Fundamentals Of Nursing: Trivia Quiz!

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  • 1/160 Questions

    While administering meds, the nurse realizes that she has given the wrong dose of med to a patient.  She acts by completing an incident report and notifying the patient's health care provider.  The nurse is exercising:

    • Authority
    • Responsibility
    • Accountability
    • Decision making
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About This Quiz

Nursing is a career that is designed for the most patient and caring people there is, the main objective of a nurse is to guide someone through their healing up until they get back to health. In the fundamentals of nursing, you get to understand what is required of a nurse and how to ensure you meet your patient’s expectations. Take this test and review what you learned.

Fundamentals Of Nursing: Trivia Quiz! - Quiz

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  • 2. 

    Cancer survivors are at risk for treatment related problems.  Which of the patients listed belowhas the greatest risk for developing such a problem?

    • An 80 year old woman undergoing surgery for removal of a basal cell carcinoma on the face

    • A 70 year old man receiving high-dose chemotherapy and radiation for an advanced stage lymphoma

    • A 26 year old man receiving chemotherapy for testicular cancer that is localized to the testicle

    • A 48 year old woman recieving radiation for Hodgkin's disease that involves lymph nodes extending above and below the diaphragm

    Correct Answer
    A. A 70 year old man receiving high-dose chemotherapy and radiation for an advanced stage lymphoma
    Explanation
    The 70-year-old man receiving high-dose chemotherapy and radiation for an advanced stage lymphoma has the greatest risk for developing treatment-related problems. The high-dose chemotherapy and radiation can cause significant side effects and complications, such as damage to healthy cells, weakened immune system, and increased risk of infections. Additionally, advanced stage lymphoma indicates that the cancer has spread, making the treatment more aggressive and potentially more harmful to the body. Age can also be a factor as older individuals may have reduced organ function and resilience to tolerate the intensive treatment.

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  • 3. 

    Kyphosis, a change in the musculoskeletal system, leads to:

    • Decreased bone density in the vertebrae and hips

    • Increased risk for pathological stress fractures in the hips

    • Changes in the configuration of the spine that affect the lungs and thorax

    • Calcification of bony tissues of the long bones such as legs and arms

    Correct Answer
    A. Changes in the configuration of the spine that affect the lungs and thorax
    Explanation
    Kyphosis is a condition characterized by an excessive forward curvature of the spine, leading to a rounded or hunched back. This change in the configuration of the spine can have a direct impact on the lungs and thorax. As the spine curves forward, it can compress the chest cavity, reducing the space available for the lungs to expand and function properly. This can result in decreased lung capacity and difficulty breathing. Additionally, the altered spine alignment can also affect the position and movement of the ribs, further impacting respiratory function. Therefore, the correct answer is changes in the configuration of the spine that affect the lungs and thorax.

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  • 4. 

    The nurse teaches a patient who has had surgery to increase which nutrient to help with tissue repair?

    • Fat

    • Protein

    • Vitamin

    • Carbohydrate

    Correct Answer
    A. Protein
    Explanation
    Protein is the correct answer because it is essential for tissue repair. After surgery, the body needs an increased amount of protein to heal and regenerate damaged tissues. Protein provides the building blocks for new cells and tissues, promoting the repair process. It also helps to strengthen the immune system and prevent infections. Therefore, increasing protein intake is crucial for optimal tissue repair and recovery after surgery.

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  • 5. 

    Which of the following is a strategy for creating work environments that enable nurses to demonstrate more caring behaviors?

    • Increasing the working hours of the staff

    • Increasing salary benefits of the staff

    • Creating a setting that allows flexibility and autonomy for staff

    • Encouraging increased input concerning nursing functions from physicians.

    Correct Answer
    A. Creating a setting that allows flexibility and autonomy for staff
    Explanation
    Creating a setting that allows flexibility and autonomy for staff is a strategy for creating work environments that enable nurses to demonstrate more caring behaviors. By providing flexibility, nurses are able to customize their approach to patient care and adapt to individual needs. Autonomy allows nurses to make decisions and take ownership of their work, which can lead to increased job satisfaction and a greater sense of fulfillment in their role. This can ultimately result in more caring behaviors towards patients as nurses feel empowered and valued in their work environment.

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  • 6. 

    Which statement made by an adult patient demonstrates understanding of healthy nutrition teaching?

    • I need to stop eating red meat.

    • I will increase the servings of fruit juice to four a day.

    • I will make sure that I eat a balanced diet and exercise regularly.

    • I will not eat so many dark green vegetables and eat more yellow vegetables.

    Correct Answer
    A. I will make sure that I eat a balanced diet and exercise regularly.
    Explanation
    This statement demonstrates understanding of healthy nutrition teaching because it mentions the importance of eating a balanced diet and exercising regularly. A balanced diet includes a variety of foods from different food groups, ensuring that the body receives all the necessary nutrients. Regular exercise is also crucial for maintaining good health. This response shows an understanding of the importance of both diet and exercise in maintaining a healthy lifestyle.

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  • 7. 

    Presence involves a person-to-person encounter that:

    • Enables patients to care for self

    • Provides personal care to a patient

    • Conveys a closeness and a sense of caring

    • Describes being in close contact with a patient

    Correct Answer
    A. Conveys a closeness and a sense of caring
    Explanation
    The correct answer conveys a closeness and a sense of caring. This means that presence involves creating an atmosphere of intimacy and compassion towards the patient. It goes beyond just providing personal care or enabling the patient to care for themselves. Presence is about establishing a connection with the patient, making them feel supported and understood. It is about being emotionally present and demonstrating empathy towards the patient's needs and concerns.

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  • 8. 

    For the nurse to effectively listen to the patient, he/she needs to:

    • Lean back in the chair

    • Sit with the legs crossed

    • Maintain good eye contact

    • Respond quickly with appropriate answers to the patient

    Correct Answer
    A. Maintain good eye contact
    Explanation
    Maintaining good eye contact is important for effective listening because it shows the patient that the nurse is fully engaged and attentive to what they are saying. It helps to establish a connection and trust between the nurse and the patient, making the patient feel heard and understood. Eye contact also allows the nurse to pick up on nonverbal cues and expressions that can provide additional information about the patient's feelings and concerns. Overall, maintaining good eye contact enhances the nurse's ability to actively listen and provide appropriate care.

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  • 9. 

    Mr. Stewart is a 62 year old patient diagnosed with prostate cancer who underwent surgical removal of the prostate 3 days ago.  He lives with his wife at home.  The nurse is planning to provide discharge instructions for the patient.  What would the most effective initial question to ask of the patient and family in determining the approach to discharge instructions?

    • Mr. Stewart, Have you had surgery in the past?

    • The doctor has ordered you to go home with a urinary catheter. Tell me how you think you can manage this.

    • Mrs. Stewart, do you find it difficult to look at your husbands incision? If so, tell me how you feel.

    • Mr. Stewart, describe for me how much your wife normally helps you at homeand what you can do on your own.

    Correct Answer
    A. Mr. Stewart, describe for me how much your wife normally helps you at homeand what you can do on your own.
    Explanation
    The most effective initial question to ask of the patient and family in determining the approach to discharge instructions is to ask Mr. Stewart to describe how much his wife normally helps him at home and what he can do on his own. This question will provide valuable information about the patient's level of independence and the amount of support he has at home. It will help the nurse tailor the discharge instructions to meet the patient's specific needs and ensure a smooth transition from the hospital to home.

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  • 10. 

    The nurse is aware that preschoolers often display a developmental characteristic that makes them treat dolls or stuffed animals as if they have thoughts and feelings.  This is an example of:

    • Logical reasoning

    • Egocentrism

    • Concrete thinking

    • Animism

    Correct Answer
    A. Animism
    Explanation
    Preschoolers often display animism, which is the belief that inanimate objects such as dolls or stuffed animals have thoughts and feelings. This is a common developmental characteristic observed in this age group. It is not logical reasoning, as it is not based on logical or rational thinking. Egocentrism refers to the inability to see things from another person's perspective, which is not related to this scenario. Concrete thinking refers to the ability to think and understand based on tangible objects or experiences, but it does not explain the belief in the thoughts and feelings of dolls or stuffed animals. Therefore, the correct answer is animism.

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  • 11. 

    A 50 year old male patient is seen in the clinic.  He tells the nurse that he has recently lost his job and his wife of 26 years has asked for a divorce.  He has a flat effect.  Family history that his father committed suicide at the age of 53.  The nurse should assess for the following:

    • Cardiovascular disease

    • Depression

    • STI

    • Iron deficiency anemia

    Correct Answer
    A. Depression
    Explanation
    The patient's recent life stressors, such as job loss and divorce, along with his flat affect and family history of suicide, are indicative of depression. Depression is a common mental health disorder characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities. It is important for the nurse to assess for depression in this patient to provide appropriate support and intervention.

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  • 12. 

    Middle age adults frequently find themselves trying to balance responsibilities related to employment, family life, care of children, and care of aging parents.  People finding themselves in this situation are frequently referred to as being a part of:

    • The sandwich generation

    • The millenial generation

    • Generation x

    • Generation y

    Correct Answer
    A. The sandwich generation
    Explanation
    Middle age adults who are trying to balance responsibilities related to employment, family life, care of children, and care of aging parents are often referred to as being a part of the sandwich generation. This term reflects the idea that they are "sandwiched" between the needs and demands of both their children and their aging parents. They often face the challenge of juggling multiple roles and responsibilities, which can be emotionally, physically, and financially demanding. This term highlights the unique circumstances and pressures faced by this particular age group.

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  • 13. 

    A 45 year old obese woman tells the nurse that she wants to lose weight.  After conducting a thorough assessment, the nurse concludes that which of the following may be contributing factors to the woman's obesity? (select all that apply)

    • The woman works in an executive position that is very demanding

    • The woman works out at the pororate gym at 5am 2 mornings per week

    • The woman says that she has little time to prepare meals at home and eats out at least 4 times a week.

    • The woman says that she tries to eat "low cholesterol" foods to help lose weight

    Correct Answer(s)
    A. The woman works in an executive position that is very demanding
    A. The woman says that she has little time to prepare meals at home and eats out at least 4 times a week.
    Explanation
    The woman's demanding executive position may contribute to her obesity as it may lead to high levels of stress, which can affect eating habits and lead to weight gain. Additionally, her lack of time to prepare meals at home and frequent eating out may result in consuming high-calorie and unhealthy foods, contributing to weight gain. However, her workout routine and attempt to eat "low cholesterol" foods may not be significant factors in her obesity.

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  • 14. 

    The nurses on unit developed a system for self-scheduling of work shifts.  This is an example of:

    • Responsibility

    • Autonomy

    • Accountability

    • Authority

    Correct Answer
    A. Autonomy
    Explanation
    The nurses developing a system for self-scheduling work shifts demonstrates autonomy. Autonomy refers to the ability to make independent decisions and take responsibility for one's actions. In this case, the nurses are given the freedom to organize their work schedules according to their preferences and needs, showing a level of self-governance and independence in their professional roles.

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  • 15. 

    You are working with an older adult after an acute hospitalization. Your goal is to help this person be more in touch with time, place, and person.  What might you try?

    • Reminiscence

    • Validation therapy

    • Reality orientation

    • Body image interventions

    Correct Answer
    A. Reality orientation
    Explanation
    Reality orientation is a therapeutic approach that helps individuals, especially older adults, who may be disoriented or confused, to regain their sense of time, place, and person. It involves providing cues and reminders about the current time, date, location, and personal information. This can be done through the use of calendars, clocks, signs, and regular verbal reminders. Reality orientation aims to improve cognitive functioning and reduce confusion in individuals, ultimately helping them to be more in touch with their surroundings and maintain a better sense of reality.

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  • 16. 

    As a nurse you need to complete all of the following. Which task do you complete first?

    • Administer oral pain medication to the patient who had surgery 3 days ago

    • Make a referral to the homecare nurse for a patient who is being discharged in 2 days.

    • Complete wound care for a patient with a wound drain that has an increased amount of drainage since last shift

    • Notify the health care provider of the decreased level of consiousness in the patient who had surgery 2 days ago

    Correct Answer
    A. Notify the health care provider of the decreased level of consiousness in the patient who had surgery 2 days ago
    Explanation
    The correct answer is to notify the health care provider of the decreased level of consciousness in the patient who had surgery 2 days ago. This is the highest priority because a decreased level of consciousness may indicate a serious complication or deterioration in the patient's condition that requires immediate medical attention. Administering oral pain medication, making a referral to a homecare nurse, and completing wound care are important tasks, but they can be prioritized after ensuring the patient's safety and addressing any urgent medical concerns.

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  • 17. 

    You are the charge nurse on a surgical unit.  You are doing staff assignments for the 3-to-11 shift.  Which patient do you assign to the licensed practical nurse (LPN)?

    • The patient who transferred out of intensive care an hour ago

    • The patient who requires teaching on new medications before discharge

    • The patient who had a vaginal hysterectomy 2 days ago and is being discharged tomorrow

    • The patient who is experiencing some bleeding problems following surgery earlier today

    Correct Answer
    A. The patient who had a vaginal hysterectomy 2 days ago and is being discharged tomorrow
    Explanation
    The patient who had a vaginal hysterectomy 2 days ago and is being discharged tomorrow can be assigned to the licensed practical nurse (LPN) because this patient is stable and requires routine care and monitoring. The LPN can assist with activities of daily living, medication administration, and provide education on post-operative care and discharge instructions. This assignment does not require advanced nursing skills or critical thinking, making it suitable for an LPN.

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  • 18. 

    The registered nurse (RN) checks on a patient who was admitted to the hospital with pneumonia.  The patient is coughing profusely and requires nasotracheal suctioning.  Orders include an intravenous (IV) infusion of antibiotics.  The patient is febrile and asks the RN if he can have a bath because he has been prespiring profusely.  Which task is appropriate to delegate to a nursing assistant?

    • Assessing vital signs

    • Changing IV dressing

    • Nasotracheal suctioning

    • Administering a bed bath

    Correct Answer
    A. Administering a bed bath
    Explanation
    Administering a bed bath is an appropriate task to delegate to a nursing assistant. This task does not require specialized medical knowledge or skills and can be safely performed by a nursing assistant under the supervision of a registered nurse. Assessing vital signs, changing IV dressing, and nasotracheal suctioning require medical expertise and should be performed by a registered nurse.

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  • 19. 

    An example of a nurse caring behavior that families of acutely ill patients percieve as important to patients' well-being is:

    • Making health care decisions for patients

    • Having family members provide a patient's total personal hygiene

    • Injecting the nurse's perceptions about the level of care provided

    • Asking permission before performing a procedure on a patient

    Correct Answer
    A. Asking permission before performing a procedure on a patient
    Explanation
    Asking permission before performing a procedure on a patient is an example of a nurse caring behavior that families of acutely ill patients perceive as important to patients' well-being. This behavior shows respect for the patient's autonomy and allows them to be involved in their own care. It also promotes trust and open communication between the nurse, patient, and family members. By seeking permission, the nurse acknowledges the patient's right to make decisions about their own body and treatment, fostering a sense of dignity and empowerment.

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  • 20. 

    A support group of cancer survivors is discussing cancer-related fatigue (CRF).  The survivor most likely to gain relief from CRF is the survivor who does which of the following? (Select all that apply)

    • Takes naps during the day and evening

    • Drinks energy drinks daily

    • Exercises every other day

    • Eats a balanced diet

    Correct Answer(s)
    A. Exercises every other day
    A. Eats a balanced diet
    Explanation
    Exercising every other day and eating a balanced diet are both effective ways to gain relief from cancer-related fatigue (CRF). Regular exercise helps to increase energy levels, improve sleep quality, and reduce fatigue. It also helps to improve overall physical and mental well-being. Eating a balanced diet that includes a variety of nutrient-rich foods provides the body with the necessary energy and nutrients to support optimal functioning and combat fatigue. Taking naps during the day and evening may provide temporary relief from fatigue, but it is not as effective as regular exercise and a balanced diet. Drinking energy drinks daily may provide a temporary energy boost, but it is not a sustainable solution and may have negative health effects.

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  • 21. 

    A 34 year old female executive has a job with frequent deadlines.  She notes that, when deadlines appear, she has a tendency to eat high-fat, high-carb foods.  She also explains that she gets frequent headaches and stomach pain during these deadlines.  The nurse provides a number of options for the executive, and she chooses yoga.  In this scenario yoga is used as a(n):

    • Outpatient referral

    • Counseling technique

    • Health promotion activity

    • Stress management technique

    Correct Answer
    A. Stress management technique
    Explanation
    In this scenario, yoga is used as a stress management technique. The executive experiences symptoms of stress such as frequent headaches and stomach pain during deadlines. Yoga is known to help reduce stress by promoting relaxation, improving mental clarity, and reducing physical tension. By choosing yoga as a solution, the executive is using it as a technique to manage her stress levels and cope with the demands of her job.

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  • 22. 

    A hospice nurse sits at the bedside of a male patient in the final stages of cancer.  He and his parents made the decision that he would move home and they would help him in the final stages of his disease.  The pamily participates in his care, but lately the nurse has increased the amount of time she spends with the family.  Whenever she enters the room or approaches the patient to give care, she touches his shoulder and tells him she is present.  This is an example of what type of touch?

    • Caring touch

    • Protective touch

    • Task-oriented touch

    • Interpersonal touch

    Correct Answer
    A. Caring touch
    Explanation
    The nurse's action of touching the patient's shoulder and reassuring him that she is present demonstrates a caring touch. This type of touch is meant to provide comfort, support, and emotional connection to the patient and their family during the final stages of the disease. It helps to establish trust, show empathy, and convey a sense of compassion and care.

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  • 23. 

    Many cancer survivors report attention problems, loss of memory, and difficulty recognizing and solving problems.  This is an example of impaired:

    • Social well being

    • Physical well being

    • Spiritual well being

    • Psychological well being

    Correct Answer
    A. Psychological well being
    Explanation
    The given scenario of cancer survivors experiencing attention problems, memory loss, and difficulty recognizing and solving problems indicates a decline in their psychological well-being. These cognitive impairments can have a significant impact on their mental and emotional state, affecting their ability to function and cope with daily life. Hence, the correct answer is psychological well-being.

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  • 24. 

    The Cleric family, which includes a mother, stepfather, 2 teenage biological daughters of the mother, and a biological daughter of the father is an example of a(n):

    • Nuclear family

    • Blended family

    • Extended family

    • Alternative family

    Correct Answer
    A. Blended family
    Explanation
    A blended family is formed when two individuals with children from previous relationships come together to form a new family unit. In this case, the Cleric family consists of a mother, stepfather, and children from both the mother and father's previous relationships. This demonstrates a blended family as it involves the merging of two separate families into one cohesive unit.

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  • 25. 

    Formation of positive health habits may prevent the development of chronic illness later in life.  Which of the following are examples of positive health habits? (Select all that apply)

    • Routine screening and diagnostic tests

    • Unprotected sexual activity

    • Regular exercise

    • Excess alcohol consumption

    Correct Answer(s)
    A. Routine screening and diagnostic tests
    A. Regular exercise
    Explanation
    Regular exercise and routine screening and diagnostic tests are examples of positive health habits because they both contribute to maintaining and improving overall health and well-being. Regular exercise helps to strengthen the cardiovascular system, maintain a healthy weight, and reduce the risk of chronic diseases such as heart disease, diabetes, and certain types of cancer. Routine screening and diagnostic tests help to detect diseases or conditions early on, when they are more easily treatable, and can help to prevent the development of chronic illnesses later in life.

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  • 26. 

    A nurse has conducted an assessment of a new patient who has come to the medical clinic.  The patient is 82 years old and has osteoarthritis for 10 years and diabetes mellitus for 20 years.  He is alert but becomes easily distracted during the nursing history.  He recently moved to a new apartment, and his pet beagle died just 2 months ago.  He is most likely experiencing:

    • Dementia

    • Depression

    • Delirium

    • Disengagement

    Correct Answer
    A. Depression
    Explanation
    Based on the information provided, the patient's recent move to a new apartment and the death of his pet beagle may have caused feelings of sadness and loss. Additionally, the patient's difficulty in focusing and becoming easily distracted during the nursing history suggests a possible depressive state. Therefore, the most likely explanation for the patient's condition is depression.

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  • 27. 

    The home care nurse os seeing the following patients.  Which patient is at greatest risk for experiencing inadequate nutrition?

    • A 55 year old obese man recently diagnosed with diabetes mellitus

    • A recently widowed 76 year old woman recovering from a mild stroke

    • A 22 year old mother with a 3 year old toddler who had tonsillectomy surgery

    • A 46 year old man recovering at home following coronary artery bypass surgery

    Correct Answer
    A. A recently widowed 76 year old woman recovering from a mild stroke
    Explanation
    The recently widowed 76 year old woman recovering from a mild stroke is at the greatest risk for experiencing inadequate nutrition. This is because she is likely going through a period of emotional distress and grief, which can lead to a loss of appetite and difficulty in maintaining a healthy diet. Additionally, recovering from a stroke may result in swallowing difficulties or limited mobility, making it challenging for her to prepare or consume nutritious meals.

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  • 28. 

    Which nutrient is the body's most preferred energy source?

    • Fat

    • Protein

    • Vitamin

    • Carbohydrate

    Correct Answer
    A. Carbohydrate
    Explanation
    Carbohydrate is the body's most preferred energy source because it is easily broken down into glucose, which is then used by cells for energy production. Carbohydrates provide a quick and efficient source of energy compared to fats and proteins. Additionally, carbohydrates are stored in the body as glycogen, which can be readily accessed when energy demands increase. Vitamins are essential for various bodily functions but do not serve as a primary energy source.

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  • 29. 

    A nurse hears a colleague tell a nursing student that she never touches a patient unless she is performing a procedure or doing an assessment.  The nurse tells the student that from a caring perspective:

    • She does not touch the patients either

    • Touch is a type of verbal communication

    • There is never a problem with using touch

    • Touch forms a connection between nurse and patient

    Correct Answer
    A. Touch forms a connection between nurse and patient
    Explanation
    Touch forms a connection between a nurse and a patient. Touch is a nonverbal form of communication that can convey empathy, comfort, and support. By physically touching a patient, a nurse can establish a sense of trust and build a therapeutic relationship. Touch can also provide reassurance and promote healing. It is an important aspect of patient-centered care and can enhance the overall well-being of the patient.

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  • 30. 

    To successfully assess if a patient is experiencing cognitive changes as a result of cancer treatment or complications of treatment, which of the following questions by a nurse is likely most relevant?

    • Tell me about when you first noticed symptoms from your chemotherapy

    • Tell me what you notice differently in your ability to get work done in your office.

    • Describe you medication therapy

    • How distressed are you feeling right now on a scale of 0 to 10?

    Correct Answer
    A. Tell me what you notice differently in your ability to get work done in your office.
    Explanation
    This question is likely most relevant because it specifically asks the patient about any changes they have noticed in their ability to perform tasks related to work. This can help the nurse assess if the patient is experiencing cognitive changes that may be impacting their daily functioning. The other options do not directly focus on cognitive changes or their impact on the patient's ability to perform tasks.

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  • 31. 

    An 18 month old child is noted by the parents to be "angry" about any change in routine.  This child's temperament is most likely to be described as:

    • Slow to warm up

    • Difficult

    • Hyperactive

    • Easy

    Correct Answer
    A. Difficult
    Explanation
    The child's temperament is most likely to be described as difficult because they exhibit anger and resistance towards any change in routine. This suggests that they have a low adaptability to new situations and may require more time and effort to adjust.

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  • 32. 

    9 year old Brian has a difficult time making friends at school and being chosen to play on the team.  He also has trouble completing his homework and, as a result, receives little positive feedback from his parents or teacher.  According to Erickson's theory, failure at this stage of development results in:

    • A sense of guilt

    • A poor sense of self

    • Feelings of inferiority

    • Mistrust

    Correct Answer
    A. Feelings of inferiority
    Explanation
    According to Erickson's theory of psychosocial development, failure at the stage of industry versus inferiority, which occurs during middle childhood (6-12 years old), can result in feelings of inferiority. This stage is characterized by the child's need to develop a sense of competence and mastery in their social and academic tasks. However, if the child consistently experiences difficulties in making friends, being chosen for teams, and completing homework, they may develop a negative self-perception and feel inferior to their peers. This can impact their self-esteem and overall sense of worth.

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  • 33. 

    When preparing a 4 year old child for a procedure, which method is developmentally most appropriate for the nurse to use?

    • Allowing the child to watch another child undergoing the same procedure

    • Showing the child pictures of what he or she will experience

    • Talking to the child in simple terms about what will happen

    • Preparing the child through play with a doll and toy medical equipment

    Correct Answer
    A. Preparing the child through play with a doll and toy medical equipment
    Explanation
    Preparing a child through play with a doll and toy medical equipment is developmentally most appropriate for a 4-year-old child. At this age, children learn best through play and hands-on experiences. By allowing the child to engage in pretend play with a doll and toy medical equipment, the nurse can help the child understand the procedure in a non-threatening and familiar way. This method allows the child to actively participate, explore, and gain a sense of control over the situation, which can help reduce anxiety and fear.

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  • 34. 

    In an interview with a pregnant patient, the nurse discussed the three risk factors that have been cited as having a possible effect on prenatal development.  They are:

    • Nutrition, stress, and mother's age

    • Prematurity, stress, and mother's age

    • Nutrition, mother's age, and fetal infections

    • Fetal infections, prematurity, and placenta previa

    Correct Answer
    A. Nutrition, stress, and mother's age
    Explanation
    The correct answer is nutrition, stress, and mother's age. These three factors have been cited as having a possible effect on prenatal development. Nutrition plays a crucial role in providing the necessary nutrients for the developing fetus. Stress during pregnancy can lead to various complications and affect the baby's development. The mother's age is also an important factor as both young and advanced maternal age can increase the risk of certain complications and developmental issues in the baby.

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  • 35. 

    The type of injury a child is most vulnerable to at a specific age is most closely related to which of the following?

    • Provision of adult supervision

    • Educational level of the parent

    • Physical health of the child

    • Developmental level of the child

    Correct Answer
    A. Developmental level of the child
    Explanation
    The developmental level of the child is the most closely related factor to the type of injury a child is most vulnerable to at a specific age. This is because as children grow and develop, their abilities, skills, and behaviors change. Their developmental level affects their motor skills, cognitive abilities, and understanding of potential dangers. For example, a toddler who is just learning to walk is more vulnerable to falls and bumps, while a school-aged child may be more at risk for sports-related injuries. Therefore, understanding the child's developmental level is crucial in identifying and preventing potential injuries.

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  • 36. 

    Sharing eating utensils with a person who has a contagious illness increases the risk of illness.  This type of health risk arises from:

    • Lifestyle

    • Community

    • Family history

    • Personal hygiene habits

    Correct Answer
    A. Personal hygiene habits
    Explanation
    Personal hygiene habits can greatly impact an individual's risk of contracting a contagious illness. Sharing eating utensils with someone who is contagious increases the likelihood of coming into contact with their bodily fluids, such as saliva, which may contain pathogens. By maintaining good personal hygiene habits, such as regularly washing hands, individuals can reduce the risk of spreading or contracting illnesses.

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  • 37. 

    Sexuality is maintained throughout our lives.  Which answer below best expplains sexuality in an older adult?

    • When the sexual partner passes away, the survivor no longer feels sexual

    • A decrease in an older adult's libido occurs

    • Any outward expression of sexuality suggests that the older adult is having a developmental problem

    • All older adults, whether healthy or frail, need to express sexual feelings

    Correct Answer
    A. All older adults, whether healthy or frail, need to express sexual feelings
  • 38. 

    The nurse sees the nursing assistant personnel (NAP) perform the following for a patient receiving continuous enteral feedings.  What intervention does the nurse need to address immediately with the NAP? The NAP:

    • Fastens the tube to the gown with tape.

    • Places the patient supine while giving a bath.

    • Performs oral care for the patient.

    • Elevates the head of the bed 45 degrees.

    Correct Answer
    A. Places the patient supine while giving a bath.
    Explanation
    Placing the patient supine while giving a bath is the intervention that the nurse needs to address immediately with the NAP. Enteral feedings should be administered with the patient in an upright or semi-upright position to prevent aspiration. Placing the patient supine increases the risk of aspiration and can be dangerous for a patient receiving continuous enteral feedings. The nurse should educate the NAP about the importance of maintaining an upright position during enteral feedings to ensure patient safety.

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  • 39. 

    Which task is appropriate for a RN to delegate to the nursing assistant?

    • Explaining to the patient the preoperative preparation before the surgery in the morning

    • Administering the ordered antibiotic to the patient before surgery.

    • Obtaining the patient's signature on the surgical informed consent

    • Assisting the patient to the bathroom before leaving for the operating room

    Correct Answer
    A. Assisting the patient to the bathroom before leaving for the operating room
    Explanation
    Assisting the patient to the bathroom before leaving for the operating room is an appropriate task for a nursing assistant to perform. This task does not require the specialized knowledge and skills of a registered nurse and can be safely delegated to a nursing assistant. The nursing assistant can provide support and assistance to the patient in a non-medical capacity, ensuring their comfort and safety before they are taken to the operating room.

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  • 40. 

    A patient is fearful of upcoming surgery and a possible cancer diagnosis.  He discusses his love for the bible with his nurse, who recommends a favorite bible verse.  Another nurse tells the patient's nurse that there is no place in nursing for spiritual caring.  The patient's nurse replies:

    • Spiritual care should be left to a professional

    • You are correct, religion is a personal decision

    • Nurses should not force their religious beliefs on patients

    • Spiritual, mind, and body connections can affect health

    Correct Answer
    A. Spiritual, mind, and body connections can affect health
    Explanation
    The patient's nurse replies that spiritual, mind, and body connections can affect health. This response acknowledges the importance of spirituality in healthcare and recognizes that it can have an impact on a patient's well-being. It suggests that addressing the patient's spiritual needs can contribute to their overall health and healing process.

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  • 41. 

    The essential components of survivorship are all of the following, except:

    • Surveillance for cancer spread

    • Care for the client by oncologists only

    • Intervention for consequences of cancer

    • Prevention and detection of new cancers and recurrent cancer

    Correct Answer
    A. Care for the client by oncologists only
    Explanation
    The correct answer is "Care for the client by oncologists only." Survivorship includes various components such as surveillance for cancer spread, intervention for consequences of cancer, and prevention and detection of new and recurrent cancers. However, it is not limited to care provided solely by oncologists. Survivorship care involves a multidisciplinary approach, including primary care physicians, nurses, social workers, and other healthcare professionals who work together to address the physical, emotional, and psychosocial needs of cancer survivors.

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  • 42. 

    In evaluating gross-motor development of a 5 month old infant, which of the following would the nurse expect the infant to do?

    • Roll from abdomen to back

    • Move from prone to sitting unassisted

    • Sit upright without support

    • Turn completely over

    Correct Answer
    A. Roll from abdomen to back
    Explanation
    At 5 months old, infants typically have developed enough strength and coordination to roll from their abdomen to their back. This milestone is an important indicator of gross-motor development as it demonstrates the ability to control their body and initiate movement. Rolling from abdomen to back requires the infant to engage their core muscles and coordinate the movement of their arms and legs. It is a significant achievement in their physical development and shows progress towards more complex movements such as crawling and sitting unassisted.

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  • 43. 

    Parents are concerned about their toddler's negativism and ask the nurse for guidance.  Which is the most appropriate recommendation?

    • Provide more attention

    • Reduce opportunities for a "no" answer

    • Be consistent with punishment

    • Provide opportunities for the toddler to make decisions.

    Correct Answer
    A. Reduce opportunities for a "no" answer
    Explanation
    The most appropriate recommendation for parents concerned about their toddler's negativism is to reduce opportunities for a "no" answer. This means avoiding situations where the toddler can constantly say "no" and instead creating an environment that encourages positive behavior. By minimizing the chances for the toddler to refuse or reject things, parents can help redirect their child's behavior towards more cooperative and positive actions. This approach can contribute to a more harmonious parent-child relationship and foster a sense of autonomy and independence in the toddler.

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  • 44. 

    A mother of a 2 year old expresses her concern that her son's appetite has diminished and that he seems to prefer milk to other solid foods.  Which response by the nurse reflects knowledge of principles of communication and nutrition?

    • Have you considered feeding him when he doesn't seem interested in feeding himself?

    • Oh, I wouldn't be too worried; children tend to eat when they're hungry. I just wouldn't give him dessert unless he eats his meal.

    • That is not uncommon in toddlers. You might consider increasing his milk to 2 quarts a day to be sure he gets enough nutrients

    • A toddlers rate of growth normally slows down. It's common to see a toddler's appetite diminish in response to decreased calorie needs.

    Correct Answer
    A. A toddlers rate of growth normally slows down. It's common to see a toddler's appetite diminish in response to decreased calorie needs.
  • 45. 

    A 50 year old woman has elevated cholesterol profile values that increase her cardiovascular risk factor.  One method to control this risk factor is to identify current diet trends and describe dietary changes to reduce the risk.  This nursing activity is a form of:

    • Referral

    • Counseling

    • Health education

    • Stress management techniques

    Correct Answer
    A. Health education
    Explanation
    Health education is a nursing activity that involves providing information and guidance to individuals about their health conditions and how to manage them. In this scenario, the nurse is identifying the current diet trends and describing dietary changes to the woman in order to reduce her cardiovascular risk factor. By educating the woman about the importance of making dietary changes to control her cholesterol levels, the nurse is helping her to understand the risks and empowering her to take control of her own health.

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  • 46. 

    At a well child exam, the mother comments that her toddler eats little at mealtime, will only sit briefly at the table, and wants snacks all the time.  Which of the following should the nurse recommend?

    • Provide nutritious snacks

    • Offer rewards for eating at mealtimes

    • Avoid snacks so she is hungry at mealtime

    • Explain to her firmly why eating at mealtime is important

    Correct Answer
    A. Provide nutritious snacks
    Explanation
    The nurse should recommend providing nutritious snacks to the toddler. This is because the toddler is eating little at mealtime and constantly wanting snacks. Providing nutritious snacks can help ensure that the toddler is getting the necessary nutrients even if they are not eating much during meals. It is important to prioritize the child's nutrition and offer healthy snack options rather than withholding snacks or using rewards to encourage eating at mealtimes.

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  • 47. 

    You are caring for an 80 year old man who recently lost his wife.  He shares with you that he has been drinking more than he ever did in the past and feels hopeless without his wife.  He reports that he rarely sees his children and feels isolated and alone.  This patient is at risk for:

    • Dementia

    • Liver failure

    • Dehydration

    • Suicide

    Correct Answer
    A. Suicide
    Explanation
    This patient is at risk for suicide. The loss of his wife, increased alcohol consumption, feelings of hopelessness, and social isolation are all risk factors for suicidal ideation and behavior. It is important to assess his mental health, provide emotional support, and connect him with appropriate resources to address his feelings of loneliness and despair.

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  • 48. 

    Which example demonstrates the nurse performing the skill of evaluation?

    • The nurse explains the side effects of the new blood pressure med ordered for the patient

    • The nurse asks the patient to rate pain on a scale of 0 to 10 before administering pain meds

    • After completing the teaching, the nurse observes the patient draw up and administer and insulin injection

    • The nurse changes the patient's leg ulcer dressing using aseptic technique

    Correct Answer
    A. After completing the teaching, the nurse observes the patient draw up and administer and insulin injection
    Explanation
    The example of the nurse observing the patient draw up and administer an insulin injection demonstrates the skill of evaluation because the nurse is assessing the patient's ability to correctly perform the task after teaching them. This allows the nurse to determine if the patient has understood and can independently carry out the skill, and if any additional teaching or support is needed.

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  • 49. 

    Which statement made by a patient of a 2 month old infant requires further education?

    • I'll continue to use formula for the baby until he is at least a year old

    • I'll make sure I purchase iron-fortified formula

    • I'll start feeding the baby cereal at 4 months

    • I'm going to alternate formula with whole milk starting next month

    Correct Answer
    A. I'm going to alternate formula with whole milk starting next month
    Explanation
    The correct answer is "I'm going to alternate formula with whole milk starting next month." This statement requires further education because it is not recommended to introduce whole milk to infants until they are at least one year old. Infants should continue to be fed formula or breast milk exclusively until they reach this age, as their digestive systems are not yet ready to process whole milk. Introducing whole milk too early can lead to digestive issues and nutrient deficiencies.

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Quiz Review Timeline (Updated): Mar 20, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 20, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 28, 2016
    Quiz Created by
    Lynette10018
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