Nursing Fundamentals
Final Test Solutions
Course Introduction
Nursing Fundamentals introduces students to the core principles, basic skills, and foundational concepts essential to the practice of nursing. This course covers topics such as the history and evolution of nursing, the nursing process, patient safety, hygiene, vital sign assessment, infection control, effective communication, and ethical and legal considerations in care. Students will develop competencies in providing holistic, patient-centered care across diverse populations and will engage in hands-on activities and simulations to reinforce clinical decision-making and critical thinking skills. By the end of the course, learners will have a comprehensive understanding of the essential duties and responsibilities of professional nurses, preparing them for more advanced study and clinical practice.
Recommended Textbook
Concepts for Nursing Practice 2nd Edition by Giddens
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58 Chapters
459 Verified Questions
459 Flashcards
Source URL: https://quizplus.com/study-set/174
Page 2
Chapter 1: Development
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2322
Sample Questions
Q1) The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected stage of development for a preschooler is A) concrete operational.
B) formal operational.
C) preoperational.
D) sensorimotor.
Answer: C
Q2) The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs related to A) anticipatory guidance.
B) low-risk adolescents.
C) physical development.
D) sexual development.
Answer: A
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Chapter 2: Functional Ability
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Dresses self
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: B
Q2) A 65-year-old female patient has been admitted to the medical/surgical unit. The nurse is assessing the patient's risk for falls so that falls prevention can be implemented if necessary. Select all the risk factors that apply from this patient's history and physical. (Select all that apply.)
A) Being a woman
B) Taking more than six medications
C) Having hypertension
D) Having cataracts
E) Muscle strength 3/5 bilaterally
F) Incontinence
Answer: B, D, E, F
Q3) Bathes daily
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: B
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Page 4
Chapter 3: Family Dynamics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) Which factors which would alert the nurse to negative/dysfunctional family dynamics?
A) Aging of family members
B) Chronic illness of a family member
C) Disability of a family member
D) Intimate partner violence
Answer: D
Q2) The nurse planning to assess the structure of a family should ask which question?
A) "Who lives with you in this home?"
B) "Who does the grocery shopping?"
C) "Who provides support in your family?"
D) "How old are the members of your family?"
Answer: A
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Chapter 4: Culture
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) A 60-year-old Italian immigrant presents for an annual physical. He is counseled about diagnostic testing including laboratory testing, colonoscopy, influenza vaccination, and pneumococcal vaccination. His reply is "If it ain't broke, don't try to fix it."
When developing a plan of care, the nurse should consider which cultural orientation for this patient?
A) Short term
B) Long term
C) Leisurely term
D) Noncommittal
Q2) When teaching an Asian patient with newly diagnosed diabetes, the nurse notes the patient nodding yes to everything that is being said. With a better understanding of cultural interdependence in self-Chapter, a nurse should immediately
A) write everything down for the patient to refer to later.
B) prompt further to elicit additional questions or concerns.
C) call the recognized elder for this patient.
D) call the oldest male relative for help with decision making.
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Chapter 5: Spirituality
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) When developing a plan of care, the nurse should consider which attribute of the Chapter of spirituality?
A) Spirituality is not a well-known universal concept
B) Chronic versus acute illnesses affect spirituality
C) Convincing patients to pray is a priority intervention
D) Referrals may be needed to spiritual counselors
Q2) A patient uses rosary beads and attends mass once a week. This expression of spirituality is best described with which term?
A) Religiosity
B) Faith
C) Belief
D) Authenticity
Q3) The nurse recognizes that which life events can be spiritually life changing? (Select all that apply.)
A) Births
B) Weddings
C) Medical diagnoses
D) Career day to day job duties
E) Loss of independence
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Page 7
Chapter 6: Adherence
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) The nurse is preparing a discharge teaching plan for a patient who has peripheral vascular disease and has poor circulation to the feet. Which learning goal should the nurse include in the teaching plan?
A) The nurse will demonstrate the proper technique for trimming toenails.
B) The patient will understand the rationale for proper foot care after instruction.
C) The nurse will instruct the patient on appropriate foot care before discharge.
D) The patient will post reminder stickers on the calendar to check feet every day and record scheduled appointments with podiatrist.
Q2) The nurse is developing a care plan for a patient who has low motivation and nonadherence with blood glucose monitoring. Which statement by the patient would indicate to the nurse that the patient is not motivated and will most likely not comply?
A) "I do not like to test my sugar, but I do it because my wife nags me."
B) "I forget to check my sugar once in a while."
C) "I don't see or feel any different when I do keep my blood sugars under control."
D) "I have no idea what the signs of low blood sugar are."
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Chapter 7: Self-Management
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) The nurse planning care for a patient realizes that which acute medical event requires self-management?
A) Prenatal care
B) Depression
C) Diabetes
D) Femur fracture
Q2) When developing a plan of care to promote self-management, which patient is least likely to be affected by depression?
A) 55-year-old employed female
B) 35-year-old Hispanic male
C) 40 year old with 5th grade education
D) 42 year old with private insurance
Q3) An 8-year-old child is newly diagnosed with asthma. Which nursing intervention best promotes self-efficacy for the parents to help the child follow the prescribed treatments?
A) Ask parents to list all possible triggers for asthma
B) Requesting a spacer for the metered dose inhaler
C) Suggest the parents enforce a strict exercise regimen
D) Recommend replacing carpeting in the home with wood flooring
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Chapter 8: Fluid and Electrolyte Balance
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) The nurse is assessing a patient before hanging an IV solution of 0.9% NaCl with KCl in it. Which assessment finding should cause the nurse to hold the IV solution and contact the physician?
A) Weight gain of 2 pounds since last week
B) Dry mucous membranes and skin tenting
C) Urine output 8 mL/hr
D) Blood pressure 98/58
Q2) The nurse assessed four patients at the beginning of the shift. Which finding should the nurse report immediately to the physician?
A) Swollen ankles in patient with compensated heart failure
B) Positive Chvostek's sign in patient with acute pancreatitis
C) Dry mucous membranes in patient taking a new diuretic
D) Constipation in patient who has advanced breast cancer
Q3) The patient with which diagnosis should have the highest priority for teaching regarding foods that are high in magnesium?
A) Severe hemorrhage
B) Diabetes insipidus
C) Oliguric renal disease
D) Adrenal insufficiency
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Page 10
Chapter 9: Acid-Base Balance
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) Which statements said by patients indicate that the nurse's teaching regarding prevention of acid-base imbalances is successful? (Select all that apply.)
A) "Baking soda is an effective and inexpensive antacid."
B) "I should take my insulin on time every day."
C) "My aspirin is on a high shelf away from children."
D) "I have reliable transportation to dialysis sessions."
E) "Fasting is a great way to lose weight rapidly."
Q2) The patient had diarrhea for 5 days and developed an acid-base imbalance. Which statement would indicate that the nurse's teaching about the acid-base imbalance has been effective?
A) "To prevent another problem, I should eat less sodium during diarrhea."
B) "My blood became too acid because I lost some base in the diarrhea fluid."
C) "Diarrhea removes fluid from the body, so I should drink more ice water."
D) "I should try to slow my breathing so my acids and bases will be balanced."
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11
Chapter 10: Thermoregulation
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) The nurse planning care for a patient with hypothermia should consider what similar exemplar?
A) Heat exhaustion
B) Heat stroke
C) Infection
D) Prematurity
Q2) A volunteer at the senior center asks the visiting nurse why the senior citizens always seem to be complaining about the temperature. What is the nurse's best response?
A) Older people have a diminished ability to regulate body temperature because of active sweat glands.
B) Older people have a diminished ability to regulate body temperature because of increased circulation.
C) Older people have a diminished ability to regulate body temperature because of peripheral vasoconstriction.
D) Older people have a diminished ability to regulate body temperature because of slower metabolic rates.
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Chapter 11: Sleep
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) The nurse enters a patient's room and the patient startles easily and appears to jerk his arms and legs before awakening. Which stage of non-rapid eye movement sleep did the patient most likely awaken from?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
Q2) A patient complains of not being able to fall asleep at night and asks the nurse if there is a safe, non-prescription medication he can try. After consulting the healthcare provider, the nurse should recommend which naturally occurring hormone?
A) Melatonin
B) Cortisol
C) Leutinizing hormone
D) Estrogen
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Chapter 12: Cellular Regulation
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A patient with prostate cancer is taking estrogen daily to control tumor growth. He reports that his left calf is swollen and painful. Which of the following would be the nurse's best action?
A) Instruct the client to keep the leg elevated.
B) Measure the calf circumference and compare the measurement with the right calf circumference measurement.
C) Apply ice to the calf after a 10-minute massage of the area.
D) Document assessment findings as an expected response with estrogen therapy.
Q2) A cancer patient's susceptibility to the syndrome of inappropriate antidiuretic hormone (SIADH) can be suspected with which of the following laboratory results?
A) Serum potassium of 5.2 mmol/L
B) Serum sodium of 120 mmol/L
C) Hematocrit of 40%
D) Blood urea nitrogen (BUN) of 10 mg/dL
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14
Chapter 13: Intracranial Regulation
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) Which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation?
A) Change in level of consciousness
B) Inability to focus visually
C) Loss of primitive reflexes
D) Unequal pupil size
Q2) The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe?
A) Aligning the neck with the body
B) Clustering many nursing activities
C) Elevating the head of the bed 30 degrees
D) Providing stool softeners or laxatives as ordered
Q3) The nurse should teach a patient that which is a primary prevention strategy to reduce the occurrence of head injuries?
A) Blood pressure control
B) Smoking cessation
C) Maintaining a healthy weight
D) Violence prevention
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15
Chapter 14: Hormonal Regulation
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) Which statement made by a student nurse indicates the need for further teaching about pituitary insufficiency?
A) "Synthetic human growth hormone may be prescribed for children who are small for gestational age."
B) "Testosterone supplements may be prescribed for women with gonadotropin deficiency."
C) "Estrogen is known to regulate the action of growth hormone in men and women."
D) "Chronic kidney disease treatment may include synthetic growth hormone replacement."
Q2) A patient presents to the emergency room complaining of vomiting with severe back and leg pain. The patient's home medications include daily oral corticosteroids. Vital signs reveal a low blood pressure and there are peaked T waves on the electrocardiogram. What is the nurse's priority intervention?
A) Start an intravenous line
B) Collect urine specimen
C) Administer antiemetic
D) Administer narcotic analgesia
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16
Chapter 15: Glucose Regulation
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) The nurse instructs a patient with type 1 diabetes mellitus to avoid which of the following drugs while taking insulin?
A) Furosemide (Lasix)
B) Dicumarol (Bishydroxycoumarin)
C) Reserpine (Serpasil)
D) Cimetidine (Tagamet)
Q2) The nurse recognizes which patient as having the greatest risk for undiagnosed diabetes mellitus?
A) Young white man
B) Middle-aged African-American man
C) Young African-American woman
D) Middle-aged Native American woman
Q3) A diabetic patient is brought into the emergency department unresponsive. The arterial pH is 7.28. Besides the blood pH, which clinical manifestation is seen in uncontrolled diabetes mellitus and ketoacidosis?
A) Decreased hunger sensation
B) Report of no urine output
C) Increased respiratory rate
D) Decreased thirst
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Page 17
Chapter 16: Nutrition
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) The nurse is completing a nutritional assessment on a patient with hypertension. What foods would be recommended for this patient?
A) Regular diet
B) Low sodium diet
C) Pureed diet
D) Low sugar diet
Q2) During a physical examination, the nurse notes that the patient's skin is dry and flaking. What additional data would the nurse expect to find to confirm the suspicion of a nutritional deficiency?
A) Hair loss and hair that is easily removed from the scalp
B) Inflammation of the tongue and fissured tongue
C) Inflammation of peripheral nerves and numbness and tingling in extremities
D) Fissures and inflammation of the mouth
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Chapter 17: Elimination
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) During an assessment, the patient states that his bowel movements cause discomfort because the stool is hard and difficult to pass. As the nurse, you make which of the following suggestions to assist the patient with improving the quality of his bowel movement? (Select all that apply.)
A) Increase fiber intake.
B) Increase water consumption.
C) Decrease physical exercise.
D) Refrain from alcohol.
E) Refrain from smoking.
Q2) What is a primary prevention tool used for colon cancer screening?
A) Abdominal x-rays
B) Blood, urea, and nitrogen (BUN) testing
C) Serum electrolytes
D) Occult blood testing
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Chapter 18: Perfusion
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Sample Questions
Q1) A patient diagnosed with hypertension asks the nurse how this disease could have happened to them. What is the nurse's best response?
A) "Hypertension happens to everyone sooner or later. Don't be concerned about it."
B) "Hypertension can happen from eating a poor diet, so change what you are eating."
C) "Hypertension can happen from arterial changes that block the blood flow."
D) "Hypertension happens when people do not exercise, so you should walk every day."
Q2) A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. What should the nurse monitor for in this patient?
A) Tissue ischemia
B) Brain malformations
C) Intestinal blockage
D) Cardiac dysrhythmia
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Chapter 19: Gas Exchange
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Sample Questions
Q1) The nurse is assigned a group of patients. Which patient finding would the nurse identify as a factor leading to increased risk for impaired gas exchange?
A) Blood glucose of 350 mg/dL
B) Anticoagulant therapy for 10 days
C) Hemoglobin of 8.5 g/dL
D) Heart rate of 100 beats/min and blood pressure of 100/60
Q2) Which patient finding would the nurse identify as being a risk factor for altered transport of oxygen?
A) Hemoglobin level of 8.0
B) Bronchoconstriction and mucus
C) Peripheral arterial disease
D) Decreased thoracic expansion
Q3) Which clinical management prevention Chapter would the nurse identify as representative of secondary prevention?
A) Decreasing venous stasis and risk for pulmonary emboli
B) Implementation of strict hand washing routines
C) Maintaining current vaccination schedules
D) Prevention of pneumonia in patients with chronic lung disease
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Chapter 20: Clotting
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Sample Questions
Q1) A patient on a medical surgical unit has a platelet count of 90,000 per mm³. The nurse knows to include which of the following precautions in discharge instructions?
A) Use a standard safety razor for shaving.
B) Use a soft bristle toothbrush.
C) Have aggressive dental care immediately to prevent dental caries.
D) Do not eat fresh fruit.
Q2) Which nursing observation would indicate that the nurse hold the medication warfarin (Coumadin)?
A) An INR (international normalize ratio) of 1.8
B) An INR of 4.8
C) A partial thromboplastin time (APTT) level of 25 seconds
D) An APTT level of 35 seconds
Q3) Which statement by a patient indicates additional teaching is required about the medication warfarin?
A) "I will continue my diabetic diet and restrict sugar."
B) "I will increase the intake of green, leafy vegetables for a more healthful diet."
C) "I will restrict the intake of foods high in vitamin C."
D) "I will increase the amount of protein in my diet to protect my kidneys."
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Chapter 21: Reproduction
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Sample Questions
Q1) A female patient comes to the clinic after missing one menstrual period. She lives in a house beneath electrical power lines which is located near an oil field. She drinks two caffeinated beverages a day, is a daily beer drinker, and has not stopped eating sweets. She takes a multivitamin and exercises daily. She denies drug use. Which finding in the history has the greatest implication for this patient's plan of care?
A) Electrical power lines are a potential hazard to the woman and her fetus.
B) Living near an oil field may mean the water supply is polluted.
C) Alcohol exposure should be avoided during pregnancy due to teratogenicity.
D) Eating sweets may cause gestational diabetes or miscarriage.
Q2) A female college student is planning to become sexually active. She is considering birth control options and desires a method in which ovulation will be prevented. To prevent ovulation while reaching 99% effectiveness in preventing pregnancy, which option should be given the strongest consideration?
A) Intrauterine device
B) Coitus interruptus
C) Natural family planning
D) Oral contraceptive pills
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Chapter 22: Sexuality
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Sample Questions
Q1) A 37-year-old heterosexual African-American man has come for his annual health screening. Which test must the nurse ensure is ordered for this patient?
A) Human papilloma virus (HPV)
B) Prostate-specific antigen (PSA)
C) HIV
D) Venereal disease research laboratory (VDRL)
Q2) When assessing high-risk behaviors, which question specifically identifies a blood-related risk for a sexually transmitted infection?
A) "Have you ever received donor semen, eggs, or transplanted tissue?"
B) "Have you ever exchanged sex for drugs, money, or shelter?"
C) "How do you protect yourself from HIV and sexually transmitted infections?"
D) "Have you ever injected drugs using shared equipment?"
Q3) Which statements related to sexual dysfunction are correct? (Select all that apply.)
A) Biological factors play a more significant role than psychologic factors.
B) Sexual dysfunction is more prevalent among men than women.
C) The best predictor of sexual health is emotional well-being.
D) The patient with sexual dysfunction is at risk for anxiety and depression.
E) Sexual dysfunction remains uncommon.
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Chapter 23: Immunity
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Sample Questions
Q1) While caring for a patient preparing for a kidney transplant, the nurse knows that the patient understands teaching on immunosuppression when she makes which statement?
A) "My body will treat the new kidney like my original kidney."
B) "I will have to make sure that I avoid being around people."
C) "The medications that I take will help prevent my body from attacking my new kidney."
D) "My body will only have a problem with my new kidney if the donor is not directly related to me."
Q2) The nurse is caring for a patient who is being discharged home after a splenectomy. What information on immune function needs to be included in this patient's discharge planning?
A) The mechanisms of the inflammatory response
B) Basic infection control techniques
C) The importance of wearing a face mask in public
D) Limiting contact with the general population
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Chapter 24: Inflammation
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Sample Questions
Q1) A patient is diagnosed with a sprain to her right ankle after a fall. The patient asks the nurse about using ice on her injured ankle. What is the nurse's best response?
A) "Use ice only when the ankle hurts."
B) "Ice should be applied for 15 to 20 minutes every 2 to 3 hours over the next 1 to 2 days."
C) "Wrap an ice pack around the injured ankle for the next 24 to 48 hours."
D) "Ice is not recommended for use on the sprain because it would inhibit the inflammatory response."
Q2) A patient comes to the clinic with a complaint of painful, itchy feet. On interview, the patient tells the nurse that he is a college student living in a dormitory apartment that he shares with five other students. What teaching should the nurse provide for this patient?
A) "Don't eat with the other students."
B) "Avoid sharing razors and other personal items."
C) "Have a complete blood count (CBC) checked monthly."
D) "Disinfect showers and bathroom floors weekly after use."
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Chapter 25: Infection
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Sample Questions
Q1) In order to provide the best intervention for a patient, the nurse is often responsible for obtaining a sample of exudate for culture. What information will this provide?
A) Whether a patient has an infection.
B) Where an infection is located.
C) What cells are being utilized by the body to attack an infection.
D) What specific type of pathogen is causing an infection.
Q2) The nurse is caring for a patient with a diagnosed case of Clostridium difficile. The nurse expects to implement which of the following interventions? (Select all that apply.)
A) Administration of protease inhibitors
B) Use of personal protective equipment
C) Patient teaching on methods to inhibit transmission
D) Preventing visitors from entering the room
E) Administration of intravenous fluids
F) Strict monitoring of intake and output
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Chapter 26: Mobility
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Sample Questions
Q1) What percentage of hip fractures is the result of falls?
A) 50%
B) 80%
C) 90%
D) 100%
Q2) Mobility for the patient changes throughout the life span. What is the term that best describes this process?
A) Aging and illness
B) Illness and disease
C) Health and wellness
D) Growth and development
Q3) The nurse and a student nurse are discussing the effects of bed immobility on patients. The nurse knows that the student nurse understands the Chapter of mobility when making which statement?
A) "Patients with impaired bed mobility have an increased risk for pressure ulcers."
B) "Patients with impaired bed mobility like to have extra visitors."
C) "Patients with impaired bed mobility need to have a mechanical soft diet."
D) "Patients with impaired bed mobility are prone to constipation."
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Chapter 27: Tissue Integrity
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Sample Questions
Q1) A patient asks the nurse what the purpose of the Wood's light is. Which response by the nurse is accurate?
A) "We will put an anesthetic on your skin to prevent pain."
B) "The lamp can help detect skin cancers."
C) "Some patients feel a pressure-like sensation."
D) "It is used to identify the presence of infectious organisms and proteins associated with specific skin conditions."
Q2) To help decrease the threat of a melanoma in a blonde-haired, fair-skinned patient at risk, the nurse would advise the patient to do which of the following?
A) Apply sunscreen 1 hour prior to exposure.
B) Drink plenty of water to prevent hot skin.
C) Use vitamins to help prevent sunburn by replacing lost nutrients.
D) Apply sunscreen 30 minutes prior to exposure.
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Chapter 28: Sensory Perception
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Sample Questions
Q1) During the examination of the ear, a dark yellow substance is noted in the ear canal. The tympanic membrane is not visible. The patient's wife complains that he never hears what she says lately. These findings would suggest that the nurse prepare the patient for which procedure?
A) Tympanoplasty
B) Irrigation of the ear
C) Pure tone test
D) Otoscopic exam by a specialist
Q2) A 75-year-old woman walks into the emergency department with complaints of "not feeling well." Her blood pressure is 145/95, pulse 85 beats/min, respirations 24 breaths/min, and blood sugar 300. Upon inspection, the nurse notices that the woman has an open wound on the bottom of her foot, but the patient states she is not aware of this. How should the nurse interpret these findings?
A) Normal in the older adult
B) A need for the patient to be evaluated for cognitive impairment
C) A side effect of anti-hypertensive medication
D) Pathologic impairment of sensory responses
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Page 30
Chapter 29: Pain
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Sample Questions
Q1) A 70-year-old retired nurse is interested in nondrug, mind-body therapies, self-management, and alternative strategies to deal with joint discomfort from rheumatoid arthritis. What options should you consider in her plan of care considering her expressed wishes?
A) Stationary exercise bicycle, free weights, and spinning class
B) Mind-body therapies such as music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy
C) Chamomile tea and IcyHot gel
D) Acupuncture and attending church services
Q2) An 80-year-old male patient is in the intensive care unit has suffered a fractured femur. You are making rounds and notice he is somnolent, with no response to verbal or physical stimulation. He has been on round the clock opioid doses q 4 hours. What is the nurse's first action?
A) Call the rapid response team to care for the patient immediately.
B) Discontinue the opioids on the medication administration record.
C) Assess the patient's blood pressure and pain level.
D) Start a second intravenous line with a large bore catheter.
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Page 31
Chapter 30: Fatigue
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Source URL: https://quizplus.com/quiz/2351
Sample Questions
Q1) Which are treatment related causes of fatigue? (Select all that apply.)
A) Blood transfusion
B) Chemotherapy
C) Radiation therapy
D) Surgery
E) Side effects of medications
Q2) The nurse palpates swollen nodes in a patient's neck who presented to the clinic with complaints of fatigue lasting at least 2 weeks. What is the nurse's best action?
A) Advise patient this finding is normal.
B) Review patient's thyroid labwork.
C) Perform deep tendon reflexes.
D) Notify the healthcare provider.
Q3) The nurse recognizes that which patients are at highest risk for physiologic fatigue? (Select all that apply.)
A) Parents of a newborn
B) Adolesent with anorexia
C) 25-year-old pregnant female
D)Grandmother who takes 1/2 mile walks
E) Businessman who consumes six cups coffee/day
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Page 32
Chapter 31: Stress
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Sample Questions
Q1) A diabetic patient who is hospitalized tells the nurse, "I don't understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up." Which response by the nurse is appropriate?
A) "It is probably just coincidental that your blood sugar is high when you are ill."
B) "Stressors such as illness cause the release of hormones that increase blood sugar."
C) "Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times."
D) "Your diet is different here in the hospital than at home, and that is the most likely cause of the increased glucose level."
Q2) Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient? (Select all that apply.)
A) Assess for bradycardia.
B) Ask about epigastric pain.
C) Observe for increased appetite.
D) Check for elevated blood glucose levels.
E) Monitor for a decrease in respiratory rate.
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33
Chapter 32: Coping
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Sample Questions
Q1) After a management decision to admit terminal care patients to a medical unit, the nursing manager notes that nursing staff on the unit appear tired and anxious. Staff absences from work are increasing. The nurse manager is concerned that staff may be experiencing stress and burnout at work. What action would be best for the manager to take that will help the staff?
A) Ask administration to require staff to meditate daily for at least 30 minutes.
B) Have a staff psychologist available on the unit once a week for required counseling.
C) Have training sessions to help the staff understand their new responsibilities.
D) Ask support staff from other disciplines to complete some nursing tasks to provide help.
Q2) The nurse is developing a care plan for a patient with ineffective coping skills. Which intervention would be an example of a problem-focused coping strategy?
A) Scheduling a regular exercise program
B) Attending a seminar on treatment options
C) Identifying a confidant to share feelings
D) Attending a support group for families
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Chapter 33: Mood and Affect
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Sample Questions
Q1) A nurse is developing a plan of care for a patient admitted with a diagnosis of bipolar disorder, manic phase. Which nursing diagnoses address priority needs for the patient? (Select all that apply.)
A) Risk for caregiver strain
B) Impaired verbal communication
C) Risk for injury
D) Imbalanced nutrition, less than body requirements
E) Ineffective coping
F) Sleep deprivation
Q2) A patient who has been diagnosed with depression is scheduled for cognitive therapy in addition to receiving prescribed antidepressant medication. The nurse understands that the goal of cognitive therapy will be met when what is reported by the patient?
A) "I will tell myself that I am a good person when things don't go well at work."
B) "My medications will make my problems go away."
C) "My family will help take care of my children while I am in the hospital."
D) "This therapy will improve my response to neurotransmitter impulses."
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Chapter 34: Anxiety
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Sample Questions
Q1) A patient is newly diagnosed with anxiety and placed on a selective serotonin reuptake inhibitors (SSRIs). The nurse is developing the plan of care for this patient. How long will it take for this medication to become effective?
A) The medication will become effective immediately.
B) The medication may take up to 12 weeks to become effective.
C) The medication may take up to 6 weeks to become effective.
D) The medication may take up to 4 weeks to become effective.
Q2) A patient complains of insomnia during his stay in the hospital. Which nursing diagnosis would be a top priority for this patient?
A) Anxiety related to hospitalization
B) Ineffective Coping related to hospitalization
C) Denial related to hospitalization
D) High Risk for Insomnia related to hospitalization
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Chapter 35: Cognition
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Sample Questions
Q1) An older adult who is cognitively impaired is admitted to the hospital with pneumonia. Which sign or symptom would the nurse expect to be exhibited by the patient?
A) Severe headache
B) Flank pain
C) Increased confusion
D) Decreased blood glucose
Q2) The nurse is teaching primary prevention of cognitive impairment at a community health fair. Which topics would be included in the presentation? (Select all that apply.)
A) Do not use substances such as cannabis and alcohol.
B) Wear helmets when riding bicycles and motorcycles.
C) Complete a Mini Mental Status Exam (MMSE) yearly.
D) Correct acid-base imbalances related to underlying disease processes.
E) Wear a seat belt whenever riding in a motorized vehicle.
F) Complete a Confusion Assessment Method (CAM) scale yearly.
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Chapter 36: Psychosis
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Sample Questions
Q1) In discussing disease prevention with a 15-year-old boy and his mother, the nurse identifies which of the following as risk factors for psychosis? (Select all that apply.)
A) Father diagnosed with paranoid schizophrenia
B) Rural residence
C) Recent immigration from Ecuador
D) Occasional cannabis use
E) January birth date
F) Physical abuse by the father
Q2) Which side effect is highest priority for the nurse to assess for when diphenhydramine is administered to a patient also taking antipsychotic medication?
A) Increased pychosis
B) Cognitive impairment
C) Respiratory depression
D) Impaired memory
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Chapter 37: Addiction
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Sample Questions
Q1) The nurse is assessing a patient using the CAGE Questionnaire. The patient answers yes to all of the questions. The nurse suspects alcoholism and feels the patient is in denial when the patient makes which statement?
A) "I go to meetings once a day and still drink."
B) "My family and friends have been avoiding me lately."
C) "I don't have a problem with alcohol. I can quit anytime I want to."
D) "I know it will be hard to quit, but I am willing to try."
Q2) Strategies that a nurse could use in a motivational interview to increase the chances of change include which of the following? (Select all that apply.)
A) Educating the patient on the physical damage the substance is causing
B) Encouraging the patient to think of ways to change environmental triggers to abuse substances
C) Asking the patient how they think substance abuse affects their family life
D) Explaining to the patient that substance abuse affects everyone in the family and give examples
E) Asking the patient what methods they think would work and encouraging participating in self-help groups
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Chapter 38: Interpersonal Violence
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Sample Questions
Q1) The nurse is admitting a child with a history of abuse. The nurse understands that the child may exhibit what behaviors that are consequences of being in an abusive environment? (Select all that apply.)
A) Reliving abuse incidents
B) Sleep disturbance
C) Overeating
D) Acting out behaviors
E) Intermittent fever
Q2) The nurse is seeing a patient who has been in the clinic eight times in the past 6 months for injuries from an abusive partner. The patient states, "I don't see any way to get away from my partner, and I can't keep going on like this." What assessment question is most important for the nurse to ask?
A) "Do you have any family in the area that can help?"
B) "Have you thought about hurting yourself or someone else?"
C) "Have you thought about moving to a different city?"
D) "Have you discussed this with anyone else?"
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Chapter 39: Professional Identity
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Sample Questions
Q1) Nursing demonstrates dedication to improving public health through which avenue?
A) Changing health care standards
B) Legal regulations
C) Scope of practice
D) Technology
Q2) A new registered nurse asks the registered nurse (RN) preceptor what could be done to become more professional. What is the preceptor's best response?
A) "Attend nursing educational meetings."
B) "Listen to other nurses."
C) "Read the agency newsletter."
D) "Pass the licensing exam."
Q3) The qualities of leadership, clinical expertise and judgment, mentorship, and lifelong learning would best describe which type of nurse?
A) Administrator
B) Certified nurse specialist
C) Practitioner
D) Professional
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Chapter 40: Clinical Judgment
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Sample Questions
Q1) A student nurse is studying clinical judgment theories and is working with Tanner's Model of Clinical Judgment. How can the student nurse best generalize this model?
A) A reflective process where the nurse notices, interprets, responds, and reflects in action
B) One conceptual mechanism for critiquing ideas and establishing goal-oriented care
C) Researching best practice literature to create care pathways for certain populations
D) Assessing, diagnosing, implementing, and evaluating the nursing care plans
Q2) A nurse has committed a serious medication error and has reported the error to the hospital's adverse medication error hotline as well as to the unit manager. The manager is a firm believer in developing critical thinking skills. From this standpoint, what action by the manager would best nurture this ability in the nurse who made the error?
A) Have the nurse present an in-service related to the cause of the error.
B) Instruct the nurse to write a paper on how to avoid this type of error.
C) Let the nurse work with more experienced nurses when giving medications.
D) Send the nurse to refresher courses on medication administration.
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Chapter 41: Leadership
8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2362
Sample Questions
Q1) To be an effective nursing leader today requires effective collaboration, which is modeled by which answer below?
A) The nursing manager of the observation unit was certain the psychology department would assist the unit with a motivational plan, so she did not request their assistance.
B) The nursing manager of the observation unit worked with the psychology department and physical therapy to develop a motivational plan for patients on the unit.
C) The nursing director of behavioral health services followed the administrative directive to reduce services and refused to provide services for patients on other units.
D) Frustrated by the trend of patients unwilling to work with therapy, the unit manager recommended that these patients be placed on another unit.
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Chapter 42: Ethics
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Sample Questions
Q1) A patient suffered a brain injury from a motor vehicle accident and has no brain activity. The patient has a living will which states no heroic measures. The family requests that no additional heroic measures be instituted for their son. The nurse respects this decision in keeping with which principle?
A) Accountability
B) Autonomy
C) Nonmaleficence
D) Veracity
Q2) A drug-addicted nurse switches a patient's morphine injection with normal saline so that the nurse can use the morphine. The nurse is violating which principles of ethics? (Select all that apply.)
A) Autonomy
B) Utilitarianism
C) Beneficence
D) Dilemmas
E) Veracity
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Chapter 43: Patient Education
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Sample Questions
Q1) When planning to evaluate a patient's satisfaction with a teaching activity, what is the most appropriate strategy?
A) Include a survey instrument.
B) Observe for level of skill mastery.
C) Present information more than one time.
D) Provide for a return demonstration.
Q2) Interrelated Chapters to the professional nursing role a nurse manager would consider when addressing concerns about the quality of patient education include which factor?
A) Adherence
B) Developmental level
C) Motivation
D) Technology
Q3) The nurse educator would identify a need for further teaching when the student lists which example as a type of learning?
A) Affective
B) Cognitive
C) Psychomotor
D) Self-directed
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Page 45
Chapter 44: Health Promotion
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Sample Questions
Q1) The nurse in a newly opened community health clinic is developing a program for the individuals considered at greatest risk for poor health outcomes. How should the nurse consider this group?
A) Global community
B) Sedentary society
C) Unmotivated population
D) Vulnerable population
Q2) The primary health care nurse would recommend screening based on known risk factors, because of which action?
A) Eliminate the possibility of developing a condition.
B) Identify appropriate treatment guidelines.
C) Initiate treatment of a condition or disease.
D) Make a substantial difference in morbidity and mortality.
Q3) Which tertiary prevention measure should be included in the health promotion plan of care for a patient newly diagnosed with diabetes?
A) Avoiding carcinogens
B) Foot screening techniques
C) Glaucoma screening
D) Seat belt use
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Page 46
Chapter 45: Communication
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Sample Questions
Q1) The nurse is admitting a patient to the medical/surgical unit. Which communication technique would be considered appropriate for this interaction?
A) "I've also had traumatic life experiences. Maybe it would help if I told you about them."
B) "Why do you think you had so much difficulty adjusting to this change in your life?"
C) "You will feel better after getting accustomed to how this unit operates."
D) "I'd like to sit with you for a while to help you get comfortable talking to me."
Q2) The nurse and the patient are conversing face to face. What communication technique is being demonstrated?
A) Linguistic
B) Paralinguistic
C) Explicit
D) Metacommunication
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Chapter 46: Collaboration
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Sample Questions
Q1) The nurse is presenting an in-service on the importance of collaborative communication. The nurse includes which critical event identified by the Joint Commission as an outcome of poor communication among health care team members?
A) The occurrence of a patient event resulting in death or serious injury
B) Decreased ability to document expenses of care provided
C) Longer time to begin surgical cases
D) Increased time to discharge patients to outpatient care
Q2) The nurse and physician are explaining that home care that will be needed by a patient after discharge. The patient's spouse states angrily that it will not be possible to provide the care recommended. What is the best response by the nurse?
A) "Let me review what is needed again."
B) "It is important that you do what the physician has prescribed."
C) "What concerns do you have about the prescribed care?"
D) "I can come back after you talk with your spouse about the care."
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Chapter 47: Safety
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Sample Questions
Q1) To promote a safety culture, the nurse manager preparing the staff schedule considers the anticipated census in planning the number and experience of staff on any given shift. Which is the human factor primarily addressed with this consideration?
A) Available supplies
B) Interdisciplinary communication
C) Interruptions in work
D) Workload fluctuations
Q2) Which is an essential element of a standard order set to verify a medication order?
A) Volume only
B) Number of tablets
C) Metric dose/strength
D) Hour of administration
Q3) Aspects of safety culture that contribute to a culture of safety in a health care organization include which component?
A) Communication
B) Fear of punishment
C) Malpractice implications
D) Team nursing
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Chapter 48: Technology and Informatics
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Sample Questions
Q1) The application of information processing that deals with the storage, retrieval sharing, and use of health care data, information, and knowledge for communication and decision making is the definition of which area?
A) Computer science
B) Health informatics
C) Health information technology
D) Nursing informatics
Q2) Which are exemplars of the health informatics Chapter?
A) Clinical research informatics
B) Hardware and software
C) Privacy and security
D) Standard terminology
Q3) The staff nurse who uses informatics in promoting quality patient care is most likely to access data in which domain?
A) Certified clinical information systems (CIS)
B) Clinical health care informatics
C) Public health/population informatics
D) Translational bioinformatics
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Chapter 49: Evidence
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Sample Questions
Q1) The nurse is conducting a review of the literature for pain management techniques. Which of the following would the nurse consider when conducting research that yields solid EBP? (Select all that apply.)
A) Search the literature to uncover evidence to answer the question.
B) Evaluate the outcome.
C) Use the nursing process to evaluate evidence.
D) Evaluate the evidence found.
E) Develop an answerable question.
F) Develop a question that has not been answered.
G) Apply the evidence to the practice situation.
Q2) The nurse in the psychiatric unit is involved in a research study for a depression medication. In the study, patients are randomly assigned to one depression medication and the other group is receiving no medication to treat the depression. What method of research are the patients involved with?
A) Descriptive
B) Correlational
C) Quasi-experimental
D) Experimental
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Chapter 50: Health Care Quality
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Sample Questions
Q1) A student nurse and clinical instructor are discussing quality in health care. The instructor knows the student understands when the student makes which statement?
A) "Quality is apparent in all health care."
B) "Quality is an outcome of health care."
C) "Quality is seen and unseen in health care."
D) "Quality is achieved by collaboration in health care."
Q2) What are the major attributes of health care quality? (Select all that apply.)
A) Conforms to standards
B) Sound decision making
C) High acuity patients
D) Low health care costs
E) Identifies adverse events
Q3) The focus of quality health care should be on which of the following items? (Select all that apply.)
A) Excellent services
B) Comprehensive communication
C) Private hospital rooms
D) Health team collaboration
E) Culturally competent care
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Page 52
Chapter 51: Care Coordination
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Sample Questions
Q1) Medical models coordinate medical services and were traditionally designed fulfill which function?
A) Be patient specific.
B) Be nursing oriented.
C) Be diagnosis specific.
D) Be community oriented.
Q2) For children and teens, which model includes school-based services?
A) Social
B) Integrated
C) Medically-Oriented
D) Nurse-Oriented
Q3) The nurse is discussing care coordination with a patient. The patient asks the nurse to explain care coordination. What is the nurse's best response?
A) "Care coordination is a cost effective method created by the community."
B) "Care coordination forces the health care facilities in the community to work together."
C) "Care coordination exists for the children and uninsured in the community."
D) "Care coordination allows health care services to work together in the community."
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Chapter 52: Caregiving
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Sample Questions
Q1) A young wife is talking with the nurse about her husband who is returning from the military. The wife confides that her husband is physically okay but is behaving differently. What is the nurse's best response?
A) "He is just trying to adjust to civilian life again; he'll be okay."
B) "You should observe him closely, because he could attack you."
C) "Many times people need care for emotional trauma."
D) "Talk with your physician to get medication, and then put it in his food."
Q2) A mother is talking with the community-based nurse concerning her adult son. The son is mentally challenged and not able to live on his own. The mother is concerned about her son's welfare when she is no longer able to care for him. What is the best response by the nurse?
A) "Let's look into the community resources that are available to assist you."
B) "You have raised your son well, and he will be okay on his own."
C) "Contact your distant relatives to see if anyone would take your son."
D) "There are places for mentally challenged adults; let's place him there."
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Chapter 53: Palliation
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Sample Questions
Q1) Which is one of the biggest challenges facing current nursing practice?
A) The number of aging Americans living with chronic disease.
B) The number of patients entering into hospice programs.
C) The number of cancer patients receiving supportive care.
D) Reduced length of stay in hospice care.
Q2) When considering the trajectory of a specific disease, what is the most important Chapter?
A) Hospital admissions
B) Physical functioning
C) Quality of life
D) Symptom management
Q3) What is the most prominent goal of palliative care?
A) Integrate into chronic disease management sooner rather than later.
B) Enroll the patient into the Medicare Hospice Benefit.
C) Ensure that the patient has a 6-month prognosis.
D) Reserve this type of care until the patient is actively dying.
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Chapter 54: Health Disparities
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Q1) Before beginning work on a culturally diverse hospital unit, the nurse should perform which action first?
A) Improve self-awareness of one's own biases
B) Attend an anti-discrimination rally or march
C) Build rapport and trust with the patients
D) Take a foreign language class
Q2) A new nurse requires further teaching when failing to identify which practice as a health disparity?
A) Annual mammogram
B) Early prenatal care
C) Blood pressure screening
D) Frequent fast food meals
Q3) An experienced nurse tells the student nurse, "I have found that most Hispanic immigrants live in unsanitary conditions but are hard workers." How should the student nurse best classify this statement?
A) Stereotyping
B) Prejudice
C) Discrimination
D) Misinformed
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Page 56
Chapter 55: Health Care Organizations
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Sample Questions
Q1) A nurse is interviewing at an agency owned by a national religious organization that serves homeless and uninsured patients. A large poster display shows a proposed addition that would add 16 beds to the facility that will be funded from profits of the previous 3 years of operation. The nurse recognizes that the agency is most likely what type of agency?
A) For-profit
B) Not-for-profit
C) Publicly-owned
D) Investor-owned
Q2) A nurse manager recognizes that systems theory identifies that there is a social component within an organization that affects the overall functioning of the system. What indicator would demonstrate to the nurse manager that the social needs of an organization are being met?
A) Most employees from the organization attend an annual holiday celebration.
B) Separate eating areas for each discipline are set up in the cafeteria.
C) Nurse managers are planning to move to a centralized area away from the care units.
D) The summer softball teams are canceled due to lack of interest.
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Chapter 56: Health Care Economics
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Sample Questions
Q1) A student asks the instructor about health care economics. The instructor knows the student understands when the student makes which statement?
A) "The elderly population uses most of the health care services."
B) "Everyone should have health insurance to obtain services."
C) "Health care dollars should be partitioned by the government."
D) "Resources will be needed to serve health care issues."
Q2) Two nurses are discussing health care in the past and the present. The two nurses know which to be true about health care in the present?
A) Health care in the present is mostly provided by nurses.
B) Health care in the present is controlled by third party payers.
C) Health care in the present is controlled by physicians.
D) Health care in the present is dictated by the patient.
Q3) The US health care system is different from that of other countries in which way?
A) The US charges money from the private sector only.
B) US health care is funded from private organizations.
C) The US health care system is not entirely government funded.
D) The US health care treats the older person first.
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Page 58
Chapter 57: Health Policy
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Sample Questions
Q1) Which of the following components are included in health policy at the state level?
A) Americans with Disabilities Act of 1990
B) Scope of nursing practice
C) Health Insurance Portability and Accountability Act (HIPAA) of 1996
D) Patient Safety and Quality Improvement Act of 2005
Q2) A definition of health policy includes which of the following elements?
A) Funding for public education
B) Appropriation of funds for roadwork
C) Selection of congressional members of committees
D) Public policy made to support health-related goals
Q3) A nursing student is preparing a care plan for an assigned patient. When accessing the electronic medical record, what is acceptable information to view? (Select all that apply.)
A) Laboratory data of the assigned patient
B) Admission diagnosis for a patient who is a former neighbor
C) The patient's age, date of birth, and gender
D) The history and physical of the assigned patient
E) A classmate's brother's chest x-ray report
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Chapter 58: Health Care Law
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Sample Questions
Q1) The admission personnel working to comply with the Patient Self Determination Act of 1991 would do which of the following?
A) Request identification from the patient to complete the registration process.
B) Ask the patient if they would like a private or semi-private room.
C) Inquire about the patient's reason for their visit.
D) Ask the patient or representative if the patient has an advanced directive and inform them of their right to participate in their medical decisions.
Q2) The new nurse correctly defines a law when stating which information?
A) "Law is a fundamental concept for health care professionals."
B) "Law's rule is developed by the employee's organization."
C) "Law's rule is enacted by a government agency that defines what must be done in a given circumstance."
D) "Law is a mandate from the Joint Commission or other accrediting agency."
Q3) What is one of the major attributes of health care law?
A) It defines the expected behavior of persons in the business of health care.
B) The law or rule is easy to interpret and comply with.
C) It is established by any health care authority.
D) The creator must be an expert in health care.
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