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A student nurse who works in a pediatric clinic is assisting with an assessment on a young child who is not yet walking. She knows that it is considered a delayed gross motor ability if the child does not walk by _____ months.

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According to one growth and development theorist, individuals need to accomplish a particular task before successfully completing the stage of growth and development. Each task is framed with opposing conflicts, such as trust versus mistrust. Who developed this theory?

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This model of personality development is grounded in the belief that two internal biological forces drive the psychological change in a child: sexual (libido) and aggressive energies. Who is responsible for developing this theory?

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Which of the following people developed the theory of cognitive development that describes children’s intellectual organization and how they think, reason, and perceive the world?

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According to one theorist, moral development depends on the child’s ability to accept social responsibility and to integrate personal principles of justice and fairness. Which of the following individuals is responsible for the theory of moral development?

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A patient is experiencing incisional pain after an operation. When using Maslow’s hierarchy of needs, the nurse realizes that for the patient to return to a prehospitalized status, the patient needs to progress beyond which of the following?

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The nurse is providing prenatal education to a patient whose pregnancy has been confirmed. This is the patient’s first pregnancy and she is in her first trimester. The nurse instructs the patient that she should stop smoking, avoid alcohol, and avoid eating king mackerel because of the high mercury content in the fish. Although this advice should be followed during the entire pregnancy, the fetus is most vulnerable to adverse effects in the _____ trimester.

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A pregnant teenager asks the clinic nurse why she cannot smoke during the first trimester. Remembering growth and development, what is the nurse’s best response?

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A student nurse is in her community health clinical rotation. She is visiting a family with a new baby. Which of the following statements made by the mother of a 1-month-old infant indicates the need for client education?

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The mother of a toddler is concerned that her son is not eating enough, although he has not lost any weight. She tells the nurse that her son used to have a very good appetite, but now does not eat as much as he did a couple of months ago. What is the best response for the nurse to provide?

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A nurse is caring for a 5-year-old child who is hospitalized for stabilization of asthma. To provide age-specific care, which of the following is the most appropriate action by the nurse?

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The mother of an 8-year-old girl has brought her daughter to the health clinic for her annual check-up. She is concerned about the high blood pressure in her family and asks the nurse if there is some way to know if the child is at risk for hypertension. What is the nurse’s best response?

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A recent graduate nurse has been assigned to be a primary nurse on a geriatric unit. After completing a review of development and aging, the nurse recalls that changes during the climacteric signify which of the following?

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______ is the measurable aspect of a person’s increase in physical dimensions.

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______ is an interaction of biological, sociological, and psychological forces.

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A specific phase or period when the presence of a function or reasoning has its greatest effect on a specific aspect of development is referred to as:

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Preconception counseling is a growing trend in health care with the goal being to secure the best outcome for mother, fetus, and significant others through good prenatal care and teaching that:

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A nurse is caring for a group of 6 and 7 year olds. The nurse remembers that, according to Kohlberg, moral development is a component of psychosocial development. Moral development depends on the child’s ability to do which of the following? (Select all that apply.)

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The patient has been diagnosed with progressive Alzheimer’s disease. Characteristics of this disease include which of the following? (Select all that apply.)

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A nurse is performing an admission assessment on a middle-age patient. A normal change seen in this age group includes which of the following? (Select all that apply.)

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Which term should the nurse use to best describe the movement of air in and out of the patient’s lungs?

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The nurse is educating a patient who has recently been diagnosed with chronic obstructive pulmonary disease (COPD). The nurse explains how the gasses in the lungs move between the air spaces and the bloodstream. Which process is the nurse describing?

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The exchange of oxygen and carbon dioxide during cellular metabolism is best described as which of the following?

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When giving CPR, compressions are causing the heart to pump blood into and out of the lungs to the body’s organs. This movement of oxygenated blood is best described as which of the following?

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The patient is experiencing shortness of breath. Which of the following lab tests indirectly indicates the oxygen level in the blood system?

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The nurse is admitting a patient with chronic obstructive pulmonary disease (COPD). During the initial head-to-toe assessment the patient’s pulse oximetry reading is 89% on room air. What is the nurse’s first priority?

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A 36-year-old patient diagnosed with meningitis has a fever of 102.3° F. A family member verbalizes a concern that the patient is “breathing fast.” Upon assessment, the nurse notes a respiratory rate of 20 breaths/min, pulse oximetry is 92% on 2L/O2, and lungs clear to auscultation. What is the best explanation for the rapid respiratory rate that the nurse can give the family member?

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What is the best indicator the nurse can use to determine the adequacy of a patient’s cardiac output?

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A patient has been admitted to the cardiac unit with the diagnosis of bradycardia. The patient states “I am confused about what the doctor said is wrong with me, he said my pacemaker is not working. I don’t have a pacemaker.” What is the nurse’s best response?

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A 45-year-old patient was diagnosed with an anterior myocardial infarction. The patient asks the nurse why his chest hurt when he had his heart attack. What is the best response from the nurse?

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A patient was admitted to the surgical unit after surgical removal of an abdominal tumor. As the nurse performs a postsurgical assessment, the patient’s blood pressure is 90/54, heart rate is 94, and respiratory rate is 22. Based on these values, the nurse should be most concerned with which of the following conditions?

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The guardians of a premature infant who was delivered at 31-weeks’ gestation is expected to be discharged from the hospital within the next few days. The guardians have voiced concern regarding how to prevent respiratory syncytial virus (RSV) exposure to the baby. What is the best response from the nurse?

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A 3-month-old infant is being seen for a well-child check at the pediatric clinic. The nurse is assessing the guardian’s knowledge level about the infant’s growth and development. One of the topics that the nurse has chosen to address in this session is the risk for airway obstruction. What is the main reason that the nurse has chosen this topic?

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A patient on the surgical unit is 1 day postoperative for surgery to remove stomach cancer. In addition to the physiological stress this patient has undergone, the nurse recognizes that this patient will have to deal with the psychological stress of finding out that the cancer has metastasized to the liver. Which physiological change would the nurse expect to see as a response to stress?

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A 47-year-old woman with a history of diabetes and hypertension calls the clinic complaining of epigastric pain and shortness of breath with activity. She has taken antacids with no relief. What type of pain is the patient experiencing?

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A patient has been admitted to the pulmonary unit of the hospital with right lower lobe pneumonia and history of chronic obstructive pulmonary disease (COPD). During the initial assessment the nurse notes that the patient has a respiration rate of 18 with retractions, tachycardia, and complains of dyspnea and dizziness. The nurse identifies that these are clinical signs of which condition?

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A health care worker received an annual tuberculosis test administered 56 hours ago. The injection site is very red and flat. The certified nurse who is reading the test should take which action?

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A patient with pulmonary congestion needs to cough to clear secretions. The nurse instructs the patient to inhale and perform a series of coughs during exhalation. What type of cough did the nurse teach the patient?

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A patient presents with an acute myocardial infarction that resulted in right ventricular damage. The nurse needs to assess the patient for right-sided heart failure, which includes which of the following?

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A patient reports chest pain. The nurse is attempting to assess the pain to differentiate the pain as cardiac, respiratory, or gastrointestinal. The nurse can properly identify the pain as cardiac in origin when the patient states that the cardiac pain:

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A patient with a tracheostomy is experiencing thick and tenacious secretions. To maintain this patient’s airway, what is the most appropriate action for the nurse?

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On entering the room, a nurse finds the patient sitting upright in bed with the upper torso resting on the over-bed table. The nurse assesses that this patient is experiencing acute hypoxemia. Which of the following are symptoms of acute hypoxemia? (Select all that apply.)

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The home care nurse is admitting a patient with COPD. The primary healthcare provider has ordered O2 /nasal cannula at 3 L/min. To promote safety, the nurse would instruct the patient on which of the following safety measures? (Select all that apply.)

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An adult collapsed at the grocery store. Before being transported to the emergency department, an automated external defibrillator (AED) was used. The nurse remembers learning that the AED is effective in saving a life because of which factors? (Select all that apply.)

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A nurse who works for an oncology unit is preparing to bathe a patient who recently underwent surgery to remove an abdominal tumor. Before beginning the bath, the nurse explains the procedure. Which of the following best describes the nurse’s communication role?

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A patient is being cared for by a nurse. The patient has questions regarding what time the surgery is scheduled. When the nurse responds to the question, the nurse is assuming which communication role?

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A registered nurse is a new nurse manager who needs to council an employee regarding attendance. Because the nurse manager is new to the position, the nurse is rehearsing what is planning to say to the employee before the meeting. The nurse is using which form of communication?

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A nurse is working in a busy emergency department of an urban hospital. The family of a patient brought in by ambulance asks the nurse what the doctor meant when he or she said that the patient was coding. In this situation, the word coding is an example of which of the following?

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A patient asked a nurse when the primary health care provider would make rounds. The nurse was taking another patient for a stat test and replied very quickly, “I have no idea.” The patient most likely interpreted the nurse as uncaring because of which factor?

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A 9-year-old patient who is hospitalized for bowel surgery appears very frightened. To appear less threatening to the child, which action should the nurse take?

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A nurse went into a patient’s room at 0900, shortly after the patient was told that he or she had liver cancer. The patient asked the nurse to stay because he or she did not want to be alone. The nurse stood very close to the patient, held the patient’s hand, and told the patient that he or she had plenty of time. A few minutes later, the nurse thought to check the time on the wristwatch because the nurse was supposed to take another patient for a test at 0945. The patient saw the nurse look at the wrist watch and told the nurse it was now okay to be alone. What was the most likely reason the patient said it was okay for the nurse to leave?

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When caring for a patient from another culture, what is the best strategy for the nurse to use in communicating with the patient?

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A patient had a stroke that left the patient aphasic. A nurse is working on a plan of care. Which nursing diagnosis should the nurse use to describe the patient’s aphasia?

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A nurse is spending time with a patient, who has recently been diagnosed with breast cancer. The patient states that he or she is frightened about the diagnosis and feels overwhelmed. The nurse responds, “It sounds to me like you are feeling very scared right now.” Which communication technique did the nurse use?

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A patient has just been admitted to the hospital with a broken hip from a fall in the home. The nurse admitting the patient is practicing active listening. Which behavior best conveys to the patient that the nurse is using active listening?

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A nurse is assisting in the admission of a patient to the orthopedic unit of the hospital and is obtaining information for the database. Which technique is the best way for the nurse to obtain information from the patient?

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A nurse gives a hand-off report to the oncoming staff nurse. Which type of communication does this illustrate?

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A nurse is caring for a patient who cannot speak clearly. Which technique should the nurse use to enhance conversation with this patient?

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A nurse forms a contract with the patient to specify roles during a therapeutic helping relationship. The nurse is in which phase of the therapeutic relationship?

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Which technique should the nurse use when providing information to a patient with a health literacy level of fifth grade?

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Which technique by the nurse will facilitate communication with an older adult?

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A nurse has just admitted a 5-year-old child for suspected appendicitis. Which therapeutic communication techniques should the nurse use while communicating with this child? (Select all that apply.)

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A nurse has been asked to prepare patient education for Spanish-speaking patients regarding diabetes. This information will be available to patients in the diabetes clinic. What is the primary goal for this patient education?

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A patient with newly diagnosed diabetes is being discharged from the hospital. The patient will be going to an outpatient diabetic center to learn more about diet, exercise, disease management, and insulin administration. Which statement made by the patient indicates that effective teaching can take place?

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The parents of a 3-month-old infant are preparing to take their child home from the hospital. Before being discharged, the parents must be educated on infant CPR. What is the most appropriate learning objective for this situation?

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Which finding will best indicate to the nurse that the teaching about a dressing change was successful?

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A patient recently had a stroke and suffered right-sided weakness. The patient is being discharged from a rehabilitation hospital after learning to use a walker. Which learning domain was primarily used to teach the patient to be independent with the walker?

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Which patient is the most likely to be motivated to learn?

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A postsurgical patient is being taught about wound care before being discharged from the hospital and is in a semiprivate room with another patient. The other patient is upset with a family member and is crying. The television is on to try to provide some distraction from the roommate. Which action should the nurse take to best facilitate patient education for wound care?

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A patient who is a migrant farm worker did not graduate from high school and speaks English as a second language. The nurse will be providing discharge teaching after a hysterectomy. The nurse is concerned about the patient’s ability to understand the discharge instructions. Which of the following should be of most concern in this situation?

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A nurse who works in a diabetes clinic has been asked to help a 12-year-old male patient learn to give his own insulin injections. The nurse demonstrates the technique on a teaching manikin and then asks the patient to demonstrate the task on the manikin while providing assistance. Which teaching approach did the nurse use?

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A pediatric nurse who works evenings on a surgical floor in a children’s hospital has been working with a 5-year-old patient who has undergone abdominal surgery. The nurse gives the patient a sticker each time the incentive spirometer is used. What type of reinforcement did the nurse use?

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An 8-year-old boy has been diagnosed with diabetes. A nurse is teaching his mother how to plan meals that are appropriate for him. The nurse asks the mother to put together

a 24-hour meal plan for her son and then reviews the plan with her. What type of teaching method did the nurse use?

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A 75-year-old patient who is being discharged home after a stroke has no use of the right hand. Which teaching strategy is best for the nurse to use for this patient?

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A nurse needs to begin teaching about crutch walking with a 14-year-old patient. Which action should the nurse take first?

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A patient needs to take daily injections of a blood thinner for 7 days after hospital discharge. The nurse observes the patient’s self-administration technique. What type of learning occurred?

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A nurse is preparing to teach a patient about ostomy care. The patient appears anxious and is crying. What should the nurse do?

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A nurse tells a patient with a recent back injury that damage to the nerves is comparable to a water hose that has been pinched off and that time is needed to allow normal nerve transmission. Which technique did the nurse use?

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A patient must learn to apply a lower leg orthotic device but has a minor paralysis of the right upper extremity. Before teaching this skill, the nurse must assess the patient’s physical capabilities. Which areas will the nurse assess? (Select all that apply.)

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he nurse must teach grieving patients about future skills and knowledge. Which patients will most likely be ready to learn? (Select all that apply.)

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A nurse wants learning to take place in the affective domain of learning. Which techniques should the nurse implement that are the best for this type of learning? (Select all that apply.)

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A patient is admitted to the trauma unit with the diagnosis of spinal cord injury resulting from an ATV accident. The health care provider has diagnosed the patient as a paraplegic. Which of the following is one of the most important topics for patient teaching to prevent further injury to the patient?

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A graduate nurse is working for a diabetes unit. The nurse manager has prepared a very thorough orientation, which includes check-offs for taking vital signs. The nurse manager has informed the graduate nurse that their hospital has adopted the Joint Commission’s pain standard and that they will be assessing five vital signs. The graduate nurse knows that the fifth vital sign is which of the following?

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A registered nurse working for the emergency department sees a lot of patients who seek services because of pain. The nurse is aware that pain is which of the following?

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A registered nurse, who has practiced for more than 20 years and has had a lot of experience caring for postsurgical patients, was questioned by a student nurse about why many nurses do not give the full amount of pain medication ordered by surgeons. The nurse replied that the literature shows that many nurses do not give the full amount of pain medication because they:

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When a person touches a hot stove, the resulting cellular damage causes a reaction that converts the stimuli into a pain impulse. What is the term for this conversion?

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The patient who has undergone triple cardiac bypass surgery 1 week ago is being seen for a follow up appointment at their health care facility. The incisions are healing well, but the patient is complaining of pain at the incision sites on his legs. The nurse knows that this is _____ pain.

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A student nurse is caring for an elderly patient with rheumatoid arthritis. The patient states that he or she experiences constant pain, is having difficulty sleeping, and has lost weight over the past 2 months. The patient is very tearful and states, “I’m not sure how long I can keep going with this pain.” What is the most important question for the student nurse to ask the patient?

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An older adult nurse has been seeing a rheumatologist for the management of Rheumatoid Arthritis (RA). The patient also uses herbal remedies and seeks acupuncture for pain relief and reads the latest research regarding RA. This coping style is best described as a(n) ______ loci of control.

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A student nurse is assessing the pain of a teenage patient with cancer. The student nurse ask the patient about precipitating factors, quality, relieving factors, where the pain is, the severity of pain, and the effect of the pain has on the patient. What is the other indicator that the student nurse should make part of this pain assessment?

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A patient has a morphine sulfate patient controlled analgesia (PCA) to control postoperative pain. When the nurse enters the room, the patient complains of pain. The nurse’s first response is which of the following?

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A patient in sickle cell crisis states that the pain is lessened when watching television. The patient’s physiological response is best attributed to which of the following?

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According to established standards, nurses must frequently assess patients experiencing pain. The most appropriate action for the nurse to take when assessing a patient’s pain is which of the following?

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An adult patient has just undergone surgery for repair of a torn left knee anterior cruciate ligament (ACL). When informing the patient of several pain relief interventions, the nurse most appropriately urges the patient to select which of the following?

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A smiling and cooperative patient complains of severe pain. Nurses caring for patients who report pain need to recognize and avoid common misconceptions and myths about pain. To properly care for patients in pain, nurses need to remember which of the following?

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Aspirin and ibuprofen are classified as:

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A patient is started on morphine via patient-controlled analgesia (PCA) to control persistent cancer pain. The nurse knows that to prevent central nervous system (CNS) depression the patient should do which of the following?

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The hospice nurse is assessing the patient at home for the first time. The patient has a lot of questions regarding what the role hospice will have as the illness progresses. The patient states, “I don’t want to be in pain and kept alive, but I’m not ready to die either.” What is the best response that will educate the patient of the role hospice will play in his or her care?

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A patient presents to the emergency department with a large leg laceration received in a bicycle accident. The nurse knows that the physician or health care provider chose a local anesthetic because of which of the following? (Select all that apply.)

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The student nurse is working on the surgical floor. The student nurse is assigned to take care of a patient with hemiplegia and communication deficits from a previous stroke. The patient is 1-day postoperative from abdominal surgery. Which of the following interventions would promote comfort and help the patient remain pain free? (Select all that apply.)

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The patient is being seen for chronic back pain. The patient states, “I’m always in pain, and I don’t like taking the pain medication because it makes me sleepy. I have to work to support my family.” The nurse is aware that this patient may be a candidate for cutaneous stimulation. Cutaneous stimulation includes which of the following? (Select all that apply.)

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The nurse has had a nasal culture performed and has been found to be MRSA positive. Because the nurse has not been ill from the bacteria, the nurse’s nasal cavity can best be described as a:

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The nursing assistive personnel (NAP) is working on a busy pediatric unit in a hospital. She has a cut on her hand that has not been kept covered. It hurts her to wash her hands or sanitize them, so she has been providing patient care without performing hand hygiene. Several of the patients on the pediatric unit have suffered hospital-associated infections of rotavirus. This was thought to be a result of the NAP’s lack of hand hygiene. This type of disease transmission can best be described as:

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The nurse is working for a postsurgical unit. He is caring for four postsurgical patients, all of whom have been in the hospital for 3 days or more. Which of the following patients should he be most concerned about regarding a health care–associated infection?

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A patient with a history of poor nutrition and chronic illness is admitted to the medical unit. The nurse caring for this patient is preparing to provide the patient with a bed bath and recalls that normal body flora:

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An emergency department nurse is caring for a patient with a laceration on the lower leg that has become infected. On assessment the nurse realizes that a sign of an inflammatory response consists of:

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There was an outbreak of Salmonella poisoning at a nursing home. Several residents were hospitalized as a result of their infections. What is the best term to describe this infection?

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A nurse is assigned to multiple patients on a busy surgical unit. To minimize the onset and spread of infection, the nurse should:

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The infection control nurse is presenting an in-service presentation on infection prevention and control. A participating nurse identifies what patient as most susceptible to acquiring an infection?

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A senior nursing student is working on a community health project for the local homeless shelter. There are several indigent men who come to the shelter in cold weather to sleep for the night. The student nurse knows that these men do not bathe on a regular basis. One of the men has been sick several times recently with skin infections. Which of the following is the best way for the student nurse to explain the importance of personal hygiene to this individual?

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The student nurse who is developing a plan of care for a postoperative patient who underwent abdominal surgery to remove a tumor. The student has chosen Risk for Infection as a nursing diagnosis. Which of the following is the most appropriate goal for this diagnosis?

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The student nurse caring for a postsurgical patient who has developed a health care–acquired wound infection that has become systemic. Which of the following should be the student nurse’s top priority?

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A nursing student is working on a surgical unit in the hospital. Included in her job description is to assist in the cleaning and disinfection of equipment stored on the unit. Which of the following is the best explanation of disinfection?

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A patient is admitted for treatment of a home-acquired pressure ulcer. The patient is incontinent of urine and has Alzheimer disease. A Foley catheter is inserted. The nurse recognizes that the best way to break the infection chain is to:

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The nurse is very concerned about infection control in the Surgery Department. Recently she provided education to the surgery staff on ways to eliminate transient hand flora. The most precise description for this is hand:

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Standard precautions involve using personal protective equipment with all patients regardless of the presence of infections. Therefore when obtaining a blood sample, the nurse must wear:

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The nurse has noticed slight redness when washing her hands. She is concerned about developing a latex allergy. To prevent this, the nurse should:

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Which of the following situations is most likely to contribute to a health care–acquired infection?

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A nurse is concerned with the chain of infection when taking care of contaminated care items. Semicritical items that require disinfection include:

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A nurse is coaching a student on the proper method of applying surgical gloves. One step in the proper donning of sterile gloves requires the nurse to:

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An 89-year-old patient who lives in a nursing home has been admitted to the hospital for observation after falling, and is exhibiting confusion and malaise in the nursing home. He had a urinary catheter inserted 2 weeks ago when he complained of difficulty urinating. Lab work was ordered and the nurse notes that his neutrophil count is elevated. She knows that this, combined with the other clinical signs and symptoms, most likely indicates what condition?

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The nurse is admitting a patient with a methicillin-resistant Staphylococcus aureus (MRSA) infection isolated in his stage III pressure ulcer. The nurse places the patient on:

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A nurse sets up a sterile field. A break in the sterile field occurs when the nurse does which of the following? (Select all that apply.)

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The assistive personnel reports that an older patient is complaining of shortness of breath and palpitations. The nurse connects the patient to an electrocardiogram monitor and analyzes the rhythm with normal P wave and normal QRS and T waves. The rate is 116 beats per minute and regular. The nurse identifies this rhythm as which of the following?

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The nurse is evaluating a patient who has a chest tube. To properly maintain chest tube function, what is the nurse’s best action?

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A nurse is being oriented to work for an intensive care unit. The hemodynamic data indicate that the patient has a decreased preload. Which information indicates the nurse has a correct understanding of the concept of preload?

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A student nurse caring for a patient with a chest tube has been asked what equipment should be at the bedside to assess for an air leak. Which information indicates the student nurse has a correct understanding of the equipment needed?

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The RN and nursing assistive personnel (NAP) are caring for six patients on the pulmonary unit. Which of the following tasks would be most appropriate for the nurse to delegate to the NAP?

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The nursing student is formulating a nursing care plan for a patient with pneumonia. The care plan is directed toward meeting the potential oxygenation needs of the patient. Which of the following examples would be the best way for the nursing student to write an expected outcome for the care plan?

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When a person cuts a finger, nerve impulses travel to the spinal cord along afferent peripheral nerve fibers. What is this process?

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Pain impulses are sent to the brain, where the central nervous extracts information regarding location, duration and quality of the pain impulse. What is this process?

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When a person accidentally touches a hot pan, their protective reflex causes them to immediately withdraw their hand from the hot pan. This protective reflex is known as which of the following?

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A patient with developmental disabilities and poor verbal communication skills has been admitted for observation after a motor vehicle accident. The patient has been moaning, facial grimacing, and restless since being admitted to the floor. The nurse needs to first assess the patient for which of the following?

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A terminally ill patient with cancer is experiencing increased pain. Nursing implications used to care for this patient include which of the following?

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An 11-year-old boy is being seen at the clinic for his annual check-up. As part of anticipatory guidance, the nurse instructs the boy’s father that accidents and injuries are major health problems affecting school-age children and that the number one cause of death is in this age group is which of the following?

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The transition from childhood to adulthood, in terms of the psychological maturation of the individual, is known as which of the following?

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The nurse is caring for an older adult who seems depressed and states that “I hate going to Bingo. I’d really like to get back in shape. Maybe if I could join a health club, I could get back to feeling like myself.” The nurse should do which of the following?

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Postmenopausal women are at risk for skeletal changes. When developing a plan of care for postmenopausal women, a nurse should remember which of the following?

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A 90-year-old patient constantly tells the nurse stories about life many years ago. The nurse encourages this behavior because reminiscence or life review is:

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Polypharmacy is:

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The student nurse who is developing a plan of care for a postoperative patient who underwent abdominal surgery to remove a tumor. The student has chosen Risk for Infection as a nursing diagnosis. Which of the following is the most appropriate goal for this diagnosis?

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A nurse will be teaching a prepared childbirth class for the first time at a neighborhood church. The nurse has gone to the church to determine which room would be best suited to teach a group of six couples. Which room configurations would be most appropriate for teaching this group?

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A patient was recently diagnosed with heart failure. The health care provider has ordered a low-sodium diet. A nurse is planning patient education for diet instruction. Which information should the nurse present first?

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A nurse is preparing to take a 5-year-old child’s blood pressure. What is the best way for the nurse to reduce the child’s anxiety about this procedure?

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A nurse is discharging a patient who required teaching about how to change a foot dressing. The nurse wants to ensure that the patient understands the signs and symptoms of infection and is preparing written materials the patient can take home and refer to as needed. Because the nurse does not know the patient’s reading ability, at which grade level should the nurse prepare the written materials?

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Which behavior by a new nurse will cause the nurse manager to intervene?

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A registered nurse is caring for a postoperative patient who is experiencing respiratory distress after the administration of pain medication. The nurse called the patient’s primary health care provider immediately. The information regarding the patient was conveyed using the SBAR format. Which information did the nurse convey to the primary health care provider?

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Which behavior by the nurse would be considered most professional?

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A patient is aphasic from a recent stroke. The nurse is taking a multidisciplinary approach to this patient’s care. Who would be most appropriate for the nurse to collaborate with regarding the patient’s aphasia?

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.A nurse is caring for a patient who is having abdominal pain and is experiencing difficulty sleeping. The nurse sits at the bedside of the patient and takes the patient’s hand. The patient quickly pulls back. How should the nurse interpret this patient’s behavior?

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A nurse is caring for a patient who is visually impaired. Which technique should the nurse use to facilitate communication?

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A nurse enters a patient’s room and sees the patient grimacing with each movement. When the nurse asks in a normal tone of voice how the patient is feeling, the patient states that he or she “feels fine.” Which finding will the nurse classify as nonverbal communication?

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While a patent is being interviewed by the nurse, a family member states, “What my father really means is that he doesn’t know for sure what the physician meant about the medical diagnosis.” Which communication technique did the family member use?

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The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs related to

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The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected stage of development for a preschooler is

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The school nurse talking with a high school class about the difference between growth and development would best describe growth as

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The most appropriate response of the nurse when a mother asks what the Denver II does is that it

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To plan early intervention and care for an infant with Down syndrome, the nurse considers knowledge of other physical development exemplars such as

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To plan early intervention and care for a child with a developmental delay, the nurse would consider knowledge of the concepts most significantly impacted by development, including

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A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to her toys and makes up stories. The mother wants her child to have a psychologic evaluation. The nurse’s best initial response is to

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A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so needy and acting like a child. The best response of the nurse is that in the hospital, adolescents

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The nurse is assessing a patient’s functional ability. Which activities most closely match the definition of functional ability?

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The nurse is assessing a patient’s functional performance. What assessment parameters will be most important in this assessment?

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The nurse is assessing a patient with a mobility dysfunction and wants to gain insight into the patient’s functional ability. What question would be the most appropriate?

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The nurse is developing an interdisciplinary plan of care using the Roper-Logan-Tierney Model of Nursing for a patient who is currently unconscious. Which interventions would be most critical to developing a plan of care for this patient?

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The home care nurse is trying to determine the necessary services for a 65-year-old patient who was admitted to the home care service status after left knee replacement. Which tool(s) will assist with this determination?

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The nurse is assessing a patient’s functional abilities and asks the patient, “How would you rate your ability to prepare a balanced meal?” “How would you rate your ability to balance a checkbook?” “How would you rate your ability to keep track of your appointments?” Which tool would be indicated for the best results of this patient’s perception of their abilities?

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A 65-year-old female patient has been admitted to the medical/surgical unit. The nurse is assessing the patient’s risk for falls so that falls prevention can be implemented if necessary. Select all the risk factors that apply from this patient’s history and physical. (Select all that apply.)

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Critical Thinking: A patient states, “I had a bad nightmare. When I woke up, I felt emotionally drained, as though I hadn’t rested well.” Which response by the nurse would be an example of interpersonal therapeutic communication?

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A patient states that everything has been going great; however, the nurse observe the patient biting his nails and fidgeting. What assessment can the nurse make? The patient’s communication type is

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The nurse is admitting a patient to the medical/surgical unit. Which communication technique would be considered appropriate for this interaction?

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Critical Thinking: The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification?

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A patient does not make eye contact with the nurse and is folding his arms at his chest. Which aspect of communication has the nurse assessed?

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A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric facility. Which remark by the nurse would be an appropriate way to begin an interview session?

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Critical Thinking: The nurse and the patient are conversing face to face. What communication technique is this?

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A newly licensed nurse is assigned to an experienced nurse for training on a medical unit of a hospital. What type of nurse-to-nurse collaboration does this assignment demonstrate?

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The nurse is presenting an in-service on the importance of collaborative communication. The nurse includes which critical event identified by the Joint Commission as an outcome of poor communication among health care team members?

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Which patient scenario describes the best example of professional collaboration?

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Which statement correctly describes the nurses’ role in collaboration?

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A nurse manager has recently overheard several negative comments made by nurses on the unit about other nurses on the unit. The manager recognizes that the nurses are exhibiting what type of behavior that is detrimental to collaboration?

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The nurse and physician are explaining the home care that will be needed by a patient after discharge. The patient’s spouse states angrily that it will not be possible to provide the care recommended. What is the best response by the nurse?

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The nurse is caring for a patient with a progressive, degenerative muscle illness. The patient states that she would like to remain in her home with her daughter as long as possible. What action should the nurse take?

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A patient has been admitted to an acute care hospital unit. The nurse explains the hospital philosophy that the patient be an active part of planning their care. The patient verbalizes understanding of this request when they make which statement?

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The management of a community hospital is trying to encourage a more collaborative environment among staff members. Which concept is most important for management to develop first?

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Which activities are appropriate for the nurse to collaborate with a patient? (Select all that apply.)

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The nurse is assigned a group of patients. Which patient would the nurse identify as being at increased risk for impaired gas exchange? A patient

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The nurse is reviewing the patient’s arterial blood gas results. The PaO2 is 96 mm Hg, pH is 7.20, PaCO2 is 55 mm Hg, and HCO3 is 25 mEq/L. What would the nurse expect to observe on assessment of this patient?

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The nurse would identify which patient as having a problem of impaired gas exchange secondary to a perfusion problem? A patient with

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The nurse is assessing a patient’s differential white blood cell count. What implications would this test have on evaluating the adequacy of a patient’s gas exchange?

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The acid-base status of a patient is dependent on normal gas exchange. Which patient would the nurse identify as having an increased risk for the development of respiratory acidosis? A patient with

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Which patient would the nurse identify as being at an increased risk for altered transport of oxygen? A patient with

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A 3-month-old infant is at increased risk for developing anemia. The nurse would identify which principle contributing to this risk?

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Which clinical management prevention concept would the nurse identify as representative of secondary prevention?

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The nurse would identify which body systems as directly involved in the process of normal gas exchange? (Select all that apply.)

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The nurse is assessing a patient for the adequacy of ventilation. What assessment findings would indicate the patient has good ventilation? (Select all that apply.)

Rococo!

A student nurse who works in a pediatric clinic is assisting with an assessment on a young child who is not yet walking. She knows that it is considered a delayed gross motor ability if the child does not walk by _____ months.

According to one growth and development theorist, individuals need to accomplish a particular task before successfully completing the stage of growth and development. Each task is framed with opposing conflicts, such as trust versus mistrust. Who developed this theory?

This model of personality development is grounded in the belief that two internal biological forces drive the psychological change in a child: sexual (libido) and aggressive energies. Who is responsible for developing this theory?

Which of the following people developed the theory of cognitive development that describes children’s intellectual organization and how they think, reason, and perceive the world?

According to one theorist, moral development depends on the child’s ability to accept social responsibility and to integrate personal principles of justice and fairness. Which of the following individuals is responsible for the theory of moral development?

A patient is experiencing incisional pain after an operation. When using Maslow’s hierarchy of needs, the nurse realizes that for the patient to return to a prehospitalized status, the patient needs to progress beyond which of the following?

A pregnant teenager asks the clinic nurse why she cannot smoke during the first trimester. Remembering growth and development, what is the nurse’s best response?

A student nurse is in her community health clinical rotation. She is visiting a family with a new baby. Which of the following statements made by the mother of a 1-month-old infant indicates the need for client education?

The mother of a toddler is concerned that her son is not eating enough, although he has not lost any weight. She tells the nurse that her son used to have a very good appetite, but now does not eat as much as he did a couple of months ago. What is the best response for the nurse to provide?

A nurse is caring for a 5-year-old child who is hospitalized for stabilization of asthma. To provide age-specific care, which of the following is the most appropriate action by the nurse?

The mother of an 8-year-old girl has brought her daughter to the health clinic for her annual check-up. She is concerned about the high blood pressure in her family and asks the nurse if there is some way to know if the child is at risk for hypertension. What is the nurse’s best response?

A recent graduate nurse has been assigned to be a primary nurse on a geriatric unit. After completing a review of development and aging, the nurse recalls that changes during the climacteric signify which of the following?

______ is the measurable aspect of a person’s increase in physical dimensions.

______ is an interaction of biological, sociological, and psychological forces.

A specific phase or period when the presence of a function or reasoning has its greatest effect on a specific aspect of development is referred to as:

Preconception counseling is a growing trend in health care with the goal being to secure the best outcome for mother, fetus, and significant others through good prenatal care and teaching that:

A nurse is caring for a group of 6 and 7 year olds. The nurse remembers that, according to Kohlberg, moral development is a component of psychosocial development. Moral development depends on the child’s ability to do which of the following? (Select all that apply.)

The patient has been diagnosed with progressive Alzheimer’s disease. Characteristics of this disease include which of the following? (Select all that apply.)

A nurse is performing an admission assessment on a middle-age patient. A normal change seen in this age group includes which of the following? (Select all that apply.)