Textbook of Basic Nursing (Lippincott’s Practical Nursing) 10th Edition by Caroline Bunker Rosdahl, Mary T. Kowalski  – Test Bank  

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INSTANT DOWNLOAD COMPLETE TEST BANK WITH ANSWERS

 

Textbook of Basic Nursing (Lippincott’s Practical Nursing) Tenth Edition by Caroline Bunker Rosdahl, Mary T. Kowalski  – Test Bank

 

Sample  Questions

 

 

1. There are trends and challenges of healthcare in the 21st century. What are some of the changes in healthcare that have been identified for the 21st century?

1.     Wellness focused care

2.     Primary care providers’ responsibility for client care

3.     Cost of healthcare technology

4.     Technology that influences healthcare

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

2. There are trends and challenges of healthcare in the 21st century. A nursing student has been asked to list some of the healthcare trends. What trends should the nursing student include in the list?

1.     Changing demographics

2.     Decreasing diversity

3.     Globalization

4.     Interdisciplinary education for collaborative practice

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

3. There are trends and challenges of healthcare in the 21st century. Research into the rising costs of healthcare has revealed that many patient and financial needs could be met by which type of care?
A) Acute
B) Chronic
C) Preventive
D) Skilled nursing

 

 

4. A male client, who is in a coma, is being treated in an acute care facility. Under which circumstance can the nurse move the client from the intensive care unit (ICU) to the subacute care unit?
A) Client’s need for acuity care has decreased
B) Client is ready for discharge
C) Client has regained consciousness
D) Client’s economic condition does not permit remaining in the ICU

 

 

5. A male client is being admitted to a hospital for treatment. Which factor would help the nurse determine whether the client needs an extended care facility instead of an acute care one?
A) Client’s condition is very serious
B) Client needs a high level of nursing care
C) Client requires close and continuous monitoring
D) Client requires admission for an extended period of time

 

 

6. A newly recruited nurse asks a registered nurse (RN) what services are available to clients in various healthcare systems. What is an area of specialization of an intensive care unit (ICU)?
A) Diabetic
B) Hospice
C) Neonatal
D) Home intensive healthcare

 

 

7. The federal government divides nursing homes into two categories: a skilled nursing facility or an intermediate care facility. Which type of nurse supervises the care of clients in an intermediate care facility?
A) Registered nurse
B) Licensed practical nurse
C) Nursing assistant
D) Unlicensed assistive personnel

 

 

8. A nurse is providing hospice care for a client. Which service will the nurse provide?
A) Taking care of a terminally ill client in a home environment
B) Part-time supervision of clients with chronic medical conditions
C) Relief for the primary caregivers of the client
D) Part-time supervision of clients with mental illnesses

 

 

9. Telehealth is a service that is relatively new and growing. What occurs with telehealth?
A) Accessing clients via telephone or computer link
B) Supervising intensive care of clients
C) Increasing scheduled visits to the primary care provider
D) Minimizing risk of chronic problems

 

 

10. Some hospitals play an important role in research. Which hospital or facility is most likely to require a nurse to do research in the better treatment of clients?
A) Telehealth
B) University setting
C) Hospice care
D) Home healthcare setting

 

 

11. A client’s family has requested the assistance of an advocate to obtain required services in the care of their mother. What is the person’s role when acting as a consumer advocate?
A) Assist the client and family in resolving concerns or problems
B) Ensure that quality nursing care is provided
C) Provide dietary health counseling
D) Assist with the admission process to a long-term care facility

 

 

12. A client discharged from the hospital is now at home. The client requires assistance in relation to the treatment prescribed by the physician. The client needs information quickly. Which service best suits this client’s needs?
A) Home healthcare service
B) Telehealth
C) Hospice care service
D) Community health service

 

 

13. An industrial unit in which the employees regularly handle heavy machinery has employed a nurse. Which intervention is most relevant for the nurse in this work environment?
A) Supervising administration of immunizations for employees
B) Screening for common disorders at the workplace
C) Administering medications at the workplace
D) Preventing accidents at the workplace

 

 

14. A nurse is checking the qualities by which a hospital is accredited. Which standard is considered during the accreditation process?
A) Minimum standards of service to client and community
B) Years the hospital has been in existence
C) Cost of treatment
D) Number of staff employed

 

 

15. Quality management requires that healthcare services be well planned and delivered in a manner that ensures good care. Adequate staff and support services, such as nursing care, must be available. Quality control and quality assurance frequently look at the process and outcome of care. Based on this information, what is meant by the process of care?
A) Relates to the outcome of care
B) Relates to how care is provided
C) Relates to the result of care
D) Relates to outcome-based care

 

 

16. Nurse accountability, which involves the delivery and accurate documentation of quality care, is vital. Healthcare facilities and agencies have contiguous (or continuous) quality improvement committees. What is the role of this committee?
A) Monitors quality of ongoing care
B) Caters to employees who are unable to work
C) Assigns recognition to hospitals
D) Offers health services.

 

 

17. There are several methods of payment for healthcare services. Which is a feature of health maintenance organization?
A) Allows payment through monthly premiums
B) Provides free or subsidized treatment
C) Provides special service plans for the homeless
D) Requires advance payment of capitation fee

 

 

18. A nurse is looking for a source that details the standards of quality that guide the nursing staff when providing care. Which is the most reliable source of this information?
A) Standards of nursing practice
B) Client feedback analysis
C) Standards of performance
D) Peer performance analysis

 

 

19. A nurse is updating a client about the Medicare program. The client is summarizing an understanding of what the nurse has explained about the Medicare program. Which information about the Medicare program does the nurse need to provide in further teaching to the client?
A) Medicare is a state health insurance program.
B) Medicare is available to almost everyone older than 65 years of age.
C) The insured individual contributes in monthly premiums.
D) Various prescription programs are available.

 

 

20. A school nurse is caring for students in an elementary school. Which interventions are most applicable for this nurse?

1.     Screening for common disorders

2.     Supervising the administration of immunizations

3.     Preventing accidents

4.     Checking the quality of medications

A) 1, 2
B) 1, 3
C) 2, 3
D) 3, 4

 

 

21. Each healthcare facility establishes individual standards of quality to guide the nursing staff in providing care. Based on the fact that individual standards of quality are present in an organization, what is meant by standards of performance?
A) Procedures used in the delivery of care, the hospital policy book, textbooks, and other references
B) Focus on the caregiver, the nurse, and on the nursing process
C) Activities determined by client expectations or by personal standards of care
D) How well the nurse performs, as compared with a job description

 

 

22. A client is opting for physical therapy treatment. Which is a feature of physical therapy?
A) Manipulation of the spinal column and joints
B) Rehabilitation techniques after injury
C) Treatment using herbs and aromas
D) Insertion of needles underneath the skin

 

 

23. A client is opting for an acupuncture treatment. Which is a feature of acupuncture?
A) Manipulation of the spinal column and joints
B) Rehabilitation techniques after injury
C) Treatment using herbs and aromas
D) Insertion of needles underneath the skin

 

 

24. A client is opting for imagery treatment. Which is a feature of imagery?
A) Manipulation of the spinal column and joints
B) Rehabilitation techniques after injury
C) Instructing the client to recall events
D) Insertion of needles underneath the skin

 

 

25. Unlike complementary healthcare methods, which are acceptable modalities used in place of or along with conventional Western methods, many fraudulent healthcare practices and treatments are on the market. How much has it been estimated that the public spends on “such cures” for every imaginable ailment per year?
A) 15 billon dollars
B) 20 billion dollars
C) 25 billion dollars
D) 30 billion dollars

 

 

1. Maslow developed a hierarchy of needs from the simple to the complex. Using Maslow’s hierarchy of needs, which statement characterizes the simplest level of need?
A) “Nurse, my pain is terrible and I need pain medication right away.”
B) “When I first joined the golf club, I felt welcomed and looked forward to the weekly golf games.”
C) “I’m very proud to be placed on the Dean’s List for spring semester.”
D) “There have been three neighborhood break-ins on the street in the last month. I am going to sell my house and move to a different neighborhood.”

 

 

2. Maslow developed a hierarchy of needs from the simple to the complex. Using Maslow’s hierarchy of needs, which statement characterizes the highest level of need?
A) “Nurse, my pain is terrible and I need pain medication right away.”
B) “When I first joined the golf club, I felt welcomed and looked forward to the weekly golf games.”
C) “I’m very proud to be placed on the Dean’s List for spring semester.”
D) “There have been three neighborhood break-ins on the street in the last month. I am going to sell my house and move to a different neighborhood.”

 

 

3. Maslow developed a hierarchy of needs from the simple to the complex. A male client tells the nurse of having no threats in his life at this time. The nurse communicates in the sign-off report that this client is meeting what level in Maslow’s hierarchy of needs?
A) Physiologic
B) Security and safety
C) Self-esteem
D) Self-actualization

 

 

4. Maslow developed a hierarchy of needs from the simple to the complex. A female client tells the nurse of recently recognizing strength in her life and the ability to make her own choices. The nurse states in the client’s record that this client’s recognition of strength and choice is meeting which level in Maslow’s hierarchy of needs?
A) Physiologic
B) Security and safety
C) Self-esteem
D) Self-actualization

 

 

5. A client is recovering from a serious motor vehicle accident. The client is focusing all attention on physical needs of recovery rather than returning to a job. The nurse knows that the client has already met the simple, basic needs and should be concentrating efforts on the more complex, higher level needs. What would the nurse document for the client who is focusing on a simple, basic need that has already been fulfilled?
A) Security and safety
B) Love, affection, and belonging
C) Regression
D) Self-esteem

 

 

6. To help clients prevent risks or threats to their basic human needs, the nurse knows that the simple, most basic needs in Maslow’s hierarchy of needs must be met. Several physiologic needs for all clients must be met. A client newly admitted to the unit has several basic physiologic needs that must be met. Which are the physiologic needs that must be included in the nursing care plan?

1.     Oxygen

2.     Food

3.     Water

4.     Shelter

5.     Elimination

A) 1, 2, 3, 4
B) 1, 2, 3, 5
C) 1, 3, 4, 5
D) 2, 3, 4, 5

 

 

7. A client has been admitted as a result of lack of food and nutrients in the body. When caring for the client, the nurse finds that the client feels nauseated at meal times. Which is the most appropriate intervention for the nurse?
A) Weighing the client daily
B) Providing tube feeding, as ordered
C) Administering insulin, as ordered
D) Providing warm milk regularly

 

 

8. After surgery, a client has difficulty breathing and needs supplemental oxygen. Which situation places the client at the highest risk of lack of oxygen?
A) Client has quadriplegia
B) Client has dehydration
C) Client is unconscious
D) Client has high blood pressure

 

 

9. A nurse is caring for a group of clients in a long-term care facility. During change of shift report, it was addressed that some of the clients would need assistance with meeting the basic needs of receiving adequate fluids. Which client has the highest potential for requiring the nurse’s assistance to meet fluid needs?
A) Client with severe mental illness
B) Client with nausea and vomiting
C) Client with a broken limb
D) Client with a skin disorder

 

 

10. A client complains to the nurse that her daughter often shivers after she comes out of a swimming pool. Based on this information, the nurse recognizes that the client needs further teaching about the mechanisms of shivering. What should the nurse’s response be?
A) “This could be serious; you should consult a physician immediately.”
B) “This is an expected response; shivering is a body mechanism that assists temporary regulation.”
C) “This may be risky; your daughter should avoid swimming completely.”
D) “Your daughter should have a hot water bath as soon as she comes out of the pool.”

 

 

11. To help clients prevent risks and threats to their basic human needs, the nurse must be familiar with the basic human needs and identify each client’s specific needs. The client’s chart identifies several basic needs that should be addressed during hospitalization for prostate surgery. Which should the nurse recognize as the highest secondary need of this individual?
A) Elimination of waste products
B) Activity and exercise
C) Sexual gratification
D) Social needs

 

 

12. A client has had a spine operation and cannot walk properly. Which is the highest priority nursing intervention to ensure that the client can resume daily activity?
A) Administering pain medication to relieve the pain
B) Providing a soothing backrub
C) Encouraging walking with help
D) Suggesting consultation with the primary care provider

 

 

13. A nurse is a member of a local support group that counsels on relationships. Which client should the nurse identify with the lowest priority to be concerned about meaningful relationships?
A) A person who volunteers in the community
B) A homeless person
C) A person with a fractured limb
D) A working professional

 

 

14. A client was involved in an accident that has impaired hearing and vision. The client is a writer and the client’s condition has affected hopes and self-esteem. How can the nurse help this client regain self-esteem?

1.     Encourage dependence from family members

2.     Reward progress

3.     Allow family members to assist the client with self-care needs

4.     Observe the client for symptoms of repression and depression

A) 1, 2
B) 1, 3
C) 2, 3
D) 2, 4

 

 

15. A client has undergone a double mastectomy for breast cancer. The client is spending sleepless nights worrying about how this surgery will impact her future. What should be the nurse’s highest priority nursing action at this time?
A) Consult the surgeon to order a sedative/hypnotic medication for the client to promote sleep
B) Encourage the client to complete activities of daily living independently
C) Provide the client with a safe, quiet, and peaceful sleeping environment
D) Work together with the occupational therapist on rehabilitation goals

 

 

16. A nurse is assigned to care for clients who have been rendered homeless by a hurricane. The nurse is reviewing the nursing care plan for a client. Which levels of nursing interventions on the nursing care plan is the highest priority for this client at this time?

1.     Physiologic

2.     Security and safety

3.     Self-esteem

4.     Self-actualization

A) 1, 2
B) 1, 3
C) 2, 3
D) 3, 4

 

 

17. A client verbalizes being very satisfied with life and is planning to go forward with art classes. To help clients prevent potential risks or threats to their basic human needs, the nurse must be familiar with the basic human needs and identify each client’s specific needs. Based on Maslow’s theory of human needs, the nurse needs to document which level of this theory about this person’s perspective of life?
A) Physiologic
B) Security and safety
C) Shelter
D) Self-actualization

 

 

18. Maslow described a theory of human needs in which simple, basic needs are identified in relation to more complex, higher-level needs. During the recovery period, a professor is focusing on the simpler, basic hierarchy of needs. What is the term when the most basic needs have been met rather than dealing with the higher-level needs that the nurse would document about this professor at this time?
A) Affection needs
B) Regression
C) Physical needs
D) Secondary needs

 

 

19. A college professor seen 6 months after prostate surgery tells the nurse about getting two holes in one at the local golf course in 3 months. The professor is thrilled to be involved in activities that are important in his personal life. Based on Maslow hierarchy of needs, which need is of highest priority for this individual that the nurse needs to communicate in the client chart?
A) Need for shelter and freedom from harm and danger
B) Need for affection, feeling of belonging, and meaningful relations with others
C) Need to be well thought of by oneself as well as by others
D) Need to be self-fulfilled, learn, create, understand, and experience one’s potential

 

 

20. The nurse is caring for a group of older adults in an assisted living memory care facility. Which nursing intervention will assist this group of clients to meet their social needs while residing at the assisted living memory care facility?
A) Show love, affection, and belonging
B) Provide reading and video materials
C) Provide water and cookies
D) Provide opportunities for innovation and creativity

 

 

21. The community has basic needs concerning the welfare of all its residents. What is an example of a public health measure that concerns the welfare of all of its residents?
A) Immunization programs
B) Water and electricity
C) Pollution
D) Ambulances and paramedics

 

 

22. The community has basic needs concerning the welfare of all its residents. What is an example of maintenance services that concerns the welfare of all of its residents?
A) Immunization programs
B) Water and electricity
C) Pollution
D) Ambulances and paramedics

 

 

23. The community has basic needs concerning the welfare of all its residents. What is an example of an environmental issue that concerns the welfare of all of its residents?
A) Immunization programs
B) Water and electricity
C) Pollution
D) Ambulances and paramedics

 

 

24. Several factors can threaten the body’s need for temperature regulation. What are factors that can threaten the body’s need for temperature regulation?

1.     Excessive external heat

2.     Excessive internal cold

3.     Excessive external cold

4.     Excessive internal heat

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

25. Maslow describes a theory of human needs in which simple, basic needs are identified in relation to more complex, higher-level needs. The needs are listed in random order. Which is the correct sequence in which these needs must be fulfilled, in order, from most basic to most complex?

1.     Security and safety

2.     Self-actualization

3.     Physiologic

4.     Love, affection, and belonging

5.     Self-esteem

A) 1, 2, 3, 4, 5
B) 3, 1, 4, 5, 2
C) 4, 1, 3, 2, 5
D) 3, 4, 1, 5, 2

1. A group of individuals who interact with each other for the mutual benefit of their common interests to support a sense of unity or belonging is a community. A nurse is required to monitor the health status of a community. Which factors of highest priority should the nurse consider to determine community health?

1.     Prevalence of infectious disease

2.     Incidence of domestic violence

3.     Population density

4.     Sexually transmitted infections

A) 1, 3
B) 1, 4
C) 2, 3
D) 2, 4

 

 

2. A group of individuals who interact with each other for the mutual benefit of their common interests to support a sense of unity or belonging is a community. A nurse is required to monitor the health status of a community. What factor is of highest priority for the nurse to monitor continuously to determine community health?
A) Poverty levels
B) Adequate housing
C) Crime rates
D) Birth rates

 

 

3. The nurse helps clients to understand the roles and functions of community health organizations and provides information to appropriate organizations regarding the nature of assistance required by the community. Which statement by the nurse is correct about health-related functions of the World Health Organization (WHO)?
A) Sends healthcare professionals to nations affected by natural disasters to combat diseases and disorders at both the community and individual levels.
B) Helps children in developing countries affected by natural disasters to receive safe water.
C) Sends healthcare professionals to help infants in developing countries with infant rehydration programs.
D) Helps children in developing countries with support of general education.

 

 

4. The nurse helps clients to understand the roles and functions of community health organizations and provides information to appropriate organizations regarding the nature of assistance required by the community. Which statement by the nurse is correct about the health-related functions of UNICEF?

1.     Nutrition instruction

2.     Development of low-cost food supplements

3.     Chemical safety

4.     Childhood immunization programs

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

5. Life expectancy in the early 1900s was about 45 years. In the last decade of the 20th century, the lifespan of Americans has been lengthened by 30 years, to more than 75 years. What are the advances in public health that have contributed to an increase in the life expectancy of the average American?

1.     Vaccinations

2.     Motor vehicle safety

3.     Declines in deaths from cancer

4.     Recognition of tobacco use as a health hazard

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

6. A student nurse is reviewing information about life expectancy and finds that life      expectancy in the early 1900s was about 45 years. In the last decade of the 20th century, the lifespan of Americans has been lengthened by 30 years, to more than 75 years. Advances in public health contribute to 25 of these additional 30 years. The student nurse would be correct in noting that one of the most notable achievements has included a decline in deaths of what disease?
A) Kidney
B) Lung
C) Heart
D) Prostate

 

 

7. The United States Public Health Service (USPHS) and the U.S. Department of Health and Human Services have many responsibilities. The student nurse is preparing a report about these agencies and would be correct in reporting that The United States Public Health Service is the forerunner of which agency?
A) Department of Health and Human Services
B) Central for Disease Control and Prevention
C) Food and Drug Administration
D) National Institute of Health

 

 

8. The Department of Health and Human Services is a highly versatile agency that has a myriad of responsibilities. The agencies that constitute the branches of the Department of Health and Human Services each provide a multitude of services. One of the branches is the Agency for Healthcare Research and Quality. The student nurse is preparing a report for clinical after a conference and must address the services that are provided by this branch. Based on this research, the student nurse would be correct in including which information about what services this branch provides?
A) Provides services and assistance to needy children and families
B) Provides services to the elderly, promoting independence and providing home-delivered meals
C) Provides research designed to improve quality of healthcare, including information on costs and client safety
D) Provides information, assessments, and educational training to the U.S. Environmental Protection Agency’s national priorities list of hazardous substance and waste sites

 

 

9. The Department of Health and Human Services is a highly versatile agency that has a myriad of responsibilities. The agencies that constitute the branches of the Department of Health and Human Services each provide a multitude of services. One of the branches is the Centers for Disease Control and Prevention (CDC). The nursing instructor is reviewing the mission of several organizations and tells the students about the mission for the CDC. Which statement by the nursing instructor correctly addresses the mission of the CDC?
A) Promote health and quality of life by preventing and controlling disease, injury, and disability
B) Promote and protect public health by helping safe and effective products reach the market in a timely way and by monitoring products for continued safety after they are in use
C) Uncover new knowledge that will lead to better health for everyone
D) Send every worker home whole and healthy every day

 

 

10. The Department of Health and Human Services is a highly versatile agency that has a myriad of responsibilities. The agencies that constitute the branches of the Department of Health and Human Services each provide a multitude of services. One of the branches is the National Institutes of Health (NIH). A student nurse is summarizing key points about the NIH in preparation for an upcoming unit examination. Based on the review of the notes, what should the student nurse include as the mission of the NIH?
A) Promote health and quality of life by preventing and controlling disease, injury, and disability.
B) Promote and protect public health by helping safe and effective products reach the market in a timely way and by monitoring products for continued safety after they are in use.
C) Uncover new knowledge that will lead to better health for everyone.
D) Send every worker home whole and healthy every day.

 

 

11. The Food and Drug Administration promotes and protects public health by helping safe and effective products to reach the market in a timely way. Which item is of highest priority to be proved safe before a product is put into a consumer market?
A) Complex medical devices
B) X-ray machines
C) Mammography equipment
D) Microwave ovens

 

 

12. The NIH formally recognized nursing as a unique and important component of the healthcare system in 1993. The National Institute for Nursing Research (NINR) was established. The NINR supports research and establishes a scientific basis for the care of individuals across the lifespan. A group of student nurses have to locate a research article that is a focus area supported by the NINR. Which student nurse located an article on one of the focus areas of nursing research that is supported by the NINR?
A) Student nurse A: Article located on safety and health protection in the workplace
B) Student nurse B: Article located on occupational exposure to blood-borne pathogens
C) Student nurse C: Article on prevention of occupation hazards
D) Student nurse D: Article on management of clients during illness and recovery

 

 

13. A student nurse is preparing an assignment on the Centers for Disease Control and Prevention (CDC). Which is a function of the CDC that needs to be included in the written assignment?
A) Maintaining national health statistics
B) Reviewing clinical testing done by companies
C) Administering Medicare and Medicaid programs
D) Providing research projects for health-related subjects

 

 

14. A client is requesting information about ways to prevent injury at the workplace. Which organization would be the highest priority referral for the client?
A) Social Security Administration (SSA)
B) U.S. Department of Agriculture (USDA)
C) Occupational Safety and Health Administration (OSHA)
D) American Public Health Association (APHA)

 

 

15. A client asks the nurse about what whether the FDA can address a concern. The FDA would be the most logical referral for which client concern?
A) Standards for safety and health protection in the workplace
B) Standards and guidelines for product safety in the marketplace
C) Standards to prevent musculoskeletal disorders
D) Standards published to protect construction workers

 

 

16. A client is searching a number of agencies and asks the nurse about the National Safety Council. Which explanation by the nurse is the most descriptive of the work of this agency?
A) Provides help to disaster victims
B) Manages blood bank services
C) Helps to respond to emergencies
D) Analyzes causes of accidents

 

 

17. A student expressed interest in working for Planned Parenthood of America. The student learns that the agency primarily focuses on family planning and the prevention of sexually transmitted infections (STIs). What is one of the nurse’s roles when working in      this agency?
A) Providing primary healthcare
B) Providing physical screenings
C) Providing information about birth control
D) Providing maternal care

 

 

18. The nurse is referring the client to a state healthcare agency for information. Of which concern is the nurse most likely referring the client to be addressed at a state-run agency?
A) Alcohol abuse
B) Motor vehicle safety
C) Immunization information
D) Food choices

 

 

19. A nurse is assigned to care for clients in a primary healthcare center. Which should the nurse identify as the highest goal of service in a primary healthcare center?
A) Monitor and control air quality
B) Decrease the potential for illness
C) Inspect meat and other foods
D) Improve the health of pregnant women

 

 

20. A nurse is assigned to care for clients at the local health department. Which should the nurse identify as a primary goal of the local health department?
A) Investigate disease outbreaks
B) Decrease the potential for illness
C) Inspect meat and other foods
D) Improve the health of pregnant women

 

 

21. The nurse is educating a group of local citizens at a senior center on the many services of      the American Red Cross with emphasis on community services. Which community service of the American Red Cross should be included in the education program?
A) Food and nutrition information
B) Financial assistance
C) Swimming programs
D) Tracing individuals

 

 

22. A nurse is caring for a client with typhoid fever and the family asks about the cause of this disease. The nurse needs to emphasize the importance of how this disease is caused and how it can be prevented. What should the nurse emphasize with family members as the primary cause of typhoid fever?
A) Air pollution
B) Lead poisoning
C) Water pollution
D) Bacteria

 

 

23. The task of maintaining ecologic balances to preserve safe air to breathe, water to drink, and food to eat is complicated. The nursing instructor is reviewing with student nurses the various types of pollution. What is the primary type of pollution that can lead to stress and loss of hearing?
A) Air
B) Water
C) Land
D) Noise

 

 

24. The task of maintaining ecologic balances to preserve safe air to breathe, water to drink, and food to eat is complicated. What are the highest adverse effects on human health of air pollution?

1.     Asthma

2.     Loss of hearing

3.     Risk of cancer

4.     Bronchitis

A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4

 

 

25. The nurse helps clients to understand the roles and functions of community health organizations and provides information to appropriate organizations regarding the nature of assistance required by the community. What are direct care services offered by the Visiting Nurses Association?

1.     Skilled nursing

2.     Physical therapy

3.     Hospice services

4.     Biomedical services

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

1. Although each family is unique, families share five universal characteristics. Which are included in the characteristics of families?

1.     A family is a large social system.

2.     A family performs certain basic functions.

3.     A family has structure.

4.     A family has universal cultural values and rules.

5.     A family moves through stages in its life cycle.

A) 1, 2, 3
B) 1, 2, 4
C) 2, 3, 5
D) 3, 4, 5

 

 

2. Parenting is an enormous responsibility and brings rewards and challenges. Although essential parental tasks include providing children with food, shelter, and safety, the ability to help children develop their own identity, self-confidence, and creativity is also of fundamental importance. The lack of adequate self-esteem for a child may play a role in the development of problems later in life. What problems do these include?

1.     Chemical dependency

2.     Eating disorders

3.     Depression

4.     Hypertension

A) 1, 2, 3
B) 1, 2, 4
C) 2, 3, 5
D) 3, 4, 5

 

 

3. A nurse is caring for a child who is a victim of family violence. During data collection, the nurse realizes that the father of the child was himself a victim of child abuse. Which factor is the primary influence on a person’s parenting style?
A) Families in the neighborhood
B) Lectures on parenting
C) Person’s own upbringing
D) Books on parenting

 

 

4. Siblings can fulfill many roles for each other: protector, supporter, comforter, teacher, social planner, friend, and disciplinarian. Although siblings share many experiences, each one has a different perspective on those experiences. The nurse is completing a data collection about a family and knows which piece of information plays the most important role in shaping the experiences of the three siblings in the family?
A) Type of family
B) Birth order
C) Family functions
D) Number of siblings

 

 

5. The family is organized as a unit for the achievement of certain functions. The nurse is completing data collection about a family and knows that what is the most important primary function of the family?
A) Provides everything each member of the family wants
B) Provides an environment that supports growth of individual family members
C) Ensures that the members are accepted into society as a whole
D) Ensures that family economic resources are kept in the nuclear family and not shared with the broader community

 

 

6. The family performs many tasks that are critical for survival and continuity. The essential family tasks relate to Maslow’s hierarchy of basic human needs. For what tasks does the nurse need to collect information on the family function of socialization on admission to the primary healthcare facility?
A) Food, shelter, clothing, safety, healthcare
B) Careful planning and use of family money, material goods, space, and abilities
C) Assigning the workload, including responsibility for household income and household management
D) Guiding toward acceptable standards of elimination, food intake, sexual drive, respect for others and their possessions, sense of spirituality

 

 

7. The family performs many tasks that are critical for survival and continuity. The essential family tasks relate to Maslow’s hierarchy of basic human needs. For what tasks does the nurse need to collect information on the family function of allocation of resources on admission to the primary healthcare facility?
A) Food, shelter, clothing, safety, healthcare
B) Careful planning and use of family money, material goods, space, and abilities
C) Assigning the workload, including responsibility for household income and household management
D) Guiding toward acceptable standards of elimination, food intake, sexual drive, respect for others and their possessions, sense of spirituality

 

 

8. In today’s society, many types of families exist that are more tolerant of change than past generations. The mother of a family tells the nurse that they are a very typical family in the United States. Which is the most likely family form that this mother is referring to when talking with the nurse?
A) Single adult household
B) Nuclear family
C) Dual worker families
D) Commuter family

 

 

9. In today’s society, many types of families exist that are more tolerant of change than past generations. The client tells the nurse that she is married and lives with her husband and has no children. How would the nurse correctly document this type of family?
A) Nuclear family
B) Nuclear dyad
C) Commuter family
D) Extended family

 

 

10. A nurse is caring for a client at the community healthcare facility. The client informs the nurse that he and his partner will be adopting a child in 1 week. Which stage of family life is the client entering?
A) Transitional stage
B) Expanding family stage
C) Postparenting phase
D) Establishment phase

 

 

11. A nurse is caring for a client who has frequent visitors. The client informs the nurse that he belongs to a communal family. Which is the most likely characteristic of a communal family?
A) Several people living together and sharing work
B) Unmarried individuals living together
C) Intimate partners of the same sex living together
D) Children living with paid caregivers temporarily

 

 

12. A nurse is caring for an elderly client with depression. The nurse learns during data collection that the client is in the postparenting phase. Which suggestion would be the highest priority the nurse should give the client?
A) Arrange for frequent family functions
B) Earn a living to avoid dependency on children
C) Maintain relationships with grown children
D) Get involved in the children’s activities

 

 

13. A nurse is working in an ethnically diverse hospital setting. What would be the most important reason for the nurse to encourage a client to integrate personal ethnic beliefs into the care received in the hospital?
A) It would help the client understand the needs of their people better.
B) The client’s ethnic ideals would be reinforced.
C) This would help the client with human behavior.
D) The client would show more of an interest in education.

 

 

14. A nurse is caring for a male client who is in his late seventies. The nurse should stress that regular check-ups are most important for this client in helping to do what?
A) Detect minor problems before they become more serious
B) Enable the client to return to an active lifestyle
C) Allow the client to maintain a youthful body
D) Enable the client to get enough exercise

 

 

15. A nurse is caring for a child with physical injuries. The nurse collects data that the child has been a victim of family violence. Which is the most likely form of family violence the nurse would include in the electronic medical record history about the child?
A) Workaholism
B) Chemical abuse
C) Gambling disorders
D) Abandonment

 

 

16. A divorced single father visits the community healthcare facility for counseling and informs the nurse that he is planning to remarry shortly. He would like to know how his remarriage could affect his child. Based on this information, the nurse needs to teach the client that the most common response of a child whose parent remarries is what?
A) The child may grow up abusive.
B) The child may develop gambling habits.
C) The child may show resentment and anger.
D) The child may run away from home.

 

 

17. A severely injured middle-aged client whose sister was killed in a motor vehicle accident informs the nurse that there are no other immediate family members. The nurse asks the client about extended family members. Based on this information, what would be the most likely answer from the client about extended family members?
A) Grandparents, aunts, uncles, cousins
B) Parents and spouse
C) Children who no longer live at home
D) Close family friends

 

 

18. The nurse helps a client to overcome stress and pressure. A nurse is caring for a client with stress. The client has been divorced recently and is caring for school-age children. The nurse is providing education to the client about the responsibilities of the client at this time. What are the responsibilities that the nurse needs to include in the teaching of this client?

1.     Be prepared to take on new responsibilities.

2.     Maintain present housing arrangements for at least 2 years

3.     Review possible employment opportunities.

4.     Discuss current daily childcare when the mother is working.

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

19. The nurse helps a client to overcome stress and pressure. A nurse is caring for a client with stress; the client has lost an arm after a motorcycle accident. What issue is most important in relation to the family should the nurse consider when caring for this client?
A) How the accident will impact the client’s ability to meet personal fulfillment
B) Depletion of current financial resources
C) How will the children be affected by the client’s inability to care for them?
D) Who will assist in changing the client’s bandage until the arm is healed and no infection is present?

 

 

20. The nurse is reviewing the data collection about a male client admitted to the unit. Which family risk factor is of highest priority to include in teaching how to avoid the possible development of a future health issue?
A) The family consists of a spouse, two school-age children, and a grandmother living with the client.
B) History of cardiovascular disease in the family
C) The client has recently lost his job because of economic cutbacks at the company and is unable to afford the continuing health insurance.
D) The family leads a sedentary lifestyle and watches television 4 to 5 hours per day.

 

 

21. Illness can strike anyone at anytime. Some illnesses are acute, whereas others become chronic. In either case, the family must deal with an enormous amount of pressure when one of its members faces illness. The nurse is collecting data about the impact of their mother’s diagnosis of dementia. Which factors are essential for the nurse to collect data about at this time?

1.     The duration of the illness

2.     The meaning of the illness to the family

3.     The coping strategies that other families have used when a family member is diagnosed with dementia

4.     The incidence of dementia in the local community

A) 1, 2
B) 1, 3
C) 2, 4
D) 3, 4

 

 

22. Illness can strike anyone at anytime. Some illnesses are acute, whereas others become chronic. In either case, the family must deal with an enormous amount of pressure when one of its members faces illness. The nurse is collecting data about the impact of their mother’s diagnosis of dementia. The nurse documents in the chart that the family is in the adjustment phase of dealing with the mother’s diagnosis of dementia. What would be the most likely coping strategy that would be employed by the family at this time?
A) The family realizes that regaining stability will involve changes in the family structure.
B) Friends and religious community provide assistance with the problem-solving process during the stressful period.
C) Roles, rules, boundaries, and patterns of behavior within the family are altered, as needed, to regain stability.
D) The family tries to maintain the status quo with minimal disruption to the family unit.

 

 

23. The nurse is reviewing the family structure for a client with school-age children. The client asks the nurse about ways to promote the children’s self-esteem and independence. What teaching strategy is most important for the nurse to review with the client?
A) Spend quantity time with children, including playtime and instruction.
B) Allow for flexible getting up and bedtime rituals.
C) Communicate with children using eye contact and listening attentively to the questions and responses.
D) Do not offer constructive criticism.

 

 

24. Illness can strike anyone at anytime. Some illnesses are acute, whereas others become chronic. In either case, the family must deal with an enormous amount of pressure when one of its members faces illness. The nurse is collecting data about the impact of their mother’s diagnosis of dementia. The nurse documents in the chart that the family is in the adaptation phase of dealing with the mother’s diagnosis of dementia. What would be the most likely coping strategy that would be employed by the family at this time?
A) The family may deny or ignore the stressor.
B) The family may remove the demands of the stressor.
C) The family may accept the demands created by the stressor.
D) Roles, rules, boundaries, and patterns of behavior within the family are altered, as needed, to regain stability.

 

 

25. The nurse communicates during the sign-off report that the new admission is in the transitional stage of the family life cycle. Based on this information, what is an associated developmental task that the nurse would most likely expect to be occurring for this client?
A) Developing intimate relationships
B) Building a mutually satisfying relationship
C) Incorporating spouse/partner into relationships with extended family
D) Setting up a household and delineating household responsibilities for each partner

 

 

1. Parents of a son ask the nurse when they will know that their son has reached puberty. What is the best response by the nurse?
A) “Puberty occurs when the person becomes able to reproduce sexually.”
B) “Puberty spans the ages between 11 and 20 years of age.”
C) “A rapid growth spurt occurs during puberty.”
D) “Emotional needs predominate the puberty period.”

 

 

2. When discussing the growth and development of an adolescent, the nurse refers to various theories and phases of development. A nurse is discussing Erikson’s theory of psychological development with an adolescent client. Based on this information, what is the best explanation of Erikson’s theory of psychosocial development during the adolescence period?
A) Cognitive development is cumulative; that is, what is learned is based on what has been known before.
B) The adolescent thinks in the abstract and develops skills to participate in complex problem solving.
C) The adolescent develops many skills during the teen ages, which help adolescents make educational and career choices.
D) The adolescent faces many different decisions during the teen years concerning the future and the adult world.

 

 

3. A nurse is explaining cognitive development in children to a client, with the help of Piaget’s theory of cognitive development. What would be the best explanation by the nurse about the formal operations level of cognitive development?
A) Up to age 2, children learn by touching, tasting, and feeling. They learn to control body movement.
B) Children from ages 2 to 7 years investigate and explore the environment and look at things from their own point of view.
C) From ages 7 to 11 years, children internalize actions and can perform them in the mind.
D) After age 12, children can think in the abstract including complex problem solving.

 

 

4. According to Erikson’s theory, at each stage of development, a significant person or group exerts a lasting influence on the ongoing development of the child. The student nurse is preparing a short report for a postclinical conference during the pediatric rotation. The student nurse is doing a case study report on the assigned child and family the nurse care for during the clinical experience. The family consists of an infant, school-age child, teenager, mother, and father. Which individual exerts the most lasting influence on the ongoing development of the adolescent?
A) Peer group
B) School-age child
C) Mother
D) Father

 

 

5. The student nurse is preparing a short oral report for postclinical discussion on adolescent stages of growth and development. Based on the information that adolescence can be divided into stages, what would be the best explanation of the main characteristics of the pubescence stage?
A) Desire for independence
B) Grapple with everyday issues
C) Grapple with career choices
D) Fluctuations in self-assurance

 

 

6. The student nurse is preparing a short oral report for postclinical discussion on adolescent stages of growth and development. Based on the information that adolescence can be divided into stages, what would be the best explanation of the main characteristics of late adolescence stage?
A) Desire for independence
B) Grapple with everyday issues
C) Teeters between childish and mature ways of appearing and behaving
D) Fluctuations in self-assurance

 

 

7. The student nurse is preparing a short oral report for postclinical discussion on adolescent stages of growth and development. Based on the information that adolescence can be divided into stages, what would be the best explanation of the main characteristics of middle adolescence stage?
A) Desire for independence
B) Grapple with everyday issues
C) Grapple with career choices
D) Fluctuations in self-assurance

 

 

8. A nurse is taking care of a teenager who complains about involuntary discharge of semen while sleeping. The nurse observes that the client is confused and does not know about the pubertal changes that are taking place in his body. Based on this information, what is the highest priority area that should be reviewed with the client?
A) Educate the client about the changes that occur during adolescence.
B) Convince him that involuntary discharge of semen during sleeping needs the immediate attention of the primary care provider.
C) Provide information about sex and sexuality.
D) Review about sexually transmitted infections.

 

 

9. During the annual physical examination of an adolescent girl, the adolescent reveals to the nurse that she is interested in having an intimate relationship with her boyfriend but does not know much about sex. How can the nurse help this client form a healthy sexual attitude?

1.     Tell her that she should have no questions about sexual preferences.

2.     Review pubertal changes that occur in the body.

3.     Provide information about sex.

4.     Review that sexual activity at younger ages is decreasing.

A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4

 

 

10. During the annual physical examination of an adolescent girl, the adolescent reveals to the nurse that she is interested in having an intimate relationship with her boyfriend, but does not know much about sex. Why is it important that the nurse assist in providing sex education to teenagers?

1.     Adolescents will seek answers elsewhere.

2.     Unwholesome attitudes may develop from information from peers.

3.     Repetition of correct beliefs that they receive from older adolescents is critical.

4.     Premature and unsafe sexual activities could occur.

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

11. During the annual physical examination of an adolescent girl, the adolescent reveals to the nurse that she is interested in having an intimate relationship with her boyfriend, but does not know much about sex. Why does the nurse need to counsel this potentially sexually active adolescent?

1.     Sexual activity at younger ages is increasing.

2.     Young girls use birth control pills more when they are available.

3.     Incidence of sexually transmitted infections is on the rise.

4.     Condom use helps prevent sexually transmitted infections.

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

12. A client tells the nurse that her 14-year-old daughter does not eat proper food and seems to be fond of eating at local fast food restaurants with her peers. Based on this information, what should the nurse tell the client about how eating disorders occur in adolescent girls?
A) Very concerned about their appearance
B) Fret continually about being thin
C) Eating pattern of bulimia develops by eating minimal amounts of food.
D) Eating pattern of anorexia develops by pattern of binge eating followed by induced vomiting.

 

 

13. A nurse is attending to a group of boys at a school. The nurse is required to document  the sexual development in boys on a regular basis. The nurse would anticipate which clients will have the highest incidence of experiencing nocturnal emissions?
A) Clients who have reached adulthood
B) Clients in the age group of 12 to 20 years
C) Clients who are showing pubertal changes
D) Clients with strong, muscular appearance

 

 

14. A nurse is addressing a group of schoolteachers on the importance of sex education for children. What should the nurse emphasize as the highest primary source of sex education information for adolescents?
A) Peers
B) Parents
C) Teachers
D) Counselors

 

 

15. When discussing the growth and development of an adolescent, the nurse refers to various theories and phases of development. A nurse is discussing Erikson’s theory of psychological development with an adolescent client. Based on Erikson’s theory of psychosocial development, which should the nurse identify as the major priority challenge faced by adolescents?
A) Developing trust
B) Achieving independence from parental dominance
C) Achieving their own identity
D) Helping others achieve their goals

 

 

16. During the annual physical examination, a teenage client tells the nurse that she is anxious as well as frustrated because of the acne on her face. Which is the best response for the nurse?
A) “This is one of the most common physical changes during adolescence.”
B) “It could be serious; seek consultation when your primary care physician examines you.”
C) “Most adolescents get acne during adolescence, don’t worry.”
D) “You must be eating fried foods or sweets in large quantities.”

 

 

17. When documenting the medical history of a young client with a mouth ulcer, the nurse finds that the client is homosexual and is scared of revealing this to his family. Which is the most appropriate nursing intervention when assessing this client?
A) The nurse should inquire about the symptoms.
B) The nurse should avoid physical contact with the client.
C) The nurse should immediately inform the client’s family.
D) The nurse should provide extra attention to the client.

 

 

18. A teenage boy, while being assessed for fever, reveals to the nurse that he is interested in having an intimate relationship, but is afraid of sexually transmitted infections (STIs). How can the nurse best help this client?
A) Advise the client to get sex education from his parents.
B) Educate the client to use condoms.
C) Educate the client on the various forms of birth control.
D) Advise the client to avoid intimate relationships.

 

 

19. The father of a 15-year-old boy is worried because he wants to discipline his son in an age-appropriate manner. While the boy is being assessed for diabetes, the father reveals this concern to the nurse. How should the nurse best help the client?
A) Explain the importance of adult respect toward adolescents.
B) Explain the importance of good grades for adolescents.
C) Discuss the challenges for families with children who are diabetics.
D) Place stress on ensuring that the teenager is following family rules.

 

 

20. A nurse is assessing a teenage client who had an accident in a car race. The client’s father reveals that the client has also started drinking and using drugs. The nurse can best categorize the client in which developmental phase?
A) Cognitive development
B) Middle adolescence
C) Psychosocial development
D) Late adolescence

 

 

21. A gentleman that is being assessed for high blood pressure tells the nurse that he is worried about his teenage son who has started using drugs and alcohol and does not listen to him. Why do adolescents take risks with their health and relationships?

1.     Define their identity

2.     Exert their interdependence

3.     Prove to peers that they are maturing

4.     Peer pressure

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

22. A gentleman that is being assessed for high blood pressure tells the nurse that he is worried about his teenage son who has started using drugs and alcohol and does not listen to him. What should the nurse suggest to the client to help his son overcome peer pressure?

1.     Model safe habits and practices.

2.     Promote a safe home environment where the son receives appropriate responses.

3.     Give information about the hazards of risk taking.

4.     Acknowledge inappropriate practices that the son participates.

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

23. While taking care of a teenager in the late adolescence stage, what client behavior will the nurse most likely observe during data collection for an annual physical examination?
A) Childish ways of appearing, thinking, and behaving
B) Seclusion and moodiness
C) Introspection and fluctuations in self-assurance
D) True attitude of maturity

 

 

24. Parents ask the nurse how they will know when their daughter has reached puberty. Which is the best response by the nurse?
A) “By age 14, many girls have the physical appearance of a young woman.”
B) “A noticeable growth spurt usually begins for girls between the ages of 10 and 14.”
C) “Increased glandular activity causes an increase in sweat.”
D) “Your daughter will display significant mood swings.”

 

 

25. A client tells the nurse that she has noticed an increase in weight and fat deposits during the past year. The nurse reviews the client’s chart and recognizes that the client is most likely going through puberty. Which nursing action is most appropriate at this time?
A) Provide reassurance that these are normal changes.
B) Review dietary measures to assist in controlling the weight gain.
C) Encourage increased exercise to control weight gain.
D) Share information on what foods can be eaten on a low-fat diet to prevent fat deposits.

 

 

1. When discussing the growth and development of an adult, the nurse refers to various theories and phases of development. A nurse is discussing Erikson’s theory of psychological development with an older adult client. Based on this information, what is the best explanation of Erikson’s theory of psychosocial development during the older adult period?
A) Developmental tasks focus on reentering a serious relationship or remaining single after the death of a spouse.
B) Developmental tasks focus on the physical changes associated with aging.
C) Developmental tasks relate to career achievements and finances.
D) Developmental tasks focus on the reflection of events and decisions of a person’s life.

 

 

2. An 85-year-old client is not ready to accept the physical limitations associated with aging. The client is very upset about having to move to an assisted living center because of the limitations. What should the nurse consider in providing guidance to the client according to Erikson’s psychosocial theory of development?
A) Feel comfortable with life changes to maintain dignity.
B) Avoid getting out of unsatisfactory life patterns.
C) Strive to find a new balance of involvement with self and individuals in the living center.
D) Try to achieve ego integrity and not despair with life.

 

 

3. Age is more than an accumulation of years. The aging process affects people in different ways. To fully adapt to aging and thrive in this new stage, older adults must confront many lifestyle changes. A student nurse has been asked to prepare a postclinical report on lifestyle changes in the older and aging population. What lifestyle changes should the student nurse incorporate into the report?

1.     Change in most body functions and abilities

2.     General change in physiologic, psychological, and sociologic functions and roles

3.     Adaptation to acute physical or emotional disorders

4.     Change in employee or employer role

5.     Greater amount of leisure time

A) 1, 2, 3, 4
B) 1, 2, 4, 5
C) 1, 3, 4, 5
D) 2, 3, 4, 5

 

 

4. Age is more than an accumulation of years. The aging process affects people in different ways. To fully adapt to aging and thrive in this new stage, older adults must confront many lifestyle changes. A student nurse has been asked to prepare a postclinical report on lifestyle changes in the older and aging population. What lifestyle changes should the student nurse incorporate into the report?

1.     Increased income

2.     Change in residence

3.     Change in parenting roles

4.     Adaptation to possible changes in sexuality

5.     More time for meditation and contemplation of life

A) 1, 2, 3, 4
B) 1, 2, 4, 5
C) 1, 3, 4, 5
D) 2, 3, 4, 5

 

 

5. Age is more than an accumulation of years. The aging process affects people in different ways. To fully adapt to aging and thrive in this new stage, older adults must confront many lifestyle changes. A student nurse has been asked to prepare a postclinical report on lifestyle changes in the older and aging population. What lifestyle changes should the student nurse incorporate into the report?

1.     Adaptation to prospect of death

2.     Decrease in self-esteem and independence

3.     Reevaluation of self-worth

4.     Development of coping mechanisms to deal with accumulated changes

5.     Adaptation to loss of spouse or partner, friends, and family members

A) 1, 2, 3, 4
B) 1, 2, 4, 5
C) 1, 3, 4, 5
D) 2, 3, 4, 5

 

 

6. Age is more than an accumulation of years. The aging process affects people in different ways. A student nurse has been asked to prepare a chart comparing terms related to older adulthood. The student nurse has to provide a handout for a clinical postconference on gerontology and ageism. Based on this information, what is the best explanation of ageism?

1.     Study of characteristics and changes that cause balance in a population

2.     Labeling and discrimination against elderly adults

3.     Prejudice based on chronologic age

4.     Study of medical problems and care associated with older adults

A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4

 

 

7. Many age-related changes are based on general physical alterations. The human body is changing from the time of conception until death. Many implications of the challenges for future healthcare are related to changing demographics and physical changes of the older adult. Based on this information, the nurse should review with the older adult client what major physical changes are related to the normal aging process?

1.     Decreased functioning of organs

2.     Increased reaction time

3.     Increased emotional and physical losses

4.     Decreased capacity for recovery from injury or illness

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

8. Many age-related changes are based on general physical alterations. The human body is changing from the time of conception until death. Many implications of the challenges for future healthcare are related to changing demographics and physical changes of the older adult. Based on this information, an elderly client wants to know about the major physical changes related to the aging process. What physical changes should the nurse make the client aware of?

1.     Change in visual and auditory acuity

2.     Unsteady gait

3.     Increase in tactile sensations

4.     Stiff joints

5.     Decreased sense of balance

A) 1, 2, 3, 4
B) 1, 2, 4, 5
C) 1, 3, 4, 5
D) 2, 3, 4, 5

 

 

9. An older adult client tells the nurse that it is very important to remain independent for as long as possible. Based on this information, the nurse needs to collect data in what areas of independence?

1.     Health

2.     Financial stability

3.     Social resources

4.     Transportation

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

10. A nurse is discussing with a social activist issues related to the growing population of the elderly. What is the highest priority issue that the nurse should focus on to lower healthcare costs?
A) Financial planning
B) Urban transportation
C) Fitness programs
D) Nutrition counseling

 

 

11. A nurse is discussing with a social activist issues related to the growing population of the elderly. What is the highest priority issue that the nurse should focus on to maximize the resources within the older adult population?

1.     More flexible working and retirement schedules

2.     Opportunities for volunteer work

3.     Recognition of past contributions

4.     Financial planning

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

12. A nurse is discussing with a social activist issues related to the growing population of the elderly. The nurse and the social activist are discussing topics for a planned seminar. Based on this information, what is the highest priority issue that should be discussed that will continue to be part of the individual’s and society’s concerns?
A) Healthcare training opportunities in the area of aging
B) Legal and ethical issues of the process of dying and death
C) Urban transportation systems
D) Use and benefit of the Internet

 

 

13. An elderly client is confused and very stressed regarding the activities to be taken up after retirement. What suggestions can the nurse make about retirement activities that should bring joy and happiness to help the client in retirement?

1.     Consulting

2.     Volunteerism

3.     Educational opportunities

4.     Spending time at retirement daycare homes

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

14. A client is complaining that her 68-year-old mother has retired as a chemist and is no longer sticking to the day-to-day routines and would rather play bridge almost every day. Based on the data collected by the nurse, what is the best advice to the client at this      time?
A) Tell the client that her mother is choosing activities that can continue for many years of retirement.
B) Encourage the client to talk with her mother about family and social responsibilities.
C) Explain to the client that it is important to make her mother maintain a routine for health reasons.
D) Advise her to seriously consider sending her mother to an assisted living facility.

 

 

15. An 80-year-old client at the assisted living facility asks the nurse for advice on maintaining what independence is possible so the client does not have to move to a skilled nursing facility. Based on this information, what does the nurse have to consider as the highest psychosocial considerations of maintaining independence for the client?
A) Encourage volunteerism activities with the younger people who visit.
B) Move out of the assisted living facility to live alone.
C) Maintain mental stability and satisfactory relationships with family members.
D) Sustain optimal health, social responsibilities, and financial stability.

 

 

16. An 83-year-old client has recently lost her husband of 60 years. The client is very depressed and frustrated. The client has requested some counseling and consolation. Based on the data collected by the nurse, how can the nurse best help the client overcome the depression at this time?
A) Tell the client to join the local community fitness center.
B) Explore with the client her beliefs about religion and spirituality.
C) Teach the client to explore local volunteer opportunities.
D) Encourage the client to explore continuing education programs at the local school.

 

 

17. A 70-year-old gentleman is considering marriage to a healthy neighbor. The client tells the nurse what he is considering and that he is stressed about whether they will be able to participate in sexual activities at their age. What is the nurse’s most appropriate response?
A) “Both of you may have to adapt to possible changes in sexuality.”
B) “Sexual activity is probably too demanding for older adults.”
C) “Older men have erectile dysfunction while women maintain sexuality.”
D) “Older adults are not interested in sexual activity.”

 

 

18. The nurse observes that an 88-year-old woman at an assisted living facility fondly shares stories about her military service during World War II. After completion of the data collection from the client, what is the most important intervention that the nurse should perform?
A) Refer the client for a geriatric psychiatric evaluation.
B) Listen and ask the client questions about World War II.
C) Distract the client and change the subject of the conversation.
D) Involve the client in the facility’s social activities.

 

 

19. Many challenges face the older adult client. A client tells the nurse of concerns about finances since retirement. The client shares difficulties that are being experienced because of limited financial resources. Based on these data and the challenges for older people, what data would be most accurate for incorporation of a discussion about finances for the client?
A) Most older adults have to adjust to a fixed income.
B) Most older adults spend more money on clothing.
C) Most older adults find commuting expenses for preventive healthcare increase.
D) Older adults own their homes and the value has increased to assist in moving to new neighborhoods.

 

 

20. An 83-year-old client has recently lost her husband of 60 years. The client is very depressed and frustrated. The client has requested some counseling and consolation. Based on the data collected by the nurse, what areas are high stressors that the nurse needs to explore further?

1.     Physical

2.     Financial

3.     Spirituality

4.     Family dynamics

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

21. An elderly client has come to a healthcare center to get training in developmental tasks related to older adulthood. The nurse, at times, faces adamant and noncooperative behavior from a client. How according to the Erikson’s theory, should the nurse encourage a client to learn developmental tasks related to older adulthood?
A) Adapt to physical changes associated with age.
B) Adapt to social changes associated with age.
C) Be regretful about past decisions and resolutions.
D) Indulge in recollections or past experiences and events.

 

 

22. An elderly client residing in an extended care facility is very depressed about the current phase of his life. How can the nurse, according to Erikson, best help the client achieve psychosocial development?
A) Encourage reminiscence.
B) Assist the client to focus on necessary adjustments.
C) Accomplish the developmental task of developing trust with caregivers.
D) Achieve optimal successful transitions.

 

 

23. A 50-year-old client is apprehensive about older adulthood. The client wants to know about the various ways that will help him live a healthier and a happier life in older adulthood. The nurse should inform the client about which healthcare goal to help him achieve a healthy and a happy living in older adulthood?
A) Retain control over major aspects of life.
B) Review past resolutions and decisions.
C) Take part in social activities.
D) Select optimal function of age.

 

 

24. A client approaching older adulthood talks to a nurse regarding overdependence on other people. The client also expresses the wish to achieve more independence during old age. Which key element can the nurse encourage to help the client attain more independence in older adulthood?
A) Financial stability
B) Reviewing life
C) Reminiscence
D) Focus on adjustments

 

 

25. Age is more than an accumulation of years. The aging process affects people in different ways. A student nurse has been asked to prepare a chart comparing terms related to older      adulthood. The student nurse has to provide a handout for a clinical postconference on gerontology and ageism. Based on this information, what is the best explanation of demographics to be considered in the handout on gerontology and ageism?
A) Study of characteristics and changes that cause balance in a population
B) Labeling and discrimination against elderly adults
C) Prejudice based on chronologic age
D) Study of medical problems and care associated with older adults

 

1. Homeostasis is the dynamic process through which the body maintains balance by constantly adjusting to internal and external stimuli. A student nurse is making a diagram to remember the key components of homeostasis. Based on this information, which diagram shows the correct sequence for this key concept?
A) Receptor (sensing component) ® control center (brain) ® appropriate response (effectors—muscles, organs, hormones) ® change (positive or negative feedback) = homeostasis.
B) Receptor (sensing component)® appropriate response (effectors—muscles, organs, hormones® control center (brain) ® change (positive or negative feedback) = homeostasis.
C) Appropriate response (effectors—muscles, organs, hormones ® control center (brain) ® change (positive or negative feedback) ® receptor (sensing component)  = homeostasis.
D) Appropriate response (effectors—muscles, organs, hormones ® change (positive or negative feedback) ® control center (brain) ® receptor (sensing component)  = homeostasis.

 

 

2. Fluids make up a large portion of the body. Body fluids are composed of water and electrolytes. Body fluids are divided between two main compartments. The student nurse is making a chart comparing key information about the intracellular and extracellular fluid compartment. Based on this information, which information should be included in the intracellular fluid column on the chart?

1.     Fluid inside the cell

2.     Constitutes about one-half to two-thirds of the total body fluid in an adult

3.     The major ions in intracellular fluid are potassium, magnesium, and phosphate.

4.     Appears mostly as interstitial fluid and intravascular fluid

5.     The volume of intracellular fluid is the most important regulated aspect of body fluid balance.

A) 1, 2, 3
B) 1, 4, 5
C) 2, 3, 4
D) 3, 4, 5

 

 

3. The body monitors extracellular fluid volume closely and sends messages to the brain, kidneys, and pituitary gland to maintain control. The student nurse is reviewing the primary mechanisms involved in regulation. Based on this information, which information should the student nurse include in the postclinical conference report that has to be completed on important regulation processes?
A) The thirst center in the thalamus stimulates or inhibits the desire for a person to drink.
B) Antidiuretic hormone is released from storage in the anterior pituitary gland as part of the positive feedback mechanism in response to conditions within the cardiovascular system.
C) When antidiuretic hormone is released, urine production is increased and water reabsorption is decreased.
D) The renin–angiotensin–aldosterone system controls fluid volume with aldosterone causing increased reabsorption of sodium and water by the kidneys in an attempt to increase blood volume.

 

 

4. A client asks the nurse how the fluid in the ankles keeps coming back. The nurse shares with the client the principal causes of edema. What principal causes should the nurse review with the client?

1.     Obstruction of arterial blood or lymphatic return

2.     Increased capillary permeability or increased capillary pressure

3.     Immune reactions

4.     External pressure from tight binders or casts

A) 1, 2
B) 1, 3
C) 2, 4
D) 3, 4

 

 

5. Specific properties of water make it important in body chemistry. It is important that the student nurse is able to identify the functions of water to aid in understanding the rationales underlying nursing interventions. What are the functions of water that the student nurse needs to review for the upcoming unit examination on fluid and electrolyte imbalances?

1.     A small temperature difference is needed to cause a physical change in water, which is normally liquid.

2.     Water directly and indirectly participates in all chemical reactions in the body.

3.     Water is a good solute.

4.     Water functions as a suspension agent.

5.     Water exerts pressure against the walls or vessels that contain it—hydrostatic pressure.

A) 1, 2, 3
B) 1, 2, 5
C) 2, 4, 5
D) 3, 4, 5

 

 

6. The nurse is reviewing the diagnostic laboratory results for a client. The body needs all electrolytes and more for normal functioning of nerves and muscles, developing body cells, blood clotting, and coordinating all body activities. Based on this information, what is the major ion of the intracellular fluid that is responsible for the normal functioning of neurons and muscles cells, including the heart, that the nurse needs to review on the diagnostic test results?
A) Sodium
B) Potassium
C) Calcium
D) Magnesium

 

 

7. The nurse is reviewing the diagnostic laboratory results for a client. The body needs all electrolytes and more for normal functioning of nerves and muscles, developing body cells, blood clotting, and coordinating all body activities. Based on this information, the nurse notices that the client’s potassium is low. What food sources should the nurse encourage the client to eat to help raise the potassium level?
A) Table salt, meat, dairy foods
B) Dry fruits, nuts, and many vegetables
C) Milk and other dairy products, broccoli, green leafy vegetables
D) Green leafy vegetables, legumes, chocolate

 

 

8. Total electrolyte concentration affects the body’s fluid balance. Nutrients and oxygen must enter body cells, whereas waste products exit the body. Based on this information, the student nurse has to prepare a chart for a clinical postconference on the ways that movement occurs across the cellular membrane. What are ways that the student nurse should include in the chart on movement across the cellular membrane?

1.     Molecules move through the cell membrane, including oxygen, carbon dioxide, and steroids.

2.     Substances pass through membrane channels and these channels are the same size.

3.     Carrier molecules in the membrane assist substances across the barrier.

4.     A vesicle transports small molecules or whole cells across the plasma membrane.

A) 1, 2
B) 1, 3
C) 2, 4
D) 3, 4

 

 

9. There are different methods of transportation of fluids and other molecules through the body. Based on this information, what would be the most accurate description for the nurse to share about osmosis?
A) Movement of molecules from an area of higher concentration to an area of lower concentration
B) Most important mechanism by which nutrients and waste pass across the cell membrane
C) Water moves from a hypotonic solution to a hypertonic solution
D) Pressure exerted to start the flow of water across a membrane

 

 

10. There are different methods of transportation of fluids and other molecules through the body. Based on this information, what would be the most accurate description for the nurse to share about filtration?
A) Movement of molecules from an area of higher concentration to an area of lower concentration
B) Most important mechanism by which nutrients and waste pass across the cell membrane
C) Water moves from a hypotonic solution to a hypertonic solution
D) Transport of water and dissolved materials through a membrane from an area of higher pressure to lower pressure

 

 

11. The body conserves and reuses water as much as possible. Accurate intake and output records and daily weights are vital to caring for clients with fluid deficits and excesses. A client asks the nurse about what the normal intake and output should be for water. Based on her information, which would be the best answer to share with the client?
A) Intake = Liquids 1,000 mL; Output = Urine 1,500 mL
B) Intake = Foods 1,200 mL; Output Skin = 500 mL
C) Intake = Metabolism 300 mL; Output Feces = 200 mL
D) Intake = Liquids 1,200 mL; Output Lungs = 500 mL

 

 

12. Acid base balance is an important aspect of homeostasis. The nurse is measuring the pH of several items. The nurse is instructing the client to stay away from alkaline food sources. Which item should the nurse suggest that the client avoid because of its alkaline nature?
A) Lemon juice
B) Baking soda
C) Black coffee
D) Tomato juice

 

 

13. A teenager is admitted to the medical unit with a significant loss of extracellular fluid (ECF) volume following several sports practices in the extreme heat. Which sign or symptom is most representative of an early significant loss of extracellular fluid volume that the nurse needs to monitor in the client?
A) High urine output
B) Congestive heart failure
C) Hypotension
D) Coma

 

 

14. The nurse is caring for a group of elderly clients. What are the effects of aging on fluid and electrolyte balance of which the nurse should be aware?

1.     Intracellular fluid levels increase

2.     Thirst sensation declines

3.     Weight gain occurs

4.     Laxative abuse

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

15. The nurse is caring for a group of elderly clients. What are the nursing interventions for elderly clients who are at high risk of fluid and electrolyte imbalance?

1.     Encourage the client to increase intake of food and fluids

2.     Encourage the client to exercise

3.     Monitor the client’s potassium intake

4.     Monitor the client’s blood pressure

A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

 

 

16. Arterial blood gases are measured in a laboratory test to determine the extent of compensation by the buffer system. There are major regulatory systems of body pH. Which information best describes the physiologic regulatory system?

1.     Regulated by the lungs

2.     Regulated by the kidneys

3.     Regulated by blood and cellular activities

4.     Regulated by buffer systems

A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4

 

 

17. Arterial blood gases indicate how well the body’s acid base balance is functioning. A client is admitted to the medical unit. The arterial blood gases are ordered and indicate respiratory acidosis. Which arterial blood gas results indicate respiratory acidosis?
A) Decrease pH; decrease bicarbonate
B) Decrease pH; increase carbon dioxide
C) Increase pH; increase bicarbonate
D) Increase pH; decrease carbon dioxide

 

 

18. Arterial blood gases indicate how well the body’s acid base balance is functioning. A client is admitted to the medical unit. The arterial blood gases are ordered and indicate respiratory acidosis. Which arterial blood gas results indicate metabolic alkalosis?
A) Decrease pH; decrease bicarbonate
B) Decrease pH; increase carbon dioxide
C) Increase pH; increase bicarbonate
D) Increase pH; decrease carbon dioxide

 

 

19. A client has been admitted to a healthcare facility with frequent diarrhea. The nurse is concerned about fluid loss. Based on her information, which condition does the nurse most likely need to monitor in the client with a significant loss of extracellular fluid (ECF) volume?
A) Hypovolemic shock
B) High blood pressure
C) Congestive heart failure
D) Overhydration

 

 

20. The nurse knows that many homeostatic mechanisms may contribute to maintaining fluid volume. The nurse is reviewing with the client about enzymes that rereleased when there has been a decrease in blood volume, such as hemorrhage. Which enzyme should the nurse tell the client is released by the kidneys when there is a decrease in blood volume?
A) Erythropoietin
B) Renin
C) Glucagon
D) Protease

 

 

21. A client has been on the medical–surgical unit for 3 days. The assessment findings reveal a respiratory rate of 28 and shallow apical pulse of 52, 1+ pitting edema in both lower extremities, and blood sugar of 66. Based on this information, the nurse has received orders to administer diuretics. Which condition is most likely responsible for the administration of diuretics by the nurse to the client?
A) Respiratory distress
B) Bradycardia
C) Systemic edema
D) Hypoglycemia

 

 

22. A nurse is caring for a client admitted to the healthcare facility with dehydration. The nurse knows that what most commonly occurs during dehydration?
A) Increase in sodium and electrolyte disturbance
B) Increase capillary permeability
C) Loss of proteins in the plasma of the blood
D) Obstruction of venous blood or lymphatic return

 

 

23. The client has been admitted to the emergency room in respiratory distress. The blood gases reveal that there is poor movement of gas across the alveolar–capillary membrane. Based on this information, the clinical signs and symptoms are most likely a result of which issue?
A) Permeability
B) Diffusion
C) Osmosis
D) Filtration

 

 

24. The client has an order for IV fluids. Normal saline, an isotonic solution, is ordered. What is the best description the nurse can provide to a student nurse about isotonic solutions?
A) Contains the same osmotic pressure
B) Stronger than opposing sides of a membrane
C) Contains the same hydrostatic pressure
D) Weaker than opposing sides of a membrane

 

 

25. An 82-year-old client is admitted for dehydration. The daughter asks the nurse why this may have happened. The nurse educates the family about how the elderly are at an increased risk for fluid and electrolyte imbalances. What is the best explanation for the risk of this imbalance to the family?
A) Increased frequency of urination
B) Increased body temperature
C) Decreased thirst sensations
D) Loss of water through increased sweating

 

1. The nurse is providing a continuing education program to teenagers about the nervous system. The nurse is reviewing the parts of the neuron with the students. Based on this  information, the nurse asks a student to describe the axon of a neuron. Which explanation by the student best describes the axon?
A) A junction or space between one neuron and dendrites of the next
B) Allows nerve impulses to cross the synapse and reach the dendrites
C) Carries impulses away from the neuron cell body
D) Short, often highly branched, extensions of the cell body.

 

 

2. The nurse is providing a continuing education program to teenagers about the nervous system. The nurse is reviewing the parts of the neuron with the students. Based on this  information, the nurse asks a student to describe the axon of a neuron. Which explanation by the student best describes a synapse?
A) A junction or space between one neuron and dendrites of the next
B) Allows nerve impulses to cross the synapse and reach the dendrites
C) Carries impulses away from the neuron cell body
D) Chemical released that enables nerve impulses to cross the synapse and reach the dendrite

 

 

3. The nurse is reviewing the three types of neurons with the client. The client asks the nurse what is the function of the sensory neuron. What is the best explanation of the sensory neuron?

1.     Receives and transmits messages to the central nervous system from all parts of the body

2.     Receives and transmits messages from the central nervous system to muscle and glands in all parts of the body.

3.     Usually has long dendrites and a short axon.

4.     Usually has short dendrites and a long axon.

A) 1, 3
B) 1, 4
C) 2, 3
D) 2, 4

 

 

4. The nurse is reviewing the three types of neurons with the client. The client asks the nurse what is the function of the motor neuron. What is the best explanation of the motor neuron?

1.     Receives and transmits messages to the central nervous system from all parts of the body

2.     Receives and transmits messages from the central nervous system to muscle and glands in all parts of the body

3.     Usually has long dendrites and a short axon

4.     Usually has short dendrites and a long axon

A) 1, 3
B) 1, 4
C) 2, 3
D) 2, 4

 

 

5. The nurse educator is reviewing the four cerebral lobes with the nursing students. The nurse educator asks a student nurse to identify the primary functions of each of the brain’s four cerebral lobes. Which answer provide by a student nurse is the best

answer?

A) Frontal lobe is responsible for speech and some sensory input.
B) Parietal lobe is responsible for lower mental processes.
C) Temporal lobe is responsible for smell, hearing, and some memory.
D) Occipital lobe is responsible for higher mental processes.

 

 

6. The nurse educator is reviewing the four cerebral lobes with the nursing students. The nurse educator asks a student nurse to identify the primary functions of each of the brain’s four cerebral lobes. The nurse educator shares that a client has difficulty with proper functioning of the occipital lobe owing to a large tumor in this lobe. Which answer provided by a student nurse is the best answer for the function of the occipital lobe?
A) Responsible for speech and some sensory input
B) Responsible for lower mental processes
C) Responsible for smell, hearing, and some memory
D) Responsible for vision

 

 

7. A client has had an injury to the cerebellum. The nurse is collecting data from the client and family to document in preparing an individualized nursing care plan. Which is the best description of the function of the cerebellum that has to be considered when collecting data from the client?
A) Regulates body temperature
B) Regulates sleep wake cycle
C) Influences release of hormones from the pituitary
D) Responsible for muscle control

 

 

8. The nurse is reviewing with a client that the limbic system is located between the cerebrum and the inner brain. The limbic system includes the hippocampus and reticular formation. Based on this information, what would be the best explanation by the nurse of the hippocampus’ role in maintaining the client’s physiologic adaptation?
A) Largely responsible for maintaining a person’s level of awareness
B) Functions in learning and long-term memory
C) Plays a role in allowing sensory input to enter the cerebral cortex
D) Governs wakefulness and sleep

 

 

9. The nurse is reviewing with a client that the limbic system is located between the cerebrum and the inner brain. The limbic system includes the hippocampus and reticular formation. Based on this information, what would be the best explanation by the nurse of the reticular formation’s role in maintaining the client’s physiologic adaptation?

1.     Largely responsible for maintaining a person’s level of awareness

2.     Functions in learning and long-term memory

3.     Plays a role in allowing sensory input to enter the cerebral cortex

4.     Governs wakefulness and sleep

A) 1, 2
B) 1, 3
C) 2, 4
D) 3, 4

 

 

10. A client has had a cerebrovascular accident affecting one brain hemisphere. According to the electronic medical record nursing care plan, the client has had damage to the Broca’s area of the cerebrum. Based on this information, which aspects of speech and language can the nurse anticipate occurring when entering the client’s room?

1.     Damage impairs ability to comprehend written language.

2.     Damage impairs ability to comprehend spoken language.

3.     Damage causes speech impairment.

4.     Individual is able to speak.

5.     Individual language comprehension is not affected.

A) 1, 2
B) 2, 3
C) 3, 5
D) 2, 5

 

 

11. The nurse is reviewing with the client that the brain stem is made up of the midbrain, pons, and medulla. Based on this information, what are the functions of the pons that the nurse should incorporate into the client’s teaching about the brain stem?

1.     Reflex center

2.     Carries messages between the cerebrum and medulla

3.     Responsible for respiration

4.     Centers for vital body functions, such as heart rate, vasomotor tone, and respirations

A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4

 

 

12. The nurse is reviewing with the client that the brain stem is made up of the midbrain, pons, and medulla. Based on this information, what is the function of the medulla that the nurse should incorporate into the client’s teaching about the brain stem?
A) Reflex center
B) Carries messages between the cerebrum and medulla
C) Responsible for respiration
D) Centers for vital body functions, such as heart rate, vasomotor tone, and respirations

 

 

13. The meninges, which cover the brain and spinal cord, include the dura mater, arachnoid, and pia mater. A student nurse is preparing a chart for a postclinical conference on the meninges. Based on this information, what should the student nurse include in the chart on the pia mater?

1.     Tough fibrous covering that adheres to the bones of the skull

2.     Middle layer of a delicate web of tissue

3.     Lies closely over the brain and spinal cord

4.     Contains many blood vessels that bring oxygen and nutrients to the nervous tissue

A) 1, 3
B) 1, 4
C) 2, 4
D) 3, 4

 

 

14. A nurse is taking care of a client who has sustained head trauma as a result of a motor vehicle accident. The nurse notices fluid leaking from the nose and ears. Based on this information, what diagnostic test should this fluid be tested for immediately?
A) Sodium
B) Calcium
C) Glucose
D) Potassium

 

 

15. The student nurse is preparing a chart of the twelve cranial nerves and the function of each. Based on this information, the nurse is collecting data of the cranial nerves of the eyes. Which cranial nerve is the nurse testing to see if a client’s swallowing has been impacted from a stroke?
A) IX
B) X
C) XI
D) XII

 

 

16. The nurse tells the client that the automatic nervous system is divided into the sympathetic and parasympathetic nervous systems. Based on this information, what happens to the vital signs when the sympathetic nervous system is activated?

1.     Tachycardia

2.     Breathing rate normal

3.     Maintains normal body functions

4.     Prepares body for “fight-or-flight” response

A) 1, 3
B) 1, 4
C) 2, 3
D) 3, 4

 

 

17. Electrical and chemical influences make it possible for nerve impulses to occur. The nurse educator asks a student nurse to describe the resting potential of the nerve impulse. Based on this information, what would be the best explanation of the resting potential by the student nurse?

1.     Nerve cell at rest

2.     Plasma membrane more positive on outside

3.     Sodium moves inside membrane, followed by potassium

4.     Plasma membrane more positive on inside

A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4

 

 

18. Electrical and chemical influences make it possible for nerve impulses to occur. The nurse educator asks a student nurse to describe the action potential of the nerve impulse. Based on this information, what would be the best explanation of the action potential by the student nurse?

1.     Nerve cell at rest

2.     Plasma membrane more positive on outside

3.     Sodium moves inside membrane, followed by potassium

4.     Plasma membrane more positive on inside

A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4

 

 

19. A nurse is caring for an elderly client who exhibits symptoms of vagus nerve stimulation, a parasympathetic response. Which finding would support stimulation of the vagus nerve?
A) Dilation of the pupil
B) Decreased heart rate
C) Easier time with breathing
D) Clenching of the jaw

 

 

20. A nurse is caring for a client who has had an accident. Which responses produced by the sympathetic division of the automatic nervous system (ANS) should the nurse identify in the client?
A) Maintenance of water reabsorption level
B) Involuntary defecation or urination
C) Restoration of blood flow to the skin
D) Resumption of digestive processes

 

 

21. An elderly client visits a healthcare facility and complains that he has difficulty in remembering what happened a long time ago. Which could be the cause for the client’s condition?
A) Problem with the cerebellum
B) Problem with the limbic system
C) Problem with the midbrain
D) Problem with the medulla

 

 

22. A client with loss of control over his voluntary movements is admitted to a healthcare facility. Of which functions performed by the motor neurons should the nurse be aware?
A) Receive and transmit messages from the central nervous system (CNS)
B) Associate impressions and information
C) Maintain constant level of blood pressure
D) Regulate release of hormones

 

 

23. A basketball player who has injured his shoulder during the game is admitted to a healthcare facility. The physician has diagnosed an injury to the cervical plexus in the client. Which effects of an injury to the cervical plexus should the nurse be aware of?
A) Temporary paralysis
B) Respiratory arrest
C) True dementia
D) Loss of equilibrium

 

 

24. A nurse is educating a client and family about the neurologic system as it relates to the stroke that the client had. Which is a function of a neuron that the nurse needs to include in the client’s teaching?
A) Connects the cerebral hemispheres
B) Responsible for movement and coordination
C) Responsible for long-term memory
D) Conducts messages within the neurologic system

 

 

25. A mill worker with injuries to the spinal cord is under care at a healthcare facility and is now anxious about the paralysis that he has experienced. What would be the consequence of a transection of the spinal cord?
A) Permanent paralysis
B) Chronic headaches
C) Confusion
D) Loss of renal function