N 106-109

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ndarlenebeck
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291223
Filename:
N 106-109
Updated:
2014-12-16 15:58:37
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Final
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Nursing
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Quiz
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  1. Patients who are diagnosed with a chronic illness often have feelings of powerlessness and

    A) lack of knowledge
    B) financial difficulties
    C) structural difficulties
    D) depression
    D) depression
    (this multiple choice question has been scrambled)
  2. Mrs. Renton is hospitalized in the final stage of metastatic carcinoma.  She tells her physician that she will accept her prognosis if he can keep her alive until her grandchild is born in 3 months.  Mrs. Renton is in that stage of dying identified by Elizabeth Kubler-Ross as
    A) isolation
    B) anger
    C) bargaining
    D) depression
    C) bargaining
    (this multiple choice question has been scrambled)
  3. A patient is receiving morphine sulfate via PCA pump.  The patient states "I keep pressing the button and I'm not getting any pain relief."  The Nurse first action should be to
    A) check to make sure the pump is at the proper setting
    B) reset the 10 minute lockout to every 5 minutes
    C) call the physician
    D) increase the dose being delivered via the pump
    A)  check to make sure the pump is at the proper setting
    (this multiple choice question has been scrambled)
  4. An NSAID is given alternately with an opiate for pain relief for a patient.  The nurse knows that the rationale for this is to
    A) give the patient extra pain relief
    B) alter the effects of the opiate
    C) decrease the side effects of the opiate
    D) decrease the amount of opiate needed for pain relief
    D) decrease the amount of opiate needed for pain relief
    (this multiple choice question has been scrambled)
  5. In order for the nurse to be able to understand the cultural and religious needs of patients, the nurse should
    A) have a good understanding/awareness of his/her own culture and religion
    B) read literature about different cultures from books and magazines
    C) investigate several religions and visit their church
    D) watch others nurses and mimic their behavior regarding other cultures and religions
    A) have a good understanding/awareness of his/her own culture and religion
    (this multiple choice question has been scrambled)
  6. Cultural care/transcultural nursing care can be described as
    A) identifying noncompliant patients
    B) identifying many different cultural ideas
    C) providing culturally competent care
    D) educating patients about Western medicine
    C) providing culturally competent care
    (this multiple choice question has been scrambled)
  7. Mrs. Smith tells the nurse that she decided to breastfeed her infant because she could not bear the thought of her child receiving a vaccine.  Which of the following responses demonstrates effective health teaching?
    A) "You can only give temporary protection to the infant against diseases you have had yourself."
    B) "That's great. Vaccinations aren't needed if you breastfeed."
    C) "Oh, you still need to have the infant vaccinated against DTP, measles and polio before age 6 months."
    D) "The most protection comes from the colostrum just after birth.  Unfortunately, you didn't start feeding your infant until today."
    A) "You can only give temporary protection to the infant against diseases you have had yourself."
    (this multiple choice question has been scrambled)
  8. The nurse plans to get a new postoperative patient out of bed for the first time and finds the patient crying and in pain.  The most appropriate nursing action would be to
    A) tell the patient that it is not time for more medication in an effort to get this task done now
    B) medicate the patient for pain and get her OOB in a half an hour
    C) encourage the patient to get OOB and praise her for her efforts
    D) plan to get the patient OOB later in the day
    B) medicate the patient for pain and get her OOB in a half an hour
    (this multiple choice question has been scrambled)
  9. The community health nurse is preparing to give a seminar to a group of older adults.  Which of the following topics would the community health nurse identify as a priority for this population?
    A) HIV and Hepatitis B
    B) medication and dental health
    C) skin cancer prevention
    D) smoking and alcohol
    B) medication and dental health
    (this multiple choice question has been scrambled)
  10. Durable power of attorney
    A) delegates to a significant other the power to make health-related decisions in the event of the patient's incapacitation
    B)allows all members of the patient's family the right to all health records
    C) delegates to the patient's physician the power to make decisions if the patient is comatose
    D) is a legal document designed to spell out the health care wishes of the patient
    A) delegates to a significant other the power to make health-related decision in the event of the patient's incapacitation
    (this multiple choice question has been scrambled)
  11. The nurse would assess a patient who has been on long-term high dose of Lasix for
    A) hypoglycemia
    B) vision impairment
    C) hearing impairment
    D) oliguria
    C) hearing impairment
    (this multiple choice question has been scrambled)
  12. Which of the following would the nurse recommend for an adolescent swimmer who develops multiple recurrences of external otitis?
    A) cleanse ears with alcohol daily
    B) wash ears frequently with soap
    C) wear ear plugs when swimming
    D) consider decreased swimming time
    C) wear ear plug when swimming
    (this multiple choice question has been scrambled)
  13. An appropriate screening test for Native American would be
    A) CBC
    B) blood sugar
    C) blood pressure
    D) hormone levels
    B) blood sugar
    (this multiple choice question has been scrambled)
  14. The best way to have a four year-old communicate pain location is to
    A) have the child point to the location of the pain
    B) have the child describe the pain
    C) draw a picture of where the pain is
    D) have mom and dad describe the pain location
    A) have the child point to the location of the pain
    (this multiple choice question has been scrambled)
  15. What measure can be taken by the community health nurse regarding the potential environmental hazard of animals?
    A) encourage enforcement of pet immunization
    B) develop education packets
    C) educate regarding poison control
    D) promote accessibility of screening services
    A) encourage enforcement of pet immunization
    (this multiple choice question has been scrambled)
  16. The nurse knows that giving a patient a backrub to help alleviate discomfort is an example of which theory?
    A) Pain Control Theory
    B) Leininger's Theory
    C) Adaptation Theory
    D) Gate Control Theory
    D) Gate Control Theory
    (this multiple choice question has been scrambled)
  17. An appropriate screening test for an African American infant would be to check for
    A) Tay-Sach's disease
    B) Down syndrome
    C) sickle cell disease
    D) congenital hip dysplasia
    C) sickle cell disease
    (this multiple choice question has been scrambled)
  18. The nurse knows to assiss African American adults for disorders that are particular to their culture.  The nurse would assess this population for
    A) chronic renal failure
    B) hypertension
    C) congestive heart failure
    D) coronary artery disease
    B) hypertension
    (this multiple choice question has been scrambled)
  19. The nurse is caring for an Asian American patient with diabetes mellitus.  The patient tells the nurse that she taes ginseng everyday as part of her culture.  The best nursing action indicated would be to
    A) tell the patient to stop immediately
    B) have the patient report this practice to the physician immediately
    C) explain the pro and cons of this practice
    D) tell the patient to continue with this practice
    C) explain the pros and cons of this practice
    (this multiple choice question has been scrambled)
  20. When caring for a patient who is Jewish, the nurse would note that which of the following is true
    A) food is required to be prepared according to Jewish law
    B) Judaism opposes all milk products
    C) no type of fish is acceptable to this religion
    D) meat and shellfish are not eaten together
    A) food is required to be prepared according to Jewish law
    (this multiple choice question has been scrambled)
  21. The nurse is admitting a Muslim patient to the unit.  The nurse knows that this patient has the special dietary requirement of
    A) a diet without pork
    B) a diet high in grains and legumes
    C) a diet high in calcium
    D) a vegetarian diet
    A) a diet without pork
    (this multiple choice question has been scrambled)
  22. The nurse is teaching primary prevention of iron-deficiency anemia to a group of older adults. The goal would be to
    A) give them iron supplements
    B) encourage them to eat liver five times a week
    C) promote intake of green leafy vegetables and grains
    D) check their blood levels for iron
    C) promote intake of green leafy vegetables and grains
    (this multiple choice question has been scrambled)
  23. Which of the following patients would be most likely to suffer from impotence?
    A) a patient with asthma
    B) a patient with seizure disorder
    C) a patient with diabetes
    D) a patient with an anticoagulant
    C) a patient with diabetes
    (this multiple choice question has been scrambled)
  24. Recommendations for immunization for all adults over 65 years of age include all of the following except?
    A) one dose of pneumococcal pneumonia immunization
    B) annual influenza immunization
    C) diphtheria and tetanus toxoids booster every 10 years
    D) hepatitis A
    D) hepatitis A
    (this multiple choice question has been scrambled)
  25. A nurse addresses a group of older adults and fields questions about health care issues.  The nurse would suggest which of the following?
    A) exercise until the patient is fatigued
    B) encourage immunizations for pneumonia and influenza
    C) decrease fiber in the diet
    D) increase salt intake due to weather
    B) encourage immunization for pneumonia and influenza
    (this multiple choice question has been scrambled)
  26. The nurse taking care of a patient who has had a TAH (total abdominal hysterectomy) selects a task to delegate to the nurses aide.  The most appropriate task for the nurse to delegate would be
    A) empty the urine bag and write amount on the I/O sheet
    B) auscultate the chest for breath sounds
    C) perform an abdominal assessment
    D) teach coughing and deep breathing
    A) empty the urine bag and write amount on the I/O sheet
    (this multiple choice question has been scrambled)
  27. Which of the following approaches would be the best way for the nurse to obtain information about the sexual practices of an adolescent during an interview?
    A) "Are you sexually active?"
    B) "Do you practice safe sex?"
    C) "Do you discuss your sexual practice with peers or parents?"
    D) "Most teenagers have questions regarding sex.  What questions do you have?"
    D) "Most teenagers have questions regarding sex.  What question do you have?"
    (this multiple choice question has been scrambled)
  28. The behavioral response to pain as a response to the autonomic nervous system is referred to as
    A) pain tolerance
    B) pain rating
    C) pain threshold
    D) pain reaction
    D) pain reaction
    (this multiple choice question has been scrambled)
  29. Which of the following in not true regarding the impact of homelessness on health?
    A) trauma is a significant cause of death and disability
    B) crowded living conditions result in an increased risk for exposure to infections
    C) the incidence and virulence of infections are decreasing among the homeless
    D) peripheral vascular disease and hypertension are exacerbated by the lifestyle of the homeless
    C) the incidence and virulence of infections are decreasing among the homeless
    (this multiple choice question has been scrambled)
  30. The nurse running a clinic for Native Americans would consider orientation to time for this culture.  The nurse would
    A) send a reminder to each patient a week in advance of the appointment
    B) schedule specific appointments to decrease waiting time for this population
    C) have open clinic hours in which patients could just walk in without an appointment
    D) tell patients that are late for appointments that they will have to reschedule
    C) have open clinic hours in which patients could just walk in without an appointment
    (this multiple choice question has been scrambled)
  31. A Hispanic American patient requests a Curandero participate in her medical care.  The role of a Curandero would be?
    A) a person who cures disease
    B) a person who possesses special health related knowledge/training
    C) a person who assists the physician
    D) a midwife
    B) a person who possesses special health related knowledge/training
    (this multiple choice question has been scrambled)
  32. A new father brings a medal on a necklace to place on the neck of his newborn son.  The nurse is concerned about the risk for strangulation.  The best approach for the nurse to take with this father would be to
    A) work with the father to remove the necklace and attach the medal to the sheet
    B) tell the father that the infant will be blessed each day by clergy so there is no need for the medal and necklace
    C) tell the father of the danger that the necklace would pose to the infant
    D) remove the chain and medal and give to the father
    A) work with the father to remove the necklace and attach the medal to the sheet
    (this multiple choice question has been scrambled)
  33. The nurse knows to assess the Native American adult for disorders that are particular to his culture. The nurse would assess this population for
    A) diabetes mellitus
    B) coronary artery disease
    C) hypertension
    D) cancer
    A) diabetes mellitus
    (this multiple choice question has been scrambled)
  34. Individuals born before 1956 are expected to have immunity against which of the following?
    A) hepatitis A
    B) polio
    C) MMR (measles, mumps, and rubella)
    D) tetanus
    C) MMR (measles, mumps, and rubella)
    (this multiple choice question has been scrambled)
  35. The nurse is caring for an adolescent with acne valgaris.  During the physical exam, the nurse considers the psychological ramifications of this disorder by including
    A) teaching the patient which foods can aggravate this condition
    B) education about keeping the skin clean
    C) touching the patient's shoulder when speaking to her
    D) telling the patient that she can cure this disease by being compliant
    C) touching the patient's shoulder when speaking to her
    (this multiple choice question has been scrambled)
  36. An adolescent female tells the nurse that she uses condoms only during the middle of her menses.  The nurse identifies a nursing diagnosis of
    A) fear
    B) impaired memory
    C) noncompliance
    D) knowledge deficit
    D) knowledge deficit
    (this multiple choice question has been scrambled)
  37. Which of the following programs provides nutritional assistance for mothers and their children?
    A) WIC
    B) Resolve
    C) RACE
    D) La Leche
    A) WIC
    (this multiple choice question has been scrambled)
  38. How does the nurse assess the rooting reflex in the newborn?
    A) offer the infant a bottle of sterile formula
    B) place a few drops of formula mixed with water into the infant's mouth
    C) stroke the infant's cheek
    D) put a nipple or gloved finger in the infant's mouth
    C) stoke the infant's cheek
    (this multiple choice question has been scrambled)
  39. Which of the following tests is used to assess balance?
    A) Snellen
    B) Weber's
    C) Romberg
    D) Rhine
    C) Romberg
    (this multiple choice question has been scrambled)
  40. Which of the following disorders is associated with conductive hearing loss?
    A) otitis media with ruptured membrane
    B) Meniere's syndrome
    C) senorineural hearing loss
    D) trauma to the vestibular-cochlear nerve
    A) otitis media with ruptured membrane
    (this multiple choice question has been scrambled)
  41. The patient complains of hearing loss in the right ear.  The nurse checks hearing function y using the Weber test.  If the patient has hearing loss due to bone conduction in the right ear then the patient would indicate that the sound heard in the left ear would be
    A) the same
    B) fainter
    C) louder
    D) non-exsistent
    B) fainter
    (this multiple choice question has been scrambled)
  42. The nurse teaches the caregiver of a patient newly fitted with a hearing aid to
    A) instruct patient to wear device every other day
    B) check the position of the ear mold in the ear
    C) clean out cerumen every day
    D) wash the hearing aid daily
    B) check the position of the ear mold in the ear
    (this multiple choice question has been scrambled)
  43. The nurse knows that a common reason for hearing loss in the elderly which is not regularly treated is
    A) dry impacted cerumen
    B) presbycusis
    C) ear trauma
    D) exposure to loud noises
    A) dry impacted cerumen
    (this multiple choice question has been scrambled)
  44. The patient complains of hearing loss in the right ear.  The nurse checks hearing function by using the Weber test.  If the patient has hearing loss due to sensorineural disturbance in the right ear, then the patient would indicate that the sound heard in the left ear would be
    A) fainter
    B) the same
    C) non-existent
    D) louder
    D) louder
    (this multiple choice question has been scrambled)
  45. The parents of a child with a tracheostomy refuse to perform trach care.  The nurse's first action would be to
    A) tell the parents that if they don't perform this task that the child will develop an infection
    B) insist that the parents perform this task for their child
    C) explore reasons why the parents will not perform this task
    D) ask if the parents would like the nurse to do this task
    C) explore reasons why the parents will not perform this task
    (this multiple choice question has been scrambled)
  46. When teaching parents how to prevent the childhood disease of lead poisoning, the nurse would include which instructions?
    A) vacuum window sills and wood floors
    B) small amounts of lead in paints are acceptable
    C) use a humidifier at all times
    D) there is little risk of lead poisoning if a child eats only a few paint chips
    A) vacuum window sills and wood floors
    (this multiple choice question has been scrambled)
  47. What activity in the workplace would indicate that the community health nurse's teaching was effective in decreasing the spread of germs?
    A) development of a hand washing policy by the employer
    B) decreased use of sick time
    C) increased hand washing by employees
    D) shorter coffee breaks
    C) increased hand washing by employees
    (this multiple choice question has been scrambled)
  48. The nurse teaches a patient with glaucoma that the reason for being adherent to the medication schedule for eye meds is to
    A) prevent loss of peripheral vision
    B) keep the tear ducts open
    C) prevent corneal abrasions
    D) cure the disease by preventing blindness
    A)prevent loss of peripheral vision
    (this multiple choice question has been scrambled)
  49. The home care nurse visits a patient and discovers that the family is not following the established care plan.  The next nursing action would be to
    A) reassess the patient situation and develop a new plan of care
    B) report the inability of the family to care for this patient to your supervisor
    C) insist that the family abide by the care plan as directed by the nurse
    D) report this inaction by the family as abuse to the police
    A) reassess the patient situation and develop a new plan of care
    (this multiple choice question has been scrambled)
  50. The nurse is to teach an older patient a complicated medicine regimen.  The first action the nurse should take would be to
    A) obtain a nurse's aide to give the medications
    B) ask family member to give the patient his medication
    C) assess the cognitive functioning of the patient
    D) discuss the medications ordered with the physician
    C) assess the cognitive functioning of the patient
    (this multiple choice question has been scrambled)
  51. Cold compresses would be applied to which of the following eye conditions?
    A) uveitis
    B) hordeolum/stye
    C) chalazion
    D) contact injury with no laceration
    D) contact injury with no laceration
    (this multiple choice question has been scrambled)
  52. The role of endorphins in the body is to
    A) decrease pain threshold
    B) dull pain stimuli
    C) eliminate pain
    D) increase pain threshold
    D) increase pain threshold
    (this multiple choice question has been scrambled)
  53. Which of the following statements regarding pain relief represents an unbiased view?
    A) euphoria is an expected result of proper pain medication administration
    B) the nurse should make a personal judgment as to whether a patient is in pain
    C) drug abusers overreact to pain stimuli
    D) many patient ask for pain medication when they don't really need them
    A) euphoria is an expected result of proper pain medication administration
    (this multiple choice question has been scrambled)
  54. Why do patients report greater pain at nighttime?
    A) patients worry more at night
    B) nerve endings are stimulated at night
    C) effects of the sympathetic nervous system are heightened
    D) there are less distractions than in the daytime
    D) there are less distractions than in the daytime
    (this multiple choice question has been scrambled)
  55. The nurse refers a malnourished older patient to a senior center for the lunchtime meal.  The nurse is performing which role with this action?
    A) facilitator
    B) clinical decision maker
    C) rehabilitator
    D) case manager
    D) case manager
    (this multiple choice question has been scrambled)
  56. The nurse instructs a patient with a chronic illness in ADL's.  This means she
    A) helps the patient identify ADLs at a safe level
    B) arranges to have a home health aide do most ADLs for the patient
    C) tells the patient to do ADLs until fatigued
    D) does the ADLs for the patient
    A) helps the patient identify ADLs at a safe level
    (this multiple choice question has been scrambled)
  57. Which of the following individuals is at most risk for a sensory deficit?
    A) a patient being treated for a bleeding ulcer
    B) a patient in a busy clinic waiting to be seen
    C) a patient with paralysis after a spinal cord injury
    D) a patient who hallucinates frequently
    C) a patient with paralysis after a spinal cord injury
    (this multiple choice question has been scrambled)
  58. Which of the following outcomes would the nurse use to assess a family's ability to manage patient pain at home?
    A) patient diary shows pain-free lengths of time during the day
    B) patient states increase in activity level
    C) patient exhibits decrease in high pain complaints
    D) patient states satisfaction with pain relief measures
    A) patient diary shows pain-free lengths of time during the day
    (this multiple choice question has been scrambled)
  59. Which evaluation by the nurse for a patient with a nursing diagnosis of Alteration in Comfort (pain) indicates the need for revision of the care plan for this patient?
    A) the patient speaks slowly, in a monotone voice
    B) the patient cooperates with the care plan
    C) the patient naps between assessments and activities
    D) the patient verbalized satisfaction with her pain management
    A) the patient speaks slowly, in a monotone voice
    (this multiple choice question has been scrambled)
  60. Which of the following actions would be difficult for the patient with presbyopia to perform?
    A) read billboards
    B) see to drive at night
    C) see objects in his peripheral field of vision
    D) thread a needle
    D) thread a needle
    (this multiple choice question has been scrambled)
  61. A goal or expected outcome for the chronic pain patient with a good pain management program would be
    a) patient verbalized pain relief
    b) patient states "I sleep the entire night"
    c) patient's vital signs are only slightly above normal
    d) patient has less facial grimacing with activities
    b) patient states "I sleep the entire night"
  62. A patient's family wants a religious representative to perform a ceremony for the patient.  A culturally competent nurse would address this request by
    A) recommending that the patient and family wait for the ceremony until after the patient is discharged
    B) saying no to the request
    C) providing a time, place and privacy for the ceremony
    D) reporting this request to the physician
    C) providing a time, place and privacy for the ceremony
    (this multiple choice question has been scrambled)
  63. The family of a patient requests a specific religious meal for the patient.  Based on this request, the initial action by the nurse would be to
    A) document the request on the care plan
    B) refer the family to the dietitian
    C) reassure the family that the patient will receive this meal
    D) tell the family that this request will need to be cleared by the physician
    A) document the request on the care plan
    (this multiple choice question has been scrambled)
  64. The mother of a four year-old child complains to the nurse that the child is constantly touching his genitals.  The mother would like advice on how to handle this situation.  The nurse's response is based on the understanding that this behavior is
    A) acceptable but the mother should notify her physician
    B) normal for this age group
    C) suggestive of a deep psychological problem
    D) unacceptable and the child needs medical intervention
    B) normal for this age group
    (this multiple choice question has been scrambled)
  65. The nurse is preparing to teach a group of middle school students about contraceptive options and sexual education.  The nurse's first action when teaching this group would be to
    A) ask how many students are having sexual relations
    B) tell the group about personal experiences
    C) begin to teach birth control methods
    D) assess the knowledge level of the group
    D) assess the knowledge level of the group
    (this multiple choice question has been scrambled)
  66. The nurse is giving medication instructions to a patient who is taking an antibiotic for a urinary tract infection.  The nurse instructs this patient
    A) stop taking the antibiotics if a skin rash develops
    B) continue to take antibiotic medication until further notice
    C) report any side effects to the nurse
    D) expect symptoms to disappear after 24 hours
    C) report any side effects to the nurse
    (this multiple choice question has been scrambled)
  67. Which of the following is the best reason for the nurse to know about the culture and religion of patients?
    A) the health care team is more efficient when this information is known
    B) the nurse can plan to reeducate the patient on Western medicinal methods
    C) the nurse can include this information in the care plan
    D) the nurse can arrange for other health care members based on this information
    C) the nurse can include this information in the care plan
    (this multiple choice question has been scrambled)
  68. The community health nurse is working with a family member of a patient with a chronic illness.  The caregiver states "I can't take this anymore."  The nurse helps the caregiver to
    A) arrange for a psychological consult for the caregiver
    B) instruct the patient with the illness to go easier on the caregiver
    C) explore other options for patient care such as respite care
    D) arrange for nursing home placement for this patient
    C) explore other options for patient care such as respite care
    (this multiple choice question has been scrambled)
  69. A patient with a chronic illness tells the nurse "I'm not sick anymore. I'm getting better each day."  The nurse could interpret this statement as
    A) the patient is trying to put on a brave front
    B) the patient is in denial of his disorder
    C) the patient wants to believe that he can be cured
    D) the patient is ego dysfunctional
    B) the patient is in denial of his disorder
    (this multiple choice question has been scrambled)
  70. The home care nurse is visiting a mother with three children.  The mother, who is receiving chemotherapy says, "My house is a mess, I can't keep up with it."  The most appropriate nursing diagnosis would be
    A) impaired home maintenance management related to lack of energy
    B) knowledge deficit related to chemotherapy
    C) potential for infection related to chemotherapy
    D) fear related to diagnosis of cancer
    A) impaired home maintenance management related to lack of energy
    (this multiple choice question has been scrambled)
  71. The nurse is reassessing medication intervention on a teenager who is non-adherent with tuberculosis drugs.  The most appropriate nursing intervention would be to
    A) arrange for the patient to get medicated at school
    B) discuss the need for these drugs with the patient
    C) discuss the need for these drugs with the patient's family
    D) call the physician and report the non-adherence
    A) arrange for the patient to get medicated at school
    (this multiple choice question has been scrambled)
  72. To ensure the continuity of care for a patient, the nurse should do which of the following?
    A) include all health care members in planning patient care
    B) review discharge plans with the physician before speaking with the patient
    C) begin discharge planning at the time of admission
    D) review the final plan with the patient and family
    C) begin discharge planning at the time of admission
    (this multiple choice question has been scrambled)
  73. The action of sleep medications which include sedative-hypnotics and anti-anxiety drugs is as a result of
    A) conscious control of autonomic nervous system functions, such as muscle tension, skin temperature, brain waves and blood pressure
    B) the uptake of serotonin and norepinephrine in the spinal cord
    C) decreased oxygen consumption and cardiac and respiratory rates
    D) general central nervous system depression
    D) general central nervous system depression
    (this multiple choice question has been scrambled)
  74. Which of the following is the best definition of culture?
    A) people classified according to biological characteristics
    B) attitudes, values or beliefs of the dominant society
    C) tradition, values and norms transmitted from generation to generation
    D) religious or racial characteristics of a group
    C) tradition, values and norms transmitted from generation to generation
    (this multiple choice question has been scrambled)
  75. According to Chinese folk medicine, the universe and health are regulated by which two forces?
    A) wet and dry
    B) good and bad
    C) yin and yang
    D) harmony and nature
    C) yin and yang
    (this multiple choice question has been scrambled)
  76. The nurse in a clinic notices that many Latin American and African American patients arrive as much as 1-2 hours late for their appointments.  The nurse would interpret this behavior as
    A) resistance to community care
    B) rejection of traditional ethical standards
    C) low value place on health care
    D) relaxed orientation to time
    D) relaxed orientation to time
    (this multiple choice question has been scrambled)
  77. The nurse interviewing an African American patient notices that the patient does not maintain direct eye contact.  The nurse should
    A) avoid any eye contact with this shy person
    B) intensify her eye contact during the interview
    C) model her own eye contract after the patient's
    D) ask the patient to pay better attention during the interview
    C) model her own eye contract after the patient's
    (this multiple choice question has been scrambled)
  78. Which of the following assessments could the nurse use to gain insight into a family's values?
    A) their socioeconomic status
    B) age and sex of the family members
    C) how household tasks are distributed
    D) their religious and cultural practices
    D) their religious and cultural practices
    (this multiple choice question has been scrambled)
  79. In the Islamic and Muslim religions, the patient avoids
    A) fish and caffeine
    B) veal and cow's milk
    C) beef and fruit
    D) pork and alcohol
    D) pork and alcohol
    (this multiple choice question has been scrambled)
  80. A young adult patient with advanced AIDS tells the nurse "I know that I am dying.  I would like to pray, but I don't know how or to whom?" In order to comfort the patient the most appropriate response by the nurse would be
    A) "Many people your age don't have a particular religion."
    B) "I will get the chaplain for you."
    C) "You must be frightened.  I will pray for you."
    D) "What would you like to say in your prayer?"
    D) "What would you like to say in your prayer?"
    (this multiple choice question has been scrambled)
  81. The nurse uses the Apgar scoring system for assessment of the newborn.  This system assesses
    A) cognitive development of the newborn
    B) physical condition of the newborn
    C) psychosocial development of the newborn
    D) gestational age of the newborn
    B) physical condition of the newborn
    (this multiple choice question has been scrambled)
  82. An example of a secondary sexual characteristic would be
    A) breast development
    B) uterine growth
    C) ovulation
    D) menarche
    A) breast development
    (this multiple choice question has been scrambled)
  83. A mother brings her child into the clinic complaining that the child has been pulling at her ear and crying.  The child seems quiet now.  The nurse assesses the child for
    A) nuchal rigidity
    B) evidence of a sore throat
    C) redness in the outer ear
    D) drainage in the outer ear
    D) drainage in the outer ear
    (this multiple choice question has been scrambled)
  84. The nurse knows that teaching about the prevention of STDs to an adolescent will be most successful if the adolescent
    A) demonstrates a willingness to use particular forms of protection
    B) reads all the handouts given in him/her
    C) is taught in a private lesson
    D) receives information without parental consent
    A) demonstrates a willingness to use particular forms of protection
    (this multiple choice question has been scrambled)
  85. The best way for the nurse to approach a young female patient about exposure to gonorrhea would be for the nurse to
    A) promise confidentiality in exchange for information
    B) ask the patient to reveal her sexual contact
    C) obtain a private area for the interview
    D) speak to the patient with her parents present
    C) obtain a private area for the interview
    (this multiple choice question has been scrambled)
  86. The nurse knows to assess the Native American adult for disorders that are particular to his culture.  The nurse would assess this population for
    A) alcoholism
    B) congestive heart failure
    C) coronary artery disease
    D) chronic renal failure
    A) alcoholism
    (this multiple choice question has been scrambled)
  87. Which of the following should the nurse do when caring for a patient's ears?
    A) instruct the patient to use a cotton tipped applicator to remove cerumen
    B) use a syringe to aspirate cerumen for the ear
    C) if unable to loosen cerumen by retracting auricle downward, irrigate the canal
    D) retract the auricle upward to loosen the cerumen
    D) retract the auricle upward to loosen the cerumen
    (this multiple choice question has been scrambled)
  88. The nurse identifies which of the following potential nursing diagnoses for the patient taking NSAIDs (nonsteroidal anti-inflammatory drugs)?
    A) ineffective airway clearance related to increased secretions
    B) spiritual distress related to beliefs regarding chronic illness
    C) risk for injury related to gastrointestinal bleeding
    D) anxiety related to fear of falling
    C) risk for injury related to gastrointestinal bleeding
    (this multiple choice question has been scrambled)
  89. Which of the following blood lead levels in a child would indicate the need for chelation therapy?
    A) greater than 45
    B) 15-19
    C) 20-44
    D) 10-14
    A) greater than 45
    (this multiple choice question has been scrambled)
  90. The nurse demonstrates cultural competence regarding a patient's possessions when he/she
    A) asks the patient's permission to place in the bedside cabinet for safekeeping
    B) tells the patient that there isn't enough room for these articles in the hospital room
    C) does not acknowledge the importance of these to the patient
    D) suggest that the family member take these articles home at night
    A) asks the patient's permission to place in the bedside cabinet for safekeeping
    (this multiple choice question has been scrambled)
  91. The parents of a child with a chronic illness show acceptance of their child's condition by stating
    A) "We know our child will be cured one day."
    B) "We include our child in all of our activities."
    C) "I know my child has difficulty with eating, but we think he can try harder."
    D) "Our child can and will do better."
    B) "We include our child in all of our activities."
    (this multiple choice question has been scrambled)
  92. The nurse would expect to see which finding in a patient who has glaucoma and is taking a beta-adrenergic blocker?
    A) dilation of blood vessels with increased blood flow
    B) constriction of blood vessels with containment of blood
    C) increased intraocular pressure
    D) decreased intraocular pressure
    D) decreased intraocular pressure
    (this multiple choice question has been scrambled)
  93. The appropriate method of administering eardrops to infants is to
    A) stabilize the ear in its normal position
    B) pull the ear up and back
    C) pull the ear down and forward
    D) pull the ear down and back
    D) pull the ear down and back
    (this multiple choice question has been scrambled)
  94. The nurse knows that teaching has been effective regarding a TENS unit for pain relief when the patient states
    A) "I know this device will cure my pain."
    B) "My pain relief will last about 60-90 minutes after the unit is removed."
    C) "I can only use this device during the daytime."
    D) "I will feel tingling at the site where the electrodes are placed."
    D) "I will feel tingling at the site where the electrodes are placed."
    (this multiple choice question has been scrambled)
  95. The nurse is caring for a Native American male patient who is hospitalized.  The patient's wife tells the nurse her husband is depressed due to this illness.  The most appropriate nursing diagnosis for depression is
    A) knowledge deficit due to European American health practices
    B) spiritual distress due to body not in communication with nature
    C) powerlessness due to dependence on European American medicine
    D) ineffective coping due to separation from family
    B) spiritual distress due to body not in communication with nature
    (this multiple choice question has been scrambled)
  96. The main goal of a state program for children who are developmentally delayed would be to provide
    A) academic education
    B) financial assistance
    C) special education
    D) day care
    C) special education
    (this multiple choice question has been scrambled)
  97. Which nursing strategy would aid a patient with cataracts to see better during his/her hospital stay?
    A) provide bright light
    B) keep lights dim to avoid glare
    C) provide a nurse's aide to assist patient at all times
    D) have the patient wear dark glasses
    B) keep lights dim to avoid glare
    (this multiple choice question has been scrambled)
  98. The reaction that the nurse expects to assess when administering a miotic drug is
    A) dilation of the pupil
    B) B-adrenergic blocker
    C) contraction of the pupil
    D) osmotic
    C) contraction of the pupil
    (this multiple choice question has been scrambled)
  99. Eye medications that dilate the pupils are called
    A) inhibitors
    B) osmotics
    C) mydriatics
    D) miotics
    C) mydriatics
    (this multiple choice question has been scrambled)
  100. Eye medications that contract the pupil, permitting aqueous humor to flow, are called
    A) inhibitors
    B) mydriatics
    C) miotics
    D) osmotics
    C) miotics
    (this multiple choice question has been scrambled)
  101. Urea and mannitol, often prescribed in the treatment of glaucoma, are
    A) miotic agents
    B) secretory agents
    C) osmotic agents
    D) mydriatic agents
    C) osmotic agents
    (this multiple choice question has been scrambled)
  102. Examples of anti-inflammatory eye medications are
    A) Diamox, Wydase
    B) prednisone, dexamethasone
    C) Pontocaine, adrenalin
    D) zinc sulfate, fluorescein
    B) prednisone, dexamethasone
    (this multiple choice question has been scrambled)
  103. Mrs. Evans, a 72 year-old woman, is schedules to have a cataract removed from her left eye.  A cataract is characterized by
    A) opacity of the lens
    B) transparency of lens
    C) decreasing vision
    D) retinal detachment
    A) opacity of the lens
    (this multiple choice question has been scrambled)
  104. Lens replacement for a postoperative cataract patient will most likely be with
    A) cataract glasses
    B) a contact lens
    C) a cataract lens
    D) an intraocular lens
    D) an intraocular lens
    (this multiple choice question has been scrambled)
  105. A patient you are caring for has open-angle glaucoma.  The treatment goal of treatment of glaucoma is
    A) increase aqueous humor
    B) restore vision
    C) decrease discomfort
    D) decrease aqueous humor
    D) decrease aqueous humor
    (this multiple choice question has been scrambled)
  106. Mr. Smith has been complaining of headache and dull, persistent eye pain.  Another symptom common to chronic glaucoma is
    A) reddened cornea
    B) lacrimation
    C) fixed pupil
    D) tunnel vision
    D) tunnel vision
    (this multiple choice question has been scrambled)
  107. In which diagnostic test is a vibrating tuning fork shifted between the mastoid bone and an area 2 inches from the ear canal opening?
    A) Weber's test
    B) Rinne test
    C) Taylor test
    D) Schwabach test
    B) Rinne test
    (this multiple choice question has been scrambled)
  108. What part of the ear is assessed for auditory acuity and balance?
    A) middle ear
    B) mastoid
    C) inner ear
    D) tympanic membrane
    C) inner ear
    (this multiple choice question has been scrambled)
  109. Which test is used to assess balance?
    A) Schwabach
    B) Romberg
    C) Rinne
    D) Weber's
    B) Romberg
    (this multiple choice question has been scrambled)
  110. Involuntary rhythmic oscillation of the eyes, which is often indicative of a hearing disorder, is called
    A) nystagmus
    B) dysphagia
    C) dizziness
    D) mastoiditis
    A) nystagmus
    (this multiple choice question has been scrambled)
  111. The major symptoms of an inner ear problem is
    A) dizziness
    B) intense pain
    C) loss of hearing
    D) echoing
    A) dizziness
    (this multiple choice question has been scrambled)
  112. The appropriate method of administering eardrops to adults is
    A) stabilize the ear in its normal position
    B) pull the ear down and back
    C) pull the ear up and back
    D) pull the ear down and forward
    C) pull the ear up and back
    (this multiple choice question has been scrambled)
  113. After ear surgery, the priority symptom the nurse should assess when the patient first gets up is
    A) hemorrhage
    B) dizziness
    C) deafness
    D) pain
    B) dizziness
    (this multiple choice question has been scrambled)
  114. Postoperative positioning for a patient who has surgery on the left ear is
    A) lateral with right ear up
    B) supine
    C) lateral with left ear up
    D) prone
    A) lateral with right ear up
    (this multiple choice question has been scrambled)
  115. The priority nursing responsibility in caring for a patient with dizziness (vertigo) is
    A) comfort
    B) hygiene
    C) nausea
    D) safety
    D) safety
    (this multiple choice question has been scrambled)
  116. A nursing action to help the person with vertigo includes which of the following activities
    A) avoid noises
    B) suggest patient lie on affected side
    C) encourage fluid intake
    D) avoid sudden movements
    D) avoid sudden movement
    (this multiple choice question has been scrambled)
  117. The major purpose of a hearing aid is to
    A) pick up vocal sounds only
    B) make sounds louder
    C) facilitate communication
    D) improve ability to hear
    B) make sounds louder
    (this multiple choice question has been scrambled)
  118. Care of the hearing aid includes which of the following actions?
    A) avoid soap
    B) use pipe cleaner to clean the cannula
    C) protect transmitter under clothing
    D) clean ear mold once a month
    B) use pipe cleaner to clean the cannula
    (this multiple choice question has been scrambled)
  119. When speaking to a hearing-impaired patient, the nurse should
    A) use short clear sentences
    B) talk at a slow rate and with a loud tone of voice
    C) make sure the patient can see his or her face
    D) emphasize key words by enunciating them loudly
    C) make sure the patient can see his or her face
    (this multiple choice question has been scrambled)
  120. When caring for a patient with a visual impairment in a health care setting, the nurse should
    A) obtain reading material with large print
    B) ask the nurses' aide to feed the patient
    C) discourage handling articles that could cause trauma, such as a knife
    D) use neutral colors to prevent eye irritation
    A) obtain reading material with large print
    (this multiple choice question has been scrambled)
  121. Which of the following patients would probably experience a sensory disturbance?
    A) a sixty-nine year old woman with bacterial pneumonia
    B) a ten year old boy who is hospitalize with appendicitis
    C) a forty-five year old man who has colitis
    D) a sixteen year old girl with a fractured ankle
    A) a sixty-nine year old woman with bacterial pneumonia
    (this multiple choice question has been scrambled)
  122. Goals for nursing care of patients with actual or potential sensory alterations include all of the following except
    A) preventing additional sensory losses
    B) controlling the environment to create meaningful sensory stimuli
    C) promoting the patients acceptance of dependency
    D) promoting optimal function of existing senses
    C) promoting the patients accepteace of dependency
    (this multiple choice question has been scrambled)
  123. Which observable behavior may indicate a hearing deficit in a young child?
    A) awakens to loud noises
    B) remains calm when unfamiliar people approach
    C) has delayed speech development
    D) responds reflexively to sounds
    C) has delayed speech development
    (this multiple choice question has been scrambled)
  124. The nurse can implement many strategies to enhance the comfort of a patient trying to sleep while hospitalized.  The nurse can do all of the following except
    A) administer sleep aids
    B) perform a message and back rub
    C) assist patients with hygienic routines
    D) perform only essential noisy activities during sleep hours
    D) perform only essential noisy activities during sleep hours
    (this multiple choice question has been scrambled)
  125. The patient has expressed a desire for increased comfort, enhanced relaxation and contentment.  While discussing the care plan with the patient the nurse selects the appropriate nursing diagnosis of
    A) readiness for decreased stress and illness
    B) knowledge deficit r/t unrealistic goals
    C) ineffective coping r/t inability to achieve expressed desires
    D) readiness for enhanced comfort r/t understanding of disease process
    D) readiness for enhanced comfort r/t understanding of disease process
    (this multiple choice question has been scrambled)
  126. Which type of distraction would petting a cat be considered?
    A) visual distraction
    B) intellectual/emotional distraction
    C) tactile distraction
    D) auditory distraction
    C) tactile distraction
    (this multiple choice question has been scrambled)
  127. Many types of communication can ease a patient's uneasiness and discomfort.  Which type has five actions associated with it?
    A) active listening
    B) physical attending
    C) therapeutic communication
    D) attentive listening
    B) physical attending
    (this multiple choice question has been scrambled)
  128. One of the major criticisms of the stages of dying identified by Elisabeth Kubler-Ross is that:
    A) She does not adequately suggest how people try to cope with each stage
    B) There are too many stages in her theory
    C) Not everyone goes through the stages in the order she describes
    D) The stages may vary by sex
    C) Not everyone goes through the stages in the order she describes
    (this multiple choice question has been scrambled)
  129. Which of the following developmental tasks are part of Havighurst's early adulthood age period?
    1) Take on civic responsibility
    2) Developing adult leisure-time activities
    3) Getting started on an occupation
    4) Relating oneself to one's spouse as a person
    5) Managing a home

    A) 1, 3, and 5
    B) 1, 2, and 4
    C) 2, 3, and 5
    d) all of the above
    A) 1, 3, and 5
    (this multiple choice question has been scrambled)
  130. A young adult has never lived away from his parents.  he has difficulty making decisions and feels unable to make decisions on his own.  According to Freud's theory of development, this person would be fixated at which stage of development?
    A) Phallic
    B) Latency
    C) Genital
    D) Anal
    C) Genital
    (this multiple choice question has been scrambled)
  131. A client who has a terminal diagnosis has been using her time to help family members deal with her impending death.  Among her activities, she collected pictures for a scrapbook and wrote a journal of favorite memories for family members to read after her death.  According to Peck, this client is working through which of the following
    A) Ego differentiation versus work-role preoccupation
    B) Body transcendence versus body preoccupation
    C) Integrity versus despair
    D) Ego transcendence versus ego preoccupation
    D) Ego transcendence versus ego preoccupation
    (this multiple choice question has been scrambled)
  132. A nurse who is exploring the behavior of children and how they interpret right from wrong or bad from good would best be served by studying which theorist?
    A) Skinner
    B) Kohlberg
    C) Vygotsky
    D) Piaget
    B) Kohlberg
    (this multiple choice question has been scrambled)
  133. A nurse educator is working with students and assisting them in addressing their clients spiritual needs.  The nurse understands that most traditional, second-year college students are aware of their own spiritual development or working to develop their own system of spirituality.  Fowler describes this stage as:
    A) Individuating-reflexive
    B) Mythic-lyrical
    C) Intuitive-projective
    D) Universalizing
    A) Individuating-reflexive
    (this multiple choice question has been scrambled)
  134. A four year-old was hospitalized for several days with an acute illness.  Though the child had control of bowel and bladder prior to hospitalization, now she has been wetting the bed at night and is having incontinent accidents during the day.  The nurse addresses the parents concerns by saying:
    A) "I'd be upset too.  It must be hard to go back to using diapers."
    B) "Maybe your child should be seen by a specialist, just to make sure there are no physical problems."
    C) "You'll have to be very strict with discipline so your child knows that this behavior is not acceptable."
    D) "It's normal for some children to go through a stage of regression after separation from their family or after an acute illness.  Try not to be too discouraged."
    D) "It's normal for some children to go through a stage of regression after separation from their family or after an acute illness.  Try not to be too discouraged."
    (this multiple choice question has been scrambled)
  135. The school nurse is teaching a group of parents and their teenage sons a class about puberty and sexual growth.  A parent asks the nurse if fertility in teenage males coincides with ejaculation.  The nurse replies:
    A) "Sexual maturity does not occur until age 18, so don't worry about anything until then."
    B) "Fertility follows several months after the first ejaculation."
    C) "You'll have to ask your physician about that since it's a personal subject."
    D) "Yes, if your son is ejaculating, he also possesses fertility."
    B) "Fertility follow several months after the first ejaculation."
    (this multiple choice question has been scrambled)
  136. A nurse understands that certain activities are required for a healthy lifestyle.  Which of the following is the best example of this?
    A) Exercising more on days when feeling "guilty" about a snack
    B) Balancing good nutrition and exercise in moderation
    C) Buying only fat-free foods and allowing no deviation from this
    D) Exercising every day, at least for an hour and a half
    B) Balancing good nutrition and exercise in moderation
    (this multiple choice question has been scrambled)
  137. A 69 year-old African American woman has a 20 year history of chronic illness that has left her with significant disability, even though numerous treatments have been tried with varying degrees  of success.  Which factor(s) place(s) the woman at increased risk for complications related to her illness and its treatment?
    A) Length of patient's chronic illness
    B) Long latency of patient's chronic illness
    C) Patient's exposure to treatments that may counteract one another
    D) Patient's age, race and gender
    A) Length of patient's chronic illness
    (this multiple choice question has been scrambled)
  138. The nurse is planning care for a patient who is experiencing dementia.  What essential concept should the nurse keep in mind when establishing the plan?
    A) Pain medication will increase dementia.
    B) Activities should be scheduled at the same time each day.
    C) It is important to talk with the patient throughout procedures.
    D) Background noise, like music will keep this patient calm.
    B) Activities should be scheduled at the same time each day.
    (this multiple choice question has been scrambled)
  139. Which of the following safety hazards would be taken into consideration in planning care for an elderly client?
    A) suffocation
    B) poisoning
    C) drowning
    D) burns
    D) burns
    (this multiple choice question has been scrambled)
  140. A young female comes to the emergency room with vague physical symptoms and does not make eye contact with the nurse during the interview.  In order to understand exactly what might be going on, the nurse should ask which of the following questions?
    A) "Can you explain what your family life is like?"
    B) "Is someone hurting you?"
    C) "Can you tell me what's been going on in your life lately?"
    D) "What kind of problems are you having?"
    B) "Is someone hurting you?"
    (this multiple choice question has been scrambled)
  141. The nurse is providing assistance at a community health fair that targets the middle-aged client.  Which of the following is true for this age group?
    A). Cognitive and intellectual abilities are somewhat decreased due to slower reaction time, loss of memory, and changes in perception and problem solving.
    B) Adults make the transition into this stage easily and without problems.
    C) Physical capabilities and functions decreased with age, but mental and social capacities tend to increase in the latter part of life
    D) The middle aged person has decreased physical and cognitive abilities as a result of the normal aging process
    C) Physical capabilities and functions decreased with age, but mental and social capacities tend in increase in the latter part of life.
    (this multiple choice question has been scrambled)
  142. An elderly client who had a stroke is ready for hospital discharge.  How should the nurse support this client's independence?
    A) Make arrangements based on what the nurse feels is in the best interest of the client.
    B) Work closely with the social worker and physician to make the decisions necessary for the client.
    C) Allow the client to be actively involved in all decisions made.
    D) Set up a meeting with the family members so decisions can be made.
    C) Allow the client to be actively involved in all decisions made
    (this multiple choice question has been scrambled)
  143. An elderly male client comes to the clinic and tells the nurse that he hasn't been very interested in sexual intercourse lately.  He states: "I guess this is just part of getting old, too."  What should the nurse understand about decreased sexual interest in elderly client?
    A) It decreases but does not disappear.
    B) It is caused by decreased hormonal activity and there is little that can be done about it.
    C) It should not be taken as seriously as if the client were a younger person.
    D) It does decrease and then gradually disappears.
    A) It decreases but does not disappear.
    (this multiple choice question has been scrambled)
  144. An elderly client is at risk for developing dementia as well as delirium.  Which of the following statements is correct?
    A) Dementia is reversible and treatable
    B) Dementia is the only condition that is characterized by changes in memory, judgment, language, mathematic calculation, abstract reasoning, and problem-solving ability.
    C) Delirium is an acute and reversible syndrome
    D) Delirium is easily distinguished from dementia
    C) Delirium is an acute and reversible syndrom
    (this multiple choice question has been scrambled)
  145. A community health nurse is providing information to elderly clients regarding health tests and screening.  Which of the following would be recommended for these clients?
    1) Annual hearing screening
    2) Annual screening for Tuberculosis
    3) Annual vision screen
    4) Annual flu vaccine
    5) Annual pneumococcal vaccine after age 65

    A) 1, 2, and 3
    B) 2, 4, and 5
    C) 1, 3, and 4
    d) all of the above
    C) 1, 3, and 4
    (this multiple choice question has been scrambled)
  146. What is the primary goal of gerontologic care today?
    A) Enhancing functional ability
    B) Reducing stress
    C) Controlling chronic illness
    D) Preventing depression
    A) Enhancing functional ability
    (this multiple choice question has been scrambled)
  147. Which of the following would the nurse assess as a secondary change of aging?
    A) Decreased pulmonary capacity
    B) Calcium loss from bones
    C) Weakened hip and knee joints
    D) Vertebral disk shrinkage
    C) Weakened hip and knee joints
    (this multiple choice question has been scrambled)
  148. The risk for abuse of an older adult family member is greatest when the:
    A) Caregiver lives alone with the older adult
    B) Older adult has more than one chronic illness
    C) Older adult has decreased functional abilities
    D) Caregiver is close in age to the older adult
    B) Older adult has more than one chronic illness
    (this multiple choice question has been scrambled)
  149. Which statement about the use of prescription and over-the-counter drugs by older adults is true?
    A) Prescription drugs are better tolerated and produce fewer side effects than over-the-counter drugs.
    B) Drug dependency is rare among older adults because they do not metabolize drugs as efficiently as younger people.
    C) Older adults consume disproportionately more drugs than younger adults because they suffer more chronic illnesses.
    D) Decreased drug duration and increased drug intensity occur when older adults are given the same drug dosage as are younger adults.
    C) Older adults consume disproportionately more drug than younger adults because they suffer more chronic illnesses.
    (this multiple choice question has been scrambled)
  150. At her high school reunion celebrating 25 years since graduation, Janet runs into a former classmate, but cannot remember her name.  Which of her memory processes is falling in this situation?
    A) Retrieval
    B) Encoding
    C) Short-term memory
    D) Storage
    A) Retrieval
    (this multiple choice question has been scrambled)
  151. Which is the best question to ask an older adult when assessing short-term memory?
    A) "How are beds, tables, and chairs similar?"
    B) "Do you know what day it is today?"
    C) "Who was president during World War II?"
    D) "What news item did you hear about today?"
    D) "What news item did you hear about today?"
    (this multiple choice question has been scrambled)
  152. Which observation alerts the nurse to the possibility that an older adult is contemplating suicide?"  The older adult:
    A) Frequently takes about death and deceased relatives
    B) Stops verbalizing feelings and exhibits reduced activity
    C) Verbalizes being tired of dealing with a chronic illness
    D) Seeks spiritual comfort on a regular basis
    B) Stops verbalizing feeling and exhibits reduced activity
    (this multiple choice question has been scrambled)
  153. An appropriate weight reduction goal for any obese adult would be:
    A) Lose 5 pounds per week
    B) Reduce body mass index to approximately 25 kg/m2
    C) Increase physical activity
    D) Limit calories to 900 per day
    B) Reduce body mass index to approximately 25 kg/m2
    (this multiple choice question has been scrambled)
  154. Which exercise plan reflects basic health goals for cardiovascular fitness?
    A) Low-impact aerobics for 60 minutes once a week
    B) Bicycling for 30 minutes every weekend
    C) Brisk walking for 20 minutes four times a week
    D) Weight lifting once a week
    C) Brisk walking for 20 minutes four times a week
    (this multiple choice question has been scrambled)
  155. A school nurse is planning to present an educational program and information to teens regarding sexual activity.  The majority of the teens who will be attending will be African American.  According to statistics, the nurse is aware that the majority of these students:
    A) Are more likely to report condom use
    B) Are more likely to report oral contraceptive use
    C) Will not be sexually active
    D) Will be sexually active
    A) Are more likely to report condom use
    (this multiple choice question has been scrambled)
  156. The nurse is working with a local physician's group to provide care for pregnant women and specifically to address their nutritional needs.  Most of these women are from low-income situations and do not have health insurance.  The best way to ensure that they have adequate nutrition during pregnancy is for the nurse to:
    A) Make sure they now which local shelters serve hot meals
    B) Refer them to the local WIC program
    C) Refer them to the local food pantry
    D) Provide them with prenatal vitamins
    B) Refer them to the local WIC program
    (this multiple choice question has been scrambled)
  157. Proximodistal development is exemplified by which of the following?
    A) The refinement of perceptual abilities prior to walking
    B) The control of gross arm movements prior to fine-motor control of fingers
    C) The control of the head prior to control of the lower extremities
    D) The maturation of neural pathways in the cerebrum prior to the maturation of the neural pathways of the midbrain
    B) The control of gross arm movements prior to fine-motor control of fingers
    (this multiple choice question has been scrambled)
  158. Mrs. T. an 80 year old woman admitted to your nursing unit with a diagnosis of weakness, status post fall.  The admission face sheet indicates that she is widowed and lives alone.  As you work through your nursing admission assessment, which of the following would be the least priority concern?
    A) Ask Mrs. T. about the details of her fall.
    B) Does Mrs. T. like to read?
    C) Ask Mrs. T. about her ability to shop and cook for herself.
    D) What medications has Mrs. T. been taking?
    B) Does Mrs. T. like to read?
    (this multiple choice question has been scrambled)
  159. On the third day during which you are caring for Mrs. B., she complains of chills.  After checking her temperature, the nursing assistant comes to you and reports that it is 101.8 F.  As you assess Mrs. B. you discover that her wound looks more inflamed, feels hot to touch, and is oozing some yellow/green drainage.  The patient tells you that it's been like that the last two days.  checking the chart, you see that the LPN who had done the dressing changes documented a similar appearance two days ago.  Who is responsible?
    A) The LPN who did the dressing changes
    B) You are, as the RN
    C) The nursing assistant who checked her temperature
    D) You, as the RN, and the LPN
    D) You, as the RN, and the LPN
    (this multiple choice question has been scrambled)
  160. A community health nurse is working with elderly clients who requested help being able to make more educated decisions regarding their health care.  One way the nurse can assist with this is to:
    A) Provide opportunities for the clients to rehearse and role play before seeing their primary care physicians
    B) Remind the clients to tell their primary care providers to speak loudly and clearly.
    C) Make sure the clients are aware of physicians who have a bad reputation with dealing with the elderly.
    D) Bring an adult child along so all information is heard accurately
    A) Provide opportunities for the clients to rehearse the role play before seeing their primary care physicians
    (this multiple choice question has been scrambled)
  161. A client has been coming to the same clinic for a long time.  The nurse can identify movement into Kohlberg's postconventional level when the client, after being asked about work, makes this statement:
    A) "I don't like to talk about work when I'm not there."
    B) "Oh, the work isn't so bad anymore.  I'm getting close to retirement."
    C) "Work is fine, but my family and friends are so much more important to me."
    D) " I've done a good job for the company. I'm proud of my years there."
    C) "Work is fine, but my family and friends are so much more important to me."
    (this multiple choice question has been scrambled)
  162. A nurse works with young adults, all assigned to the same shift in a manufacturing plant.  There have been several episodes of discussion regarding work schedules over the holidays.  They will be able to balance the emotional as well as the logical side of the discussion based on which of the following?
    A) Kohlberg's theory of moral development
    B) Postformal thought process
    C) Formal operational stage
    D) Fowler's spiritual development theory
    B) Postformal thought process
    (this multiple choice question has been scrambled)
  163. Which of the following is not a basis for the hospice philosophy?
    A) Family support
    B) Focus on quality of life
    C) Curative therapy
    D) Hospice approach
    C) Curative therapy
    (this multiple choice question has been scrambled)
  164. Which of the following is a priority for patients with a life-limiting illness?
    A) Strengthening relationships with love ones
    B) Receiving physician care only
    C) Prolonging life at all cost
    d) All of the above
    A) Strengthening relationships with love ones
    (this multiple choice question has been scrambled)
  165. Which of the following is true regarding hospital based hospice and palliative care programs?
    A) They are not cost effective
    B) They add substantial value to both institutions and hospice programs
    C) They are available in most community hospitals
    D) The number of them has decreased over the past five years.
    B) They add substantial value to both institutions and hospice programs
    (this multiple choice question has been scrambled)
  166. Which of the following is true regarding prognostication for terminal conditions?
    A) Physicians predictions for prognoses are usually optimistic
    B) Heart disease is associated with accurate prognostication
    C) There have been no guidelines developed to help physicians determine prognoses
    D) Prognosis for cancer has improved over the past few years
    A) Physicians predictions for prognoses are usually optimistic
    (this multiple choice question has been scrambled)
  167. Which of the following in the most reliable indicator of pain?
    A) Results of physical examination
    B) Results of multidimensional assessment
    C) Patients self-report
    D) Results of functional assessment
    C) Patients self-report
    (this multiple choice question has been scrambled)
  168. According to the World Health Organization (WHO) ladder, pain should be managed:
    A) With only nonopioids for step 1 and 2
    B) With nonopioids given around the clock and opioids given on an as-needed basis
    C) In a stepwise progression from step 1 to step 3
    D) In a manner according to the intensity of the pain
    C) With only nonopioids for step 1 and 2
    (this multiple choice question has been scrambled)
  169. What are some of the spiritual and existential concerns that might affect a patient at the end of life as they relate to the past?
    a) Painful memories
    b) Worth of relationships
    c) Value of his/her own life
    d) all of the above
    d) all of the above
  170. Which of the following measures is/are appropriate for managing the so-called "death rattle"?
    A) Anticholinergic medications
    B) Sitting the patient upright
    C) Oropharyngeal suction
    d) all of the above
    A) anticholinergic medications
    (this multiple choice question has been scrambled)
  171. Which of the following is most important in helping the family during the last day/hours of a patient's life?
    a) Suggest that they not see the patient because this may be distressing to them
    b) Advise them not to talk to the patient as he or she will not be able to hear them
    c) Tell them that they think the patient is experiencing is probably true
    d) None of the above
    d) None of the above
  172. Which of the following is true regarding grief?
    A) It is possible to identify family members who may be at high risk for abnormal grieving
    B) Personality variables do not play a role in how an individual handles grief
    C) Social factors do not play a role in how an individual handles grief
    D) It is easy to distinguish between grief and depression
    A) It is possible to identify family members who may be at high risk for abnormal grieving
    (this multiple choice question has been scrambled)
  173. Which of the following is true regarding mourning?
    A) Mourning is composed of sequential stages that must be followed in order
    B) The presence of a wide range of emotions is a warning sign that a family member is not experiencing grief properly.
    C) After a patient's death, talking about the patient should not be encouraged
    D) Experiencing the pain of loss is a normal part of the mourning process
    D) Experiencing the pain of loss in a normal part of the mourning process
    (this multiple choice question has been scrambled)
  174. Which of the following is true regarding the assessment of a patient's decision-making capacity?
    A) Informed consent is the basis of decision making in health care
    B) There are no tools available to help a physician assess a patient's decision-making capacity
    C) A physician's subjective evaluation of a patient's decision-making capacity is acceptable
    D) The encouragement to complete an advance directive by a physician interferes with a patient's autonomy and should be discouraged
    A) Informed consent in the basis of decision making in health care
    (this multiple choice question has been scrambled)
  175. Which of the following is true regarding advance directives?
    A) There are no cultural differences in the rates of advance directives
    B) DNR orders are not usually included in an advance directive
    C) Most individuals have prepared advance directives
    D) The discussion of an advance directive can help the patient feel a sense of control
    B) DNR orders are not usually included in an advance directive
    (this multiple choice question has been scrambled)
  176. Which of the following is(are) not considered to be physician-assisted suicide?
    A) Aiding the patient in ending his/her life at the request of the patient
    B) Using high-dose opioids to relieve pain
    C) Administration of a lethal agent with a merciful intent
    d) all of the above
    B) Using high-dose opioids to relieve pain
    (this multiple choice question has been scrambled)
  177. A nurse is helping a hospice patient who has had difficulty with making end-of-life decisions.  The nurse has encouraged this patient to focus on her life, on her accomplishments and on her self-worth, hoping that a positive self-esteem would help her process some of these tough decisions.  The nurse is helping the client achieve balance in which of the following components?
    A) Spiritual
    B) Environmental
    C) Mental
    D) Physical
    A) Spirtial
    (this multiple choice question has been scrambled)
  178. A home health nurse is working with a client who has had to quit his job following a serious injury.  His future employability remains uncertain.  The clients states that his life has no meaning or purpose anymore.  He feels so lonely, as if everyone has abandoned him.  Which of the following is an appropriate nursing diagnosis for this client?
    A) Health-Seeking Behavior
    B) Body Image Disturbance
    C) Spiritual Distress
    D) Altered Family Process
    C) Spiritual Distress
    (this multiple choice question has been scrambled)
  179. A client is experiencing feelings of spiritual anguish.  He has been depressed and has had various somatic complaints that make him feel like "everything is out of control."  Which of the following is the most appropriate NANDA nursing diagnosis for this person?
    A) Powerlessness
    B) Anxiety
    C) Energy-field disturbance
    D) Hopelessness
    A) Powerlessness
    (this multiple choice question has been scrambled)
  180. Which of the following objective data does the nurse need to assess before administering any opioid?
    A) Respiratory rate
    B) Color of the skin
    C) Any nausea that the client may be feeling
    D) Pain level as stated by the client
    A) Respiratory rate
    (this multiple choice question has been scrambled)
  181. Which of the following is true regarding a patient with a DNR order?
    A) A DNR order in place from a previous admission is valid for this and for subsequent admissions.
    B) The patient may no longer make decisions regarding his/her own health care.
    C) The patient and family recognize that the patient will most likely die within the next 48 hours.
    D) Nurses will continue to implement all treatments focused on comfort and symptom management.
    D) Nurses will continue to implement all treatments focused on comfort and symptom management.
    (this multiple choice question has been scrambled)
  182. A young man is admitted to the emergency room with complaints of abdominal pain.  He denies any nausea and vomiting.  He states that the pain started 2 hours ago and describes the pain as "cramping."  This patient is most likely experiencing what type of pain?
    A) Phantom pain
    B) Chronic pain
    C) Acute pain
    D) Visceral pain
    D) Visceral pain
    (this multiple choice question has been scrambled)
  183. The nurse is doing discharge teaching for a patient taking an NSAID.  The patient asks the nurse if taking an antacid with this medication would help decrease the incidence of upset stomach.  The nurse's best response is:
    A) "Antacids should never be taken with an NSAID."
    B) "Antacids help to reduce the likelihood of gastric bleeding that could occur with the use of NSAID's."
    C) "Antacids reduce the absorption and therefore the effectiveness of the NSAID."
    D) "Antacids help to reduce the incidence of pain."
    B) "Antacids help to reduce the likelihood of gastric bleeding that could occur with the use of NSAID's"
    (this multiple choice question has been scrambled)
  184. Discharge teaching for the patient receiving an NSAID should include notifying the physician when which of the following occurs?
    A) Nausea
    B) Restlessness
    C) Anorexia
    D) Abnormal bleeding
    D) Abnormal bleeding
    (this multiple choice question has been scrambled)
  185. Which statement regarding opioid use in the elderly is true?
    A) Body surface area should be used to calculate dosages accurately
    B) Opioid analgesics are too dangerous
    C) Subjective pain reports are not reliable
    D) Administration may need to be decreased
    D) administration may need to be decreased
    (this multiple choice question has been scrambled)
  186. The nurse observing a patient using a transcutaneous electrical nerve stimulation (TENS) unit determines that more teaching is required if the patient:
    A) Places the electrodes over the painful area
    B) Applies the electrodes along trigger points
    C) Cleanses the area before applying the electrodes
    D) Cannot identify when to change the battery
    D) Cannot identify when to change the battery
    (this multiple choice question has been scrambled)
  187. Informed consent involves all of the following requirements except:
    A) Informed consent cannot be revoked after it is given
    B) The client must understand the potential risks and benefits that might result from consenting to a procedure
    C) The client must be capable of making decisions
    D) The decision must be made voluntarily without coercion
    A) Informed consent cannot be revoked after it is given
    (this multiple choice question has been scrambled)
  188. A 35 year old female patient on your hospital unit is awaiting a liver transplant.  You know that all of the following statements about organ donation are true EXCEPT:
    A) Less than 6,000 liver transplants were performed in 2003
    B) More than 17,000 people were awaiting liver transplants in 2004
    C) More than 85% of adult Americans approve of organ donation
    D) Organ recipients are matched to donors by age and sex
    D) Organ recipients are matched to donors by age and sex
    (this multiple choice question has been scrambled)
  189. You are the nurse on duty in the emergency room when a young man is brought in following an auto accident which resulted in massive head injuries.  You know that if he is judged to be brain dead, organ donation is suggested.  Which of the following statements is true about organ donation?
    A) The donor's name and personal information is given to the organ recipient to facilitate communication after the transplant
    B) Organ donation disfigures the donor and potentially alters the funeral arrangements
    C) The family is not approached about organ donation when a patient has suffered massive head injuries
    D) The family of a donor is not charged for the cost of organ donation
    D) The family of a donor is not charged for the cost of organ donation
    (this multiple choice question has been scrambled)
  190. In communicating a delegated task to a nursing assistant, an example of optimal direction is:
    A) "Let me know whether anything happens with this confused patient."
    B) "Please offer the patient the bedpan every two hours on the even hours.  Let me know the total urine output at 2 pm.
    C) "Keep an eye on this hallway while I'm at lunch."
    D) "Let me know if you see any signs of a heart attack?"
    B) "Please offer the patient the bedpan every two hours on the even hours.  Let me know the total urine output at 2 pm.
    (this multiple choice question has been scrambled)
  191. All of the following tasks may be delegated to the LPN except:
    A) Administering a patient's pain medication
    B) Developing a patient teaching plan regarding the patient's diet, exercise, and medications
    C) Monitoring a patient's blood sugars with the Accu-Chek
    D) Performing dressing changes for a patient with an infected foot
    B) Developing a patient teaching plan regarding the patient's diet, exercise, and medications
    (this multiple choice question has been scrambled)

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