Nursing Concepts Chapter Exam

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 Nursing Concepts
Chapter Exam Questions
Course Introduction
Nursing Concepts introduces students to the foundational principles and essential

theories that underpin the nursing profession. The course emphasizes the development

of critical thinking, clinical reasoning, and effective communication skills necessary for

providing holistic care across the lifespan. Topics include basic human needs, the

nursing process, ethical and legal considerations, cultural competence, health

promotion, and disease prevention. Through case studies, simulations, and reflective

practice, students gain a comprehensive understanding of their roles and

responsibilities as nurses, preparing them to deliver patient-centered, evidence-based

care in a variety of healthcare settings.

Recommended Textbook
Essentials for Nursing Practice 8th Edition by Potter

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Page 2
 Chapter 1: The Nursing Profession
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Sample Questions
Q1) A patient does not want the treatment that was prescribed.The nurse helps the
patient talk to the primary health care provider and even talks to the primary health care
provider when needed.The nurse is acting in which professional role?
A) Educator
B) Manager
C) Advocate
D) Provider of care
Answer: C

Q2) A nurse uses effective strategies to communicate and handle conflict with nurses
and other health care professionals.Which Quality and Safety Education for Nurses
(QSEN)competency is the nurse demonstrating?
A) Informatics
B) Quality improvement
C) Teamwork and collaboration
D) Evidence-based practice
Answer: C

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Page 3
 Chapter 2: Health and Wellness
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Sample Questions
Q1) A nurse is assessing a patient's stage of behavioral change.Which statement by the
patient will indicate to the nurse that the patient is in the preparation stage?
A) "I started to exercise regularly, but it didn't last long. I'll probably try again in a few
weeks."
B) "I have a problem, and I really think I need to work on it."
C) "I am really working hard to stop smoking."
D) "There is nothing that I really need to change."
Answer: A

Q2) When assessing what influences a patient's health beliefs and practices,a nurse
should consider both internal and external variables.Which is an example of an external
variable?
A) Intellectual background
B) Emotional factors
C) Spiritual factors
D) Family practices
Answer: D

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Page 4
 Chapter 3: The Health Care Delivery System
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Sample Questions
Q1) A patient states that he or she cannot afford health care insurance for the family
because of a low income.What is the best form of insurance available for this patient?
A) Medicaid
B) Medicare
C) Private insurance
D) A managed care organization
Answer: A

Q2) A registered nurse working in a restorative care setting will focus on which areas?
(Select all that apply.)
A) Providing extensive supportive care
B) Providing one-on-one care to patients
C) Promoting patient self-care
D) Promoting independence
E) Promoting dying at home
Answer: C,D

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Page 5
 Chapter 4: Community-Based Nursing Practice
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Sample Questions
Q1) A nurse notices that a particular area of the community had food poisoning.The
nurse collected data from the people who were affected,identified a local restaurant
that served all the people,and determined it was the chicken dish that caused the
poisoning.Which community health nurse competency did the nurse demonstrate?
A) Public health
B) Educator
C) Epidemiologist
D) Case manager

Q2) A nurse in community-based practice needs a variety of skills and talents while
rendering care to patients in the community.Which are competencies of the community
health nurse? (Select all that apply.)
A) Case manager
B) Care giver
C) Educator
D) Advocate
E) Counselor

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Page 6
 Chapter 5: Legal Principles in Nursing
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Sample Questions
Q1) A student nurse must pass the NCLEX before practicing as a registered nurse.NCLEX
stands for __________ Examination.
A) Nursing Council of Licensing
B) Nightingale Code of Licensure
C) Nursing Code of Licensure
D) National Council Licensure

Q2) Which chart entry by a nurse would require follow up?

A) 0815 Patient found on floor.
B) 0816 Patient assessed and helped back to bed.
C) 0818 Physician notified of incident.
D) 0820 Occurrence report completed.

Q3) A nurse wants to follow the American Nurses Association's Social Media Policy
(2011).Which actions should the nurse take? (Select all that apply.)
A) Never name or describe a patient.
B) Never have a blog.
C) Never post an image of the patient.
D) Never disparage a fellow employee.
E) Never report breaches of privacy.

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Page 7
 Chapter 6: Ethics
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Sample Questions
Q1) A nurse bases ethical decisions on the effect,or consequences,an act will have and
uses the following guidelines: the greatest good for the greatest number of people.Which
ethical system is the nurse using?
A) Legal
B) Deontology
C) Utilitarianism
D) Ethics of care

Q2) A nurse is processing an ethical dilemma by focusing on relationships and stories of

the participants.Which ethical system is the nurse using?
A) Deontology
B) Utilitarianism
C) Feminist ethics
D) Ethics of care

Q3) Which behavior best indicates that the nurse is fulfilling ethical responsibilities?
A) Delivers competent care
B) Applies the scientific process
C) Forms interpersonal relationships
D) Evaluates new computerized technologies

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Page 8
 Chapter 7: Evidence-Based Practice
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Sample Questions
Q1) A nurse working in an acute care setting wanted to determine the most accurate
way to take patients temperatures.The nurse noticed that the tympanic thermometers
used by the unit were often not accurate.The nurse found that the literature showed
tympanic thermometers were not the most accurate method of obtaining a
temperature.The nurse wants to change the nursing practice of the unit.What is the
nurse's most logical next step?
A) Discuss the findings with a patient to gain support.
B) Tell the aides to stop taking temperatures.
C) Share the findings with the nursing policy and procedure committee.
D) Write an editorial in the public newspaper to bring the community into the process.

Q2) The nursing unit staff has used evidence-based practice to implement a practice
change.What is the next step in the process the nursing staff should implement?
A) Review literature.
B) Engage companies.
C) Measure outcomes.
D) Ask a clinical question.

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Page 9
 Chapter 8: Critical Thinking
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Sample Questions
Q1) A new nurse who has just begun working for an oncology unit is frustrated with trying
to figure out the relationships between a patient's problems and appropriate nursing
interventions.What is the best tool that the nurse can use to synthesize data into
meaningful information?
A) Concept map
B) Reflective journal
C) Plan of care
D) Intellectual standards

Q2) A registered nurse is caring for a patient in the trauma unit who had been involved in
a motor vehicle accident.Although the patient denied pain,during the nurse's
assessment,the nurse observed that the patient groaned when moving and was
protective of the right arm.The nurse believed the patient had pain and reported it to the
primary health care provider,who ordered a radiograph (x-ray)of the right arm.The
radiograph revealed a fractured arm.Which technique did the nurse use?
A) Intuition
B) Critical thinking
C) Perseverance
D) Reflection

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Page 10
 Chapter 9: Nursing Process
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Sample Questions
Q1) A nurse is interviewing a patient being admitted to the hospital for surgery.During the
interview,the nurse introduces self and explains that will be gathering some
information.The nurse is in which phase of the interview?
A) Orientation
B) Working
C) Assessment
D) Termination

Q2) A nurse is collecting data during the assessment of a patient.During the

assessment,the nurse collects both subjective and objective data.Which information
should the nurse consider as subjective data?
A) Heart rate of 96
B) Incisional erythema
C) Emesis of 150 mL
D) Sharp, burning pain

Q3) Which action by the nurse is the final step in a complete assessment?
A) Forming diagnostic conclusions
B) Documentation of findings
C) Auscultation
D) Palpation

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Page 11
 Chapter 10: Informatics and Documentation
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Sample Questions
Q1) Which information by a nurse indicates more teaching is needed about The Joint
Commission's requirements for writing plans of care?
A) A care plan must be developed for patients in a clinic.
B) A care plan must be developed for patients in an acute care hospital.
C) A care plan must be developed for patients in a rehabilitation agency.
D) A care plan must be developed for patients in an extended care facility.

Q2) A new registered nurse is working on a pediatric unit in a large teaching hospital
that uses focus charting with the acronym DAR.What will the nurse be charting?
A) Data, assessment, reaction
B) Data, assessment, recommendation
C) Data, actions, response
D) Data, actions, recovery

Q3) A nurse is documenting the last entry for the day.It is 3:15 PM and the agency uses
military time.Which time should the nurse enter?
A) 315
B) 0315
C) 1315
D) 1515

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Page 12
 Chapter 11: Communication
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Sample Questions
Q1) While a patent is being interviewed by the nurse,a family member states,"What my
father really means is that he doesn't know for sure what the physician meant about the
medical diagnosis." Which communication technique did the family member use?
A) Focusing
B) Clarifying
C) Summarizing
D) Sharing observations

Q2) A nurse gives a hand-off report to the oncoming staff nurse.Which type of
communication does this illustrate?
A) Gossip
B) Validation
C) Interpersonal
D) Intrapersonal

Q3) A nurse is caring for a patient who is visually impaired.Which technique should the
nurse use to facilitate communication?
A) Touch the patient before speaking.
B) Identify self when entering the room.
C) Quietly leave the room when finished.
D) Keep the room dimly lit for calmness.

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Page 13
 Chapter 12: Patient Education
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Sample Questions
Q1) A postsurgical patient is being taught about wound care before being discharged
from the hospital and is in a semiprivate room with another patient.The other patient is
upset with a family member and is crying.The television is on to try to provide some
distraction from the roommate.Which action should the nurse take to best facilitate
patient education for wound care?
A) Explain to the patient that everything is in the handout.
B) Take the patient to a quiet area to do the patient teaching.
C) Ask the roommate to please be considerate of the patient because patient education
is occurring.
D) Request that a home health nurse follow up with the patient at home to teach about
wound care.

Q2) A patient recently had a stroke and suffered right-sided weakness.The patient is
being discharged from a rehabilitation hospital after learning to use a walker.Which
learning domain was primarily used to teach the patient to be independent with the
walker?
A) Psychomotor
B) Affective
C) Cognitive
D) Motivational

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Page 14
 Chapter 13: Managing Patient Care
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Sample Questions
Q1) A primary nurse caring for a patient with kidney failure develops a plan of care for
the patient after consulting with the patient on the best way to manage the patient's
diet.As the staff delivers the plan of care the primary nurse evaluates whether the plan is
working.Which attribute is the primary nurse displaying?
A) Responsibility
B) Interprofessional collaboration
C) Delegation
D) Staff involvement

Q2) A newly graduated nurse has been assigned to work with one assistive personnel
staff member.When delegating skills,which guidelines should the nurse use? (Select all
that apply.)
A) Assign just bed making skills and feeding tasks.
B) Assess the knowledge of the assistive personnel.
C) Match tasks to the assistant's skills.
D) Have the nursing assistant document assessment findings.
E) Assess skill levels of assistive personnel.

Q3) Use the knowledge of one's own role and those of other professions to appropriately
assess and address the health care needs of patients and populations served.

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Page 15
 Chapter 14: Infection Prevention and Control
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Sample Questions
Q1) The nursing assistive personnel (NAP)is working on a busy pediatric unit in a
hospital.She has a cut on her hand that has not been kept covered.It hurts her to wash
her hands or sanitize them,so she has been providing patient care without performing
hand hygiene.Several of the patients on the pediatric unit have suffered
hospital-associated infections of rotavirus.This was thought to be a result of the NAP's
lack of hand hygiene.This type of disease transmission can best be described as:
A) indirect.
B) natural active immunity.
C) direct.
D) natural passive immunity.

Q2) The student nurse caring for a postsurgical patient who has developed a health
care-acquired wound infection that has become systemic.Which of the following should
be the student nurse's top priority?
A) Providing emotional support
B) Managing vital signs
C) Providing patient education
D) Providing personal hygiene

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Page 16
 Chapter 15: Vital Signs
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Sample Questions
Q1) Blood pressure depends on the interrelationships of which of the following? (Select all
that apply.)
A) Cardiac output
B) Peripheral vascular resistance
C) Blood volume
D) Blood viscosity
E) Pulse pressure

Q2) A patient is obese.At the bedside is a standard-size blood pressure cuff.The nurse
realizes that the use of this cuff will provide which of the following?
A) Accurate readings as long as it is 20% of the circumference of the midpoint of the
limb.
B) Indistinct readings if the bladder encircles 80% of the adult's arm.
C) A falsely low reading if the cuff is wrapped too loosely around the arm.
D) Inaccurate readings and needs to be replaced with a larger cuff.

Q3) To determine the patient's actual temperature,the nurse is aware that:

A) the patient's core temperature is not affected by environmental temperature
B) surface temperatures are the most stable
C) circadian rhythms keep the body temperature stable throughout the day.
D) gender and age have no effect on body temperature.

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Page 17
 Chapter 16: Health Assessment and Physical Examination
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Sample Questions
Q1) An older adult African-American woman has gone to the clinic where a RN
volunteers twice a week.She is a diabetic and has some skin breakdown on the calf of
her right leg.Her skin is very darkly pigmented.To best examine the patient's skin,the
nurse should use which of the following?
A) Halogen lighting
B) Artificial warming to increase room temperature
C) Natural sunlight
D) Air conditioning to lower room temperature

Q2) A 47-year-old patient is being treated for hyperthyroidism.When she goes to the
health care provider for a check-up,the nurse in the clinic expects to see which of the
following physical symptoms?
A) Exophthalmos
B) Strabismus
C) Photophobia
D) Diplopia

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Page 18
 Chapter 17: Administering Medications
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Sample Questions
Q1) When a patient's immune system causes abnormal reactions to a medication,the
patient has a(n):
A) medication allergy.
B) anaphylactic reaction.
C) medication interaction.
D) idiosyncratic reaction.

Q2) Unpredictable effects of some medications in which a patient overreacts or

underreacts to a medication or has a reaction different from what is expected are known
as:
A) medication allergies.
B) anaphylactic reactions.
C) medication interactions.
D) idiosyncratic reactions.

Q3) A patient has an order for a subcutaneous injection of insulin.The nurse will prepare
to give this injection into which of the following tissues?
A) Into a large muscle
B) Into the connective tissue beneath the dermis
C) Into a vein using a pump
D) Between the epidermis and dermis

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Page 19
 Chapter 18: Fluid,Electrolyte,and Acid-Base Balances
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Sample Questions
Q1) When a nurse is selecting a vein for IV placement,what is the most appropriate
action?
A) Select a vein that appears to be well dilated.
B) Elevate the extremity to visualize the vein.
C) Tap and rub the vein vigorously with friction.
D) Stroke from proximal to distal above the site.

Q2) Which measurement can the nurse delegate to nursing assistive personnel?
A) Oral fluid intake
B) Intravenous fluid intake
C) Tube drainage output
D) Nasogastric tube intake

Q3) A nurse is caring for a patient who is suffering from kidney failure and is receiving
peritoneal dialysis.The nurse explains that peritoneal dialysis works by instilling a solution
into the abdomen that contains dextrose that will pull extra fluid into the abdominal
cavity.What is the name of this process?
A) Diffusion
B) Osmosis
C) Filtration
D) Active transport

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Page 20
 Chapter 19: Caring in Nursing Practice
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Sample Questions
Q1) A registered nurse who works for an orthopedic unit of an acute care hospital makes
hourly rounds on his patients.He also closes the door and pulls the curtains around the
beds of patients in semiprivate rooms before exposing them for treatments.This is an
example of which of the following behaviors?
A) Human respect
B) Encouraging manner
C) Healing environment
D) Affiliation needs

Q2) The patient was hospitalized with pneumonia.He had always been very healthy and
was concerned that now his family would have to take care of him.During one
conversation the nurse said to him,"This gives the ones who love you a chance to show
you how much they care for you." The comment that the nurse made best demonstrated
which behavior?
A) Human respect
B) Encouraging manner
C) Healing environment
D) Affiliation needs

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Page 21
 Chapter 20: Cultural Awareness
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Sample Questions
Q1) Health disparities are unequal burdens of disease morbidity and mortality rates
experienced by racial and ethnic groups that are often exacerbated by which of the
following? (Select all that apply.)
A) Social status
B) Economics
C) Environment
D) Improved access to health care

Q2) The nurse is attempting to teach a patient how to perform wound care for when he
goes home.Using the "teach back" method the nurse should do which of the following?
A) Repeat the instructions until the patient understands.
B) Present the information and clarify with closed-ended questions.
C) Ask the patient if he understands the instructions.
D) Ask if the patient has any questions about the technique.

Q3) The current focus on promoting a culturally competent health care environment is
on which of the following?
A) The health care provider's efforts to become self-aware
B) The health care provider learning about other cultures
C) Avoiding the systematic provision of care
D) Ensuring that cultural competence is integrated into administrative processes

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Page 22
 Chapter 21: Spiritual Health
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Sample Questions
Q1) A patient has been diagnosed with a terminal disease.Hope may be used effectively
with this type of patient.Nurses can support a patient's use of hope because hope
provides a:
A) system of organized beliefs and worship.
B) belief in a higher power, spirit guide, God, or Allah.
C) cultural connectedness, structure, and guidance in difficult times.
D) motivation to achieve and the resources to use toward that achievement.

Q2) A nurse is caring for a 64-year-old patient who has survived cardiopulmonary
resuscitation after a triple coronary artery bypass graft surgery.To help this patient cope
with this experience,what is the best thing for the nurse to do?
A) Recommend that the patient not discuss the experience with family.
B) Assume that the near death experience was a positive experience.
C) Explain that people who have not had that experience will not understand.
D) Explore what happened with the patient.

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Page 23
 Chapter 22: Growth and Development
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Sample Questions
Q1) A pregnant teenager asks the clinic nurse why she cannot smoke during the first
trimester.Remembering growth and development,what is the nurse's best response?
A) "Smoking is a bad habit, but it probably won't affect the baby."
B) "Smoking may affect organ systems that are beginning to develop."
C) "Smoking will only affect the baby in the third trimester."
D) "Smoking mothers usually produce overweight babies"

Q2) A nurse is caring for a 5-year-old child who is hospitalized for stabilization of
asthma.To provide age-specific care,which of the following is the most appropriate
action by the nurse?
A) Allow the child to handle medical equipment.
B) Have a parental presence at all times.
C) Have the child lie flat and still during procedures.
D) Tell the child as little as possible about expectations and care.

Q3) ______ is the measurable aspect of a person's increase in physical dimensions.

A) Growth
B) Development
C) Maturation
D) The latency stage of development

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Page 24
 Chapter 23: Self-Concept and Sexuality
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Sample Questions
Q1) Reviewing sexuality changes associated with aging is important because:
A) very few older women experience any type of sexual problems.
B) in older men, the penis does not become firm as quickly.
C) ejaculation remains the same throughout life.
D) ejaculation is quicker with aging.

Q2) After a large weight loss a patient tells the nurse,"There still is a fat person inside of
me." This type of statement illustrates a flaw in what self-concept component?
A) Role performance
B) Identity stressor
C) Self-esteem
D) Body image

Q3) The mother of a 7-year-old boy asked the nurse what factors tended to increase
self-esteem in boys.Which of the following is the nurse's best response?
A) Positive family communication supporting the child's self-worth.
B) It does not really matter because self-esteem varies widely throughout life.
C) Avoid situational crises because they lead to permanent changes in self-esteem.
D) Let the child know that it is OK to be incompetent.

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Page 25
 Chapter 24: Family Context in Nursing
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Sample Questions
Q1) When providing care for families,of what should the nurse be aware? (Select all that
apply.)
A) Family hardiness is the internal strength and durability of the family.
B) Resiliency helps to evaluate healthy responses in stressful times.
C) Good health is always highly valued within the family unit.
D) Along-term illness in one family member affects the entire family
E) Family members may be a primary force for coping.

Q2) The cause of family violence is complex and multidimensional.Factors associated

with family violence include which of the following? (Select all that apply.)
A) Stress
B) Peer pressure
C) Psychopathology
D) Learned family behavior
E) Wealth

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Page 26
 Chapter 25: Stress and Coping
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Sample Questions
Q1) A patient telephones a crisis intervention hotline.The nurse assigned to this center
assesses that the patient is experiencing a crisis.What is the most appropriate action for
the nurse to take?
A) Take control of the situation and tell the patient what needs to be done.
B) Define the problem at hand and ensure that the patient is safe.
C) Ask the patient how he would like to handle the crisis and follow through.
D) Ask the patient to list all of his problems and prioritize which to deal with first.

Q2) The nurse is talking to a patient who was involved in a motor vehicle accident.The
patient asks the nurse why there was no sensation of pain at the time of the
accident.The best explanation would be:
A) "Vasopressin was released to decrease pain sensation."
B) "Endorphins are released during a time of stress to reduce pain."
C) "Alcohol reduces the perception of stress when injury occurs."
D) "You probably have chronic high levels of cortisol to help with chronic pain."

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Page 27
 Chapter 26: Loss and Grief
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Sample Questions
Q1) An older extended care resident was dying.The family came to visit,but one of the
great-granddaughters had difficulty accepting the impending death.What is the best
thing that the nurse can do to help her feel more comfortable?
A) Telling her that she probably should not visit if it upsets her so much.
B) Tell her to avoid talking about the past and focus on the present.
C) Ask her if she would like to brush the resident's hair.
D) Ask the family to leave at the end of visiting hours so that they can rest.

Q2) The patient's home has been demolished by a tornado.The patient's spouse and
child were killed and the spouse is in need of a leg amputation.The nurse realizes that
which of the following is true?
A) The patient will deal with his losses using usual coping strategies.
B) A patient's normal coping strategies are always adequate.
C) Patients usually seek new strategies to deal with loss.
D) At the end of life, people still rely on the usual coping strategies.

Q3) Which of the following is true for a patient to receive home hospice care?
A) A primary caregiver must be living in the home.
B) Caregiver support is available 9 AM to 5 PM daily.
C) If the patient goes to the hospital, all prehospital orders are canceled.
D) In the hospital, the home hospice care person must provide personal care.

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Page 28
 Chapter 27: Exercise and Activity
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/7492

Sample Questions
Q1) A small business owner has noted an increase in back injuries at his company in
recent years.During a discussion with an occupational health nurse,knowledge of
statistical information regarding this trend throughout the country is exchanged.The
occupational health nurse explains that the most common back injury is caused by a
strain to which of the following muscle groups?
A) Lumbar
B) Cervical
C) Thoracic
D) Trapezius

Q2) The patient is a 46-year-old woman who is a devout Muslim and who is being
evaluated for weight-loss surgery.One aspect of the comprehensive bariatric program is
that clients begin an exercise program.The patient is self-conscious about her weight
and concerned about maintaining her modesty.Which of the following exercise
programs would be the best choice for the nurse to suggest?
A) A private trainer at a local fitness center
B) An aerobics class at the local YMCA
C) The evening yoga class at a local country club
D) Walking 30 minutes a day at the mall with a friend

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Page 29
 Chapter 28: Safety
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/7493

Sample Questions
Q1) A registered nurse works in a small rural health clinic.During a routine well baby visit,a
new mother questions the need to have her infant immunized.Which of the following is
the best explanation for why it is recommended that her child receive immunizations?
A) "Immunization increases resistance to an infectious disease."
B) "It provides a small amount of a live, strong organism to protect against disease."
C) "Immunization will definitely keep your child well."
D) "It will provide active immunity by providing antibodies to your child."

Q2) A toddler is ready to be discharged home after outpatient surgery.When conducting

a home safety assessment the child's guardian states,"I keep the cleaning supplies
under the sink for easy access,and how soon can the child resume swimming in the
local pond?" Based on this statement,what is the most important safety issue for the
nurse to identify?
A) Standing water in the neighborhood
B) Reasons for outbursts in behavior
C) Storage of cleaning supplies in the house
D) Child's use of safety equipment when riding or skating

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Page 30
 Chapter 29: Hygiene
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/7494

Sample Questions
Q1) An unconscious patient requires mouth care every 2 hours.Before attempting mouth
care,the nurse should first do which of the following?
A) Assess the patient for a gag reflex.
B) Position the patient in a prone position.
C) Have an operational suction machine nearby.
D) Retract the upper and lower teeth with a padded tongue blade.

Q2) The nurse is working on a long-term rehabilitation unit,is providing care for a
46-year-old woman who was the victim of a violent crime and suffered a head
injury.The patient has an endotracheal tube,which is secured with tape.The tape is
crusted with dried secretions.The nurse is providing personal hygiene for the patient and
needs to replace the tape.What is the best way for the nurse to remove the tape?
A) Soak it with warm moist washcloths.
B) Pull it gently away from the skin.
C) Saturate it with denatured alcohol.
D) Soak it with adhesive remover.

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Page 31
 Chapter 30: Oxygenation
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/7495

Sample Questions
Q1) The nurse is admitting a patient with chronic obstructive pulmonary disease
(COPD).During the initial head-to-toe assessment the patient's pulse oximetry reading is
89% on room air.What is the nurse's first priority?
A) Administer oxygen immediately @ 4L/NC.
B) Call the primary health care provider for an order for oxygen.
C) Assist the patient into a recumbent position.
D) Determine the patient's normal pulse oximetry reading.

Q2) A patient with a tracheostomy is experiencing thick and tenacious secretions.To

maintain this patient's airway,what is the most appropriate action for the nurse?
A) Tracheal suctioning
B) Oropharyngeal suctioning
C) Nasotracheal suctioning
D) Orotracheal suctioning

Q3) What is the best indicator the nurse can use to determine the adequacy of a
patient's cardiac output?
A) Stroke volume
B) Myocardial contractility
C) Afterload
D) Cardiac index

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Page 32
 Chapter 31: Sleep
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/7496

Sample Questions
Q1) While making night shift rounds,the nursing assistive personnel become concerned
when a patient stops breathing from 1 to 2 minutes several times during the shift.The
nurse informs the nursing assistive personnel that this condition is known as which of the
following?
A) Cataplexy
B) Insomnia
C) Narcolepsy
D) Sleep apnea

Q2) The long-term care facility nurse is assessing the patient's sleep environment for
safety.Which finding will cause the nurse to intervene as it is an unsafe situation for the
patient?
A) A small night light left on in the bedroom
B) All clutter removed between the bed and the bathroom
C) Bed in high position with side rails up
D) Call bell at the bedside for the patient to alert family members

Q3) Which of the following bedtime snack(s)helps to promote sleep in a patient?

A) Cereal and milk
B) A full meal
C) Chips and cola
D) Coffee and toast

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Page 33
 Chapter 32: Pain Management
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/7497

Sample Questions
Q1) When a person accidentally touches a hot pan,their protective reflex causes them to
immediately withdraw their hand from the hot pan.This protective reflex is known as
which of the following?
A) Transduction
B) Transmission
C) Perception
D) Modulation

Q2) A patient is admitted to the trauma unit with the diagnosis of spinal cord injury
resulting from an ATV accident.The health care provider has diagnosed the patient as a
paraplegic.Which of the following is one of the most important topics for patient
teaching to prevent further injury to the patient?
A) Reminding him that he can be injured and not feel pain below his waist
B) Suggesting that his parents purchase a motorized wheelchair to prevent arm muscle
strain
C) Reminding the patient to decrease fluid intake due to lack of mobility
D) Reminding the patient to drink plenty of fluids to maintain hydration

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Page 34
 Chapter 33: Nutrition
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/7498

Sample Questions
Q1) A 14-year old patient with cancer is concerned about diet,and questions the need for
vitamins to supplement the diet.The patient states,"I don't think my diet alone is
providing the upper intake levels (ULs)of vitamins that I need." What is the best response
from the nurse?
A) "You should try to get your vitamins from food, rather than a supplement."
B) "You should be trying to achieve the recommended dietary allowances (RDA)."
C) "You should compare your diet to the UL for children, not the UL for adults."
D) "You shouldn't worry about vitamins as long as you are getting enough calories."

Q2) A nurse is caring for a patient who is receiving intermittent gravity feedings through
a gastrostomy tube.The patient experiences abdominal discomfort.Which action is best
for the nurse to take?
A) Cool the formula.
B) Readjust the tube.
C) Decrease the administration rate.
D) Increase the concentration of the formula.

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Page 35
 Chapter 34: Urinary Elimination
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/7499

Sample Questions
Q1) A 34-year-old patient is being seen in the ED for complaints of severe flank pain
lasting for 2 days.The ED physician suspects that the patient has hydroureter.Which of
the following tests would the nurse expect the health care provider to order?
A) KUB (kidney, ureter, bladder) radiography
B) IVP (intravenous pyelogram)
C) Endoscopy
D) Ultrasound renal bladder

Q2) A patient with a Foley catheter needs a urine sample for culture and sensitivity.What
is the most appropriate action for the nurse to take?
A) Disconnect the drainage tube from the catheter.
B) Open the drainage bag and withdraw urine.
C) Withdraw urine from the closed system drainage bag.
D) Insert a sterile blunt cannula in the catheter port to withdraw urine.

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Page 36
 Chapter 35: Bowel Elimination
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/7500

Sample Questions
Q1) The health care provider orders a patient to have a fecal occult blood test.To obtain
an accurate result,the nurse instructs the patient to do which of the following?
A) Submit one sample for analysis.
B) Take extra amounts of vitamin C supplements.
C) Stop taking aspirin 14 days prior to the beginning of the test.
D) Refrain from ingesting red meats for 3 days before testing.

Q2) Which of the following conditions could affect the function of the digestive process?
(Select all that apply.)
A) Increase in mobility
B) Diagnostic testing
C) Increase in nutrition
D) Medications
E) Increase in fluid intake
F) Surgery

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Page 37
 Chapter 36: Immobility
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Patients on prolonged bed rest are at risk for a deep vein thrombosis.Which
information indicates the nurse needs more teaching about the factors in Virchow's
triad?
A) One of the factors is loss of integrity of the vessel wall.
B) One of the factors is abnormalities of blood flow.
C) One of the factors is alterations in blood constituents.
D) One of the factors is atrophy of the muscles.

Q2) A student nurse is caring for a young adult patient who is immobile with a back
injury.On auscultation,the student nurse hears rhonchi in the lower lobes.The student
nurse reports this symptom because the patient is developing which complication?
A) Increased lung expansion
B) Hypostatic pneumonia
C) Aspiration pneumonia
D) Increased diuresis

Q3) Which patient is most at risk for developing a urinary tract infection?
A) Teenage comatose patient on a ventilator lying supine
B) Middle-age adult after abdominal surgery sitting in a chair
C) Elderly adult with Alzheimer disease who is wandering at night
D) Middle-age adult postcardiac catheterization being discharged home

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Page 38
 Chapter 37: Skin Integrity and Wound Care
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/7502

Sample Questions
Q1) A postoperative abdominal surgery patient has been admitted to the surgical
floor.The nurse is aware that wound healing is delayed owing to complications.Which
conditions would prevent normal wound healing at the surgical site? (Select all that
apply.)
A) Dehiscence
B) Evisceration
C) Erythema and edema at the suture site
D) Hemostasis
E) Hemorrhage

Q2) A postoperative patient visits the ambulatory care clinic complaining of just "not
feeling well." The patient has an elevated temperature.Which assessment finding should
indicate to the nurse that the wound has become infected?
A) Negative culture
B) No odor
C) Presence of fluid around the edges
D) Purulent drainage coming from the incision area

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Page 39
 Chapter 38: Sensory Alterations
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/7503

Sample Questions
Q1) A home care nurse is conducting a home assessment.The nurse is looking for the
presence of sensory alterations.Factors to assess include if any changes have occurred
in which of the following? (Select all that apply.)
A) Activities of ADLs
B) Health promotion
C) Has person had visitors
D) Is person wearing hearing aids and glasses
E) Ability to follow a conversation

Q2) A 63-year-old welder who has gone to the clinic for an annual checkup.The patient
shares a concern regarding difficulty hearing conversations at the coffee shop in the
mornings.After looking in his ears to determine if there is a build-up of cerumen,the
nurse tells the patient that the hearing loss may be associated with his occupation or it
may be associated with aging.The nurse is aware that hearing loss associated with the
aging process is known as which of the following?
A) Tinnitus
B) Ménière's disease
C) Presbycusis
D) Presbyopia

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Page 40
 Chapter 39: Surgical Patient
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/7504

Sample Questions
Q1) The nurse instructs the postoperative patient to perform leg exercises every hour in
order to do which of the following?
A) Maintain muscle tone.
B) Increase venous return.
C) Exercise fatigued muscles.
D) Assess range of joint motion.

Q2) A patient asks a nurse to explain the differences between general anesthesia and
regional anesthesia.What is the correct response relating to general anesthesia?
A) "General anesthesia inhibits peripheral nerve conduction."
B) "Under general anesthesia all sensation and consciousness is lost."
C) "Under general anesthesia there is a loss of sensation in a specific area of the body."
D) "General anesthesia is routinely used for procedures that only require a decreased
level of consciousness."

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Page 41