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Nursing Process and Practice Final Exam Questions - 977 Verified Questions

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Nursing Process and Practice

Final Exam Questions

Course Introduction

This course provides an in-depth exploration of the nursing process as the foundation of professional nursing practice. Students learn systematic assessment, planning, implementation, and evaluation skills to deliver comprehensive and individualized patient care. Emphasis is placed on critical thinking, evidence-based decision making, and effective communication within the interdisciplinary healthcare team. Through theoretical instruction and practical experiences, students apply the nursing process to diverse patient populations across various clinical settings, fostering the development of safe, compassionate, and ethical nursing practices.

Recommended Textbook

Essentials for Nursing Practice 9th Edition by Potter FAAN

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40 Chapters

977 Verified Questions

977 Flashcards

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Page 2

Chapter 1: Professional Nursing

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Sample Questions

Q1) Which actions of the nurse demonstrate the nursing role of educator?

A) The nurse teaches the patient's family how to perform sterile dressing changes.

B) The nurse includes the patient in clinical decision making whenever possible.

C) The nurse provides written teaching materials in the patient's preferred language.

D) The nurse speaks about diabetes management at a professional conference.

E) The nurse assesses for adequate protein intake for a patient on a vegetarian diet.

Answer: A,C,D

Q2) Which program is appropriate for a nurse who wishes to become an expert in ostomy and wound care?

A) Specialty certification

B) Master of Science program

C) Doctoral degree program

D) Continuing education program

Answer: A

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Chapter 2: Health and Wellness

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Sample Questions

Q1) Which action of the nurse addresses Maslow's need for love and belongingness?

A) The nurse uses a gait belt and assists the patient to use a walker for ambulation.

B) The nurse encourages a widowed patient to join a bereavement support group.

C) The nurse plans daily care to allow for rest periods for the patient as needed.

D) The nurse reorients the patient to time and place during periods of acute confusion.

Answer: B

Q2) Which is an example of how a psychosocial variable affects the patient's health beliefs?

A) The patient was diagnosed with rheumatoid arthritis as a young child.

B) The patient has always been terrified of needles and so never goes to the doctor.

C) The patient's neighborhood has few opportunities to buy fresh fruits or vegetables.

D) The patient requires three antihypertensive medications to control blood pressure.

Answer: B

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Chapter 3: The Health Care Delivery System

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Sample Questions

Q1) The patient uses a special telephone connection to allow the cardiologist to assess the patient's pacemaker function while the patient stays at home.Which term is used to describe this type of health care?

A) Capitation

B) Telemedicine

C) Magnet Recognition Program

D) Utilization review

Answer: B

Q2) Which is an example of a Bundled Payment for Care Improvement?

A) The insurance company combines services for several patients into one single payment.

B) The hospital is paid a predetermined lump sum for all costs related to the patient's open-heart surgery.

C) The hospital is paid an additional bonus if the patient's surgical outcome exceeds national standards.

D) The insurance company will withhold all payments for the patient until accreditation is achieved.

Answer: B

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Chapter 4: Community-Based Nursing Practice

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Sample Questions

Q1) Which is an example of an incidence rate?

A) The patient was able to ambulate 50 feet in 10 minutes.

B) 65% of the hospital's registered nurses are bachelor-prepared.

C) The hospital has a 12% ventilator-associated pneumonia rate.

D) The patient's hemoglobin rate is 50% lower than the previous day.

Q2) The nurse identified the source of food poisoning as a local restaurant and ensured that no further patrons became ill.Which community health nursing role was demonstrated by these actions?

A) Caregiver

B) Educator

C) Epidemiologist

D) Case manager

Q3) Which are socioeconomic factors that contribute to the health of a community?

A) The community covers a total area of 14 square miles.

B) Almost 25% of the residents are of Native American descent.

C) Nearly 35% of the residents are eligible for free school lunches.

D) Approximately half of the residents work in the local automobile factory.

E) The community recently built a new hospital and medical office building.

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6

Chapter 5: Legal Principles in Nursing

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Sample Questions

Q1) Which patient scenario allows the physician to perform needed procedures without the need to obtain informed consent first?

A) An unconscious patient is brought into the ER after an auto accident.

B) The patient speaks only Russian and requires the services of a translator.

C) The patient is deaf and communicates through sign language or lip reading.

D) The patient is not an American citizen and does not have any health insurance.

Q2) The nurse is caring for a patient who will have surgery.The nurse witnesses the patient sign the informed consent document,and then the nurse adds her signature as a witness.What does the nurse's signature on the document mean?

A) The patient signed the form,not someone else.

B) The patient accepts the potential risks of the procedure.

C) The patient fully understands the procedure to be performed.

D) The patient agrees with the surgeon's planned treatment approach.

Q3) What is the primary difference between negligence and malpractice?

A) Malpractice is intentional while negligence is unintended.

B) Malpractice is a felony while negligence is a misdemeanor.

C) Malpractice leads to more serious patient injury than negligence.

D) Malpractice is committed by a licensed professional while negligence is not.

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Chapter 6: Ethics

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Sample Questions

Q1) After a massive earthquake,the emergency room staff focuses to provide care to the patients who are likely to survive rather than expending maximum effort on a few critically injured patients.Which ethical theory is demonstrated in this situation?

A) Deontology

B) Feminist ethics

C) Utilitarianism

D) Ethics of care

Q2) Which ethical principle is violated when the nurse is overhead talking about the patient's prognosis in the elevator?

A) Judgment

B) Advocacy

C) Accountability

D) Confidentiality

Q3) Which action by the nurse is an example of a legal issue rather than an ethical principle?

A) Failing to shut the door completely when bathing the patient

B) Providing lower doses of pain medications to patients with red hair

C) Working as a registered nurse without a current nursing license

D) Deciding not to stop and provide medical care at an accident scene

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Page 8

Chapter 7: Evidence-Based Practice

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Sample Questions

Q1) Which sources may be found in the Cumulative Index of Nursing and Allied Health Literature (CINAHL)database?

A) Literature review about complementary therapies for rheumatoid arthritis

B) Randomized trial to study the use of honey to treat decubitus ulcers

C) Satirical article about the risk of dihydrogen monoxide exposure to humans

D) Blog written by a patient recently diagnosed with myasthenia gravis

E) Meta-analysis to analyze coffee intake with risk of developing dementia

Q2) Which is an example of a PICO question?

A) How does the agency's monthly catheter-associated urinary tract infection rate compare with the national average?

B) Which types of topical antibiotic irrigation solutions may be used to reduce healing time for stage 4 decubitus pressure injuries?

C) Does oral care with chlorhexidine solution more effectively reduce the incidence of ventilator-associated pneumonia in intubated patients than saline solution?

D) Which emotions are commonly felt by patients upon learning that they were diagnosed with a terminal illness?

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9

Chapter 8: Critical Thinking

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Sample Questions

Q1) The nurse becomes very skilled at feeding patients with dysphagia after working on a rehabilitation unit for many years.Which component of critical thinking allows the nurse to function at this high level of practice?

A) Integrity

B) Experience

C) Risk taking

D) Responsibility

Q2) Which action of the nurse demonstrates clinical decision making?

A) The nurse performs a detailed health history and physical assessment when the patient is admitted to the unit.

B) The nurse determines that the patient is at risk for constipation due to use of postoperative narcotic pain medication.

C) The nurse applies a hydrocolloid dressing to the patient's decubitus ulcer as ordered by the physician.

D) The nurse assesses the patient's oral mucus membranes each morning to check for candida infection or ulceration.

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Chapter 9: Nursing Process

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Sample Questions

Q1) Which question is the most appropriate for the nurse to use to start the health history assessment?

A) "Does your family doctor know that you are here?"

B) "Did you drive yourself to the hospital?"

C) "What brings you to the hospital today?"

D) "Did you give your insurance card to the receptionist?"

Q2) The patient has a goal of maintaining urinary output of at least 30 mL/hour as part of the nursing care plan.However the patient's urinary output for the shift was only 20 mL/hour.What is the appropriate action of the nurse?

A) Contact the physician to obtain an order for diuretics to increase urinary output.

B) Reassess the patient to determine why the urinary output was less than 30 mL/hour.

C) Change the goal to: patient will maintain urinary output of at least 20 mL/hour.

D) Inform the patient that the urinary output goal for the shift was not met.

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Chapter 10: Informatics and Documentation

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Sample Questions

Q1) Which information must be included in the patient's discharge summary?

A) The patient is to follow up with the primary care physician in 14 days.

B) The patient arrived at the hospital by ambulance with acute shortness of breath.

C) Supplemental oxygen was administered to the patient in the emergency room.

D) The patient is to have a protime (PT)level drawn daily for the next 7 days.

E) The patient is to take the prescribed antibiotic daily even after symptoms subside

Q2) The nurse is caring for a patient who climbed out of bed and fell on the floor.What will the nurse do in regard to the incident report?

A) Document how the patient was found and a description of the injuries.

B) Include recommendations for future fall prevention interventions.

C) Note in the patient's chart that an incident report was completed.

D) Indicate that the nursing assistant wasn't doing her job correctly.

E) Document fall prevention steps that were in place before the patient fell.

Q3) Which is the primary purpose of a patient's medical record?

A) To invoice the nursing services for hospital reimbursement

B) To protect the patient in case of a malpractice suit

C) To facilitate professional communication and safe health care

D) To contribute to a worldwide databank for trends in health care

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12

Chapter 11: Communication

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Sample Questions

Q1) Which therapeutic communication techniques should the nurse use while communicating with a small child?

A) Sit at the child's eye level.

B) Use simple,direct language.

C) Use drawings and toys as needed.

D) Tell the child exactly what they can do.

E) Avoid sudden movements or gestures.

Q2) Which action by the nurse will help to reduce the fears of a hospitalized young child?

A) Stand over the bed when talking to the patient.

B) Sit in a chair next to the bed when talking to the patient.

C) Maintain constant eye contact with the patient at all times.

D) Stay within 12 inches of the patient when talking to the patient.

Q3) Which action communicates to the patient that the nurse wants to leave the patient's room to care for other patients?

A) Sitting in a chair next to the patient's bed

B) Making sure the door is completely shut for privacy

C) Repeatedly checking the clock to see what time it is

D) Holding the patient's hand when the patient starts to cry

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Chapter 12: Patient Education

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Sample Questions

Q1) Which is the highest priority concern for the nurse who is educating the homeless patient about medications,appointments,and therapies for management of diabetes?

A) Motivation

B) Health literacy

C) Developmental stage

D) Psychomotor learning

Q2) Which action by the nurse will best allay a young child's fear about auscultation of breath sounds?

A) Do nothing because the more fuss that is made about a procedure,the more anxiety it causes the patient.

B) Explain to the patient that the stethoscope is used to listen to air going in and out of the lungs.

C) Allow the child to listen to sounds with the stethoscope before the nurse uses it for assessment.

D) Ask the child's mother to step outside the room because children frequently do better when alone.

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Chapter 13: Managing Patient Care

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Sample Questions

Q1) Which characteristic qualifies the hospital for Magnet Recognition status?

A) The hospital is affiliated with a nationally recognized medical school.

B) The hospital participates in nursing research and implements the findings.

C) The hospital is owned by a religious order that offers daily prayer services.

D) The hospital receives federal grant funding for advanced medical research.

Q2) Which leadership skills will the nursing student use when caring for patients?

A) Priority setting

B) Time management

C) Case management

D) Careful delegation

E) Team communication

Q3) Which key elements are included in decentralized decision making?

A) Authority

B) Autonomy

C) Prioritization

D) Responsibility

E) Accountability

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Chapter 14: Infection Prevention and Control

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Sample Questions

Q1) Which precautions are appropriate for a patient with a methicillin-resistant Staphylococcus aureus (MRSA)wound infection?

A) Contact

B) Airborne

C) Droplet

D) Standard

Q2) Which assessment finding indicates that the patient is at high risk for infection?

A) The patient is allergic to penicillin,iodine.and watermelon.

B) The patient has a urinary catheter draining clear yellow urine.

C) The patient's white blood cell count is 7500/mm<sup>3</sup> this morning.

D) The patient follows a kosher diet and refuses to eat pork or shrimp.

Q3) Which is an appropriate goal for the diagnosis risk for infection related to aspiration of fluids into the airway?

A) The patient will respond positively to IV antibiotic therapy.

B) The nurse will elevate the head of the patient's bed at mealtimes.

C) The patient will remain afebrile with clear lung sounds bilaterally.

D) The nurse will have suction equipment available when feeding the patient.

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Page 16

Chapter 15: Vital Signs

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Sample Questions

Q1) Which medications may be administered to reduce the patient's fever without masking signs of infection?

A) Acetaminophen

B) Prednisone

C) Ibuprofen

D) Indomethacin

E) Ketorolac

Q2) The patient has a history of orthostatic hypotension.What is the priority action of the nurse?

A) Assist the patient to sit and stand slowly when getting out of bed.

B) Monitor the patient's neurological status carefully for symptoms of a stroke.

C) Always take the patient's blood pressure manually using a sphygmomanometer.

D) Check the patient's blood pressure on a lower extremity using a thigh-sized cuff.

Q3) Why will the nurse draw a blood culture before giving an antipyretic medication?

A) The causative organism is most prevalent during a spike in temperature.

B) Elevated temperatures slow metabolic rate and improve blood oxygenation.

C) The antipyretic medication will inhibit bacteria growth within the culture tubes.

D) Venous distention is greater because of fluid retention from hyperthermia.

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Chapter 16: Health Assessment and Physical Examination

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Sample Questions

Q1) The patient has cloudy yellow urine with a faint odor of ammonia.Which laboratory test will the nurse expect to note in the patient's admission orders?

A) Serum albumin and pre-albumin

B) Serum calcium and magnesium levels

C) Fasting blood sugar every morning

D) Urine sample for culture and sensitivity

Q2) The patient's pupils are the size of tiny pinpoints.Which factor could lead to this assessment finding?

A) The patient has been taking high doses of steroids.

B) The patient suffered massive head trauma and is brain dead.

C) The patient injected heroin intravenously 1 hour ago.

D) The patient has developed acute narrow angle glaucoma.

Q3) Which technique will the nurse use to facilitate the history and physical examination of a small child?

A) Examine the child's hands and feet before listening to breath sounds.

B) Direct assessment questions to the child to avoid unwanted parental influence.

C) Gently palpate the child's abdomen before auscultating for bowel sounds.

D) Call the parents by their first names to establish a more trusting bond.

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Page 18

Chapter 17: Administering Medications

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Sample Questions

Q1) Order: Digoxin 1 mL PO daily

Digoxin

Oral solution USP

0.25 mg per 5 mL

How many mcg of medication will be administered per dose? _____ mcg

Q2) Which of the following orders are for topical medications?

A) Methotrexate 20 mg subcutaneously once weekly on Wednesdays

B) Latanoprost 0.005% one drop in left eye daily at bedtime

C) Acetaminophen 650 mg suppository Q 4 hours prn mild pain

D) Ofloxacin otic solution 0.3% instill drops into right ear daily

E) Calcitonin nasal spray one spray daily into alternating nostrils

Q3) Which medication may be injected into the deltoid?

A) Lorazepam 2 mg in 2-mL saline IM

B) Insulin aspart 2 units subcut AC meals

C) Lidocaine 2 mg of 2% solution ID

D) Cyanocobalamin (vitamin B12)500 mcg in 0.5 mL IM

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19

Chapter 18: Fluid, Electrolyte, and Acid-Base Balances

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Sample Questions

Q1) The patient receives an infusion of albumin to pull water from the tissues into the bloodstream.Which process is demonstrated by this treatment?

A) Diffusion

B) Osmosis

C) Filtration

D) Clarification

Q2) Order: 500 mL D W to infuse at 100 mL/hour IV tubing: 10 drops/mL

The IV bag was hung at 12:00 noon.

What time will the IV bag be completed? _____

Q3) A patient reports chills,dizziness,and feeling hot during a blood transfusion.What are the appropriate actions of the nurse?

A) Slow the rate of infusion.

B) Stop the blood transfusion.

C) Check the patient's vital signs.

D) Notify the physician and blood bank.

E) Restart the patient's IV at a different site.

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Chapter 19: Complementary and Alternative Therapies

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Sample Questions

Q1) Which assessment finding indicates that the patient is not a candidate for acupuncture therapy?

A) The patient has several herniated lumbar disks.

B) The patient follows a lactose-free diet.

C) The patient is allergic to latex and strawberries.

D) The patient has a history of thrombocytopenia.

Q2) The patient reports using chaparral to ease breathing.Which assessment finding leads the nurse to advise stopping the supplement immediately?

A) The patient has a history of hepatitis C.

B) The patient is morbidly obese.

C) The patient requires supplemental oxygen.

D) The patient has frequent sinus infections.

Q3) Which nursing diagnosis is a priority for a patient using tai chi to relieve arthritis pain?

A) Risk for falls

B) Sleep deprivation

C) Risk for contamination

D) Ineffective individual coping

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Chapter 20: Caring in Nursing Practice

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Sample Questions

Q1) Which nursing goal is consistent with Watson's Transpersonal Theory of Caring?

A) The nurse will develop a therapeutic relationship with the patient.

B) The nurse will tell the patient what needs to be done to resolve health problems.

C) The nurse will be viewed as the authority when it comes to health care issues.

D) The nurse will exclude the family from health discussions to protect privacy.

Q2) The nurse helps the patient set small,achievable goals and celebrates with the patient when the goals are met.Which caring behavior is demonstrated by the nurse?

A) Human respect

B) Encouraging manner

C) Healing environment

D) Affiliation needs

Q3) The nurse teaches the patient's family members how to assist with colostomy care.Which caring behavior is demonstrated by the nurse?

A) Providing presence

B) Meeting affiliation needs

C) Meeting basic human needs

D) Appreciating unique meanings

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Chapter 21: Cultural Awareness

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Sample Questions

Q1) The nurse has just completed discharge teaching about self-injection of insulin to a patient who speaks little English.How can the nurse best determine that the teaching has been successful?

A) Ask the patient if there are any questions about the procedure.

B) Provide written instructions in the patient's preferred language.

C) Have the patient watch a video about how to self-inject insulin.

D) Watch the patient self-administer the next scheduled dose of insulin.

Q2) The emergency room staff insists that a female Muslim patient disrobe completely and put on a hospital gown before being treated by the physician.Which nursing diagnosis is most applicable in this situation?

A) Risk for compromised human dignity related to cultural attire requirements

B) Ineffective role performance related to inadequate direction and preparation

C) Noncompliance related to expected behavior of patients in the emergency room

D) Impaired environmental interpretation syndrome related to busy emergency room

Q3) Which assessment findings are social determinants of health?

A) Living in a house containing lead paint

B) Genetic predisposition to spinal osteoarthritis

C) Growing up in a neighborhood without grocery stores

D) Annual income 125% above the federal poverty level

E) Completed high school and 1 year of community college

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Chapter 22: Spiritual Health

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Sample Questions

Q1) A nurse is caring for a patient who survived cardiopulmonary resuscitation after almost drowning.How can the nurse best help the patient to deal with the aftereffects of the experience?

A) Recommend that the patient avoid discussing the experience with family.

B) Assume that the near-death experience was a positive experience for the patient.

C) Be nonjudgmental and help the patient to work through the near-death experience.

D) Explain that people who have not had a near-death experience will not understand.

Q2) The nurse feels a deep sense of altruism and wonderment after successfully resuscitating a young athlete who suddenly collapsed in cardiac arrest.Which term best describes the sensation experienced by the nurse?

A) Holy conviction

B) Spiritual distress

C) Divine expectation

D) Self-transcendence

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Chapter 23: Growth and Development

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Sample Questions

Q1) Loud wails erupt whenever the nurse tries to pick up the infant from the mother.Which developmental stage is the infant experiencing?

A) Affiliation and love

B) Production and care

C) Trust versus mistrust

D) Autonomy versus doubt

Q2) The nurse is caring for a middle-aged adult who verbalizes a desire to start jogging and has a goal to run a half marathon.Which is the most appropriate action of the nurse?

A) Tell the patient that exercising during middle age could lead to injury.

B) Recommend that the patient have a complete physical examination first.

C) Inform the patient that it is unwise to take up new sports during middle age.

D) Explain that the disability from normal aging prevents taking up new sports.

Q3) Which is the highest priority nursing diagnosis for a toddler who is at the autonomy versus doubt stage of development?

A) Toileting self-care deficit related to readiness for transition from diapers

B) Impaired verbal communication related to stage of cognitive development

C) Readiness for enhanced sleep related to desire to sleep in a big kids' bed

D) Risk for poisoning related to unawareness of environmental risks within reach

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Page 25

Chapter 24: Self-Concept and Sexuality

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Sample Questions

Q1) The nurse is caring for an adult patient who must quit working due to complications from hypertension.Which self-concept is likely to be put at risk for this patient?

A) Identity

B) Self-esteem

C) Body image

D) Role performance

Q2) The nurse is caring for a patient who has lost all sexual desire due to severe chronic illness.Which term will the nurse use to chart this assessment finding?

A) Fluid

B) Queer

C) Binary

D) Aromantic

Q3) Which sexual education concept is appropriate for a 3-year-old child?

A) Little boys have a penis while little girls do not.

B) Sometimes white liquid comes out of the penis.

C) The penis gets bigger when it is ready to make a baby.

D) The penis goes into the woman's body to make a baby.

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Chapter 25: Family Dynamics

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Sample Questions

Q1) Which example best demonstrates family resiliency?

A) The grandmother uses native healing herbs to treat illnesses.

B) The family consists of two fathers and their three adopted children.

C) The adult children take turns providing care for their dying mother.

D) The children spend summers and weekends with their divorced father.

Q2) Which is the highest priority intervention for a family with the nursing diagnosis risk for other-directed violence related to drug and alcohol abuse?

A) Teach the family about the use of relaxation techniques to release frustration.

B) Assess the family members' ability to protect themselves from injury or harm.

C) Help family members to pray for continued abstinence from drugs and alcohol.

D) Use therapeutic massage and calming music to help decrease agitation and anxiety.

Q3) Which is an example of a blended family?

A) Three generations of family live together under the same roof.

B) A divorced couple share custody of their three small children.

C) Grandparents babysit the children while the parents are at work.

D) A widower with two children marries a widow with three children.

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Chapter 26: Stress and Coping

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Sample Questions

Q1) The nurse manager is overwhelmed as the unit prepares for an accreditation inspection.Which type of factor is causing the stress for the nurse manager?

A) Situational

B) Maturational

C) Sociocultural

D) Conventional

Q2) The patient is frustrated after being treated poorly by providers due to lack of health insurance.Which type of factor is causing the stress for the patient?

A) Rational

B) Situational

C) Maturational

D) Sociocultural

Q3) A young child begins wetting the bed again after the parents bring home a new baby sister.Which ego-defense mechanism is used by the child?

A) Regression

B) Conversion

C) Identification

D) Compensation

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28

Chapter 27: Loss and Grief

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Sample Questions

Q1) Which behavior supports inclusion of the nursing diagnosis complicated grieving related to sudden death of a sibling in the patient's care plan?

A) The patient donates the sibling's clothes to a local charity.

B) The patient withdraws from relationships with friends and family.

C) The patient adopts the sibling's dog and arranges for veterinary care.

D) The patient arranges for the gravestone to be placed at the sibling's burial site.

Q2) The chart lists the patient's daughter as having medical durable power of attorney for the patient.How does this impact the patient's care?

A) The daughter is an attorney and plans to sue to the nursing staff and hospital for malpractice after the patient's death.

B) The daughter can provide consent for medical procedures if the patient becomes unresponsive or disoriented.

C) The patient's daughter must be consulted before asking the patient to consent to medical procedures.

D) The patient's daughter will translate medical terminology used by health care providers when communicating with the patient.

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Chapter 28: Exercise and Activity

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/49548

Sample Questions

Q1) The nurse is caring for a patient with right-sided hemiplegia after a stroke.Which is the appropriate goal for the diagnosis impaired transfer ability related to insufficient muscle strength?

A) The patient will safely transfer from bed to chair with the assistance of one person.

B) The patient will verbalize feelings about physical limitations due to immobility.

C) The nurse will reposition the patient every 2 hours and pad bony prominences.

D) The nurse will utilize a gait belt around the patient's low back for all transfers.

Q2) Which action demonstrates correct use of a cane by a patient following a left leg injury?

A) The patient holds the cane securely in the left hand.

B) The patient uses the cane when stepping forward with the right leg.

C) The patient's left leg and cane move forward together when walking.

D) The patient leans slightly to the left when advancing the cane forward.

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Chapter 29: Immobility

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/49549

Sample Questions

Q1) The nurse is to transfer an obese,hemiplegic patient from the bed to the chair.Which is the safest way for the nurse to do this?

A) Use of a mechanical patient lift device

B) Use of a gait belt around the patient's waist

C) Use of three staff members to assist the patient

D) Use of a roller board to slide from the bed to the chair

Q2) The nurse is caring for a patient who must lay flat in bed for several days after spinal surgery.Which is the priority nursing diagnosis for this patient?

A) Impaired social interaction related to prolonged bed rest

B) Toileting self-care deficit related to inability to use the restroom

C) Ineffective breathing pattern related to prolonged supine position

D) Ineffective thermoregulation related to lengthy period of immobility

Q3) Which intervention will help prevent the development of footdrop for a comatose patient?

A) Place high-top tennis shoes on the patient's feet.

B) Place pillows under the legs to keep the heels off the mattress.

C) Apply sequential compression devices to the patient's feet.

D) Assist the patient to a lateral position whenever possible.

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Chapter 30: Safety

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/49550

Sample Questions

Q1) Which is the highest priority nursing diagnosis for a college student who is living away from home for the first time?

A) Sleep deprivation related to noisy dormitory environment

B) Risk-prone health behavior related to weekend binge drinking

C) Relocation stress syndrome related to moving away from home

D) Risk for loneliness related to being away from family and old friends

Q2) Which intrinsic assessment finding could lead a patient to fall?

A) The patient has orthostatic hypotension and faints when standing too quickly.

B) The patient's room is located at the end of the hall far from the nursing station.

C) The patient's roommate sometimes spills the contents of a urinal on the floor.

D) The patient's room is crowed with walkers,wheelchairs,and bedside commodes.

Q3) When a parent asks how to seat a 6-year-old child in the family car,how will the nurse respond?

A) In the rear seat with lap and shoulder seat belts

B) In the front seat with lap and shoulder seat belts

C) In the rear seat with a belt-positioning booster seat

D) In the front seat with a belt-positioning booster seat

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Page 32

Chapter 31: Hygiene

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/49551

Sample Questions

Q1) Which interventions are appropriate for a patient with the nursing diagnosis impaired oral mucus membranes related to immunosuppression,thrush,and ulceration?

A) Rinse the mouth with warm saline solution every few hours.

B) Rinse the mouth with half strength hydrogen peroxide twice daily.

C) Use cotton swabs soaked in lemon-glycerin solution to clean the oral mucosa.

D) Use a tongue scraper to remove the thick coating from the oral mucosa.

E) Encourage the patient to have soft foods such as yogurt,ice cream,and pudding.

Q2) The nurse is caring for a patient who has just undergone shoulder replacement surgery.Which is the best option for washing the patient's hair?

A) Utilize a no-rinse shampoo cap.

B) Use a handheld shower sprayer.

C) Have the patient lean back into the sink.

D) Have the patient lean over the wash basin.

Q3) Which bath time assessment of the diabetic patient is most important?

A) Presence of fingernail clubbing

B) Presence of any petechiae or bruises

C) Presence of abdominal rebound tenderness

D) Presence of pedal pulses and intact sensation

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33

Chapter 32: Oxygenation

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37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/49552

Sample Questions

Q1) Which intervention will most effectively maintain breathing function for a patient with muscle weakness due to amyotrophic lateral sclerosis (ALS)?

A) Teaching pursed-lip breathing exercises

B) BiPAP (bi-level positive airway pressure)

C) Administration of oxygen via nasal cannula

D) CPAP (continuous positive airway pressure)

Q2) Which patient would benefit from BiPAP therapy?

A) Surgical patient under general anesthesia

B) Confused,agitated patient with no gag reflex

C) Patient with pulmonary edema due to CHF exacerbation

D) Stroke patient who frequently aspirates fluids and saliva

Q3) Which interventions are appropriate for the patient with the nursing diagnosis decreased cardiac output related to reduced stroke volume and contractility?

A) Frequent lung sound assessment and continuous pulse oximetry.

B) Strict intake and output monitoring with daily weights before breakfast.

C) Administer oxygen to maintain pulse oximetry levels between 90% and 92%.

D) Provide stool softeners and encourage dietary fiber to prevent constipation.

E) Encourage the patient to consume additional salt to maintain blood pressure.

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Chapter 33: Sleep

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/49553

Sample Questions

Q1) The nurse is reviewing a patient's medical history.Which medication findings are likely to cause insomnia?

A) Takes a beta-adrenergic blocker

B) Takes a muscle relaxant

C) Has antihistamine abuse

D) Has a diuretic ordered in the

Q2) A new mother is exhausted because her 4-week-old infant is unable to sleep through the night.Which is the best recommendation of the nurse?

A) "Try to sleep when your baby is sleeping."

B) "Try keeping the room warm during the night."

C) "Try not to let your baby nap during the day."

D) "Try laying the baby on his stomach at night."

Q3) Which bedtime action by the nurse may make it more difficult for the patient to fall asleep?

A) Giving the patient a gentle backrub

B) Providing a warm cup of hot chocolate

C) Encouraging the patient to use the bathroom

D) Giving the patient an extra blanket when cold

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Chapter 34: Pain Management

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/49554

Sample Questions

Q1) Which is an example of an adjuvant medication for pain management?

A) Naloxone

B) Gabapentin

C) Morphine sulfate liquid

D) Fentanyl transdermal patch

Q2) Which assessment question enables the nurse to determine provocative factors of the patient's pain?

A) "What does your pain feel like?"

B) "Does anything make your pain worse?"

C) "Can you show me where the pain is?"

D) "Is the pain constant or does it come and go?"

Q3) The patient expresses frustration about not being able to function as the family breadwinner any longer due to chronic severe pain.Which psychosocial nursing diagnosis is most appropriate for this patient's concern?

A) Risk for loneliness related to need for prescription pain medications

B) Interrupted family processes related to changes in assigned roles

C) Disturbed sensory perception related to insufficient environmental stimuli

D) Moral distress related to time constraints for ethical decision making

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Chapter 35: Nutrition

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/49555

Sample Questions

Q1) Which nursing diagnoses are priorities for a patient receiving parenteral nutrition?

A) Impaired oral mucus membranes related to irritation from nasogastric tube

B) Risk for infection related to invasive peripherally inserted central catheter line

C) Situational low self-esteem related to presence of gastrostomy tube in abdomen

D) Risk for impaired blood glucose levels related to concentrated IV dextrose solution

E) Health-seeking behaviors related to desire to manage parenteral nutrition at home

Q2) The nurse is caring for a pediatric patient with the nursing diagnosis constipation related to side effects of medications.Which menu option will the nurse recommend to the patient?

A) Baked chicken nuggets and canned peaches

B) Pancakes with sausage,butter,and maple syrup

C) Peanut butter and jelly sandwich on white bread

D) Snack mix with dried apricots,raisins,and almonds

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Chapter 36: Urinary Elimination

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21 Flashcards

Source URL: https://quizplus.com/quiz/49556

Sample Questions

Q1) Which is the appropriate method to obtain a urinalysis specimen for culture and sensitivity from an incontinent female patient?

A) Obtain a midstream specimen.

B) Perform straight catheterization.

C) Obtain a double-voided specimen.

D) Leave a fresh bedpan under the patient.

Q2) The nurse is performing urinary catheterization for a female patient.The catheter will not advance any further but there is no urine output.What is the appropriate action of the nurse?

A) Withdraw the catheter and notify the health care provider immediately.

B) Palpate the patient's bladder to assess for fullness,tenderness,or distention.

C) Leave the catheter in place and reattempt insertion with a new sterile catheter.

D) Utilize the bladder scanner to determine how much urine is in the patient's bladder.

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Chapter 37: Bowel Elimination

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/49557

Sample Questions

Q1) Which patient does the nurse identify that would benefit from a nasogastric tube to low intermittent suction?

A) A patient who is vomiting due to a complete large bowel obstruction

B) A patient with constipation who has not had a bowel movement in 6 days

C) A patient with constant diarrhea due to side effects of antibiotic therapy

D) A patient with extensive skin irritation due to a leaking colostomy appliance

Q2) The nurse is caring for a patient with a colostomy.The nursing diagnosis risk for impaired skin integrity related to leakage of effluent from appliance is included in the patient's care plan.Which is the appropriate intervention of the nurse?

A) Apply antifungal cream to the skin before attaching the ostomy appliance.

B) Liberally apply a rich skin barrier cream to the skin surrounding the stoma.

C) Measure the width and the length of the stoma each week for the first 6 weeks.

D) Empty the effluent into the toilet before the ostomy appliance becomes half full.

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Chapter 38: Skin Integrity and Wound Care

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/49558

Sample Questions

Q1) The patient's wound has thick creamy yellow drainage present on the dressing.How will the nurse document this finding?

A) Serous drainage

B) Purulent drainage

C) Sanguineous drainage

D) Serosanguineous drainage

Q2) How will the nurse obtain a culture of the patient's wound?

A) Obtain a sample from the patient's wound drainage bag.

B) Obtain a sample of the drainage around the edge of the wound.

C) Obtain a sample of the drainage from the dressing on the wound.

D) Gently swab the center of the wound after irrigating with sterile saline.

Q3) Which is the priority nursing assessment for a patient wearing an abdominal binder after abdominal surgery?

A) Mental status and orientation

B) Hourly fluid intake and output

C) Lung sounds and pulse oximetry

D) Presence of peripheral pedal pulses

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Chapter 39: Sensory Alterations

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/49559

Sample Questions

Q1) The nurse is caring for a patient with the nursing diagnosis of disturbed sensory perception related to loud,bright hospital environment.Which is the priority intervention for the patient's care plan?

A) Maintain eye contact with the patient and avoid chewing gum.

B) Ask the patient to repeat information back to ensure understanding.

C) Repeatedly orient the patient to time,place,and the hospital room surroundings.

D) Shut the patient's door and avoid turning on the bright overhead lights in the room.

Q2) Which nursing intervention is the highest priority when caring for an impulsive,forgetful stroke patient with right-sided paralysis?

A) Complete a fall risk assessment such as the Hendrich II Fall Risk Model.

B) Utilize a bed alarm and respond immediately when it is triggered.

C) Place the call light within easy reach and remind the patient to use it.

D) Apply a soft restraint to the patient's left wrist to prevent getting out of bed.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 40: Surgical Patient

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/49560

Sample Questions

Q1) The postanesthesia care unit nurse receives a patient from the operating room.Which assessment will the nurse perform first?

A) Foley catheter and surgical fluid intake

B) Intravenous lines for patency or redness

C) Airway,lung sounds,and pulse oximetry

D) Nasogastric tube and presence of bowel sounds

Q2) Which surgery is classified as a palliative procedure?

A) Release of bowel obstruction in a patient with end-stage colon cancer

B) Thoracotomy to determine if a patient's lung nodule is cancerous or benign

C) Tummy tuck and repair of umbilical hernia after the patient gave birth to triplets

D) Removal of the donor's heart,lungs,and cornea for transplant in recipient patients

Q3) Which nursing diagnosis is the highest priority for a patient who had spinal anesthesia for hysterectomy surgery?

A) Nausea related to side effect of spinal anesthesia

B) Constipation related to manipulation of bowel during surgery

C) Risk for falls related to impaired motor function from anesthesia

D) Impaired oral mucus membranes related to NPO status before surgery

To view all questions and flashcards with answers, click on the resource link above.

Page 42

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