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Cognitive Level: Applying Client Need: Psychosocial Integrity Client Need Sub: QSEN Competencies: I.B. 3. Provide patient-centered care with sensitivity and respect for the diversity of human experience AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Test Bank Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 01 Question 1 Type: SEQ The nurse is reviewing historic events in nursing for a presentation to be provided to new nursing students. […]

ter, and sister have always included caring, nurturing, comforting, and supporting. In addition, women generally occupied subservient and dependent roles. Christian values, self-denial, spiritual calling, and devotion to duty and work had a significant impact on nursing. Examples include the […]

Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 2. Describe the actions of clinical reasoning in the implementation of the nursing process. MNL Learning Outcome: 1.4.1. Analyze the role of assessment in the establishment of the nursing process. Page Number: 148 […]

practice. Decisions about client care and distribution of limited resources force nurses to think and act in areas where there are neither clear answers nor standard procedures and where conflicting forces turn could assist nurses to deal with these situations. […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 10 Question 1 Type: MCSA The nurse is providing care to a group of clients. For which situation would the nurse’s use of critical thinking be a priority? 1. Administering IV push […]

identify client strengths as well as health problems that can be pre- vented or resolved by collaborative and independent nursing inter- ventions, and to develop a list of nursing and collaborative problems. • Have the students identify elements of the […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 11 Question 1 Type: MCSA The student is learning the steps of the nursing process. What is the first thing that the student should realize about the purpose of this process? 1. […]

Rationale 4: Medication may affect the client’s ability to think clearly, so getting as much information as quickly as possible is important. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Basic Care and Comfort QSEN Competencies: […]

however, the presence of risk factors indicates that a problem is like- ly to develop unless the nurse intervenes. There are no current signs or symptoms at present. • Have the students identify the types of nursing diagnoses established for […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 12 Question 1 Type: MCSA After an assessment, the nurse reviews the list of client problems. For which problems should the nurse create nursing diagnoses? 1. The ones that the nurse is […]

The nurse has completed the initial assessment of a client and has analyzed and clustered the data. What should the nurse complete next in the diagnostic process? 1. Formulate a diagnosis. 2. Verify the data. 3. Research collaborative and nursing-related […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 13 Question 1 Type: MCSA A client is admitted to a comprehensive rehabilitation center for continuing care following a motor vehicle crash. The admitting nurse will develop the initial plan of care, […]

Correct Answer: 3 Rationale 1: Prevention interventions prescribe the care needed to avoid complications or reduce risk factors. Turning and repositioning would help prevent any further skin breakdown. Rationale 2: Prevention interventions prescribe the care needed to avoid complications or […]

admission assessment. This type of planning results in the initial comprehensive plan of care. S UGGESTIONS FOR C LINICAL A CTIVITIES Individualization of the initial plan occurs as new information is obtained and the client’s response to care is evaluated. […]

making, critical thinking, and creativity. stressing the importance of cognition when performing nursing skills. Ask students to fectiveness of a nursing action often depends largely on the nurse’s ability to communicate with others. Nurses use therapeutic commu- nication to understand […]

A client with terminal cancer has this nursing diagnosis: Pain related to neuromuscular involvement of disease process. The goal statement is as follows: Client will be free of pain within 48 hours. As an intervention, the nurse will administer narcotic […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 14 Question 1 Type: MCSA The home health nurse uses creativity and critical thinking to devise a way for a client to receive intravenous medication while sitting outside on the porch. Which […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 15 Question 1 Type: MCSA A client who is being transferred to a rehabilitation center asks the nurse if he can take his chart with him, as it’s his record. How should […]

© 2016, Pearson Education Inc. 71 • Never leave the computer terminal unattended after logging on. • Do not leave client information displayed on the monitor where others may see it. • Shred all unneeded computer-generated worksheets. • Know the […]

Rationale 1: Standardized care plans were developed to save documentation time. These plans may be based on an institution’s standards of practice, thereby helping to provide a high quality of nursing care. Standardized care plans are usually individualized to address […]

ferent from every other human being. Nurses need to focus on both a total care context and an individualized care context. In the total care context, nurses consider all the principles and areas that apply when taking care of any […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 16 Question 1 Type: MCSA The nurse is providing care within the total care context. What should the nurse consider when using this care approach? 1. The individualism of the client 2. […]

AACN Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral and follow-up throughout the lifespan NLN Competencies: Context and Environment; Practice; apply health promotion/disease prevention strategies; apply health policy […]

The World Health Organization (WHO) defines health as “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” This definition reflects concern for the total individual and places health in the context […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 17 Question 1 Type: MCSA A client is attending classes on building positive relationships with significant others as well as learning skills to be open-minded and respectful to those whose opinions are […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 18 Question 1 Type: MCMA A community health nurse is learning about the REACH initiative and has decided to implement community education on this approach. What topics should the nurse include in […]

tus, educational attainment, religious affiliation, and so on. Diversi- ty, therefore, occurs not only between cultural groups but also within a cultural group. primarily biological or genetic in reference. Race and ethnicity may be thought of in terms of social […]

During the admission interview, the culturally diverse client averts her eyes and refrains from answering questions for long periods of time. The culturally sensitive nurse should take which action? 1. Come back at a different time, when the client is […]

more than physical bodies with fixable and replaceable parts. Combined mental, emotional, spiritual, relationship, and environ- mental components, referred to as holism, are considered to play crucial and equal roles in an individual’s state of health. Interven- tions are individualized […]

Kozier & Erb’s Fundamentals of Nursing, 9/E Chapter 19 Question 1 Type: MCSA A nurse is helping a hospice client who has had difficulty with making end-of-life decisions. The nurse has encouraged the client to focus on her self-worth, her […]

Page Number: 301 Question 16 Type: MCSA A client reports feelings of spiritual anguish and depression as a result of experiencing numerous somatic complaints that make the client feel like “everything is out of order.” Which nursing diagnosis should the […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 02 Question 1 Type: SEQ The nurse is reviewing the history of research in nursing care for a school project. In which chronological order should the nurse place the events that occurred […]

erences and values. Each nurse must determine how the evidence fits with the clinical condition of the client, available resources, insti- tutional policies, and the client’s wishes. © 2016, Pearson Education Inc. 8 ing. research they might want to conduct […]

3. Chance occurrences 4. Generalized Correct Answer: 1 Rationale 1: If findings in a research study are statistically significant—which means they did not occur by chance—the probability value is less than .05, the acceptable level of significance. Rationale 2: Values […]

2. Intuitive-projective 3. Universalizing 4. Individuating-reflexive Correct Answer: 4 Rationale 1: Mythical-lyrical describes the person between ages 7 and 12, in a private world of fantasy and wonder. Rationale 2: The intuitive-projective stage, ages 4 to 6 years, is a […]

quantitatively. Indicators of growth include height, weight, and bone size, for example. Patterns of physiological growth are similar for all people. However, growth rates vary during different stages of growth and development. Growth is most rapid during prenatal, neonatal, infancy, […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 20 Question 1 Type: MCSA The nurse is plotting the height and weight of children during a school assessment clinic. Which aspect of the children’s health is the nurse assessing? 1. Development […]

© 2016, Pearson Education Inc. 110 circumference equals chest circumference; after 1 year, chest cir- cumference is larger than head circumference. The anterior fonta- nel closes between 9 and 18 months and the posterior fontanel closes between 2 and 3 […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 21 Question 1 Type: MCSA A client comes to the women’s clinic, stating she has had a positive home pregnancy test. The client states that her last menstrual cycle was 2 months […]

During an auditory screening of third graders, the school nurse identifies a hearing deficit for one of the students. When the parents ask the nurse about the findings, how should the nurse respond? 1. “Hearing acuity is not fully developed […]

long work hours were common. They may now be less impressed with corporate values, be more skeptical, and resist authority, but they enjoy challenges and opportunities to creatively problem solve. letic endeavors reach their peak, and all other body systems […]

4. Assisting the group members to look at their life accomplishments Correct Answer: 1 Rationale 1: Erikson viewed the developmental choice of the middle-aged adult as generativity versus stagnation. Generativity is defined as concern for establishing and guiding the next […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 22 Question 1 Type: MCSA The nurse is providing pre-employment physicals to a group of adults, aged 30 to 40. In which generation should the nurse categorize these adults? 1. Baby Boomers […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 23 Question 1 Type: MCSA A nurse is working with a group of clients in a community center, all over the age of 85. How should the nurse classify this group of […]

levels for older adults are gradually increasing, with an increased percentage of those over age 65 who have completed high school. Usually older adults have lower incomes, and individuals over 85 years have the lowest median income. Living arrangements are […]

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health […]

intergenerational family, the cohabiting family, the gay and lesbian family, and single adults living alone. The traditional family is viewed as an autonomous unit in which both parents reside in the home with their children. The mother often assumes the […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Test Bank Copyright 2016 by Pearson Education, Inc. Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 24 Question 1 Type: MCSA A client is asked during an admission interview to describe her family. […]

Rationale 1: Empirical knowledge is systematically organized into laws and theories for the purpose of describing, explaining, and predicting phenomena. Rationale 2: Personal knowledge promotes wholeness and integrity in the personal encounter. Rationale 3: Aesthetic knowledge is the art of […]

According to Mayeroff (1990), the caring process has benefits for the one giving care. By caring and being cared for, each individ- ual finds a place in the world. Major ingredients of caring provide further description of this process: knowing […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 25 Question 1 Type: MCSA The student nurse is following a preceptor on the assigned clinical shift. Which behavior of the nurse should the student interpret as caring? 1. Making sure that […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 26 Question 1 Type: MCSA A nurse explains to a client that he will need to have a bowel prep before going to his esophagogastroscopy. On what should the nurse focus to […]

cation is a two–way process involving the sending and the receiving of a message. Because the intent of communication is to elicit a re- sponse, the process is ongoing; the receiver of the message then be- comes the sender of […]

3. Structuring and formulating the contract 4. Planning before the interview 5. Understanding thoughts and feelings Correct Answer: 1, 2, 3 Rationale 1: The introductory phase, also referred to as the orientation phase or prehelping phase, sets the tone for […]

© 2016, Pearson Education Inc. 153 State nurse practice acts include client teaching as a function of nursing, making this a legal and professional responsibility. The Joint Commission on Accreditation of Healthcare Organization (JCAHO) expanded its standards of client education […]

Correct Answer: 3 Rationale 1: Noise or interruptions can interfere with concentration, whereas a comfortable environment can promote learning. The hospital lobby does not provide privacy and can be noisy. There also would be little time to reinforce any teaching […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 27 Question 1 Type: MCSA The nurse has completed client teaching regarding medication administration. Which client statement best illustrates compliance? 1. “I’m glad to know about my medications. It makes taking them […]

Correct Answer: 4 Rationale 1: A mentor acts in a more nurturing role, perhaps for a longer period of time, and provides support, guidance, assistance, advice, and inspiration to a younger nurse. Rationale 2: A manager is a different type […]

© 2016, Pearson Education Inc. 161 leadership styles: charismatic, transactional, transformational, and shared. An autocratic leader makes decisions for the group, believes individuals are externally motivated and are incapable of independ- ent decision making, determines policies, and gives orders and […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 28 Question 1 Type: MCMA According to the National Council of State Boards of Nursing (NCSBN), which “rights” of delegation should the nurse follow? Standard Text: Select all that apply. 1. Supervision […]

might not be observed. Assessing vital signs should not be an auto- matic or routine procedure; this should be a thoughtful, scientific as- sessment. body temperature, and blood pressures on these students and compare to baseline values. pressure and is […]

Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Reduction of Risk Potential QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 29 Question 1 Type: MCSA An older client has an oral temperature reading of 97.2 degrees F. The nurse realizes that this client’s low temperature could be due to which observation? 1. […]

concepts. The term conceptual framework is often used interchangea- bly with the terms conceptual model and grand theories. One exam- ple is Freud’s structure of the mind (id, ego, and superego). standing and assumptions about reality and the world. A […]

Rationale 4: The goal of Roy’s model is to enhance life processes through adaptation in four adaptive modes. The interdependence mode involves one’s relations with significant others and support systems that provide help, affection, and attention. Involving a spouse with […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 03 Question 1 Type: MCSA Nursing students have been assigned to develop their own theory of nursing. What should they include in their theory, often referred to as the metaparadigm for nursing? […]

deliberate, purposeful, and systematic. The nurse inspects with the naked eye and with lighted instruments. Inspection is frequently used to assess moisture, color, and texture of body surfaces, as well as shape, position, size, color, and symmetry of the body. […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 30 Question 1 Type: MCSA The nurse is preparing to perform a health assessment of the abdomen. In which order should the nurse perform the assessment? 1. Auscultate, percuss, palpate, inspect 2. […]

The nurse is preparing to complete a physical examination on a client. What should the nurse realize as being the purpose for this examination? Standard Text: Select all that apply. 1. Obtain baseline data. 2. Obtain data to help determine […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 31 Question 1 Type: MCSA The nurse is setting up a sterile field. Which action by the nurse best exhibits surgical asepsis? 1. Disinfecting an item before adding it to a sterile […]

heat in the infected area, and loss of function of the body part affected, depending on the site and extent of involvement. In addi- tion, open wounds may exude drainage of various colors. S UGGESTIONS FOR C LINICAL A CTIVITIES […]

Client Need: Safe and Effective Care Environment Client Need Sub: Safety and Infection Control QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing […]

emotional state, ability to communicate, safety awareness, and envi- ronmental factors. Through knowledge and accurate assessment of the environ- ment, individuals learn to protect themselves from many injuries. Only through knowledge and experience do children learn what is potentially harmful. […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 32 Question 1 Type: MCSA The nurse is planning care for an older client. Which safety hazard should the nurse take into consideration when planning this care? 1. Burns 2. Drowning 3. […]

Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 6. Plan strategies to maintain safety in the health care setting, home, and community, including prevention strategies across the life span for thermal injury, fires, falls, seizures, poisoning, suffocation or choking, excessive noise, […]

Rationale 3: Early morning care is provided to clients as they awaken in the morning and consists of aiding to void, washing the face and hands, and providing oral care. Rationale 4: Morning care is usually after breakfast and includes […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 33 Question 1 Type: MCSA The nurse is preparing to provide morning care to a client. What should the nurse explain to the client as the reason for a daily bath? 1. […]

Many North Americans bathe or shower once or twice a day, where- as people from other cultures bathe only once per week. Some cul- tures consider privacy essential, and others practice communal bathing. Body odor is offensive in some cultures […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 34 Question 1 Type: MCSA The nurse is assisting a client with a diagnostic test. Which role should the nurse expect to perform in the intratest phase? 1. Assess the data. 2. […]

as knowledge about the test ordered. In addition, the nurse needs to know what equipment and supplies are needed (see Client Teaching: Preparing for Diagnostic Testing). S UGGESTIONS FOR C LINICAL A CTIVITIES • Have the students review the agency’s […]

4. Wear goggles. Correct Answer: 4 Rationale 1: Earplugs are offered to reduce the noise. Rationale 2: One does have to lie still, but the damage could still occur to the eyes if they are not covered. Rationale 3: Covering […]

drug also has the connotation of an illegally obtained substance such as heroin. A prescription is the written directions for the preparation and administration of a drug. The generic name of a drug is given before a drug becomes officially […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 35 Question 1 Type: MCSA The nurse is preparing to administer a medication that the agency designates as “high alert.” What action should the nurse take? 1. Ask another registered nurse to […]

Correct Answer: 2 Rationale 1: The old method of floating the canister in water is not accurate, as there may be propellant left in the canister after the medication is all dispensed. Rationale 2: The best way to track the […]

Rationale 4: In the metric system, 15 ml is equal to 1 tablespoon in the household measurement system. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Pharmacological and Parenteral Therapies QSEN Competencies: I.A. 1. Integrate understanding […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 36 Question 1 Type: MCSA The continuous quality improvement team is monitoring the nursing care of clean-contaminated wounds. Which operative wound would be excluded from this study? 1. Gastric resection 2. Uncomplicated […]

Upon assessing a pressure ulcer, the nurse notes the presence of red, yellow, and black tissue. Using the RYB color code, which wound care should the nurse plan? 1. Red 2. Yellow 3. Black 4. A combination of all three […]

© 2016, Pearson Education Inc. 261 (1992a) recommends that the tool include data collection in the areas of immobility, incontinence, nutrition, and level of consciousness. The Braden Scale for Predicting Pressure Sore Risk (Figure 36–2) consists of six subscales: sensory […]

Rationale 3: Aspirating stomach contents and checking the acidity using a pH test strip is the most reliable test to confirm tube placement. Rationale 4: Connecting the tube to suction should not be done until tube placement has been confirmed. […]

© 2016, Pearson Education Inc. 270 biopsy). A palliative procedure relieves or reduces pain or symptoms of a disease; it does not cure (for example, resection of nerve roots). An ablative procedure removes a diseased body part (for example, removal […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 37 Question 1 Type: MCSA The nurse is caring for a client who is having surgery and is currently being transported to the operating room suite. The nurse should document that the […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 38 Question 1 Type: MCSA During review of admission data, the nurse learns that the new client has impairment of kinesthetic sensation. Which nursing intervention should be planned for this client? 1. […]

© 2016, Pearson Education Inc. 283 Perception of sensation is crucial to the intellectual, social, and physical development of infants and children. Adults have many learned responses to sensory cues. The sudden loss or impairment of any sense has a […]

The family of a client in the hospital is concerned about the constant noise in the care area. Which health care professionals have the greatest control over the level of sensory input in the hospital? 1. Physicians 2. Administrators 3. […]

physical, mental, or sensory abilities; inability to achieve goals; relationship concerns; sexuality concerns; and unrealistic ideal self. S UGGESTIONS FOR C LINICAL A CTIVITIES • Have the students provide examples of identity, body image, self-esteem, and role 3. Body image […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 39 Question 1 Type: MCSA Which statement, made by the client, would indicate a “me-centered” self-concept? 1. “I couldn’t stand to disappoint my parents.” 2. “My sister is so much smarter than […]

Client Need Sub: QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, […]

Public law refers to the body of law that deals with relationships between individuals and the government and government agencies. Criminal laws, which deal with actions against the safety and wel- fare of the public, are an important segment of […]

A nurse is caring for a client in the emergency department (ED) who was brought in by her adult child for vague, flu-like symptoms. While helping the client to change into a gown, the nurse notices numerous bruises on the […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 04 Question 1 Type: MCSA A client was given the wrong dose of medication and died. The case is being tried in court and similar cases are used by the court in […]

Explores own and classmates’ body parts; learns correct names for body parts; learns to control feelings and behaviors; focuses love on parent of the opposite sex. awareness of self; increased modesty; desire for privacy; continues self-stimulating behavior; learns the roles […]

Cognitive Level: Analyzing Client Need: Health Promotion and Maintenance Client Need Sub: QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 40 Question 1 Type: MCSA A client speaks about an adult son who is a practicing homosexual and expresses concern by stating: “I am so worried about him and I know he […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 41 Question 1 Type: MCSA As a part of care planning, the nurse considers the client’s spiritual needs. What is the rationale for this concern? 1. Nurses are the only health professionals […]

related concerns, and situational concerns. office to discuss the role of this office in assisting clients and their families to deal with © 2016 by Pearson Education Inc. 297 Describe the interconnection of spirituality and religion concepts as they relate […]

Cognitive Level: Applying Client Need: Psychosocial Integrity Client Need Sub: QSEN Competencies: I.B. 3. Provide patient-centered care with sensitivity and respect for the diversity of human experience AACN Essentials Competencies: IX. 18. Develop an awareness of patients as well as […]

1. The parents may have been abusing this child. 2. The child is probably developmentally delayed secondary to multiple hospitalizations. 3. The child is reacting as a normal 2-year-old. 4. The child could be suffering from a clinical depression. Correct […]

developed and described by Selye (1976) as the nonspecific response of the body to any kind of demand made upon it. © 2016 by Pearson Education Inc. 302 psychological reactions that may increase the individual’s vulnera- bility to illness. In […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 42 Question 1 Type: MCSA The nurse elects to use a scale of stressful life events to assess the level of a newly admitted client’s stress. How should the nurse explain the […]

identification in bereavement; and reorganization and restitution— and maintained that there is no single correct way, nor a correct timetable, by which a person progresses through the grief process. © 2016 by Pearson Education Inc. 307 child, or the loss […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 43 Question 1 Type: MCSA During a home visit, an older male client tells the nurse that his wife died 3 years ago. What did the nurse observe as an indication that […]

2. Call the presence of the ring to the attention of the funeral director. 3. Tape the ring to the client’s finger. 4. Document fully whatever action is taken. Correct Answer: 4 Rationale 1: The ring should not be removed. […]

Rationale 1: Flatness is the normal percussion sound over the liver. Rationale 2: The nurse should palpate for bladder fullness that could cause this discomfort. Rationale 3: The nurse should not medicate the client until assessment is complete. Rationale 4: […]

whether the client is standing, sitting, or lying down. A person main- tains balance as long as the line of gravity (an imaginary vertical line drawn through the body’s center of gravity) passes through the cen- ter of gravity (the […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 44 Question 1 Type: MCMA The nurse is assisting in logrolling a client recovering from spinal surgery. Why should the nurse place a pillow between the client’s legs when turning? Standard Text: […]

The pineal gland begins to actively secrete the hormone melatonin and the person feels less alert. During sleep, the growth hormone is secreted and cortisol is inhibited. to be in circadian synchronization—the individual is awake when the body temperature is […]

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions Nursing/Integrated […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 45 Question 1 Type: MCSA The mother of a newborn tells the nurse, “I am concerned about my baby. When she first goes to sleep, her eyes dart around under her eyelids, […]

example, pain from a cut or broken bone) if the cause of the pain is eliminated, or it may be persistent if it is not possible to eliminate the cause of the pain (for example, pain from loss of the […]

Kozier & Erb’s Fundamentals of Nursing, 9/E Chapter 46 Question 1 Type: MCSA The nurse is caring for an 8-month-old infant. What is the best tool the nurse should use for evaluating pain in this infant? 1. FLACC scale 2. […]

MNL Learning Outcome: 4.11.1. Explain the pain experience and the pain response. Page Number: 1094 Question 24 Type: MCMA An older client who refuses medication for pain is irritable and unable to sleep. What should the nurse explain to the […]

Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Pharmacological and Parenteral Therapies QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, […]

Carbohydrates are sugars (simple carbohydrates), starches, and fiber (complex carbohydrates). Sugars may be monosaccharides (one molecule) or disaccharides (double molecules). Glucose is the most common monosaccharide. Most sugars are produced naturally by plants, especially fruits, sugar cane, and sugar beets. […]

Type: MCSA What nursing diagnosis is the most important for the nurse to include in the care plan of a client who has just been started on total parenteral nutrition (TPN) therapy? 1. Risk for Infection 2. Imbalanced Nutrition: Less […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 47 Question 1 Type: MCSA The parent of a newborn infant reports that the baby wakes up every 2 hours and only takes about 2 ounces of formula before going back to […]

1. Incontinent urinary diversion 2. The kock pouch. 3. Neobladder 4. Nephrostomy Correct Answer: 1 Rationale 1: This is an incontinent urinary diversion (ileal conduit). Rationale 2: This is not a continent urinary diversion. Rationale 3: This is not a […]

thelium of the capillaries into the capsule. From Bowman’s capsule, the filtrate moves into the tubule of the nephron. In the proximal convoluted tubule, most of the water and electrolytes are reabsorbed. Solutes such as glucose are reabsorbed in the […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 48 Question 1 Type: MCSA The nurse is assessing a client’s urinary elimination. Which factor should the nurse keep in mind as influencing this elimination? 1. Age 2. Body image 3. Knowledge […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 49 Question 1 Type: MCSA A client asks the RN why it is more difficult to use a bedpan for defecating than sitting on the toilet. Which would be the nurse’s best […]

© 2016 by Pearson Education Inc. 367 tions, diagnostic procedures, anesthesia, surgery, pathologic condi- tions, and pain. the fecal elimination patterns of assigned clients. anal canal. If appropriate, the external anal sphincter is relaxed voluntarily. Expulsion of the feces is […]

MNL Learning Outcome: 4.9.2. Recognize factors that affect bowel elimination. Page Number: 1211 Question 20 Type: MCSA The nurse determines that a client’s fecal elimination is pale in color. This finding supports which client behavior obtained during the health history? […]

object, idea, or action that may be unspoken or even unconscious. Values underlie all moral dilemmas and influence decisions and ac- tions, including nurses’ ethical decision making. ical model, and the third using the caring model. Report results to the […]

as a standard for their professional actions. Codes of ethics usually have higher requirements than legal standards, and they are never lower than the legal standards of the profession. Rationale 3: A code of ethics is a formal statement of […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 05 Question 1 Type: MCSA A student is attending a school with a high first-time pass rate on the NCLEX®. Which student statement articulates a belief that the nursing student has about […]

Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Reduction of Risk Potential QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing […]

membranes. Inspired air is warmed, humidified, and filtered by the nose. Inspired air passes from the nose to the pharynx (composed of the nasopharynx and oropharynx), which is supplied with lymphoid tissue that traps and destroys pathogens entering with the […]

Page Number: 1245 Question 36 Type: MCMA The nurse is conducting a health history for a client with a respiratory disorder. What should the nurse include in this assessment? Standard Text: Select all that apply. 1. Lifestyle 2. Presence of […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 50 Question 1 Type: MCSA The nurse is caring for a client with a tracheostomy. For what protective mechanism will the nurse monitor in the client? 1. The ability to cough 2. […]

chambers—right and left atria and right and left ventricles— separated by the interventricular septum. The atria and ventricles are separated by the atrioventricular (AV) valves, the tricuspid on the right and bicuspid (mitral) on the left. The ventricles are separated […]

2. Decreased creatine kinase 3. Increased troponin 4. High normal potassium Correct Answer: 3 Rationale 1: An increased hemoglobin level is significant; however, it is not the most important result for the nurse to discuss with the physician. Rationale 2: […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 51 Question 1 Type: MCSA After a cardiac catheterization, an infant is diagnosed with a malformation of the mitral valve. The nurse will monitor the client for the development of a problem […]

Rationale 2: Stroking the vein helps to dilate the vein. Rationale 3: Having the client clench and unclench the fist is a strategy used to help dilate a vein. Rationale 4: Slapping the vein is contraindicated and may actually reduce […]

lator; a shock absorber; and one means of regulating and maintaining body temperature. The body’s fluid is divided into two major compartments: intra- cellular and extracellular. Intracellular fluid (ICF) is found within the cells, and extracellular fluid (ECF) is found […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 52 Question 1 Type: MCSA The 154-pound adult client has had vomiting and diarrhea for 4 days secondary to a viral infection. What hourly urine measurement would indicate that efforts to rehydrate […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 06 Question 1 Type: MCSA The nurse is reviewing the Healthy People 2020 primary goals. Which plan should the nurse realize is in alignment with one of the goals? 1. Providing free […]

ment facilities, and outpatient surgical units (surgi–centers). Second- ary prevention includes early detection of disease through routine screening of the population and focused screening of those at in- creased risk. Community–based agencies often provide screening services. © 2016, Pearson Education […]

Page Number: 99 Question 15 Type: MCSA The nurse is considering leaving a position in an organization that utilized differentiated practice. Which type of delivery system should the nurse consider as being the most similar to differentiated practice? 1. Case […]

terns of demographics, shorter hospital stays, increasing client acui- ty, and limited access to health care are some of the factors motivating change in health care. In addition, the location of client care is expanding out of traditional settings into […]

Rationale 3: A referral source is a liaison to other congregations and community resources. Rationale 4: A facilitator recruits and coordinates volunteers within the congregation and develops support groups. Global Rationale: Cognitive Level: Applying Client Need: Safe and Effective Care […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 07 Question 1 Type: MCSA A nurse educator is explaining primary health care (PHC) and the extension of its boundaries beyond traditional health care services to a group of community members. What […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 08 Question 1 Type: MCMA The nurse learns that two new home care agencies are opening in a community. What should the nurse consider as reasons why home care agencies are increasing […]

sionals providing services in the home setting to individuals recover- ing from an acute illness, those who are disabled, or those with a chronic condition. In the not–too–distant past, home health care occurred at the end of the client care […]

1. Suggest that the client move to a nursing home or assisted living dwelling. 2. Recommend that the client be enrolled in an emergency response system. 3. Enroll the client in a program that places all of the client’s vital […]

Kozier & Erb’s Fundamentals of Nursing, 10/E Chapter 09 Question 1 Type: MCSA The nurse needs to complete mandatory continuing education on client safety as part of a regulatory requirement for the hospital. Which computerized approach should the nurse consider […]

of ways: literature access and retrieval, computer–assisted instruction (CAI), classroom technologies, distance learning, testing, and student and course management. Computers have improved literature access and retrieval by presenting catalogs and the text of materials in a way that can be […]