pg. 1 Nursing Praxis Exam Review/ Real Exam Questions with Correct Verified Answers/ Rated A+
The nurse has redressed a wound and now plans to administer medications. What should the nurse remember to do next? - ANSWER - remove gloves and perform hand hygiene before administering the medication
A patient has an indwelling urinary catheter. Why does the catheter represent a risk for infection? - ANSWER - it continuously keeps the bladder sphincter open
Identify the situations in which a nurse should remove gloves and perform hand hygiene - ANSWER - when leaving a patient's room & when the specific task for which the nurse applied the gloves is completed
When caring for a hospitalized adolescent, the nurse can best meet the adolescent's developmental needs by doing which of the following? - ANSWER - explaining procedures and including the adolescent in decision making
Which of the following is an example of development? - ANSWER - a young child uses words instead of crying to make his or her needs known
A 47-year-old woman expresses dismay to the nurse that her young adult children are unemployed. Her husband is working and near retirement. She is not working and feels bored with her life and unneeded.She is experiencing which of Erikson's stages of development? - ANSWER - integrity versus despair
Which of the following is a statement about normal growth and development on which effective nursing care is based? - ANSWER - success in one phase of growth and development affects the ability to complete later phases successfully
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pg. 2 The despair associated with old age, as described by Erikson, is related to which of the following? - ANSWER - physical changes that alter older adults' perception of self-worth
The nurse teaches parents how to help their children to learn impulse control and cooperative behaviours. This would occur during which of the stages of development defined by Erikson? - ANSWER - autonomy versus sense of shame and doubt
According to Piaget's theory of cognitive development, the child aged 7 to 11 years demonstrates concrete operations when he or she does which of the following? - ANSWER - recognizes that friends may perceive things differently
During which stage of moral developmental identified by Kohlberg is the individual's moral reasoning based on personal gain? - ANSWER - pre-conventional
During which stage of cognitive development does the individual's thinking move to abstract and theoretical subjects and possibly venture into topics such as achieving world peace, finding justice, and seeking meaning in life? - ANSWER - formal operations
When assessing the older adult, the nurse should know which findings represent common physiological changes associated with aging and which are abnormal findings. Which of the following is a normal and common physiological change? - ANSWER - increase in the time required for the heart rate to return to baseline after exercise
In the older adult, taste buds atrophy and lose sensitivity, and appetite may decrease. Which of the following is the older adult therefore less able to discern? - ANSWER - salty, sour, sweet, and bitter tastes
Which of the following is true about aging? - ANSWER - no single theory explains aging
Which of the following is not a normal physiological change associated with aging? - ANSWER - Osteoporosis
Which statement about older adults in Canada is correct? - ANSWER - the number of older adults is rising because of the increase in the average lifespan and the aging of the baby boom generation
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pg. 3 To meet the psychosocial needs of the older adult, the nurse may do which of the following? - ANSWER - acknowledge the older adult's role transitions and changes
Which three common conditions affect cognitive function in older adults? - ANSWER - Delirium, depression, and dementia
Which of the developmental stages defined by Freud is a time of turbulence during which earlier sexual urges reawaken and are directed to an individual outside the family circle? - ANSWER - genital
According to Crittenden's dynamic maturational model, human development is a function of which of the following? - ANSWER - the interaction between brain development and experiences with caregivers that are central to self-protective strategies that individuals use over their lifespan
Besides meticulous hand hygiene, which is another practice that helps reduce the risk of spreading infection? - ANSWER - maintaining a clean environment in the patient's room
When should a gown be worn? - ANSWER - when blood or body fluids may get on the nurse's clothing
According to Havighurst, the achievement of developmental tasks that are necessary for later adult development is greatly affected by which of the following? - ANSWER - success in school
A 10-year-old Grade 5 student enjoys having his artwork displayed on the family refrigerator. This behaviour is indicative of which developmental stage as described by Erikson? - ANSWER - industry versus inferiority
The parents of a 2-year-old child are concerned that the child wants to do everything by himself and seems to be rejecting their authority. The nurse's response should be based on which of the following? - ANSWER - the independence displayed by the child is a normal result of maturation
Physical growth involves which of the following? - ANSWER - strengthening of skeletal structures
Moral development theory differs from cognitive development theory in what way? - ANSWER - moral development theory characterizes the value system of people and their respect for others 3 / 4
pg. 4
Children generally double their birth weight by 5 months of age. This is an example of which of the following principles? - ANSWER - physical growth
To promote a safe living environment, an older adult patient with sensory alterations should do which of the following? - ANSWER - remove loose area rugs
A home health care nurse is providing instructions to a nursing assistant regarding care of an older patient with vision loss. The nurse is considering normal age-related visual changes when he tells the nurse assistant which of the following about patients with vision loss? - ANSWER - they often use coloured tape to distinguish settings on electrical appliances & to highlight the edge of stairs
An older adult patient experienced a cerebrovascular accident and has garbled speech, although he seems to understand what is being said. The nurse recognizes this as which of the following? - ANSWER - expressive aphasia
Which of the following individuals are at risk for developing sensory deprivation? - ANSWER - a patient with poor vision, a patient in CCU, & a patient confined to a wheelchair
The nurse is conducting discharge teaching for a patient with diminished tactile sensation. Which of the following statements, if made by the patient, would indicate that teaching was ineffective? - ANSWER - "I have right-sided partial paralysis and reduced sensation, so I should dress the left side of my body first."
A 72-year-old patient has bilateral hearing loss. She wears a hearing aid in her left ear. Which of the following approaches best facilitates communication? - ANSWER - face the patient when speaking; speak slower and at a normal volume
The nurse has completed an assessment of a 67-year-old female patient who came to the clinic for the first time. During the examination, the patient's temperature was 37.6°C, heart rate was 80 beats per minute, respiration rate was 18 breaths per minute, and blood pressure was 142/84 mm Hg. The patient displayed inattention as the nurse asked questions. At one point, the patient seemed to shout answers to questions about her diet. However, as the nurse spoke, the patient consistently smiled and nodded in agreement. The nurse's assessment indicates which of the following about the patient? - ANSWER - may have a hearing deficit
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