Fundamentals Adaptive Quizzes

The nurse is assessing a client with arthritis. Which statement made by the client indicates a precipitating factor that is an intellectual standard for critical thinking?

"I run for 30 minutes every day; this exercise increases my pain."

The nurse has provided instructions about back safety to a client. Which client statement indicates understanding of the instructions?

"I should carry objects close to my body."

The nurse is working with a female client who is from Southeast Asia that presents with general fatigue. The nurse asks the client if there is any reason for her fatigue. Which statements are most culturally consistent with a client from Southeast Asian culture? Select all that apply.

- "I'm tired because I have less blood in my body." - "I'm tired because my blood vessels are weak." - "I'm tired because I haven't been eating right lately."

On the third postoperative day after a below-the-knee amputation, a client is refusing to eat, talk, or perform any rehabilitative activities. What is the best initial approach that the nurse should take when interacting with this client?

Acknowledge that the client's withdrawal is an expected and necessary part of initial grieving.

The nurse is preparing an intraoperative care plan for a client. Which intervention should be excluded from the care plan?

Administering general anesthetic to the client

Which nursing action is most important when caring for a client using medications to manage disease in the hospital?

Administering the medications

The nurse is verbally interviewing and taking a history of a client who was admitted to the hospital. Which phase of the nursing process is being used in this situation?

Assessment

A nurse in the ambulatory preoperative unit identifies that a client is more anxious than most clients. What is the nurse's best intervention?

Attempt to identify the client's concerns.

A nurse is assessing a child who is accompanied by a parent. The parent has remarried and has another child from the second marriage. What kind of a family does this child belong to?

Blended family

A client has a platelet count of 49,000/mL (40 × 109/L). The nurse should instruct the client to avoid which activity?

Blowing the nose

Which activity would the nurse use as an example of fine motor skills of infants aged 2 to 4 months?

Bringing objects from hand to mouth

The nurse is caring for a client before, during, and immediately after surgery. Which type of care is provided to the client?

Care that supports homeostatic regulation

A nurse applies a cold pack to treat an acute musculoskeletal injury. Cold therapy decreases pain by doing what?

Causing local vasoconstriction, preventing edema and muscle spasms

The nurse is measuring the body temperature of four clients in a clinical setting. Which client is in need of rewarming through cardiopulmonary bypass?

Client B (85.3 degrees F)

A child is being treated with oral ampicillin for otitis media. What should be included in the discharge instructions that the nurse provides to the parents of the client?

Complete the entire course of antibiotic therapy.

A client with an abdominal wound infected with methicillin-resistant Staphylococcus aureus (MRSA) is scheduled for a computed tomography (CT) scan of the abdomen. To ensure client and visitor safety during transport, the nurse should implement which precaution?

Cover the infected site with a dressing.

After abdominal surgery a client reports pain. What action should the nurse take first?

Determine the characteristics of the pain.

When caring for a client with venous insufficiency, the nurse would implement which nursing measure?

Elevate the client's legs above heart level.

To prevent thrombophlebitis in the immediate postoperative period, which action is most important for a nurse to include in the client's plan of care?

Encourage early mobility.

The nurse reviews a medical record and is concerned that the client may develop hyperkalemia. Which disease increases the risk of hyperkalemia?

End-stage renal disease

What does the professional nurse consider to be the center of decision-making when providing client care?

Ethics of care

Which professional standard does the nurse feel is most important for critical thinking?

Evaluation criteria

Which critical thinking skill in nursing practice requires the nurse to possess knowledge and experience for choosing care strategies for clients?

Explanation

Which critical thinking skill refers to the use of knowledge and experience to choose effective client care strategies?

Explanation

A client complains to the nurse manager about a coworker. The nurse manager listens to both the client's and the coworker's side of the story. Which critical thinking quality is shown in this situation?

Fairness

On the second day of hospitalization a client is discussing with the nurse concerns about unhealthy family relationships. During the nurse-client interaction the client begins to talk about a job problem. The nurse's response is, "Let's go back to what we were just talking about." What therapeutic communication technique did the nurse use?

Focusing

Which therapeutic communication technique is most useful for the nurse to use when the client begins to repeat previously mentioned issues in the same therapeutic conversation?

Focusing

While instructing a community group regarding risk factors for coronary artery disease, the nurse provides a list of risk factors that cannot be modified. What should be included on the list?

Heredity

Which skill in critical thinking requires to be orderly in data collection?

Interpretation

A nurse is assessing a middle-aged client whose children have left home in search of work. The client is trying to adjust to these family changes. Which family life-cycle stage is the client going through?

Launching children and moving on

A nurse has provided discharge instructions to a client who received a prescription for a walker to use for assistance with ambulation. The nurse determines that the teaching has been effective when the client does what?

Moves the walker no more than 12 inches (30.5 cm) during use

What would be the behavioral characteristic of a slow-to-warm up child according to the theory related to temperament?

Negative reaction to new stimuli

A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis. The nurse should assign the client to which type of room?

Negative-airflow room

During follow-up visits, the client's child reports to the nurse, "I tell my parent every day about what may happen if medications aren't taken as prescribed. Despite that, my parent does not take the medication regularly and is depressed." What can be inferred about the client's motivational level?

Not motivated

The nurse caring for a client with a systemic infection is aware that the assessment finding that is most indicative of a systemic infection is what?

Oral temperature of 101.3° F (38.5° C)

When monitoring a client 24 to 48 hours after abdominal surgery, the nurse should assess for which problem associated with anesthetic agents?

Paralytic ileus

A nurse takes into consideration that the key factor in accurately assessing how a client will cope with body image changes is what?

Perception of the change

The nurse receives information about a client through another nurse. The nurse then finds that information has some missing facts. Which critical thinking attitude would the nurse use to clarify the information after talking to the client directly?

Perseverance

After changing a dressing that was used to cover a draining wound on a client with vancomycin-resistant enterococci (VRE), the nurse should take which step to ensure proper disposal of the soiled dressing?

Place the dressing in a red bag/hazardous materials bag.

Two nurses are planning to help a client with one-sided weakness move up in bed. What should the nurses do to conform to a basic principle of body mechanics?

Position the nurses on either side of the bed with their feet apart, gather the pull sheet close to the client, turn toward the head of the bed, and then move the client.

Which stage of Piaget's theory of cognitive development does the nurse observe in a preschooler?

Preoperational

A high-protein diet is recommended for a client recovering from a fracture. The nurse recalls that the rationale for a high-protein diet is to do what?

Promote cell growth and bone union.

The nurse is caring for a client who had a hip replacement 2 days prior. After removing a bedpan from under the client, what is a priority nursing intervention?

Provide perineal care.

A client on hospice care is receiving palliative treatment. A palliative approach involves planning measures aimed to do what?

Relieve the client's discomfort.

Which caring intervention helps to provide comfort, dignity, respect, and peace to a client?

Relieving pain and suffering

Which right of delegation refers to the giving of clear, concise descriptions of a task to the delegatee?

Right communication

A nurse educator is presenting information about the nursing process to a class of nursing students. What definition of the nursing process should be included in the presentation?

Sequence of steps used to meet the client's needs

The nurse is developing a plan of care for the client who has activity intolerance. In determining the desired client outcomes, what should the nurse do?

Set priorities and outcomes using the client's and family input.

The home healthcare nurse visits a client who has two grandchildren living in the household. The client's adult child is a single-parent who is in prison serving a 15-year sentence. The children accompany the grandparent on 2-hour contact visits on weekends as often as possible. Which term does the nurse use to define this family form?

Skip-generation family

When assessing a client's fluid and electrolyte status, the nurse recalls that the regulator of extracellular osmolarity is what?

Sodium

A nurse is reviewing how a hyperglycemic client's blood glucose can be lowered. The nurse recalls that the chemical that buffers the client's excessive acetoacetic acid is what?

Sodium bicarbonate

The registered nurse is teaching the student nurse about Lawrence Kohlberg's theory of moral development. While teaching, the registered nurse states, "Children follow the parents' rule of being at home on time." Which stage of Lawrence Kohlberg's theory of moral development is the registered nurse explaining?

Stage 2

Which definition is involved in the caring process called knowing according to Swanson's theory of caring?

Striving to understand an event as it has meaning in the life of the other

How should the nurse prevent footdrop in a client with a leg cast?

Support the foot with 90 degrees of flexion.

The parents of an adolescent child are worried about their daughter's use of laxatives. Which other behavior in the child does the nurse associate with bulimia nervosa?

The child indulges in binge eating.

A community healthcare nurse is conducting a survey about homeless children in the community. Which finding helps the nurse distinguish absolute homelessness from relative homelessness?

The children do not have a physical shelter and may sleep outdoors or in vehicles.

The nurse plans care for a client who has anxiety related to uncertainty over the course of recovery. Which action of the client would indicate that the desired goal is achieved?

The client expresses acceptance of health status by the day of discharge.

A nurse is taking the vital signs of a client who has just been admitted to the healthcare facility. Which intervention by the nurse provides greater client satisfaction?

The nurse adjusts the bed and asks if the client is comfortable.

What is the role of a case manager in a healthcare organization?

To follow up with the client after discharge

The nurse providing care for a client with a diagnosis of neutropenia reviews isolation procedures with the client's spouse. The nurse determines that the teaching was effective when the spouse states that protective environment isolation helps prevent the spread of infection in which direction?

To the client from outside sources

Which intervention reflects the nurse's approach of "family as a context"?

Trying to meet the client's comfort

Which site is best for the nurse to obtain a urinalysis specimen for a critical care client with an indwelling urine catheter?

Tubing luer-lok port

Which example in nursing practice would demonstrate Watson's carative factor called forming a human-altruistic value system?

Using self-disclosure to promote a therapeutic alliance with the client

Which psychosocial health concern involves accepting descriptive statements stated by a confused older client?

Validation therapy

A client has Clostridium difficile. The nurse is providing discharge instructions related to decreasing the risk of transmission to family members. What would be appropriate to include in the client's teaching?

Wash hands with soap and water.

A client who is dying jokes about the situation even though the client is becoming sicker and weaker. Which is the most therapeutic response by the nurse?

"Does it help to joke about your illness?"

An adolescent who had an inguinal hernia repair is being prepared for discharge home. The nurse provides instructions about resumption of physical activities. Which statement by the adolescent indicates that the client understands the instructions?

"I can't perform any weightlifting for at least 6 weeks."

Which workers would the nurse consider to be at high risk of developing dermatitis? Select all that apply.

- Dry cleaners - Dye workers

What are the goals of care when working with families according to the family health system? Select all that apply.

- To improve family health or well-being - To assist in family management of illness conditions - To achieve health outcomes related to the family's areas of concern

Which are extrinsic factors responsible for falls in older adults? Select all that apply.

-Environmental hazards -Inappropriate footwear - Improper use of assistive devices

Why does the nurse establish "moderately hard" client-centered goals? Select all that apply.

-To prevent the client from quitting before the goal is achieved -To prevent the client from losing motivation toward achieving the goal

Place the steps of the nursing process in its correct order.

1. Identify the client's health care needs by collecting subjective and objective data. 2.Define the nursing diagnoses or collaborative problems clearly. 3.Plan the care by determining priorities, goals, and expected outcomes of care. 4.Perform the nursing interventions competently. 5.Evaluate the effects of the nursing interventions performed.

Arrange in order how the items of personal protection equipment (PPE) should be removed after exiting a medical or surgical isolation area.

1. gloves 2. face shield 3. gown 4. mask 5. hand washing

Arrange the stages of Sigmund Freud's psychoanalytical model of personality development in its correct order.

1. oral 2. anal 3. phallic or oedipal 4. latency 5. genital

A primary healthcare provider tells a client about the diagnosis of inoperable cancer and that the client does not have long to live. After the primary healthcare provider leaves, the client says to the nurse, "I feel fine. I probably only have the flu." The nurse determines that the client is in the denial stage of grief. What should the nurse do to help meet the client's emotional needs?

Allow the denial and be available to discuss the situation with the client.

During a routine checkup a client reports concerns over weight gain despite trying juice cleanses and other trend diets. The nurse records the client's weight and BMI at a healthy range, but the client states, "I wish I were as thin as my co-workers." The client is at risk for what culturally-bound condition?

Anorexia nervosa

A client admitted to the hospital with a diagnosis of malabsorption syndrome exhibits signs of tetany. The nurse concludes that the tetany was precipitated by the inadequate absorption of which electrolyte?

Calcium

Which statement is true about the nursing model "team nursing"?

Hierarchical communication exists from charge nurse to charge nurse, charge nurse to team leader, and team leader to team members.

A client has been admitted with a diagnosis of intractable vomiting and can only tolerate sips of water. The initial blood work shows a sodium level of 122 mEq/L (122 mmol/L) and a potassium level of 3.6 mEq/L (3.6 mmol/L). Based on the lab results and symptoms, what is the client experiencing?

Hyponatremia

The nurse is performing nursing care therapies and including the client as an active participant in the care. Which basic step is involved in this situation?

Implementation

Which nursing process involves delegation and verbal discussion with the healthcare team?

Implementation

Arrange the order of critical thinking for an existing problem.

1.Recognizing the existing issue 2.Analyzing information about the issue 3.Evaluating the information 4.Making a conclusion

Arrange these fine-motor skills in ascending order as the infant develops them.

1.Reflexive grasp 2.Looks at and plays with fingers 3.Pulls feet to the mouth 4.Bangs objects together 5.Uses pincer grasp 6.Places objects into containers

Which assessment finding is associated with depression?

The client has islands of intact memory.