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Practice Test Medical-Surgical Nursing 500 Items JUST DOWNLOAD it ^^

Practice Test Medical-Surgical Nursing 500 Items JUST DOWNLOAD it ^^



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Contains 500 board type questions for NCLEX/NLE
Answer Key: 1-500 A

Please if you already have this copy, don't repost my work to your account. Thank you.
Contains 500 board type questions for NCLEX/NLE
Answer Key: 1-500 A

Please if you already have this copy, don't repost my work to your account. Thank you.

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Published by: Paul Christian P. Santos, RN on Apr 26, 2009
Copyright:Attribution Non-commercial


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 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1. According to Maslow, which of the followingcategories of needs represents the most basic?
a) Physiologic needsPhysiologic needs must be met before an individualis able to move toward psychological health andwell-being.b) Self-actualizationSelf-actualization is the highest level of needc) Safety and security needsSafety and security needs, while lower level, are notessential to physiologic survival.d) BelongingnessBelongingness and affection needs are not essentialto physiologic survival.
2. Which of the following statements reflects theWorld Health Organization’s definition of health?
a) A state of complete physical, mental, and socialwell-being and not merely the absence of diseaseand infirmity.Such a definition, however, does not allow for anyvariations in the degrees of wellness or illness.b) A condition of homeostatis and adaptation.The WHO definition addresses physical, mental, andsocial dimensions of being.c) An individual’s location along a wellness–illnesscontinuum.The concept of a health–illness continuum allows for a greater range in describing a person’s health thanthe definition provided by the WHO.d) A fluid, ever-changing balance reflected throughphysical, mental, and social behavior.The WHO definition does not allow for any variationsin the degrees of wellness and illness.
3. Which of the following statements definesculture?
a) The learned patterns of behavior, beliefs, andvalues that can be attributed to a particular group of people.Included among characteristics that distinguishcultural groups are manner of dress, values,artifacts, and health beliefs and practices.b) A group of people distinguished by geneticallytransmitted material.A group of people distinguished by geneticallytransmitted material describes the term race.c) The status of belonging to a particular region byorigin, birth, or naturalization.The status of belonging to a particular region byorigin, birth, or naturalization describes the termnationality.d) The classification of a group based upon certaindistinctive characteristics.The classification of a group based upon certaindistinctive characteristics describes the termethnicity.
4. The reason that case management has gainedsuch prominence in health care can be traced to
a) decreased cost of care associated with inpatientstay.The reasons case management has gained suchprominence can be traced to the decreased cost of care associated with decreased length of hospitalstay, coupled with rapid and frequent inter-unittransfers from specialty to standard care units.b) increased length of hospital stay.In general, length of hospital stay has decreasedover the past 5 years.c) discharge from specialty care units to home.In general, patients are transferred from specialtycare units to standard care units at least 24 hoursprior to discharge.d) limited availability for inter-unit hospital transfers.In general, patients in acute care hospitals undergofrequent inter-unit transfers from specialty tostandard care units.
5. A preferred provider organization is describedas a
a) business arrangement between hospitals andphysicians.PPO’s usually contract to provide health care tosubscribers, usually businesses, for a negotiated feethat often is discounted.b) prepaid group health practice system.A prepaid group health practice system is termeda health maintenance organization.c) limited insurance program.Insurance is a cost payment system of shared risk,not a health care delivery system.d) health care savings account program.A health care savings account program is anincentive program to consumers, not a health caredelivery system.
6. Which of the following categories identifiesthe focus of community/public health nursingpractice?
a) Promoting and maintaining the health of populations and preventing and minimizing theprogress of diseaseAlthough nursing interventions used by public healthnurses might involve individuals, families, or smallgroups, the central focus remains promoting healthand preventing disease in the entire community.b) Rehabilitation and restorative servicesRehabilitation and restorative services are the focusof extended care facilities and home care nursing.c) Adaptation of hospital care to the homeenvironmentAdaptation of hospital care to the home environmentis the focus of home nursing.d) Hospice care deliveryHospice care delivery refers to the delivery of services to the terminally ill.
7. A major goal for home care nurses is
a) restoring maximum health function.Tertiary preventive nursing care, focusing onrehabilitation and restoring maximum healthfunction, is a goal for home care nurses.b) promoting the health of populations.Promoting the health of populations is a focus of community/public health nursing.c) minimizing the progress of disease.Minimizing the progress of disease is a focus of community/public health nursing.
d) maintaining the health of populations.Maintaining the health of populations is a focus of community/public health nursing.
8. In the United States, nurses performinginvasive procedures need to be up-to-date withtheir immunizations, particularly
a) hepatitis B.Hepatitis B is transmitted through contact withinfected blood or plasma.b) hepatitis E.Hepatitis E is found mainly in underdevelopedcountries with substandard sanitation and water quality.c) hepatitis A.hepatitis A is transmitted through the oral route fromthe feces and saliva of an infected person.d) hepatitis C.At present, immunization against hepatitis C is notavailable.
9. At what time during a patient’s hospital staydoes discharge planning begin?
a) AdmissionTo prepare for early discharge and the possible needfor follow-up in the home, discharge planning beginswith the patient’s admission.b) Twenty-four hours prior to dischargeDischarge planning requires identification of patientneeds and anticipatory guidance and is notrelegated to a specific time for beginning.c) The shift prior to dischargeDischarge planning requires communication withand cooperation of the patient, family, and healthcare team and is not relegated to a specific time for beginning.d) By the third hospital dayDischarge planning may require involvement of personnel and agencies in the planning process andis not relegated to a specific day of hospital stay.
10. The leading health problems of elementaryschool children include
a) cancer.The leading health problems of elementary schoolchildren are injuries, infections, malnutrition, dentaldisease, and cancer.b) alcohol and drug abuse.Alcohol and drug abuse are leading health problemsfor high school students.c) mental and emotional problems.Mental and emotional problems are leading healthproblems for high school students.d) homicide.Homicide is a leading health problem for high schoolchildren.
11. Which skill needed by the nurse to thinkcritically involves identification of patient problemsindicated by data?
a) AnalysisAnalysis is used to identifypatient problems indicated by data.b) InterpretationInterpretation is used to determine the significanceof data that is gathered.c) InferencingInferences are used by the nurse to drawconclusions.d) ExplanationExplanation is the justification of actionsor interventions used to addresspatient problemsand to help a patient move towarddesired outcomes.
12. The ethics theory that focuses on ends or consequences of actions is the
a) utilitarian theory.Utilitarian theory is based on the concept of thegreatest good for the greatest number.b) formalist theory.Formalist theory argues that moral standards existindependently of the ends or consequences.c) deontological theory.Deontological theory argues that moral standardsexist independently of the ends or consequences.d) adaptation theory.Adaptation theory is not an ethics theory.
13. Which of the following ethicalprinciples refers to the duty to do good?
a) BeneficenceBeneficence is the duty to do good and the activepromotion of benevolent acts.b) FidelityFidelity refers to the duty to be faithful to one’scommitments.c) VeracityVeracity is the obligation to tell the truth.d) NonmaleficenceNonmaleficence is the duty not to inflict, as well as toprevent and remove, harm; it is more binding thanbeneficence.
14. During which step of the nursing processdoes the nurse analyze data related to thepatient’s health status?
a) AssessmentAnalysis of data is included as part of theassessment.b) ImplementationImplementation is the actualization of the plan of care through nursing interventions.c) DiagnosisDiagnosis is the identification of patient problems.d) EvaluationEvaluation is the determination of the patient’sresponses to the nursing interventions and theextent to which the outcomes have been achieved.
15. The basic difference between nursingdiagnoses and collaborative problems is that
a) nurses manage collaborative problems usingphysician-prescribed interventions.Collaborative problems are physiologiccomplications that nurses monitor to detect onset or changes and manage through the use of physician-prescribed and nursing-prescribedinterventions tominimize the complications of events.
b) collaborative problems can be managed byindependent nursing interventions.Collaborative problems require both nursing andphysician-prescribed interventions.c) nursing diagnoses incorporate physician-prescribed interventions.Nursing diagnoses can be managed by independentnursing interventions.d) nursing diagnoses incorporate physiologiccomplications that nurses monitor to detect changein status.Nursing diagnoses refer to actual or potentialhealth problems that can be managed byindependent nursing interventions.
16. Health education of the patient by the nurse
a) is an independent function of nursing practice.Health education is an independent function of nursing practice and is included in all state nursepractice acts.b) requires a physician’s order.Teaching, as a function of nursing, is included in allstate nurse practice acts.c) must be approved by the physician.Health education is a primary responsibility of thenursing profession.d) must focus on wellness issues.Health education by the nurse focuses onpromoting, maintaining, and restoring health;preventing illness; and assisting people to adapt tothe residual effects of illness.
17. Nonadherence to therapeutic regimens is asignificant problem for which of the followingage groups?
a) Adults 65 and over Elderly people frequently have one or more chronicillnesses that are managed with numerousmedications and complicated by periodic acuteepisodes, making adherence difficult.b) TeenagersProblems of teenagers, generally, are time limitedand specific, and require promoting adherence totreatment to return to health.c) ChildrenIn general, the compliance of children depends onthe compliance of their parents.d) Middle-aged adultsMiddle-aged adults, in general, have fewer health problems, thus promoting adherence.
18. Experiential readiness to learn refers to thepatient’s
a) past history with education and life experience.Experiential readiness refers to past experiencesthat influence a person’s ability to learn.b) emotional status.Emotional readiness refers to the patient’sacceptance of an existing illness or the threat of anillness and its influence on the ability to learn.c) acceptance of an existing illness.Emotional readiness refers to the patient’sacceptance of an existing illness or the threat of anillness and its influence on the ability to learn.d) ability to focus attention.Physical readiness refers to the patient’s ability tocope with physical problems and focus attentionupon learning.
19. Asking the patient questions to determine if the person understands the health teachingprovided would be included during which step of the nursing process?
a) EvaluationEvaluation includes observing the person, askingquestions, and comparing the patient’s behavioralresponses with the expected outcomes.b) AssessmentAssessment includes determining the patient’sreadiness regarding learning.c) Planning and goalsPlanning includes identification of teachingstrategies and writing the teaching plan.d) ImplementationImplementation is the step during which the teachingplan is put into action.
20. Which of the following items is consideredthe single most important factor in assisting thehealth professional in arriving at a diagnosis or determining the person’s needs?
a) History of present illnessThe history of the present illness is the single mostimportant factor in assisting the health professionalin arriving at a diagnosis or determining the person’sneeds.b) Physical examinationThe physical examination is helpful but often onlyvalidates the information obtained from the history.c) Diagnostic test resultsDiagnostic test results can be helpful, but they oftenonly verify rather than establish the diagnosis.d) Biographical dataBiographical information puts the health history incontext but does not focus the diagnosis.
21. Of the following areas for assessing thepatient profile, which should be addressed after the others?
a) Body imageThe patient is often less anxious when the interviewprogresses from information that is less personal toinformation that is more personal.b) EducationEducational level is relatively impersonal and readilyrevealed by the patient.c) OccupationOccupation is relatively impersonal and readilyrevealed by the patient.d) EnvironmentHousing, religion, and language are relativelyimpersonal and readily revealed by the patient.
22. Which of the following methods of physicalexamination refers to the translation of physicalforce into sound?

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