Q: A nurse is caring for a patient with dehydration. Which formula should be used to calculate the patient's fluid deficit if the normal body water is $$60\% of $$body weight and the patient weighs $$70\ kg$$?

Fluid deficit $$= 0.6 \times 70 = 42\ L$$

Question 1

Which of the following best describes the concept of 'evidence-based practice' in nursing care?

Accepted Answer

Utilizing the best available research evidence, clinical expertise, and patient values to guide care decisions.

Question 2

A nurse is caring for a patient with dehydration. Which formula should be used to calculate the patient's fluid deficit if the normal body water is $$60\% of $$body weight and the patient weighs $$70\ kg$$?

Accepted Answer

Fluid deficit $$= 0.6 	imes 70 = 42\ L$$

Question 3

Which of the following is an example of primary prevention in health promotion for older adults?

Accepted Answer

Administering immunizations to prevent influenza.

Question 4

A nurse is using SBAR communication to report a patient’s change in condition. What does the 'A' in SBAR stand for?

Accepted Answer

Assessment

Question 5

A patient is at risk for deep vein thrombosis (DVT). Which intervention is most appropriate for prevention?

Accepted Answer

Encouraging early ambulation and use of sequential compression devices.

Question 6

Which of the following best illustrates the concept of 'thermoregulation' in patient care?

Accepted Answer

Monitoring and managing a patient’s body temperature during fever.

Question 7

A nurse is teaching a patient about nutrition. If the patient’s BMI is calculated using the formula $$BMI = \frac{weight\ (kg)}{$$height^2$$\ (m^2$)}$$, what is the BMI of a patient who weighs $$80\ kg$$ and is $$1.75\ m$$ tall?

Accepted Answer

$$BMI = \frac{80}{(1.75)^2$} = \frac{80}{3.0625} \approx 26.1$$

Question 8

Which of the following is a key component of professional behavior in nursing?

Accepted Answer

Maintaining patient confidentiality and adhering to ethical principles.

Question 9

A nurse is assessing a patient’s fluid and electrolyte balance. Which laboratory value is most critical to monitor for hyperkalemia?

Accepted Answer

Serum potassium level

Question 10

Which of the following is an example of secondary prevention in infection control?

Accepted Answer

Screening for tuberculosis in high-risk populations.

Question 11

A nurse is caring for a patient with impaired mobility. Which intervention best promotes tissue integrity?

Accepted Answer

Regular repositioning and hygiene practices.

Question 12

Which of the following is a correct application of the RICE acronym in managing inflammation?

Accepted Answer

Rest, Ice, Compression, Elevation

Question 13

A nurse is educating a patient about the importance of immunization. Which statement best reflects the concept of immunity?

Accepted Answer

Immunization stimulates the body’s immune system to develop protection against specific diseases.

Question 14

A patient is receiving total parenteral nutrition (TPN). Which nursing assessment is most important?

Accepted Answer

Monitoring blood glucose levels regularly.

Question 15

Which of the following best describes the role of interdisciplinary collaboration in patient care?

Accepted Answer

Working with professionals from different disciplines to achieve optimal patient outcomes.

Question 16

A nurse is assessing a patient’s Glasgow Coma Scale (GCS) score. If the patient opens eyes to pain (2), makes incomprehensible sounds (2), and withdraws from pain (4), what is the total GCS score?

Accepted Answer

$$GCS = 2 + 2 + 4 = 8$$

Question 17

Which of the following is a non-pharmacologic intervention for pain management?

Accepted Answer

Guided imagery and relaxation techniques.

Question 18

A nurse is caring for a patient with impaired hearing. Which intervention is most appropriate?

Accepted Answer

Facing the patient and speaking clearly at a moderate volume.

Question 19

Which of the following best describes the concept of patient-centered care?

Accepted Answer

Integrating the patient’s health care needs and preferences in all care decisions.

Question 20

A nurse is assigned to care for a patient from a different cultural background. Which action best demonstrates cultural competence?

Accepted Answer

Asking the patient about their health beliefs and practices.

Fundamentals of Nursing Theory/Practicum: Core Concepts and Applications

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