Professional Nursing Practice
Final Exam
Course Introduction
Professional Nursing Practice introduces students to the foundational principles, roles, and responsibilities of the professional nurse within the healthcare system. The course emphasizes the importance of ethical practice, critical thinking, evidence-based care, and effective communication in delivering patient-centered care. Students will explore legal and regulatory frameworks, interdisciplinary collaboration, and the promotion of health, safety, and quality across diverse populations. Through theoretical learning and practical experiences, learners develop the skills necessary to function as competent and compassionate professionals, upholding standards and advocating for both patients and the nursing profession.
Recommended Textbook
Kozier and Erbs Fundamentals of Nursing 10th Edition by Audrey T. Berman
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52 Chapters
1464 Verified Questions
1464 Flashcards
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Chapter 1: Historical and Contemporary Nursing Practice
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse has starting working in a state other than the one in which the nursing education program was located.Which of the following should the nurse consult in order to understand the implications of this change of venue?
A)American Nurses Association (ANA)
B)National League for Nursing (NLN)
C)National Council of State Boards of Nursing (NCSBN)
D)Nurse State Practice Act
Answer: D
Q2) The student nurse is reviewing the code of ethics prior to beginning a clinical assignment.On what areas should the nurse focus when providing client care?
(Select all that apply)
A)Support lifelong learning.
B)Ensure the safety of all clients.
C)Maintain client confidentiality.
D)Provide care in a professional manner.
E)Collaborate with students and faculty.
Answer: B,C,D
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3
Chapter 2: Evidence-Based Practice and Research in Nursing
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is evaluating the results of a study prior to implementing its findings into practice.Which action should the nurse take when scientifically validating the research results?
A)Scrutinizing how the study was conceptualized,designed,and conducted in order to make a judgment about the overall quality of its findings
B)Assessing how the study's findings compare to findings from other studies about the problem
C)Determining how the study's findings will transfer from the research conditions to the clinical practice conditions in which they will be used
D)Identifying practical or feasibility considerations that need to be addressed when applying the findings in practice
Answer: A
Q2) The nurse has defined a research problem.What action should the nurse take next?
A)Formulate a hypothesis.
B)Define variables.
C)Review the literature.
D)Select a design.
Answer: C
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Chapter 3: Nursing Theories and Conceptual Frameworks
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is planning interventions for a client based upon Henderson's fundamental needs.Which interventions should the nurse include in the plan of care?
(Select all that apply)
A)Sleep 4 to 5 hours each night.
B)Attend to spiritual needs as desired.
C)Wear clothing suitable for the weather.
D)Bathe and keep the body well-groomed.
E)Restrict fluids with an elevated body temperature.
Answer: B,C,D
Q2) A nurse is caring for a client with a severe head trauma.Each shift,the nurse pays attention to the lighting,atmosphere,and surroundings the client is exposed to.The nurse is functioning according to the assumptions of which nursing theorist?
A)Dorothea Orem
B)Martha Rogers
C)Florence Nightingale
D)Jean Watson
Answer: C
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Chapter 4: Legal Aspects of Nursing
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) An older adult fell at home and fractured a hip,which requires surgical repair.After admittance to the emergency department,the client was given sedation for pain before a surgical permit was signed.What should be done to obtain consent?
A)The physician should have the client's wife sign the consent form.
B)The physician should wait until the effects of the medication wear off and have the client sign the form.
C)Because the client has been medicated,the nurse should thoroughly explain the consent form to the client.
D)This would be considered an emergency situation and consent would be implied.
Q2) The client presents her hand when the nurse makes this statement: "I need to start an IV so you can get your antibiotics." Which behavior did the client demonstrate?
A)Informed consent
B)Express consent
C)Implied consent
D)Compliance
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6
Chapter 5: Values, Ethics, and Advocacy
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A client with a sexually transmitted illness (STI)asks the nurse to not tell anyone about the diagnosis.According to the Health Insurance Portability and Accountability Act (HIPAA)of 1996,what must the nurse do?
A)Honor the client's wishes.
B)Not disclose any information to anyone.
C)Respect the client's privacy and confidentiality.
D)Communicate only necessary information.
Q2) A client with terminal cancer is refusing food and fluids,and pushes the caregiver's hands away when attempts are made to feed the client or offer any kind of fluid.The family is considering placing a gastrostomy tube because they feel the client is "starving to death." What should the nurse do?
A)Honor the family's wishes and have them sign a consent form.
B)Talk to the physician so he or she can move forward with the family's wishes.
C)Honor the client's refusal and help the family come to terms with the situation.
D)Take the case to the hospital's ethics committee.
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Chapter 6: Health Care Delivery Systems
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Several nurses are looking for an agency to sponsor a program that would meet the needs of a community group lacking in health promotion education.Which agency should the nurse approach to fill this need?
A)State health department
B)Local health department
C)Local hospital
D)Federal government
Q2) An older client has no family in the same community,lives alone in a small house,and is having greater difficulty with mobility due to advanced osteoarthritis.Cognitively,this client is alert,is able to manage her own business matters,and does her own cooking,but does not enjoy "cooking for one." The home health nurse who visits has noticed that the client is losing weight and does not have as much energy or interest in activities as on previous visits.What should the nurse recommend for this client?
A)See a psychiatrist because the client appears to be depressed.
B)Check out joint replacement options for the osteoarthritis.
C)Start thinking about long-term care.
D)Consider moving to an assisted living facility.
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Chapter 7: Community Nursing and Care Continuity
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is helping in discharge planning of a client who needs extensive rehabilitation and is on a complicated medication schedule.Which individual should the nurse include in this client's plan?
A)Client's spouse
B)Physician
C)Pharmacist
D)Social worker
Q2) A parish health nurse is working with a particular congregation in setting up a support program for shut-ins within the congregation who are not able to come to regular prayer services.In which role is this nurse functioning?
A)Counselor
B)Educator
C)Referral source
D)Facilitator
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9
Chapter 8: Home Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The home health nurse has scheduled a visit to a client who lives in a neighborhood that is known to be unsafe because of gang activity.Before going to the client's home,what should the nurse do?
A)Call for an escort.
B)Call the client to let the client know the nurse is on the way.
C)Ask if the client could meet the nurse at the agency.
D)Take a second nurse along on the visit.
Q2) A home health nurse has a weekly visit to a client living in less than desirable cleanliness.The client has a central venous access device and requires weekly infusion therapy.What is the best way for the nurse to protect the client against infection?
A)Have the client wash her hands before the infusion begins.
B)Practice strict aseptic technique during the infusion process.
C)Help the client clean the room before starting the infusion.
D)Suggest that the client have a housekeeper come on the morning of the infusion.
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Chapter 9: Electronic Health Records and Information Technology
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse wants to search for articles having to do with a client care problem.Which database should the nurse use to find this information?
A)CINAHL
B)Google
C)ERIC
D)PsychINFO
Q2) The nurse is participating in the development of a research study.What elements of the computer should the nurse ensure are in place before the study begins?
(Select all that apply)
A)Computer speed adequate
B)Print drivers installed
C)Word processing program
D)Computer storage capacity adequate
E)Appropriate software programs
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11
Chapter 10: Critical Thinking and Clinical Reasoning
Preview As Pdf
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse completes collecting data from a client and determines a list of problems.Which step in the nursing process should the nurse perform next?
A)Assess
B)Diagnose
C)Plan
D)Evaluate
Q2) The nurse systematically tries a variety of products to help with healing of a client's wound.Which problem-solving method is the nurse using?
A)Intuition
B)Scientific method
C)Research process
D)Trial and error
Q3) While listening to a client describe current symptoms,the nurse considers the client's entire situation.Which attribute of critical thinking is the nurse practicing?
A)Reflection
B)Context
C)Dialogue
D)Time
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Chapter 11: Assessing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A client is coming in to the clinic for the first time.In order for the nurse to allow the client the most comfort during the interview,what should the nurse do?
A)Sit next to the client,a few feet apart.
B)Sit behind a desk.
C)Stand at the side of the client's chair.
D)Stand at the counter to take notes during the interview.
Q2) A client has been using the call light routinely throughout the evening.Upon entering the room,the nurse observes the following details.Organize them according to priority sequencing (1 is first priority;5 is least priority).
Click and drag the options below to move them up or down.
A)The family is at the bedside.
B)The IV pump is running on battery.
C)The ECG monitor shows tachycardia.
D)The client reports being restless.
E)O<sub>2</sub> tubing is not attached to wall regulator.
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Chapter 12: Diagnosing
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24 Flashcards
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Sample Questions
Q1) The nurse is using the PES model to write a nursing diagnosis.Which nursing diagnoses demonstrate that the nurse used this model appropriately?
(Select all that apply)
A)Ineffective coping related to depression as evidenced by suicide attempt
B)Noncompliance (DASH diet)related to denial of having disease
C)Risk for infection related to recent surgery
D)Nutrition less than adequate related to anxiety as evidenced by weight loss of ten pounds
E)Ineffective Breathing Pattern as evidenced by cyanotic lips
Q2) An experienced nurse has just walked into the room of a newly assigned client.Which observation should the nurse use to include a new nursing diagnosis in this client's plan of care?
A)The client's eyes are closed.
B)The client's skin is pale and mottled.
C)The client's spouse is asleep in the chair next to the bed.
D)The television is on and the volume is turned up.
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Chapter 13: Planning
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23 Flashcards
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Sample Questions
Q1) The nurse is creating goals for a client's plan of care.For what reasons should the nurse expect to use these goals?
(Select all that apply)
A)Serve as criteria to evaluate the client's progress
B)Determine when the problem has been resolved
C)Motivate the client to provide a sense of achievement
D)Use as a measuring stick to limit the use of hospital resources
E)Provide direction when planning the client's nursing interventions
Q2) A client is scheduled for elective hip replacement and will be admitted postoperatively to the orthopedic unit for care.What should the nurses use to help plan this client's care?
A)Informal nursing care plan
B)Formal nursing care plan
C)Standardized care plan
D)Individualized care plan
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Chapter 14: Implementing and Evaluating
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Sample Questions
Q1) The nurse is reviewing the difference between evaluation and assessment with a new graduate nurse.What should the nurse emphasize as the major difference between these two steps in the nursing process?
A)Assessment is done at the beginning of the process.
B)Evaluation is completed at the end of the process.
C)They are the same and there is no need to differentiate.
D)The difference is in how the data are used.
Q2) The nurse is providing care to an assigned client.Which action indicates that the nurse supports the client's respect for dignity?
A)Allowing the client to complete hygienic care when possible
B)Providing all care to the client whenever possible
C)Telling the other staff that the client is demanding,so they are able to meet the client's needs
D)Presenting information to the client's family about the client's condition
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16
Chapter 15: Documenting and Reporting
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Sample Questions
Q1) A hospital is not able to be reimbursed for care a particular client received while in the emergency department.The client came in with chest pain,which was later diagnosed as gastric reflux.Which problem with documentation might have caused the lack of reimbursement?
A)The client's record contained an incorrect DRG.
B)The client was charged for an ECG.
C)A code cart was opened and the client was charged for medications opened but not used.
D)The physician made a diagnostic mistake.
Q2) The nurse administered analgesic medications to an assigned client via central line.In which section of PIE charting should the nurse document this information?
A)Plan
B)Intervention
C)Evaluation
D)Progress notes
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Chapter 16: Health Promotion
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Sample Questions
Q1) A nurse in charge of an assisted living complex that includes independent living apartments understands the unique needs of individuals of this age group.When planning health promotion strategies,what factor should the nurse take into consideration?
A)Rest and exercise
B)Adjusting to physiologic changes and limitations
C)High obesity percentages
D)Safety promotion and injury prevention
Q2) A nurse is working with various cultures while implementing health promotion activities for the community center.Bringing the minister of the church into the planning stage of these activities would be sensitive to which cultural groups?
A)Latino American
B)Asian American
C)Native American
D)African American
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Chapter 17: Health, Wellness, and Illness
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A nurse is assessing a client who practices yoga for relaxation,is following a nutritionally sound diet,and has supportive,sound relationships with her spouse and children.According to Dunn's high-level wellness grid,this client would exemplify which health characteristic?
A)Emergent high-level wellness in a favorable environment
B)Emergent high-level wellness in an unfavorable environment
C)Protected health in a favorable environment
D)High-level wellness in a favorable environment
Q2) A nurse educator is explaining the concept of health and parallels this with interruption of body systems and symptoms of disease or injury.This educator is interpreting health according to which model?
A)Health-illness continua
B)Eudemonistic
C)Adaptive
D)Clinical
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Chapter 18: Culturally Responsive Nursing Care
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Sample Questions
Q1) A new graduate nurse is moving from a small rural college town to a metropolitan area to begin work in a county hospital.The nurse has had limited prior experience with the various cultural groups that are served by the hospital.What might be this nurse's greatest challenge?
A)Prejudice
B)Stereotyping
C)Discrimination
D)Assimilation
Q2) The nurse is teaching a client from a culture that is "present oriented" about a dressing change that should be performed twice a day.How should the nurse address the cultural issue?
A)Allow the client to select the times the dressing will be changed.
B)Instruct the client to change the dressing after breakfast and before going to bed.
C)Explain that the client should complete the dressing change at 10 AM and 4 PM.
D)Suggest that the dressing change can be performed whenever the client chooses,as long as it gets done twice daily.
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Chapter 19: Complementary and Alternative Healing
Modalities
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Sample Questions
Q1) A client who has a long-standing history of depression has been on a prescribed antidepressant for several months and states that he has also been trying St.John's wort.Which vital sign should the nurse assess for possible adverse effects?
A)Temperature
B)Respiratory rate
C)Oxygen saturation
D)Pulse rate
Q2) A client comes to the clinic with a chief complaint of feeling "dirty inside" and asks the nurse how colonics would work to improve the client's overall well-being.What should the nurse respond to this client?
A)"Colonics is a dangerous and not useful technique that no one should try."
B)"There is much controversy about colonics.What do you know about it?"
C)"This is a good way to get rid of toxins in your system."
D)"You'd better ask your doctor about this."
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21
Chapter 20: Concepts of Growth and Development
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Sample Questions
Q1) A parent brings her baby in for a well-child checkup.Which action of the child should the nurse identify as an indicator of positive resolution of the central task of this age?
A)The child does not cry when the parent allows the nurse to hold the child.
B)The child shows mistrust when strangers approach.
C)The child becomes willful when disciplined.
D)The child does not play with other children.
Q2) A client with an acute,serious illness has been hospitalized.Upon entering the room,the nurse observes the client praying.The client states to the nurse: "I don't know how people manage to get through difficult times without their faith.It's where I get my strength." With which theorist should the nurse associate this client's belief?
A)Fowler
B)Westerhoff
C)Gilligan
D)Kohlberg
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22
Chapter 21: Promoting Health From Conception Through
Adolescence
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Sample Questions
Q1) The parents of a newborn ask what their baby can see.What should the nurse respond to these parents?
A)"Babies aren't able to see until they are around 4 months old."
B)"Babies won't track moving objects until about 5 months."
C)"Newborns blink in response to bright lights and sound and will follow large objects."
D)"Newborns aren't able to focus,so everything looks blurry to them."
Q2) An expectant parent asks the nurse about health problems of newborns.On what should the nurse provide information to this client?
(Select all that apply)
A)Infant colic
B)Respiratory tract infections
C)Failure to thrive
D)Injuries
E)SIDS
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Chapter 22: Promoting Health in Young and Middle-Aged Adults
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Sample Questions
Q1) A nurse is working in a community of factory workers and is planning an educational session for wellness,targeting the young adult group.In order to address one of the health problems of this group,the nurse plans to:
A)help the group become more aware of marketing efforts by tobacco companies.
B)tell this group that smoking is unacceptable.
C)make sure the group is aware of the increased risk of liver disease and cancer of the esophagus.
D)counsel the group regarding addiction.
Q2) A group of middle-aged clients is inquiring about nutrition-related health problems inherent in their age group.In order to best address these concerns of this specific age group,the nurse should take which action?
A)Provide information,including a website,regarding-age specific diet plans.
B)Give all clients a handout on diets recommended by the ADA.
C)Tell the clients to check with their physician before dieting.
D)Have them write to the U.S.Department of Agriculture for more information.
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Page 24
Chapter 23: Promoting Health in Older Adults
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Sample Questions
Q1) In planning any health program for elderly adults,the nurse will implement Erikson's theory of task development.The nurse realizes that in this stage of life,the successful completion of the task allows the person to
A)have a feeling of satisfaction from past accomplishments.
B)make connections with the younger generation.
C)wish he or she could live life over again.
D)live out his or her last years in physical health.
Q2) The nurse is caring for an older client living in the community.Which nurse actions demonstrate an understanding of the prevalent health concerns specific to the older adult client?
(Select all that apply)
A)Discusses the need for proper lighting-especially at night-to minimize the risk of falls
B)Assesses amount and frequency of the client's alcohol consumption patterns
C)Assesses the client's orientation to time,place,and person,as well as short-term memory
D)Discusses the client's views on long-term residential care if the need arises
E)Asks the client to name and provide the reason for each medication he is currently taking
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Chapter 24: Promoting Family Health
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Sample Questions
Q1) During a previous family assessment,the nurse realized that the mother did most of the talking and was quick to make decisions,which appeared to be acceptable to the father.When one of their children is hospitalized,the nurse should
A)make sure that both parents are involved in all decision making.
B)allow the mother to make the decisions.
C)include both parents in the decision making,but be accepting if the mother retains control.
D)make sure that the physician understands the family dynamics so parental consent comes from the mother.
Q2) A father of a family was killed in a motor vehicle crash.What should the nurse consider a "normal" reaction to this event?
A)Family disorganization may occur.
B)Family members become detached from extended family.
C)The family feels that their place in the community has been eliminated.
D)The family withdraws into seclusion during the grief process.
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Chapter 25: Caring
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Q1) The nurse is identifying strategies to support a client's empowerment.What strategies should the nurse use?
(Select all that apply)
A)Making it possible for the client diagnosed with mild Alzheimer's disease to continue to dance regularly,as it has always been a passion of hers
B)Being sure to polish the client's nails now that she is not able to do it herself,as it has always been important to her that she "have pretty hands"
C)Suggesting to a client's family members that they should insist that the client move into an assisted living facility so as to ensure her safety
D)Helping the client's family identify community support services that will make it possible for the client to remain in her own home
E)Encouraging the client to use a walker and stay indoors,"just in case she might fall"
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Chapter 26: Communicating
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Sample Questions
Q1) The nurse is communicating with an older client.Which actions demonstrate that the nurse understands the best approaches to communicate with this client?
(Select all that apply)
A)Asking,"What can I do to make you feel safe?"
B)Observed intently listening to the client describe how being alone makes her feel
C)Offering to take the client "out for a walk"
D)Consistently arranging for the client to have her hair done
E)Managing to get a copy of the client's favorite magazine
Q2) A nurse explains to a client that he will need to have a bowel prep before going to his esophagogastroscopy.On what should the nurse focus to improve communication skills?
A)Pace
B)Intonation
C)Simplicity
D)Clarity
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Chapter 27: Teaching
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Sample Questions
Q1) A client with an incision necessitating a complex dressing change is being discharged and will require continued dressings at home.Which statement by the client indicates a need to postpone teaching?
A)"It's going to take time for me to understand this whole thing."
B)"Let's make sure my spouse is around before you start explaining."
C)"I wish my doctor would have explained this more in depth."
D)"I'm feeling nauseous,but go ahead and start anyway."
Q2) A nurse is presenting teaching sessions to a group of residents in a home for long-term physical rehabilitation.Which client exhibits the highest motivation?
A)An individual who has been struggling with following nursing directives regarding discharge goals
B)The client who has just moved in and is already waiting for discharge
C)A client who is excited to learn about his new prosthesis
D)A client who has been there the longest and is a great "coach" for newcomers
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Chapter 28: Leading, Managing, and Delegating
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Sample Questions
Q1) A group of community health nurses work together in the same office.They are each responsible for their own caseloads and scheduling of appointments.Their major leadership directives come from the state health office,several hundred miles away.This group of nurses is functioning under what type of leadership?
A)Charismatic
B)Shared
C)Transformational
D)Transactional
Q2) A nurse manager has had to handle a particularly difficult physician who is demanding as well as demeaning.Through this situation,the nurse manager has learned that accuracy and honesty are attributes of which skill necessary for managers?
A)Critical thinking
B)Communication
C)Networking
D)Responsibility
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30
Chapter 29: Vital Signs
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Q1) The nurse is assessing a client's blood pressure.What should the nurse hear during phase 2 of Korotkoff's sounds?
A)A muffled,whooshing,or swishing sound
B)Disappearance of sound
C)Faint,clear tapping sound
D)Increased intensity of sound
Q2) When documenting a client's axillary temperature on the graphic sheet,how should the nurse identify the method of assessing the temperature?
A)AX
B)O
C)R
D)SL
Q3) Which condition would lead the RN to choose the dorsalis pedis pulse as the site for further assessing the client's status?
A)Altered level of consciousness
B)Decreased urine output
C)Irregular radial pulse
D)Toes cool to touch
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Chapter 30: Health Assessment Preview As Pdf
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Sample Questions
Q1) During the assessment of a client's breasts,the nurse finds both breasts rounded,slightly unequal in size,skin smooth and intact,and nipples without discharge.What should the nurse do next?
A)Notify the charge nurse.
B)Notify the physician.
C)Document the findings in the nurse's notes as normal.
D)Document the findings in the nurse's notes as abnormal.
Q2) The nurse is preparing to perform a health assessment of the abdomen.In which order should the nurse perform the assessment?
A)Auscultate,percuss,palpate,inspect
B)Inspect,auscultate,palpate,percuss
C)Inspect,auscultate,percuss,palpate
D)Palpate,percuss,auscultate,inspect
Q3) The nurse is planning a physical examination of a client following a head-to-toe format.In which order should the nurse conduct this assessment?
A)Head,upper extremities,abdomen,lower extremities
B)Neck,head,vital signs,chest and back
C)Lower extremities,abdomen,upper extremities,chest and back
D)Head,neck,lower extremities,abdomen
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Page 32
Chapter 31: Asepsis
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30 Flashcards
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Sample Questions
Q1) The nurse is reviewing the agents available to disinfect the hands after providing client care.Which agents should the nurse consider using?
(Select all that apply)
A)Triclosan
B)Chlorine (bleach)
C)Isopropyl alcohol
D)Hydrogen peroxide
E)Chlorhexidine gluconate
Q2) A client in isolation ambulates with assistance to the bathroom.After toileting,what should the unlicensed assistive personnel do?
A)Assist the client with hand washing.
B)Assist the client back to bed.
C)Change the client's bed.
D)Leave the client's room.
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Chapter 32: Safety
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Sample Questions
Q1) The home care nurse wants to ensure the safety of an older client who lives at home alone.Which intervention should the nurse identify as a way to prevent this client from falling?
A)Check vision every 5 years.
B)Exercise regularly.
C)Place socks on feet.
D)Turn the light on after getting out of bed.
Q2) The nurse would like to improve communication among caregivers.How should the nurse use the Joint Commission 2013 National Patient Safety Goals to achieve this objective?
A)Review a list of look-alike/sound-alike drugs used in the organization.
B)Use a verification process to confirm the correct procedure.
C)Report critical results of tests and diagnostic procedures on a timely basis..
D)Use the client's room number as an identifier.
Q3) The nurse is applying restraints to a client.After securing a health care provider's order,what should the nurse do?
A)Assess the restraints every 10 minutes.
B)Pad bony prominences.
C)Secure the restraint to the side rail.
D)Tie the restraint with a square knot.
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Chapter 33: Hygiene
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Sample Questions
Q1) The nurse is preparing to provide a client with mouth care.What should the nurse do to ensure safe handling of the client's dentures?
A)Clean biting surfaces.
B)Place a washcloth in the bowl of the sink.
C)Replace the upper dentures first.
D)Rinse dentures thoroughly with hot water.
Q2) A client recovering from acute illness has just received a tub bath.When documenting the bath,what should the nurse include?
(Select all that apply)
A)Client's ability to maintain a conversation during the procedure
B)Client's tolerance of the procedure
C)Condition and integrity of the skin
D)Client strength
E)Percentage of bath done without assistance
Q3) A client's hearing aid needs to be removed.What action should the nurse perform?
A)Assist the client with removal when necessary.
B)Instruct the client to remove the aid in the sunroom.
C)Leave the aid in place when bathing.
D)Send the aid home with the family.
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Page 35
Chapter 34: Diagnostic Testing
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Sample Questions
Q1) The nurse needs to obtain a urine specimen from a client with an indwelling urinary catheter.What should the nurse do when collecting this specimen?
(Select all that apply)
A)Withdraw 30 mL of urine for a routine urinalysis.
B)Perform catheter care before obtaining the specimen.
C)Apply sterile gloves before retrieving the urine specimen.
D)Send the specimen immediately or refrigerate it for later pickup.
E)Clamp the drainage tubing for 30 minutes if there is no urine in the catheter.
Q2) A client is scheduled for a nuclear imaging test.What should the nurse instruct the client about this test?
A)It is the use of a magnetic field to produce an image of a body part or organ.
B)A radioisotope will be injected to determine organ functioning as being either hot or cold.
C)It produces a three-dimensional image of an organ.
D)It is more sensitive than an x-ray image.
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Chapter 35: Medications
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Sample Questions
Q1) The nurse is preparing to administer eardrops to a 6-year-old client.What nursing action is correct?
A)Pull the earlobe down and back to straighten the ear canal.
B)Insert the tip of the applicator into the ear canal.
C)Put the eardrops in the refrigerator for 10 minutes prior to administration.
D)Press gently on the tragus of the ear a few times after administration.
Q2) A client is diagnosed with liver disease.The nurse realizes that which element of pharmacokinetics will be affected in this client?
A)Absorption
B)Distribution
C)Biotransformation
D)Excretion
Q3) The nurse is preparing to administer a medication that the agency designates as "high alert." What action should the nurse take?
A)Ask another registered nurse to verify the medication.
B)Call the pharmacist to check the efficacy of the medication.
C)Decline to administer the medication unless there is a physician present.
D)Request that the nursing supervisor administer the medication.
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Chapter 36: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is writing the plan of care for a client who is confined to bed.Which intervention should be included to help reduce the effects of shearing forces on the client's skin?
A)Keep the head of the client's bed at 30 degrees.
B)Coat the client's back and buttocks with baby powder after bathing.
C)Use a turn sheet lifted by two staff members to move the client in bed.
D)Dust the linens with cornstarch each morning to allow for easier movement.
Q2) The nurse assesses an open area over a client's greater trochanter that is approximately 10 cm in diameter.The tissue around the area is edematous and feels boggy.The edges of the wound cup in toward the center.Which additional finding would indicate to the nurse that this is a stage IV pressure ulcer?
A)There is undermining of adjacent tissues.
B)The crater extends into the subcutaneous tissue.
C)The joint capsule of the hip is visible.
D)The ulcer has thick dark eschar over the top.
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Chapter 37: Perioperative Nursing
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34 Flashcards
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Sample Questions
Q1) The nurse is preparing to apply antiembolic stockings to a postoperative client.What should be done first,before applying the stockings?
A)Measure the calf.
B)Assess for circulatory problems.
C)Assess the client's blood pressure.
D)Clean the stockings.
Q2) The nurse is preparing the skin of a client for surgery.The nurse knows the purpose of the surgical skin preparation is to
A)sterilize the skin.
B)assess the surgical site before surgery.
C)reduce the risk of postoperative wound infection.
D)clean any moles the client may have.
Q3) The nurse is preparing a client for an upper GI endoscopy.For which type of anesthesia should the nurse prepare the client to receive?
A)Local anesthesia
B)Spinal anesthesia
C)Epidural anesthesia
D)Conscious sedation
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Chapter 38: Sensory Perception
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Sample Questions
Q1) The nurse is caring for a client who has difficulty hearing conversation.What intervention should the nurse implement?
A)Use short phrases.
B)Overarticulate words.
C)Vary the volume of the voice.
D)Face the client during conversation.
Q2) A client can be aroused only with extreme or repeated stimuli.How should the nurse document this client's behavior?
A)Somnolent
B)Disoriented
C)Comatose
D)Semicomatose
Q3) The nurse is identifying diagnoses appropriate for a client recovering from cataract surgery who lives alone.Which diagnosis would be the priority for this client?
A)Social Isolation
B)Risk for Impaired Skin Integrity
C)Disturbed Sensory Perception
D)Risk for Injury
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Chapter 39: Self-Concept
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Sample Questions
Q1) A nursing student has just received an evaluation that indicates difficulties with time management and prioritization in the care of clients.How should the student react to this input?
A)Take the feedback seriously and use it to guide personal growth.
B)Blame the student-faculty relationship as the basis of the evaluation.
C)Dismiss the evaluation as invalid.
D)Consider the feedback carefully but not change practice patterns.
Q2) The parents tell the nurse that their preschooler demands to wear specific clothing.They are concerned that the day-care workers might think they are negligent because the preschooler often wears mismatched clothing.What should be the nurse's response to this concern?
A)"Don't worry,day-care workers are accustomed to that sort of thing."
B)"This is normal and the preschooler is just practicing skills needed later in life"
C)"I am glad you brought that to our attention.I will make a note for her pediatrician."
D)"You should have better control of the child now if you have any hope of controlling the child during the teenage years."
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Chapter 40: Sexuality
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Sample Questions
Q1) The nurse uses the PLISSIT format in helping clients who have sexual dysfunction.Which action by the nurse best reflects the IT section of this format?
A)Use information technology such as the Internet to obtain guidance suggestions for the client.
B)Use the technique of informal therapeutic groups to assist the client and partner.
C)Evaluate previous interventions and treatment for success.
D)Recommend intensive therapy with a qualified sex therapist.
Q2) When discussing the orgasmic phase of the sexual response cycle,what should the nurse include as physiological changes that affect both sexes?
(Select all that apply)
A)The respiratory rate can increase up to 40 breaths per minute.
B)Involuntary muscle spasms occur throughout the body.
C)The heart rate decreases to 20 beats below normal.
D)Systolic blood pressure can increase 20-30 mm Hg above normal.
E)Diastolic blood pressure can decrease 20-50 mm Hg below normal.
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Chapter 41: Spirituality
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Sample Questions
Q1) The nurse is engaging in an activity to develop spiritual self-awareness.What activities can aid the nurse in achieving this goal?
(Select all that apply)
A)Write a will.
B)Complete an advance directives form.
C)Explore personal end-of-life issues.
D)Create a personal loss history.
E)List significant values.
Q2) The client tells the nurse,"I don't know what to do.The treatment plan my physician has suggested is against some of my religious beliefs." What nursing diagnosis problem statement should the nurse identify as appropriate for this client?
A)Ineffective Coping
B)Decisional Conflict
C)Impaired Religiosity
D)Anxiety
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Chapter 42: Stress and Coping
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Sample Questions
Q1) The victim of domestic abuse tells the nurse,"I know my spouse didn't mean to hurt me.The situation just got out of hand." The nurse recognizes that the client is exhibiting which defense mechanism?
A)Intellectualization
B)Introjection
C)Projection
D)Minimization
Q2) A client newly diagnosed with colon cancer finishes dinner and turns on the nightly news.The nurse suspects the client is experiencing which cognitive indicator of stress?
A)Problem solving
B)Self-control
C)Structuring
D)Daydreaming.
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44
Chapter 43: Loss, Grieving, and Death
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Sample Questions
Q1) The nurse is providing emotional support to a client who just learned the outcome of a biopsy.What actions will be the best for the nurse to provide at this time?
(Select all that apply)
A)Encourage the client to resume normal activities on a schedule that promotes physical and psychological health.
B)Use therapeutic communication techniques.
C)Offer choices that promote client autonomy.
D)Provide information about community resources or support groups.
E)Acknowledge the grief of the client.
Q2) The nurse is caring for the family of a terminally ill client.The family members have been tearful and sad since the diagnosis was given.What is the best nursing diagnosis problem statement for this family?
A)Anticipatory Grieving
B)Dysfunctional Grieving
C)Hopelessness
D)Caregiver Role Strain
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Chapter 44: Activity and Exercise
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Sample Questions
Q1) While assisting the client with a bath,the nurse encourages full range of motion in all the client's joints.Which activity would best support range of motion in the hand and arm?
A)Give the client a washcloth to wash the face.
B)Move the wash basin farther toward the foot of the bed so the client must reach for it.
C)Have the client brush the hair and teeth.
D)Move each of the client's hand and arm joints through passive range of motion.
Q2) The nurse is caring for a client diagnosed with early osteoporosis.Which intervention is most applicable for this client?
A)Institute an exercise plan that includes weight-bearing activities.
B)Increase the amount of calcium in the client's diet.
C)Protect the client's bones with strict bed rest.
D)Provide the client with assisted range-of-motion exercising twice daily.
Q3) The client who is unconscious is developing foot drop.What nursing action is indicated?
A)Place high-topped shoes on the client while in bed.
B)Keep the linens on the end of the bed turned back to expose the feet.
C)Use only the prone and Sims positions for client positioning.
D)Use a device to elevate the linens off the feet.
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Page 46
Chapter 45: Sleep
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Sample Questions
Q1) The nurse,seeing a client asleep,turns off the television in the room.The client opens her eyes and says "I was watching that.I wasn't sleeping." The nurse realizes that the client was demonstrating which stage of NREM sleep?
A)IV
B)III
C)II
D)I
Q2) A client complains of not being able to stay awake during the day even after sleeping throughout the night.What should the nurse suggestion to this client?
A)Go to your physician for a physical examination.
B)Go to a mental health professional for evaluation of possible depression.
C)Purchase an over-the-counter sleep aid to deepen nighttime sleep.
D)Drink more caffeinated beverages in the daytime to stay awake.
Q3) The hospitalized client requests a bedtime snack.Which food should the nurse offer this client?
A)Hot chocolate
B)Tea and crackers
C)Cereal with milk
D)Chips and salsa
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Page 47
Chapter 46: Pain Management
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Sample Questions
Q1) The nurse is providing discharge instructions to a client prescribed an opioid medication.What should the nurse suggest to decrease the risk of constipation with this medication?
A)Take an antihistamine three times per day.
B)Drink 6 to 8 glasses of water per day.
C)Assess respiratory rate before taking medication.
D)Assess heart rate before taking medication.
Q2) The nurse is caring for a client who is using morphine through patient-controlled analgesia (PCA).What medication should the nurse have readily available?
A)Naloxone hydrochloride (Narcan)
B)Acetaminophen (Tylenol)
C)Diphenhydramine hydrochloride (Benadryl)
D)Normal saline
Q3) A client with a long leg cast is complaining of knee discomfort.Which nonpharmacologic intervention can the nurse use to help this client?
A)Apply ice to the knee over the cast.
B)Rub the knee of the non-casted leg.
C)Apply heat to the knee over the cast.
D)Rub the foot of the casted extremity.
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Page 48
Chapter 47: Nutrition
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Sample Questions
Q1) A client who has undergone a gastrointestinal surgery is permitted to have a clear liquid diet on the second postoperative day.Which fluid should the nurse order from the diet kitchen for this client?
A)Apricot nectar
B)Cranberry juice
C)Chicken broth
D)Cherry ice pop
Q2) The nurse is instructing a client on foods that are considered complete proteins.What will the nurse include in these instructions?
(Select all that apply)
A)Meat
B)Gelatin
C)Eggs
D)Chicken
E)Fish
Q3) A client is prescribed a 1600-calorie diet.Of this diet,30% of the intake should be protein,20% fat,and 50% carbohydrates.How many grams of carbohydrates should the client ingest every day?
Calculate to the nearest whole number.
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Page 49
Chapter 48: Urinary Elimination
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Sample Questions
Q1) An older female client with a history of urinary tract infections has an indwelling urinary catheter.What should the nurse do to reduce this client's risk of developing an infection because of the catheter?
(Select all that apply)
A)Maintain a sterile closed drainage system.
B)Clean the peri-urethral area with antiseptics.
C)Ensure the catheter and tubing are not kinked.
D)Wash his or her hands before manipulating the catheter.
E)Keep the collection bag below the level of the bladder.
Q2) Which nursing intervention is appropriate when caring for a client with a retention catheter?
A)Don sterile gloves.
B)Gently retract the labia majora away from the urinary meatus.
C)Observe urine in the drainage bag.
D)Retape the catheter to the thigh.
Q3) A client with an indwelling urinary catheter is prescribed to receive sterile normal saline bladder irrigation at 100 mL/hr.After an 8-hour shift the nurse measures the client's output as being 1425 mL.What is the client's urine output for the 8-hour shift? Calculate to the nearest whole number.
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Page 50
Chapter 49: Fecal Elimination
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Sample Questions
Q1) The nurse is caring for a client who experiences frequent bouts of diarrhea.What should the nurse instruct the client to do?
A)Change the daily routine.
B)Decrease fluid consumption.
C)Increase fiber in the diet.
D)Note the precipitating event.
Q2) The nurse is taking care of a client who states that he ignores the urge to defecate when he is at work.Which response should the nurse make to explain why this practice should be changed?
A)"If you continue to ignore the urge to defecate,the urge is ultimately lost."
B)"It is best to suppress the urge rather than suffer embarrassment at work."
C)"This is a common practice,and it will strengthen the reflex later."
D)"You will get the urge later;don't worry."
Q3) The nurse is caring for the stoma of a client who has a colostomy.Which action is the most appropriate?
A)Apply pressure over the stoma.
B)Clean the stoma and pat dry.
C)Dilate the stoma.
D)Scrub the stoma.
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Page 51
Chapter 50: Oxygenation
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Sample Questions
Q1) A client is experiencing atelectasis.The nurse anticipates that this client will have an alteration in
A)Ventilation.
B)Alveolar gas exchange.
C)Transportation of oxygen and carbon dioxide.
D)Systemic diffusion.
Q2) The nurse is caring for a client with a tracheostomy.For what protective mechanism will the nurse monitor in the client?
A)The ability to cough
B)Filtration and humidification of inspired air
C)The sneeze reflex initiated by irritants in the nasal passages
D)Decrease in oxygen-carrying capacity of the trachea
Q3) The nurse is preparing to assist with the removal of a chest tube that is a simple insertion without a purse-string suture.What materials should the nurse gather for this procedure?
A)An occlusive dressing
B)A 4 × 4 gauze
C)An adhesive gauze pad dressing
D)A non-adherent gauze dressing
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Page 52
Chapter 51: Circulation
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Sample Questions
Q1) A client with a terminal illness without an advance directive stops breathing,and does not have a heartbeat.What should the nurse do?
A)Call a "slow code."
B)Call a partial code.
C)Call the physician.
D)Call a code.
Q2) The nurse determines that UAP can apply sequential compression devices to a client when what is observed?
A)The devices are left off for 1 hour after morning care.
B)The alarm is turned off.
C)The tubing is not kinked.
D)Ankle pressure is set at 100 mm Hg.
Q3) The client has experienced a myocardial infarction with damage to the inferior portion of the heart.Due to this history,the nurse monitors the client for the development of rhythm disturbances that are most directly based upon which factor?
A)The resultant change in blood sugar
B)Electrolyte disturbances from tissue damage
C)The automaticity of cardiac cells
D)Decreased blood flow to the liver
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Page 53
Chapter 52: Fluid, Electrolyte, and Acidbase Balance
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Sample Questions
Q1) A client has experienced a narcotic overdose.What acid-base imbalance should the nurse expect to observe in this client?
A)Respiratory acidosis
B)Respiratory alkalosis
C)Metabolic acidosis
D)Metabolic alkalosis
Q2) The mother of a 1-month-old infant is concerned because the infant has had vomiting and diarrhea for 2 days.What instruction should the nurse give this infant's mother?
A)Have the infant be seen by a physician
B)Give the infant at least 2 ounces of juice every 2 hours.
C)Measure the infant's urine output for 24 hours.
D)Provide the infant with 50 mL of glucose water.
Q3) The nurse is caring for a client who is being mechanically ventilated.Arterial blood gas analysis reveals respiratory acidosis.Which change in ventilator settings should the nurse anticipate?
A)Decrease in oxygen delivery
B)Decreased tidal volume of each breath
C)Increased respiratory rate
D)Increase in humidification of inspired air
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