Nursing Concepts Midterm Exam

https://quizplus.com/study-set/169
42 Chapters
1050 Verified Questions
 Nursing Concepts
Midterm Exam
Course Introduction
Nursing Concepts introduces students to the foundational principles and core values

that underpin professional nursing practice. The course explores key topics such as

patient-centered care, safety, clinical decision-making, communication, and

evidence-based practice. Emphasis is placed on understanding the ethical, legal, and

cultural considerations in nursing, as well as the development of critical thinking and

problem-solving skills essential for quality patient care. Through theoretical learning and

practical application, students gain insights into the evolving roles and responsibilities of

nurses within diverse healthcare settings.

Recommended Textbook
Fundamentals of Nursing Active Learning for Collaborative Practice 1st Edition by Yoost

Available Study Resources on Quizplus

42 Chapters
1050 Verified Questions
1050 Flashcards
Source URL: https://quizplus.com/study-set/169

Page 2
 Chapter 1: Nursing, Theory, and Professional Practice
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2176

Sample Questions
Q1) The nurse documents that patient laboratory results often take 4 hours to populate
into the electronic medical record. The lengthy time frame has contributed to delayed
antibiotic administration. From this point, what should the nurse do to produce change
using the evidence-based process? (Select all that apply.)
A)Assess the need for change and identify a problem.
B)Reconstruct the information into an answerable question.
C)Review pertinent journal articles from the literature search.
D)Apply the findings to clinical practice through collaboration.
Answer: B, C, D

Q2) The nurse is delegating frequent blood pressure (BP) measurements for a patient
admitted with a gunshot wound to a licensed practical nurse (LPN). When delegating,
the nurse understands that:
A) He/she may assume that the LPN is able to perform this task appropriately.
B) The LPN is ultimately responsible for the patient findings and assessment.
C) The LPN may perform the tasks assigned without further supervision.
D) He/she retains ultimate responsibility for patient care and supervision is needed.
Answer: D

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

Page 3
 Chapter 2: Values, Beliefs, and Caring
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2177

Sample Questions
Q1) Touch is the intentional physical contact between two or more people. It occurs so
often in patient care situations that it has been deemed to be an essential and universal
component of nursing care. Task-oriented touch occurs when the nurse: (Select all that
apply.)
A) holds the patient's hand during a painful procedure.
B) gives the patient an injection to treat discomfort.
C) starts an intravenous (IV) line for fluid administration.
D) inserts a nasogastric tube to decompress the patient's stomach.
E) shakes the patient's hand in order to establish rapport.
Answer: B, C, D

Q2) The nurse on a busy medical-surgical floor contacts a social worker requesting a
home care referral prior to a patient's discharge. This action is best illustrated by which
of Swanson's Five Caring Processes?
A) Enabling
B) Knowing
C) Doing For
D) Being with
E) Maintaining Belief
Answer: A

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

Page 4
 Chapter 3: Communication
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2178

Sample Questions
Q1) The nurse is caring for a patient with chronic lung disease. The patient demands a
cigarette after eating breakfast. The nurse responds, "If that was me, I wouldn't be asking
for a cigarette. That is what has made you so sick in the first place." This nontherapeutic
communication response is an example of:
A) changing the subject.
B) giving advice.
C) a stereotypical response.
D) defensiveness.
Answer: B

Q2) A nurse has been working with a patient for the entire shift. Which action by the
nurse is unacceptable?
A) Sharing a personal mobile phone number
B) Touching the patient's hand during a painful procedure
C) Standing 6 feet away from the patient when conversing
D) Using the SBAR method of hand-off communication
Answer: A

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

Page 5
 Chapter 4: Critical Thinking in Nursing
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2179

Sample Questions
Q1) The nurse is reviewing the last 3 days of a patient's pain history and notes that the
pain level has remained constant. The nurse validates the pain level with the patient and
decides to contact the physician for further orders. In this scenario the nurse is using the
process of:
A) decision making.
B) reasoning.
C) problem solving.
D) judgment.

Q2) The nurse is taking an advanced cardiac life support (ACLS) recertification class. As
part of that class, the nurse, and other nurses in the group, rotates responsibilities during
multiple mock code exercises simulating cardiac arrest scenarios. The process of
assigning nurses to different responsibilities is known as:
A) concept mapping.
B) simulation.
C) role playing.
D) literature review.

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

Page 6
 Chapter 5: Introduction to the Nursing Process
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2180

Sample Questions
Q1) The nursing student is caring for a patient admitted with severe anemia. The patient
receives two units of packed red blood cells and tells the student, "I am feeling so much
better. I'm not so tired anymore and can bathe myself." The student reviews the patient
goal "report an increase in activity tolerance" and concludes that the patient's goal has
been met and adjusts the patient's plan of care. This is an example of nursing process:
A) organization.
B) dynamics.
C) adaptability.
D) collaboration.

Q2) Which of the following statements would be considered objective data? (Select all
that apply.)
A) "I'm short of breath."
B) "Blood pressure 90/68, apical pulse 102, skin pale and moist."
C) "Lung sounds clear bilaterally, diminished in right lower lobe."
D) "I feel weak all over when I exert myself."
E) "My pain level is down to 2. It was 8."

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

Page 7
 Chapter 6: Assessment
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2181

Sample Questions
Q1) The patient interview consists of three phases: orientation (introductory), working,
and termination. Each phase contributes to the development of trust and engagement
between the nurse and the patient. During the orientation phase of the interview, the
nurse should:
A) obtain demographic data using open-ended questions.
B) establish the name by which the patient prefers to be addressed.
C) gather general information using closed-ended questions.
D) stand by the bedside to ask the needed questions.

Q2) The nurse is admitting a patient for uncontrolled diabetes mellitus. The nurse
suspects that the patient could benefit from diabetic teaching. To corroborate her
suspicion, during the patient interview the nurse: (Select all that apply.)
A) determines the patient's cognitive ability and potential language barriers.
B) gathers information about what the patient already knows about diabetes.
C) Attempts to determine the need for referrals and education.
D) Formulates the patient's plan of care using a standard protocol.
E) Prepares to teach the patient using materials written at a third-grade level.

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

Page 8
 Chapter 7: Nursing Diagnosis
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2182

Sample Questions
Q1) North American Nursing Diagnosis Association International (NANDA-I) is an
organization focusing on revising nursing diagnosis taxonomy and evaluates nursing
research to validate the diagnostic labels. The NANDA-I taxonomy and new nursing
diagnoses are published every:
A) 2 years.
B) 3 years.
C) 4 years.
D) 5 years.

Q2) The nurse is caring for a patient admitted to the psychiatric unit as a result of an
overdose of cocaine. Which nursing diagnosis indicates an understanding of a nursing
diagnostic statement? (Select all that apply.)
A) Ineffective breathing pattern related to drug effect on the respiratory center
B) Risk for injury related to hallucinations
C) Insomnia
D) Chronic confusion related to excessive stimulation of nervous system as evidenced
by impaired socialization
E) Personality conflict

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

Page 9
 Chapter 8: Planning
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2183

Sample Questions
Q1) The nurse is formulating the patient's care plan. In determining when to evaluate the
patient's progress, the nurse is aware that evaluations:
A) must be done at the end of every shift.
B) should be done at least every 24 hours.
C) depend on intervention and patient condition.
D) are always done at time of discharge.

Q2) The nurse is accurate when stating that adequate discharge planning:
A) "May decrease the incidence of patients required to return to the hospital."
B) "Increases complications and readmissions in most cases."
C) "Adapts to the situation as the patient's conditions changes."
D) "Should begin as soon as the patient is discharged home."

Q3) An example of a measurable goal would be:

A) "The patient will be able to lift 10 lb by the end of week one."
B) "The patient will be able to lift weights by the end of the week."
C) "The patient will be able to lift his normal weight amount."
D) "The patient will be able to life an acceptable amount of weight by week one."

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

Page 10
 Chapter 9: Implementation and Evaluation
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2184

Sample Questions
Q1) Repositioning a patient, providing hygiene, and active listening are examples of:
A) dependent interventions.
B) independent nursing interventions.
C) standing orders.
D) counseling.

Q2) The nurse correctly identifies which one of the following referrals as an inappropriate
nursing referral?
A) Music therapist
B) Community agencies
C) Adaptive care services
D) Dermatologist

Q3) Of the following skills, which is considered an invasive procedure? (Select all that
apply.)
A) Administering oral medications
B) Starting an intravenous (IV) line
C) Repositioning the patient.
D) Inserting a urinary catheter.

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

Page 11
Chapter 10: Documentation, Electronic Health Records, and

Reporting
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2185

Sample Questions
Q1) PIE, APIE, SOAP, and SOAPIE are:
A) chronologic.
B) examples of problem-oriented charting.
C) narrative charting.
D) forms of "charting by exception."

Q2) Nursing documentation is guided by:

A) the Nursing process
B) the North American Nursing Diagnosis Association (NANDA) diagnoses.
C) Nursing Interventions Classification.
D) Nursing Outcomes Classification

Q3) The nurse is charting in the paper medical record. She should:
A) print his/her name since signatures are often not readable.
B) not document her credentials since everyone knows that she is a nurse.
C) skip a line, leaving a blank space, between entries so that it looks neater.
D) use black ink unless the facility allows a different color.

Q4) The use of electronic health records:

A) improves patient health status.
B) requires a keyboard to enter data.
C) has not been shown to reduce medication
Page errors.
12
D) requires increased storage space.

To view all questions and flashcards with answers, click on the resource link above.
 Chapter 11: Ethical and Legal Considerations
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2186

Sample Questions
Q1) The nurse frequently cares for patients who are nearing the end of life. A strategy
that is designed to prolong the time of death rather than restoring life is:
A) establishing a do-not-resuscitate (DNR) order.
B) adherence to living will requests.
C) removal of extraordinary measures already in place.
D) continuance of futile care.

Q2) Each state has a nurse practice act that establishes the standards of care required
for legal nursing practice. In order to protect herself/himself from litigation, the nurse
should understand that:
A) laws create liability issues for nurses.
B) licensure laws are devised to protect the nurse.
C) the nurse is not responsible for other disciplines' mistakes.
D) keeping current with changing laws can protect the nurse.

Q3) Which of the following nurses has committed a serious documentation error?
A) Susan documents all medications for her patients prior to administration.
B) Jim documents medication administration as the medications are given.
C) Jane documents assessments as they are completed.
D) Jon documents meal intake as he picks up meal trays.

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

Page 13
 Chapter 12: Leadership and Management
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2187

Sample Questions
Q1) The nurse manager of a unit is sharing the most recent results of a patient
satisfaction survey to motivate staff. This nurse manager is a
_________________leader.
A) Transformational
B) Transactional
C) Situational
D) Autocratic

Q2) Which of the following has been done improperly?

A) The UAP re-delegates vital signs to the student nurse.
B) The RN delegates assistance with bathing to the student nurse.
C) The RN delegates monitoring of intake and output to the UAP.
D) The RN delegates assistance with mobility to the UAP.

Q3) The unit charge nurse uses reward and punishment to gain the cooperation of the
nurses assigned to the unit. What type of leader is this charge nurse?
A) Transformation
B) Autocratic
C) Transactional
D) Situational

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

Page 14
Chapter 13: Evidence-Based Practice and Nursing Research
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2188

Sample Questions
Q1) A Magnet hospital is characterized by: (Select all that apply.)
A) excellent medical outcomes.
B) a high level of nursing job satisfaction.
C) a low number of grievances.
D) nursing care leading excellent patient outcomes.
E) a high nurse turnover rate.

Q2) In researching the effectiveness of an antihypertensive medication, the nurse knows

that the medication would be the _________________ variable and the person's
blood pressure would be the ____________________ variable.
A) dependent, independent
B) independent, dependent
C) treatment, controlled
D) controlled, treatment

Q3) The American Nurses Association (ANA) standards of professional performance

require nurses to use research findings in practice. This means that nurses:
A) need to regulate their practice according to the latest journal articles.
B) nurses need to use the best available evidence to guide practice decisions.
C) nurses only need to participate in research while in advanced practice.
D) may use evidence-based practice to develop procedures but not policies.

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

Page 15
 Chapter 14: Health Literacy and Patient Education
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2189

Sample Questions
Q1) In addressing patient education, the nurse recognizes that patient education is a
process involving: (Select all that apply.)
A) assessment.
B) diagnosis.
C) planning.
D) implementation and evaluation.
E) reliance on evidence-based practice (EBP).

Q2) The nurse is preparing to teach a 90-year-old patient. In teaching an elderly patient,
the nurse realizes that:
A) most elderly patients are highly literate.
B) cognitive abilities always decline with age.
C) sensory alterations often occur with aging.
D) teaching methods are the same as for the middle aged.

Q3) The nurse is preparing to provide preoperative teaching to a patient who is deaf. To
ensure proper learning, the nurse may:
A) use printed materials.
B) provide unamplified recorded materials.
C) use a family member to interpret.
D) place an interpreter behind the patient.

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

Page 16
 Chapter 15: Nursing Informatics
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2190

Sample Questions
Q1) The hospital has recently implemented computer charting. The computerization of
nursing practice:
A) enhances and increases the time spent on documentation.
B) makes patient data immediately available to the health care team.
C) makes retrieval of data more difficult but safer.
D) is enhanced by limiting the use of point-of-care technology.

Q2) The home health nurse provides care for a patient with congestive heart failure.
Daily the patient weighs himself and takes his own temperature, pulse, respirations and
blood pressure. That information is sent as electronic data to the patient's physician and
nurse daily to make adjustments to the plan of care as indicated. This is an example of:
A) telehealth nursing.
B) computerized decision support system (DSS).
C) computerized provider order entry (CPOE).
D) point of care technology.

Q3) When using electronic medical records (EMR), the nurse knows that the EMR:
A) holds the documentation of a single episode of care.
B) is a longitudinal record of care for each patient.
C) is widely used for individual health care encounters.
D) includes progress notes for all disciplines.

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

Page 17
 Chapter 16: Health and Wellness
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2191

Sample Questions
Q1) When considering factors influencing health and the impact of illness, specifically
age, the nurse would correctly identify which patient as having the greatest risk?
A) A 47-year-old man
B) A 23-year-old woman
C) a 10-year-old girl
D) an 85-year-old woman

Q2) The nurse correctly recognizes which one of the following illnesses to trigger the
broadest range of emotional and behavioral responses?
A) Ear infection
B) Mild concussion
C) Rheumatoid arthritis
D) Influenza

Q3) The nursing goal for all individuals and their families seeking preventive care is to
have individuals and families:
A) take responsibility for their health and wellness.
B) abandon the use of electronic educational media.
C) make lifestyle changes after diseases occur.
D) use temporary changes until the danger has passed.

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

Page 18
 Chapter 17: Human Development: Conception through

Adolescence
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2192

Sample Questions
Q1) The nurse is caring for a patient that is actively trying to conceive a child but
continues to drink alcohol. The patient states that she'll stop drinking once she is
pregnant. What is the most appropriate response by the nurse?
A) "Abstaining is best since most fetal development occurs before you realize you are
pregnant."
B) "Small amounts of alcohol are safe at any time during pregnancy."
C) "Things will be okay if you quit drinking alcohol once you know you are pregnant."
D) "Alcohol use should be avoided early in pregnancy but is acceptable past week 20."

Q2) A nurse is assessing an adolescent female who began menstruating 2 years ago.
She has grown 1/2 inch in the last 2 years but has not gained any weight. What action by
the nurse is most appropriate?
A) Ask the teen to provide a 24-hour diet recall.
B) Talk to the teen about healthy dietary practices.
C) Reassure the teen she will have a growth spurt soon.
D) Collaborate with the provider for endocrine testing.

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

Page 19
 Chapter 18: Human Development Young Adult to Older

Adult
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2193

Sample Questions
Q1) A nurse is obtaining a history from a 37-year-old patient. What statement by the
patient indicates that he has met the age-appropriate developmental task according to
Gould?
A) Patient describes moving out of his parents' house into an apartment.
B) Patient reminisces about past life events and accomplishments.
C) Patient questions his life choices such as profession and decision not to marry.
D) Patient expresses satisfaction in having his own family and successful career.

Q2) A young adult asks the nurse why she should participate in health screening and
educational events. What response by the nurse is best?
A) "Your choices now affect your future health."
B) "It's free and full of good information."
C) "Wouldn't you want to know if you had a problem?"
D) "You can change bad habits now if you know about them."

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

Page 20
 Chapter 19: Vital Signs
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2194

Sample Questions
Q1) The nurse understands that which factors can increase blood pressure? (Select all
that apply.)
A) Head injury
B) Decreased fluid volume
C) Increasing age
D) Recent food intake
E) Pain

Q2) The nurse is delegating taking vital signs to an unlicensed assistive personnel (UAP).
What instructions does the nurse provide the UAP? (Select all that apply.)
A) "Let me know if Mr. Smith's blood pressure is low."
B) "Take Mrs. Jones' blood pressure every 15 minutes."
C) "Call me if Ms. Walsh's systolic blood pressure drops to under 100 mm Hg."
D) "Do you want me to demonstrate using the electronic blood pressure cuff?"
E) "I'll take Mr. Derby's blood pressure since he is not stable."

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

Page 21
 Chapter 20: Health History and Physical Assessment
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2195

Sample Questions
Q1) A nurse is assisting a patient who is having an examination of the female genitalia.
What action by the nurse is best?
A) Get the provider; assist patient into lithotomy position.
B) Assist the patient into lithotomy position; get the provider.
C) Get the provider; assist patient into Sims position.
D) Assist the patient into Sims position; get the provider.

Q2) The nurse examining a patient's skin correlates which conditions with which
underlying pathology? (Select all that apply.)
A) Albinism: Full-thickness burns
B) Peripheral cyanosis: poor circulation
C) Purpura: clotting disorders
D) Jaundice: liver disease
E) Vitiligo: skin infestation

Q3) The student nurse asks if it matters whether a healthy eye or a diseased eye should
be examined first. What response by the faculty is best?
A) Diseased eye first because it is the priority
B) Healthy eye first to prevent spread of disease
C) It does not matter as long as both eyes are examined
D) Start with the eye the patient wants you to start with

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

Page 22
 Chapter 21: Ethnicity and Cultural Assessment
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2196

Sample Questions
Q1) The nurse is using Giger and Davidhizar's Transcultural Assessment Model to gain
information about a patient from an unfamiliar culture. What questions does the nurse
ask that are relevant to this mode? (Select all that apply.)
A) "Who would you like present to help answer questions?"
B) "What do you believe caused your current illness?"
C) "How important is planning for the future to you?"
D) "Why don't you want to shake my hand?"
E) "What activities would you do to control your health?"

Q2) What does the nursing student learn about race?

A) It is biologically based.
B) It is a social construct.
C) It is chosen by the person.
D) It helps establish superiority.

Q3) A nurse is caring for a refugee patient who wants the community shaman to
perform a healing ritual at the bedside. What action by the nurse is best?
A) Work with the patient to allow the shaman to perform the ritual.
B) Investigate whether the ritual will harm the patient.
C) Check to see if the ritual breaks laws or policies.
D) Offer to call the hospital chaplain instead.

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

Page 23
 Chapter 22: Spiritual Health
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2197

Sample Questions
Q1) The nursing student learns which facts about religion and spirituality? (Select all that
apply.)
A) Spirituality focuses on the meaning of life to people.
B) Religion and spirituality are mutually exclusive.
C) Religion implies an organized way of worship.
D) Religion provides the structure by which to understand spirituality.
E) Spirituality is an individual practice that does not include others.

Q2) A patient has the nursing diagnosis Spiritual Distress. What assessment by the
patient best indicates that an important goal has been met?
A) Observed praying quietly
B) Indecisive about treatment
C) Asks nurse if God exists
D) Executes living will

Q3) A nurse is concerned about not consistently meeting the spiritual needs of patients.
What action by the nurse is best?
A) Care for own spiritual needs
B) Begin a meditation practice
C) Consult the chaplain
D) Read books on the subject

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

Page 24
 Chapter 23: Public Health, Community Base, and Home

Health Care
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2198

Sample Questions
Q1) The student studying community health nursing learns that vulnerable populations
can be best assisted by which activity?
A) Researching their genetic risk for health problems
B) Working with the community to decrease health risks
C) Studying vital statistics to determine their causes of death
D) Making sure the population maintains immunizations

Q2) The student nurse learns the ANA's Scope and Standards of Practice for public health
nursing include which of the following? (Select all that apply.)
A) Ethical practice
B) Conducting research
C) Ethical behavior
D) Responsible resource use
E) Advocacy

Q3) A nurse is planning primary prevention activities. Which activity would the nurse
include in this plan?
A) Safer sex education for teens
B) Mammogram screening
C) Medication compliance
D) Annual physical exams
Page 25
To view all questions and flashcards with answers, click on the resource link above.
 Chapter 24: Human Sexuality
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2199

Sample Questions
Q1) A nurse is caring for a victim of domestic violence. What charting by the nurse is
most appropriate?
A) Patient allegedly beat up by her boyfriend.
B) Patient has several bruises on the legs.
C) Patient states, "My boyfriend hit me with a hammer."
D) Patient claims she was assaulted last night.

Q2) A parent confides to the nurse that the parent's 3-year-old son seems to be
touching his genitals frequently. What response by the nurse is best?
A) "This is normal behavior at his age."
B) "Why do you think he is doing that?"
C) "Does he complain of burning with urination?"
D) "I'd ignore that behavior; it's attention-seeking."

Q3) A patient states, "I just don't conform to my gender role." What does the nurse
understand about this statement?
A) The patient is a homosexual.
B) The patient's behaviors are abnormal.
C) The patient's actions differ from what is expected.
D) The patient is having a gender crisis.

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

Page 26
 Chapter 25: Safety
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2200

Sample Questions
Q1) The nurse is working with a student nurse to teach her about restraint use in patients.
Which statement by the student nurse indicates a learning need regarding restraints?
A) "Having all four side rails up on the bed is considered a restraint."
B) "The use of restraints has been shown to decrease fall-related injuries."
C) "Death has been associated with the use of restraints."
D) "Medications administered to control behavior are considered a chemical restraint."

Q2) The nurse knows that which of the following patients has a teaching need based on
statements by the patient or the patient's parents?
A) "My 6-month-old daughter only sleeps with me when she's ill."
B) "I do not put pillows in the bed with my 3-month-old son."
C) "I do not feed popcorn to my 2-year-old."
D) "I have discussed the risks of the 'choking game' with my 16-year-old."

Q3) The nurse knows that which of the following is an appropriate way to tie restraints?
A) Knot tied to the bed frame
B) Quick-release knot tied to the side rail
C) Bow tied to the bed frame
D) Quick-release knot tied to the bed frame

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

Page 27
 Chapter 26: Asepsis and Infection Control
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2201

Sample Questions
Q1) The antigen-antibody reaction is an example of what type of immunity?
A) Humoral
B) Cellular
C) Innate
D) Passive

Q2) The nurse is planning care for an elderly patient. The nurse recognizes the patient is
at risk for respiratory infections based on which factors? (Select all that apply.)
A) Decreased cough reflex
B) Decreased lung elasticity
C) Increased activity of the cilia
D) Abnormal swallowing reflex
E) Increased sputum production

Q3) The second line of defense that leads to local capillary dilation and leukocyte
infiltration is known as:
A) normal flora.
B) inflammatory response.
C) immune response.
D) humoral immunity.

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

Page 28
 Chapter 27: Hygiene and Personal Care
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2202

Sample Questions
Q1) The nurse is providing care to a post-stroke patient on the rehabilitation floor with a
nursing diagnosis of hygiene self-care deficit. Which goal is most appropriate on day
one?
A) Patient will ambulate independently twice a day.
B) Patient will perform all of own ADLs.
C) Patient will consume 75% of all meals.
D) Patient will begin to perform 50% of own ADLs.

Q2) The nurse is asked to shave a patient that is taking Coumadin. What is the most
appropriate action?
A) Refuse to shave the patient because he is on an anticoagulant.
B) Shave as usual with a safety razor.
C) Offer to wax rather than shave the patient.
D) Use an electric razor.

Q3) Which member of the collaborative team is most appropriate to cut the toenails of a
diabetic patient?
A) Nurse
B) Physical therapist
C) Occupational therapist
D) Podiatrist

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

Page 29
 Chapter 28: Activity, Immobility, and Safe Movement
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2203

Sample Questions
Q1) The nurse is performing passive range-of-motion exercises on his patient when the
patient begins to complain of pain. What is the first thing the nurse should do?
A) Notify the health care provider.
B) Hyperextend the joint.
C) Stop the range of motion.
D) Switch to active range of motion.

Q2) An appropriate goal for the patient who is postoperative day one from abdominal
surgery and on bed rest with the nursing diagnosis Impaired skin integrity is:
A) the patient will ambulate twice a day.
B) the patient will eat 50% of meals.
C) the patient will have no further skin breakdown.
D) the patient will interact with others.

Q3) The nurse correctly teaches the patient to rise from a chair using crutches when the
following interventions are used:
A) Patient starts from the back of the chair.
B) The weak leg is closest to the chair.
C) The hand on the strong side holds the handbar of the crutch.
D) The strong leg is closest to the chair.

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

Page 30
 Chapter 29: Skin Integrity and Wound Care
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2204

Sample Questions
Q1) The nurse knows that the cause of pressure ulcers includes the following factors:
(Select all that apply.)
A) Intensity of the pressure
B) Duration of the pressure
C) The tissue's ability to tolerate the pressure
D) The person's age
E) None of the above

Q2) The nurse is delegating care of a patient with a chronic nonsterile wound to a UAP.
The delegation is inappropriate if:
A) the nurse asks the UAP to assess the wound.
B) the nurse asks the UAP to report increased wound drainage.
C) the nurse asks the UAP to observe changes in dietary intake.
D) the nurse asks the UAP to change the dressing.

Q3) The nurse knows a stage III pressure ulcer is:

A) a pressure ulcer that involves exposure of bone and connective tissue.
B) a pressure ulcer that does not extend through the fascia.
C) a pressure ulcer that does not include tunneling.
D) a partial-thick wound that involves the epidermis.

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

Page 31
 Chapter 30: Nutrition
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2205

Sample Questions
Q1) The nurse is attempting to open an occluded PEG tube. Which of the following
interventions requires re-education?
A) Flush the tube with a small amount of air
B) Flush the tube using a 50- to 60-mL syringe and 20 to 30 mL of warm water.
C) Reinsert the stylet to break up the clot.
D) Flush the tube with a carbonated beverage.

Q2) The nurse is caring for a patient who is receiving total parenteral nutrition (TPN). The
nurse knows she should change the tubing every:
A) 72 hours.
B) 48 hours.
C) 24 hours.
D) 12 hours.

Q3) The nurse is explaining to the UAP that the patient is on a full-liquid diet. Which
statement by the UAP indicates a need for reorientation?
A) "I can give the patient orange juice."
B) "I can give the patient yogurt."
C) "I can give the patient oatmeal."
D) "I can give the patient milk."

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

Page 32
 Chapter 31: Cognitive and Sensory Alterations
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2206

Sample Questions
Q1) A nurse is caring for a patient with a stroke that has impacted her ability to see.
Which area of the brain was likely impacted by the stroke that is responsible for visual
function?
A) Parietal lobes
B) Frontal lobes
C) Occipital lobes
D) Temporal lobes

Q2) The nurse is delegating care to an unlicensed assistive personnel (UAP) to a patient
who has sensory overload. Which statement by the UAP indicates a need for further
orientation?
A) "I should keep the noise levels low."
B) "I should schedule all the care together."
C) "I should keep the room well lit."
D) "I should allow the family to visit."

Q3) An appropriate goal for a patient with a diagnosis of social isolation is:
A) the patient will participate in cognitive exercises.
B) the patient will interact with other residents during activities.
C) the patient will communicate basic needs through use of photos.
D) the patient will remain within the unit while in long-term care.

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

Page 33
 Chapter 32: Stress and Coping
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2207

Sample Questions
Q1) The nurse is seeing a patient during a follow-up visit after discharge in which the
patient had a nursing diagnosis of Ineffective coping. Which statement by the patient
would be a cause for concern?
A) "I am sleeping better most nights."
B) "I feel less anxious."
C) "I do not need to do the relaxation exercises anymore."
D) "I am continuing my exercises every day."

Q2) The nurse is caring for a patient who is undergoing a major cardiac procedure. The
patient tells you her heart is racing and she feels nauseated. You know this is part of
hormone response known as:
A) sense of coherence.
B) stress appraisal.
C) fight or flight.
D) sympathoadrenal response.

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

Page 34
 Chapter 33: Sleep
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2208

Sample Questions
Q1) The nurse is performing an assessment of the patient's sleep patterns. Which
question will elicit the best response?
A) "Do you feel rested when you awaken?"
B) "What is your normal eating pattern?"
C) "Do you awaken during the night?"
D) "Do you drink beverages with caffeine?"

Q2) The nurse is providing discharge education for a patient with restless leg syndrome.
The following statement by the patient indicates a need for further education:
A) "I should avoid all caffeine."
B) "I can using leg massage and knee bends."
C) "Taking magnesium supplements may be helpful."
D) "Taking a walk regularly may be helpful."

Q3) The nurse is educating a patient about taking measures to help avoid disruption to
the circadian rhythm. The following statement by the patient indicates a need for further
education:
A) "I know the circadian rhythm influences biological functions."
B) "I know the circadian rhythm exists only in humans."
C) "I know the sleep-wake circadian rhythm is impacted by the light-dark cycle."
D) "The most familiar circadian rhythm is the day-night 24-hour cycle."

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

Page 35
 Chapter 34: Diagnostic Testing
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2209

Sample Questions
Q1) The nurse is caring for a patient who has a bleeding gastric ulcer. How will the nurse
expect the patient's stool to appear?
A) Soft and formed with bright red streaks
B) Watery with particles of undigested food
C) Sticky and black with strong foul odor
D) Hard lumps that are difficult to pass

Q2) The nurse is caring for a patient who states that he has been taking his medications
and following his diabetic diet carefully. Which test result indicates to the nurse that the
patient has not been compliant with the treatment plan?
A) Hemoglobin A_\({1C}\) 16%
B) Random blood sugar (RBS) 112 mg/dL
C) Lactate dehydrogenase (LDH) 55 units/L
D) Erythrocyte sedimentation rate (ESR) 14 mm/hr

Q3) The nurse is caring for a patient who recently had a liver biopsy. To whom must the
nurse give the results?
A) The patient
B) The patient's physician
C) The patient's insurance provider
D) The patient's spouse

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

Page 36
 Chapter 35: Medication Administration
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2210

Sample Questions
Q1) The nurse is to administer 15 mg of morphine liquid to the patient. How much
morphine liquid will the nurse draw up to administer to the patient? Morphire sulfate oral
solution
(CONCENTRATE)
\(100 \mathrm { mg } / 5 \mathrm {~mL}\)
(20 mg/mL)
CII Px only
A) 0.5 mL
B) 0.75 mL
C) 1.3 mL
D) 1.5 mL

Q2) The nurse administers a medication to the patient. Which symptoms indicate that
the patient is having an allergic reaction rather than a side effect?
A) Hair loss and sweaty skin
B) Nausea and constipation
C) Heartburn and nasty taste in the mouth
D) Itchy rash and difficulty breathing

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

Page 37
 Chapter 36: Pain Management
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/2211

Sample Questions
Q1) What is the priority nursing assessment for a patient who his receiving postoperative
epidural analgesia with hydromorphone (Dilaudid)?
A) Respiratory rate, depth, and pattern
B) Skin underneath the epidural dressing
C) Bladder scanning to check for urinary retention
D) Itching on the trunk and/or extremities

Q2) The nurse is caring for a patient who only speaks a foreign language. What is the
best method for the nurse to assess the patient's pain level?
A) Perform a pain assessment using a translator.
B) Check the patient's vital signs and pulse oximetry.
C) Check the patient's respiratory rate, depth, and rhythm.
D) Look to see if the patient appears to be resting comfortably.

Q3) Which patient is best suited for PCA analgesia?

A) A patient who is confused after a head injury
B) A patient recovering from total hysterectomy surgery
C) A patient who has severe psychogenic pain
D) A patient with arthritis who is unable to push the nurse call button

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

Page 38
 Chapter 37: Perioperative Nursing Care
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2212

Sample Questions
Q1) The nurse is caring for a patient who is recovering from bowel resection surgery.
Which assessment findings indicate to the nurse that the patient no longer needs to
remain NPO and may progress to oral intake of food and fluids? (Select all that apply.)
A) The patient passed flatus while ambulating this morning.
B) The patient's abdomen is soft with active bowel sounds x 4 quadrants.
C) The patient denies nausea or vomiting and states that he feels hungry.
D) The patient's abdominal incision is clean, dry, and intact with staples.
E) The patient ambulated in the hallway with a slow, steady gait.
F) The patient's urinary catheter is patent with clear, yellow urine.

Q2) The nurse is walking a postoperative patient in the hallway when she notices a large
red stain of fresh blood on the patient's gown over the abdominal incision. The patient
states, "I felt something just ripped open." What is the priority action of the nurse?
A) Lift up the patient's gown and assess the incision.
B) Assist the patient to the floor and call for assistance.
C) Return the patient to bed and irrigate the wound with sterile saline.
D) Check the patient's vital signs and pulse oximetry.

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

Page 39
 Chapter 38: Oxygenation and Tissue Perfusion
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2213

Sample Questions
Q1) The preceptor is working with a new nurse to provide care for a patient with a new
tracheostomy. Which actions by the new nurse indicate need for additional teaching
about the procedure? (Select all that apply.)
A) The outer cannula is cleaned with the brush and half-strength H
S1U1B12S1U1B0OS1U1B12S1U1B0
B) The new tracheostomy holder is secured before the old soiled one is removed.
C) A Yankauer suction catheter is used to remove secretions from the patient's mouth.
D) Sterile gloves are applied before the soiled dressing is removed from the
tracheostomy.
E) Half-strength HS1U1B12S1U1B0OS1U1B12S1U1B0 is used to remove crusted secretions
around the tracheostomy site.
F) Pain medication is administered to the patient prior to suctioning.

Q2) The nurse is caring for a patient who is hospitalized for pneumonia. Which nursing
diagnosis has the highest priority?
A) Activity intolerance r/t generalized weakness and hypoxemia
B) Imbalanced nutrition r/t poor appetite and increased metabolic needs
C) Ineffective airway clearance r/t thick secretions in trachea and bronchi
D) Knowledge deficit r/t use of nebulizer and inhaled bronchodilators

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

Page 40
 Chapter 39: Fluid, Electrolytes, and Acid-Base Balance
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2214

Sample Questions
Q1) The nurse is caring for a patient who was brought to the ER after overdosing on
narcotic pain medication. The patient was found unresponsive with no respirations.
Arterial blood gases were drawn shortly after the patient's arrival to the hospital. Which
results will the nurse expect to see?
A) pH 7.56, PaCOS1U1B12S1U1B0 32 mm Hg, HCOS1U1B13S1U1B0 32 mEq/L, PaOS1U1B12S1U1B0
90 mm Hg
B) pH 7.35, PaCOS1U1B12S1U1B0 45 mm Hg, HCOS1U1B13S1U1B0 26 mEq/L, PaOS1U1B12S1U1B0
70 mm Hg
C) pH 7.45, PaCOS1U1B12S1U1B0 38 mm Hg, HCOS1U1B13S1U1B0 28 mEq/L, PaOS1U1B12S1U1B0
80 mm Hg
D) pH 7.27, PaCOS1U1B12S1U1B0 58 mm Hg, HCOS1U1B13S1U1B0 24 mEq/L, PaOS1U1B12S1U1B0
60 mm Hg

Q2) The nurse is caring for a patient who has a central venous catheter (CVC). Which
nursing intervention is the most important for the nurse to include in the patient's plan of
care?
A) Carefully document all assessments of the catheter site.
B) Use strict sterile procedure when performing dressing changes.
C) Label each new dressing with the date, time, and nurse's initials.
D) Ensure that the CVC is discontinued as soon as possible.

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

Page 41
 Chapter 40: Bowel Elimination
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2215

Sample Questions
Q1) The nurse is caring for a patient who has had a severe stroke and requires
assistance to use the toilet. Which goal is the highest priority for this patient?
A) The patient will remain continent with no perineal skin breakdown.
B) The patient will state satisfaction with use of gait belt for toilet transfers.
C) The patient will regain ability to pull up clothing after using the toilet.
D) Privacy will be provided once the patient is properly positioned on the toilet.

Q2) The nurse is caring for a postoperative patient who had a colostomy placed 2 days
ago. The appliance needs to be changed for the first time. Which ostomy care actions
may the nurse delegate to the nursing assistant? (Select all that apply.)
A) Gently cleaning the stoma with warm water and a washcloth.
B) Assessing the stoma and incision for signs of infection or ischemia.
C) Obtaining needed supplies from the clean utility room.
D) Teaching the patient how to care for the ostomy after discharge.
E) Determining which type of ostomy appliance to use.
F) Application of skin protectant to the area surrounding the stoma.

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

Page 42
 Chapter 41: Urinary Elimination
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2216

Sample Questions
Q1) The nurse is caring for a patient with the nursing diagnosis of Urge urinary
incontinence related to urinary tract infection. Which statement is appropriate for the "as
evidenced by" portion of the patient's diagnosis?
A) Sudden leakage of urine when patient is unable to get to the toilet in time.
B) Continuous urine flow from the bladder regardless of attempts to use the toilet
C) Leakage of urine from the bladder when the patient coughs, sneezes, or laughs
D) Leakage of urine because the patient is unable to indicate need to use the toilet

Q2) The preceptor is watching a nursing student care for a male patient who requires a
condom catheter. Which action by the nursing student indicates that the procedure is
performed correctly?
A) Sterile gloves are donned before touching the catheter.
B) Adhesive tape is applied securely around the base of the penis.
C) Water-soluble lubricant is applied to the end of the catheter.
D) The foreskin is returned to its natural position before the catheter is applied.

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

Page 43
 Chapter 42: Death and Loss
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/2217

Sample Questions
Q1) The nurse is caring for a patient whose mother recently passed away. The patient
states that she has not been able to concentrate or sleep since the funeral and is
consuming increasing amounts of alcohol to get through each day. Which goal is most
appropriate for this patient?
A) The patient will be referred to medical social services for evaluation and counseling.
B) The patient will be encouraged to describe previous stressors and coping
mechanisms.
C) Nursing staff support patient's coping attempts and encourage verbalization of
feelings.
D) The patient will use effective coping strategies with no alcohol consumption.

Q2) The nurse is caring for a patient who just died after a lengthy illness. Which portions
of postmortem care may be delegated to the nursing assistant? (Select all that apply.)
A) Gently washing the body and closing the patient's eyes
B) Offering support and empathy to the patient's family members
C) Documenting the patient's time of death in the medical record
D) Notifying all of the patient's consulting physicians of the patient's death
E) Removing the patient's hospital ID band, IV lines, and urinary catheter
F) Gathering the patient's belongings so they may be taken home by the family

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

Page 44