1.

Place the vital signs in order of priority for defense mechanism; It would make the person
your nursing interventions: susceptible to infection
1. Sp02 = 89%
2. BP = 160/86 10. The nurse is assessing an older client who
3. Temp = 37.33 (99.4F) has lost 5 pounds since her last visit 1 year ago.
4. HR = 72bpm The client tells the nurse her husband died 2
5. RR = 28brpm months ago. The nurse should assess for?
- 15243 - appetite changes

2. Best motor response 11. Considered the least accurate method of

Obeys Commands-6 measuring temperature
Localizes Pain-5 - axillary
Withdraws Pain-4
Abnormal Flexion-3 12. This body part is best used to assess
Abnormal Extension-2 pulsation, texture, shape, size and consistency.
None-1 - pads of fingertips

3. What prevents a lot of the particles you 13. Who described 5 levels of nursing
breathe from reaching the lungs? experience in her theory on nursing?
- Cilia - Patricia Benner

4. Position used during much of the physical 14. Chain of infection

examination including examination of the head, - causative agent, reservoir, portal of exit, mode
neck, lungs, chest, back, breast, axilla, heart, of transmission, portal of entry, susceptible host
vital signs, and upper extremities
- Sitting position 15. Fast breathing greater than 20 respiratory
per minute
5. Acute symptoms disappear and total recovery - tachypnea
could take days to months
- convalescence 16. What happens to the spleen as the body
ages?
6. The desired effect of a drug and the reason it - it atrophies or decrease in size
is prescribe
- Therapeutic effect 17. A client is nonverbal and the nurse is
implementing strategies to promote
7. Slow breathing less than 12 respiratory per communication. Which of the following would be
minute appropriate for the client in this situation?
- bradypnea - Using a picture board to facilitate
communication
8. Bowel sounds that gurgles 5-30 times per
minute 18. An IV complication - the collection of blood in
- normoactive bowel sounds the tissues
- hematoma
9. What would happen to a person who has
undergone a splenectomy? 19. The consumption of alcohol, tobacco,
- It would make the person susceptible to caffeine, or herbal products are important in
hemorrhage; It would not shorten the person's health history and which part of what?
life, it just takes away one aspect of the body's - habits and lifestyle patterns
20. It studies body organ-systems 31. Transmission of a pathogen can be through:
- systemic physiology - Direct contact, blood, indirect contact, water

21. Culture Care Diversity and Universality 32. Client lies on abdomen with head turned to
- Madeleine Leininger side; may be used to assess back and mobility
of hip joint
22. Patricia Benner's theory that has already - prone position
achieve competence after 2 to 3 years of
practice in the same area. 33. This step of the nursing process includes the
- stage 3 competent systematic collection of all subjective and
objective data about the client in which the nurse
23. What are the branches of bronchial tubes focuses holistically on the client-physical,
containing microscopic air sacs? psychological, emotional, sociocultural, and
- alveoli spiritual
- assessment
24. It digests carbs
- pancreatic amylase 34. Constant, remittent and intermittent are
classifications of
25. Health Promotion Model - fever
- Nola j. Pender
35. Consists of an inspiratory phase and an
26. A nurse is to obtain the patient's health expiratory phase of breathing.
history. In order to gather reliable data, the most - respiratory cycle
suitable source would be:
- patient himself 36. What disorder occurs when the colon does
not absorb water?
26. Cartilage are? - constipation
- Tough fibrous substance that fills the space
between joints and acts as shock absorbers. 37. The complementary branch of science that
studies the structure of the body and parts, and
27. Maslow's hierarchy of needs in order from their relationship to one another.
the bottom are? - anatomy
- Physiological, safety/security,
belongingness/love, esteem and 38. Obligation to tell the truth
self-actualization - Veracity

28. During a physical assessment, the nurse 39. What is the challenge most associated with
documents the presence of eupneic respirations the utilization of electronic client record system?
on the client's medical record. What does this - privacy
finding suggest?
- normal respirations (eupnea) 40. Tendons are?
- Connective tissue that attaches bone to
29. Duty to do good to others skeletal muscle
- beneficence
41. 96.0 to 99.5 degrees Fahrenheit is the
30. Caring, Clinical Wisdom and Ethics in normal temperature range of which age group?
Nursing Care - neonates
- Patricia Benner
42. Which nursing theory states that "nursing is
the interpersonal process of action, reaction, 53. Unintended, usually predictable effect of a
interaction, and transaction by which nurse and drug
patient share information about their perception - side effects
in nursing situation?
- Imogene king's theory 54. When a patient's message is incomplete,
this technique takes restating and paraphrasing
43. A technique wherein the nurse is listening a step further. It is helpful when you need to
attentively to insure understanding assess whether a patient is following a
- active listening prescribed health regimen appropriately
- clarifying
44. An IV complication that causes the entry of
microorganism into the body via IV 55. What is the function of the urinary system?
- infection - Maintains homeostasis by regulating the
composition, ph and volume of body fluids
45. What is the basic function of the respiratory
system? 56. Florence Nightingale believed the
- Taking in and eliminating gases from the body. environment to be?
- An external force which affects the person's
46. This is when your skin is red in color and health
indicates a fever or local inflammation
- erythema 57. Normal breathing is known as?
- eupnea
47. A topic of anatomy that studies the large
body structures visible to the naked eye, such as 58. The study of the body by systems
the heart, lungs and kidney - systemic anatomy
- Gross anatomy
59. An immunologic reaction to drug, can have
48. Refers to the amount of blood pushing mild to severe reactions including anaphylactic
against the artery wall with each beat reaction and anaphylaxis
- pulse volume - drug allergy

49. The only bone that does not articulate with 60. An increase in the number of cells in an
another bone and serves as a moveable base organ or tissue
for the tongue. - hyperplasia
- hyoid bone
61. What is the function of insulin?
50. Failure to consider conflicting cues, using an - lower blood sugar
insufficient number of cues, using unreliable or
invalid cues are which source of diagnostic 62. Part of examiner's hand used to feel for
error? temperature
- interpreting - dorsal surface of hand

51. When documenting... 63. Primary focus of this domain is on

- Do not generalize or form judgements through development of manipulative skills rather than
written communication on the growth of intellectual capability.
- psychomotor domain
52. Expanding Health Consciousness Theory
- Margaret Newman
64. A client is being discharged after a surgical - notes on nursing
procedure. All of the options are what should the
nurse instruct the client to reduce the risk of 76. 6 years old pulse rate
infection, except? - 75 - 120
- Restricting bed periods
77. What does PERRLA stand for?
65. Position used to examine male genitalia and - pupils equal, round, reactive to light and
to assess gait, posture, and balance accommodation
- standing position
78. It detoxifies the body's toxic intake
66. How to get celcius: - liver
- C= (F-32)x5/9
79. Back-lying position used for examination of
67. A quantitative research approach is most the abdomen (with one small pillow under the
appropriate for which study? head and another under knees); this position
- A study measuring the effects of sleep also allows easy access for palpation of
deprivation on wound healing peripheral pulses
- supine position
68. What happened to Florence in 1837 when
she was 17 years old? 80. A client with a stranded trapezius muscle
- She heard a call from God complains of having occasional shortness of
breath. What might be the reason for this
69. Health Care System Model symptom?
- Betty Neumann - The strained muscle is an accessory muscle of
respiration.
70. You must listen for at least 5 minutes to chart
what sounds? 81. Best Verbal Response
- absent bowel sounds oriented 5
confused 4
71. Human Becoming Theory inappropriate words 3
- Rosemarie rizzo parse incomprehensible sounds 2
none 1
72. This is the body's ability to maintain relatively
stable internal conditions even though the 82. A client has experienced hematemesis, what
outside world changes continuously. is this?
- homeostasis - blood in the vomit

73. Distribution of benefits & services fairly 83. The most appropriate position in obtaining a
- justice rectal temperature for an adult would be:
- sims position
74. A proper assessment of vital signs will allow
a nurse to 84. Returns interstitial fluid and leaked plasma
- Help evaluate improvement of patient proteins back to the blood
condition, implement planned interventions, - lymphatic system
Identify nursing diagnosis except learn about
human behavior 85. Nurse Jarrel is conducting a health
awareness seminar of the female reproductive
75. What was Florence's best known work that system. A student asks the process when the
was published in 1860?
ovaries releases eggs into the fallopian tubes, 96. The most commonly used method of
and responds the correct answer with? percussion is
- ovulation - indirect percussion

86. What is the main pathway of air from outside 97. A technique wherein the nurse puts the
of the body to the capillaries of the lungs? attention into a single topic
- bronchi - focusing

87. What nervous system responds to stressful 98. The nurse tells a 75 year old patient that she
and emergency conditions? will have to do a "head to toe" assessment on
- sympathetic nervous system him. The patient asks "what is that?" Her best
answer would be..
88. Adult pulse rate - "It is a way for us to know how we are going to
- 60-100 bpm take care of you later."

89. Piaget is mainly known for studying 99. It means providing a review of the main
- cognitive development points covered in an interaction
- summarizing
90. The nurse is planning to assess the
abdomen of an adult male, what should be done 100. What consists of cranial and spinal nerves?
first? - peripheral nervous system
- Ask the client to empty his bladder
101. Dorothea Orem believed Nursing consisted
91. Delegation of some tasks may become one of?
of the decisions the nurse will make on duty. For - the basic foundation of caring oneself
which of the following clients would it be most
appropriate for unlicensed assistive personnel to 102. In humans, which of the following is not a
measure the client's vital signs? common portals of exit or escape routes?
- A client who is being admitted for elective - muscular system
surgery who has a history of stable
hypertension. 103. How many bones are in the human body?
- 206
92. Self-care deficit theory was proposed by?
- Dorothea Orem 104. An adult client visits a clinic and tells the
nurse that she suspects she has a urinary tract
93. While performing a physical examination on infection. To detect tenderness over the client's
an adult client, the nurse can detect the density kidneys, the nurse should instruct the client that
of an underlying structure by using he or she will be performing
- percussion - blunt percussion

94. A process that kills bacteria spores is 105. Before opening a sterile package:
- sterilization - Remember the edge is not sterile

95. Can sometimes be heard without a 106. The most appropriate definition of vital
stethoscope constant bowel sounds; 30 sounds signs
per minute - An indication of basic body functioning
- hyperactive
107. Nurse Jarrel will be administering
medication to one of his client's and needs to
consider all of the following factors affecting
medication action 119. The nurse instructor provides a lecture to
- Developmental factors, gender, diet nursing students regarding the issue to client's
rights and asks nursing student to identify a
108. Which of the following is the most effective situation that represents an example of invasion
method in breaking the chain of infection? of client's privacy. Which of the following, if
- Increasing the immunity of the patient identified by the student, indicates an
understanding of a violation of this client's right?
109. Tympanic temperature - Observing care provided to the client without
- 36.8-37.9 the client's permission.

110. When blood pressure reading is taken, a 120. Chemicals in the body that includes water,
sequence of difference sounds is heard. What salts, and many acids and bases.
are these called? - inorganic
- korotkoff sounds
121. A client in health care facility asks the
111. The procedures employed to reduce or nurse about the facility's computerized system
eliminate disease-causing organisms exist in for keeping client information, especially
order to protect against infection are confidentiality issues. Which is best response by
- aseptic technique the nurse?
- "Information in our system requires a password
112. 2 yrs old pulse rate to retrieve."
- 80-130
122. A technique wherein the nurse indicates
113. Philosophy and Science of Caring he/she heard the patient without judgement
- Jean Watson - accepting

114. It is the fluid inside the cell 123. Nightingale considered disease to be a...
- intracellular - reparative process

115. It influences metabolism, growth, 124. Adaptation model

reproduction, and many other functions. - Sister Callista Roy
Consists of endocrine glands, such as the
pituitary, that secrete hormones. 125. What is nonmaleficence?
- endocrine system - The prohibition from intentionally harming
others
116. Nurses are bound by a variety of law.
Which of the following descriptions of types of 126. No breathing at all
law is correct? - apnea
- Statutory law is created by elected legislatures,
such as the state legislature that defines the 127. Ductless, well vascularized, small and
Nurse Practice Act (NPA). widely separated in the body, and release
hormones directly into the blood?
117. It is the fluid that surrounds the cell AKA - lymphatic system
fluid in the tissues
- interstitial 128. Eye Opening Response:
4 spontaneously
118. Regulator of body temperature 3 to speech
- hypothalamus 2 to pain
1 no response 138. Increase and growth of muscle cells
- hypertrophy
129. Florence became famous as "The Lady
with the Lamp" looking after wounded British 139. The complementary branch of science that
soldiers in which war? studies the functions of the body, in other words
- crimean war how the body parts work and carry out their life
sustaining activities?
130. A topic of anatomy that deals with the - physiology
structures too small to be seen with the naked
eye. 140. The nurse determines that a field remains
- microscopic anatomy sterile if which of the following conditions exist?
- Sterile items are 2 inches from the edge of the
131. It is the plasma in the blood vessels field
- intravascular
141. Oral temperature range
132. When temperatures with baselines and - 36.5-37.5 (97.7-99.5)
normal temperature ranges are compared, what
is normally received? 142. According to Nightingale's philosophy, a
- presence of abnormalities nurse should consider which of the following
factors when caring for a person who is ill?
133. Infant Pulse Rate - Person's emotional state, the environment in
- 80-180 bpm which the person lives, and the person's social
network.
134. Which of the following is the lowest of "best
evidence" for evidence-based practice? 143. Performs direct nursing actions in specialty
- trial and error areas. They may or may not have advance
education preparation as long as they are
135. It produces body movements, maintains certified by a government body to perform such
posture, and produces body heat. Consists of duties.
muscles attached to the skeleton by tendons. - nurse clinician
- muscular system
144. Collects data about a problem that has
136. The student nurse is following a preceptor already been identified and determines if the
on the assigned clinical shift. All of the following problem still exists or any changes
behaviors of the nurse would the student - focus assessment
interpret as caring?
- Using antiseptic technique when performing a 145. The type of transport process which is the
dressing change, advising the physician that the tendency of molecules or ions to move from an
client wants to speak to him or her prior to a area where they are in higher concentration to
procedure, explaining an invasive procedure to an area where they are in lower concentration,
the client, then asking if it is all right to begin the that is, down or along their concentration
procedure EXCEPT making sure that all gradient.
medications and treatments are done on time. - diffusion

137. While percussing an adult client during a 146. Back-lying position with hips at edge of
physical examination, the nurse can expect to examining table and feet supported in stirrups;
hear flatness over the client's used for examination of female genitalia,
- bone reproductive tract, and rectum
- litothomy position
 159. A technique wherein the nurse examine the
147. When feeling for client pulse, take into topic deeper
account the - exploring
- rate, rhythm, force and elasticity
160. Universal solvent of the body
148. All of the following can affect a pulse ox - water
reading
- Hypothermia, low blood pressure EXCEPT 161. What techniques are used during a
Jaundice physical assessment?
- inspection, auscultation, palpation, percussion
149. Resonant is a type of sound that can be
heard while percussing. What are some of its 162. How to get farenheit:
characteristics? - F= (Cx9/5)+32
- Clear and hollow sound, moderate in duration
and can be heard over normal lung tissue. 163. A person who is just being admitted
complains of pain on his right foot. What is the
150. What organ is involved in helping to break proper way to provide this patient a proper
down fats? physical assessment?
- pancreas - If a complete physical assessment is
necessary, it is best to assess any painful areas
151. Behavioral Systems Model last.
- Dorothy Johnson
164. It is the art and science of teaching adults
152. How many bones are in the appendicular? wherein teaching is more learner centered and
- 126 the past experiences play a key role.
- andragogy
153. The following traits are typical among the
older persons except? 164. Must sit up to breathe easily
- libido is normally heightened - a person with orthopnea

154. How is gas exchanged in the alveoli? 165. Which of the following statements is related
- simple diffusion to Florence Nightingale?
- The role of nursing is to facilitate "the body's
155. Symptoms specific to the infection appear reparative process" by manipulating client's
- stage 3 illness environment.

156. Why is it important to increase the surface 166. Philosophy of caring

area of the small intestine? - Karl Martisen
- increase absorption
167. Which one of the following is true of
157. What is hematochezia? surgical aseptic technique rather than medical
- bright red blood in stool aseptic technique?
- Surgery is performed in a special room that is
158. When caring for a single client during one located away from nonsurgical patients
shift, it is appropriate for the nurse to reuse
protective equipment? 168. Unitary Human Being Theory
- goggles - Martha Rogers
169. This effect of a drug results from overdose, - positive feedback
ingestion of external-use of a drug, or buildup of
drug in the blood 179. Ligaments are
- drug toxicity - strong bands of fibrous tissue that connects
bone to each other
170. This homeostatic control the output shuts
off the original effect of the stimulus or reduces 180. Maximum pressure felt on the artery during
its intensify left ventricular contraction is the
- negative feedback - systolic pressure

171. What was Florence Nightingale's greatest 181. Which of the following statements is NOT
long term achievement? true about touch as a nonverbal means of
- making nursing as a respectable profession communication?
- It is always good to give a patient a back rub
172. All of the following are factors affecting regardless of gender or age difference.
body temperature EXCEPT:
- height 182. What year and what nurse based their
theory on stressors affect how a person adapts.
173. What kind of data makes up a physical - 1972 Betty Neuman
assessment?
- objective data 183. How many bones are in axial?
- 80
174. A solution that causes a cell to shrink
because of osmosis 184. Hormone secreted by the adrenal glands. It
- hypertonic solution is released into the bloodstream in response to
stress, such from fear or physical injury. Also
175. The universal energy compound of the called epinephrine.
body. Some of the energy liberated by the - adrenaline
breakdown of glucose and other food fuels is
captured in the bonds of this molecules and 185. What increases the blood sugar?
transferred via coupled reactions to energy - glucagon
consuming reactions
- ATP 186. The nurse is preparing to assess the
abdomen of a hospitalized client 2 days after
176. What is hematuria abdominal surgery. The nurse should first?
- blood in the urine - inspect the abdominal area

177. Patricia Benner's theory is able to quickly 187. All of the choices are types of transport
take in all aspects of a situation and immediately processes in which substances cross the
give meaning to the cluster of assessment data. membrane without any energy input from the
- stage 4 proficient cell
- Passive Process, Diffusion, Osmosis except
178. This type of feedback mechanism gives off Active Process
your body oxytocin during labor and delivery that
causes the contractions to become both more 188. Describes a solution whose solute
frequent and more powerful. The increased concentration is equal to the solute
contractions cause more oxytocin to be concentration inside a cell
released, which causes more contractions, and - isotonic solution
so on until the baby is born.
189. When interviewing Mr. C, an 89 year old
man from Greece who doesn't understand 199. A research critique can best be defined as
English, it is important to a/an
- find an interpreter or speak slowly - Appraisal of a study's strengths and
weaknesses
190. Conceptual System and Middle Range
Theory of Goal Attainment 200. The art and science of helping children
- imogene king learn prefers to:
- pedagogy
191. Infant respiratory rate
- 20-40 breaths 201. Environmental Theory
- Florence Nightingale
192. Which of the following is true about
JARGON 202. The difference between a "head to toe"
- It is a commonplace terminology unique to assessment and a "focused assessment"
people within a specific type of work that should - Head to toe is completed when the patient is
be avoided when talking to clients or patients admitted; focused concentrates on a particular
part of a body.
193. It empowers the patient to verbalize
possible solution and at the same time places 203. During palpation of a client's organs, the
the patient in a position of control and promotes nurse palpates the spleen by applying pressure
self-esteem. It allows patients to see that their between 2.5 and 5 cm. The nurse is performing
ideas and thoughts are important and have - deep palpation
worth.
- Reflecting 204. Ms. B is at the clinic today and the nurse is
explaining what a heart attack is. The nurse
194. 5th vital sign says "A myocardial infarction can be serious and
- pain is caused by a blood clot that blocks one of the
coronary arteries. This can lead to a rupture of a
195. Which of the following is not a common vulnerable atherosclerotic plaque. This is an
route for administering medication? example of which interviewing traps
- intraosmolar - using professional jargon

196. Onset of general symptoms to more distant 205. A nurse demonstrates caring, sincerity,
symptoms; the pathogen is multiplying empathy, and trustworthiness.
- stage 2 prodromal - Therapeutic nurse-patient interaction

197. When talking to a patient from another 206. Barbara Carper's Ways of Knowing include:
culture and with another language, the most - empirical, ethical, esthetic, personal
effective way to communicate is:
- using an interpreter 207. Imogene King's "goal attainment theory" is
a type of:
198. The type of transport process wherein - interaction theories
certain molecules, notably glucose and other
sugars, some amino acids, and ions are 208. Secreted by the adrenal cortex; it aids the
transported passively even though they are body during stress by increasing glucose levels
unable to pass the membrane by a passive to provide energy; also called hydrocortisone.
transport process is called? - cortisol
- facilitated diffusion
209. Theory of Caritative Caring 221. Obligation to do and cause no harm to
- Katie Erikson others
- nonmaleficence
210. One bowel sounds every 3-5 minutes
- hypoactive bowel sounds 222. Patricia Benner's theory that is a newly
graduate, uses more facts, and recognizing
211. A nurse practitioner feels it is more similarities in a situation.
important to participate in nursing research. - stave 2 advanced beginner
Which activity is most appropriate for this
nurse's level of education and position? 223. What is the function of the digestive
- Helping identify clinical problems in direct care system?
- Breaks down complex molecules for use by the
212. When body temperature taken orally is cells
below 36.0C the person is suffering from
- Hypothermia 224. Which represents the correct order of
Piaget's stages of intellectual development?
213. Melena - Sensorimotor, preoperational, concrete
- A black, tarry stool indicating a GI bleed operational, formal operational

214. What is haemoptysis? 225. This association was established to

- coughing up blood develop, refine, and promote taxonomy of
nursing diagnostic terminology used by the
215. Gag reflex is controlled by which cranial nurses
nerves? - North American Nursing Diagnosis Association
- Glossopharyngeal (CN9) and Vagus (CN10) International

216. Uses technologies to create pictures of 226. What best describes nurse as a care
internal structures. provider?
- anatomical imaging - determine client's need

217. 5 components of environment 227. A technique wherein the nurse allows the
- ventilation, light, warmth, effluvia, noise patient to take initiative
- broad openings
218. Nurse Ellaina should inform the learners of
what is expected from a cognitive affective or 228. Conversation Model
psychomotor prior the meeting of goal, which is - Myra estrin Levine
the desired end result or intended outcome
which is known as your 229. During a comprehensive assessment of the
- goal lungs of an adult client with a diagnosis of
emphysema, the nurse anticipates that during
219. All of the following are possible causes of percussion the client will exhibit
Bradycardia - hyperresonance
- supine position, pain, jogging
229. Helps the client learn the state of their
220. An IV complications that causes the IV fluid well-being and the therapies that will be done to
to leak into surrounding tissue them to alleviate their health conditions
- infiltration - teacher
300. What kind of data makes up the health 312. This homeostatic control, the result or
history? response enhances the original stimulus so that
- subjective data the response is accelerated.
- positive feedback
301. As Dishan begin his elementary school
years, he enters Erikson's stage of 313. Study of the synthesis, structure, reactivity
- industry vs inferiority and properties of the diverse group of chemical
compounds primarily constructed of carbon
302. Clients with diabetes should soak their feet - organic
frequently to hydrate them and put lotion
between their toes. 314. Caring consists of carative factors that
- False, soaking dries skin out. Furthermore, result in the satisfaction result in the satisfaction
they should avoid putting lotion between toes of certain human needs". This explanation was
and should avoid using perfumed lotion stated by?
- Jean Watson
303. This part of the body is more sensitive to
vibrations 315. The systematic problem solving approach
- ulnar or palm of the hand toward providing individualized nursing care is
known as?
304.Respect for an individual's right to make - nursing process
their own decisions
- autonomy 316. Referring to a solution that, when
surrounding a cell, will cause the cell to take up
305.10 years old pulse rate water.
- 60-90 - hypotonic

306. An IV complication that administers fluid 317. An IV complications that causes the air to
too rapidly enter the vein through the IV tubing
- circulatory overload - air embolism

307. It is the fluid outside the cell 318. Provide care and comfort for person
- extracellular together with preserving the dignity of human
being.
308. The study of internal structures as they - care provider
relate to the overlying skin surface.
- surface anatomy 319. Incomplete development or
underdevelopment of an organ or tissue.
309. An IV Complication that causes the - hypoplasia
inflammation of the vein and can lead to a clot
- phlebitis 320. Rectal temperature
- 37.0-38.1
310. Interval between the pathogen entering the
body & the presentation of the 1st symptom 321. If John's 3 year old granddaughter was
- incubation stage 1 visiting and was watching you take her
grandfather's vital signs and became curious
311. Study of the organization of the body by about how you would take hers, you might
areas explain to her that..
- regional anatomy - You would do it on the arm, thigh, and ankle
using a smaller cuff.
 332. Begins with onset of education, task
322. In assessing a tympanic temperature in a oriented, focused on learning the rules
20-year old male patient, which of the following - novice
could result in the least accurate reading?
- The patient has been outdoor for more than 30 333. All of the above choices are the correct
minutes. functions of the skins
- Protection, body temperature regulation,
323. Side-lying position used during the rectal metabolic functions
examination
- sim's position 334. An 85 year old client in nursing home tells a
nurse, "Because the doctor was so insistent, I
324. The client verbally reports pain at a level of signed the papers for that research study. Also, I
8 or 9 when it becomes sharp is an example of was afraid he would not continue taking care of
- subjective data me." Which client right is being violated?
- right to self-determination
325. The purpose of health history and physical
assessment is? 335. What does bile do?
- Gather baseline data; develop nursing - emulsifies fats
diagnosis; develop careplan
336. A student nurse taking care of a patient
326. A qualitative research approach is most with an abnormal body temperature needs more
appropriate for which study? training when he/she does what?
- A study examining client reactions to stress - Discourages a patient from drinking fluid to
after open hear surgery avoid excessive activity.

327. Assessment that focuses on past medical 337. By asking a person to stick out their
history, family history, reason for admission, tongue, the examiner is testing which of the
medications currently taking, previous following cranial nerves
hospitalization, surgeries, psychosocial - hypoglossal (CN12)
assessment, nutrition, complete physical
assessment 338. What is the most effective way to help
- initial assessment prevent the spread of organisms?
- hand hygiene
328. Following through with a promise
- fidelity 339. Axillary temperature
- 35.8-37.0
329. Preschool respiratory rate
- 20-30 min 340. Florence received many honors for her
work. In 1907 she was the first woman to
330. According to Nightingale's philosophy, what receive what?
role does nature play in illness - oder of merit
- Nature causes a person to become ill as a
reaction to other factors and it plays a role in 341. Which statement is correct regarding the
healing. distinction between legal and ethical obligations
in decision making?
331. Investigates the role of nurses which further - legal controls are clearer and philosophically
improves the nursing practice impartial
- researchers
342. During a routine examination, your client - It relieves pressure on the fetal head
expresses concern about breast cancer. You
determine that she has health-seeking behaviors 351. A home health nurse is preparing to make
related to breast cancer. Which phase of the the initial visit to a new client's home. When
nursing process does this statement describe? planning educational interventions, what
- nursing dx information should the nurse provide to the client
and his or her family?
343. During the 38th week of pregnancy, it is - Available community resources to meet their
determined that the fetus is in a transverse needs
position. What actions may be undertaken by
the physician? 352. The nurse is performing initial visits to two
- nothing can be done new clients of the local home health care
service. These clients live within two blocks of
344. Which ethical framework involves an each other and both homes are in a high-crime
individualized decision-making framework? area. What action best protects the nurse's
- intuitionist personal safety?
- do not weet expensive jewelry
345. Although the time frame for labor differs
with individual women, which time period would 353. Placing a client in restraints before using
you find excessive for a nullipara woman? other methods of intervention violates the client's
- a latent phase of labor of 24 hours right to
- Receive treatment in the least restrictive
346. If a drug comes with recommended doses environment
for geriatric patients, that dose is taking into
account 354. By definition, a drug would be any chemical
- the potential for decreased liver and kidney that is
function and less efficient absorption in older - processed to produce a particular effect
people
355. The use of a birthing room in place of a
347. The community health nurse is preparing to traditional labor room can be an effective and
conduct a home visit. When performing the comforting during labor because
home visit, how should the nurse best - birthing rooms offer the woman something to
implement the principles of infection control? think about during labor
- Perform hand hygiene before and after giving
direct client care 356. Collecting data about the ethical problem
and identifying who should be involved in the
348. On what day during pregnancy does the decision-making process is accomplished in
embryo implant on the uterine surface? which phase of the MORAL decision-making
- 8 days after ovulation model?
- massage the Dilemma
349. Which step ensures that the assessment
data are correct before proceeding with the 357. Which of the following would be a danger
nursing process? signal of a labor for a woman in labor?
- validation - meconiun stained amniotic fluid

350. A woman's physician has told her he wants 358. The first time you see a woman during
to use an episiotomy for delivery. She asks you pregnancy, her fundal height is palpable at the
what the purpose of this is. Which of the level of her umbilicus. This measurement is
following would be your best answer? typical of what gestational age?
- 20 weeks work overtime in spite of previous social plans?
- Duty based
359. Nursing care is provided in an increasingly
diverse variety of settings. Despite the variety in 369. During the interview, a patient states that
settings, some characteristics of professional she or he doesn't use many drugs. The nurse's
nursing practice are required in any and every best response to this statement is:
setting. These characteristics include - Tell me about the drugs you use now
- cultural competence
370. Which of the following statements best
360. Your patient has had an exploratory describes the assessment step in the nursing
laparotomy and bowel resection. She is process?
complaining of severe incisional pain. What is - The patient's response is assessed based on
the most accurate means of assessing your set outcome citeria
patient's pain?
- ask the patient abt the pain 371. Pharmacotherapeutics refers to the branch
of pharmacology that deals with
361.Which statement regarding ethical decision - drugs used in humans to treat, prevent, or
making is true? diagnose disease
- accepting some ambiguity and uncertainty are
a part of ethical decision making 372. Within the public health system there has
been an increased demand for medical, nursing,
362. Drugs that are excreted in the urine may and social services. The nurse should recognize
reach toxic levels in a patient who has what phenomenon as the basis for this
- high blood urea nitrogen (BUN) increased demand?
- The growing number of older adults in the
363. Patients participating in a phase II study for population
a new drug may be receiving
- a placebo or sugar pill 373. A nurse is based in an automotive
assembly plant and works with the plant's
364. NS is to run on an IV infusion pump at a employees in the areas of health promotion and
rate of 5ml/30 minutes. The IV should infuse basic primary care. What nursing role is this
how many ml/hr? nurse performing?
- 10 - occupational health nurse

365. Achieving a critical concentration of a drug 374. The hospital nurse is participating in a
in the body involves a dynamic equilibrium client's discharge planning. What action should
between all of the following except the nurse prioritize during this process?
- drug effects - Identifying the client's specific needs

366. A chemotherapeutic agent is a drug that 375. D5W is to be administered 95 ml/ 6 hours.
- interferes with the function of foreign cells in Then IV should infuse at how many ml/hr/
the body - 16

367. Dilation follows effacement in the primipara. 376. Assessment for surfactant level is a primary
Full dilation is a usual distance of estimation of fetal maturity. The purpose of
- 8-10 cm surfactant is to
- prevent alveoli from collapsing on expiration
368. Which ethical framework would most likely
be used to arrive at the nurse's decision to
377. What normal skin variation might be seen 387. 0.45% NaCl is to infuse at 500ml/2 hours.
upon exam of a 70-year old male patient? IV drip rate is 10 gtts/ml. How many gtts/min
- decreased texture should the IV infuse?
- 42
378. Which activity best demonstrates a nursing
unit manager's attention to the ethics standards 388. Implantation generally occurs at which
of practice required of that position? plane on the uterus?
- Membership on the institution's ethic board - upper posterior surface

379. The function of the eyelashes is to: 389. You are performing a depression screening
- protects the eyes from injury on an older adult. Your patient scored 13 on the
Geriatric Depression Scale (GDS). How would
380. Drugs being developed are not usually you interprets this score?
tested on women because - indicates severe depression
- women cannot produce a new ova, and drugs
that damage these cells would leave the women 390. For a fetus to best traverse the birth canal,
sterile the smallest head diameter must be presented
to the birth canal. Which of the following is the
381. The fetal assessment technique of a smallest anteroposterior cranial diameter of a
rhythm strip refers to fetus?
- a tracing of fetal heart rate and pattern - Suboccipitobregmatic

382. A client you care for in labor asks you what 391. Which diagnosis is a wellness diagnosis?
causes labor to begin. Which of the following - health seeking behaviors
statements is a possible explanation?
- Prostaglandins may be the causative factor of 392. A nursing student has taught a colleague
labor that nursing practice is not limited to hospital
settings, explaining that nurses are now working
383. During the second stage of labor, a woman in ambulatory health clinics, hospice settings,
is generally and homeless shelters and clinics. What factor
- turning inward to concentrate on body has most influenced this increased diversity in
sensations practice settings for nurses?
- shift of health care delivery into the community
384. In terms of planning care, why is the
development of a pathologic retraction ring 393. A 22 year old client has been manipulative
important? of staff or disruptive in the mileu. Although she is
- it precedes uterine rupture not dangerous to herself or others, she as
created problems on the unit and clearly is not
385. The nurse's role in drug therapy would not making progress. The nurse offer prescribed
include medication, but she consistently refuses 'any
- dispensing drug drugs'. The staff realizes that legally this client
can
386. Ampicillin liquid PO is labeled 125 mg/5 ml. - continue to refuse treatment
575 mg has been ordered. How many mL
should you give? 394. Which structure prevents food from
- 23 entering the nasopharynx
- soft palate
395. Myambutol 1600mg has been prescribed 403. Which ethical principle associated with an
PO. Myambutol is available in scored tablets adult child is legally given the right to make
labeled 400 mg. How many tablets should you medical decisions for a cognitively impaired
adminster? parent?
-4 - paternalism

396. A nonstress test is an assessment test 404. 4 mg of Levophed was added to 250 ml of
based on what phenomenon? D5W. How many mcg of Levophed are in each
- Fetal heart sounds increase in connection with mL?
fetal movement - 16

397. The nurse is assessing a new client and his 405. These kinds of theories work well with the
home environment following the client's referral current emphasis on evidence-based practice
for community-based care. What action should because of the bias toward experimental
the nurse prioritize during this initial visit? science.
- Educate the client and his family about how to - Need theories
evaluate online supports
406. Concept related to Betty Neuman's System
398. 1000ml of D5W is to infuse over 8 hours. IV Model of Nursing is:
drip rate is 10 gtts/ml. What is the infusion rate - open system
at gtts/min?
- 21 407. This theory stems from Roger's theory of
unitary human beings.
399. You are working in a mental health clinic. - theory of health as Expanding consciousness
Your assessment includes a review of patient's
current medications. Which medication has a 408. Pioneer of Health Promotion Model
psychotic reaction as side effect? - Nola j. Pender
- lidocaine
409. This theory focuses on the patient system's
400. A woman develops a pathologic retraction response to actual or potential environmental
ring during labor. On assessment, you would stressors and maintains the client system's
expect to find its appearance a stability through primary, secondary, and tertiary
- mottling, surrounding the cervix nursing prevention interventions to reduce
stressors.
401. A community health nurse has scheduled a - Neuman's System Model
hypertension clinic in a local shopping mall in
which shoppers have the opportunity to have 410. Are works derived from nursing
their blood pressure measured and learn about philosophies, conceptual models, and other
hypertension. This nursing activity would be an grand theories that are generally not as specific
example of which type of prevention activity? as middle-range theories. Works of Levine,
- secondary prevention Rogers, Orem, and King are some of the
theories under this category.
402. The practice of allocating organs for - grand theories
transplantation based on a person's 'worthy to
society' is an example of what ethical principle 411. Pioneer of Core, Care, Cure Model
for decision making? - Lydia hall
- justice
412. Watson's carative factors include all the
following, EXCEPT:
- Strengthening flexible lines of defense - Imogene king's theory

413. Joyce Travelbee's theory is the extended 423. Watson's Hierarchy of Needs
interpersonal relationships of Peplau and 1. Lower Order Biophysical Needs or Survival
Orlando. Needs
- Human-to-Human Relationship Model of 2. Lower Order Psychophysical Needs of
Nursing Functional Needs
3. Higher-Order Psychosocial Needs or
414. Which nursing theorist defines environment Integrative Needs
as "the totality of the internal and external forces 4. Higher-Order Intrapersonal-Interpersonal
which surround a person and with which they Need or Growth Need
interact at any given time"?
- Betty neuman 424. Which is NOT included in Watson's Major
Elements of Caring Theory?
415. Statements that explain the relationship - dependency
between the concepts in a theory:
- propositions 425. The term which refers the "irreducible,
pan-dimensional energy field identified by
416. This theory emphasizes the give-and-take pattern and integral with the human field" is:
of nurse-clent relationships - environment
- interpersonal relations theory
426. Which of the following is an organismic
417. Which of the following theory has used response as per Levin's Four Conservation
"General Systems Theory" as a framework for its Principles?
development? - fight or flight
- Neuman's Model
427. According to Jean Watson, it is central to
418. It is the prerequisite of caritas. nursing practice and promotes health better than
- reconciliation a simple medical cure.
- caring
419. Which theory states " Nursing is a helping
profession"? 428. According to Behavour System Model,
- Abdellah's 21 nursing problems "predisposition to act with reference to the goal,
in certain ways rather than the other ways"
420. She is often seen as mother of American refers to:
Professional nursing; she developed the Nursing - set
Needs Theory.
- Virginia Henderson 429. What is theory?
- A set of statements that tentatively describes,
421. It is a complex property or attribute of explain, or predict relationship among concepts,
people educated and trained as nurses that that have been systematically selected and
enable them to act, know, help others, meet up organized as an abstract representation of
therapeutic self-care demands by exercising or phenomenon.
developing their own self-care agency.
- Nursing agency 430. "Nursing is a therapeutic interpersonal
process". This definition was stated by:
422. Which nursing theory states that 'nursing is - Hildegard peplau
the interpersonal process of action, reaction,
interaction and transaction"?
431. Differentiate caring ethics from nursing - therapeutic self-care demand
ethics.
- Caring ethics deals with the basic relation 440. The "humanistic science of nursing" was
between patient and nurse. While, nursing ethics explained by:
deals with ethical principle and rules that guide - rogers 1970
the work and decisions of nurses
441. The Neuman Systems Model views the
432. Social inclusion, intimacy and the formation client as an open system that responds to
and attachment of a strong social bond" are stressors in the environment. The client
explained in which subsystem of Johnson's variables are physiological, psychological,
model - sociocultural, developmental, and spiritual.
- attachment or affiliative system Three principles constitute the human becoming
theory. Each principle contains three concepts
433. According to Roy's adaptation theory, which that requires thoughtful exploration. People are
subsystem responds through four cognitive always engaging with and choosing from infinite
responds through four cognitive-emotive possibilities about how to be, what attitudes and
channels (perceptual and information approach to have, who to relate to. What
processing, learning, judgment, and emotion)? principle is exemplified in the given statement?
- cognate subsystem - contrascending with possibilities

434. Florence Nightingale believed the 442. It is the performance or practice of activities
environment to be __________? that individual initiate and perform on their own
- Those aspects outside the person that affect behalf.
health - self-care

435. These are the requirements that can be 443. The Neuman Systems Model views the
defined as actions firected toward the provision client as an ________ system that responds to
of self-care. stressors in the environment.
- self-care requisites - open

436. One of the purposes of the theory is to 444. It is being with and apart from others,
assist with critical thinking and problem solving. ideas, objects and situations all at once.
What are the three major themes of the Human - originating
Becoming Theory?
- Meaning, rhythmicity, transcendence 445. The theory asserts that every person in
every situation, no matter how disordered and
437. She used the term _________ instead of hopeless it may seem, is part of the universal
_____________ becausee it suggests a social process of expanding consciousness. Which
environment with social definition and meaning. among the following is NOT among the three
- Patricia Benner correlates of consciousness?
- motion
438. She is one of the most respected theorists;
considered as the first theorist, and the mother 446. It is the human's ability or power to engage
of modern nursing. in self-care and is affected by conditioning
- Florence Nightingale factors.
- self-care agency
439. It is the totality of self-care actions to be
performed for some duration to meet self-care 447. Which of the following statements is related
requisites. to Florence Nightingale?
- The role of nursing is to facilitate "the body's 457. Name theorists that have their theory under
reparative processes" by manipulating client's Nursing Philosophies.
environment. 1. Nightingale
2. Watson
448. Mother of Psychiatric Nursing; 1st 3. Ray
published theorist after Nightingale 4. Benner
- Hildegard peplau 5. Martinsen
6. Eriksson
449. Who described what she considered
nurses' goals and practice domain to be? 458.
- Florence Nightingale Meta theory - Most Abstract
Practice theories - less abstract
450. This principle means that human beings
create patterns in day-to-day life and these 459. Which theory defines nursing as the
patterns tell about personal meanings and science and practice that expands adaptive
values. abilities and enhances person and environment
- Co-creating rhythmical patterns of relating transformation?
- Roy's adaptation Model, goal attainment theory
451. What level of theory is Virginia Henderson?
- grand theory 460. Examples of Phenomenon
*Wound healing
452. A system of nursing care in which patients *Childbirth
are placed in units on the basis of their needs for *Development of Disease
care as determined by the degree of illness *Recovery, and Death
rather than on the basis of a medical specialty
is: 461. It is the fundamental motive of caring.
- progressive patient care - caritas

453. Ernestine Wiedenbach's conceptual model 462. Which is NOT a concept related to Faye
of nursing is called: Abdellah's theory?
- the helping art of clinical nursing - therapeutic self-care demands

454. It is the most abstract type and sets forth 463. According to Neuman Systems Model, the
the meaning of nursing phenomena through increase in energy that occurs in relation to the
analysis, reasoning, and logical presentation. degree of reaction to the stressor is termed as:
Works of Nightingale, Watson, Ray, and Benner - reconstitution
are categorized under this group.
- nursing philosophy 464. Nurses functions, according to Hall's theory
1. Care = independent nursing function
455. What's the similarity between Peplau'S, 2. Core = dependent nursing function
Orlando's and Travelbee's theories? 3. Cure = interdependent (w/ health team ganon)
- They all talk about the importance of
nurse-client relationship and interaction. 465. The major concepts of Health Belief Model
includes all, EXCEPT;
456. Parse's theory was first called _________ - perceived interaction
in _________.
- man living health, 1881 466. It influences perceived self-efficacy; more
positive of the subjective feeling = greater
efficacy.
- activity-related effect 476. The principles of concervation of energy,
structural integrity, personal integrity and social
467. What are the 4 metaparadigm concepts for integrity were explained by:
Discipline of Nursing? - Myra estrin Levine
A. Person
B. Health 477. It is a global concept that identify the
C. Environment phenomenon of central interest to a discipline.
D. Nursing - metaparadigm

468. Self-care deficit theory was proposed by: 478. Her model is one of only a few considered
- Dorothea Orem prescriptive in nature
- Neuman's
469. Imogene King's "goal attainment theory" is
a type of: 479. It is a technique used by professional nurse
- interaction theories in a way that he or she acts as mirror to the
patient.
470. According to Peplau's interpersonal model, - Reflective technique
during which phase of nursing process, the
patient participates in goal setting and has a 480. It conveys mental image of phenomenon.
feeling of belonging and selectively responds to - conceptual framework
those who can meet his or her needs?
- orientation 481. What was Virginia Henderson known as?
- the first lady of nursing
471. According to this theory, the human to
human relationship is the means through which 482. Newman's Health as Expanding
the purpose is fulfilled. Consciousness Theory is beneficial because it
- Human-to-Human Relationship Model of can be applied in any setting and "generates
Nursing caring interventions." Which of the following is
the reason why it is considered as a grand
472. Nursing is "an external regulatory force nursing theory?
which acts to preserve the organization and - Is broader and provides an overall framework
integration of the patients behaviors at an for structuring ideas
optimum level under those conditions in which
the behaviors constitutes a threat to the physical 483. Ethnonursing research method was
or social health, or in which illness is found" This developed by:
definition of nursing was given by: - Madeleine Leininger
- johnson
484. A term, descriptive or label given to
473. It is the best avenue in promoting health describe an idea or response about an event,
and preventing illness. situation, process, group of events or group of
- community health care settings situations.
- phenomenon
474. This model was greatly influenced by
Florence Nightingale's book, Notes on Nursing. 485. A concept of Newman's theory which refers
- behavioral system Model to the depicts the whole and is characterized by
movement, diversity, and rhythm.
475. It serves as the building blocks of theories - pattern
- concepts
486. America's first trained nurse
- Linda Richard's

487. "Nursing is therapeutic interpersonal

process". This definition was stated by:
- peplau

488. Stimuli that confront the human system and

require the most attention
- focal

489. Which among the nursing theorists have

stated that "Health is central to the theory?"
- Margaret Newman

490. Encouraging direct care such as bathing,

feeding, and other activities of daily living by
family members who may be interested in
actively contributing in the care of a loved one is
referring to ________________.
- Cultural Care Preservation or Maintenance