Nursing Foundations MCQ PDF

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50 Chapters
1445 Verified Questions
 Nursing Foundations
MCQ PDF
Cou
Nursing Foundations is an essential course that introduces students to the core

principles, concepts, and skills fundamental to the nursing profession. Covering topics

such as the history and evolution of nursing, ethical and legal considerations,

patient-centered care, communication, safety, and basic clinical procedures, the course

establishes a strong framework for professional practice. Through a blend of theory and

hands-on learning, students develop critical thinking, empathy, and foundational clinical

competencies necessary for providing quality care and collaborating effectively within

healthcare teams.

Recommended Textbook
Fundamentals of Nursing 8th Edition by Patricia A. Potter

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50 Chapters
1445 Verified Questions
1445 Flashcards
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Page 2
 Chapter 1: Nursing Today
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The first practicing nurse epidemiologist was
A) Florence Nightingale.
B) Mildred Montag.
C) Clara Barton.
D) Mary Agnes Snively.
Answer: A

Q2) The nurse has been working in the clinical setting for several years as an advanced
practice nurse and has earned her master's degree as a family nurse
[Link],she seems unfulfilled and has a strong desire to do [Link]
fulfill her desire,the nurse most likely would apply to attend a program that would lead to
a
A) Doctor of Nursing Science degree (DNSc).
B) Doctor of Philosophy degree (PhD).
C) Doctor of Nursing Practice degree (DNP).
D) Doctor in the Science of Nursing degree (DSN).
Answer: B

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Page 3
 Chapter 2: The Health Care Delivery System
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) In today's society,the nurse is facing more and different [Link] to some
of these challenges is the concept of globalization,because it has led to
A) A more homogeneous mix of nursing staff.
B) Decreased poverty and increased diseases of affluence.
C) Decreased urbanization as populations shift to the suburbs.
D) Increased spread of communicable diseases.
Answer: D

Q2) When the nurse first meets the patient,it is important to establish a dialogue if
possible; patient-centered care stresses that it is important for the nurse to recognize
that
A) Patients usually want to rely on the nurse for patient care.
B) Patients usually want to keep their fears and concerns to themselves.
C) It is important to identify patient expectations.
D) Patients usually have insurance and do not worry about finances.
Answer: C

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Page 4
 Chapter 3: Community-Based Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The patient is being readmitted to an inner city hospital for chest pain after being
discharged 3 months earlier after having a heart [Link] patient was referred to the
hospital's cardiac rehabilitation program after her previous [Link] patient states
that she began going to cardiac rehabilitation and liked it but [Link] asked
why,she states that,at the beginning,the classes were at 9 AM,but then got switched to 7
PM,when it's [Link] cardiac rehabilitation program was within walking distance of the
patient's [Link] is the most likely cause of the patient's unwillingness to go to
cardiac rehabilitation?
A) Lack of transportation
B) Fear of walking at night
C) Reimbursement issues
D) Noncompliance
Answer: B

Q2) A specialist in public health nursing requires

A) The same level of education as the community health nurse.
B) Preparation at the basic entry level.
C) An advanced degree regardless of public health experience.
D) A graduate level education with a focus in public health science.
Answer: D

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Page 5
 Chapter 4: Theoretical Foundations of Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The patient is terminally ill and is under hospice [Link] nurse cares for the patient
by bathing,shaving,and repositioning [Link] family believes that the end is very near
and would like a Catholic priest called to provide the patient with the Sacrament of the
[Link] nurse places a call to the Catholic Church the patient attended and arranges
for the priest's [Link] which of the following theories does the nurse's care fall?
A) Roy's adaptation theory
B) Watson's philosophy of transpersonal caring
C) Henderson's theory
D) Orem's self-care deficit theory

Q2) The patient is newly diagnosed with diabetes and will be discharged in the next day
or [Link] nurse is teaching the patient how to draw up and self-administer his
[Link] nursing theory is the nurse utilizing?
A) Watson's philosophy of transpersonal caring
B) Orem's self-care deficit theory
C) Rogers' theory
D) Henderson's theory

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Page 6
 Chapter 5: Evidence-Based Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse is developing a PICO question related to whether her patient's blood
pressure is more accurate while measuring with the patient's legs crossed versus with
the patient's feet flat on the [Link] P being the population of interest,I the intervention
of interest,C the comparison of interest,and O the outcome,the nurse determines that
this is
A) A true PICO question, because the outcome always comes before the intervention.
B) A true PICO question regardless of placement of elements.
C) Not a true PICO question, because the comparison comes after the intervention.
D) Not a true PICO question, because the outcome comes after the population.

Q2) The hospital's quality improvement committee has identified a problem on one of
the [Link] using the PDSA method to help determine ways to deal with the issue,the
committee decides to do a literature [Link] is an example of quality improvement
A) Combined with evidence-based practice.
B) With inability to make the right decision.
C) With delay in the action needed.
D) With no designated method for dealing with issues.

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Page 7
 Chapter 6: Health and Wellness
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The patient is admitted to the emergency department of the local hospital from
home with reports of chest discomfort and shortness of [Link] is placed on
oxygen,has labs and blood gases drawn,and is given an electrocardiogram and
breathing [Link] level of preventive care is this patient receiving?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion

Q2) A 62-year-old male patient has had chronic obstructive pulmonary disease
(COPD)for many years but has been unable to quit [Link] approached by the
nurse,he states that he would be "better off dead." He states that he has always
supported his family,and now the doctor says he can no longer work because of his
condition and oxygen [Link] wife will now have to go to work,and he is sure
that she will not make enough money to pay the [Link] preparing the patient for
discharge,the nurse should
A) Develop a plan of care for the family.
B) Contact psychiatric services.
C) Assure the patient that things will work out.
D) Focus the plan of care on maximizing patient function.

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Page 8
 Chapter 7: Caring in Nursing Practice
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) In trying to determine patients' perception of caring,several studies have suggested
that
A) The nurse's effectiveness in performing tasks defines her profession.
B) The affective dimension of nursing care is of primary importance.
C) All patients have the same needs and similar personalities.
D) Patients value both task performance and the affective dimension of nursing.

Q2) The nurse is caring for a patient who has been sullen and quiet for the past three
[Link],he says,"I'm really nervous about surgery tomorrow,but I'm more worried
about how it will affect my family." What should the nurse do?
A) Assure the patient that everything will be all right and continue what she/he is doing.
B) Tell the patient that whatever happens is out of his control, so he shouldn't worry.
C) Stop what he/she is doing (if possible) and ask the patient to expand on his
statement.
D) Contact hospital clergy to come and talk with the patient.

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Page 9
 Chapter 8: Caring for the Cancer Survivor
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The Institute of Medicine (IOM)has made recommendations for four essential
components of survivorship [Link] of the following are actual recommendations?
A) Prevention and detection of new and recurrent cancers
B) Surveillance for cancer spread, recurrence, or second cancers
C) Cessation of noncancer follow-up and care
D) Intervention for consequences of cancer and its treatment
E) Coordination between specialists and primary care providers

Q2) The National Coalition for Cancer Survivorship has defined a cancer survivor as a
person who has
A) Been cancer free for 5 years after diagnosis.
B) Been cancer free for 3 years after diagnosis.
C) Had cancer until he or she dies.
D) Had cancer but is declared cancer free.

Q3) As nurses caring for cancer survivors,it is important to understand that

A) Caucasians have more post-treatment symptoms than minority patients.
B) Treatment outcomes are the same regardless of ethnic background.
C) Cancer treatment is lifelong, and follow-up ensures that needs are met.
D) Many long-term cancer survivors suffer needlessly and die.

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Page 10
 Chapter 9: Culture and Ethnicity
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is caring for a Native American who has had recent [Link] the patient's
culture,it is a sign of weakness to complain of [Link] the nurse's culture,people who are
having pain ask for pain [Link] nurse has assumed that the patient has not been
having pain and does not need medication because he has not complained of
[Link] is the nurse doing?
A) Utilizing cultural imposition by not asking the patient about his pain
B) Striving to provide culturally congruent care by allowing the patient to suffer
C) Operating from an emic worldview of the patient's cultural beliefs
D) Practicing discrimination by not giving the patient pain medicine

Q2) The nurse is caring for a patient who does not speak [Link] decides to use an
interpreter to explain procedures and to answer questions that the patient may [Link]
performing the interview,what should the nurse do?
A) Direct questions to the interpreter to ask the patient.
B) Disregard the age and gender of the interpreter.
C) Direct questions to the patient.
D) Ask the interpreter to ask the patient for clarification at the end.

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Page 11
 Chapter 10: Caring for Families
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The family is a central institution in American society; however,the
concept,structure,and functioning of the family unit continue to change over [Link]
uniqueness of each family is referred to as family
A) Durability.
B) Resiliency.
C) Diversity.
D) Forms.

Q2) The nurse is providing discharge teaching for an older adult woman who will need
dressing changes at [Link] husband,who is also elderly,is her only source of [Link]
husband states that he will not be able to perform the dressing [Link] does the
nurse need to arrange for?
A) Home care service referrals
B) Extra dressing supplies
C) Cancellation of the discharge
D) An order for antibiotics

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Page 12
 Chapter 11: Developmental Theories
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20 Flashcards
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Sample Questions
Q1) A nurse should instruct the parents of a 10-year-old child to keep which of the
following theoretical principles in mind when dealing with a behavioral problem at
home?
A) Strategies that worked well with the first child will be equally as effective for the
second child.
B) Encourage the child to volunteer some time at a local hospital to instill a sense of
fulfillment.
C) Bargaining about chores in exchange for privileges may be an effective method of
encouraging helpful activities.
D) Do not offer praise for accomplishments and punishment for behavioral issues.

Q2) According to Piaget's formal operations level,a 13-year-old adolescent will likely
A) Hit other students to deal with environmental change.
B) Use play to understand her surroundings.
C) Question her parents about an upcoming presidential election.
D) Question where the ice is hiding when ice has melted in her drink.

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Page 13
 Chapter 12: Conception Through Adolescence
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse should instruct the parents of an adolescent about which of the following
health concerns?
A) Signs of substance abuse
B) Suicide prevention
C) Safe sex practices
D) Pregnancy
E) Gonadotropic hormone stimulation
F) Voice changes

Q2) The nursing student is preparing a teaching project for parents of school-aged
[Link] statement correctly identifies health risks in this age group?
A) "School-aged children are more likely to suffer from unintentional injury."
B) "The risk for infection is not a major concern of this age group as immunity develops."
C) "Mental retardation, learning disorders, and malnutrition are prevalent across all
socioeconomic categories."
D) "Poor nutrition and lack of immunizations continue to be health concerns for children
of the poor."

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Page 14
 Chapter 13: Young and Middle Adults
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A 61-year-old obese patient is diagnosed with type 2 diabetes and high blood
[Link] patient states that he is upset about the diet restrictions imposed by the
treatment [Link] is the nurse's best approach?
A) Tell the patient that he must do what the doctor tells him.
B) Offer counseling on nutrition and exercise.
C) Tell the patient about what happened to other patients who did not change their
lifestyle.
D) Explain that he needs to accept the care provider's advice without question if he
wants to get better.

Q2) A 25-year-old patient is brought to the hospital by police after crashing his car in a
high-speed chase when trying to avoid arrest for spousal [Link] should the nurse
do?
A) Question the patient about drug use.
B) Offer the patient a cup of coffee to calm his nerves.
C) Be aware that substance abuse is usually obvious.
D) Deal with the issue at hand, and put off asking about previous illnesses.

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Page 15
 Chapter 14: Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A patient asks the nurse what the term polypharmacy [Link] nurse defines this
term as
A) Multiple side effects experienced when taking a medication.
B) The concurrent use of many medications.
C) The many adverse drug effects reported to the pharmacy.
D) The risks of medication effects due to aging.

Q2) Which of these patient statements is the most reliable indicator that an older adult
has the correct understanding of health promotion activities?
A) "I need to increase my fat intake and limit protein."
B) "I should discontinue my fitness club membership for safety reasons."
C) "I'm up to date on my immunizations, but at my age, I don't need the tetanus vaccine."
D) "I still keep my dentist appointments even though I have partials now."

Q3) Several theories on aging have been put forth,and the nurse should use these
theories to
A) Guide nursing care.
B) Explain the stochastic view of genetically programmed physiological changes.
C) Select one theory to guide nursing care for all geriatric patients.
D) Understand the nonstochastic views of aging as the result of cellular damage.

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Page 16
 Chapter 15: Critical Thinking in Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A new nurse is pulled from the surgical unit to work on the oncology [Link] nurse
displays the critical thinking attitudes of humility and responsibility by
A) Refusing the assignment.
B) Asking for an orientation to the unit.
C) Assuming that patient care will be the same as on the other units.
D) Admitting lack of knowledge and going home.

Q2) The nurse needs a reminder of professional responsibility when performing which of
these actions?
A) Making an informed clinical decision
B) Making an ethical clinical decision
C) Making a clinical decision in the patient's best interest
D) Making a clinical decision based on previous shift assessments

Q3) Professional standards influence a nurse's clinical decisions by

A) Bypassing the patient's feelings to promote ethical standards.
B) Establishing minimal passing standards for testing.
C) Requiring the nurse to use critical thinking for the highest level of quality nursing care.
D) Utilizing evidence-based practice based on nurses' needs.

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Page 17
 Chapter 16: Nursing Assessment
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) While the patient's lower extremity,which is in a cast,is assessed,the patient tells the
nurse about an inability to rest at [Link] nurse disregards this complaint,thinking that
no correlation has been noted between having a leg cast and developing restless
sleep.A more theoretically sound approach would be to first
A) Document the sleep patterns and complaint in the patient's chart.
B) Tell the patient you are just focused on the leg right now.
C) Explain that a more thorough assessment will be needed next shift.
D) Ask the patient about his usual sleep patterns and the onset of having difficulty
resting.

Q2) Components of a nursing health history include

A) Current treatment orders.
B) Nurse's concerns.
C) Nurse's goals for the patient.
D) Patient expectations.

Q3) Subjective data include

A) A patient's feelings, perceptions, and reported symptoms.
B) A description of the patient's behavior.
C) Observations of a patient's health status.
D) Measurements of a patient's health status.

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Page 18
 Chapter 17: Nursing Diagnosis
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A nurse assesses that a patient has not voided in 6 [Link] question should the
nurse ask to assist in establishing a nursing diagnosis of Urinary retention?
A) "Do you feel like you need to use the bathroom?"
B) "Are you able to walk to the bathroom by yourself?"
C) "When was the last time you took your medicine?"
D) "Do you have a safety rail in your bathroom at home?"

Q2) Which nursing diagnostic statement is accurately written for a patient with a
medical diagnosis of pneumonia?
A) Risk for infection related to lower lobe infiltrate
B) Risk for deficient fluid volume related to dehydration
C) Impaired gas exchange related to alveolar-capillary membrane changes
D) Ineffective breathing pattern related to pneumonia

Q3) Which of these selections is an etiology for Acute pain versus a defining
characteristic?
A) Complaint of pain as a 7 on a 0 to 10 scale
B) Disruption of tissue integrity
C) Dull headache
D) Discomfort while changing position

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Page 19
 Chapter 18: Planning Nursing Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A hospital's wound nurse consultant made a recommendation for nurses on the unit
to continue the patient's dressing changes as previously [Link] nurses on the unit
should incorporate this recommendation into the patient's plan of care by
A) Assuming that the wound nurse will perform all dressing changes.
B) Requesting that the physician look at the wound herself.
C) Including dressing change instructions and frequency in the plan of care.
D) Encouraging the patient to perform the dressing changes.

Q2) Which intervention is most appropriate for the nursing diagnostic

statement,Impaired verbal communication related to loss of facial motor control and
decreased sensation?
A) Obtain an interpreter for the patient as soon as possible.
B) Assist the patient in performing swallowing exercises each shift.
C) Ask the family to provide a sitter to remain with the patient at all times.
D) Provide the patient with a writing board each shift.

Q3) The nurse describes evidence-based practice as

A) Practice based on the evidence presented in court.
B) Implementing interventions based on scientific rationale.
C) Using standardized care plans.
D) Planning care based on tradition.

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Page 20
 Chapter 19: Implementing Nursing Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse establishes trust and talks with a school-aged patient before
administering [Link] nurse is demonstrating which type of implementation skill?
A) Cognitive
B) Interpersonal
C) Psychomotor
D) Judgmental

Q2) The nurse is intervening for an identified nursing diagnosis of Risk for [Link]
direct care nursing intervention is most appropriate?
A) Teaching the family proper handwashing technique
B) Leaving side rails up at all times
C) Teaching the patient how to use crutches
D) Counseling the family on stress reduction techniques

Q3) What is the first intervention included on any patient's plan of care?
A) Determine patient outcomes and goals.
B) Prioritize the patient's nursing diagnoses.
C) Reassess the patient.
D) Assess for a patent airway.

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Page 21
 Chapter 20: Evaluation
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20 Flashcards
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Sample Questions
Q1) Which of these options is a patient outcome indicating positive progress toward
resolving the nursing diagnosis of Acute confusion?
A) Side rails are up with bed alarm activated.
B) Patient denies pain while ambulating with assistance.
C) Patient wanders halls at night.
D) Patient correctly states names of family members in the room.

Q2) Which of the following are examples of evaluative measures that a nurse should
utilize when determining the patient's response to nursing care?
A) Observations of wound healing
B) Assessment of respiratory rate and depth
C) Blood pressure measurement
D) Implementation of nursing interventions
E) Patient's subjective report of feelings about a new diagnosis of cancer

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Page 22
 Chapter 21: Managing Patient Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nursing assistant reports seeing a reddened area on the patient's hip while bathing
the [Link] nurse should
A) Go to the patient's room to assess the patient's skin.
B) Document the finding per the nursing assistant's report.
C) Request a wound nurse consult.
D) Ask the nursing assistant to apply a dressing over the reddened area.

Q2) A charge nurse should instruct a new nurse taking care of a patient with
hypercholesterolemia to make which of these lifestyle modifications?
A) High-protein, high-fat diet
B) Decreased walking frequency from three times to two times a week
C) Discontinuation of antihypertensive medications
D) Smoking cessation

Q3) Which of these assessments of a patient who is 1 day post surgery to repair a hip
fracture requires immediate nursing intervention?
A) Patient ate 30% of clear liquid breakfast.
B) Oral temperature is 99.2° Fahrenheit.
C) Patient states, "Boy, I did not realize I would be so tired after this surgery."
D) Patient reports severe pain 30 minutes after receiving pain medication.

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Page 23
 Chapter 22: Ethics and Values
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A young woman who is pregnant with a fetus exposed to multiple teratogens
consents to have her fetus undergo serial PUBS (percutaneous umbilical blood
sampling)to examine how exposure affects the fetus over [Link] these tests will
not improve the fetus' outcomes and will expose it to some risks,the information
gathered may help infants in the [Link] ethical principle is at greatest risk?
A) Autonomy
B) Fidelity
C) Nonmaleficence
D) Beneficence

Q2) The nurse finds it difficult to care for a patient whose advance directive states that
no extraordinary resuscitation measures should be [Link] step may help the nurse
to find resolution in this assignment?
A) Call for an ethical committee consult.
B) Decline the assignment on religious grounds.
C) Scrutinize her own personal values.
D) Convince the family to challenge the directive.

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Page 24
 Chapter 23: Legal Implications in Nursing Practice
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20 Flashcards
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Sample Questions
Q1) A nursing student has been written up several times for being late with providing
patient care and for omitting aspects of patient care and not knowing basic procedures
that were taught in the skills course one term [Link] nursing student says,"I don't
understand what the big deal [Link] my instructor,you are there to protect me and make
sure I don't make mistakes." What is the best response from the nursing instructor?
A) "You are expected to perform at the level of a professional nurse."
B) "You are expected to perform at the level of a nursing student."
C) "You are practicing under the license of the nurse assigned to the patient."
D) "You are expected to perform at the level of a skilled nursing assistant."

Q2) A recent immigrant who does not speak English is alert and requires
[Link] is the initial action that the nurse must take to enable informed
consent to be obtained?
A) Ask a family member to translate what the nurse is saying.
B) Notify the health care provider that the patient doesn't speak English.
C) Request an official interpreter to explain the terms of consent.
D) Use hand gestures and medical equipment while explaining in English.

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Page 25
 Chapter 24: Communication
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse asks a patient where the pain is,and the patient responds by pointing to
the area of [Link] form of communication did the patient use?
A) Verbal
B) Nonverbal
C) Intonation
D) Vocabulary

Q2) A nurse believes that the nurse-patient relationship is a partnership,and that both
are equal [Link] term should the nurse use to describe this belief?
A) Critical thinking
B) Authentic
C) Mutuality
D) Attend

Q3) The nurse using critical thinking to enhance communication with patients is one who
A) Shows sympathy appropriately.
B) Uses automatic responses fluently.
C) Self-examines personal communication skills.
D) Demonstrates passive remarks accurately.

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Page 26
 Chapter 25: Patient Education
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A toddler is going to have surgery on the right [Link] teaching method is most
appropriate for this developmental stage?
A) Encourage independent learning.
B) Use discussion throughout the teaching session.
C) Apply a bandage to a doll's ear.
D) Develop a problem-solving scenario.

Q2) A nurse is teaching a patient who has low health literacy about chronic obstructive
pulmonary disease (COPD)while giving COPD [Link] technique is most
appropriate for the nurse to use?
A) Use complex analogies to describe COPD.
B) Include the most important information on COPD at the beginning of the session.
C) Ask for feedback to assess understanding of COPD at the end of the session.
D) Offer pamphlets about COPD written at the eighth grade level with large type

Q3) Which action best indicates that learning has occurred?

A) A nurse presents information about diabetes.
B) A patient demonstrates how to inject insulin.
C) A family member listens to a lecture on diabetes.
D) A primary care provider hands a diabetes pamphlet to the patient.

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Page 27
 Chapter 26: Documentation and Informatics
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which situation best indicates that the nurse has a good understanding regarding
auditing and monitoring of patients' health records?
A) The nurse determines the degree to which standards of care are met by reviewing
patients' health records.
B) The nurse realizes that care not documented in patients' health records still qualifies
as care provided.
C) The nurse knows that reimbursement is based on the diagnosis-related groups
documented in patients' records.
D) The nurse compares data in patients' records to determine whether a new treatment
had better outcomes than the standard treatment.

Q2) A nurse preceptor is working with a student [Link] behavior by the student
nurse will require the nurse preceptor to intervene?
A) The student nurse reviews the patient's medical record.
B) The student nurse reads the patient's plan of care.
C) The student nurse shares patient information with a friend.
D) The student nurse documents medication administered to the patient.

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Page 28
 Chapter 27: Patient Safety
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) The nurse knows that four categories of risk have been identified in the health care
[Link] of the following provides the best examples of those risks?
A) Tile floors, cold food, scratchy linen, and noisy alarms
B) Carpeted floors, ice machine empty, unlocked supply cabinet, and call light in reach
C) Wet floors, pinching fingers in door, failure to use lift for patient, and alarms not
functioning properly
D) Dirty floors, hallways blocked, medication room locked, and alarms set

Q2) The nurse suspects the possibility of a bioterrorist [Link] of the following
factors is most likely related to this possibility?
A) A rapid increase in patients presenting with fever or respiratory or gastrointestinal
symptoms
B) Lower rates of symptoms among patients who spend time primarily indoors
C) Large number of rapidly fatal cases of patients with presenting symptoms
D) Shortage of personal protective equipment available from central supply
E) An increase in the number of staff calling in sick for their assigned shift
F) Patients with symptoms all coming from one location in the area

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Page 29
 Chapter 28: Infection Prevention and Control
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: [Link]

Sample Questions
Q1) A diabetic patient presents to the clinic for a dressing [Link] wound is located
on the right foot and has purulent yellow [Link] of these interventions would be
most appropriate for the nurse to provide?
A) Position the patient comfortably on the stretcher.
B) Explain the procedure for dressing change to the patient.
C) Don gloves and other appropriate personal protective equipment.
D) Review the medication list that the patient brought from home.

Q2) The nurse is caring for a patient with leukemia and is preparing to provide fluids
through a vascular access [Link] nursing intervention is priority in this
procedure?
A) Position the patient comfortably.
B) Maintain aseptic technique.
C) Gather available supplies.
D) Review the procedure with the patient.

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Page 30
 Chapter 29: Vital Signs
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: [Link]

Sample Questions
Q1) The patient requires temperatures to be taken every two [Link] of the following
cannot be delegated to nursing assistive personnel?
A) Selecting appropriate route and device
B) Obtaining temperature measurement at ordered frequency
C) Being aware of the usual values for the patient
D) Assessing changes in body temperature

Q2) The incidence of hypertension is greater in which of the following?

A) Non-Hispanic Caucasians
B) African Americans
C) Asian Americans
D) Native Americans

Q3) Of the following sites,which are used for obtaining a core temperature?
A) Oral
B) Rectal
C) Tympanic
D) Axillary
E) Pulmonary artery

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Page 31
 Chapter 30: Health Assessment and Physical Examination
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: [Link]

Sample Questions
Q1) The paramedics transport an adult involved in a motor vehicle accident to the
emergency [Link] physical examination,the patient's level of consciousness is
reported as opening eyes to pain and responding with inappropriate words and flexion
withdrawal to painful [Link] nurse correctly identifies the patient's Glasgow Coma
Scale score as
A) 5.
B) 7.
C) 9.
D) 11.

Q2) During a routine pediatric history and physical,the parents report that their child was
a premature infant and was so small that he had to stay in the neonatal intensive care
unit longer than [Link] state that the infant was yellow when born,and that he
developed an infection that required "every antibiotic under the sun" to cure
[Link] the neonatal history,the nurse determines that it is especially important
to perform a focused _____ examination.
A) Cardiac
B) Respiratory
C) Ophthalmic
D) Hearing acuity

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Page 32
 Chapter 31: Medication Administration
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: [Link]

Sample Questions
Q1) The nurse knows that an idiosyncratic event with the stimulant pseudoephedrine
(Sudafed)is occurring when the patient
A) Experiences blurred vision while driving.
B) Falls asleep during daily activities.
C) Presents with a pruritus rash.
D) Develops xerostomia.

Q2) The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a
[Link] therapeutic range is 5 to 10 mg/kg/[Link] is the nurse's priority?
A) Administer the medication because it is within the therapeutic range.
B) Notify the physician that the prescribed dose is in the toxic range.
C) Notify the physician that the prescribed dose is below the therapeutic range.
D) Change the dose to one that is within range.

Q3) A patient who is receiving IV fluids notifies the nurse that his arm feels [Link]
assessment,the nurse notes that the arm is swollen and cool to the [Link] should
the nurse's first action be?
A) Discontinue the IV site, and apply a warm compress.
B) Attached a syringe, and pull back on the plunger to aspirate the IV fluid.
C) Start a new IV site distal from the site.
D) Stop the IV fluids, and notify the physician immediately.

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Page 33
 Chapter 32: Complementary and Alternative Therapies
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: [Link]

Sample Questions
Q1) The complementary and alternative therapy that is known to alter immune function
is which of the following?
A) Biofeedback
B) Imagery
C) Breath work
D) Acupuncture

Q2) A patient describes practicing a complementary and alternative therapy involving

concentrating and controlling his respiratory rate and pattern,recognizing that breath
work is to yoga as
A) The "zone" is to acupressure.
B) Massage therapy is to Ayurveda.
C) Reiki therapy is to therapeutic touch.
D) Prayer is to tai chi.

Q3) The therapy that is more effective in treating physical ailments than in preventing
disease or managing chronic illness is _____ medicine.
A) Allopathic
B) Complementary
C) Alternative
D) Mind-body

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Page 34
 Chapter 33: Self-Concept
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: [Link]

Sample Questions
Q1) While gathering an adolescent's health history,the nurse recognizes that the patient
began to act out behaviorally and engage in risky behavior when her parents [Link]
considering an altered self-concept nursing diagnosis,the nurse would gather what
information?
A) How long the parents were married
B) How the patient views her behaviors
C) Why the parents are divorcing
D) Why she is acting out of control

Q2) Potential predictors for suicidal thoughts and behaviors in adolescents are
A) Stressful life events and a scholarship.
B) Very high self-esteem and work failure.
C) Health problems and developmental milestones.
D) Negative body image and low self-esteem.

Q3) "I'm such a loser.I only had that job for a month." Identify appropriate nursing
outcome criteria for this individual.
A) The patient will verbalize two life areas in which he or she functions well.
B) The patient will find new employment before the next clinic visit.
C) The patient will confront his or her former boss about work problems.
D) The patient will identify why he or she is considered a bad employee.

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Page 35
 Chapter 34: Sexuality
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: [Link]

Sample Questions
Q1) An 18-year-old male patient informs the nurse that he isn't sure if he is homosexual
because he is attracted to both [Link] nurse establishes a trusting relationship
patient by saying
A) "Don't worry. It's just a phase you will grow out of."
B) "Those are abnormal impulses. You should seek therapy."
C) "At your age, it is normal to be curious about both genders."
D) "Having questions about sexuality is normal. Have you noticed any changes in the
way this makes you feel about yourself?"

Q2) A nurse is caring for a patient who expresses a desire to have an elective
[Link] nurse's religious and ethical values are strongly [Link] should the
nurse best handle the situation?
A) Continue to care for the patient, and limit conversation as much as possible.
B) Refer the patient to a family planning center or health professional.
C) Attempt to educate the patient about the consequences of abortion.
D) Inform the patient that because of moral issues, another nurse will have to care for
her.

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Page 36
 Chapter 35: Spiritual Health
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: [Link]

Sample Questions
Q1) The nurse is caring for a patient who is terminally ill with very little time left to [Link]
patient states,"I always believed that there was life after [Link],I'm not so [Link]
you think there is?" The nurse states,"I believe there is." The nurse has attempted to
A) Strengthen the patient's religion.
B) Provide hope.
C) Support the patient's agnostic beliefs.
D) Support the horizontal dimension of spiritual well-being.

Q2) The nurse is caring for a patient who is in the final stages of his terminal [Link]
patient is very weak but refuses to use a bedpan,and wants to get up to use the bedside
[Link] should the nurse do?
A) Explain to the patient that he is too weak and needs to use the bedpan.
B) Insert a rectal tube so that the patient no longer needs to actively defecate.
C) Enlist assistance from family members if possible and assist the patient to get up.
D) Put the patient on a bedpan and stay with him until he is finished.

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Page 37
 Chapter 36: The Experience of Loss, death, and Grief
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: [Link]

Sample Questions
Q1) A man is hospitalized after surgery that amputated both lower extremities owing to
injuries sustained during military [Link] nurse should recognize his need to grieve
for what type of loss?
A) Maturational loss
B) Situational loss
C) Perceived loss
D) Uncomplicated loss

Q2) [Link]'s father died a week [Link] is experiencing headaches and

fatigue,and keeps shouting at his wife to turn down the television,although he has not
done so in the [Link] is having trouble sleeping,has no appetite,and says she
feels like she is choking all the [Link] should the nurse interpret these assessment
findings as the basis for a follow-up assessment?
A) Mrs. Harrison is grieving and Mr. Harrison is angry.
B) Mrs. Harrison is ill and Mr. Harrison is grieving.
C) Both Mr. and Mrs. Harrison likely are in denial.
D) Both Mr. and Mr. Harrison likely are grieving.

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Page 38
 Chapter 37: Stress and Coping
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: [Link]

Sample Questions
Q1) In a natural disaster relief facility,the nurse observes that an elderly man has a
recovery plan,while a 25-year-old man is still overwhelmed by the disaster
[Link] different reactions to the same situation would be explained best by
which of the following?
A) Restorative care
B) Strong financial resources
C) Maturational and sociocultural factors
D) Immaturity and intelligence factors

Q2) A woman who was sexually assaulted a month ago presents to the emergency
department with complaints of recurrent nightmares,fear of going to sleep,repeated
vivid memories of the sexual assault,and inability to feel much [Link] nurse
recognizes the signs and symptoms of which medical problem?
A) General adaptation syndrome
B) Posttraumatic stress disorder
C) Developmental crisis
D) Alarm reaction

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Page 39
 Chapter 38: Activity and Exercise
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: [Link]

Sample Questions
Q1) The nurse is providing care to a patient who is [Link] prevent fatigue,the
nurse raises the height of the [Link] nurse understands that balance is maintained by
raising the bed to
A) Prevent a shift in the nurse's base of support.
B) Narrow the base of support.
C) Allow the nurse to bring his or her feet close together.
D) Shift the center of gravity further away from the base of support.

Q2) The patient is brought to the emergency department with possible injury to his
[Link] help determine the degree of injury,the nurse should evaluate
A) The patient's gait.
B) The patient's range of motion.
C) Fine motor coordination.
D) Activity tolerance.

Q3) The patient is being admitted for elective knee [Link] the nurse is admitting
the patient,she will
A) Begin to develop a discharge plan.
B) Plan to wait until after the surgery to plan for discharge.
C) Place a generalized discharge plan in the record for later use.
D) Address immediate needs of the patient only and address other needs later.

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Page 40
 Chapter 39: Hygiene
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: [Link]

Sample Questions
Q1) Successful critical thinking requires synthesis of knowledge,experience,information
gathered from patients,critical thinking attitudes,and intellectual and professional
[Link] the assessment has been done,it is important for the nurse to
understand that
A) The nursing diagnoses never change.
B) The patient's condition never changes.
C) Critical thinking is ongoing.
D) Hygiene needs to become a simple routine.

Q2) The nurse is teaching a patient about contact lens [Link] patient has plastic
lenses,so the nurse instructs the patient to
A) Use tap water to clean lenses.
B) Keep the lenses is a cool dry place when not being used.
C) Reuse storage solution for up to a week.
D) Wash and rinse lens storage case daily.

Q3) In providing perineal care to a female patient,the nurse should wash

A) Upward from rectum to pubic area.
B) From back to front.
C) From pubic area to rectum.
D) In a circular motion.

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Page 41
 Chapter 40: Oxygenation
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: [Link]

Sample Questions
Q1) A patient has inadequate stroke volume related to decreased [Link] nurse
anticipates
A) Placing the patient on oxygen monitoring.
B) Administering vasodilators.
C) Verifying that the blood consent form has been signed.
D) Preparing the patient for dialysis.

Q2) The nurse is assessing a patient with a right [Link] finding would the
nurse expect?
A) Bilateral expiratory crackles
B) Absence of breath sounds on the right side
C) Right-sided wheezes on inspiration
D) Trachea deviated to the right

Q3) A nurse is caring for a patient with left sided hemiparesis who has developed
bronchitis and has a heart rate of 105,blood pressure of 156/90,and a respiration rate of
[Link] nursing diagnosis is the priority for this patient?
A) Activity intolerance
B) Risk for skin breakdown
C) Impaired gas exchange
D) Risk for infection

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Page 42
 Chapter 41: Fluid, electrolyte, and Acid-Base Balance
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: [Link]

Sample Questions
Q1) A nurse is assessing a patient who is receiving a blood transfusion and finds that the
patient is anxiously fidgeting in [Link] patient is afebrile and [Link] nurse
auscultates crackles in both lung bases and sees jugular vein [Link] nurse
recognizes that the patient is experiencing which transfusion complication?
A) Anaphylactic shock
B) Septicemia
C) Fluid volume overload
D) Hemolytic reaction

Q2) Approximately two thirds of the body's total water volume exists in the _____ fluid.
A) Intracellular
B) Interstitial
C) Intravascular
D) Transcellular

Q3) The nurse knows that an imbalance of which ion causes acid-base impairment?
A) Hydrogen
B) Calcium
C) Magnesium
D) Sodium

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Page 43
 Chapter 42: Sleep
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: [Link]

Sample Questions
Q1) Which of the following would be most important for the nurse to monitor in a patient
who has obstructive sleep apnea?
A) Gastrointestinal function
B) Circulatory status
C) Respiratory status
D) Neurological function

Q2) The nurse is caring for a patient on the medical-surgical unit who is experiencing an
exacerbation of [Link] of the following interventions would be most appropriate
to help the patient sleep?
A) Bed placed in semi-Fowler's position
B) Increased BNC oxygen to 5 L a minute
C) A snack provided before bedtime
D) Encouraging the patient to read

Q3) The nurse is caring for an adolescent who is complaining of difficulty falling
[Link] intervention would be most appropriate?
A) Adjust the temperature in the patient's room to 21°C (70° F).
B) Ensure that the night light in the patient's room is working.
C) Encourage the discontinuation of soda and chocolate nightly snack.
D) Close the door to decrease noise from unit activities.

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Page 44
 Chapter 43: Pain Management
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: [Link]

Sample Questions
Q1) A nurse is providing discharge teaching for a patient with a fractured [Link]
patient is going home with Vicodin (5/325).What important patient education does the
nurse provide?
A) "Be sure to eat a meal high in fat before taking the medication, to avoid a stomach
ulcer."
B) "Narcotics can be addictive, so do not take them unless you are in severe pain."
C) "You need to drink plenty of fluids and eat a diet high in fiber."
D) "As your pain severity lessens, you will begin to give yourself once-daily intramuscular
injections."

Q2) A nurse is assessing a patient who started to have severe pain 3 days [Link] the
nurse asks the patient to describe the pain,the patient states,"The pain feels like it is in
my [Link] is a burning pain,and it spreads out in a circle around the spot where it
hurts the most." What type of pain does the nurse document that the patient is having at
this time?
A) Superficial pain
B) Idiopathic pain
C) Chronic pain
D) Visceral pain

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Page 45
 Chapter 44: Nutrition
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: [Link]

Sample Questions
Q1) In providing prenatal care to a patient,the nurse teaches the expectant mother that
A) Protein intake needs to decrease to preserve kidney function.
B) Calcium intake is especially important in the first trimester.
C) Folic acid is needed to help prevent birth defects and anemia.
D) The mother should take in as many extra vitamins and minerals as possible.

Q2) In providing diet education for a patient on a low-fat diet,it is important for the nurse
to understand that with few exceptions
A) Saturated fats are found mostly in vegetable sources.
B) Saturated fats are found mostly in animal sources.
C) Unsaturated fats are found mostly in animal sources.
D) Linoleic acid is a saturated fatty acid.

Q3) The nurse is providing home care for a patient diagnosed with [Link] preparing
meals for this patient,the nurse should
A) Provide small, frequent nutrient-dense meals.
B) Encourage intake of fatty foods to increase caloric intake.
C) Prepare hot meals because they are more easily tolerated.
D) Avoid salty foods and limit liquids to preserve electrolytes.

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Page 46
 Chapter 45: Urinary Elimination
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: [Link]

Sample Questions
Q1) A nurse notifies the provider immediately if a patient with an indwelling catheter
A) Complains of discomfort upon insertion of the catheter.
B) Places the drainage bag higher than the waist while ambulating.
C) Has not collected any urine in the drainage bag for 2 hours.
D) Is incontinent of stool and contaminates the external portion of the catheter.

Q2) A nurse anticipates urodynamic testing for a patient with which symptom?
A) Involuntary urine leakage
B) Severe flank pain
C) Presence of blood in urine
D) Dysuria

Q3) An 86-year-old patient tells the nurse that she is experiencing uncontrollable
leakage of [Link] nursing diagnosis should the nurse include in the patient's plan of
care?
A) Urinary retention
B) Hesitancy
C) Urgency
D) Urinary incontinence

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Page 47
 Chapter 46: Bowel Elimination
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: [Link]

Sample Questions
Q1) The nurse is caring for a patient who is confined to the [Link] nurse asks the patient
if he needs to have a bowel movement 30 minutes after eating a meal because
A) The digested food needs to make room for recently ingested food.
B) Mastication triggers the digestive system to begin peristalsis.
C) The smell of bowel elimination in the room would deter the patient from eating.
D) More ancillary staff members are available after meal times.

Q2) Which physiological change can cause a paralytic ileus?

A) Chronic cathartic abuse
B) Surgery for Crohn's disease and anesthesia
C) Suppression of hydrochloric acid from medication
D) Fecal impaction

Q3) The nurse would expect the least formed stool to be present in which portion of the
digestive tract?
A) Ascending
B) Descending
C) Transverse
D) Sigmoid

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Page 48
 Chapter 47: Mobility and Immobility
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: [Link]

Sample Questions
Q1) In developing an individualized plan of care for a patient,it is important for the nurse
to
A) Set goals that are a little beyond the capabilities of the patient.
B) Use his or her judgment and not be swayed by family desires.
C) Establish goals that are measurable and realistic.
D) Explain that without taking alignment risks, there can be no progress.

Q2) When assessing the body alignment of a patient while he or she is standing,the
nurse is aware that
A) When observed posteriorly, the hips and shoulders form an "S" pattern.
B) When observed laterally, the spinal curves align in a reversed "S" pattern.
C) The arms should be crossed over the chest or in the lap.
D) The feet should be close together with toes pointed out.

Q3) The nurse needs to reposition a 300-lb [Link] of the following strategies is
most likely to prevent back injury?
A) Turn the patient alone using the lift pad and applying pillows.
B) Put the bed in Trendelenburg and pull from the head of the bed.
C) Assess and obtain the number of people needed to help.
D) Bend at the waist and pull the lift pad using the arms.

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Page 49
 Chapter 48: Skin Integrity and Wound Care
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: [Link]

Sample Questions
Q1) The nurse is caring for a patient who has a stage IV pressure ulcer awaiting plastic
surgery [Link] of the following specialty beds would be most appropriate?
A) Standard mattress
B) Nonpowered redistribution air mattress
C) Low-air-loss therapy unit
D) Lateral rotation

Q2) The nurse is caring for a patient with a healing stage III pressure [Link] wound is
clean and [Link] of the following orders would the nurse question?
A) Use a low-air-loss therapy unit.
B) Consult a dietitian.
C) Irrigate with hydrogen peroxide.
D) Utilize hydrogel dressing.

Q3) Which of these findings if seen in a postoperative patient should the nurse associate
with dehiscence?
A) Complaint by patient that something has given way
B) Protrusion of visceral organs through a wound opening
C) Chronic drainage of fluid through the incision site
D) Drainage that is odorous and purulent

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Page 50
 Chapter 49: Sensory Alterations
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: [Link]

Sample Questions
Q1) Which assessment question should the nurse ask to best understand how visual
alterations are affecting the patient's self-care ability?
A) "Have you stopped reading books or switched to books on audiotape?"
B) "Are you able to prepare a meal or write a check?"
C) "How do you protect yourself from injury at work?"
D) "How does your vision impairment make you feel?"

Q2) The nurse is caring for a patient in acute respiratory [Link] patient has multiple
monitoring systems on that constantly beep and make [Link] patient is becoming
agitated and frustrated over inability to [Link] action by the nurse is most
appropriate for this patient?
A) Provide the patient with a therapeutic back rub.
B) Turn off the alarms on the monitoring devices.
C) Administer an opioid medication to help the patient sleep.
D) Provide the patient with earplugs.

Q3) What is the involuntary motion of retracting the body from painful stimuli?
A) Sensation
B) Reception
C) Perception
D) Reaction

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Page 51
 Chapter 50: Care of Surgical Patients
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: [Link]

Sample Questions
Q1) The nurse is caring for a postoperative patient who has had a carpel tunnel
[Link] patient has a temperature of 97° F and is [Link] of the following is
the best reason for this condition?
A) The patient is dressed only in a gown.
B) Anesthesia lowers metabolism.
C) The surgical suite has laminar flow.
D) The open body cavity contributed to heat loss.

Q2) The nurse is caring for a patient in the operating suite who is experiencing
hypercarbia,tachypnea,tachycardia,premature ventricular contractions,and muscle
[Link] nurse suspects that this patient may be experiencing
A) Hypoxia.
B) Malignant hyperthermia.
C) Fluid imbalance.
D) Hemorrhage.

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Page 52