Acute Care Nursing Question Bank
Course Introduction
Acute Care Nursing focuses on the comprehensive care of individuals experiencing severe, life-threatening medical conditions or emergencies. This course covers the assessment, planning, implementation, and evaluation of interventions for patients in acute care settings such as emergency departments, intensive care units, and surgical recovery rooms. Students will learn to manage complex clinical situations, including trauma, cardiac and respiratory crises, and rapid physiologic deterioration. Emphasis is placed on critical thinking, advanced clinical skills, interprofessional collaboration, and prompt decision-making to optimize patient outcomes in high-pressure environments.
Recommended Textbook
Medical Surgical Nursing Critical Thinking for Person Centred Care 3rd Edition by Priscilla Lemone
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52 Chapters
1083 Verified Questions
1083 Flashcards
Source URL: https://quizplus.com/study-set/2398 Page 2
Chapter 1: Medical-Surgical Nursing in the Twenty-First Century
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47623
Sample Questions
Q1) While providing care to a person, the nurse stops to assess a new person-centred problem. Which type of assessment is this?
A)Objective.
B)Subjective.
C)Initial.
D)Focused.
Answer: D
Q2) The nurse working on a quality improvement study wants to evaluate a person-centred care process. Which of the following will the nurse use to evaluate this process?
A)Evidence-based practice.
B)Variance analysis.
C)The nursing process.
D)Clinical pathways.
Answer: C
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Page 3
Chapter 2: Health and Illness in Adults
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/47625
Sample Questions
Q1) An Indigenous Australian person comes into the clinic for a routine check-up. The nurse realises this person is most prone to developing which health condition?
A)Diabetes mellitus.
B)Hypotension.
C)Multiple sclerosis.
D)Breast cancer.
Answer: A
Q2) The nurse is reviewing the incidence of cancer in a particular region to determine if the number of cases of the specific cancer is unusual. The nurse understands that incidence data will provide what kind of information concerning the cancer?
A) Number of new cases of the specific cancer during a given period.
B) Number of ongoing cases of the specific cancer during a given period.
C) Number of deaths that occurred due to the specific cancer during a given period.
D) Number of cases of the specific cancer that exist at a given time including new and ongoing cases, as well as number of deaths.
Answer: A
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Chapter 3: Nursing Care of People Having Surgery
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47627
Sample Questions
Q1) A person is signing a surgical consent form. Afterwards, the nurse also signs the form. What is the meaning of the nursing signature? It means the:
A)person was alert and aware of what was being signed.
B)person understood the procedure as described by the nurse.
C)surgeon was not able to witness the patient's signature.
D)person had questions about the procedure that the nurse answered.
Answer: A
Q2) During the assessment of a postoperative person's bowel sounds, the nurse auscultates high-pitched sounds over all four abdominal quadrants. What might these findings indicate?
A)Hunger pains.
B)The onset of flatus.
C)Paralytic ileus.
D)Normal bowel function.
Answer: C
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Chapter 4: Nursing Care of People Experiencing Loss, Grief, and Death
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47628
Sample Questions
Q1) A person tells the nurse, 'I dread going on after the divorce is final. I have no idea how I am going to manage financially or emotionally.' The nurse realises this person is demonstrating which aspect of Caplan's stress and loss theory?
A)Reduced problem-solving ability.
B)Despair.
C)Psychic pain.
D)Living without the assets and guidance.
Q2) A dying person tells the nurse, 'Don't let my family leave me.' What does this statement indicate?
A)Fear of dying alone.
B)An anticipation of improvement in health.
C)Denial about their eventual death.
D)The desire to prolong life.
Q3) A nurse has accepted a change in employment and is found crying. What is this nurse demonstrating?
A)Grief.
B)Stress.
C)Ambivalence.
D)Relief.
Page 6
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Chapter 5: Nursing Care of People With Problems of Substance Misuse
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47629
Sample Questions
Q1) A person who was sexually abused as a child tells the nurse, 'I just like to try different drugs recreationally.' Which phrase of the following is most likely correct about this person? The person:
A)has a mental illness.
B)wants to fit into her peer group.
C)has an addictive personality.
D)has low self-esteem and difficulty expressing emotions.
Q2) Which manifestation may be assessed in a person experiencing opioid withdrawal?
A)Sleepiness.
B)Dilated pupils.
C)Increased appetite.
D)Joint pain.
Q3) The nurse learns that there are multiple ways for organic solvents to gain entry into the body. They are which of the following? (Select all that apply.)
A)Swallowing.
B)Sniffing.
C)Bagging.
D)Huffing.
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Chapter 6: Nursing Care of People Experiencing Disasters
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/47630
Sample Questions
Q1) A person arrives at the site of a disaster, hysterically crying because she was in the building that had collapsed just minutes before the disaster. Which of the following should be done with her?
A)Advise her to go home to her family.
B)Ask psychiatric service personnel to talk with her.
C)Have a nurse talk with her.
D)Triage her and transport her to the hospital.
Q2) An Australian emergency room nurse is caring for a person admitted who was in a motor vehicle accident. What would be an appropriate nursing intervention for this nurse to implement?
A)Intubation
B)Insert IV cannulae
C)Staple wounds
D)Insert chest tube
Q3) What are the appropriate actions for people with highly contagious respiratory infections?
A)Reverse barrier nursing.
B)Teach them how to stop coughing.
C)Teach them to cover their mouths when they cough or sneeze.
D)These persons need to wear protective gowns, masks and gloves at all times.
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Chapter 7: Genetic Implications of Adult Health Nursing
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47631
Sample Questions
Q1) What is the pattern of inheritance of haemophilia A?
A)Sex-linked.
B)Multifactorial.
C)Autosomal recessive.
D)Autosomal dominant.
Q2) A person tells the nurse that her mother has type 2 diabetes and heart problems. What is the significance of this information? It:
A)helps predict the future health of the person's children.
B)is not pertinent to the person's current health issues.
C)can help predict the person's future health problems.
D)is not relevant to the person's future health problems.
Q3) A person is upset to hear the nurse say that the results of genetic testing revealed 'wild-type' genes. What are 'wild-type' genes?
A)Mutated.
B)Altered.
C)Unexpected.
D)Normal.
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9
Chapter 8: Nursing Care of People in Pain
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47632
Sample Questions
Q1) An older person is seen talking and laughing in the clinic's waiting room, yet complains of excruciating pain. The nurse realises this person is most likely demonstrating which of the following?
A)Inconsistent behavioural response to pain.
B)The desire for narcotics.
C)Denial of his level of pain.
D)Pain tolerance.
Q2) The nurse recognises that which of the following is a common adverse effect of nonsteroidal anti-inflammatory drugs (NSAIDs)?
A)Nausea.
B)Pinpoint pupils.
C)Arrhythmias.
D)Bronchospasm.
Q3) A person with chronic pain complains of an acute exacerbation of pain. How can the nurse help this individual?
A)Give the person a nonsteroidal anti-inflammatory drug (NSAID).
B)Provide the medication ordered for breakthrough pain.
C)Encourage the person to ignore the pain.
D)Talk the person through the pain.
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Page 10
Chapter 9: Nursing Care of People With Altered Fluid,
Electrolyte, Acid-Based Balance
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/47633
Sample Questions
Q1) A person is admitted with burns over 50% of his body. The nurse realises that this person is at risk of which of the following electrolyte imbalances?
A)Hyponatraemia
B)Hypercalcaemia
C)Hypermagnesaemia
D)Hypophosphataemia
Q2) A 35-year-old postoperative woman comes into the clinic after a parathyroidectomy. Which of the following should the nurse teach this person?
A)Limit consumption of salty foods.
B)Milk and milk-based products will help to provide an adequate calcium intake.
C)Lean red meat is the protein source of choice.
D)Minimise direct exposure to sunlight.
Q3) The blood gases of a person with an acid-base disorder show a blood pH outside of normal limits. Which of the following is correct? The person is:
A)experiencing aerobic metabolism.
B)fully compensated.
C)in metabolic distress.
D)partially compensated.
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Chapter 10: Nursing Care of People Experiencing Trauma and Shock
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47634
Sample Questions
Q1) A trauma person in stage II shock is demonstrating signs of pulmonary oedema. This person is manifesting which of the following?
A)Severe acute respiratory syndrome (SARS).
B)Heart failure.
C)Acute respiratory distress syndrome (ARDS).
D)Respiratory alkalosis.
Q2) The nurse recognises that which of the following is a clue to a possible violence-related injury?
A)Pattern burns.
B)Fractures with a history of trauma.
C)Confusion.
D)Head injuries.
Q3) A critically injured trauma person needs immediate whole blood transfusions and has a blood type of AB+. The nurse realises that this person may receive which blood type?
A)AB- only.
B)Any type.
C)AB+ only.
D)A+ only.
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Chapter 11: Nursing Care of People With Infections
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/47635
Sample Questions
Q1) A person who received a vaccination 2 weeks prior returns to the clinic with a wound at the inoculation site. What has happened? The person is:
A)scratching the inoculation site.
B)allergic to the inoculation.
C)experiencing a severe localised reaction to the inoculation.
D)demonstrating localised signs of the disease that the inoculation was intended to prevent.
Q2) An older adult with a history of lung disease had a pneumococcal vaccination 10 years ago. Which of the following should be done for this person?
A)Remind the person that he will need a booster in the future.
B)Collect a blood sample to test for antibody levels.
C)Suggest that the person have a pneumococcal booster during this visit.
D)Remind the person that he does not need a flu vaccination.
Q3) A person has been vaccinated against measles. This is an example of which type of immunity?
A)Passive artificial
B)Active artificial
C)Active natural
D)Passive natural
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Page 13
Chapter 12: Nursing Care of People With Altered Immunity
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/47636
Sample Questions
Q1) A person is prescribed a monoclonal antibody after an allograft. Which of the following should be done for this person?
A)Premedicate with hydrocortisone.
B)Encourage the person to have a chest x-ray one day after the first dose.
C)Closely observe the person for 24 hours following the initial dose.
D)Instruct the person that side effects from the medication are rare and minor.
Q2) During the physical assessment of a person, the nurse wants to include the person's immunity function. Which of the following techniques would provide the nurse with the best information?
A)Auscultation of the heart
B)Palpation of the abdomen
C)Percussion of the lungs
D)Assessment of skin colour, temperature and moisture
Q3) Which is the most widely used screening test for HIV?
A)ELISA
B)IgE serum levels
C)CD4 cell count
D)HIV viral load test
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Chapter 13: Nursing Care of People With Cancer
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/47637
Sample Questions
Q1) The nurse is preparing to change the postoperative dressing of a person with a mastectomy. During the dressing change, the person looks away. Which of the following should the nurse do to assist this person?
A)Suggest that the person get a family member to do the dressing.
B)Recommend that the person receive community care upon discharge because the person will not be able to provide self-dressing changes.
C)Hand the person a mirror so that she can look at the incision while the dressing is being changed.
D)Support the person; however, do not avoid discussing the incision.
Q2) A person who is newly diagnosed with cancer says to the nurse, 'I don't want to spend my final days on earth in a hospital bed.' What is the nurse's best response?
A)'Why do you feel so negative about being in the hospital?'
B)'You should enjoy the life you have left'.
C)'You are not going to die from cancer'.
D)'Please tell me more about how you are feeling right now'.
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Chapter 14: A Person-Centred Approach to Assessing the
Integumentary System
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/47638
Sample Questions
Q1) A person who is scheduled for abdominal surgery is concerned about an unsightly scar. During the preoperative teaching session, what should the nurse explain to the person?
A)There will be no scarring.
B)Plastic surgery can remove the scar at a later date.
C)A scar will be unavoidable.
D)It will depend upon the location and angle of the incision.
Q2) A person with hair loss (alopecia)comes into the clinic. What is this hair indicative of?
A)Cushing's syndrome
B)Changes in hormones
C)Poor nutrition
D)Vitamin D deficiency
Q3) After the completion of an integumentary status assessment, the nurse documents: '+1 oedema right lower leg'. What does this documentation mean?
A)Slight pitting, no obvious distortion
B)Deeper pit, no obvious distortion
C)Pitting is obvious; extremities are swollen
D)Pitting remains with obvious distortion
Page 16
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Chapter 15: Nursing Care of People With Integumentary Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47639
Sample Questions
Q1) The nurse instructs a person with melanoma to maintain adequate kilojoule and protein intake in the diet. For which nursing diagnosis is this intervention the most appropriate?
A)Fluid Volume Excess.
B)Hopelessness.
C)Impaired Skin Integrity.
D)Anxiety.
Q2) A person confined to bed has slid to the bottom of the bed. What should the nurse do to adjust this person's body position?
A)Slide the person up the bed.
B)Do nothing.
C)Pull the person up the bed.
D)Lift the person up the bed.
Q3) An adult person is diagnosed with advanced malignant melanoma. What should the nurse realise about this diagnosis?
A)The prognosis is uncertain.
B)The prognosis is poor because of the person's age.
C)Chemotherapy and radiation will be prescribed.
D)A complete cure will occur once the primary lesion is excised.
Page 17
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Chapter 16: Nursing Care of People With Burns
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47640
Sample Questions
Q1) A child is brought into the emergency department after being burned in an explosion. Name the burn assessment method that provides the best information about the total body surface area injured by the burn.
Q2) A person with a full-thickness burn to the left thigh and left forearm is treated with silver sulfadiazine (SSD)cream. What is the purpose of this medication?
A)Wound debridement.
B)Local analgesia.
C)Skin moisturisation.
D)Antimicrobial protection.
Q3) The family of a person with full-thickness burns asks why the 'scabs are being cut off' the person's leg. How should the nurse respond to the family?
A)'The scabs are removed to check for blood flow to the burned area.'
B)'The scabs are old burned tissue that needs to be removed to promote healing.'
C)'I'll ask the doctor to come and talk with you about the treatment plan.'
D)'The person asked for the scabs to be removed.'
Q4) A person is being seen in the emergency department after sustaining a burn to both arms and legs. List all of the information the nurse should collect during the first interview with this person.
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Chapter 17: A Person-Centred Approach to Assessing the Endocrine System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/47641
Sample Questions
Q1) During an assessment the nurse notes that the person's eyes are extremely wide open and bulging. With which endocrine disorder should the nurse associate this finding?
A)Hypofunction of the anterior pituitary gland.
B)Addison's disease.
C)Hyperthyroidism.
D)Diabetes insipidus.
Q2) A person's water deprivation test showed no changes in urine osmolality. This finding is consistent with which condition?
A)Cushing's syndrome.
B)Diabetes insipidus.
C)Addison's disease.
D)None. No pathology is present.
Q3) A person is waiting to learn the results of a fasting blood sugar test. Which value should suggest to the nurse that the person is prediabetic?
A)3.3 mmol/L.
B)4.4 mmol/L.
C)6.6 mmol/L.
D)8.8 mmol/L.
Page 19
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Chapter 18: Nursing Care of People With Endocrine Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47642
Sample Questions
Q1) A person taking steroid medication is concerned about 'losing weight' in the legs. '''What should the nurse suspect this person is experiencing?
A)Increased risk of compression fractures.
B)Muscle wasting.
C)Peripheral oedema.
D)Increased risk of infections.
Q2) A person is scheduled for a thyroidectomy. What should the nurse include when providing preoperative teaching?
A)Remind the person to avoid iodine and salt.
B)Review scar expectations and how the use of plastic surgery is often helpful.
C)Explain how the bed will need to be flat after surgery.
D)Instruct about how to support the neck with the hands while coughing.
Q3) A person with hyperthyroidism is prescribed propranolol (Inderal). What should the nurse explain as being the purpose of this medication?
A)Prevent muscle wasting.
B)Reduce tachycardia.
C)Limit insomnia.
D)Prevent abdominal pain
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Chapter 19: Nursing Care of People With Diabetes Mellitus
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47643
Sample Questions
Q1) A person with type 2 diabetes reports drinking orange juice when feeling 'shaky.' What should the nurse instruct this person?
A)'Go to the hospital emergency department if this happens again.'
B)'Call the doctor immediately if this happens again.'
C)Nothing. This is an appropriate intervention for the person to make.
D)'If this happens again, check your blood glucose level with your monitor.'
Q2) A person with diabetes is unable to lose weight despite careful dieting and consuming only sugar-free soft drinks. How should the nurse respond to this person?
A)'How much water are you drinking every day?'
B)'Sugar-free drinks still have some calories.'
C)'Are you sure you are buying only sugar-free items?'
D)'It is very difficult to stick to a weight loss diet.'
Q3) A person prescribed glipizide (Minidiab)for type 2 diabetes experiences episodes of hypoglycaemia when taking the medication. For what would the nurse ascertain in this person?
A)Taking a calcium channel blocker.
B)Waiting two hours to eat as recommended.
C)Taking over-the-counter medications for reflux such as cimetidine (Tagamet).
D)Taking an oral contraceptive.
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Page 21
Chapter 20: A Person-Centred Approach to Assessing the
Gastrointestinal
System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47644
Sample Questions
Q1) A person says, 'I drink fluids throughout the day but I seem to always be hungry!' Which of the following characterises this person's gastric emptying?
A)Rapid
B)Delayed
C)Sluggish
D)Normal
Q2) A person tells the nurse about the 'new vitamin pill' she started taking because it won't 'break down until it reaches the large intestine.' Which of the following is correct about the benefits of this vitamin pill?
A)It is better than most.
B)It is excellent.
C)It is average.
D)It is useless.
Q3) The nurse is preparing to assess a person's abdomen. Which assessment technique should this nurse use last?
A)Palpation
B)Percussion
C)Auscultation
D)Inspection
22
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Chapter 21: Nursing Care of People With Nutritional Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47645
Sample Questions
Q1) During a physical assessment, the nurse suspects that the person might be experiencing metabolic syndrome. Which of the following assessment findings would provide evidence for this nurse's assumption?
A)Blood pressure of 150/96
B)Hypoglycaemia
C)High HDL cholesterol
D)Bradycardia
Q2) A female has a body mass index (BMI)of 27. Which of the following would be an appropriate documentation by the nurse?
A)Underweight
B)Normal weight
C)Overweight
D)Obese
Q3) A person has been receiving parenteral nutrition for many months. The nurse is aware that the person is at an increased risk of developing what condition?
A)Cardiomyopathy
B)Grave's disease
C)Liver disease
D)Diabetes
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Chapter 22: Nursing Care of People With Upper
Gastrointestinal Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47646
Sample Questions
Q1) A person who is recovering from surgery for stomach cancer a month ago continues to experience dumping syndrome. Which of the following should the nurse instruct this person to help the person address this problem? Select all that apply.
A)'It is likely to be a problem for the rest of your life.'
B)'There's no effective treatment for this complication.'
C)'Eat smaller, more frequent meals.'
D)'Only eat a clear liquid diet until the problem resolves.
E)'Drink your liquids separately from your solid foods.;
Q2) A person is commencing therapy with nystatin (Nilstat), a topical antifungal medication to treat oral thrush. What would the nurse teach the person about using this medication?
A)Immediately expectorate the oral suspension.
B)Do not eat or drink for 30 minutes after the medication.
C)The medication is safe to use during pregnancy.
D)Take the medication with food or milk.
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Page 24
Chapter 23: Nursing Care of People With Bowel Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47647
Sample Questions
Q1) A person has recently lost her mother to colon cancer. Which of the following would be important for the nurse to suggest to this person?
A)'You should make sure to have a colonoscopy every 6 months.'
B)'It's vital that you speak with a psychologist about your mother's death.'
C)'It's important that you help your father adjust to this loss-cancer is so frightening.'
D)'You should be checked for colon cancer as well because it runs in families.'
Q2) A person is scheduled for a test to visualise the entire colon. What should the nurse provide pre-procedure instructions for? A(n):
A)pyelogram.
B)colonoscopy.
C)flexible sigmoidoscopy.
D)gastroscopy.
Q3) A person has black, tarry stool. The nurse recognises that this might result from which of the following?
A)Fat malabsorption
B)Colon cancer
C)Irritable bowel disease
D)Upper gastrointestinal bleeding
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25
Chapter 24: Nursing Care of People With Gallbladder, Liver, and Pancreatic Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47648
Sample Questions
Q1) A person presents to the emergency department with abrupt onset of severe left upper quadrant abdominal pain that radiates to the back. The person's serum amylase levels rise to two to three times normal over several hours. What condition does the nurse suspect the person has?
A)Fulminant hepatitis
B)Cholecystitis
C)Acute pancreatitis
D)Liver cirrhosis
Q2) A person who is admitted to the hospital with an acutely inflamed gallbladder says, 'I suddenly feel better. The pain was really bad, but then it completely stopped.' What should the nurse do?
A)Prepare the person for discharge.
B)Contact the doctor immediately.
C)Continue with normal monitoring of the person.
D)Check when the person last received any pain medication.
Q3) Which of the following is a risk factor for the development of gallstones?
A)Tobacco smoking
B)Heavy alcohol consumption
C)Pregnancy
D)High-fibre diet
Page 26
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Chapter 25: A Person-Centred Approach to Assessing the Renal System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/47649
Sample Questions
Q1) While conducting the functional health pattern assessment, the nurse would like to assess the person's nutritional-metabolic status in relation to the renal system. Which of the following questions would provide the most information about this status?
A)'Do you have any difficulty urinating?'
B)'Do you ever have swelling in your ankles?'
C)'Do you get easily tired?'
D)'How often do you go to the toilet?'
Q2) A person is participating in rehabilitation for bladder retraining. Which of the following bladder layers houses the detrusor muscle?
A)Fibrous outer layer
B)Muscle layer
C)Inner epithelial mucosa
D)Connective tissue mucosa
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Chapter 26: Nursing Care of People With Urinary Tract Disorders
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/47650
Sample Questions
Q1) A person is scheduled for a lithotripsy for renal calculi. What is the purpose of a bowel preparation prior to this procedure? To:
A)ensure maximum visualisation of the kidney and the stones.
B)reduce abdominal discomfort.
C)ensure that there is no constipation prior to the procedure.
D)minimise postoperative pain.
Q2) A person who is recovering from spinal surgery had an 'accident' while attempting to reach the bathroom to void. Which type of incontinence has the person most likely experienced?
A)Functional.
B)Overflow.
C)Stress.
D)Urge.
Q3) A man is admitted for removal of a bladder papilloma. Which of the following should the nurse assess in this person?
A)Blood glucose level.
B)History of cigarette smoking.
C)Alcohol intake.
D)Appetite level.
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Chapter 27: Nursing Care of People With Kidney Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47651
Sample Questions
Q1) The nurse is planning the care of a person with chronic glomerulonephritis. What is an appropriate treatment goal for this person?
A)Returning to work as soon as possible.
B) Encouraging lifestyle changes.
C)Maintaining renal function.
D) Achieving maximum independence.
Q2) Which of the following interventions would be appropriate for a person with excess fluid volume related to chronic glomerulonephritis?
A)Assess for manifestations of infection.
B) Schedule activities to conserve energy.
C)Document energy level.
D) Daily weights.
Q3) A person is admitted with signs of chronic kidney disease. Which of the following is indicative of metabolic acidosis?
A)Oliguria.
B) Muscle cramps.
C)Photophobia.
D) Kussmaul's respirations.
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Chapter 28: A Person-Centred Approach to Assessing the Cardiovascular
and Lymphatic
Systems
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Sample Questions
Q1) An older adult is being evaluated for age-related cardiac changes. Common age-related changes include which of the following? (Select all that apply.)
A)Decreased cardiac output.
B)Increased cardiac output.
C)Decreased stroke volume.
D)Decreased blood pressure.
Q2) The person's ECG shows the following characteristics: PR interval .08, QRS .08 and isoelectric ST segment. What do these characteristics indicate?
A)Faster than normal conduction from the SA node to the ventricles, slower than normal conduction through the ventricles and normal ST segment.
B)Normal conduction from the SA node to the ventricles, normal conduction through the ventricles and abnormal ST segment.
C)Faster than normal conduction from the SA node to the ventricles, normal conduction through the ventricles and normal ST segment.
D)Normal conduction from the SA node to the ventricles, faster conduction through the ventricles and abnormal ST segment.
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Chapter 29: Nursing Care of People With Coronary Heart Disease
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Sample Questions
Q1) The person's ECG shows the following characteristics: PR interval .08, QRS .08 and isoelectric ST segment. What do these characteristics indicate?
A)Faster than normal conduction from the SA node to the ventricles, slower than normal conduction through the ventricles and normal ST segment.
B)Normal conduction from the SA node to the ventricles, normal conduction through the ventricles and abnormal ST segment.
C)Faster than normal conduction from the SA node to the ventricles, normal conduction through the ventricles and normal ST segment.
D)Normal conduction from the SA node to the ventricles, faster conduction through the ventricles and abnormal ST segment.
Q2) The person is having a treadmill test. Which of the following is an important teaching point?
A)Smoking is permitted up until the time of the test.
B)Comfortable clothing and shoes should be worn for the test.
C)The person is nil by mouth for 6-8 hours before the test.
D)A hospital gown and slippers should be worn for the test.
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31
Chapter 30: Nursing Care of People With Cardiac Disorders
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Sample Questions
Q1) The following persons come to the outpatient clinic for a physical exam. Which person has signs and symptoms of hypertension that require further assessment?
A)A 30-year-old Asian female with a blood pressure of 118/70.
B)A 48-year-old Caucasian male with a blood pressure of 138/86.
C)A 55-year-old indigenous Australian male with a blood pressure of 120/100.
D)A 60-year-old indigenous Australian female with a blood pressure of 135/65.
Q2) The nurse is assessing a person who presents with chest pain. The person has been previously diagnosed with chest pain and now reports an increase in the frequency and duration of the chest pain. What is appropriate nursing care for this type of chest pain?
A)Aspirin 100 mg a day per the medical order.
B)Atropine 0.4 mg IVI.
C)Bed rest with toilet privileges.
D)Mylanta 30 ml as needed.
Q3) What should a person who is taking a statin medication be monitored for?
A)Blood urea nitrogen and serum creatinine levels.
B)Constipation and sudden back pain.
C)Blood glucose and uric acid levels.
D)Serum cholesterol and liver enzymes.
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Chapter 31: Nursing Care of People With Vascular and Lymphatic Disorders
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Sample Questions
Q1) Which of the following describes the pathophysiology of the myocardial cells in a patient with myocarditis?
A)They are damaged by lack of oxygen
B)They are invaded by pathogens
C)They no longer reproduce
D)They are damaged by an inflammatory process
Q2) In the early postoperative period a person with a transplanted heart often requires low doses of which medication to support cardiac function and circulation?
A)Dopamine.
B)Enalapril.
C)Digoxin.
D)Anginine.
Q3) Which of the following tests in most indicative of CHF in a patient who may have this diagnosis?
A)Liver function tests.
B)Serum electrolytes.
C)Blood urea nitrogen (BUN).
D)Atrial natriuretic peptide (ANP).
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Chapter 32: Nursing Care of People With Hematologic Disorders
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Sample Questions
Q1) In which of the following factors is haemophilia A characterized by a deficiency ?
A)Factor IX
B)Factor vW
C)Factor VIII
D)Factor X
Q2) A teenager who is in the hospital for Hodgkin's disease treatment is visited by friends who bring a pizza and coke to the person's room. Which of the following can the nurse do to ensure the person's comfort?
A)Provide the person with an antinauseant and suggest something else for the person to eat with the visitors.
B)Ask the visitors to leave.
C)Encourage the person to eat as much pizza as possible.
D)Ask the visitors to eat the pizza in the lounge.
Q3) To which if the following are neutrophils considered closely connected?
A)Platelet count
B)Immune response
C)Total white blood cell count
D)Peripheral blood
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Chapter 33: A Person-Centred Approach to Assessing the
Respiratory
System
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Sample Questions
Q1) The nurse wants to assess the apex of a person's right lung. In which of the following locations should the nurse place the stethoscope to assess this person?
A)Near the right clavicle
B)Just to the right of the scapula
C)Intercostal space, fourth rib near the mid-axillary line
D)Intercostal space, sixth rib near the sternum
Q2) During the palpation of a person's chest for expansion, the nurse notices a decrease in expansion of the right side. This finding is consistent with which of the following? Select all that apply.
A)Pneumothorax
B)Pleural effusion
C)Pneumonia
D)Emphysema
Q3) A person is diagnosed with a middle ear infection. Which part of the person's airway does the nurse realise is affected?
A)Oral cavity
B)Oropharynx
C)Nasopharynx
D)Nasal cavity.
Page 35
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Chapter 34: Nursing Care of People With Upper Respiratory Disorders
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Q1) A person says, 'My nose is always congested and it just seems to get worse with the nasal spray I've been using.' What does the nurse realise that this person is describing?
A)A chronic sinus infection that needs to be treated with antibiotics
B)Overuse of the nasal spray
C)Rebound nasal congestion
D)An adverse effect of the nasal spray
Q2) A person is receiving anterior nasal packing for a nose bleed. Which of the following should be included in the instructions for this person?
A)Remove the packing in the morning.
B)The packing will be in place for at least 24 hours and up to 72 hours.
C)The packing will be needed for at least 1 week.
D)The packing will stay in place for 2 to 5 days.
Q3) A person who is scheduled for a partial laryngectomy asks if he will still be able to talk after the surgery. What is an appropriate nursing response to this person?
A)'You will have to ask your doctor.'
B)'Yes, but it might sound a little different.'
C)'You will, but with an electronic device.'
D)'You will need to wait and see what happens.'
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Chapter 35: Nursing Care of People With Ventilation Disorders
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Sample Questions
Q1) The nurse is providing care to a person with pulmonary tuberculosis. What should the nurse do to ensure personal protection while caring for this person?
A)Wear a gown and goggles.
B)Wear a gown and face mask.
C)Wear a gown and sterile gloves.
D)Wear a gown and wash hands thoroughly.
Q2) A person tells the nurse he had the Bacille Calmette-Guérin (BCG)vaccination as a child because his mother had tuberculosis. How should this person be screened for tuberculosis?
A)By a Mantoux skin test
B)With a chest x-ray
C)By both sputum and Mantoux tests
D)By an AFB sputum test
Q3) A person is diagnosed with pleurisy. What does the nurse teach the person to do for the associated chest pain?
A)Warn the person to expect a fever to develop.
B)Teach the person how to splint the affected area when coughing.
C)Advise the person to maintain strict bed rest.
D)Only take the prescribed analgesic when the pain is severe.
Page 37
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Chapter 36: Nursing Care of People With Gas Exchange Disorders
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Sample Questions
Q1) The nurse is providing care to a person with cystic fibrosis. Which of the following interventions would help prevent the onset of an acute illness?
A)Restrict fluid intake.
B)Administer an immunization.
C)Provide prophylactic anti-inflammatory therapy.
D)Monitor white blood cell count.
Q2) A 65-year-old male who continues to smoke tells the nurse that he is fine because he only has chronic bronchitis. The nurse determines that this person is most likely experiencing what condition?
A)Chronic obstructive pulmonary disease
B)Atelectasis
C)Cor pulmonale
D)Emphysema
Q3) What can be expected of a person who is receiving positive end-expiratory pressure (PEEP)?
A)Intubation
B)Receiving oxygen via nasal cannula
C)Breathing spontaneously
D)Receiving oxygen via face mask
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Chapter 37: A Person-Centred Approach to Assessing the
Musculoskeletal System
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Sample Questions
Q1) A person is ordered to be on bed rest for two months. What will happen to the person's bones? They will:
A)be affected positively by the rest and be stronger as a result.
B)increase their osteoblastic activity to promote bone deposition.
C)not be affected significantly by the bed rest.
D)undergo increased osteoclast activity and bone breakdown.
Q2) A young adult is seen in the clinic complaining of pain in the left wrist. There is no deformity of the wrist, the left radial pulse is strong, and there is no history of a fall or injury. What does the nurse expect to see ordered?
A)An x-ray of the arm to ensure there is no injury present.
B)Lab work to assess both serum calcium and serum phosphorus levels.
C)Rest and comfort measures for several days unless pain worsens.
D)A computerised tomography (CT)scan of the wrist to check for soft tissue injury.
Q3) When would a bone scan most likely be ordered for a person? When:
A)osteosarcoma is suspected.
B)a person complains of a new onset of pain in the area of the bone.
C)a muscle mass near the bone is suspected.
D)lab tests indicate a normal serum calcium level.
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Chapter 38: Nursing Care of People With Musculoskeletal
Trauma
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Sample Questions
Q1) A common situation after amputation is phantom limb pain. How should the nurse help the person deal with this?
A)Request that the doctor order a referral to a psychologist to help the person deal with their limb loss.
B)Acknowledge that phantom limb sensation and pain are not uncommon and encourage the person to talk about it.
C)Reorient the person to the present and explain that the limb has been amputated.
D)Explain to the person that it is not possible to feel a limb that has been removed, and that it is important to get past their phantom pain.
Q2) The nurse is caring for a person with a new cast. What is appropriate teaching for care of a cast?
A)Use a wooden stick to scratch itches under the cast.
B)A plaster cast dries in 3 hours.
C)If a plaster cast gets wet, it can be dried with a blow dryer on a cool setting.
D)It is permitted to get fiberglass casts wet.
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Chapter 39: Nursing Care of People With Musculoskeletal Disorders
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Sample Questions
Q1) What lab results would likely be seen in a person who is diagnosed with osteomalacia?
A)Elevated serum calcium, normal parathyroid hormone, and alkaline phosphatase.
B)Low serum calcium, parathyroid hormone, and alkaline phosphatase.
C)Low or normal serum calcium, elevated parathyroid hormone, and alkaline phosphatase.
D)High serum calcium, low parathyroid hormone, and alkaline phosphatase.
Q2) A person comes to the clinic complaining of severe pain in the right great toe that started at night. What is the most probable prognosis?
A)Osteoarthritis.
B)Scleroderma.
C)Gout.
D)A fracture of the right great toe.
Q3) The nurse is teaching a person who has gout. Which of the following should be included in the teaching? Avoid:
A)eating cottage cheese.
B)drinking fruit juices.
C)drinking milk.
D)eating oysters.
Page 41
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Chapter 40: A Person-Centred Approach to Assessing the Nervous System
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Sample Questions
Q1) When testing a person to determine if tremors are present, what should the nurse assess for?
A)Muscle spasms.
B)Rhythmic movements.
C)Diaphoresis.
D)Jerky movements.
Q2) When the nurse is assessing the functional health pattern of health perception-health management for a person with a neurological problem, which of the following questions is appropriate?
A)'Are you having any problems with the ability to see, hear, taste, or smell?'
B)'Do your health problems interfere with your ability to sleep?'
C)'Do you have any problems with balance, coordination or walking?'
D)'Have you noticed any problems with chewing or swallowing your food?'
Q3) When the person is supine and the head is flexed to the chest without pain, resistance, or flexion of the hips or knees, the nurse is observing which neurological sign?
A)Brudzinski's sign.
B)Romberg's sign.
C)Kernig's sign.
D)Babinski's sign.
Page 42
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Chapter 41: Nursing Care of People With Intracranial Disorders
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Sample Questions
Q1) Following a craniotomy, in which position should the nurse place the person?
5)_______
A)Head of bed elevated 20 degrees.
B)Flat.
C)Head of bed elevated 45 degrees.
D)Sitting upright.
Q2) A change in breathing pattern to alternating regular periods of deep, rapid breathing, followed by periods of apnoea, is called ________ and is related to damage in the diencephalon region of the cerebrum.
A)Cheyne-Stokes respirations.
B)Cluster respirations.
C)Apneustic respirations.
D)Central neurogenic hyperventilation.
Q3) The nurse is setting up a room for a person coming from the Emergency Department who is unconscious and without a cough reflex. What will this person require?
A)Frequent suctioning with a nasal suction device.
B)Endotracheal intubation.
C)Continuous pulse oximetry instead of intubation.
D)Close observation as they are fed.
Page 43
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Chapter 42: Nursing Care of People With Cerebrovascular and Spinal Cord Disorders
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Sample Questions
Q1) A person is recovering following a carotid endarterectomy. The person's blood pressure has risen this morning to 168/60. What should the nurse do?
A)Recheck the blood pressure every 30 minutes and report this change to the doctor when they make rounds the next time.
B)Record the blood pressure and find out who took this reading. Have that staff member demonstrate their blood pressure procedure and offer tips to obtain more accurate readings.
C)Check the standing orders and see if there is a medication ordered PRN for lowering blood pressure. If so, administer it and document the action.
D)Recheck the blood pressure and ensure the correct size cuff was used. Compare the trend of blood pressure readings and call the doctor now.
Q2) What are prodromal manifestations prior to an intracranial aneurysm rupture?
(Select all that apply.)
A)Visual deficits.
B)Headache.
C)Frequent nausea.
D)Eye pain.
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Page 44
Chapter 43: Nursing Care of People With Neurologic Disorders
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Sample Questions
Q1) A person who was diagnosed with Parkinson's disease is demonstrating akinesia. What action is the nurse most likely to observe with this person?
A)Slowed or delayed movement.
B)Hyperactive speech.
C)Decreased sweating.
D)Increased eye movements.
Q2) A person with Guillain-Barré syndrome asks if they will get better. What is the nurse's best response?
A)'Recovery will be slow, but your chance of getting better is good.'
B)'Full recovery is not likely.'
C)'The disease usually progresses rapidly.'
D)'It takes many years to get over the disease.'
Q3) The nurse is having a conversation with an older adult with Parkinson's disease. Which of the following would this person most likely exhibit during a conversation with the nurse?
A)Bubbly, spirited discussion.
B)Difficulty in maintaining a coherent conversation.
C)Angry, loud talk.
D)A low-pitched, monotone voice.
Page 45
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Chapter 44: A Person-Centred Approach to Assessing the Eye and Ear
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Q1) A person with a right eye injury has received an eye patch. With what might this person have difficulty?
A)Bright lights
B)Night vision
C)Depth perception
D)Colour perception
Q2) During the assessment of a person's outer eyes, the nurse suspects that the person has a hair follicle infection and elevated lipid levels. What did the nurse most likely assess in this person? Select all that apply.
A)Exophthalmos
B)Ptosis
C)Sty
D)Xanthelasma
Q3) A person who is recovering from a stroke is demonstrating vision changes. Why is this occurring?
A)The stroke occurred in the optic region of the person's brain.
B)The stroke has damaged the person's retina.
C)The person is unable to talk because of the stroke.
D)The person is experiencing another stroke.
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Chapter 45: Nursing Care of People With Eye and Ear Disorders
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Sample Questions
Q1) A person with chronic otitis media is diagnosed with a cholesteatoma. What is the treatment for this person?
A)Anti-inflammatory medications
B)Tympanostomy tubes
C)Surgery
D)Antibiotics
Q2) A person reports increased ear pain when the auricle is pulled up and back. What should the nurse consider this person is experiencing?
A)Mastoiditis
B)Otitis media
C)Otosclerosis
D)Otitis externa
Q3) A person with COPD is being treated for glaucoma. What medication will most likely be prescribed for this person?
A)Thiazide diuretic
B)Antibiotic
C)Beta-blocker
D)Adrenergic agonist
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Chapter 46: A Person-Centred Approach to Assessing the
Male and Female Reproductive Systems
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Sample Questions
Q1) A woman tells the nurse that it was discovered that her inability to become pregnant is because of her husband's choice of underwear. What is a possible explanation for this?
A)This statement is incorrect.
B)Sperm is produced at 2 to 3 degrees below body temperature and tight underwear may increase heat in the genital area.
C)Tight male underwear impedes blood flow to the scrotum.
D)Tight male underwear causes sperm to not be produced.
Q2) Upon analysis of a man's semen, it is found that the person could have difficulty making his wife pregnant. This man's semen most likely contains how many sperm per mL of semen?
A)50 million
B)100 million
C)200 million
D)300 million
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Chapter 47: Nursing Care of Men With Reproductive System and
Breast Disorders
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Sample Questions
Q1) A 55-year-old male with a history of angina being treated with a nitrate-based medication asks for a prescription to aid with erectile dysfunction. What should be done to assist this man?
A)Explain why the erectile dysfunction medication is not a good idea with the heart medication.
B)Remind the man to not take the two medications at the same time.
C)Provide education about the medication once the prescription is provided.
D)Suggest he discusses with a psychologist the reasons for the erectile dysfunction.
Q2) A man was diagnosed with benign prostatic hyperplasia (BPH). For which reason should the nurse measure this man's blood pressure?
A)To determine tolerance for terazosin (Hytrin)
B)To calculate the dose of tadalafil (Cialis)
C)To measure the volume of residual urine
D)To identify if surgery is indicated
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Chapter 48: Nursing Care of Women With Reproductive
System and Breast Disorders
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Sample
Questions
Q1) A woman is concerned about developing ovarian cancer because an extended family member had the disease. Which factor will help reduce the risk of this woman developing the disease?
A)Never breastfed
B)Had a first child at the age of 20
C)Did not start menstruating until age 10
D)Has never used oral contraceptives
Q2) A woman is diagnosed with chocolate cysts. What should the nurse explain as being the cause of these cysts?
A)Old blood
B)Changes in melanocyte functioning
C)Hormone imbalance
D)Accumulation of pus
Q3) A 16-year-old person started menstruating at age 14 but has stopped for the last 5 months. How should the nurse respond to this person?
A)'Have you considered that you might be pregnant?'
B)'That's normal in teenagers.'
C)'It's probably psychological.'
D)'Have you noticed any other changes in diet, activity or weight loss?'
Page 50
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Chapter 49: Nursing Care of People With Sexually
Transmitted Infections
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Q1) A woman who was just diagnosed with a sexually transmitted disease is beginning treatment. What should the nurse remind this female to do?
A)Begin birth control pills to prevent future disease transmission.
B)Minimise sexual activity in the future.
C)Be pleased that she was not diagnosed with HIV.
D)Inform all sexual partners about the diagnosis so they can also be treated.
Q2) A woman has the complaint of a 'weird rash' on her hands and feet. Which of the following should the nurse include in the care of this woman? (Select all that apply.)
A)Conduct a complete sexual history assessment.
B)Find out if the woman has experienced a chancre sore on her mouth or genital area.
C)Ask if the woman has experienced a foul-smelling vaginal discharge.
D)Ask the woman if she uses a public swimming pool or spa
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Chapter 50: Mental Healthcare in the Australian Context
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Q1) When do the majority of mental illnesses begin?
A)During early childhood
B)In old age
C)Between the ages of 15 to 25 years
D)From about 40 years of age
Q2) What is schizophrenia?
A)Intermittent episodes of extreme mood swing
B)A strong belief in something that cannot be true, with few if any hallucinations
C)A chronic severe depression
D)Episodes of hallucinations, delusions and thought disorder
Q3) What does Australian legislation encompass within the concept of the meaning of mental illness? People may be deemed mentally ill if they:
A)have developmental disability of the mind.
B)engage in antisocial behaviour.
C)experience serious disturbances of mood.
D)take excessive alcohol or any other drug.
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Chapter 51: Community Care
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Q1) Which members of the Australian community are routinely offered vaccination against influenza?
A)Older adults
B)Middle-aged mothers
C)Children
D)Young adults
Q2) After the initial assessment of a community nursing person, the nurse identifies areas in which the person can improve their health status. What should the nurse do with this information? Select all that apply.
A)Contract with the person to meet the goals.
B)Discuss with the family what to do with the information.
C)Write this information in the plan of care.
D)Work with the person to set achievable goals.
Q3) What is the focus of community nursing care for the person in acute and post-acute care?
A)Quality of life
B)Restoration of health and functional wellbeing
C)Education for a healthy lifestyle, and illness and injury prevention
D)Management of acute symptoms
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Page 53
Chapter 52: Nursing Care of Clients in Regional, Rural and Remote Areas of Australia
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Sample Questions
Q1) Which of the following is an example of an open question?
A)'Does it hurt when you move your arm?'
B)'Is the pain better now?'
C)'Where is the pain?'
D)'What have you been taking for the pain?'
Q2) What are four of the components of the initial emergency response to persons with potentially life-threatening conditions?
A)Danger, breathing, circulation and education
B)Danger, rescue, cognition and airway
C)Airway, circulation, disability and exposure
D)Rescue, airway, circulation and diagnosis
Q3) What is correct about the remote and rural healthcare workforce?
A)Rural nurses have to often adopt a greater role in local health services.
B)The number of general practitioners has increased in recent years.
C)Increasing numbers of young nurses are working in rural areas.
D)The medical workforce has decreased in numbers in metropolitan areas.
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