stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
111 Mock Final Flashcards | StudBud
Explore
/
111 Mock Final
111 Mock Final
146 terms
·
StudBud Administration
·
93 plays
Nursing Final Exam Prep
Flashcards
146 cards
F
Practice quiz
P
Host live
L
Questions
146
Answers
1
A nurse is documenting the intensity of a client’s pain. What would be the most accurate entry?
“Client appears to be in a lot of pain and is crying.”
“Client states has pain; walking in hall with ease.”
“Client complaining of severe pain.”
“Client states pain is a 9 on a scale of 1 to 10.”
2
When giving care to a 30-year-old Hispanic male, a RN is aware that the man will most likely:
be stoic about pain.
ignore somatic interventions such as heat and massage.
prefer a pill to an injection.
confess to pain, but refuse pain medication.
3
A client has been prescribed a clear liquid diet. What food or fluids will be served?
High-calorie, high-protein supplements
Hot cereals, ice cream, chocolate milk
Milk, frozen dessert, egg substitutes
Jell-O, carbonated beverages, apple juice
4
How may a nurse demonstrate cultural competence when responding to patients in pain?
Know the action and side effects of all pain medications.
Treat every patient exactly the same, regardless of culture.
Be knowledgeable and skilled in medication administration.
Avoid stereotyping responses to pain by patients.
5
Which vitamin is found only in animal foods?
Vitamin B12
Vitamin A
Vitamin C
Vitamin D
6
A nurse is assessing a pt with a stage IV pressure ulcer. What assessment would be expected?
blister formation
full-thickness skin loss
skin pallor
eschar formation
7
Which nursing roles are primarily performed during the working phase of a helping relationship?
provider of care
leader and manager
teacher and counselor
researcher
8
Which of the following best describes a primary prevention method for colon cancer?
High fiber diet
Colonoscopy
Laparoscopy
Hemoccult testing
9
The RN is delivering a meal tray to a female Muslim pt. What intervention is most appropriate?
Providing her with a female nurse
Offering her bacon and eggs
Offering her a ham and cheese sandwich
Providing her with a male nurse
10
In contrast to holistic health care, Western or allopathic medicine focuses on the:
environmental impact on health.
mind-body connection.
physical aspects of health deviations.
impact of family relationships on health-seeking behaviors.
11
Which of the following most accurately defines an infection?
a disease resulting from pathogens in or on the body
an acute or chronic illness resulting from traumatic injury
an illness resulting from living in an unclean environment
the result of lack of knowledge about food preparation
12
What negative effects does immobilization have on the musculoskeletal system?
Increased muscle oxidation
Increase in aerobic capacity
Demineralization of bone
Lengthening of muscle fibers
13
Which of the following most accurately defines “illness”?
The inability to carry out normal activities of living
The response of a person to a disease
Achieving maximum potential and quality of life
A pathologic change in mind or body structure or function
14
A RN caring for pts with diabetes knows that ___ is a characteristic of a chronic illness:
It is a temporary change.
It causes reversible alterations in A&P.
It requires a short period of care or support.
It requires special patient education for rehabilitation.
15
A RN is assessing a pt’s pain. The RN notes which finding that is indicative of acute pain?
Increased blood pressure
Decreased pulse rate
Pupil constriction
Decreased respiratory rate
16
A teen stating “Old people don’t need the same things that young people do” is an example of:
indifference
knowledge
ageism
racism
17
Which one of the following is one of the main, overreaching goals for
Healthy People2010
?
Investigation of substance abuse.
Reduction of health care costs.
Elimination of health disparities.
Determination of acceptable morbidity rates.
18
What characteristic is used to describe racial categories?
music preferences
language
food likes and dislikes
skin color
19
What action by the nurse would indicate cultural competence?
Tries to treat all patients the same
Displays no favoritism
Prioritizes care based on cultural needs
Wants to learn more about other ethnic groups
20
What natural chemical does the body produce at night to decrease wakefulness and promote sleep?
Endorphins
Dopamine
Seratonin
Melatonin
21
A child describes intense pain in the head while eating a popsicle. This type of pain is:
Allodynia
Thermal stimulation
Hyperalgesia
Fear
22
A RN is teaching an older adult about activity. What info would be included in the teaching?
the recognition that exercise is not important
the importance of regular exercise
the possibility of exercise-induced fractures
the requirement of frequent inactivity
23
Erikson’s task of autonomy vs. shame and doubt occurs during which stage of development?
Early adolescence
Early childhood
Infancy
Late childhood
24
A college-aged pt has influenza. At what stage of the infection is the pt most infectious?
Incubation period
Convalescent period
Prodromal stage
Full stage of illness
25
Which of these RNs is caring for patients who are trying to resolve identity vs role confusion?
A nurse who works in a long-term care facility
An occupation health nurse based at a lumber mill
A nurse who provides care in a large junior high school
A pediatric nurse
26
Which of the following is a guiding principle of holistic care?
All living organisms exist independently.
Holism is focused on reductionism.
The body is a unified, dynamic whole.
The body is the sum of its parts.
27
Which of the following postural deformities might be assessed in a teenager?
scoliosis
osteoporosis
rickets
kyphosis
28
A nurse gives a back massage to relieve pain. What theory is behind this intervention?
prostaglandin stimulation
gate control theory
large/small fiber theory
neuromodulation
29
A RN organizes pt data using the SOAP format. What would be recorded under “S” of this acronym?
Client history
Client’s chief complaint
Client complaints of pain
Client interventions
30
What information do anthropometric measurements provide in adults?
Reflection of social interaction with others
Indirect measure of protein and fat stores
Indication of degree of growth rate
Direct measure of degree of obesity
31
A mainstay of therapy for the management of chronic diseases is:
occupational and physical therapy.
medications.
surgery.
lifestyle changes.
32
Which of the following misconceptions is common in patients in pain?
“I do not have to fight the pain without help.”
“I need to ask for pain medications.”
“I will get addicted to pain medications.”
“The nurses are here to help relieve the pain.”
33
Which of the following statements is true of chronic pain?
It interferes with normal functioning.
It lasts for less than 6 months.
It disappears with treatment.
It is always present and intense.
34
A nurse is discussing sleep problems with a patient. What type of foods would promote sleep?
one cup of hot chocolate
three glasses of red wine
a high-protein snack
a carbohydrate snack
35
Which of the following strategies might a nurse use to increase compliance with education?
Provide verbal instruction at all times.
Include the client and family as partners.
Maintain clear role as the authority.
Use short, simple sentences for all ages.
36
Which cultural group defines illness as a price that is being paid for the past or the future?
Arabian
African
Native American
Asian
37
A nurse correctly differentiates race from ethnicity by noting that race is based on
Biological
Religious
Spiritual
Social
38
What is a fixed concept of how all members of an ethnic group act or think?
Variations within a cultural group
Ethnic stereotypes
Holistic nursing
Identical practices
39
What subjective data does the nurse record following a head-to-toe examination?
White blood cell count of 19,000
Rash on back
Blood pressure of 190/100
Prolonged nausea
40
During her education session, a RN teaches the parents on a newborn’s sleep patterns. Newborns:
Have shorter periods of REM sleep
Are inactive when awake
Will nap two times per day
Sleep 16 to 17 hours per day
41
An appropriate topic on secondary prevention & health maintenance for middle-aged adults is
Medical checkups
Medication safety
Prenatal checkups
Pregnancy prevention
42
A RN is assessing vital signs of a pt who is moaning with pain. What are the expected findings?
increased temperature
increased pulse and blood pressure
decreased pulse and respirations
no change from usual results
43
A student has influenza. At what stage of the infection is the student most infectious?
full stage of illness
convalescent period
incubation period
prodromal stage
44
What is an example of a system barrier to cultural competence?
No sinks in every patient room
No privacy curtains in exam rooms
A strict policy against more than one visitor in the ICU
No kosher diet options on menu
45
A child with a leg cast tells the RN that he has pain inside his cast. This pain is most likely
chemical
thermal
mechanical
electrical
46
Which of the following are signs and symptoms of poor nutritional status?
Firm hair that is resistant to plucking
Flaky facial skin, facial edema, pale skin color
Firm, pink nailbeds
Tongue is a deep red in color with surface papillae present.
47
What is the primary purpose of an incident report?
Format for audiotaped report
Means of identifying risks
Basis for staff evaluation
Basis for disciplinary action
48
In general, what is the focus of care for nurses who work with older adults?
Providing all necessary physical care
Establishing goals and expected outcomes for the client
Referring clients for needed emotional support
Assisting clients to function as independently as possible
49
Which of the following is the leading cause of death among women?
cancer
accidents
coronary artery disease
stroke
50
An orthopedic pt is instructed to tighten the gluteus muscles & relax. This is an example of an
Aerobic exercise
Isometric exercise
Anaerobic exercise
Isotonic exercise
51
What is the goal of the nurse in a helping relationship with a patient?
to provide hands-on physical care
to assist the patient to identify and achieve goals
to ensure safety while caring for the patient
to facilitate the patient’s interactions with others
52
Which of the following laboratory results indicates the presence of malnutrition?
Serum albumin 2.8 g/dL
Creatinine 1.9 mg/dL
Hemoglobin (Hgb) 11.3 g/dL
Hematocrit (Hct) 56%
53
A RN calls to report he has the flu & will not be at work. This stage of illness behavior is:
achieving recovery and rehabilitation
assuming a dependent role
assuming the sick role
experiencing symptoms
54
When assessing an older adult. The nurse may expect an increase in:
Urine residual
Skin turgor
Nerve conduction
Nail growth
55
Some growth & development trends are predictable. One trend is cephalocaudal growth, meaning:
Head and brain develop first.
Gross motor skills are learned last.
Legs and feet develop first.
Both sides of the body develop equally.
56
A male RN is preparing to take vitals of a female pt. Which ethnicity would find this improper?
Native American
Arab Muslim
White
African American
57
What philosophy underlies the use of CAT?
Parts of an organism rarely interact or change.
Traditional medicine is most effective for chronic illnesses
The mind, body, and spirit function as a unified whole.
The mind and the body are separate and distinct.
58
Constipation is a common problem for immobilized patients because of:
Decreased peristalsis and positional discomfort
An increased defacation reflex
Increased colon motility
Decreased tightening of the anal sphincter
59
A nurse practitioner uses integrative care in his practice. What does this mean?
He uses both allopathic medicine and CAT.
He uses allopathic medicine to treat all clients.
The nurse provides care for clients of all age groups.
The nurse uses CAT, a physician-prescribed medication.
60
Which age group is asking patients about loneliness a particularly significant assessment?
Old middle-aged adults
Older adults
Old young adults
Young adults
61
Which of the following foods is considered a complex carbohydrate?
syrup
bread
brown sugar
molasses
62
Bedrest affects the whole body. What is one effect it has on the musculoskeletal system?
increased risk for contractures
impaired gas exchange
decreased sensory stimulation
increased risk for venous thrombosis
63
Healthy People 2010 objectives provide a framework for:
treatment
diagnosis
assessment
prevention
64
Which of the following procedures always requires surgical asepsis?
Urinary catheterization
Vaginal instillation of conjugated estrogen
Colostomy irrigation
Nasogastric tube insertion
65
What is one belief of Native American healing practices?
Energy flows through meridians throughout the body.
Modern life facilitates potential healing agents.
Healing takes time, time contributes to healing.
A balance of yin and yang is important to health.
66
A RN is caring for a Native American. The person most important to include in the care is:
Family
Tribal medicine man
Physician
Physical therapy aide
67
Which aging theory describes a chemical reaction that produces damage to the DNA & cell death?
genetic theory
cross-linkage theory
immunity theory
free radical theory
68
A 16 year old child is hospitalized. According to Erikson, what is an appropriate intervention?
encourage patient to help child learn lessons missed
call the priest to intervene
tell the child’s girlfriend to visit the child.
tell the friends to visit the child
69
How is culture learned by each new generation?
ethnic heritage
formal and informal experiences
involvement in religious activities
belonging to a subculture
70
The RN knows that pain threshold and pain tolerance are different in that pain threshold is:
the point at which pharmacologic intervention is required.
the point at which pain is perceived.
the point at which signs such as groaning are observed.
the point at which the person responds to pain.
71
Of all possible nursing interventions to break the chain of infection, which is most effective?
wearing gloves at all times
practicing hand hygiene
providing good skin care
administering medications
72
In Stage 4 sleep, the
Temperature increases
Blood pressure is elevated
Pulse rate is slow
Respirations are irregular
73
A RN is assessing the activity level of a 5-month-old. What normal findings would be assessed?
progress toward unassisted walking
progress toward running and jumping
ability to pick up small objects
ability to sit and head control
74
Developing an education plan is comparable to what other nursing activity?
Documenting in the nurses notes
Formulating a nursing care plan
Performing a complex technical skill
Using a standardized form or format
75
Which of the following statements is true of the older adult population?
Most older adults live in nursing homes.
Old age begins at 65 years of age.
Incontinence is not a part of aging.
Older adults are not interested in sex.
76
Which would be an appropriate topic for a nurse to present at an elementary school PTA meeting?
dangers of smoking and drinking during pregnancy
commonality of communicable diseases
importance of bonding and attachment
prevention of congenital anomalies
77
A RN documents the finding of purulent drainage. What is the composition of this drainage?
white blood cells, debris, bacteria
clear, watery blood
mixture of serum and red blood cells
large numbers of red blood cells
78
An assessment reveals erythema on an immobilized pt’s sacrum. What is the first nursing action?
Reposition the patient.
Rub the area with alcohol.
Massage the reddened area.
Apply a wet-to-dry dressing.
79
Which of the following alternative therapies is based on the “Law of Minimal Dose”?
Traditional Chinese
qi Gong
Homeopathy
Ayurveda
80
Who is the legal owner of the patient’s medical record?
Patient
Physician
Institution
State
81
Which of the following groups of terms best describes sleep?
decreased state of activity, refreshed
comatose, immobility
alert, responsive
altered consciousness, relative inactivity
82
A woman over age 40 years has an annual mammogram. What level of prevention does this represent
Secondary prevention
Medical prevention
Tertiary prevention
Primary prevention
83
The term for when members of an ethnic group believe their beliefs and practices are best is:
Ethnocentrism
Bias
Prejudice
Separatism
84
A patient asks to see his medical record (chart). How would the nurse respond?
I can’t let you do that without a doctor’s order.
I will get your chart and provide you with privacy.
Why do you want to do that? It will only make you worry.
Our hospital policy is that you can’t do that.
85
Where does the digestion of carbohydrates begin?
mouth
pharynx
stomach
small intestine
86
A physician orders a placebo for a patient. What is a placebo?
a smaller than usual dose of an analgesic
an intravenous form of a potent analgesic
an inactive substance given in place of a drug
an analgesic with no known side effects
87
It is important to assess what when using the health belief model as a framework for teaching?
Developmental level
Family support
Source of information
Motivation to learn
88
What is the rationale for using CPAP to treat sleep apnea?
delivery of oxygen facilitates respiratory effort
positive air pressure holds the airway open
negative air pressure holds the airway closed
alternating waves of air stimulate breathing
89
A patient has an injury with damage to the liver and colon. What type of pain will predominate?
Visceral pain
Psychogenic pain
Neuropathic pain
Cutaneous pain
90
The most common injury among elderly persons is:
Atheroscleotic changes in the blood vessels
Hip fracture
Urinary Tract Infection
Increased incidence of gallbladder disease
91
A pt is on bed rest, which leads to immobility. What is bed rest considered in this situation?
A nursing responsibility
A risk factor
Difficult to maintain
Contributing to the patient’s recovery
92
What is the most critical element of documentation of education?
A summary of the education plan
The implementation of the education plan
Evidence that learning has occurred
the client’s need for learning
93
A RN asks a pt to tell him the side effects of a med. What learning domain is the RN evaluating
affective
emotional
psychomotor
cognitive
94
A body uses 22 common amino acids. 9 of them must be obtained from protein. These proteins are:
Essential
Fundamental
Basic
Primary
95
What is a RN required to do to adhere to the concept of confidentiality of a medical record?
Share information only with the family
Have a clinical reason for reading the recordd.
Provide information only to an attorney
Provide information only to another nurse
96
A patient begins snoring and is sleeping lightly. The stage of sleep is
Stage 2
Stage 1
Stage 4
Stage 3
97
Which of the following nursing pioneers established the Red Cross in the United States in 1882?
Clara Barton
Jane Addams
Dorothea Dix
Florence Nightingale
98
A pt has pain in the left arm secondary to coronary insufficiency. This is what type of pain?
Acute pain
Subacute pain
Referred pain
Chronic pain
99
Which of the following individuals is likely to require more hours of sleep?
a 43 year old
a 25 year old
a 15 year old
a 75 year old
100
A patient who has bleeding tendencies has a deficiency in which vitamin?
Vitamin B
Vitamin C
Vitamin A
Vitamin K
101
Educating women on the need for calcium to prevent bone loss is what level of prevention?
Tertiary prevention
Secondary prevention
Primary prevention
Residual prevention
102
What nursing action can be used to facilitate sleep in hospitalized pts who are on bedrest?
administering prescribed sleep medications
encouraging naps during the daytime
changing the bed with fresh linens
giving a back massage
103
In addition to other benefits, how does fiber affect cholesterol?
Raises blood cholesterol levels
Decreases fecal excretion of cholesterol
Facilitates intake and use of trans fat
Increases fecal excretion of cholesterol
104
According to the World Health Organization, what is the best definition for “health”?
Strictly personal in nature
Simply the absence of disease
Status of pathological state
Involving the total person and environment
105
Which factor is
least
significant when gathering information about cultural practices?
Biocultural needs
Language, timing
Pain perception, management expectations
Touch, eye contact
106
A nurse uses Therapeutic Touch to decrease a pt’s nausea. A principle of this CAT modality is:
A human being is bilaterally asymmetric.
Humans do not have the ability to transform.
Illness is an imbalance in a person’s energy field.
A human being is a closed energy system.
107
A physician’s order reads “up ad lib.” What does this mean in terms of client activity?
May walk twice a day
Must remain on bed rest
May only go to the bathroom
May be up as desired
108
What phrase best describes health?
the opposite of illness
the absence of disease
individually defined by each person
experienced by each person in exactly the same way
109
Which signs & symptoms would a RN expect to find when assessing an Asian pt for postop pain?
Quiet crying
Decreased BP and heart rate and shallow respirations
Immobility, diaphoresis, and avoidance of deep breathing
Changing position every 2 hours
110
In Maslow’s hierarchy of physiologic needs, the human need of greatest priority is:
nutrition
elimination
oxygen
love
111
Which element in the circular chain of infection can be eliminated by preserving skin integrity
reservoir
host
mode of transmission
portal of entry
112
Which of the following statements accurately describes the concepts of disease and illness?
The focus of nurses is the person with an illness.
A person with an illness cannot be considered healthy.
Illness is a normal process that affects functioning.
A disease is traditionally diagnosed and treated by a nurse.
113
Which of the following illustrates the effect of the sociocultural dimension on health/illness?
Why shouldn’t I drink and drive? Everyone else does.
I used biofeedback to lower my blood pressure.
I know I have heart problems, so I have changed my diet.
My mother has sickle cell anemia, and so do I.
114
Which of the following medications is least likely to affect sleep quality?
steroid
antidepressant
Ambien
diuretic
115
What is the nurse’s primary role in promoting health?
educating others about health promotion activities
avoiding smoking or drinking in public
implementing stress reduction activities
being a role model for health promotion
116
Vivid dreaming occurs in which stage of sleep?
Stage II non-REM
Delta stage
Stage I non-REM
Rapid eye movement (REM) stage
117
What framework does prioritization of care during the planning phase of the nursing process use
Maslow’s hierarchy of needs
Freud’s classifications
Erikson’s developmental tasks
Piaget’s cognitive table
118
Which of the following is an essential component of the definition of learning?
Can be measured
Decreases stress
Increases self-esteem
Cannot be measured
119
A child gains weight and becomes taller each year. What is this process called?
development
growth
orderly change
progression
120
Why is communication important to the assessing step of the nursing process?
Assessing involves only nonverbal cues.
Written information is rarely used in assessment.
Assessing is primarily focused on physical findings.
The major focus of assessing is to gather information.
121
Educating women on diet and exercise is an example of what type of patient education?
Health protection
Disease prevention
Health restoration
Health promotion
122
What are elements found in food and necessary for good health but that the body cannot make?
Essential nutrients
Necessary nutrients
Important nutrients
Life-saving nutrients
123
Why is acute pain said to be protective in nature?
As an objective experience, it aids diagnosis.
It warns an individual of tissue damage or disease.
It enables the person to increase personal strength.
As a subjective experience, it serves no purpose.
124
In what type of documentation method would a RN document narrative notes in a nursing section?
Problem-oriented medical record
Source-oriented record
Focus charting
PIE charting system
125
What intervention should be included to prevent pressure ulcer development in health care?
Change position at least once each shift.
Implement a turning schedule every two hours.
Do not turn; use pressure-relieving support surface.
Use ring cushions for heels and elbows.
126
According to Piaget’s theory of cognitive development, which of the following is correct?
Culture plays a major role in cognitive development.
Learning precedes development.
A child’s greatest task is to make sense of their world.
Cognitive function becomes refined throughout life.
127
When a RN teaches a pt about breast self-examination, the primary purpose of the education is
Wellness promotion
Illness prevention
Restoration of function
Promotion of coping
128
The concept of holism is based on the belief that
Health is achieved by treatment from physicians
Health is achieved through medical care
Individuals can be seen in an atomistic fashion
Individuals cannot be seen apart from the environment
129
What orderly pattern of changes results in part from learning from formal/informal experiences?
maturity
growth
development
aging
130
Which of the following represents a method of primary prevention?
Diagnostic cardiac catheterization
Blood pressure screening
Informational session about healthy lifestyles
Interventional cardiac catheterization
131
According to Freud, the name given to the part of the mind that represents one’s conscience is:
ego
superego
id
unconscious mind
132
Understanding patient feelings but remaining objective to help achieve positive outcomes is:
empathy
caring
competency
honesty
133
___ is information provided by a family when a pt is unable to provide data during assessment.
primary
biased
secondary
unreliable
134
What is a set of learned values, beliefs, customs, and practices shared by a group?
Culture
Ethnicity
Religion
Race
135
Which of the following conditions is most impacted by inadequate calcium intake?
dental caries
anemia
dry eyes
osteoporosis
136
A flexion contracture occurs because of inactivity and
Synovial fluid decreases related to age
Flexor muscles being stronger than extensors
Extensor muscles being stronger that flexors
Cartilage and bone changes occurring inside the joints
137
What is an important consideration when developing the care plan?
Ensure interventions will be easy to implement
Ensure the number of interventions is limited
Ensure the patient is involved in the process
Ensure evaluation of the nursing diagnoses is possible
138
What is the term for range of motion (ROM) when it is performed by the patient?
Coordinated
Passive
Assisted
Active
139
Which of the following illustrates that health education & counseling objectives are being met?
Diabetic who attends a diabetes education program
Diabetic who is admitted in diabetic ketoacidosis
Diabetic who starts taking his medications regularly
Diabetic who watches a video about administration of insulin
140
What does documentation of type of care, time of care, and signature of the person prove?
The patient’s response to the intervention was positive.
Interventions were implemented to meet the patient’s needs.
The person who signed the documentation did all work noted.
No litigation can be brought against the person who signed.
141
Which model of health & illness places health and death on opposite ends of a graduated scale?
Health Promotion Model
Health-Illness Continuum
Agent-Host-Environment Model
Health Belief Model
142
A nurse is assessing the muscles of an older adult. What will be assessed?
degree of flexion, associated pain
temperature, turgor, moisture
reflexes, range of motion
mass, tone, strength
143
What is the route of administration for TPN?
Oral
Intravenous
Subcutaneous
Intramuscular
144
Which of the following when caring for patients with limited income is most important?
Decreased access to health care services
Risk for increased incidence of disease
Limited access to reliable transportation
Basic human needs may go unmet
145
Which of the following best describes a client who has an illness?
Someone with a headache
Someone with coronary artery disease without angina
Someone who has well-controlled diabetes
Someone with hypercholesterolemia
146
How long should a nurse scrub hands that are not visibly soiled for effective hand hygiene?
15 seconds
1 minute
5 minutes
30 seconds
