Examsrevision

MULTIPLE CHOICE 1. The nurse recommends that normal sleep patterns can best be acquired by suggesting to the patient that they: a. smoke cigarettes. b. drink wine. c. take a nap during the day. d. exercise in the mornings. ANS: D Maintaining a regular exercise schedule not too close to bedtime helps a person sleep. DIF: Cognitive Level: Comprehension REF: k 604 OBJ: Theory #8 TOP: Sleep KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: basic ca...

MULTIPLE CHOICE 1. A nurse is assisting in the care of a patient who is receiving pain medication by the epidural route. It is most important to monitor this patient for which adverse drug effects? a. Constipation b. Headache c. Nausea d. Hypoventilation ANS: D Respiratory depression is a potentially dangerous side effect of epidural analgesia, and a patient receiving this type of pain medication requires frequent monitoring of respiratory rate. DIF: Cognitive Level: Comprehensi...

MULTIPLE CHOICE 1. The nursing action that is most beneficial toward creating an atmosphere conducive to eating for a hospitalized patient immobilized in bed is: a. lower the head of bed as tolerated. b. remove the urinal from the over-the-bed table. c. invite the patient to wash hands and face before eating. d. use a deodorizer to remove any unpleasant odor in the room. ANS: B Remove distracting articles such as the urinal and emesis basin. DIF: Cognitive Level: Application R...

MULTIPLE CHOICE 1. The nurse is comparing sitting and standing vital signs for a patient who has been diagnosed with dehydration. The pulse rate has increased by 10 beats/min at 1 minute. The nurse then anticipates the blood pressure to show a(n) _____ mm Hg. a. increase of 5 b. drop of 40 c. drop of 20 d. increase of 10 ANS: C A drop in systolic blood pressure by at least 20 mm Hg accompanied by a pulse rate increase of at least 10 beats/min at 1 minute following position chang...

MULTIPLE CHOICE 1. When obtaining a capillary blood sample for blood glucose, the nurse will select the puncture site to cause the least amount of discomfort, which is: a. the end of the index finger. b. the ball of the third finger. c. at right angles to the fingerprint lines. d. the ball of the thumb. ANS: C Using the right angle to the fingerprint lines places the puncture on the side of the finger rather than on more sensitive areas. DIF: Cognitive Level: Application REF: ...

MULTIPLE CHOICE 1. A patient with visual impairment is identified as at risk for falls related to blindness. An appropriate intervention would be to: a. assist the patient with feeding herself at the end of the meal. b. arrange furnishings in room to provide clear pathways and orient the patient to these. c. take the patients blood pressure before she gets up in the morning. d. report any falls immediately to the charge nurse and the doctor. ANS: B Providing clear pathways directly ...

MULTIPLE CHOICE 1. Because the elderly have non-elastic blood vessels, they are prone to orthostatic hypotension. A priority intervention for a patient with orthostatic hypotension is to: a. keep the patient in bed in a high Fowlers position. b. allow the patient to sit on the side of the bed for a minute before standing. c. instruct the patient to use the wheelchair for all mobility activity. d. help the patient to rise quickly and support the patient for a minute. ANS: B The elderl...

Chapter 9: Recording and Reporting Fundamental Nursing Skills and Concepts 12th Edition, Timby MULTIPLE CHOICE 1. A nurse enters a notation in a patients chart but then discovers that the notation was made in the wrong chart. The nurse correctly: a. draws a single line through the notation so that it is still readable and writes mistaken entry, his sign and time. b. removes the page on which the error is written and rewrites the other correct notes. c. blacks out the note to protect ...

Chapter 10: Admission, Discharge, Transfer, and Referrals Fundamental Nursing Skills and Concepts 12th Edition, Timby MULTIPLE CHOICE 1. A young patient has died in the emergency department after suffering severe trauma. The nurse understands that this patients family may take comfort from the opportunity to: a. allow donation of the patients organs. b. view all of the injuries to the patients body. c. plan the funeral before leaving the hospital. d. donate the patients belongings to...

MULTIPLE CHOICE 1. The nurse can best ensure that communication is understood by: a. speaking slowly and clearly in the patients native language. b. asking the family members whether the patient understands. c. obtaining feedback from the patient that indicates accurate comprehension. d. checking for signs of hearing loss or aphasia before communicating. ANS: C The best way to determine understanding is to ask the patient. Factors such as anxiety, hearing acuity, language, aphasia, o...

MULTIPLE CHOICE 1. Before beginning to teach a patient to give himself insulin, the nurse asks, Have you ever known anyone who gave himself insulin injections? This question is primarily designed to: a. assess the patients learning needs. b. stimulate the patient to focus on the teaching goal. c. reduce the patients anxiety relative to insulin injection. d. reduce the amount of information the nurse has to provide. ANS: A Assessing a patients previous experience (as well as educati...

MULTIPLE CHOICE 1. A student nurse who is not yet licensed: a. may not perform nursing actions until he or she has passed the licensing examination. b. is not responsible for his or her actions as a student under the state licensing law. c. may perform nursing actions only under the supervision of a licensed nurse. d. must apply for a temporary student nurse permit to practice as a student. ANS: C Students may perform nursing actions before they are licensed but only under the super...

MULTIPLE CHOICE 1. Florence Nightingales contributions to nursing practice and education: a. are historically important but have no validity for nursing today. b. were neither recognized nor appreciated in her own time. c. were a major factor in reducing the death rate in the Crimean War. d. were limited only to the care of severe traumatic wounds. ANS: C By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingales nurses dramatically reduced the...

MULTIPLE CHOICE 1. The nurse is aware that any description of health would include the concept that: a. health is the absence of illness, and illness is the presence of chronic disease. b. culture, education, and socioeconomic status influence ones definition of health or illness. c. illness is a biologic malfunction, and health is biologic soundness. d. lifestyle factors are the major determinant of health or illness. ANS: B The concept of health is influenced by culture, education...

Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition Chapters _31_32_33_34_35_36_

Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition Chapters_21_22_23_24_25_26_27_28_29_30_

MULTIPLE CHOICE 1. A patient tells the nurse, ―I‘ve been having problems getting a good night‘s sleep. I read some information on the Internet and started taking kava kava.‖ Select the nurse‘s priority response. a. The Internet does not have reliable health information for consumers.‖ b. The Food and Drug Administration warned against using it due to the link to severe liver damage.‖ c. Melatonin has been shown to have better effects for treating sleep disturbances.‖ ...

MULTIPLE CHOICE 1. A married couple has two biologic children who live with them as well as a child from the wife‘s first marriage. What type of family is evident? a. Homogeneous b. Extended c. Blended d. Nuclear ANS: C A blended family is made up of members from two or more unrelated families. It is not a nuclear family because a stepchild is present. It is not an extended family, because there are only two generations present. Homogeneous is not a family type. PTS: 1 DI...

MULTIPLE CHOICE 1. A patient tells members of a therapy group, ―I hear voices saying my doctor is poisoning me.‖ Another patient replies, ―I once heard voices too. They sounded real, but I found out later they were not. The voices you hear are not real either.‖ Which therapeutic factor is exemplified in this interchange? a. Catharsis b. Universality c. Imitative behavior d. Interpersonal learning ANS: D Here a member gains insight into his own experiences from hearing ...

MULTIPLE CHOICE 1. After 5 years in a state hospital, an adult diagnosed with schizophrenia was discharged to the community. This patient now requires continual direction to accomplish activities of daily living and expects others to provide meals and do laundry. The nurse assesses this behavior as the probable result of a. side effects of antipsychotic medications. b. dependency caused by institutionalization. c. cognitive deterioration from schizophrenia. d. stress associated with...