Practice Tests: Test #7 - 50 questions
All 50 questions are randomized each time you take the test, and do not appear in the same order here.
1. Knowing the difference between normal age-related changes & pathologic findings, which finding should the nurse identify as pathologic in a 74 year old patient?
- Increase in residual lung volume
- Decrease in sphincter control of the bladder
- Increase in diastolic BP
- Decreased response to touch, heat & pain.
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2. The nurse is interacting with a client and observes the client’s eyes moving from side to side prior to answering a question. The nurse interprets this behavior as:
- The client being bored with the interaction.
- The client processing auditory information.
- The client engaging in intrapersonal communication.
- The client responding to auditory hallucinations
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3. A young woman who has tested positive for HIV tells her nurse that she has had many sexual partners. She has been on an oral contraceptive & frequently had not requested that her partners use condoms. She denies IV drug use she tells her nurse that she believes that she will die soon. What would be the best response for the nurse to make.
- “Where there is life there is hope”
- “Would you like to talk to the nurse who works with HIV-positive patient’s?”
- “You are a long way from dying”
- “Not everyone who is HIV positive will develop AIDS & die”
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4. According to the therapeutic communication theory, what criteria must be met for successful communication?
- The communication needs to be efficient, appropriate, flexible, and include feedback.
- The individuals communicating with each other must share a similar perception of the conversation.
- The communication must be intrapersonal, interpersonal, group, or societal in nature.
- Nonverbal communication is consistent with verbal communication.
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5. During a nurse-client interaction, which nursing statement may belittle the client's feelings and concerns?
- "Don't worry. Everything will be alright."
- "You appear uptight."
- "I notice you have bitten your nails to the quick."
- "You are jumping to conclusions."
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6. A young woman has suffered fractured pelvis in an accident, she has been hospitalized for 3 days, when she tells her primary nurse that she has something to tell her but she doesnot want the nurse to tell anyone. she says that she had tried to donate blood & tested positive for HIV. What is best action of the nurse to take?
- Document this information on the patient’s chart
- Tell the patient’s physician
- Inform the healthcare team who will come in contact with the patient
- Encourage the patient to disclose this information to her physician
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7. What is the purpose of a nurse providing appropriate feedback?
- To give the client good advice
- To advise the client on appropriate behaviors
- To evaluate the client's behavior
- To give the client critical information
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8. To provide effective feedback to a client, the nurse will focus on:
- The present and not the past.
- Making inferences of the behaviors observed.
- Providing solutions to the client.
- The client.
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9. The nonverbal communication that expresses emotion is:
- Body positioning.
- Eye contact
- Cultural artifacts.
- Facial expressions.
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10. A 76 year old man who is a resident in an extended care facility is in the late stages of Alzheimer’s disease . He tells his nurse that he has sore back muscles from all the construction work he has been doing all day. Which response by the nurse is most appropriate?
- “you know you don’t work in construction anymore”
- “what type of motion did you do to precipitate this soreness?”
- “you’re 76 years old & you’ve been here all day. You don’t work in construction anymore.”
- “would you like me to rub your back for you?”
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11. Which therapeutic communication technique is being used in this nurse-client interaction?
Client: "My father spanked me often."
Nurse: "Your father was a harsh disciplinarian."
- Restatement
- Offering general leads
- Focusing
- Accepting
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12. Which of the following would be an appropriate strategy in reorienting a confused patient to where her room is?
- Place pictures of her family on the bedside stand
- Put her name in large letters on her forehead
- Remind the patient where her room is
- Let the other residents know where the patient’s room is
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13. A nurse demonstrates patient advocacy by becoming involved in which of the following activities?
- Taking a public stand on quality issues and educating the public on "public interest" issues
- Teaching in a school of nursing to help decrease the nursing shortage
- Engaging in nursing research to justify nursing care delivery
- Supporting the status quo when changes are pending
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14. The nurse is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a "general lead"?
- "Do you know why you are here?”
- "Are you feeling depressed or anxious?"
- "Yes, I see. Go on."
- "Can you chronologically order the events that led to your admission?"
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15. Which of the following is an important principle of delegation?
- No transfer of authority exists when delegating.
- Delegation is the same as work allocation.
- Responsibility is not transferred with delegation
- When delegating, you must transfer authority.
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16. What is likely to be true of a nurse's duties when she acts as a case manager providing community-based nursing services to a specific group of individuals?
- The nurse will care for clients at the center, in their homes, and in the hospital.
- The nurse sees only clients who come to the office.
- The nurse works independently of other health care professionals.
- The nurse will not continue client care if it involves long-term needs.
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17. Which example of a therapeutic communication technique would be effective in the planning phase of the nursing process?
- "We've discussed past coping skills. Let's see if these coping skills can be effective now."
- "Please tell me in your own words what brought you to the hospital."
- "This new approach worked for you. Keep it up."
- "I notice that you seem to be responding to voices that I do not hear."
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18. A critically ill client asks the nurse to help him die. Which of the following would be an appropriate response for the nurse to give this client?
- tell me why you feel death is your only option
- how would you like to do this
- everyone dies sooner or later
- assisted suicide is illegal in this state
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19. The wife of a recently deceased male is contacting individuals to inform them of her husband's death. She decides, however, to drive to her parent's home to tell them in person instead of using the telephone. Of what benefit did this communication approach serve?
- she needed to get out of the house
- for the family to gain support from each other
- no benefit
- she was having a pathological grief response
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20. The hospice nurse has been working for two weeks without a day off. During this time, she has been present at the deaths of seven of her clients. Which of the following might be beneficial for this nurse?
- Nothing
- Provide her with an assistant
- Suggest she take a few days off
- Assign her to clients that aren't going to die for awhile
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21. An 86 year old male with senile dementia has been physically abused & neglected for the past two years by his live in caregiver . He has since moved & is living with his son & daughter-in-law. Which response by the client’s son would cause the nurse great concern?
- “How can we obtain reliable help to assist us in taking care of Dad? We can’t do it alone.”
- “Dad used to beat us kids all the time. I wonder if he remembered that when it happened to him?”
- “I’m not sure how to deal with Dad’s constant repetition of words.”
- “I plan to ask my sister & brother to help my wife & me with Dad on the weekends.”
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22. A staff nurse has delegated the ambulating of a new post-op patient to a new staff nurse. Which of the following situations exhibits the final stage in the process of delegation?
- Having the new nurse tell the physician the task has been completed
- Supervising the performance of the new nurse
- Telling the unit manager the task has been completed
- Documenting that the task has been completed
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23. Before administering a tube feeding the nurse knows to perform which of the following assessments?
- The gastrointestinal tract, including bowel sounds, last BM, & distention.
- The client’s neurologic status, especially gag reflex
- The amount of air in stomach
- That the formula is used directly from the refrigerator
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24. A client, who has had visitors the last two evenings during the unit's regular evening visitors hours, 6:00 p.m. to 8:00 p.m., asks, "What time can I have visitors this evening?" Which of the following would be the best response to this question?
- "Don't you remember what time you visitor have been coming?"
- "You are worried about visiting hours."
- "You want to know when you can have visitors?"
- "Visiting hours are from 6:00 p.m. to 8:00 p.m."
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25. An adult is offered the opportunity to participate in research on a new therapy. The researcher ask the nurse to obtain the patient’s consent. What is most appropriate for the nurse to take?
- Be sure the patient understands the project before signing the consent form
- Read the consent form to the patient & give him or her an opportunity to ask questions
- Refuse to be the one to obtain the patient’s consent
- Give the form to the patient & tell him or her to read it carefully before signing it.
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26. An adult has experienced a CVA that has resulted in right side weakness. The nurse is preparing to move the patient right side of the bed so that he may then be turned to his left side. The nurse knows that an important principle when moving the patient is.
- To keep the feet close together
- To bend from waist
- To use body weight when moving objects
- A twisting motion will save steps
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27. Which of the following client should the nurse deal with first
- A client who needs her dressing changed
- A client who needs to be suctioned
- A client who needs to be medicated for incisional pain
- A client who is incontinent & needs to be cleaned
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28. A client is to be discharged home from a hospital using crutches or a wheelchair. The client lives alone with three cats. Which assessment parameter is most important on the initial home visit?
- Whether the client will be able to keep medical appointments
- Whether the client desires spiritual counseling
- Whether the home has stairs and/or throw rugs
- Whether the client has financial resources for payment
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29. The nurse is in the hospitals public cafeteria & hears two nursing assistants talking about the patient in 107. They are using her name & discussing intimate details about her illness which of the following actions id best for the nurse to take?
- Go over & tell the nursing assistants that their actions are inappropriate especially in a public place
- Wait & tell the assistants later that they were overheard discussing the patient otherwise they might be embarrassed
- Tell the nursing assistant’s supervisor about the incident. It is the supervisor’s responsibility to address the issue
- Say nothing. It is not the nurses job, he or she is not responsible for the assistant’s action
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30. An adult has signed the consent form for a research study but has changed her mind . The nurse tells the patient that she has the right to change her mind based upon which of the following principles.
- Paternalism & justice
- Autonomy & informed consent
- Beneficence & double effect
- Competence & right to know
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31. A nurse has been told that a client's communications are tangential. The nurse would expect that the clients verbal responses to questions would be:
- long and wordy
- loosely related to the questions.
- rational and logical
- simplistic, short, and incomplete.
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32. Which of the following is a guiding principle for the nurse in distinguishing mental disorders from the expected changes associated with aging?
- A competent clinician can readily distinguish mental disorders from the expected changes associated with aging.
- Older people are believed to be more prone to mental illness than young people.
- The clinical presentation of mental illness in older adults differs from that in other age groups.
- When physical deterioration becomes a significant feature of an elder’s life, the risk of comorbid psychiatric illness rises.
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33. Which therapeutic communication technique is being used in this nurse-client interaction?
Client: "When I am anxious, the only thing that calms me down is alcohol."
Nurse: "Other than drinking, what alternatives have you explored to decrease anxiety?"
- Reflecting
- Making observations
- Formulating a plan of action
- Giving recognition
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34. A client on your medical surgical unit has a cousin who is a physician & wants to see the chart. Which of the following is the best response for the nurse to take:
- Hand the cousin the client chart to review
- Ask the client to sign an authorization & have someone review the chart with cousin
- Call the attending physician & have the doctor speak with the cousin
- Tell the cousin that the request cannot be granted
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35. A normal sign of aging in the renal system is
- Intermittent incontinence
- Concentrated urine
- Microscopic hematuria
- A decreased glomerular filtration rate
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36. A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?
- S
- O
- L
- E
- R
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37. The 4 year old son of a deceased male is asking questions about his father. Which of the following activities would be beneficial for this young child to participate in?
- nothing because he is too young to understand death
- tell him his father has gone away, never to return
- tell him his father is sleeping
- explain that his father has died and give him the option of attending the funeral
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38. To prepare a client for discharge home from an acute care facility, a nurse knows that the planning process must begin at what point?
- The night before discharge.
- Upon admission to the hospital.
- Prior to discharge.
- When the client indicates the readiness for discharge planning and teaching.{/spoiler}
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40. A client breathes shallowly and looks upward when listening to the nurse. Which sensory mode should the nurse plan to use with this client?
- Auditory
- Kinesthetic
- Touch
- Visual
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41. A patient is recovering from surgery has been advanced from a clear liquid diet to a full liquid diet . The patient is looking forward to the diet change because he has been “bored “ with the clear liquid diet. The nurse should offer which full liquid item to the patient?
- Tea
- Gelatin
- Custard
- Ice pop
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42. Which of the following is a specific benefit to an organization when delegation is carried out effectively?
- Delegates gain new skills facilitating upward mobility
- The client feels more of their needs are met.
- Managers devote more time to tasks that cannot be delegated.
- The organization benefits by achieving its goals more efficiently
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43. An adult has just returned to the unit from surgery. The nurse transferred him to his bed but did not put up the side rails. The client fell and was injured. What kind of liability does the nurse have?
- None
- Negligence
- Intentional tort
- Assault & battery
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44. In the role of patient advocate, the nurse would do which of the following?
- Emphasize the need for cost-containment measures when making health care decisions
- Override a patient's decision when the patient refuses the recommended treatment.
- Support a patient's decision, even if it is not the decision desired by the nurse.
- Foster patient dependence on health care providers for decision making.
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45. The nurse is preparing to move an adult who has right sided paralysis from the bed into a wheel chair . which statement describes the best action for the nurse to take.
- Position the wheel chair on the left side of the bed
- Keep the head of the bed elevated 10 degree
- Protect the client’s left arm with a sling during the transfer
- Bend at the waist while helping the client into a standing position
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46. An emergency room nurse is working when an Amtrak train derails. The emergency room nurse knows that reverse triage may need to be instituted. What is the rationale for using reverse triage?
- Mass casualty is an event with greater than 20 victims
- A very basic reverse triage system is to categorize or label victims needing the most support and emergency care as red.
- Victims most likely to survive are color coded as black.
- Reverse triage works on the principle of the greatest good for the greatest number.
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47. While providing care to a terminally ill client, the nurse is asked questions about death. Which of the following would be beneficial to support the client's spiritual needs?
- Nothing
- ask if they want to die
- ask if they want anything special before they die
- provide support, compassion, and love
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48. Which of the following statements by a nurse would indicate an understanding of intrapersonal communications?
- "Intrapersonal communications occur between two or more people."
- "Intrapersonal communications occurs within a person"
- "Interpersonal communications is the same as intrapersonal communications."
- "Nurses should avoid using intrapersonal communications."
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49. A 42 year old female has been widowed for 3 years yet she becomes very anxious, sad, and tearful on a specific day in June. Which of the following is this widow experiencing?
- preparatory depression
- psychological isolation
- acceptance
- anniversary reaction
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50. Which therapeutic communication technique is being used in this nurse-client interaction? Client: "When I get angry, I get into a fistfight with my wife or I take it out on the kids." - Nurse: "I notice that you are smiling as you talk about this physical violence."
- Encouraging comparison
- Exploring
- Formulating a plan of action
- Making observations
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