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UNIT I Actions Basic to Nursing Care
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Chapter 1 Asepsis and Infection Control
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Chapter 2 Vital Signs
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Chapter 3 Health Assessment
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Chapter 4 Safety
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Chapter 5 Medications
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Chapter 6 Perioperative Nursing
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UNIT II Promoting Healthy Physiologic Responses
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Chapter 7 Hygiene
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Chapter 8 Skin Integrity and Wound Care
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Chapter 9 Activity
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Chapter 10 Comfort and Pain Management
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Chapter 11 Nutrition
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Chapter 12 Urinary Elimination
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Chapter 13 Bowel Elimination
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Chapter 14 Oxygenation
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Chapter 15 Perfusion
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Chapter 16 Fluid, Electrolyte, and Acid–Base Balance
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,Chapter 17 Neurologic Care
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Chapter 18 Laboratory Specimen Collection
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, Prof.Exams
1. A nurse is attempting to obtain vital signs from a restless toddler who is clinging t
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o hi s
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mother's legs and asking to go home. Which of the following would be the best nursing
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A) Perform the blood pressure assessment first because it is the most frightening
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procedure for a child. wq wq wq
B) Perform as many of the assessments as possible with the child seated on the
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parent's lap. wq
C) Do not allow the child to see the instruments until they are ready to be used.
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D) Remove any distractions (e.g., toys/dolls from the room to improve concentratio
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n).
2. A nurse assesses the rectal temperature of a patient who is postoperative following
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oral
surgery. What patient assessment needs to be made before taking this temperature?
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A) Pain assessment
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B) Pulse rate w q
C) Platelet count wq
D) Fecal occult blood test
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3. A patient informs the nurse that she still uses a mercury thermometer to take the temper
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a t ure of her children when they are sick. Which of the following is a
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recommended teaching guideline for patients using these types of thermometers?
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A) Teach patient safety related to accidental breakage of the thermometer.
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B) Tell patients using mercury thermometers to throw them in the trash and buy a
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type of instrument.
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C) Encourage patients to use alternative devices to assess temperature in their hom
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e.
D) Tell patients that mercury thermometers should be used only in a hospital setti
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ng
with appropriate safeguards.
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4. A nurse is obtaining vital signs from patients using the tympanic method for measuring
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e mperature. Which of the following guidelines should be followed when taking a ty
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mpanic temperature? wq
A) Do not take a tympanic temperature if the patient has an earache.
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B) Do not take a tympanic temperature if there is noticeable earwax present.
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C) Do not take a tympanic temperature if the patient has an ear infection.
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UNIT I Actions Basic to Nursing Care
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Chapter 1 Asepsis and Infection Control
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Chapter 2 Vital Signs
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Chapter 3 Health Assessment
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Chapter 4 Safety
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Chapter 5 Medications
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Chapter 6 Perioperative Nursing
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UNIT II Promoting Healthy Physiologic Responses
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Chapter 7 Hygiene
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Chapter 8 Skin Integrity and Wound Care
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Chapter 9 Activity
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Chapter 10 Comfort and Pain Management
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Chapter 11 Nutrition
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Chapter 12 Urinary Elimination
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Chapter 13 Bowel Elimination
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Chapter 14 Oxygenation
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Chapter 15 Perfusion
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Chapter 16 Fluid, Electrolyte, and Acid–Base Balance
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,Chapter 17 Neurologic Care
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Chapter 18 Laboratory Specimen Collection
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, Prof.Exams
1. A nurse is attempting to obtain vital signs from a restless toddler who is clinging t
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o hi s
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mother's legs and asking to go home. Which of the following would be the best nursing
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q i ntervention to accomplish this task?
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A) Perform the blood pressure assessment first because it is the most frightening
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procedure for a child. wq wq wq
B) Perform as many of the assessments as possible with the child seated on the
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parent's lap. wq
C) Do not allow the child to see the instruments until they are ready to be used.
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D) Remove any distractions (e.g., toys/dolls from the room to improve concentratio
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n).
2. A nurse assesses the rectal temperature of a patient who is postoperative following
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oral
surgery. What patient assessment needs to be made before taking this temperature?
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A) Pain assessment
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B) Pulse rate w q
C) Platelet count wq
D) Fecal occult blood test
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3. A patient informs the nurse that she still uses a mercury thermometer to take the temper
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a t ure of her children when they are sick. Which of the following is a
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recommended teaching guideline for patients using these types of thermometers?
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A) Teach patient safety related to accidental breakage of the thermometer.
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B) Tell patients using mercury thermometers to throw them in the trash and buy a
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ne w
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type of instrument.
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C) Encourage patients to use alternative devices to assess temperature in their hom
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e.
D) Tell patients that mercury thermometers should be used only in a hospital setti
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ng
with appropriate safeguards.
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4. A nurse is obtaining vital signs from patients using the tympanic method for measuring
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t
wq
e mperature. Which of the following guidelines should be followed when taking a ty
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mpanic temperature? wq
A) Do not take a tympanic temperature if the patient has an earache.
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B) Do not take a tympanic temperature if there is noticeable earwax present.
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C) Do not take a tympanic temperature if the patient has an ear infection.
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