Nursing Pathophysiology Practice Questions
Course Introduction
Nursing Pathophysiology explores the altered physiological processes that underpin common and complex health conditions across the lifespan. The course focuses on how disease and injury disrupt normal body functions, integrating foundational concepts from anatomy, physiology, and microbiology to provide nurses with a thorough understanding of the etiology, progression, and clinical manifestations of various disorders. Emphasis is placed on the pathophysiological mechanisms underlying signs and symptoms, diagnostic findings, and the implications for patient care, enabling students to make informed clinical decisions and contribute to evidence-based practice in diverse healthcare settings.
Recommended Textbook
Nursing A Concept Based Approach to Learning Volume I.II and III 1st Edition by Pearson Services
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Chapter 1: Acid-Base Balance
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Sample Questions
Q1) The nurse is caring for a client with metabolic acidosis. Which goals are appropriate for this client? Select all that apply.
A)The client will maintain a respiratory rate of 30 or more.
B)The client will describe preventative measure for the underlying chronic illness.
C)The client will maintain baseline cardiac rhythm.
D)The client will remain in a pH range from 7.25 to 7.35.
E)The client will take potassium supplements to increase potassium levels.
Answer: B, C
Q2) Why should a nurse take daily weights of a client with acid-base balance?
A)It helps monitor oxygenation status.
B)It helps monitor perfusion of organs.
C)It helps monitor renal function.
D)It helps monitor fluid balance.
Answer: D
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Chapter 2: Cellular Regulation
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Sample
Questions
Q1) The nurse is providing community teaching related to risk factors for breast cancer for a group of young women. Which woman might the nurse identify as being at a higher risk for developing breast cancer at a young age?
A)A 28-year-old woman who received radiation for a spinal cord tumor at L3 during childhood
B)A 26-year-old woman who had a 32-year-old brother with breast cancer
C)A 34-year-old woman who has breastfed four children
D)A 42-year-old woman who has a second cousin diagnosed with breast cancer at age 58.
Answer: B
Q2) The nurse is providing discharge teaching to an older adult client with lung cancer. What changes in activities of daily living can the nurse suggest to help the older adult maintain independence?
A)Wear shirts with buttons
B)Use a self-leveling spoon
C)Wear shoes with laces
D)Use a shower chair
Answer: D
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Chapter 3: Comfort
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Sample Questions
Q1) A client reports feeling tired and not refreshed after sleeping. The client also tells the nurse that family members have been making comments about the client's loud snoring at night. What should the nurse suspect as being the cause of this client's fatigue?
A)Insomnia
B)Depression
C)Thyroid disorder
D)Sleep apnea
Answer: D
Q2) Fibromyalgia is a disorder that involves which of the following?
A)Muscle strength
B)Respiratory control
C)Heat regulation
D)Pain Processing
Answer: D
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Page 5
Chapter 4: Digestion
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Sample Questions
Q1) A 42-year-old male client is diagnosed with adult pyloric stenosis. Which of the following symptoms would the nurse least expect to encounter in this client?
A)Weight loss
B)Upper abdominal pain
C)Increase of appetite
D)Nausea
Q2) A home healthcare nurse is providing care to an older adult client who lives alone and has limited financial resources. The client has a history of celiac disease. When planning care for this client, which nursing diagnoses are appropriate? Select all that apply.
A)Risk for Constipation
B)Imbalanced Nutrition: Less than Body Requirements
C)Risk for Imbalanced Fluid Volume
D)Diarrhea
E)Chronic Pain
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6
Chapter 5: Elimination
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Sample Questions
Q1) The client is experiencing urinary urgency and frequency. Which medication should the nurse anticipate may be prescribed by the healthcare provider?
A)Furosemide
B)Bumetanide
C)Oxybutynin
D)Bethanechol chloride
Q2) The nurse is working in a urology clinic and is providing care for a client with stress urinary incontinence. The nurse has chosen the diagnosis of Stress Urinary Incontinence related to sphincter incompetence. Which is the desired outcome for a client with this diagnosis?
A)The client will stop the flow of urine when voiding.
B)The client will improve her incontinence within 1 month.
C)The client will empty her bladder every time she voids.
D)The client will perform 4-5 squeezes (Kegel exercises)for 10-15 seconds.
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Chapter 6: Fluids and Electrolytes
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Sample Questions
Q1) The nurse is preparing to discharge a client diagnosed with chronic kidney disease (CKD). The nurse is teaching the client and family about administering calcium acetate tablets by mouth with each meal at home. Which explanation about this medication is most appropriate for the nurse to include?
A)"The calcium acetate will lower your serum phosphate levels."
B)"The calcium acetate helps neutralize your gastric acids."
C)"The calcium acetate will help stimulate your appetite."
D)"The calcium acetate will decrease your serum creatinine levels."
Q2) The nurse identifies the diagnosis Risk for Impaired Skin Integrity as applicable for a client diagnosed with heart failure. Which assessment finding supports the use of this diagnosis for the client?
A)Shortness of breath with ambulation
B)Productive cough
C)+3 pitting edema both feet
D)Heart rate 104 and regular
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Chapter 7: Health Wellness and Illness
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Sample Questions
Q1) A nurse is teaching a couples' class at a local community center about building positive relationships. Today's session is on learning skills to be open-minded and respectful to those with opposing opinions. Based on this data, on which component of wellness is the nurse focusing this session?
A)Physical
B)Social
C)Environment
D)Emotional
Q2) A community health nurse is educating a group of clients on the difference between illness and disease. Which statements are appropriate for the nurse to include in the educational session? Select all that apply.
A)"An individual can have a disease and not feel ill."
B)"Illness is synonymous with disease."
C)"Illness is an alteration in body function, where disease is highly subjective."
D)"An individual can feel ill without disease."
E)"Illness and disease are never related to one another."
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9
Chapter 8: Immunity
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Sample Questions
Q1) The nurse is caring for a client who is hospitalized due to an exacerbation of systemic lupus erythematosus (SLE). The nurse is reviewing the client's lab work and finds the white blood cell count (WBC)is shifted to the left. Based on this information, which of the following is a priority nursing diagnosis for this client?
A)Risk for Infection
B)Ineffective Health Maintenance
C)Ineffective Individual Coping
D)Risk for Impaired Skin Integrity
Q2) The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS)who is on antiretroviral therapy. The client complains of nausea, fever, severe diarrhea, and anorexia. Which of the following prescribed medications does the nurse anticipate in order to relieve the anorexia and stimulate the client's appetite? Select all that apply.
A)Dronabinol (Marinol)
B)Zidovudine (Retrovir, AZT)
C)Abacavir (Ziagen)
D)Ciprofloxacin (Cipro)
E)Megestrol (Megace)
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10
Chapter 9: Infection
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Sample Questions
Q1) The nurse is reviewing diagnostic and laboratory studies performed for a client with influenza. Which result should the nurse recognize as being consistent with influenza?
A)Decreased white blood cell count
B)Increased BUN
C)Decreased sodium level
D)Fluid-filled lungs on chest x-ray
Q2) A client who uses extended-wear contact lenses should be taught measures for reducing the risk of which of the following conditions?
A)Conjunctivitis
B)Cataracts
C)Glaucoma
D)Macular degeneration
Q3) When planning care for a client with trachoma, which potential complication should the nurse consider?
A)Scarring of the cornea
B)Eye muscle weakness
C)Damaged iris
D)Retinal detachment
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11
Chapter 10: Inflammation
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Sample Questions
Q1) The nurse provides teaching related to the diagnosis of Risk for Deficient Fluid Volume to a client with ulcerative colitis. Which statement on the part of the client indicates that this teaching has been effective?
A)"I will drink at least 2 quarts of fluid each day."
B)"I will continue to use a moisturizer on my skin."
C)"I should report dry patches of skin immediately to my doctor."
D)"If I have two liquid stools in any day, I will report this to my healthcare provider."
Q2) The nurse is caring for an older adult client with gallbladder disease who is recovering from a cholecystectomy. Which risk factors increase this client's susceptibility to infection? Select all that apply.
A)Dry skin
B)Advanced age
C)Intact mucous membranes
D)Nonintact skin
E)Active bowel sounds
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12
Chapter 11: Intracranial Regulation
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Sample Questions
Q1) The nurse is caring for a client in the neurologic intensive care unit (ICU)with head trauma. The client is being monitored for increased intracranial pressure (IICP). Using the Monro-Kellie hypothesis as a basis for explanation, which comment by the nurse to the client's family would be most appropriate?
A)"It is normal for brain pressure to increase in times of stress."
B)"Increasing brain pressure decreases the amount of blood flow to the brain itself."
C)"The pressure in the brain is increasing because the brain is shrinking."
D)"Because there is more pressure in the brain, the blood flow is also increasing."
Q2) The nurse is caring for a pregnant client with a history of idiopathic intracranial hypertension (IIH)and optic neuritis. What should the nurse least assume regarding this client?
A)The client will deliver her baby via cesarean birth.
B)Pregnancy-related weight gain should be kept to no more than 9 kg.
C)The client has been prescribed a medication to treat the IIH.
D)The second stage of labor should not be prolonged.
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Chapter 12: Metabolism
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Sample Questions
Q1) An alteration in parathyroid hormone levels is likely to directly affect what other nursing concept related to metabolism?
A)Acid-base balance
B)Reproduction
C)Perfusion
D)Mobility
Q2) An older adult client with new-onset atrial fibrillation is sweating excessively. After reviewing the client's recent laboratory results, the nurse concludes that which might be causing the client's symptoms?
A)A hemoglobin (Hgb)level of 11.0 g/dL
B)A thyroid-stimulating hormone (TSH)level of 0.25 mU/mL
C)A TSH level of 18 mU/mL
D)A Hgb level of 13.8 g/dL
Q3) For clients with a deficiency in any hormone, what client teaching is important for the nurse to provide?
A)Teaching related to increasing fluid intake
B)Teaching related to decreasing body weight
C)Teaching related to taking hormone supplements as directed
D)Teaching related to regulating sugar intake
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Page 14
Chapter 13: Mobility
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Sample Questions
Q1) The nurse is planning care for a client with osteoarthritis. Which nursing diagnosis would have the highest priority?
A)Fatigue
B)Chronic Pain
C)Ineffective Coping
D)Disturbed Body Image
Q2) Within the human body, which type of connective tissue connects bones to other bones to form a joint?
A)Tendon
B)Ligament
C)Cartilage
D)Myelin
Q3) A client who sustained a cervical neck injury 2 days ago is demonstrating an irregular respiratory pattern with a rate of 8-10 breaths per minute. Based on this data, which is the priority nursing diagnosis?
A)Impaired Physical Mobility
B)Autonomic Dysreflexia
C)Ineffective Breathing Pattern
D)Impaired Gas Exchange
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Page 15
Chapter 14: Nutrition
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Sample Questions
Q1) Which statements regarding upper body obesity are accurate? Select all that apply.
A)Upper body obesity is also called peripheral obesity.
B)Upper body obesity is when the waist-to-hip ratio in men is greater than 0.8 in men or greater than 1 in women.
C)Upper body obesity is associated with a greater risk of hypertension.
D)Young women tend to have more intra-abdominal fat than men.
E)Postmenopausal women tend to have upper body obesity.
Q2) The nurse is assessing the nutritional status of an older client. Which finding is most likely to suggest xerostomia?
A)The client refuses food because it is difficult to chew with missing teeth.
B)The client frequently becomes dehydrated due to failure to remember to drink water.
C)The client has a chronically dry mouth despite adequate intake of fluids.
D)The client does not enjoy foods due to diminished taste.
Q3) What is the definition of the basal metabolic rate?
A)The amount of energy stored in fat each day
B)The speed of triglyceride breakdown
C)The cost in kilocalories of being alive
D)The speed at which glucose is converted to energy
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16
Chapter 15: Oxygenation
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Sample Questions
Q1) One primary method for preventing ARDS in hospitalized clients is
A)performing postural drainage for clients with respiratory congestion.
B)elevating the head of the bed for clients who are ingesting food.
C)providing smoking cessation literature to clients who smoke.
D)administering oxygen as ordered by the healthcare provider.
Q2) Which clinical manifestation does the nurse correctly attribute to hypoxia in a client with acute respiratory distress syndrome (ARDS)?
A)Fluid imbalance
B)Hypertension
C)Bradycardia
D)Dyspnea
Q3) Which of the following triggers can stimulate an acute asthma attack? Select all that apply.
A)Stress
B)Animal dander
C)Loud noises
D)Exercise
E)Bright lights
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Chapter 16: Perfusion
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Sample Questions
Q1) The nurse is caring for a child with a fractured femur who complains of sudden chest pain and difficulty breathing. Which test would the nurse question if it was ordered by the physician?
A)D-dimer test
B)V/Q scans
C)Computerized tomography pulmonary angiography
D)Magnetic resonance pulmonary angiography
Q2) A nurse is caring for a client with cardiomyopathy who is experiencing activity intolerance. Which intervention is inappropriate for this nursing diagnosis?
A)Spacing out nursing activities so client fatigue is lessened
B)Assisting with client activities of daily living (ADLs)as necessary
C)Using passive and active range-of-motion (ROM)exercises as tolerated
D)Consulting with a physical therapist on an activity plan
Q3) Which form of peripheral vascular disease is characterized by thickening, loss of elasticity, and calcification of arterial walls?
A)Arteriosclerosis
B)Atherosclerosis
C)Chronic venous insufficiency
D)Deep venous thrombosis
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Page 18
Chapter 17: Perioperative Care
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Sample Questions
Q1) Which of the following situations demands that all perioperative staff cover their bodies with lead shields?
A)The surgical team uses a bipolar handpiece to cauterize a client's tissue.
B)The surgical team uses a class 3 laser to cut a client's kidney stone.
C)The surgical team uses a pneumatic tourniquet to cut off circulation to a client's hand.
D)The surgical team uses radiology to take intraoperative photos.
Q2) Which of the following statements best describes the vital signs the nurse collects during the preoperative phase?
A)They are the only vital signs collected during the perioperative period.
B)When later vital signs are taken, they are compared against the preoperative set.
C)Generally preoperative vital signs are only relevant during the intraoperative process.
D)These are not essential and may be omitted for emergency surgeries.
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Chapter 18: Sensory Perception
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Sample Questions
Q1) A client is experiencing visual overstimulation. What can the nurse do immediately to reduce this client's visual sensory overload?
A)Suggest the client wear sunglasses that block UVA rays only.
B)Reduce the amount of light in the room by lowering shades and turning off overhead lights.
C)Provide the client with large-print reading materials.
D)Encourage the patient to employ relaxation techniques to reduce anxiety and stress.
Q2) An older adult client tells the nurse that reading is easier when the material is held to the left or right. What should the nurse suspect this client is experiencing?
A)Cataract
B)Detached retina
C)Exudative macular degeneration
D)Nonexudative macular degeneration
Q3) What is vertigo?
A)Involuntary rapid eye movements
B)A feeling of rotation or imbalance
C)An infection of the vestibular nerve
D)Impaired olfaction
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Chapter 19: Sexuality
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Sample Questions
Q1) Which of the following interventions should the nurse recommend to a client who is experiencing primary dysmenorrhea? Select all that apply.
A)Increase caffeine intake.
B)Use a heating pad.
C)Try relaxation techniques.
D)Engage in regular exercise.
E)Avoid vitamin supplements.
Q2) Which of the following clients would be described as experiencing premature ovarian failure?
A)A 29-year-old woman who is receiving chemotherapy that damages her ovaries
B)A 43-year-old woman who has irregular periods as a result of ovarian dysfunction
C)A 35-year-old woman who recently underwent an oophorectomy
D)A 32-year-old woman who does not ovulate because of an abnormally low number of ovarian follicles
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Chapter 20: Thermoregulation
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Sample Questions
Q1) The nurse is educating a family who is planning an ice fishing trip on ways to prevent hypothermia. Which recommendation by the nurse is appropriate?
A)All family members should wear skid-proof footwear.
B)If someone becomes hypothermic, sponge tepid water onto any exposed skin.
C)All family members should wear light rain jackets.
D)If someone becomes hypothermic, remove any wet clothing, wrap the person in blankets, and have the person drink a warm liquid.
Q2) In the past, a college campus in a cold climate has had multiple students require treatment for mild hypothermia during the winter months. Which method would be most effective for the campus nurse to use to promote healthy thermoregulation on this campus?
A)Show a video about the harmful effects of hypothermia due to exposure.
B)Put up posters encouraging students to wear hats and mittens.
C)Sell inexpensive pocket handwarmers in the campus bookstore.
D)Send emails telling students that alcohol consumption prevents hypothermia.
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22
Chapter 21: Tissue Integrity
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Sample Questions
Q1) An older adult client with poor nutritional intake is demonstrating signs of poor wound healing. Which intervention best addresses the client's nutritional needs?
A)Assist with deep-breathing exercises.
B)Medicate for pain prior to dressing changes.
C)Request a dietary consult.
D)Encourage ambulation.
Q2) A burn patient is currently in the acute stage. When did this stage begin, and when will it end?
A)It began with the onset of the burn injury and will end with fluid resuscitation.
B)It began with wound closure and will end when the patient's health is fully restored.
C)It began with the start of diuresis and will end with the closure of the burn wound.
D)It began with the onset of the burn injury and will end with the closure of the burn wound.
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Chapter 22: Addiction
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Sample Questions
Q1) A nurse is concerned about potential substance abuse by a coworker. Which of the coworker's behaviors would place the clients on the unit at risk for injury?
A)The nurse in question frequently volunteers to give medications to clients.
B)The nurse in question prefers not to be the "medication nurse" on the shift.
C)The nurse in question declines to take scheduled breaks.
D)The nurse in question frequently requests the largest client care assignment for the shift.
Q2) Which of the following tools is considered the best scale for assessing the severity of symptoms of acute alcohol withdrawal?
A)CIWA-Ar
B)MAST
C)CAGE
D)B-DAST
Q3) Clients who have high scores on the OOWS and SOWS
A)are at elevated risk for substance abuse and addiction.
B)are at low risk for substance abuse and addiction.
C)experience particularly intense symptoms of substance withdrawal.
D)experience relatively mild symptoms of substance withdrawal.
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Chapter 23: Cognition
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Sample Questions
Q1) The nurse identifies a nursing diagnosis of Risk for Injury for a client who is disoriented. Which is an expected outcome for this client's care?
A)The client does not sustain injuries during wanderings.
B)The client remains continent of bowel and urine.
C)The client receives culturally appropriate care.
D)The client sleeps through the night and stays awake most of the day.
Q2) Which is true regarding the pathophysiology and etiology of Alzheimer disease? Select all that apply.
A)Damage to the limbic system results in speech decline and slowed movements.
B)Familial Alzheimer disease (eFAD)is also called delayed-onset Alzheimer disease.
C)Sporadic Alzheimer disease usually manifests before age 65.
D)Sporadic Alzheimer disease is more common than familial Alzheimer disease.
E)In Alzheimer disease, neuronal cells die in a characteristic order.
Q3) Damage to which region of the brain may result in loss of recent memory?
A)Neuron
B)Hippocampus
C)Cerebrum
D)Neurotransmitter
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25
Chapter 24: Culture and Diversity
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Q1) The nurse is caring for a client who just had abdominal surgery. The client's nonverbal cues indicate pain, but the client denies the need for the pain medication prescribed by the healthcare provider. The nurse recognizes that this client is from a culture that feels it is inappropriate to complain about pain. Which action by the nurse is appropriate?
A)Seek out a family member to convince the client to take the medication.
B)Consult with the healthcare provider about providing pain medication without the client's knowledge.
C)Offer the pain medication to the client again, stating that providing comfort is the nurse's most important responsibility.
D)Allow the client to suffer in silence.
Q2) A nurse is working at a healthcare clinic serving the needs of an inner-city population that is predominantly made up of minority people groups. A neighbor says the nurse must be brave because most of "those" people have guns and are in gangs. Which response by the nurse is appropriate?
A)"It's very difficult for me when you discriminate like that."
B)"It's okay because I'm not a gang member, so I will be okay."
C)"Hey, it's a job like any other job. All jobs have problems."
D)"That's an unfortunate stereotype. Can we talk about the reality?"
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Chapter 25: Development
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Sample Questions
Q1) The nurse is caring for a child newly diagnosed with autism spectrum disorder (ASD). Which of the following is the most appropriate overall outcome for this child?
A)To function more effectively in social and emotional interactions
B)To stay on task
C)To acknowledge the effects of personal behavior on others
D)To acknowledge personal strengths
Q2) A pediatric nurse is performing an assessment on a toddler who is suspected of having autism spectrum disorder (ASD). Which of the following questions to the parents would be least useful in gathering the information necessary to appropriately assess the toddler for this disorder?
A)"Does your child have manic or depressed episodes?"
B)"Tell me about your child's social interactions."
C)"Does your child perform ritualistic behaviors when performing activities?"
D)"Is your child able to name objects?"
Q3) What does a nonorganic cause of failure to thrive (FTT)mean?
A)The FTT is not the result of a disease process or medical condition.
B)The FTT is the result of inborn errors in metabolism.
C)The FTT is the result of congenital disease.
D)The FTT is the result of a congenital anomaly such as cleft palate.
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Page 27
Chapter 26: Family
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Sample Questions
Q1) A cohesive nuclear family has one kindergarten-aged child. The mother works from home and is the primary caregiver for the child. The father is required to travel a lot for work. Currently, the father is on an out-of-town project that will last for 6 months. He is home on the weekends, but gone the rest of the week. The nurse understands that family cohesion in this family is likely to become:
A)disengaged triadic between all three members.
B)cohesive dyadic between the mother and father.
C)cohesive dyadic between the mother and child.
D)cohesive triadic between all three members.
Q2) The community nurse is planning a wellness seminar for families in an urban community. Which resources should the nurse consider obtaining to support these families' needs? Select all that apply.
A)Emergency first responder personnel
B)Information about community healthcare providers
C)Individuals who provide mental health services
D)Law enforcement officials
E)Nutritionists
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Chapter 27: Grief and Loss
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Sample Questions
Q1) The nurse is caring for a client who has experienced fetal demise at 23 weeks' gestation and will have labor induced to deliver the fetus. The client's extended family insists on being present for the delivery. Which action is most appropriate for the nurse to take in this situation?
A)Ask the client about her preferences regarding the family's request.
B)Call security to escort the family out of the hospital.
C)Speak with the nurse manager about supporting the family's wishes.
D)Show the family to the waiting room.
Q2) The nurse recognizes that the spouse of a terminally ill client has completed the grieving process, but the ill client is still alive. Because of this, the nurse may need to provide what interventions for the ill client?
A)Interventions to prevent physical and spiritual distress of the spouse
B)Interventions to prevent despair in other family members
C)Interventions to prevent guilt in the client
D)Interventions to prevent isolation and loneliness for the client
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Chapter 28: Mood and Effect
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Sample Questions
Q1) Which individual has the most risk factors for depression?
A)A 43-year-old man who was fired from his job 8 months ago and has been unable to find employment
B)A 38-year-old woman who recently moved away from all her family to go to graduate school
C)A 68-year-old man who lost his wife in a car accident and lives close to two of their three children
D)A 19-year-old woman who was emotionally and physically abused as a child and dropped out of school at the age of 16 when she became pregnant
Q2) The home care nurse hears the spouse of a client say "With you being so sick lately, I can't maintain this home by myself, so I never invite family over anymore. I can't stand to have them see our house in this rundown state." The client engages in an argument with the spouse, and the spouse begins to cry. Which does the home care nurse identify as occurring with this couple?
A)Evidence of low blood glucose levels
B)Financial struggles within the family
C)Possible situational depression
D)Spousal abuse
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Page 30
Chapter 29: Self
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/45860
Sample Questions
Q1) The nurse is providing care to a preadolescent client who was recently diagnosed with bulimia nervosa. The client's mother states, "I am very weight and exercise conscious, and I try to ensure my children stay in shape and eat well so that they can succeed in life. I have no idea how my daughter developed bulimia. She must have inherited a genetic tendency for bulimia from her birth mother." Based on this data, which conclusion by the nurse is the most appropriate?
A)The mother's focus on diet, exercise, and achievement fostered the client's eating disorder.
B)The client must have inherited a genetic predisposition for eating disorders.
C)The client must have a neurotransmitter abnormality.
D)The mother is setting a good example for the client with her eating and exercise habits.
Q2) An adolescent client tells the nurse that she plans to fight recent charges of shoplifting because she was just taking what was rightfully hers. Which trait associated with personality disorders is this client exhibiting?
A)Lying
B)Narcissism
C)Projection
D)Manipulation
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Page 31
Chapter 30: Spirituality
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/45861
Sample Questions
Q1) The nurse is performing a holistic assessment of a client. Which observations indicate that the client is experiencing spiritual distress? Select all that apply.
A)The client is sitting in a chair before breakfast reading the Bible.
B)The client states he has lost his faith in God since he's gotten ill.
C)The client is watching a religious program on the television.
D)The client is crying, pacing, and mumbling about God being angry with him.
E)The client is overheard arguing with clergy about the existence of God.
Q2) A client who is scheduled for surgery wants to continue to wear a religious medallion. Which actions by the nurse support the client's religious needs? Select all that apply.
A)Keep the medallion on the client but remove it once anesthesia is provided.
B)Ask the client if wearing a medallion is going to ensure a successful surgery.
C)Document that the medallion is being worn by the client.
D)Suggest the client not wear the medallion because it will most likely be lost.
E)Explain that the medallion can be safety pinned to the client's gown.
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Chapter 31: Stress and Coping
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/45862
Sample Questions
Q1) A client, who is experiencing anxiety, is trembling and complaining of dizziness and palpitations. The client is having a hard time following the nurse's instructions. Based on this data, which level of anxiety is the client likely experiencing?
A)Panic
B)Severe
C)Moderate
D)Mild
Q2) Which instruction by the nurse to a client prescribed diazepam (Valium)for anxiety and stress is appropriate?
A)"This medication will be good to take for a long time."
B)"Take this medication every time feelings of stress become overwhelming."
C)"This medication works best if taken with a meal."
D)"This medication is good to use for the short term only."
Q3) Which is the priority nursing action when providing care to a client who demonstrates signs of escalating anxiety?
A)Isolate the client in a safe, quiet, and protective environment.
B)Leave the client alone in a room.
C)Provide a benzodiazepine.
D)Phone the physician.
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Page 33
Chapter 32: Trauma
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/45863
Sample Questions
Q1) The nurse is planning care for a client with multiple lower extremity fractures sustained from a motor vehicle crash. Which is an appropriate client goal for the nurse to include in the plan of care?
A)The client will have adequate urine output.
B)The client will regain mobility.
C)The client will participate in self-care activities.
D)The client will be discharged to home.
Q2) A client lost consciousness after being hit by a falling piece of equipment on a work site. What type of injury should the nurse assess this client for as the highest priority?
A)Fractured bones
B)Traumatic brain injury
C)Whiplash
D)Spinal cord injury
Q3) Which individual has the highest risk of developing PTSD?
A)Victim of assault
B)Natural disaster survivor
C)Motor vehicle crash survivor
D)Military veteran
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Chapter 33: The Concept of Reproduction
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72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/45864
Sample Questions
Q1) The spouse of a pregnant client tells the nurse that he is not sure he is ready to be a father and wishes his wife had not gotten pregnant. Which response by the nurse is appropriate?
A)"Do you think your wife got pregnant on purpose, without your consent?"
B)"Have you considered giving the baby up for adoption?"
C)"Tell me more about why you feel this way."
D)"Every husband has these feelings, and many times they never go away."
Q2) The nurse is providing care to a client who is experiencing nausea and vomiting during the first trimester of pregnancy. Which actions by the nurse are appropriate based on this data? Select all that apply.
A)Notify the healthcare provider that the client is experiencing hyperemesis gravidarum.
B)Educate the client to notify the healthcare provider if she vomits once per day.
C)Suggest the client use acupressure to pressure points on the wrist.
D)Teach the client that ginger may relieve her symptoms.
E)Caution the client against using over-the-counter medications such as over-the-counter antihistamines.
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Chapter 34: Assessment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/45865
Sample Questions
Q1) The nurse is assessing an older adult client who is confused. The client is accompanied by his adult son. Who can the nurse employ as a primary source of data when assessing this client?
A)The client himself
B)The client's adult son
C)A nurse who cares for the client at the retirement home
D)The client's primary healthcare provider
Q2) An adult client and her spouse are seen in an urgent care clinic. The client presents with a temperature of 102°F, complains of nausea, and has experienced vomiting and diarrhea for 12 hours. The nurse notes that the client's mucous membranes are pale and dry and suspects that the client is dehydrated. Which action by the nurse is the most appropriate?
A)Ask the spouse for more information.
B)Assess for pedal edema.
C)Assess skin turgor.
D)Repeat the temperature measurement.
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Chapter 35: Caring Interventions
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/45866
Sample Questions
Q1) A hospital is preparing for the American Nurses' Credentialing Center's magnet hospital designation process. Nurse representatives on the Magnet Council consider several Professional Practice Models (PPMs)as their approach to nursing care. After selecting a PPM model, members of the Council plan a series of nursing grand rounds. These focus on the six Cs of caring in nursing: compassion, competence, confidence, conscience, commitment, and comportment. What particular nursing theory, philosophical approach, or framework of caring have the nurses decided to adopt?
A)Watson's Theory of Human Care
B)Leininger's Theory of Culture Care Diversity and Universality
C)Roach's Theory of Caring as the Human Mode of Being
D)Boykin and Schoenhofer's Nursing as Caring Theory
Q2) During a care conference, the nursing student differentiates between the different theories of caring when discussing client care. Which type of knowledge is the student demonstrating?
A)Aesthetic knowing
B)Ethical knowing
C)Personal knowing
D)Empirical knowing
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Page 37
Chapter 36: Clinical Decision Making
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/45867
Sample Questions
Q1) A nurse enters a client's room to evaluate the response to IV pain medication administered by request 20 minutes earlier. The nurse finds the client in the same position as when the medication was administered. The client states, "I do not want to move." The nurse asks the client to rate the current level of pain. Which aspects of the nursing process do these action represent? Select all that apply.
A)Assessment
B)Diagnosis
C)Planning
D)Implementation
E)Evaluation
Q2) The nurse who uses clinical decision making to start CPR on a client is concerned about what other nursing concept?
A)Cognition
B)Perfusion
C)Thermoregulation
D)Acid-base balance
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Chapter 37: Collaboration
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/45868
Sample Questions
Q1) Nurses who demonstrate mindsight are able to
A)focus on being "in the moment" so that they can dedicate their full attention to the events and emotions they are currently experiencing.
B)predict events that will occur in the future with reasonable certainty.
C)interpret events and emotions from another person's perspective.
D)recognize their personal triggers to stress that result in conflict, then retrain their brain to respond differently.
Q2) The nurses in the emergency department (ED)and the staff nurses on the neurology unit are experiencing conflict. The ED nurses are not pleased with the amount of time it takes for the neurology unit's admitting nurse to receive face-to-face handoff communication for clients who are being admitted to that unit. Which type of conflict is being experienced by these nurses?
A)Intrapersonal conflict
B)Interpersonal conflict
C)Intergroup conflict
D)Interorganizational conflict
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Chapter 38: Communication
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54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/45869
Sample Questions
Q1) The nurse is sitting in on a meeting for clients on a behavioral health unit. Which of the following characteristics of the group indicate that the group is functioning effectively? Select all that apply.
A)The expertise of group members is being used.
B)The group atmosphere is positive.
C)Members feel satisfied with their participation.
D)The group listens to the ideas of certain group members.
E)The discussion focuses on all issues brought by group members.
Q2) The nurse is admitting a client to an inpatient psychiatric unit. The client is speaking wildly and is obviously very agitated. Which action by the nurse would be appropriate to calm the client?
A)Placing the client in a private room, away from others
B)Speaking to the client in a soft, calm tone
C)Administering a prn medication to sedate the client
D)Using short sentences when talking to the client
Q3) What is the first phase in the therapeutic nurse-client relationship?
A)Introductory phase
B)Working phase
C)Preinteraction phase
D)Anticipatory phase
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Chapter 39: Managing Care
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/45870
Sample Questions
Q1) The nurse is reviewing client records to determine which clients are good candidates for case management. Which client would the nurse choose as having the highest priority for assigning a case manager?
A)A newborn who was diagnosed with cerebral palsy
B)A pregnant woman with three other children
C)A school-age child who was diagnosed with pneumonia
D)An older adult who has been diagnosed with hypertension
Q2) A nurse is caring for a client who had a total hip replacement 14 days ago. The client is preparing for discharge in a few days. The nurse facilitates a care conference with the primary healthcare provider, occupational therapist, physical therapist, and the client and family to develop a plan of care for the client prior to discharge. Which roles are being demonstrated by this nurse? Select all that apply.
A)Coordinator
B)Collaborator
C)Differentiated practitioner
D)Team leader
E)Expert
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Chapter 40: Professional Behaviors
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/45871
Sample Questions
Q1) A nurse is always on time, neat in appearance, and caring toward clients. Which statement best characterizes this nurse's level of professional commitment?
A)The nurse is demonstrating a pattern of behaviors congruent with nursing's professional code of ethics.
B)The nurse is demonstrating a strong belief in and acceptance of the unit's goals, values, and morals.
C)The nurse is demonstrating a willingness to exert control over personal behaviors.
D)The nurse is demonstrating a strong desire to be part of a group.
Q2) After accidentally providing food to a client who is NPO for surgery, the nurse reports the error to the healthcare provider and follows hospital policy for managing the error. Which characteristic is demonstrated by the actions of this nurse?
A)Social justice
B)Human dignity
C)Reliability
D)Accountability
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42
Chapter 41: Teaching and Learning
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse is providing a series of educational workshops for caregivers of older clients interested in promoting the health and well-being of their clients. Which would be appropriate topics for this group? Select all that apply.
A)Fall prevention
B)Medication use and side effects
C)Safe driving evaluations
D)Advance directives
E)Responsible sexual behavior
Q2) The nurse asks the client to repeat the information taught during the discharge teaching session. The client states, "I have forgotten everything you just said." Which action by the nurse would is appropriate at this time?
A)Repeating the information and having the client write it down as the nurse teaches
B)Having the client wait to ask questions until after the presentation
C)Assigning another nurse to provide the teaching for the client
D)Asking the client their preferred learning strategies
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43
Chapter 42: Accountability
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/45873
Sample Questions
Q1) Providing wound care, referring clients to post-trauma psychological counseling, and assisting clients with physical and occupational therapy are all activities associated with which area of nursing competence?
A)Health promotion
B)Illness prevention
C)Health restoration
D)Holistic care and support
Q2) ________ establishes and maintains the social, political, and economic arrangements that give professionals the means to control their professional affairs.
A)Autonomy
B)Governance
C)Socialization
D)Accountability
Q3) Which of the following individuals is widely considered to be the founder of public health nursing?
A)Lavinia Dock
B)Lillian Wald
C)Mary Mahoney
D)Linda Richards
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Page 44
Chapter 43: Advocacy
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/45874
Sample Questions
Q1) A school nurse who is concerned about an increase in sports injuries related to ineffective protective equipment decides to hold a community seminar related to the importance of proper protective equipment. Which advocacy activities is this nurse demonstrating? Select all that apply.
A)Advocating for vulnerable populations
B)Advocating for fair and equitable access to high-quality care for all clients
C)Ensuring that clients have the necessary information to make an informed decision or give informed consent
D)Informing the public about issues and concerns
E)Speaking publicly for the health, welfare, and safety of their clients
Q2) The nurse notices that there is broken equipment on the playground in a neighborhood where care is provided to low-income residents. The nurse tries unsuccessfully to get the owner to address this safety issue. Which additional action is most consistent with the role of the nurse as a public advocate?
A)Write an article in the local newspaper to gain public attention.
B)No action is required; this is a civil problem beyond the realm of the nurse.
C)Call the police to report the owner's neglect.
D)Tell the parents they should not pay their rent until the playground is fixed.
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Chapter 44: Ethics
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/45875
Sample Questions
Q1) The nurse is caring for a 22-year-old client with Down syndrome. Because the client has an intellectual disability, he is under the legal care of his parents. The client needs medical treatment for aspiration pneumonia, but the parents are declining care because they have heard that aspiration pneumonia is often fatal in clients with chronic health conditions. In addition to ethics and advocacy, what other nursing concept must the nurse factor into care decisions made in this case?
A)Informatics
B)Development
C)Mood and Affect
D)Spirituality
Q2) What are some of the rights clients have when receiving care within a healthcare system? Select all that apply.
A)Clients have the right to be given information only in English.
B)Clients have the right to refuse care.
C)Clients have the right to know when something goes wrong with their care.
D)Clients have the right to care that is free from discrimination.
E)Clients have the right to know the titles, but not necessarily the names, of their caregivers.
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Chapter 45: Evidence-Based Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/45876
Sample Questions
Q1) The nurse is working with a client who has agreed to participate in a research study. Which actions would constitute a violation of the client's right to full disclosure? Select all that apply.
A)Giving the client false information about his or her participation in the study
B)Telling a mutual friend about the client's involvement in the study
C)Withholding information about the study from the client
D)Providing the client's name as a participant in the study
E)Suggesting that participating in the study would greatly benefit the client's financial situation
Q2) A client in the clinic is being asked to participate in a research study. The client asks why a nursing research study is necessary given that research on this subject has already been published by the American Medical Association (AMA). Which of the following responses should the nurse offer in reply to the client's question?
A)"This study is useful because it supports the medical profession."
B)"This study is useful because it validates nursing through medical research."
C)"This study is useful because it supports products used in nursing care."
D)"This study is useful because it validates nursing care, not medical care."
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Chapter 46: Healthcare Systems
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/45877
Sample Questions
Q1) A railway accident causes the release of a dangerous chemical compound into the atmosphere. The nurse providing rapid triage and emergency treatment for clients in an effort to stabilize them knows that which is the primary purpose of the warm zone in this incident?
A)Decontamination
B)Rapid triage
C)Reverse triage
D)Emergency medical treatment
Q2) The detonation of several incendiary devices in a suburban area has caused widespread fires. A nursing home nearest one of the largest fires needs to be evacuated. What is the concern a nurse working in the home will have for his clients in this situation?
A)Socioeconomic limitations
B)Diminished sensory awareness
C)Inadequate thermoregulation mechanisms
D)Limited mobility
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48
Chapter 47: Health Policy
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11 Flashcards
Source URL: https://quizplus.com/quiz/45878
Sample Questions
Q1) A nursing student would like to learn more about developing professional behavior. Which action should the student take in order to access information that may be useful in developing professional demeanor?
A)Join the America Nurses Association (ANA).
B)Join the National Student Nurses Association (NSNA).
C)Read the Nurse Practice Act.
D)Use the Internet to obtain information.
Q2) The nurse is working for a healthcare organization that is going through the reaccreditation process. What action can the nurse take to help the organization be successful in the reaccreditation process?
A)Write position statements related to current events that affect the nursing profession.
B)Influence change by working with public officials at the local, community, state, and national levels.
C)Understand how healthcare policy affects patients, their own practice, and their organization.
D)Facilitate the use of nursing procedures that are current and evidence-based.
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Chapter 48: Informatics
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Source URL: https://quizplus.com/quiz/45879
Sample Questions
Q1) The nurse is preparing discharge instructions for a client with a foot wound. How will the clinical information system support this client's learning needs?
A)Improves documentation about the client's status
B)Summarizes the list of charges that will appear on the client's bill
C)Provides a record of all medications received while hospitalized
D)Prints discharge instructions to use for teaching
Q2) Under which circumstance would the use of a geographic information system (GIS)be beneficial for healthcare workers?
A)When sharing a traveling client's electronic health record (EHR)with an out-of-state provider
B)During a mass casualty incident
C)When tracking the sleep pattern of a client
D)During an influenza outbreak
Q3) Which action by the nurse will help minimize the risk of eyestrain when engaging in computerized documentation?
A)Use a firm board to rest the palm.
B)Use an antiglare screen cover.
C)Obtain a paper chart for nursing documentation.
D)Use a lumbar support.
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Page 50
Chapter 49: Legal Issues
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/45880
Sample Questions
Q1) Which action demonstrates correct reporting of suspected child abuse?
A)The nurse includes the entirety of the client's medical record.
B)The nurse compiles a report with all pertinent information that is factually true.
C)The nurse recommends that the organization report the abuse to state authorities.
D)The nurse reports only information the client has authorized for release.
Q2) The nurse receives a notice that the state board of nursing has become a member of the Nurse Licensure Compact. How would this change in the state board of nursing structure influence the nurse's ability to practice nursing? Select all that apply.
A)The nurse can only practice nursing in the residing state.
B)The nurse can practice nursing in other states within the compact.
C)The nurse is accountable to the state in which the nurse and clients reside.
D)The nursing license will become similar to having a driver's license.
E)The nurse has to obtain an additional license.
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Chapter 50: Quality Improvement
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/45881
Sample Questions
Q1) The nurse is administering medications to a client. Which action is most likely to lead to an adverse event?
A)The nurse verifies tube placement prior to administering the medications.
B)The nurse checks for known allergies prior to administering the medications.
C)The nurse combines medications with the same active ingredient.
D)The nurse has a second nurse check the medication order.
Q2) The nurse is participating in a quality improvement process related to improving care for clients at risk for skin breakdown. Which best describes the purpose of this process?
A)To improve client outcomes
B)To advance the nurse's career
C)To fulfill legal requirements
D)To maintain accreditation
Q3) Which best describes the desired outcome of decreased readmission rates?
A)An increased use of overtime
B)A decrease in client satisfaction
C)An increase in client care supplies
D)A decreased cost of care
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Chapter 51: Safety
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Source URL: https://quizplus.com/quiz/45882
Sample Questions
Q1) The nurse is caring for a 230-lb client who needs to be repositioned every 2 hours. While repositioning the client, the nurse injured a muscle in her back. To prevent the injury and ensure safety for both the nurse and client, what should the nurse have done differently in this situation?
A)She should have used proper lifting techniques.
B)She should have repositioned the client only if the client requested it.
C)She should have questioned the physician about the need to reposition the client.
D)She should have asked for help from another nurse.
Q2) Reducing the risk of functional decline in older adults can help prevent which complication?
A)Pressure ulcers
B)Macular degeneration
C)Hyperglycemia
D)Hearing loss
Q3) What nursing intervention is appropriate for a client with dry and cracked feet?
A)Provide slippers for the client to wear at all times
B)Soak the client's feet in water several times daily
C)Apply lotion to the client's feet after bathing
D)Massage the client's feet daily
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Page 53
Chapter 52: Assessment
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Sample Questions
Q1) The nurse is completing an assessment on a client who just received morphine. Which is the nurse's highest priority?
A)Pain level
B)Respirations
C)Temperature
D)Blood pressure
Q2) Which does the nurse observe for an adult client who has a negative Babinski response?
A)All toes turn inward.
B)All toes curve upward.
C)All toes spread outward.
D)All toes bend downward.
Q3) Which is the best response by the nurse when explaining to the client as to why the stethoscope is warmed up before placing it on the abdomen?
A)"I might hear a friction rub with a cold stethoscope."
B)"A nice nurse will put a warm stethoscope on your abdomen."
C)"A cold stethoscope may cause your abdominal muscles to contract."
D)"Warming up the stethoscope will help with the digestion of your food."
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Chapter 53: Caring Interventions
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/45818
Sample Questions
Q1) When teaching the client about foot care, which statement will the nurse include in the teaching?
A)"Use creams or lotions on the feet and in between the toes after showering."
B)"While sitting, cross your legs at the knees instead of the ankles."
C)"Avoid using pumice stones on the feet to decrease callouses."
D)"When your feet are cold, place them on a hot water bottle to warm them."
Q2) The nurse cares for a client who wears soft contact lenses for vision correction. Which statement will the nurse include when teaching the client about care of the lenses?
A)"If you do not have saline solution, saliva works to cleanse the lenses."
B)"If you wear disposable lenses, it is acceptable to cleanse them and wear them again."
C)"If you are removing the lens, place your thumb and forefinger directly on the lens."
D)"If you wear disposable lenses, be sure to cleanse the lens container daily."
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Chapter 54: Comfort
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20 Flashcards
Source URL: https://quizplus.com/quiz/45820
Sample Questions
Q1) The nurse is caring for a client in acute pain and plans to use a pain scale tool for assessment. What is the major advantage in using this tool?
A)It allows organization in the assessment process.
B)It works with the same efficacy among the entire population.
C)It allows for variation among various cultures.
D)It can always be performed quickly.
Q2) The nurse cares for an older adult client who will have heat and cold therapy to assist with pain. Which lifespan considerations does the nurse consider when using this treatment for the client? Select all that apply.
A)Skin cells proliferate quicker as one ages.
B)Sensitivity to pain decreases as one ages.
C)Skin becomes thinner as one ages.
D)Moisture in the skin decreases as one ages.
E)Skin burns easier as one ages.
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Chapter 55: Elimination
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Sample Questions
Q1) The registered nurse acts as preceptor to a novice nurse who is placing an indwelling urinary catheter for a client. Which action by the novice nurse requires intervention by the preceptor?
A)Removing and discarding clean gloves after opening the drainage package.
B)Cleansing the urethral meatus before removing the catheter from the protective sleeve.
C)Donning sterile gloves prior to attaching the catheter to the drainage system.
D)Lubricating the tip of the catheter before inserting the tip of the prefilled syringe into the catheter side arm.
Q2) The nurse plans to assist in the transfer of the client to a bedside commode. Place the procedure steps in the correct order.
A)Place slippers on the client.
B)Place commode at the foot of the bed.
C)Raise the client's head of the bed and move client to the edge of the bed.
D)Safely transfer the client to the commode.
E)Cover client with bath blanket as needed for warmth.
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57
Chapter 56: Fluids and Electrolytes
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Sample Questions
Q1) The nurse administers intravenous fluid therapy using a Dial-A-Flo device. What is a disadvantage of this device that the nurse recognizes?
A)It does not control the size of the drops delivered.
B)It does not allow for a fixed flow rate.
C)It does not allow a specified number of drops in the drip chamber.
D)It does not allow visual calculation of the flow rate.
Q2) Calculate the flow rate of the following intravenous therapy prescription: 3 liters 09.% normal saline over 24 hours.
A)125 mL/hr
B)100 mL/hr
C)250 mL/hr
D)90 mL/hr
Q3) The nurse removes a client's intravenous catheter and notes the tip of the catheter is broken. The nurse palpates the client's arm and feels the broken piece. Which action should the nurse take?
A)Apply ice to the insertion site.
B)Raise the client's arm above the heart.
C)Apply a pressure dressing on the insertion site.
D)Apply a tourniquet above the insertion site.
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Page 58
Chapter 57: Infection
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Q1) The nurse is caring for a client with cancer who is neutropenic. Which guidelines will the nurse follow regarding neutropenic precautions? Select all that apply.
A)Ensure the client does not receive any visitors.
B)Do not allow the client to receive fresh flowers.
C)Inspect the client's food trays to ensure no fresh vegetables are given.
D)Keep the client's door closed.
E)Ensure the client wears an N95 mask when outside of the room.
Q2) The nurse is caring for a client in isolation. The nurse needs to remove the isolation gown and gloves after leaving the client's room. Place the steps in correct order for removing PPE.
A)Remove gloves.
B)Use the nondominant hand to pull sleeve wristlet over the dominant hand.
C)Grasp outside of gown through the sleeves at shoulders.
D)Using the dominant hand and grasping the clean part of the wristlet, pull sleeve wristlet over the nondominant hand.
E)Fold gown inside out and discard.
F)Pull gown down over the arms.
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Chapter 58: Intracranial Regulation
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Q1) The charge nurse is preparing to assign a staff member to assist the healthcare provider planning to perform a lumbar puncture on a 9-month-old infant who is irritable and has an elevated temperature. Which staff member would be the best one to assist in this procedure?
A)An RN who graduated from nursing school 6 weeks ago
B)A UAP with 9 years of experience in caring for elderly clients
C)A UAP with 2 years of experience on a pediatric unit
D)An LPN who has been licensed for 4 years but has only worked on the unit for 2 weeks
Q2) The nurse enters a client's room with a suspected head injury in preparation for completing a neurological assessment that includes a Glasgow Coma Score (GCS). Upon entering the room and turning on a light, the nurse notes that the client doesn't open his eyes immediately. Which is the nurse's next action?
A)Complete the client's vital signs and recheck the client in 30 minutes.
B)Gently touch the client's arm to see if the client spontaneously awakens.
C)Turn the light off, leave the room, and document that the client is sleeping.
D)Vigorously rub the client's sternum to determine if the client responds to painful stimuli.
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Chapter 59: Metabolism
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Sample Questions
Q1) Place in correct order the steps for obtaining capillary blood glucose sampling.
A)Cleanse the side of the client's finger.
B)Apply the blood to the test strip.
C)Pierce the skin with a lancet.
D)Calibrate the blood glucose meter.
E)Apply clean gloves.
F)Wipe away the first drop of blood.
Q2) The client calls the clinic complaining of an unusual problem. Which client statement to the nurse is most suggestive of a subjective symptom related to an endocrine problem?
A)"I don't have as much energy as I used to. I get out of breath going up stairs."
B)"Recently I have noticed little purple spots on my legs."
C)"All I want to eat are salty things and I'm adding salt to everything I eat."
D)"My belly seems to be growing bigger every day and it's hard to breathe."
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Chapter 60: Mobility
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Q1) The nurse attempts to meet the developmental needs of a four-year-old child while doing range of motion (ROM)exercises by doing what with the child?
A)Explaining why the ROM exercises must be done.
B)Promising the child, a treat after ROM exercises are completed.
C)Turning the ROM exercises into a game.
D)Asking the child's parents to complete the ROM exercises.
Q2) The nurse will stand where when preparing to ambulate a client who uses crutches?
A)On the client's affected side and slightly behind.
B)On the client's strong side and slightly ahead.
C)On the client's affected side and directly next to the client.
D)On the client's strong side and directly next to the client.
Q3) The nurse is caring for a client who uses a hydraulic lift to be moved out of the bed.
What is the nurse's first action prior to starting this procedure?
A)Perform hand hygiene.
B)Request help from another staff member.
C)Roll the client to the side to position the sling.
D)Demonstrate the use of the hydraulic lift to the client.
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Page 62
Chapter 61: Nutrition
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Q1) The nurse is feeding a client with dementia and should assist swallowing with which nursing action?
A)Encourage the client to drink water between each bite.
B)Stroke the client in a downward motion under the chin.
C)Blow softly in the client's face to encourage swallowing.
D)Tell the client to quickly take bites to facilitate swallowing.
Q2) The nurse is caring for a client receiving total parenteral nutrition and will instruct the unlicensed assistive person (UAP)to complete which assessment every 4 hours?
A)Blood pressure
B)Pulse
C)Temperature
D)Pain level
Q3) The nurse observes a client with dysphagia who is eating and should discourage which activity?
A)Using a straw
B)Using a spoon to eat a milkshake
C)Using a towel under the plate
D)Sitting at a 90-degree angle in bed
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Chapter 62: Oxygenation
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Q1) The nurse is preparing to provide tracheostomy care to a 6-month-old infant and should know that which takes priority when performing this procedure?
A)Teaching the parents how to perform the procedure
B)Ensuring that a second person is available to assist with the procedure
C)Completing the procedure while the infant is asleep to minimize traumatizing the infant
D)Use clean rather than sterile procedure because the infant will be going home with the tracheostomy
Q2) After completing instructions for collecting a sputum specimen to the client, the nurse observes the client remove the lid of the specimen container and spit into the cup. Which is the nurse's next best action?
A)Ask the client if the specimen obtained was sputum or saliva.
B)Explain to the client that the specimen will have to be obtained by suctioning.
C)Provide the client with a new specimen container and explain again how to obtain the specimen.
D)Send the specimen to the lab as obtained but label it as saliva.
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64
Chapter 63: Perfusion
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Q1) The RN is precepting a new graduate RN who is preparing to transfuse blood. For which action by the new graduate nurse will the nurse intervene immediately?
A)Starts blood transfusion immediately upon return to unit
B)Primes infusion set with normal saline solution
C)Educates the client about possible side effects
D)Reviews client chart for history of allergies
Q2) The client diagnosed with anemia has the following lab results: hemoglobin 7.8 g/dL, platelets 150,000, white blood cells 4.7, and hematocrit 23.4%. Which lab result indicates the transfusion worked after receiving 2 units of packed red blood cells?
A)Hemoglobin 11 g/dL
B)Platelets 130,000
C)White blood cells 5.3
D)Hematocrit 15%
Q3) How should the nurse calculate the heart rate from a rhythm strip?
A)Count the number of R waves in 30 large blocks and multiply by 10.
B)Count the number of small squares in a 3-second period and multiply by 0.20.
C)Count the number of large squares and multiply by 3.
D)Count the number of P waves in a 0.04 second and multiply by 5.
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Chapter 64: Perioperative Care
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Q1) The nurse has been asked to assist a healthcare provider with a sterile procedure at the client's bedside. The nurse enters the client's room to find a non-covered sterile field set out on the client's bedside table but the healthcare provider has left the room. What should the nurse do at this time?
A)Nothing; it is not the nurse's responsibility.
B)Leave the room and wait until the healthcare provider enters the room again before reentering.
C)Ask the client how long the healthcare provider has been out of the room.
D)Request that the healthcare provider set up a new sterile field.
Q2) The nurse has just completed teaching a client about postoperative leg exercises to prevent which postoperative complication?
A)Pneumonia
B)Pulmonary embolism
C)Atelectasis
D)Ileus
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Chapter 65: Reproduction
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Q1) The nurse has completed applying the ultrasound transducer to the client's abdomen and has confirmed that the rate is not the same as the client's. Which other assessment will assist the nurse in confirming that the sound that is heard is the true fetal heart rate (FHR)?
A)The rate is slightly different at each assessment time.
B)The sound of the FHR is louder than the sound of the contraction.
C)The FHR will be approximately twice the rate of the client.
D)The FHR will have a whip-like sound.
Q2) The nurse is admitting a client at full term to the labor and delivery unit. Using Leopold's maneuvers, the nurse determines that the fetus is in the left sacroanterior position (LSA)position and will obtain the fetal heart rate (FHR)at which site on the client's abdomen?
A)Midline, directly above the symphysis pubis
B)To the right of the client's umbilicus
C)To the left of the client's umbilicus
D)To the left, below the umbilicus
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Chapter 66: Safety
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Q1) The nurse is assessing an older adult client who has come to the emergency department with a possible urinary tract infection. Which would alert the nurse that this client has been abused?
A)The right knee has a large bruise.
B)The underwear smells of urine.
C)There are bilateral contusions above the elbows.
D)There are small lacerations on the forehead.
Q2) The nurse has just placed a bed alarm for a client who is disoriented and has explained its use to the client and his family. Which statement by a family member indicates a need for further information related to fall prevention?
A)"I know this bed alarm will help everyone know if my father tries to get out of bed without help."
B)"I wish this bed alarm would keep my father in bed."
C)"Now that this bed alarm has been installed on my dad's bed, I can go home and get a good night's sleep."
D)"It is so hard watching my father be so confused. I guess this bed alarm is better than nothing."
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Page 68
Chapter 67: Tissue Integrity
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Q1) The nurse is caring for a client who sustained second-degree burns to both feet. The healthcare provider has ordered debridement of necrotic tissue by mechanical means. The nurse will use which debridement technique that would be the BEST method to complete this task?
A)Wet-to dry dressing changes
B)Hydrotherapy
C)Application of enzymes
D)Application of an occlusive dressing
Q2) The nurse is caring for a client with a large venous injury that has just begun to show signs of healing. The nurse contacts the healthcare provider and asks for a change from the chemical method of debridement for which reason?
A)Chemical debridement may damage the tissue that has just begun to heal.
B)Chemical debridement is more painful to venous injuries that have begun to show signs of healing.
C)Chemical debridement is ineffective for venous injuries that have just begun to show signs of healing.
D)Chemical debridement is more useful with arterial injuries than venous injuries.
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