Health Promos
Which cranial nerve has only sensory function?
1
What is true regarding melatonin? Select all that apply.
1-2-4
Which statements are correct regarding the perineal care of a male patient? Select all that apply.
1-2-5
The nurse is teaching a group of nursing students about the general adaptation syndrome (GAS). What is true about this phenomenon? Select all that apply.
1-4-5
The nurse provides dietary instructions to a patient to help to prevent tooth decay. Which of the patient's statements indicate effective learning? Select all that apply.
1-5
What quantity of vitamin C is recommended for wound healing? Record your answer using a whole number. ______ mg/day
1000
A patient states that he does not believe in the existence of God. What does this statement indicate about the patient?
2
How long before bedtime should a patient take melatonin? Record your answer using a whole number. _______________________ hour(s)
2
Which role do patients have in complementary and alternative medicine therapy?
2
You are caring for a 65-year-old patient 2 days after surgery; you are helping him walk down the hallway. The surgeon has ordered exercise as tolerated. Your assessment indicates that the patient's heart rate at baseline is 88. After walking approximately 30 yards down the hallway, the heart rate is 110. What should be your next action?
2
Which factors are included under the Structure component of the Community Assessment list? Select all that apply.
2-4-5
A nurse taps a patient's skin with the fingertips to vibrate underlying tissues and organs. Which physical assessment technique is the nurse using?
3
A patient experienced a myocardial infarction 4 weeks ago and is currently participating in the daily cardiac rehabilitation sessions at the local fitness center. In which level of prevention is the patient participating?
3
Of the five caring processes described by Swanson, which describes knowing the patient?
3
The nurse is assessing a patient who complains of fatigue. Which intervention is the nurse most likely to suggest to the patient?
3
The nurse teaches a patient taking a benzodiazepine that this group of medications causes which symptom of a sleep problem?
3
Which is a barrier for health care providers to health promotion and disease control for older adults?
3
Which scale is used to weigh infants?
3
Which statement made by a mother being discharged to home with her newborn infant indicates a need for further teaching?
3
A patient has a leg fracture. Which statement made by the patient about crutch safety requires further teaching by the nurse?
1
A registered nurse (RN) is evaluating the actions of a nursing student who is performing foot and nail care. Which of the nursing student's actions indicates the need for further learning?
1
An elderly patient complains of itching. On examination, the nurse finds that the patient's skin is dry and flaky. The patient bathes frequently. The patient has no other complaints. What should the nurse tell the patient to do?
1
Exercise lowers blood glucose levels. For how long does the effect of exercise last on blood glucose levels?
1
On what does the nurse focus when using the transtheoretical model to treat a patient with a drug addiction?
1
The hospice nurse sits at the bedside of a male patient in the final stages of cancer. He and his parents made the decision that he would move home and they would help him in the final stages of his disease. The family participates in his care, but lately the nurse has increased the amount of time she spends with the family. Whenever she enters the room or approaches the patient to give care, she touches his shoulder and tells him that she is present. Which type of touch is this?
1
The nurses set up flu vaccine clinics in local churches and senior citizen centers. This activity is an example of which level of prevention?
1
What is the advantage of a moist application in wound healing?
1
A woman is unable to breast feed her 7-month-old infant. What alternative does the nurse recommend?
4
Sharing eating utensils with a person who has a contagious illness increases the risk of illness. Which gives rise to this type of health risk?
4
Upon assessing a patient, the nurse suspects anorexia nervosa. What behavioral finding may have led the nurse to this suspicion?
4
Which patient complaint is the nurse least likely to see when performing assessments?
4
Which type of bath involves bathing from a bath basin with a patient sitting in a chair?
4
A 48-year-old male patient who underwent radical prostatectomy is able to perform all self-hygienic activities. The patient's wife is accompanying the patient as he walks along the hospital corridor. Which pattern of skill care does this patient require?
1
A nurse is examining a patient's skin using palpation. Which action made by the nurse needs correction?
1
A nurse is teaching a patient about the major risk factors related to obstructive sleep apnea. What statement about risk factors if made by the nurse would be correct?
1
A patient needs enteral feedings via a nasoenteric tube. Which action does not take place during the assessment phase for this patient?
1
A patient recovering from bilateral knee replacements is prescribed bilateral partial weight bearing. To reinforce crutch walking, which gait is most appropriate for this patient?
1
After a surgical patient has been given preoperative sedatives, which safety precaution should the nurse take?
1
During a visit to a family clinic, the nurse teaches the mother about immunizations, car seat use, and home safety for an infant and toddler. Which type of nursing interventions are these?
1
During which phase of the nursing process does the nurse consult other health care professionals to adopt the best nursing intervention for a patient diagnosed with nutritional disturbances?
1
The nurse has conducted a primary prevention program for school children less than 10 years of age. Which nursing intervention is considered primary prevention?
1
The nurse has conducted an immunization program for physically challenged children in a rehabilitation center. Pneumonia vaccine was administered to the children as a part of the program. Which level of prevention is this?
1
The nurse has to inform a patient about an emergency appendectomy to be performed for acute abdominal pain and the postoperative recovery. Which teaching approach would be most effective?
1
The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens. Which level of prevention is the nurse practicing?
1
The nurse is taking a sleep history from a patient. Which statement made by the patient needs further follow-up?
1
The order is for 20 mg of a medication to a pediatric patient. The ampule of the medication has 40 mg/2 mL of the medication. What is the correct volume to be administered? Record your answer using a whole number. ______ mL
1
The patient reports vivid dreaming to the nurse. Through understanding of the sleep cycle, the nurse recognizes that vivid dreaming occurs during which sleep phase?
1
What is the primary reason that family members should be included when the nurse teaches the patient preoperative exercises?
1
What nursing intervention should the nurse provide to a patient who is diagnosed with fatigue?
1
When Ryan was 3 months old, he had a toy train; when his view of the train was blocked, he did not search for it. Now that he is 9 months old, he looks for it. What does this demonstrate?
1
When developing an appropriate outcome for a 15-year-old girl, what primary developmental task of adolescence should the nurse consider?
1
When examining a patient from behind, which anatomic chest wall landmark extends down from the center of the neck?
1
When taking care of patients, the nurse routinely asks them if they take any vitamins or herbal medications, encourages family members to bring in music that the patient likes to help the patient relax, and frequently prays with her patients if that is important to them. Which model of health and illness is the nurse practicing?
1
When the nurse monitors blood glucose, during which phase of the nursing process does the nurse explain the procedure and purpose to the patient?
1
Which action is the nurse most unlikely to perform during blood glucose monitoring of a patient?
1
Which action would best help prevent skin breakdown in a patient who is very weak and drowsy and also incontinent of stools?
1
Which component in saliva acts on cooked starch to begin converting it to maltose?
1
Which condition in a newborn requires immediate intervention?
1
Which intervention is appropriate to include on a care plan for improving sleep in the older adult?
1
Which is not a function of the lymph nodes?
1
Which is the first step in health promotion, wellness education, and illness prevention?
1
Which is the most effective intervention for compromised skin integrity?
1
Which nursing intervention is appropriate for a patient who is at risk for skin breakdown due to moisture?
1
Which option below is an example of the nurse participating in primary care activities?
1
Which term describes the suggested intake for individuals based on experimentally determined estimates of nutrient intakes?
1
While assessing a patient who is on intravenous therapy, the nurse notices infiltration at the intravenous site. Which nursing intervention would best help the patient?
1
Health literacy is defined as the cognitive and social skills that determine the motivation and ability of individuals to use information to promote and maintain good health. What individuals are most at risk of having low health literacy? Select all that apply.
1-2-3
The nurse is undergoing crisis intervention training. What activities are performed during a crisis intervention approach? Select all that apply.
1-2-3
What developmental and environmental factors significantly influence the activity and exercise regimen to be followed by a patient? Select all that apply.
1-2-3
Which statement is correct about types of baths? Select all that apply.
1-2-3
You are caring for a patient after surgery for a liver resection. His prothrombin time (PT) or an activated partial thromboplastin time (aPTT) is greater than normal. He has low blood pressure; tachycardia; a thready pulse; and cool, clammy, pale skin; and he is restless. You assess his surgical wound, and the dressing is saturated with blood. Which immediate interventions should you perform? Select all that apply.
1-2-3
Chronic illness (e.g., diabetes mellitus, hypertension, rheumatoid arthritis) may affect a person's roles and responsibilities during middle adulthood. What should the assessment include when assessing the knowledge base of both the middle-aged patient with a chronic illness and the patient's family? Select all that apply.
1-2-3-4
A patient comes to a clinic for a regular checkup. The nurse is performing a physical examination of the patient. Which interventions should the nurse follow during inspection to get the best results? Select all that apply.
1-2-3-5
A patient presents to the clinic with knee pain. The patient is accompanied by his grandson, because the patient has some degree of visual impairment. The nurse decides to assess the patient's visual sphere. Which questions should the nurse include? Select all that apply.
1-2-4
Stroke is a lifestyle disease. Which lifestyle factors may increase the risk of developing a stroke? Select all that apply.
1-2-4
The nurse is caring for an immobile patient. Which actions should the nurse perform as a part of evening care to promote sleep? Select all that apply.
1-2-4
The nurse is teaching dietary modifications to a group of people with heart disease. Which actions by the nurse would maintain the attention and participation of the class? Select all that apply.
1-2-4
What can a nurse use to measure the post void residual volume in a patient with urinary retention? Select all that apply.
1-2-4
Which activities are involved in the assessment phase of the nursing process? Select all that apply.
1-2-4
A 40-year-old patient is hospitalized for insomnia. The nurse reviews his medical records. The nurse finds that the patient has had insomnia for 6 months, and that it started when he began working night shifts. After thoroughly questioning the patient, the nurse learns that the patient is stressed due to his workload. The nurse teaches him sleep hygiene habits and guidelines for promoting sleep. What do these primarily include? Select all that apply.
1-2-4-5 (milk)
A 40-year-old patient is hospitalized for insomnia. The nurse reviews his medical records. The nurse finds that the patient has had insomnia for 6 months, and that it started when he began working night shifts. After thoroughly questioning the patient, the nurse learns that he is stressed due to his workload. The nurse teaches him sleep hygiene habits. Which strategies should the nurse include in the teaching? Select all that apply.
1-2-5
A female patient is admitted to the psychiatric unit for major depressive disorder, and her husband has expressed concern that she has suicidal thoughts. The patient reports she feels overwhelmed at home with three children to care for and no help. Her husband travels for work and is rarely around. The patient expresses that she is unable to take it any longer and wants to end her suffering. What should be the nurse's approach when dealing with this patient? Select all that apply.
1-2-5
A group of patients with hypertension and cardiac disease are being taught relaxation therapy to help control stress. Relaxation helps such patients develop cognitive skills to reduce the negative ways in which they respond to stressful situations within their environment. One of the cognitive skills is focusing. Which are characteristics of focusing? Select all that apply.
1-2-5
David is a single parent of a 3-year-old boy, Kevin. Kevin has well-managed asthma and misses day care infrequently. David is in school studying to be an information technology professional. His income and time are limited, and he admits to going to fast-food restaurants frequently for dinner. However, he and his son spend a lot of time together. David receives state-supported health care for his son, but he does not have health insurance or a personal physician. He has his son enrolled in a government-assisted day care program. Which factors are risks to this family's level of health? Select all that apply.
1-3
Formation of positive health habits may prevent the development of chronic illness later in life. Which are examples of positive health habits? Select all that apply.
1-3
A patient is admitted to the psychiatric unit for major depressive disorder. The nurse wants to follow Swanson's theory of caring for this patient. Which are components of this caring theory? Select all that apply.
1-3-4
The nurse has to administer an intramuscular injection to a patient. Which are the common sites chosen for administering an intramuscular injection? Select all that apply.
1-3-4
A patient has a cold with mild fever and is advised to rest for 3 days. Which patient statements would be classified under illness behavior? Select all that apply.
1-3-4-5
The nurse is caring for an older adult who has cognitive impairment. Which interventions are necessary to enhance quality of life and maximize functional performance? Select all that apply.
1-3-4-5
When obtaining data for an assessment, the nurse must substantiate or confirm the accuracy of the information by using another source or another method. This is known as validating. Which statements are the examples of this process? Select all that apply.
1-3-4-5
The nurse is caring for a postsurgical patient who is at risk for circulatory complications. Which nursing interventions help prevent circulatory complications? Select all that apply.
1-3-5
The nurse is teaching a family whose caretakers are in the "sandwich generation" of taking care of older parents while raising adolescents and adopting some young children. Which instruction does the nurse recommend for the further development of family status? Select all that apply.
1-3-5
The nurse is teaching a patient about lifestyle practices to promote heart health. Which instructions should the nurse include in this teaching? Select all that apply.
1-3-5
While assessing a patient and her family, the nurse observes that the patient's daughter is stressed with her multiple responsibilities of caring for her mother, her own family, and doing her job. What advice should the nurse give her to reduce this stress? Select all that apply.
1-3-5
A 34-year-old man is getting married. He is waiting in the church for the bride to arrive. On the way to the church, the bride's father is in a motor vehicle accident and dies at the scene. The bride is grieving the loss of her father. However, the groom is not aware of what has happened. What type of crisis are the bride and the groom experiencing? Select all that apply.
1-4
A registered nurse is teaching a student nurse about using palpation to examine different areas of the body. Which statements if made by the student nurse indicate a need for further teaching? Select all that apply
1-4
At a hearing and speech screening clinic, a patient with a hearing defect undergoes a Rinne test and a Weber's test. The patient is diagnosed with sensorineural hearing loss in the right ear, and his left ear is absolutely normal. Which are the possible outcomes of the individual tests? Select all that apply.
1-4
The nurse places the patient in the supported Fowler's position. Which alteration does the nurse suspect in this patient? Select all that apply.
1-4
The nurse is caring for a patient suffering from a severe illness. What are the questions that the nurse should ask to assess the spiritual strength of the patient? Select all that apply.
1-4-5
The nurse works in an ambulatory surgical center. The nurse checks the vital signs of patients in the preoperative period. What would the vital signs indicate? Select all that apply.
1-4-5
A 45-year-old non-English-speaking woman who has diabetes was found unconscious at home. Her neighbors brought her to the hospital 38 miles away. The patient was diagnosed with diabetic ketoacidosis (DKA). After recovery, the patient informs the nurse that she has been drinking alcohol regularly for the past 15 years and often skips meals. The nurse tries to advise the patient about lifestyle changes, but she shows no interest. After a couple of days, the patient agrees to implement the lifestyle changes. Which stages of the transtheoretical model of behavior change does the patient exhibit? Select all that apply.
1-5
A 60-year-old female patient sustained a femur fracture due to a fall in the bathroom. The patient complains of severe pain. Which mineral supplement is likely to be added to the patient's prescription to manage osteoporosis?
2
A family includes a mother, stepfather, two teenage biological daughters of the mother, and a biological daughter of the father. Of what type of family is this an example?
2
A nurse is preparing to examine a patient's rectum. Which position should the nurse ask the patient to assume?
2
A patient comes to the local health clinic and states, "I've noticed how many people are out walking in my neighborhood. Is walking good for you?" Which is the best response to help the patient through the stages of change for exercise?
2
A patient is admitted to the hospital for a scheduled cataract surgery. The patient has no major health history and the vital signs are stable. While assessing the patient, the nurse realizes that the patient has a progressive hearing disorder. How should the nurse document this condition?
2
A patient is worried about her 76-year-old grandmother who is in very good health and wants to live at home. The patient's concerns are related to her grandmother's safety. The neighborhood does not have a lot of crime. Using this scenario, which factors are the most relevant to assess for safety?
2
A patient reports dizziness, light-headedness, and nausea. The nursing diagnosis is orthostatic hypotension. In which situation does the nurse take precautions to prevent orthostatic hypotension?
2
A registered nurse teaches a nursing student about bed-making. Which statement made by the nursing student indicates the need for further teaching?
2
According to the World Health Organization (WHO), what is the definition of health?
2
The community health nurse is conducting a program on health and fitness awareness for medically underserved people. Who would be categorized as medically underserved?
2
The nurse asks the patient to identify sour or sweet taste on the back of the tongue during a physical assessment. What is the cranial nerve being assessed?
2
The nurse caring for a male patient observes the nursing assistive person (NAP) performing perineal care. Which observed action indicates a need for further teaching for the NAP?
2
The nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with the family. Which role is the nurse playing for the patient?
2
The nurse is developing a health promotion program on healthy eating and exercise for high school students using the health belief model as a framework. Which statement is related to the perception of susceptibility to an illness?
2
The nurse is discussing treatment goals with a patient who has osteoarthritis. Suddenly, the patient complains of pain in the knee joint. What nursing actions should follow?
2
The nurse is performing a musculoskeletal examination of a patient. Which joint will the nurse ask the patient to put through eversion motion?
2
The nurse is working in the preoperative holding area and is assigned to care for a patient who is having a prosthetic aortic valve placed. The nurse inserts an intravenous (IV) line and obtains vital signs. The patient has a temperature of 39° C (102° F), heart rate of 120, blood pressure (BP) of 84/50, and an elevated white blood cell (WBC) count. Why does the nurse immediately notify the surgeon of the patient's vital signs?
2
The nurse researcher is developing a research proposal and is in the process of selecting an instrument to measure anxiety. The nurse is in which part of the research process?
2
To digest starch, which enzyme does the pancreas secrete?
2
What drug-nutrient interaction do aspirin and sodium bicarbonate have in common?
2
What is an early indication that a patient may be developing caries?
2
What is the physiological factor that influences a patient's activity tolerance?
2
What is the priority concern when providing oral hygiene for a patient who is unconscious?
2
What nursing intervention is the nurse least likely to provide to a patient diagnosed with stress urinary incontinence related to a weakened pelvic musculature?
2
What nursing intervention should the nurse provide to promote sleep in a patient who has a sedentary lifestyle?
2
When illness occurs, different attitudes about the illness cause people to react in different ways. What do medical sociologists call this reaction to illness?
2
Which cultural group is associated with the belief in the sanctity of life and health as a balance between God and medicine?
2
Which is a desired outcome for a patient diagnosed with osteoporosis?
2
Which is the desired outcome of the health promotion model?
2
Which nursing intervention is important for the well-being of a cancer patient and family members who all may be in distress?
2
Which physiological component of the immune system requires biotin as a vital nutrient?
2
Which position provides easy access to a patient's pulse sites during a physical examination?
2
Which priority nursing intervention does the nurse incorporate into a plan of care to promote sleep for a hospitalized patient?
2
Which statement is true regarding the use of benzodiazepines?
2
Which statement made by the patient indicates a need for further teaching on sleep hygiene?
2
Which statement regarding the nasolacrimal gland is true?
2
Which technique will the nurse use to assess the functioning of the sensory nerves that control the patient's ability to feel light touch?
2
You have been given the following postoperative patients to care for on your shift. Based on the information provided, which patient should you see first?
2
A patient comes to a rheumatology clinic with acute osteoarthritis. The patient's height is 167 cm (5 ft 5 in) and weight is 75kg (165 lb). The patient's body mass index (BMI) exceeds the average level. The nurse understands that the patient needs a tertiary level of preventive care. Which should the nurse suggest to the patient? Select all that apply.
2-3-4
A patient reports difficulty falling asleep. Which questions should the nurse ask to assess the patient's insomnia? Select all that apply.
2-3-4
Which substances comprise the referenced daily intakes (RDIs) that the U.S. Food and Drug Administration (FDA) has established? Select all that apply.
2-3-4
After performing a physical examination, a nurse suspects that the patient is a victim of intimate partner violence. Which findings support the nurse's suspicion? Select all that apply.
2-3-4-5
The nurse is assessing a patient who complains of sleep deprivation. Which physiological symptoms should the nurse expect to find in the patient? Select all that apply.
2-3-4-5
The patient wears full dentures during the day and removes them overnight. The patient's usual denture care includes taking the teeth out once a day to brush.. The nurse is concerned that the patient might be at risk for developing denture-induced stomatitis. Which points should the nurse include in a teaching plan for denture care? Select all that apply.
2-3-4-5
How can the nurse improve the quality and lifestyle of an older adult population of a community? Select all that apply.
2-3-5
A mother is unable to put her newborn baby to sleep. What measures should the nurse teach the mother to promote sleep in the newborn? Select all that apply.
2-4-5
The nurse is transferring a patient from the hospital bed to a stretcher. The patient responds to reflexes and is physically sound enough to assist in the transfer. Which nursing actions should be a part of the transfer activity? Select all that apply.
2-4-5
Which patient-related factors fall under health promotion nursing diagnosis? Select all that apply.
2-4-5
The nurse educator is preparing to teach a group of nursing students about nursing interventions for managing bioterrorism. Which topics should the nurse include in the teaching plan? Select all that apply.
2-5
What percentage of sleep time in young adults is rapid eye movement (REM) sleep? Record your answer using a whole number. _____________ %
20
A family consists of a man, his parents, his wife, and their two sons. This is an example of which kind of family?
3
A nursing student is doing a community health rotation in an inner-city public health department. The student investigates socio-demographic and health data of the people served by the health department and detects disparities in health outcomes between rich and poor. What does this example illustrate?
3
A nursing student is learning about the different types of families. What could be an example of a blended family?
3
A patient tells a nurse, "I lose small amounts of urine while coughing, laughing, exercising, and walking but not at night while sleeping." Which of the nurse's responses is most appropriate?
3
A patient who is a farmer by profession complains of flat, painless, thickened skin on the sole of his foot. Which mode of treatment would be appropriate for the patient?
3
A person exercises daily two hours before bedtime resulting in moderate fatigue. What will this patient most likely experience?
3
A registered nurse teaches a group of nursing students about the administration of an intravenous bolus to a patient. Which statement made by the nursing student indicates effective learning?
3
A registered nurse teaches a nursing student about an intravenous bolus administration. Which statement made by the nursing student needs correction?
3
An 18-year-old patient is in the emergency department with fever and cough. The nurse obtains vital signs, auscultates lung sounds, listens to heart sounds, determines patient's level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed?
3
An elderly patient is admitted to a hospital for management of depression. The patient asks the nurse for permission to do meditation and breathing exercises for 15 minutes in the evening. The nurse has given the permission to do so. Which health model is reflected in this situation?
3
Based on the transtheoretical model of change, which is the most appropriate response to a patient who states, "Me, exercise? I haven't done that since junior high gym class, and I hated it then!"
3
How should a patient be positioned to best palpate for lumps or tumors during an examination of the right breast?
3
The U.S. Food and Drug Administration (FDA) created daily values for food labels. These daily values are based on percentages of a diet consisting of how many kilocalories per day?
3
The nurse assesses a patient who presents with a cough. Which position should the nurse instruct the patient to assume for a proper examination?
3
The nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, explains the procedure to the patient, and tells the patient what to expect. Just before inserting the catheter, the nurse tells the patient to relax and says that, once the catheter is in place, the patient will not feel the bladder pressure. The nurse then proceeds to skillfully insert the Foley catheter. Which type of touch is this?
3
The nurse instructs a chlorhexidine gluconate (CHG)-sensitive patient to limit complete baths. What is an unexpected outcome in a patient who is using CHG cloths?
3
The nurse is assessing a patient who was diagnosed with diabetes 5 years ago. During the assessment, the nurse finds out that the patient does not log daily blood sugar levels because he cannot operate the home glucometer properly even though he tries. What does this finding indicate?
3
The nurse is assessing the family status of a patient. Which question should the nurse include to assess the health process of the family?
3
The nurse is attempting to teach a below-the-knee amputee patient to walk with the help of crutches. The patient is doubtful about doing it, but the nurse strongly believes in the patient's ability to walk. What source of self-efficacy does the nurse use to convince the patient?
3
The nurse is examining a pregnant American Indian patient. Which statement by the nurse indicates that the nurse is providing the caring process of maintaining belief, according to Swanson's theory of caring?
3
The nurse is explaining family assessment to a group of nursing students. The nurse discusses the ability of a family to cope with expected and unexpected stressors. What is this ability?
3
The nurse is teaching a group of nursing students about acupuncture. Which statement by a nursing student indicates effective learning?
3
The nurse needs to educate a patient on how to use a monitor to measure blood pressure at home. What is the best instructional method to accomplish this?
3
What is the most important nursing intervention that the nurse should provide to a patient who is diagnosed with ineffective coping related to improper nutrition?
3
What is the nurse least likely to ask parents while performing a sleep assessment of an infant?
3
Which best describes presence?
3
Which intervention comes under active strategies of health promotion?
3
Which intervention made by a parent indicates the need for further teaching about the proper use of car seats for infants?
3
Which medication would the nurse add to intravenous fluids?
3
Which nursing intervention is appropriate for a patient who is at risk for skin breakdown due to poor dietary intake?
3
Which patient behavior indicates that a patient addicted to tobacco is in the preparatory phase of the transtheoretical model of change?
3
Which statement best describes the evidence associated with complementary therapies as a whole?
3
Which statement is true regarding intermittent venous access?
3
Which statement made by an older adult best demonstrates understanding regarding taking a sleep medication?
3
Which term is used to explain the relationship of one body part to another along a horizontal or vertical line?
3
While planning morning care, the nurse would give highest priority to which patient to receive a bath first
3
Why is "huff "coughing recommended for postsurgical patients using positive expiratory pressure therapy?
3
A nurse instructs a patient to assume the lithotomy position. For what does the nurse plan to assess?
4
A nurse is about to withdraw medication from an ampule. Which nursing action reduces the patient's risk for an allergic drug response?
4
A nurse is examining a patient's thorax. Which action made by the nurse will help to accurately assess the fremitus of the thorax?
4
A nurse uses the bell of a stethoscope to hear a patient's heart sounds. Which physical examination technique of is the nurse using?
4
A patient comes to the clinic for a regular checkup. The nurse is performing a physical examination on the patient. Which intervention should the nurse perform during palpation?
4
A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed?
4
A patient who has been using relaxation wants a better response. The nurse recommends the addition of biofeedback. Which is an expected outcome related to using this additional modality?
4
A patient with a 20-year history of diabetes mellitus had a lower leg amputation. Which statement made by the patient indicates that the patient is experiencing a problem with body image?
4
A registered nurse teaches a nursing student about instructions to be given to a patient on intravenous therapy at home. Which statement made by the nursing student indicates the need for further teaching?
4
According to the transtheoretical model, in which stage would an alcoholic patient be unwilling to make any change in the behavior?
4
An older adult is at increased risk for respiratory complications after surgery. What should the nurse do?
4
How is it beneficial to the patient to keep his or her back, neck, pelvis, and feet in proper alignment while the health care team lifts him or her?
4
How many calories per kilogram per day should the nurse suggest a patient consume to promote proper wound healing?
4
How many hours of sleep is typically required for a 6-year-old child to prevent fatigue?
4
How might a nurse instruct a patient with pediculosis capitis?
4
In the postanesthesia care unit (PACU), the nurse notes that the patient is having difficulty breathing and suspects an upper airway obstruction. What would the nurse do first?
4
In which stage of the transtheoretical model does a patient display defensive behavior when the nurse provides information regarding the benefits of quitting alcohol?
4
Karen is a single mother of a school-age daughter. Linda is a single mother of two teenage daughters. Karen and Linda are active professionals, have busy social lives, and date each other occasionally. Three years ago, they decided to share a house and housing costs, living expenses, and child care responsibilities. The children consider one another as their family. What family form is this?
4
The nurse assesses a patient who comes to the pulmonary clinic: "I see that it's been over 6 months since you've been in, but your appointment was for every 2 months. Tell me about that. Also, I see from your last visit that the doctor recommended routine exercise. Can you tell me how successful you have been following this plan?" The nurse's assessment covers which of Gordon's functional health patterns?
4
The nurse grades the deep tendon reflex of the biceps as 3+. What does this grade indicate?
4
The nurse hears a colleague tell a nursing student that she never touches a patient unless performing a procedure or doing an assessment. Which response by the nurse focuses on a caring perspective?
4
The nurse is developing a plan of care for a patient experiencing narcolepsy. Which intervention is appropriate to include on the plan?
4
The nurse is learning about various stages of nonrapid eye movement (NREM) sleep. One particular stage of NREM lasts for 15 to 30 minutes. It is the deepest stage of sleep, and it is very difficult to arouse the sleeper from this stage. The vital signs are lower than during normal waking hours. To which stage of NREM sleep is the nurse referring? Record your answer using a whole number. Stage __________
4
The nurse is planning a diet for a 2-year-old patient. Which food items should be included in the diet plan?
4
The nurse is teaching a group of young college-age women the importance of using sunscreen when going out in the sun. What type of content is the nurse providing?
4
The nurse teaching a family member caregiver how to bathe the patient explains the importance of using long strokes on the patient's extremities, moving from distal to proximal. Why is this bathing technique used?
4
The nurse works in a special care unit for children with severe immunology problems and is caring for a 3-year-old boy from Greece. The boy's father is with him while his mother and sister are back in Greece. The nurse is having difficulty communicating with the father. Which action should the nurse take?
4
What amount of retinol equivalents for vitamin A per day should the nurse recommend a patient to consume to support proper wound healing?
4
What dimension of spirituality includes "a sense of authentically connecting to one's inner self?"
4
What nursing intervention should the nurse provide to a hospitalized individual in order to promote sleep?
4
What nursing intervention should the nurse provide to a patient who has wet skin due to urinary incontinence and is at risk for impaired skin integrity?
4
What nursing intervention should the nurse provide to a patient who is diagnosed with stress overload?
4
Which action by the nursing assistant at bedtime requires the nurse to intervene?
4
Which action during leg exercises helps to maintain joint mobility?
4
Which challenge would the nurse expect to face while caring for a patient who is addicted to drugs and in the action phase of the transtheoretical model of change?
4
Which instruction is beneficial for a patient with dry skin?
4
Which nursing action may help decrease postoperative nausea?
4
Which nursing intervention is appropriate for a patient who is at risk for skin breakdown due to friction and shear?
4
Which nursing measure best promotes sleep in a school-age child?
4
Which nutrient helps healing by promoting epithelialization, wound closure, inflammatory response, and angiogenesis?
4
Which positive health model will a registered nurse use to manage the negative health behavior of a patient who abuses alcohol?
4
Which statement is most descriptive of the psychosocial development of school-age children?
4
While positioning a hemiplegic patient in the supported Fowler's position, the nurse elevates the head of the bed to 50 degrees. What is the rationale behind this intervention?
4
You are a nurse in the postanesthesia care unit (PACU), and you note that your patient has a heart rate of 130 beats/minute and a respiratory rate of 32 breaths/minute; you also assess jaw muscle rigidity and rigidity of limbs, abdomen, and chest. What do you suspect, and which intervention is indicated?
4
The nurse works at an occupational therapy clinic. A patient with type 1 diabetes mellitus recovered from a fractured tibia and is advised to use a cane for walking. The nurse teaches the patient how to use the cane when walking. Arrange the steps of walking with a cane in the correct order.
Have - Patient - Weak - Strong
A patient wishes to join a relaxation therapy class after going through a period of prolonged stress due to a recent divorce. Initially the patient was reluctant to join the class, but after repeated sessions of counselling, the patient agreed. Arrange the stages of change that the patient experienced in the correct order.
Precont. - Cont. - Prep. - Act.
Which patient is at risk for fatigue?
2 - Age 7 hour 8
The nurse is teaching a group of older adults the importance of daily exercise. Which instructions should the nurse include in the teaching? Select all that apply.
3-4-5
The nurse teaches an adult patient about oral hygiene according to American Dental Association guidelines. Which of the patient's statements indicate a need for further teaching? Select all that apply.
3-4-5
A couple approaches the nurse for counseling. The body mass index (BMI) of the husband is 32 (obese). The BMI of the wife is 16 (underweight). Both are unemployed and need financial support. On interviewing, the nurse finds that the husband snores loudly, which disturbs the wife during sleep. Which internal variable has an influence on the woman's sleep?
4
A family consists of a mother and her 3-year-old daughter. This is an example of which kind of family?
4
A group of nurses is organizing an educational session to teach the population of a particular community about the roots of cardiovascular disease and its impact on the human body. Which type of nursing diagnosis is being followed in this scenario?
4
The nurse is assessing a patient for risk factors of osteoporosis. Which characteristics of the patient are controllable risk factors for this condition? Select all that apply.
4-5
During which step of the teaching process does the nurse determine the outcomes of teaching and measure a patient's level of achievement of learning objectives?
5
What is the maximum hang time for enteral feeding in an open system? Record your answer using whole number. _____ hours
8
A patient with a body mass index (BMI) of 36 has a sedentary job. She has been advised to reduce her weight through exercise. To begin an exercise program, she needs to go through five steps. Arrange the steps in the appropriate order.
Assess - Design - Assemble - Get - Monitor
The nurse is assessing the visual field of a patient. Chronologically arrange the nurse's assessment steps.
Directs - Instruct to Close- Closes - move - slowly - Instruct to Report
In which order should a nurse perform the steps of a sleep assessment of a patient using the visual analog scale?
Draw - Marking - Making - MEasuring - Using
