

Nursing Principles and Practice
Midterm Exam
Course Introduction
This course provides a comprehensive introduction to the foundational principles and practices of nursing. Students will explore the core values, ethical standards, and professional responsibilities that guide nursing care. Emphasis is placed on the development of critical thinking, patient assessment, and communication skills, as well as understanding the nursing process and its application in diverse healthcare settings. The course also covers safety protocols, evidence-based practice, cultural competence, and the importance of advocacy in promoting patient well-being. Through a combination of theoretical instruction and practical exercises, students will build the essential knowledge and skills required to deliver safe, compassionate, and effective nursing care.
Recommended Textbook
Foundations of Nursing 7th Edition by Kim Cooper
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40 Chapters
1496 Verified Questions
1496 Flashcards
Source URL: https://quizplus.com/study-set/382

Page 2
Chapter 1: Evolution of Nursing
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/6580
Sample Questions
Q1) Primitive medical interventions were based on the belief that illness was caused by the presence of _______________ _________________.
Answer: evil spirits
Illness was thought to be caused by the inhabitation of the body by evil spirits.Medical interventions were designed to drive out the evil spirits by introducing good spirits.
Q2) What document,published in 1965 by the ANA,clearly defined two levels of nursing practice?
A)Licensing standards
B)Position paper
C)Smith-Hughes Act
D)Nurse practice act
Answer: B
Q3) During early civilization _____________ ________ performed witchcraft and rituals to induce the bad spirits to leave the body of the ailing person.
Answer: medicine men
Medicine men performed witchcraft and rituals to induce the bad spirits to leave the body of the ailing person during early civilization.
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3

Chapter 2: Legal and Ethical Aspects of Nursing
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/6581
Sample Questions
Q1) An older adult is admitted to the hospital with numerous bodily bruises,and the nurse suspects elder abuse.What is the best nursing action?
A)Cover the bruises with bandages.
B)Take photographs of the bruises.
C)Ask the patient if anyone has hit her.
D)Report the bruises to the charge nurse.
Answer: D
Q2) The nurse caring for a patient in the acute care setting assumes responsibility for a patient's care.What is this legally binding situation?
A)Nurse-patient relationship
B)Accountability
C)Advocacy
D)Standard of care
Answer: A
Q3) Acts whose performance is required,permitted,or prohibited are defined by ___________ of ______________.
Answer: standards,care
Standards of care define acts whose performance is required,permitted,or prohibited.
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4
Chapter 3: Documentation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/6582
Sample Questions
Q1) Documentation is necessary for the evaluation of patient care.Of which phase of the nursing process is this an integral part?
A)Assessment
B)Planning
C)Implementation
D)Evaluation
Answer: C
Q2) Why is documentation especially significant in managed care?
A)The hospital needs to show that employees care for patients.
B)Institutions are reimbursed only for patient care that is documented.
C)Patients might bring lawsuits if care was not given.
D)Documents may become part of a lawsuit.
Answer: B
Q3) Documentation using the DARE format (Data,Action,Response,Education)includes elements of the __________ charting system.
Answer: focused
Focused charting uses the acronym DARE to direct and formalize charting.
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Page 5

Chapter 4: Communication
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/6583
Sample Questions
Q1) What communication technique should the nurse use when communicating with an unresponsive patient?
A)Avoid speaking directly to the patient
B)Assume verbal stimuli are heard
C)Speak in a loud voice
D)Use simple words
Q2) A grieving young widow cries out,"Why was my husband killed? Why wasn't it me?" What is the nurse's best response?
A)Stating "You need to be strong for your children."
B)Silently placing her hand on the widow's arm.
C)Asking if there is anyone the widow needs to have notified.
D)Stating "You are feeling overwhelmed about your husband's death."
Q3) What is true about the use of touch in therapeutic communication? (Select all that apply.)
A)Touch is a form of nonverbal communication.
B)Touch is a form of verbal communication.
C)Touch should be used with indiscretion.
D)Touch can convey warmth and caring.
E)Touch can convey support and understanding.
F) Touch should be used sincerely and genuinely.
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Chapter 5: Nursing Process and Critical Thinking
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) A patient with a urinary tract infection is assessed using a clinical pathway.When a projected outcome is not met by a predetermined date,it is determined that what has occurred?
A)Omission
B)Variance
C)Failure
D)Error
Q2) What framework does the establishment of priorities of care during the planning phase of the nursing process often use?
A)Erikson's developmental tasks
B)Piaget's cognitive table
C)Maslow's hierarchy of needs
D)Freud's classifications
Q3) A systematic method by which nurses plan and provide care for patients is known as the _________ ____________.
Q4) The document that outlines a multidisciplinary plan for care interventions over a specified time frame is a _______ ________.
Q5) NANDA International meets to reorganize diagnosis labels and language every ______ years.
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Chapter 6: Cultural and Ethnic Considerations
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/6585
Sample Questions
Q1) A nurse is preparing a meal tray for a patient who is a Latter-Day Saint.What beverage should the nurse prepare?
A)Tea with all meals
B)Coffee each morning
C)Cola beverages
D)Fruit juice
Q2) A nurse is preparing to discuss birth control options for a Roman Catholic patient.What is the most appropriate method for the nurse to discuss with this patient?
A)Abstinence
B)Vasectomy
C)Tubal ligation
D)Oral contraceptives
Q3) What is the term for a group of people who share a common social and cultural heritage based on shared traditions,national origin,and physical and biologic characteristics?
A)Race
B)Culture
C)Religion
D)Ethnicity
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Page 8
Chapter 7: Asepsis and Infection Control
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/6586
Sample Questions
Q1) How long should the nurse perform hand hygiene before beginning care of a patient?
A)5 minutes
B)2 minutes
C)1 minute
D)30 seconds
Q2) The nurse prioritizes the care of four patients.Which patient has a systemic infection?
A)14-year-old with acute appendicitis
B)80-year-old with a urinary tract infection
C)40-year-old with AIDS
D)50-year-old with arthritis
Q3) The emergency department nurse is assessing a puncture wound of the foot.What is the most likely type of infection in this wound?
A)Aerobic bacterial infection
B)Anaerobic bacterial infection
C)Viral infection
D)Fungal infection
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9

Chapter 8: Body Mechanics and Patient Mobility
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/6587
Sample Questions
Q1) The nurse is performing passive range of motion (ROM)for the patient.How will the nurse move the joint through ROM?
A)The fullest extent
B)Place the joint in normal position
C)The point of pain
D)Relax the patient
Q2) The LPN/LVN assists a patient into the semi-Fowler position per physician order.What would indicate that this patient is in the correct position?
A)Patient is leaning over the bedside table
B)Head of bed is at a 30-degree angle
C)Knee is drawn toward the chest
D)Arms are flexed toward the head
Q3) The nurse is performing passive range-of-motion exercises on a patient following a traumatic injury.What is the number of times the nurse should move each joint when performing passive range-of-motion (ROM)exercises?
A)Three
B)Four
C)Five
D)Six
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Page 10

Chapter 9: Hygiene and Care of the Patients Environment
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/6588
Sample Questions
Q1) The nurse must follow the principles of medical asepsis while making a patient's bed,including procedures for handling linens.How should the nurse handle soiled linens?
A)Place on the floor
B)Fan in the air
C)Hold away from the uniform
D)Place at the end of the bed
Q2) How should the nurse cleanse the meatal opening when performing male perineal care?
A)From the meatus outward
B)With an alcohol swab
C)In a circular motion
D)With a cotton-tipped applicator
Q3) The nurse is preparing to bathe a patient.What should the room temperature be set at?
A)No warmer than 67° F
B)No cooler than 68° F
C)No cooler than 70° F
D)75° F or warmer
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Chapter 10: Safety
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/6589
Sample Questions
Q1) What must the nurse do before applying a safety reminder device (SRD)?
A)Get permission from the family
B)Assess patient's skin condition
C)Get a physician's order
D)Explain the SRD to the patient
Q2) The emergency department nurse admits a victim of poisoning.Who should the nurse call to receive the best assistance for dealing with this victim?
A)American Red Cross
B)Fire department paramedics
C)Poison control center
D)Civil defense office
Q3) A disaster situation occurs and involves an explosion in a hospital laundry.What would this be classified as ?
A)Active
B)External
C)Life-threatening
D)Internal
Q4) When reinforcing the PASS acronym for fire extinguisher use,the nurse reminds the staff that the final "S" stands for ______________.
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Chapter 11: Vital Signs
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/6590
Sample Questions
Q1) What is the term for the exchange of carbon dioxide and oxygen that takes place at the alveolar level?
A)Tachypnea
B)Internal respiration
C)External respiration
D)Bradypnea
Q2) The physician orders daily weights on a patient residing in a long-term care setting.What actions should the nurse implement to assess weight accurately? (Select all that apply.)
A)Weigh patient at the same time each day
B)Schedule weighing immediately after breakfast
C)Encourage patient to void before being weighed
D)Ensure same amount of clothing is worn by patient
E)Calibrate by setting scale at zero after each weight
Q3) What part of the body maintains a balance between heat production and heat loss,regulating body temperature?
A)Thymus
B)Thyroid
C)Hypothalamus
D)Adrenal glands
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Chapter 12: Physical Assessment
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90 Verified Questions
90 Flashcards
Source URL: https://quizplus.com/quiz/6591
Sample Questions
Q1) A physician needs to assess extension of a patient's hip joint.In what position should the nurse place the patient?
A)Sims
B)Prone
C)Lithotomy
D)Dorsal recumbent
Q2) When performing a nursing physical assessment,the nurse uses a head-to-toe approach.Where will the nurse begin when using this method?
A)Skin assessment
B)Neurologic assessment
C)Circulatory assessment
D)Respiratory assessment
Q3) When performing a physical examination of a patient,the nurse uses a technique that is particularly useful in identifying areas of tenderness or masses of the abdomen.What is this technique?
A)Auscultation
B)Deep palpation
C)Light palpation
D)Percussion
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Page 14

Chapter 13: Admission, Transfer, and Discharge
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) How can the nurse demonstrate cultural sensitivity to a Haitian American patient?
A)By providing a well-lit room 24 hours a day
B)By writing out all instructions given to the patient
C)By allowing the patient to keep leaves in her room
D)By asking the physician to provide all directions to the patient
Q2) Because of the stress caused by hospitalization,the nurse assesses a newly admitted older adult patient for ________________.
Q3) Some _____________________patients consider sundown Friday to sundown Saturday to be the Sabbath,which is a time of rest.
Q4) Upon admission,the nurse notes that a patient without family members present has a billfold filled with cash.Where can the nurse suggest the money be placed?
A)In a sealed envelope in the bedside table
B)In the care of hospital security
C)Locked in the narcotic cupboard
D)In the hospital safe
Q5) The nurse completes thorough documentation before,during,and after a transfer to ensure _______ of _______.
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Page 15

Chapter 14: Surgical Wound Care
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/6593
Sample Questions
Q1) The nurse assures a patient that the purple,raised,immature scar of a surgical wound is normal and caused by _______ formation.
Q2) What is the classification for the Jackson-Pratt drainage removal system?
A)Sterile drainage system
B)Closed drainage system
C)Open drainage system
D)Self-measuring drainage system
Q3) When preparing to remove a dressing,the nurse should don __________ gloves.
Q4) The nurse observes a loop of bowel protruding from the surgical incision.What is the first intervention the nurse should implement?
A)Call the RN
B)Cover the bowel with a sterile saline dressing
C)Turn the patient to the side of the evisceration
D)Raise the patient up to a high Fowler position
Q5) What is the advantage of an occlusive dressing?
A)Allows air to the incision
B)Keeps the incision moist
C)Delays epithelialization
D)Does not have to be changed
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Chapter 15: Specimen Collection and Diagnostic Testing
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/6594
Sample Questions
Q1) What is the probable source of bright red blood in the stool?
A)Stomach
B)Small intestine
C)Lower gastrointestinal tract
D)Higher intestinal tract
Q2) When collecting a stool specimen for a guaiac (occult blood in stool),the nurse should take a specimen from _____ different parts of the stool.
Q3) When performing a venipuncture,the tourniquet should be left on no more than ____ to ____ minutes.
Q4) What is the rationale for the nurse to assess a patient's knowledge of an ordered procedure?
A)To determine difficulties the patient may encounter
B)To determine the nurse's role in the procedure
C)To determine health teaching required
D)To determine anxiety the patient has
Q5) Following an intravenous pyelogram,the nurse should watch the patient closely for a delayed reaction to the dye,usually occurring within ___ to ___ hours following the procedure.
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Page 17

Chapter 16: Care of Patients Experiencing Urgent
Alterations in Health
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/6595
Sample Questions
Q1) The Good Samaritan law will protect all people who offer assistance.What is necessary for this protection?
A)A license
B)The person acts prudently
C)Licensed supervision
D)The patient improves
Q2) A patient who had taken a poisonous substance is brought to the emergency department.What is the first action the nurse should take?
A)Give syrup of ipecac
B)Contact the poison control center
C)Give milk to coat the stomach
D)Observe for symptoms
Q3) A patient arrives in the emergency department with a sucking wound to the left chest.What is the first action the nurse should take?
A)Place several layers of gauze dressing over the wound
B)Place the patient in a supine position
C)Cover the wound with an airtight dressing taped on three sides
D)Turn the patient to the left side
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Chapter 17: Complementary and Alternative Therapies
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/6596
Sample Questions
Q1) What is the importance of the nurse asking about the patient's use of alternative therapies when obtaining a health history?
A)Alternative therapies can be covered by insurance.
B)Alternative therapies have unfortunate interactions with traditional therapies.
C)Alternative therapies can be substituted for allopathic medicine.
D)Alternative therapies have curative and healing power.
Q2) What is the responsibility of the National Center for Complementary and Alternative Medicine (NCCAM)?
A)To certify alternative medical practitioners
B)To evaluate effectiveness of alternative medical treatments
C)To set standards for the practice of alternative medicine
D)To train alternative medical practitioners
Q3) What will placing an herb in alcohol or vinegar make?
A)A suspension
B)An emulsion
C)An infusion
D)A tincture
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Chapter 18: Pain Management, Comfort, Rest, and Sleep
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/6597
Sample Questions
Q1) What action should the nurse take when evaluating the effectiveness of new or revised therapies for pain relief?
A)Observe the patient performing activities of daily living
B)Observe the patient's facial expressions
C)Frequently assess subjective data
D)Perform evaluation of outcome goals
Q2) The nurse is assessing pain reported by a Latino male patient.What is important for the nurse take into consideration when observing objective data?
A)Latino men are suspicious of female caregivers.
B)Latino men have a cultural bias against use of narcotics.
C)Latino men believe pain is necessary for cure.
D)Latino men feel it is unmanly to admit to pain.
Q3) A patient tearfully declares the use of relaxation techniques does not work for her.What is the best action for the nurse to implement?
A)Give up on the idea
B)Encourage the patient to try again
C)Assure the patient that not everyone is successful
D)Give the patient a sedative
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Chapter 19: Nutritional Concepts and Related Therapies
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/6598
Sample Questions
Q1) The patient complains to the nurse that he feels terrible since he has been taking several different kinds of vitamin preparations.What should the nurse assess for indications of vitamin toxicity?
A)Edema
B)Hypertension
C)Fatigue
D)Diarrhea
Q2) The nurse makes nutrition a focus in the care plan.Where does nutrition play the most important role?
A)Weight control
B)Sustained appetite
C)Building strong bones
D)Health maintenance
Q3) The nurse explains that a patient with a heart problem should follow a decreased sodium diet.What will this diet help reduce the risk for or prevent?
A)Stroke
B)Fluid excretion
C)Heart attacks
D)Obesity
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Chapter 20: Fluids and Electrolytes
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/6599
Sample Questions
Q1) Sodium is the most abundant electrolyte in the body.The location of electrolytes is important for maintaining homeostasis.Sodium is the major electrolyte in which fluid compartment?
A)Intracellular
B)Intravascular
C)Extracellular
D)Interstitial
Q2) What should the nurse expect when assessing a patient with respiratory alkalosis?
A)Slow respirations
B)Muscle weakness
C)Strong, even heart rate
D)Flushed face
Q3) The nurse weighs a patient at the same time of day with the same scale and same clothing.What is this a simple and accurate method of determining?
A)An accurate weight
B)Water balance
C)Adequate nutrition
D)Urinary output
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22

Chapter 21: Mathematics and Medication Administration
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/6600
Sample Questions
Q1) When the patient complains about his IV lines and asks if he can have the medication by mouth,what is the most appropriate response by the nurse?
A)"Pills are difficult for many patients to swallow."
B)"Medication by mouth is absorbed more slowly than by any other route."
C)"It takes more time for the nurse to prepare and administer oral medications."
D)"It leads to more errors to give pills, because the pills all look alike."
Q2) What should the nurse do with an injection of 2 mL of Demerol that the patient has refused? (Select all that apply.)
A)Independently waste the drug in a secure place.
B)Record in the narcotic log that the drug was wasted.
C)Chart in the patient's record the reason the medication was refused.
D)Get any staff member to sign the narcotic log as witness to the drug being wasted.
E)Confirm the count is correct on the narcotic log.
Q3) What is 6.147 rounded to the nearest tenth?
A)6.2
B)6.15
C)6.14
D)6.1
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Chapter 22: Care of Patients with Alterations in Health
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/6601
Sample Questions
Q1) To what temperature should water for eye compress be heated?
A)95° F
B)110° F
C)115° F
D)120° F
Q2) What is the nurse's first priority when a patient receiving IV fluid therapy shows an increase in blood pressure and has bilateral crackles?
A)Raise the head of the bed
B)Slow the infusion
C)Turn the patient to the left side
D)Notify the charge nurse
Q3) How does an Aquathermia pad differ from a traditional heating pad?
A)The Aquathermia pad can be folded to fit the anatomic location snugly.
B)The Aquathermia pad can be placed under the patient.
C)The Aquathermia pad has circulating water for temperature control.
D)The Aquathermia pad can be left on for as long as 2 hours.
Q4) The nurse is alert for a serious condition called ___________ that results from pathogens being introduced into the blood stream.
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Page 24

Chapter 23: Life Span Development
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) A 5-year-old who has an imaginary friend with whom he converses frequently is displaying characteristics consistent with which of Piaget's stages of cognitive development?
A)Operational stage
B)Preoperational stage
C)Formal operations stage
D)Concrete operations stage
Q2) What is the stage of family development that begins at the birth or adoption of the first child?
A)Expectant stage
B)Parenthood stage
C)Establishment stage
D)Engagement/commitment stage
Q3) Any substance such as a drug,alcohol,or virus that interferes with fetal development is called a(n)_____________.
Q4) What is the correct term for prejudice against older adults?
A)Socialism
B)Sexism
C)Racism
D)Ageism
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Chapter 24: Loss, Grief, Dying, and Death
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) After a physician in the emergency department has pronounced a 2-year-old dead following a swimming pool accident,the mother tearfully says to the father,"I am so sorry.I am so sorry." What is the mother expressing?
A)Fear
B)Guilt
C)Hostility
D)Grief
Q2) What is the final stage of human growth and development?
A)Integrity
B)Death
C)Despair
D)Resolution
Q3) A nurse is caring for the dying mother of a 7-year-old child.What is important for the nurse to understand regarding the child?
A)The child associates death with aggression.
B)The child believes his or her own death cannot be avoided.
C)The child lacks understanding of the concept of death.
D)The child understands death as the inevitable end of life.
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Chapter 25: Health Promotion and Pregnancy
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35 Flashcards
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Sample Questions
Q1) A woman entering the 22nd week of pregnancy complains that she has become unsightly because of chloasma.What should the nurse recommend to reduce the appearance of the chloasma?
A)Use heavy makeup
B)Take extra doses of vitamin A
C)Avoid exposure to the sun
D)Reduce caffeine intake
Q2) What should a nurse instruct the patient to do before assessing fundal height?
A)Press her lower back against the examination table
B)Empty her bladder
C)Take a deep breath and hold it
D)Bear down
Q3) Which is a positive sign of pregnancy?
A)Positive pregnancy test
B)Positive Chadwick sign
C)Ultrasonic tracing of the fetus
D)Positive Goodell sign
Q4) The chorion and the amnion are the two components of the ________
Q5) The nurse instructor reminds the nursing student that the "Shiny Schultz" is a name given to the _____________ side of the placenta.
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Chapter 26: Labor and Delivery
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse explains to the patient whose membranes ruptured an hour ago that delivery is usually accomplished in ____ to _____ hours postrupture.
Q2) An infant presents 5 minutes after delivery with a heart rate of 105,is crying,has some flexion in the arms,sneezes,and has a pink body and blue limbs.What Apgar score should be assigned to this infant?
A)5
B)7
C)8
D)10
Q3) For the first hour following delivery,how often should the nurse assess the mother?
A)Every 5 minutes
B)Every 10 minutes
C)Every 15 minutes
D)Every 30 minutes
Q4) A primigravida has a pelvis of the android type,which usually means the delivery will be a _______________.
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Chapter 27: Care of the Mother and Newborn
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35 Flashcards
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Sample Questions
Q1) What is characteristic of a normal breastfed infant's stool?
A)Green and loose
B)Dark green and sticky
C)Pale yellow and frequent
D)Light brown and pasty
Q2) The nurse is giving a bath demonstration for a group of new mothers.What should be included in the demonstration?
A)Apply baby powder generously to keep baby dry.
B)Cleanse perineum from front to back.
C)Use scented soap to make baby smell good.
D)Partially submerge head in water when shampooing.
Q3) After delivery of a 9-lb baby,the nurse assesses a perineal laceration extending through the muscles of the perineum.The nurse records this as a ________-degree laceration.
Q4) Following delivery of the newborn,which nursing intervention should be carried out immediately?
A)Weigh the infant
B)Warm the infant
C)Bathe the infant
D)Inoculate the infant
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Family with Special Needs
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/6607
Sample Questions
Q1) A patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come to the hospital.What result is the best response by the nurse?
A)A large for gestational age infant
B)Anorexia nervosa
C)Preterm delivery
D)Maternal or fetal death
Q2) The patient who has taken the ovulation stimulant clomiphene (Clomid),and who has been determined to be pregnant,calls the clinic nurse to report that she is bleeding and has passed a small grapelike object.From this information the nurse suspects a
Q3) A nursery nurse is implementing phototherapy for a jaundiced infant.What is the purpose of the phototherapy?
A)It is initiated when the bilirubin level reaches 5 mg/dL.
B)It converts bilirubin to a water-soluble form to be excreted in the urine.
C)It changes bilirubin to a bile salt to be excreted through the bowel.
D)It requires eye patches to remain in place 24 hours a day.
Q4) The nurse explains that severe preeclampsia needs to be controlled because it can develop into another syndrome called _________________.
Page 30
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Chapter 29: Health Promotion for the Infant, Child, and Adolescent
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/6608
Sample Questions
Q1) A major dental problem among very young children is bottle mouth caries.What is a preventative measure the nurse should suggest?
A)Juice at bedtime
B)Milk at bedtime
C)A sugar-coated pacifier
D)Water at bedtime
Q2) The school nurse recognizes that lack of physical activity and increased consumption of fast food by children are causative factors contributing to which of the following problems?
A)Nutritional disorders
B)Weight gain
C)Type I diabetes
D)Dental caries
Q3) What is the third leading cause of accidental death in children 1 to 4 years of age?
A)Falls
B)Asphyxiation
C)Poisons
D)Burns
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Chapter 30: Basic Pediatric Nursing Care
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/6609
Sample Questions
Q1) Following a lumbar puncture of a 2-year-old,what should the nurse do?
A)Keep the child flat for several hours
B)Allow the child to play quietly at will
C)Hold the child in a flexed position for 5 minutes
D)Stand the child upright immediately
Q2) What is the purpose of a mist tent?
A)To provide a constant oxygen supply
B)To liquefy respiratory secretions
C)To aid in lowering temperature
D)To improve the infant's hydration
Q3) The pediatric nurse,along with the primary caregiver(s),has a special duty to ________ the child and the family.
Q4) When discussing growth and development with the parents of a child,the nurse explains that nutrition is the single most important influence on:
A)cognitive development.
B)secondary sexual characteristics.
C)the production of blood cells.
D)the growth of bones and muscle.
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Chapter 31: Care of the Child with a Physical and Mental or Cognitive Disorder
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70 Verified Questions
70 Flashcards
Source URL: https://quizplus.com/quiz/6610
Sample Questions
Q1) The nurse is caring for a newborn with a myelomeningocele.Before surgery,what should the nursing interventions include?
A)Leaving the lesion uncovered and placing the infant supine
B)Covering the lesion with a sterile, saline-soaked gauze
C)Applying lotion to the lesion to keep it moist
D)Covering the lesion with a dry, sterile gauze
Q2) What is the most common method of attempted suicide?
A)Hanging
B)Medication ingestion
C)Gunshot
D)Slashing the wrists
Q3) When conducting a class for parents about sudden infant death syndrome (SIDS),the nurse instructs the class that the infant should be placed in which position to sleep?
A)Right side-lying
B)Left side-lying
C)Prone
D)Supine
Q4) The nurse reminds a family that people with autism are also referred to as
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Chapter 32: Health Promotion and Care of the Older Adult
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/6611
Sample Questions
Q1) When should family members of a stroke victim expect to see some of the neurologic involvement disappear?
A)Within 2 to 3 weeks
B)Within 1 to 2 months
C)Within 3 to 6 months
D)Within 6 to 9 months
Q2) When assessing the older adult,the nurse considers which aspect of the patient's routine as a possible contributor to constipation?
A)Intake of antacids several times a day
B)Taking a laxative once a week
C)Excessive exercise routine
D)Eating two apples a day
Q3) What is one positive aspect of Parkinson disease?
A)The disease does not alter ability to communicate
B)Anti-Parkinson drugs have few side effects
C)Intellectual function is not impaired
D)Involuntary movements can be controlled
Q4) When bathing an 80-year-old woman who lives on a farm,the nurse assesses brown macules on the patient's hands and forearms.The nurse recognizes these as
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Chapter 33: Concepts of Mental Health
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/6612
Sample Questions
Q1) The nurse is assessing a young woman who is a teacher,happily married,raising two children,taking care of her disabled mother,and going to school to get a master's degree.How should the behavior of the young woman be classified?
A)Ego-centered
B)Role integrated
C)High-level wellness
D)Unbounded energy
Q2) Using Freud's personality theory,what action by a patient identifies the influence of the superego?
A)Eating an entire chocolate pie
B)Becoming anxious about having no visitors
C)Monopolizing the attention of the physician
D)Returning a $5 bill that another patient left on the table
Q3) What coping mechanism demonstrated by a patient should indicate to the nurse that the patient is seeking ways to deal with and resolve stress?
A)Projection
B)Adaptation
C)Reaction formation
D)Compensation
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Chapter 34: Care of the Patient with a Psychiatric Disorder
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/6613
Sample Questions
Q1) What disorder is a severe form of self-starvation that can lead to death?
A)Bulimia nervosa
B)Anorexia nervosa
C)Teenage nervosa
D)Obesity nervosa
Q2) The nurse explains that an alternative therapy that uses essential oils and scented candles to help a patient relax and focuses on the atmosphere of the moment is
Q3) A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off.What does this behavior represent?
A)Phobia
B)Post-traumatic stress disorder
C)Obsessive-compulsive disorder
D)Disordered thinking
Q4) Dementia is an organic mental disease secondary to what problem?
A)Chemical imbalance
B)Emotional problems
C)Circulatory impairment
D)Cerebral disease
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Chapter 35: Care of the Patient with an Addictive Personality
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/6614
Sample Questions
Q1) A pregnant adolescent tells the nurse that she "only drinks a little." How many drinks per day can cause an adverse effect in an infant?
A)One drink a day
B)Two drinks a day
C)Three drinks a day
D)Four drinks a day
Q2) If the patient tells the nurse,"I'm not an alcoholic.I can stop whenever I want to," what should be the nurse's most therapeutic response?
A)"Well, why don't you?"
B)"Hasn't alcohol use interfered with your employment?"
C)"A positive attitude like that is a good start."
D)"What would you call alcoholism?"
Q3) The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement?
A)"I drink because I'm lonely."
B)"All my difficulties are related to my drinking."
C)"I wouldn't need to drink if I had my family back."
D)"My drinking helps me cope with the stress of my job."
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Chapter 36: Home Health Nursing
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/6615
Sample Questions
Q1) What became effective in 1966 by an act of legislation that revolutionized home care?
A)Life insurance
B)Medicare
C)Private insurance
D)Social Security
Q2) Medicaid pays for home care services for people who have low incomes.Who administers the Medicaid program?
A)Federal government
B)City government
C)State government
D)County government
Q3) The patient,family,social service agency,hospital,physician,or another agency all can provide the entry point to the home health care system.What is the entry point for the home health care system called?
A)Recommendation
B)Survey
C)Referral
D)In-taking
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Page 38

Chapter 37: Long-Term Care
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/6616
Sample Questions
Q1) What is included when the LVN/LPN completes the Resident Assessment Instrument (RAI)?
A)Minimum Data Set (MDS) and the signature of the physician
B)Resident Assessment Protocols (RAPs) and the drug list
C)Minimum Data Set, Resident Assessment Protocols, and the RN's signature
D)Resident Assessment Protocols and the signature of the administrator
Q2) The LPN/LVN suggests to the RN that the nursing care plan be modified to include referral to an adult day care center.What benefits should the client expect to receive? (Select all that apply.)
A)Overnight care
B)Respite care for the family
C)Social interaction for the patient
D)Mental stimulation for the patient
E)Supporting maintenance of the ADLs
Q3) How often should the long-term care facility nurse make rounds and monitor residents for safety?
A)Every 2 hours
B)Every 4 hours
C)Every 6 hours
D)Once per shift
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Chapter 38: Rehabilitation Nursing
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/6617
Sample Questions
Q1) The nurse who is part of a team focused on restoring an individual to the fullest physical,mental,social,vocational,and economic capacity is practicing what type of nursing?
A)Holistic nursing
B)Conscientious nursing
C)Rehabilitation nursing
D)Comprehensive nursing
Q2) The acquisition of adaptive skills and behaviors by an individual who has been disabled since birth refers to:
A)training.
B)education.
C)development.
D)habilitation.
Q3) Following admission,how soon must a comprehension rehabilitation plan of care be implemented on a rehabilitation patient?
A)12 hours
B)24 hours
C)3 days
D)1 week
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Page 40

Chapter 39: Hospice Care
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/6618
Sample Questions
Q1) When a deficiency in nutritional status of a patient is assessed,what action should be taken by the hospice nurse?
A)Make a comprehensive grocery list for the caregiver
B)Alert the licensed medical nutritionist
C)Seek culturally appropriate methods to increase nutrition
D)Instruct the caregiver to give the patient multivitamins
Q2) When educating a patient concerning ways to prevent nausea,the nurse suggests that eating slowly in a pleasant atmosphere will help,as well as taking an antiemetic before meals.How many minutes before meals should the patient take the antiemetic?
A)10
B)20
C)30
D)60
Q3) Which of the following is an expected part of the end-of-dying process?
A)Denial
B)Despair
C)Anorexia
D)Depression
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Chapter 40: Professional Roles and Leadership
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/6619
Sample Questions
Q1) What is the physical,emotional,and spiritual exhaustion that can occur among caregivers?
A)Excessiveness
B)Burnout
C)Fatigue
D)Weariness
Q2) In what employment setting does the nurse give total care to one patient; is totally independent; provides care in the home,hospital,or other facility; is paid directly by the patient; and is legally responsible for his or her own actions?
A)Home health nursing
B)Private duty nursing
C)Patient care nursing
D)Agency care nursing
Q3) After transcribing each order in a list of orders,the nurse should ___________ __________ the order.
Q4) The experienced nurse who assists a novice to learn the skills of the profession is called a(n)________________.
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