit a 5% raise in pay.
D) Consult the manager's supervisor for guidance.
Q2) What source of power can an experienced staff nurse effectively use to convince other nurses to follow her?
A) Authority
B) Reward
C) Expert
D) Coercion
Q3) Delegation is the process of transferring work to subordinates.A nurse manager can appropriately delegate which task?
A) Scheduling staff assignments for the next month
B) Terminating a nursing assistant for insubordination
C) Deciding on salary increases for licensed practical nurses
D) Telling a staff nurse to initiate disciplinary action against a peer
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Page 42
Chapter 41: Nursing Informatics
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25 Flashcards
Source URL: https://quizplus.com/quiz/47162
Sample Questions
Q1) The Health Information Technology for Economic and Clinical Health (HITECH)encouraged implementation of electronic health records (EHR)by what means?
A) Fining facilities that did not convert to EHRs by 2015
B) Mandating that all facilities implement EHRs within the year
C) Providing incentive payments to facilities that converted to EHRs
D) Restricting providers' access to traditional patient health records
Q2) A nurse is entering a pharmacy request for patient medication in the patient's electronic health record (EHR)while seated at a computer in the nursing station.A physician approaches her and asks her to access another patient's EHR so that he can look at the patient's laboratory report.Which of the following is the best action for the nurse to take?
A) Access the lab report for the physician.
B) Log off the computer before proceeding.
C) Quickly finish the pharmacy requisition before the physician logs on.
D) Allow the physician to access the laboratory report immediately.
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43
Chapter 42: Promoting Health
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Sample Questions
Q1) The nurse meets with patients who quit smoking,or are planning to quit.Which statement made by a patient would lead the nurse to conclude that that patient is in the maintenance stage of change?
A) "I haven't smoked in 2 weeks, but I have to constantly resist the urge to light a cigarette."
B) "I don't even think about cigarettes anymore. I really don't miss smoking."
C) "Each day I don't smoke, I put money that I would have spent in a jar to pay for a vacation."
D) "I am chewing gum and eating carrot sticks to keep myself from lighting a cigarette."
Q2) Identify interventions that would be effective when assisting a client in making behavior changes that would reduce his health risk factors.Select all that apply.
A) Ask the client to follow a plan you wrote for him.
B) Have the client identify two or three goals for change.
C) Help the client to understand the benefits of change.
D) Allow the client to identify available support and resources within the community.
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Chapter 43: Community-Home Health Nursing
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33 Flashcards
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Sample Questions
Q1) What is the type of nursing with a focus on the community as a whole and the health status of individuals as an aggregate?
A) School nursing
B) Community health nursing
C) Community-oriented nursing
D) Public health nursing
Q2) A community health nurse prepares for a new assignment.She has been assigned census tracts 131 and 132.This large area crosses the border of two towns and includes 4,000 people.She recognizes that assignments are based on census tracts because census tracts do which of the following? Select all that apply.
A) Define the geopolitical boundaries of a community
B) Are made up of persons who share a common heritage and customs
C) Divide populations into smaller groups that can be assessed more readily
D) Are natural divisions in communities that are based on voting patterns
Q3) Which of the following is a primary intervention? Select all that apply.
A) Immunization for meningitis of college-bound students
B) Safer sex education for high school students
C) Lobbying for health education in the schools
D) Tuberculosis screening via PPD testing
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Page 45
Chapter 44: Ethics Values
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31 Flashcards
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Sample Questions
Q1) Confidentiality will be maintained by a nurse who believes in and values the ethical principle of:
A) Fidelity
B) Veracity
C) Beneficence
D) Autonomy
Q2) The nurse observes a new graduate nurse preparing to place an IV catheter in the patient's arm.The new graduate tells the patient,"You won't feel a thing" before inserting the needle under the skin.What ethical principle did the new graduate violate?
A) Beneficence
B) Nonmaleficence
C) Veracity
D) Confidentiality
Q3) Which of the following concepts refers to conflicts that arise between two or more ethical principles in patient care scenarios?
A) Nursing ethics
B) Bioethics
C) Ethical dilemma
D) Moral distress
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Chapter 45: Legal Accountability
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Sample Questions
Q1) The American Nurses Association (ANA)believes nurses should not participate in active euthanasia (and assisted suicide)because such acts violate ____.
A) the Patient Self-Determination Act
B) civil laws
C) the Good Samaritan laws
D) the Code of Ethics for Nurse
Q2) The charge nurse uses a whiteboard located at the nurse's station to write the nurses' patient assignments and the patients' diagnoses.This is a violation of which of the following?
A) Americans with Disabilities Act (ADA)
B) Patient Self-Determination Act (PSDA)
C) Health Insurance Portability and Accountability Act (HIPAA)
D) Health Emergency Medical Treatment and Active Labor Act (EMTALA)
Q3) Nursing codes of ethics support which of the following?
A) Patients can receive emergency treatment regardless of their ability to pay.
B) Nurses will educate patients about advance directives.
C) Nurses with HIV must disclose their condition to their employer.
D) Patients have the right to dignity, privacy, and safety.
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Chapter 46: Holistic Healing
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Sample Questions
Q1) The nurse is caring for a patient,who recently emigrated from India.The patient states the reason for the visit is for a well-patient visit.While taking the patient's history,the nurse ascertains that the patient is using ayurvedic herbal remedies.Which statement below assists the nurse to determine whether the patient understands the pros and cons of these herbal remedies?
A) "I can continue to order these herbal remedies from the shop in India where I have always purchased them."
B) "I can order these herbal remedies from any Internet source selling them."
C) "I should order these herbal remedies over the Internet from an FDA-approved site."
D) "I have had no problems from taking these herbal remedies, so I can continue their use."
Q2) A patient is receiving healthcare focused on his illness and counteracting his symptoms.What type of healthcare is he receiving?
A) Holistic
B) Integrative
C) Complementary
D) Allopathic
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