ADULT HEALTH NURSINGn n n
EXAM PRACTICE QUESTIONS
n n n
AND ANSWERS n n n
2. nA nnurse nis nspeaking nto na ngroup nof nprospective nnursing nstudents nabout nwhat nit nis nlike nto
be na nnurse. nWhat nis n none ncharacteristic nthe nnurse nwould ncite nas nnecessary nto npossess nto nbe
n
an neffective nnurse? n n
n
A) Sensitivity nto ncultural ndifferences n n
B) Team-focused napproach nto nproblem-solving n n
C) Strict nadherence nto nroutine n n
D) Ability nto nface ncriticism n- nCORRECT nANSWER n-Ans: nA n n
Feedback: n n
To npromote nan neffective nnurse-patient nrelationship nand npositive noutcomes nof ncare, nnursing ncare
nmust nbe nculturally ncompetent, nappropriate, nand nsensitive nto ncultural ndifferences. nTeam-focused
nnursing nand nstrict nadherence nto nroutine nare nnot ncharacteristics nneeded nto nbe nan neffective nnurse.
nThe nability nto nhandle ncriticism nis nimportant, nbut nto na nlesser ndegree nthan ncultural ncompetence. n
n
6. nA ngroup nof nnursing nstudents nare nparticipating nin na ncommunity nhealth nclinic. nWhen nproviding
care nin nthis n ncontext, nwhat nshould nthe nstudents nteach nparticipants nabout ndisease nprevention? n nA)
n
It nis nbest nachieved nthrough nattending nself-help ngroups. n n
n
B) It nis nbest nachieved nby nreducing npsychological nstress. n n
C) It nis nbest nachieved nby nbeing nan nactive nparticipant nin nthe ncommunity. n n
D) It nis nbest nachieved nby nexhibiting nbehaviors nthat npromote nhealth. n- nCORRECT nANSWER n-Ans: nD n n
Feedback: n n
Today, nincreasing nemphasis nis nplaced non nhealth, nhealth npromotion, nwellness, nand nself-care. nHealth
nis nseen nas nresulting nfrom na nlifestyle noriented ntoward nwellness. nNurses nin ncommunity nhealth nclinics
ndo nnot nteach nthat ndisease nprevention nis nbest nachieved nthrough nattending nself-help ngroups, nby
nreducing nstress, nor nby nbeing nan nactive nparticipant nin nthe ncommunity, nthough neach nof nthese
nactivities nis nconsistent nwith na nhealthy nlifestyle. n
,n
8. nNurses nin nacute ncare nsettings nmust nwork nwith nother nhealth ncare nteam nmembers nto nmaintain
nquality ncare n n
while nfacing npressures nto ncare nfor npatients nwho nare nhospitalized nfor nshorter nperiods nof ntime nthan
nin nthe npast. nTo nensure npositive nhealth noutcomes nwhen npatients nreturn nto ntheir nhomes, nwhat
naction nshould nthe nnurse nprioritize? n n
A) Promotion nof nhealth nliteracy nduring nhospitalization n n
B) Close ncommunication nwith ninsurers n n
C) Thorough nand nevidence-based ndischarge nplanning n n
D) Participation nin ncontinuing neducation ninitiatives n- nCORRECT nANSWER n-Ans: nC n n
Feedback: n n
Following ndischarges nthat noccur nafter nincreasingly nshort nhospital nstays, nnurses nin nthe ncommunity
ncare nfor npatients nwho nneed nhigh-technology nacute ncare nservices nas nwell nas nlong-term ncare nin nthe
nhome. nThis nis ndependent non neffective ndischarge nplanning nto na ngreater ndegree nthan ncontinuing
neducation, ncommunication nwith ninsurers, nor npromotion nof nhealth nliteracy. n
n
9. nYou nare nadmitting na npatient nto nyour nmedical nunit nafter nthe npatient nhas nbeen ntransferred nfrom
the n nemergency ndepartment. nWhat nis nyour npriority nnursing naction nat nthis ntime? n n
n
A) Identifying nthe nimmediate nneeds nof nthe npatient n n
B) Checking nthe nadmitting nphysicians norders n n
C) Obtaining na nbaseline nset nof nvital nsigns n n
D) Allowing nthe nfamily nto nbe nwith nthe npatient n- nCORRECT nANSWER n-Ans: nA n n
Feedback: n n
Among nthe nnurses nimportant nfunctions nin nhealth ncare ndelivery, nidentifying nthe npatients nimmediate
nneeds nand nworking nin nconcert nwith nthe npatient nto naddress nthem nis nmost nimportant. nThe nother
nnursing nfunctions nare nimportant, nbut nthey nare nnot nthe nmost nimportant nfunctions. n
n
12. nNurses nnow nhave nthe noption nto npractice nin na nvariety nof nsettings nand none nof nthe nfastest
ngrowing nvenues nof npractice nfor nthe nnurse nin ntodays nhealth ncare nenvironment nis nhome nhealth ncare.
nWhat nis nthe nmain nbasis nfor n n
,Test nBank n- nBrunner n& nSuddarth's nTextbook nof nMedical-Surgical nNursing n14e n(Hinkle n2017)
8nn
n
the ngrowth nin nthis nhealth ncare nsetting? n n
A) Chronic nnursing nshortage n n
B) Western nfocus non ntreatment nof ndisease n n
C) Nurses npreferences nfor nday nshifts ninstead nof nevening nor nnight nshifts n nD) nDischarge nof npatients
who nare nmore ncritically nill n- nCORRECT nANSWER n-Ans: nD n n
n
Feedback: n n
With nshorter nhospital nstays nand nincreased nuse nof noutpatient nhealth ncare nservices, nmore nnursing
ncare nis nprovided nin nthe nhome nand ncommunity nsetting. nThe nother nanswers nare nincorrect nbecause
nthey nare nnot nthe nbasis nfor nthe ngrowth nin nnursing ncare ndelivered nin nthe nhome nsetting. n
n
13. nNurses nhave ndifferent neducational nbackgrounds nand nfunction nunder nmany ntitles nin ntheir
npractice nsetting. nIf n n
a nnurse npracticing nin nan noncology nclinic nhad nthe ngoal nof nimproving npatient noutcomes nand nnursing
ncare nby ninfluencing nthe npatient, nthe nnurse, nand nthe nhealth ncare nsystem, nwhat nwould nmost
naccurately ndescribe nthis nnurses ntitle? n n
A) Nursing ncare nexpert n n
B) Clinical nnurse nspecialist n n
C) Nurse nmanager n n
D) Staff nnurse n- nCORRECT nANSWER n-Ans: nB n n
Feedback: n n
Clinical nnurse nspecialists nare nprepared nas nspecialists nwho npractice nwithin na ncircumscribed narea nof
ncare n(e.g., ncardiovascular, noncology). nThey ndefine ntheir nroles nas nhaving nfive nmajor ncomponents:
nclinical npractice, neducation, nmanagement, nconsultation, nand nresearch. nThe nother nanswers nare
nincorrect nbecause nthey nare nnot nthe nmost naccurate ntitles nfor nthis nnurse. n
n
15. nA nhospice nnurse nis ncaring nfor na npatient nwho nis ndying nof nlymphoma. nAccording nto nMaslows
nhierarchy nof n n
, needs, nwhat ndimension nof ncare nshould nthe nnurse nconsider nprimary nin nimportance nwhen ncaring nfor
na ndying npatient? n n
A) Spiritual n n
B) Social n n
C) Physiologic n n
D) Emotional n- nCORRECT nANSWER n-Ans: nC n n
Feedback: n n
Maslow nranked nhuman nneeds nas nfollows: nphysiologic nneeds; nsafety nand nsecurity; nsense nof
nbelonging nand naffection; nesteem nand nself-respect; nand nself-actualization, nwhich nincludes nself-
fulfillment, ndesire nto nknow nand nunderstand, nand naesthetic nneeds. nSuch na nhierarchy nof nneeds nis na
nuseful nframework nthat ncan nbe napplied nto nthe nvarious nnursing nmodels nfor nassessment nof na npatients
nstrengths, nlimitations, nand nneed nfor nnursing ninterventions. nThe nother nanswers nare nincorrect
nbecause nthey nare nnot nof nprimary nimportance nwhen ncaring nfor na ndying npatient, nthough neach
nshould ncertainly nbe naddressed. n
n
16. nA nnurse nis nplanning na nmedical npatients ncare nwith nconsideration nof nMaslows nhierarchy nof
needs. nWithin n nthis nframework nof nunderstanding, nwhat nwould nbe nthe nnurses nfirst npriority? n n
n
A) Allowing nthe nfamily nto nsee na nnewly nadmitted npatient n n
B) Ambulating nthe npatient nin nthe nhallway n n
C) Administering npain nmedication n n
Test nBank n- nBrunner n& nSuddarth's nTextbook nof nMedical-Surgical nNursing n14e n(Hinkle n2017)
10 n nD) nTeaching nthe npatient nto nself-administer ninsulin nsafely n- nCORRECT nANSWER n-Ans: nC n
n
n
Feedback: n n
In nMaslows nhierarchy nof nneeds, npain nrelief naddresses nthe npatients nbasic nphysiologic nneed. nActivity,
nsuch nas nambulation, nis na nhigher nlevel nneed nabove nthe nphysiologic nneed. nAllowing nthe npatient nto
nsee nfamily naddresses na nhigher nlevel nneed nrelated nto nlove nand nbelonging. nTeaching nthe npatient nis
nalso na nhigher nlevel nneed nrelated nto nthe ndesire nto nknow nand nunderstand nand nis nnot nappropriate nat
nthis ntime, nas nthe nbasic nphysiologic nneed nof npain ncontrol nmust nbe naddressed nbefore nthe npatient
ncan naddress nthese nhigher nlevel nneeds. n
n
EXAM PRACTICE QUESTIONS
n n n
AND ANSWERS n n n
2. nA nnurse nis nspeaking nto na ngroup nof nprospective nnursing nstudents nabout nwhat nit nis nlike nto
be na nnurse. nWhat nis n none ncharacteristic nthe nnurse nwould ncite nas nnecessary nto npossess nto nbe
n
an neffective nnurse? n n
n
A) Sensitivity nto ncultural ndifferences n n
B) Team-focused napproach nto nproblem-solving n n
C) Strict nadherence nto nroutine n n
D) Ability nto nface ncriticism n- nCORRECT nANSWER n-Ans: nA n n
Feedback: n n
To npromote nan neffective nnurse-patient nrelationship nand npositive noutcomes nof ncare, nnursing ncare
nmust nbe nculturally ncompetent, nappropriate, nand nsensitive nto ncultural ndifferences. nTeam-focused
nnursing nand nstrict nadherence nto nroutine nare nnot ncharacteristics nneeded nto nbe nan neffective nnurse.
nThe nability nto nhandle ncriticism nis nimportant, nbut nto na nlesser ndegree nthan ncultural ncompetence. n
n
6. nA ngroup nof nnursing nstudents nare nparticipating nin na ncommunity nhealth nclinic. nWhen nproviding
care nin nthis n ncontext, nwhat nshould nthe nstudents nteach nparticipants nabout ndisease nprevention? n nA)
n
It nis nbest nachieved nthrough nattending nself-help ngroups. n n
n
B) It nis nbest nachieved nby nreducing npsychological nstress. n n
C) It nis nbest nachieved nby nbeing nan nactive nparticipant nin nthe ncommunity. n n
D) It nis nbest nachieved nby nexhibiting nbehaviors nthat npromote nhealth. n- nCORRECT nANSWER n-Ans: nD n n
Feedback: n n
Today, nincreasing nemphasis nis nplaced non nhealth, nhealth npromotion, nwellness, nand nself-care. nHealth
nis nseen nas nresulting nfrom na nlifestyle noriented ntoward nwellness. nNurses nin ncommunity nhealth nclinics
ndo nnot nteach nthat ndisease nprevention nis nbest nachieved nthrough nattending nself-help ngroups, nby
nreducing nstress, nor nby nbeing nan nactive nparticipant nin nthe ncommunity, nthough neach nof nthese
nactivities nis nconsistent nwith na nhealthy nlifestyle. n
,n
8. nNurses nin nacute ncare nsettings nmust nwork nwith nother nhealth ncare nteam nmembers nto nmaintain
nquality ncare n n
while nfacing npressures nto ncare nfor npatients nwho nare nhospitalized nfor nshorter nperiods nof ntime nthan
nin nthe npast. nTo nensure npositive nhealth noutcomes nwhen npatients nreturn nto ntheir nhomes, nwhat
naction nshould nthe nnurse nprioritize? n n
A) Promotion nof nhealth nliteracy nduring nhospitalization n n
B) Close ncommunication nwith ninsurers n n
C) Thorough nand nevidence-based ndischarge nplanning n n
D) Participation nin ncontinuing neducation ninitiatives n- nCORRECT nANSWER n-Ans: nC n n
Feedback: n n
Following ndischarges nthat noccur nafter nincreasingly nshort nhospital nstays, nnurses nin nthe ncommunity
ncare nfor npatients nwho nneed nhigh-technology nacute ncare nservices nas nwell nas nlong-term ncare nin nthe
nhome. nThis nis ndependent non neffective ndischarge nplanning nto na ngreater ndegree nthan ncontinuing
neducation, ncommunication nwith ninsurers, nor npromotion nof nhealth nliteracy. n
n
9. nYou nare nadmitting na npatient nto nyour nmedical nunit nafter nthe npatient nhas nbeen ntransferred nfrom
the n nemergency ndepartment. nWhat nis nyour npriority nnursing naction nat nthis ntime? n n
n
A) Identifying nthe nimmediate nneeds nof nthe npatient n n
B) Checking nthe nadmitting nphysicians norders n n
C) Obtaining na nbaseline nset nof nvital nsigns n n
D) Allowing nthe nfamily nto nbe nwith nthe npatient n- nCORRECT nANSWER n-Ans: nA n n
Feedback: n n
Among nthe nnurses nimportant nfunctions nin nhealth ncare ndelivery, nidentifying nthe npatients nimmediate
nneeds nand nworking nin nconcert nwith nthe npatient nto naddress nthem nis nmost nimportant. nThe nother
nnursing nfunctions nare nimportant, nbut nthey nare nnot nthe nmost nimportant nfunctions. n
n
12. nNurses nnow nhave nthe noption nto npractice nin na nvariety nof nsettings nand none nof nthe nfastest
ngrowing nvenues nof npractice nfor nthe nnurse nin ntodays nhealth ncare nenvironment nis nhome nhealth ncare.
nWhat nis nthe nmain nbasis nfor n n
,Test nBank n- nBrunner n& nSuddarth's nTextbook nof nMedical-Surgical nNursing n14e n(Hinkle n2017)
8nn
n
the ngrowth nin nthis nhealth ncare nsetting? n n
A) Chronic nnursing nshortage n n
B) Western nfocus non ntreatment nof ndisease n n
C) Nurses npreferences nfor nday nshifts ninstead nof nevening nor nnight nshifts n nD) nDischarge nof npatients
who nare nmore ncritically nill n- nCORRECT nANSWER n-Ans: nD n n
n
Feedback: n n
With nshorter nhospital nstays nand nincreased nuse nof noutpatient nhealth ncare nservices, nmore nnursing
ncare nis nprovided nin nthe nhome nand ncommunity nsetting. nThe nother nanswers nare nincorrect nbecause
nthey nare nnot nthe nbasis nfor nthe ngrowth nin nnursing ncare ndelivered nin nthe nhome nsetting. n
n
13. nNurses nhave ndifferent neducational nbackgrounds nand nfunction nunder nmany ntitles nin ntheir
npractice nsetting. nIf n n
a nnurse npracticing nin nan noncology nclinic nhad nthe ngoal nof nimproving npatient noutcomes nand nnursing
ncare nby ninfluencing nthe npatient, nthe nnurse, nand nthe nhealth ncare nsystem, nwhat nwould nmost
naccurately ndescribe nthis nnurses ntitle? n n
A) Nursing ncare nexpert n n
B) Clinical nnurse nspecialist n n
C) Nurse nmanager n n
D) Staff nnurse n- nCORRECT nANSWER n-Ans: nB n n
Feedback: n n
Clinical nnurse nspecialists nare nprepared nas nspecialists nwho npractice nwithin na ncircumscribed narea nof
ncare n(e.g., ncardiovascular, noncology). nThey ndefine ntheir nroles nas nhaving nfive nmajor ncomponents:
nclinical npractice, neducation, nmanagement, nconsultation, nand nresearch. nThe nother nanswers nare
nincorrect nbecause nthey nare nnot nthe nmost naccurate ntitles nfor nthis nnurse. n
n
15. nA nhospice nnurse nis ncaring nfor na npatient nwho nis ndying nof nlymphoma. nAccording nto nMaslows
nhierarchy nof n n
, needs, nwhat ndimension nof ncare nshould nthe nnurse nconsider nprimary nin nimportance nwhen ncaring nfor
na ndying npatient? n n
A) Spiritual n n
B) Social n n
C) Physiologic n n
D) Emotional n- nCORRECT nANSWER n-Ans: nC n n
Feedback: n n
Maslow nranked nhuman nneeds nas nfollows: nphysiologic nneeds; nsafety nand nsecurity; nsense nof
nbelonging nand naffection; nesteem nand nself-respect; nand nself-actualization, nwhich nincludes nself-
fulfillment, ndesire nto nknow nand nunderstand, nand naesthetic nneeds. nSuch na nhierarchy nof nneeds nis na
nuseful nframework nthat ncan nbe napplied nto nthe nvarious nnursing nmodels nfor nassessment nof na npatients
nstrengths, nlimitations, nand nneed nfor nnursing ninterventions. nThe nother nanswers nare nincorrect
nbecause nthey nare nnot nof nprimary nimportance nwhen ncaring nfor na ndying npatient, nthough neach
nshould ncertainly nbe naddressed. n
n
16. nA nnurse nis nplanning na nmedical npatients ncare nwith nconsideration nof nMaslows nhierarchy nof
needs. nWithin n nthis nframework nof nunderstanding, nwhat nwould nbe nthe nnurses nfirst npriority? n n
n
A) Allowing nthe nfamily nto nsee na nnewly nadmitted npatient n n
B) Ambulating nthe npatient nin nthe nhallway n n
C) Administering npain nmedication n n
Test nBank n- nBrunner n& nSuddarth's nTextbook nof nMedical-Surgical nNursing n14e n(Hinkle n2017)
10 n nD) nTeaching nthe npatient nto nself-administer ninsulin nsafely n- nCORRECT nANSWER n-Ans: nC n
n
n
Feedback: n n
In nMaslows nhierarchy nof nneeds, npain nrelief naddresses nthe npatients nbasic nphysiologic nneed. nActivity,
nsuch nas nambulation, nis na nhigher nlevel nneed nabove nthe nphysiologic nneed. nAllowing nthe npatient nto
nsee nfamily naddresses na nhigher nlevel nneed nrelated nto nlove nand nbelonging. nTeaching nthe npatient nis
nalso na nhigher nlevel nneed nrelated nto nthe ndesire nto nknow nand nunderstand nand nis nnot nappropriate nat
nthis ntime, nas nthe nbasic nphysiologic nneed nof npain ncontrol nmust nbe naddressed nbefore nthe npatient
ncan naddress nthese nhigher nlevel nneeds. n
n
