Acute Care Nursing Solved Exam Questions
Course Introduction
Acute Care Nursing focuses on the comprehensive care of patients with active, severe, or life-threatening health conditions requiring immediate attention and intervention. This course explores the assessment, planning, implementation, and evaluation of nursing care for individuals in acute care settings such as hospitals, emergency departments, and intensive care units. Emphasis is placed on rapid clinical decision-making, advanced patient monitoring, multidisciplinary teamwork, and the management of complex medical and surgical conditions. Students will also develop skills in prioritizing care, utilizing critical thinking, and employing evidence-based practices to support patient recovery and safety in high-pressure environments.
Recommended Textbook
Medical Surgical Nursing Concepts Practice 2nd Edition by Susan C. deWit
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1547 Verified Questions
1547 Flashcards
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Chapter 1: Caring for Medical surgical Patients
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The most effective nursing approach in caring for a depressed 80-year-old newly admitted resident to a long-term care facility would be to:
A)encourage the resident to engage in an activity.
B)remind the resident of reasons to be positive.
C)point out episodes of negative behavior.
D)present a bright and cheerful behavior.
Answer: A
Q2) A female patient who has recently been diagnosed with an inoperable brain tumor asks the nurse,"Do you think God punishes us?" The nurse's most helpful approach would be to:
A)sit down with the patient and ask, "What do you think?"
B)touch the patient's shoulder and say, "God loves you."
C)ask the patient if she would like to speak with the chaplain.
D)say, "God will not give you more than you can bear."
Answer: A
Q3) The nurse explains that the term _____________ refers to the severity of illness. Answer: acuity
Acuity is the term referring to the severity of illness or condition of a patient.
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Chapter 2: Critical Thinking and Nursing Process
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Sample Questions
Q1) The nursing team prioritizing the nursing diagnoses of an overweight hospital patient will select as the highest priority the nursing diagnosis of:
A)Risk for dehydration related to vomiting.
B)Activity intolerance related to shortness of breath.
C)Knowledge deficit related to weight reduction diet.
D)Altered self-image related to excessive weight.
Answer: B
Q2) The nurse demonstrates application of the nursing process by: (Select all that apply.)
A)performing a head-to-toe assessment.
B)updating the patient care plan on a weekly basis.
C)evaluating if patient goals have been met.
D)determining if nursing interventions need to be changed based on lack of patient progress toward meeting goals.
E)ensuring that all personnel caring for the patient are implementing the care plan and working toward the same goals.
Answer: A,C,D,E
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4
Chapter 3: Fluid, electrolytes, acid-base Balance, and
Intravenous Therapy
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32 Verified Questions
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Sample Questions
Q1) Step: 1
A)loss of calcium ions.
B)vitamin D not activated.
C)bone loss.
D)retention of phosphates.
E)loss of absorption of calcium from the GI tract.
Answer: D
Q2) Step: 4
A)loss of calcium ions.
B)vitamin D not activated.
C)bone loss.
D)retention of phosphates.
E)loss of absorption of calcium from the GI tract.
Answer: E
Q3) The nurse demonstrates knowledge of IV solutions by identifying that the IV solution which provides free water,as well as 340 calories/L,is ______________.
Answer: 10% dextrose in water
10% dextrose in water provides free water with no electrolytes and 340 calories/L.
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Chapter 4: Care of Preoperative and Intraoperative Surgical Patients
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Sample Questions
Q1) The nurse is planning care for four postoperative patients.The nurse determines that the patient who is most likely to develop postoperative complications is the patient who is:
A)36 years old with a history of controlled diabetes.
B)52 years old with a history of hypothyroidism.
C)45 years old with a history of a myocardial infarction (MI).
D)79 years old with mild osteoarthritis.
Q2) The nurse is aware that the older adult is a greater surgical risk because the older adult has: (Select all that apply.)
A)fewer physiologic reserves.
B)more probability of a chronic illness.
C)more vulnerability to fluid loss.
D)less tolerance for pain.
E)less psychological stamina.
Q3) The nurse reminds the patient that in laparoscopic surgery,with the small incision and less tissue trauma,there is less pain because of the diminished ______________.
Q4) A(n)________________ allows a patient to donate her own blood to be used during or after surgery.
Page 6
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Chapter 5: Care of Postoperative Surgical Patients
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Sample Questions
Q1) The patient's initial vital signs immediately on return from surgery are BP,140/90;P,80;R,14;T,98° F.One hour later the vital signs are BP,130/84;P,72;R,16;T,96.8°
F.Based on these assessments,the nurse should:
A)add a blanket for warmth to the patient.
B)notify the charge nurse of probable hemorrhage.
C)raise the head of the bed 45 degrees.
D)note the assessment as normal postoperative recovery.
Q2) The nurse is caring for a patient following abdominal surgery.The patient asks the nurse when he will be able to eat a normal diet.The nurse's best response is:
A)"It will depend on how well you tolerate advancing from a clear liquid diet."
B)"We will have to wait until your surgeon orders a regular diet for you."
C)"Most patients are able to eat regular foods within 2 to 3 days following abdominal surgery."
D)"Once you have bowel sounds and are passing gas, you may have clear liquids, and your diet will be advanced based upon your tolerance."
Q3) The nurse assesses the musty odor coming from the wound drainage as being indicative of an infection by a(n)____________ organism,such as Pseudomonas or Staphylococcus.
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Chapter 6: Infection Prevention and Control
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Sample Questions
Q1) The nurse is obtaining a health history on a newly admitted patient.Which information will alert the nurse to an increased risk for this patient developing an infection? (Select all that apply.)
A)The patient reports having unprotected heterosexual sex in three previous relationships.
B)The patient is employed as a biochemist in a hospital.
C)The patient's income is considered middle-class level.
D)The patient reports getting 4 to 5 hours of sleep per night.
E)The patient is 21% over the suggested normal weight.
Q2) The nurse explains that the four lines of defense the body employs to combat infection are __________,__________,__________,and __________.
Q3) The nurse uses a picture to show the areas of the body that are protected by normal flora.These areas include the: (Select all that apply.)
A)skin.
B)bladder.
C)lower GI tract.
D)nose and throat.
E)eye.
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Chapter 7: Care of Patients With Pain
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Sample Questions
Q1) In order to provide the optimum nursing care,it is important for the nurse to know that the standard of pain and pain control is best determined by which person?
A)Physician
B)Nurse
C)Patient's family
D)Patient
Q2) Because of the threat of lowering the seizure threshold,the home health nurse would suggest that the 85-year-old patient limit the use of the pain medication:
A)ibuprofen (Motrin).
B)naproxen (Aleve).
C)tramadol (Ultram).
D)acetaminophen (Tylenol).
Q3) To help with pain control,the nurse plans distraction activities for a patient to be timed to:
A)coincide with mealtimes.
B)bridge the time between administration and onset.
C)be just previous to bedtime.
D)diminish drowsiness and sleep.
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9
Chapter 8: Care of Patients With Cancer
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Sample Questions
Q1) The 26-year-old patient with a malignant neoplasm has experienced a 10-pound weight loss in 3 weeks.The nurse takes into consideration that the rapid weight loss is most likely related to:
A)disinterest in eating food in general.
B)a fitness and weight-training exercise program.
C)the malignancy's high nutritional demand.
D)a self-imposed rigid diet regimen.
Q2) The wife of a terminally ill cancer patient who is receiving palliative care asks the hospice nurse how her husband's pain will be controlled as he nears death.The nurse's best response is:
A)"Most of the time we can manage the pain with oral morphine and transdermal pain medication."
B)"We will probably have to start an IV to administer morphine to control the intense pain he may be experiencing."
C)"Dying patients typically do not have any pain, so this will not be an issue."
D)"I will have to check with your husband's physician to see how he wants us to handle pain control."
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Page 10
Chapter 9: Chronic Illness and Rehabilitation
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Sample Questions
Q1) The LPN/LVN making care assignments to nursing assistants would not assign a patient who has:
A)manipulative behavior.
B)an unstable condition.
C)a draining wound.
D)a communicable disease.
Q2) The LPN/LVN in a long-term health care facility may perform in the roles of: (Select all that apply.)
A)charge nurse.
B)designer of nursing care plans.
C)administrator of medications.
D)administrator of wound care.
E)assignment delegator.
Q3) The rehabilitation nurse makes the point that a dysfunction of a specific body part is termed __________.
Q4) The nurse working in a long-term care facility is aware that in order to comply with Medicare guidelines,documentation of assessment findings which measure physical,psychological,and psychosocial functioning are necessary using the
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Chapter 10: the Immune and Lymphatic Systems
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32 Verified Questions
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Sample Questions
Q1) The nurse exemplifies the action of killer T cells as being like a:
A)tiger slowly stalking an antigen to devour it.
B)mad hornet flying through circulating fluids seeking and killing antigens.
C)spider waiting in a web for an antigen to get caught in it.
D)bird dog pointing to an antigen so it can be attacked by phagocytes.
Q2) The young father tells the industrial nurse at work that he is afraid he will give his 2-week-old baby his cold.The nurse assures him that the baby is protected by _____ immunity.
A)acquired
B)passive
C)active
D)passive natural
Q3) People that the nurse would assess as immunosuppressed would be those that are: (Select all that apply.)
A)on chemotherapy for cancer.
B)using corticosteroids.
C)pregnant at 28 weeks gestation.
D)recovering from joint replacement.
E)diagnosed with HIV.
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Page 12
Chapter 11: Care of Patient With Hiv/aids
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Sample Questions
Q1) The nurse caring for a patient with AIDS who is taking cidofovir (Vistide)for a cytomegalovirus retinitis will modify the care plan to include:
A)provision of cool baths to reduce skin irritation.
B)provision of milk-based drinks to reduce gastritis.
C)teaching direction in the use of an incentive spirometer to reduce pleural effusion.
D)increasing fluid intake to reduce possible nephrotoxicity.
Q2) The school nurse instructing a group of high school sophomores in safe sex practices should include which practice(s)in her teaching? (Select all that apply.)
A)Use a condom.
B)Use a spermicide.
C)Practice abstinence.
D)Get vaccinated against HIV.
E)Avoid unprotected orogenital sex.
Q3) The nurse stresses that the primary emphasis on controlling HIV is __________.
Q4) The patient with AIDS voices concern over the amount of money it will cost to manage his disease.The nurse is aware that it is estimated that medications and lab testing cost an average of $______ per year for the patient with AIDS.
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13
Chapter 12: Care of Patients With Immune and Lymphatic Disorders
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Sample Questions
Q1) During assessment of the patient diagnosed with systemic lupus erythematosus (SLE),which signs and symptoms would the nurse expect to find? (Select all that apply.)
A)Hair loss
B)Enlarged cervical lymph nodes
C)Mouth sores
D)Fatigue
E)Rashes
Q2) The patient with rheumatoid arthritis is prescribed an immunosuppressant drug.The patient asks the nurse what this drug is for.What is the nurse's best response?
A)"The doctor prescribes these drugs to strengthen your immune system."
B)"The drug inhibits your immune system's normal response."
C)"These medications are used to prevent organ rejection."
D)"This medication will strengthen your joints and repair any joint damage."
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14
Chapter 13: the Respiratory System
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Sample Questions
Q1) Step: 2
A)Place diaphragm of stethoscope above clavicles.
B)Listen in midaxillary line to level of diaphragm.
C)Move stethoscope from side to side down midline of the chest.
D)Place diaphragm of stethoscope above scapulae.
E)Move stethoscope side to side on either side of the spine.
Q2) The nurse uses a visual aid to show the mechanics of inhaling which correctly illustrates:
A)the diaphragm moves down.
B)the negative pressure of the lung converts to positive pressure.
C)muscles contract, pulling the rib cage down.
D)bronchi enlarge.
Q3) Step: 4
A)Larynx
B)Left and right bronchi
C)Trachea
D)Oxygen is inhaled through the nose
E)Bronchioles
F)Alveoli
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Page 15
Chapter 14: Care of Patients With Disorders of the Upper
Respiratory
System
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Sample Questions
Q1) To help reduce the anxiety of a new tracheostomy patient,the nurse should:
A)be efficient in giving care quickly.
B)give care with minimal conversation.
C)delay teaching until tracheostomy is healed.
D)offer reassurance of awareness of apprehension.
Q2) The nurse encourages a patient with cancer of the larynx that the "near-total laryngectomy" is a new procedure that preserves the ability to __________ and to
Q3) The nurse is assisting the physician with insertion of a new tracheostomy tube.The physician asks for the obturator.The nurse correctly hands the physician which device?
A)The guide for the tracheostomy tube to be inserted
B)The scalpel used to make the tracheotomy stoma
C)A single-cannula tracheostomy tube
D)A cuffed tracheostomy tube
Q4) The nurse clarifies that the antibiotic given to the patient with a cold is to:
A)cure the cold.
B)reduce the symptoms.
C)prevent a secondary bacterial infection.
D)protect the immune system.
Page 16
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Chapter 15: Care of Patients With Disorders of the Lower
Respiratory
System
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Sample Questions
Q1) Step: 1
A)Mast cell-mediated inflammatory response in bronchi
B)Mucus production
C)Plugging of small airways
D)Contact with precipitator
E)Mucosal edema
Q2) The nurse is teaching an asthma patient proper use of the peak flowmeter.The nurse determines further teaching is needed when observing which action by the patient?
A)Repeating the procedure for a total of three readings
B)Breathing in deeply through the mouthpiece
C)Standing while performing the test
D)Recording the highest reading on the peak flow sheet
Q3) The signs the nurse would expect to see in a patient with advanced emphysema are: (Select all that apply.)
A)productive cough.
B)dyspnea.
C)barrel chest.
D)wheezing.
E)cyanotic skin tone.
17
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Chapter 16: the Hematologic System
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Sample Questions
Q1) The nurse notes a rise in the eosinophil count and suspects the patient has a(n):
A)bacterial infection.
B)allergy.
C)viral infection.
D)blood dyscrasia.
Q2) The nurse explains that jaundice is present as a result of the release of excessive _____ into the bloodstream.
A)histamine
B)bilirubin
C)plasma
D)platelets
Q3) The patient who is taking radiation treatments has a platelet count of 100,000/mm³.The nurse should be alert for:
A)significantly decreased blood pressure.
B)hematuria.
C)constipation.
D)confusion and disorientation.
Q4) The normal range of hemoglobin is from _____ g/dL to _____ g/dL.
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18
Chapter 17: Care of Patients With Hematologic Disorders
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Sample Questions
Q1) Aplastic anemia has its etiology in a variety of drugs,such as: (Select all that apply.)
A)antimetabolite cancer drugs.
B)phenylbutazone (Butazolidin).
C)oral contraception drugs.
D)chloramphenicol (Chloromycetin).
E)sulfonamides.
Q2) The nurse takes into consideration that the patient with polycythemia vera will have a phlebotomy to thin the blood:
A)every 2 to 3 weeks.
B)monthly.
C)every 2 to 3 months.
D)semiannually.
Q3) The home health nurse caring for the patient with polycythemia vera will focus care on:
A)maintenance of high fluid intake.
B)daily exercise to reduce weight.
C)daily dose of anticoagulants.
D)adequate intake of vitamin C.
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19
Chapter 18: the Cardiovascular System
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Sample Questions
Q1) The nurse is explaining to the patient how telemetry will be used during his time in the hospital to help in diagnosing his heart disorder.Which patient statement indicates understanding of teaching?
A)"I will need to stay in bed when the monitor is reading my heart waves."
B)"This test will help determine if I have a blockage in my arteries."
C)"If there is a problem with my heart valves it will show up with telemetry."
D)"The nurses will be able to monitor my heart rate and rhythm."
Q2) The 65-year-old patient complains of leg pain that disappears on rest after having walked a short distance.The nurse recognizes the description of the patient's discomfort as being characteristic of:
A)muscle spasm.
B)deep venous thrombosis.
C)claudication.
D)angiospasm.
Q3) The nurse explains that a Doppler flow study is done to:
A)detect a clot in a coronary artery.
B)visualize obstructions in leg vessels.
C)assess efficiency of blood flow through heart chambers.
D)detect a defective heart valve.
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Page 20
Chapter 19: Care of Patients With Hypertension and Peripheral Vascular Disease
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Sample Questions
Q1) The home health nurse is alarmed that the hypertensive patient's blood pressure has risen to 200/160,but he denies any discomfort.The nurse interprets these assessments as being indicative of:
A)malignant hypertension.
B)hypertensive crisis.
C)essential hypertension.
D)secondary hypertension.
Q2) The nurse outlines methods of prevention of peripheral vascular disease (PVD),which include: (Select all that apply.)
A)relieving stress.
B)controlling diabetes.
C)maintaining appropriate weight.
D)routinely exercising.
E)stopping smoking.
F) None of the above
Q3) The patient who has a history of smoking and alcohol abuse is most likely to develop __________ hypertension.
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Page 21
Chapter 20: Care of Patients With Cardiac Disorders
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Sample Questions
Q1) The independent interventions the nurse may employ when the 80-year-old patient in the long-term health care facility develops acute pulmonary edema are to: (Select all that apply.)
A)give oxygen at 2 L/min.
B)give morphine to relieve respiratory distress.
C)give diuretics to relieve excess fluid.
D)position in high Fowler's position.
E)apply compression stockings.
Q2) The nurse is caring for several patients on a cardiac care unit.The nurse is aware that the patient who is most likely to have the disorder of aortic stenosis is which patient?
A)35 year old with a history of mitral valve prolapsed
B)63 year old with uncontrolled diabetes
C)73 year old with a history of hypertension
D)86 year old with a history of atherosclerosis
Q3) The nurse expresses concern to the 80-year-old resident in a long-term care facility who is attempting to jog on a treadmill.The nurse is aware that the exceptional oxygen and metabolic demands brought on by the exercise might cause ____________.
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Page 22
Chapter 21: Care of Patients With Coronary Artery Disease and Cardiac Surgery
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Sample Questions
Q1) Step: 2
A)Platelets adhere to plaque.
B)Deposits of low-density lipoproteins (LDLs) accumulate.
C)Fibrous plaque is laid down in vessel.
D)Streaks of fatty material are laid down in arteries.
E)Platelets clump.
F)Platelets calcify.
Q2) Step: 4
A)Platelets adhere to plaque.
B)Deposits of low-density lipoproteins (LDLs) accumulate.
C)Fibrous plaque is laid down in vessel.
D)Streaks of fatty material are laid down in arteries.
E)Platelets clump.
F)Platelets calcify.
Q3) The nurse counsels a patient that the administration of thrombolytic drugs would be contraindicated in the patient who is:
A)hypotensive.
B)being treated for a bleeding ulcer.
C)presently taking warfarin (Coumadin).
D)prone to asthma attacks.
Page 23
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Chapter 22: the Neurologic System
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Sample Questions
Q1) The nurse explains that a reflex is a simple automatic response requiring only:
A)one efferent and one afferent impulse and a synapse.
B)two efferent impulse and one synapse.
C)two synapses with efferent and afferent impulses.
D)two afferent impulses and one synapse.
Q2) The loss of neurons in the autonomic nervous system (ANS)of the older adult will cause the older adult to take longer to: (Select all that apply.)
A)recuperate from an illness.
B)apply brakes to stop a car.
C)form words into sentences.
D)climb stairs.
E)learn new material.
Q3) The nurse differentiates the sympathetic from the parasympathetic nervous systems in that the sympathetic system:
A)provides energy for "fight or flight" in stressful situations.
B)slows the heart rate after a stressful situation.
C)supports deep sleep after large expenditures of energy.
D)relaxes blood vessels to counteract hypertension.
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24
Chapter 23: Care of Patients With Head and Spinal Cord Injuries
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Sample Questions
Q1) The nurse is evaluating the patient to determine if adequate learning has occurred regarding care of lower back pain.The nurse determines no further teaching is required when observing which patient activities? (Select all that apply.)
A)The patient carries items away from the center of the body.
B)The patient bends the knees, with the back straight, and crouches to lift an item off the floor.
C)The patient uses a lumbar pillow or roll when sitting for long periods.
D)The patient performs proper back exercises twice a day.
E)The patient maintains proper body weight.
Q2) The nurse documents all the signs of epidural hematoma in a patient with a closed head injury,which are: (Select all that apply.)
A)mottling of extremities.
B)periorbital ecchymosis.
C)Battle's sign.
D)nausea and vomiting.
E)PERRLA.
Q3) The nurse is aware that increasing intracranial pressure can cause _____________ of the brain,which results in the brain impinging on the brainstem.
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Chapter 24: Care of Patients With Disorders of the Brain
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Sample Questions
Q1) The nurse caring for an adult patient on the medical unit who has a seizure will document: (Select all that apply.)
A)length of time of seizure.
B)location of initiation of seizure.
C)whether movements are unilateral or bilateral.
D)family's reaction during the seizure.
E)presence of incontinence.
Q2) The nurse is completing a care plan for a stroke patient who is at risk for impaired physical mobility.Which interventions should the nurse include in the care plan? (Select all that apply.)
A)Assist the patient to stand.
B)Remind the patient to ambulate as much as possible.
C)Ensure that the call bell is easily available.
D)Coach the patient in active ROM.
E)Reinforce the use of a walker or cane.
Q3) The nurse is aware that a key sign of a brain tumor is:
A)morning nausea.
B)difficulty reading.
C)headache that awakens patient.
D)increasing blood pressure.
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Chapter 25: Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
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Sample Questions
Q1) A patient with multiple sclerosis is seen by the home health nurse and complains of severe fatigue.What is the best suggestion by the nurse to help diminish the effects of fatigue?
A)Relaxing in a warm bath
B)Performing deep-breathing exercises
C)Scheduling rest periods during the day
D)Including daily-dose multivitamins
Q2) The nurse is caring for a patient with Huntington's chorea.Which symptoms typically would be seen in the patient with this disease? (Select all that apply.)
A)Fidgeting
B)Restlessness
C)Constant movement
D)Dementia
E)Difficulty swallowing
Q3) The test for the diagnosis of myasthenia gravis in which muscle strength is increased within 1 minute of the injection is the __________ test.
Q4) The triad of Parkinson's disease is __________,__________,and __________.
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Chapter 26: the Sensory System: Eye and Ear
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Sample Questions
Q1) The nurse recalls that the Healthy People 2020 objectives for vision include directives for: (Select all that apply.)
A)vision screening for children 10 years of age and younger.
B)reduction of uncorrected refractive errors.
C)reduction of diabetic retinopathy.
D)reduction of visual impairment related to cataracts.
E)increased use of protective eyewear.
Q2) The nurse is observing a patient read a pamphlet.The nurse notes that the patient has her head tilted to the side.Which inference can the nurse make about these behaviors?
A)The patient has poor vision.
B)The patient is experiencing nystagmus.
C)The patient is experiencing photophobia.
D)The patient is experiencing diplopia.
Q3) The nurse interviewing a patient with macular degeneration will inquire about the patient's habits,especially __________,which is a significant contributor to the disorder.
Q4) The receptors of light and color in the eyeball are the __________ and the __________.
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Chapter 27: Care of Patients With Disorders of the Eyes and Ears
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/14580
Sample Questions
Q1) The patient is scheduled to have surgery to manage glaucoma.The patient correctly explains that the procedure will:
A)increase outflow of aqueous humor.
B)reduce amount of vitreous humor.
C)widen pupils.
D)reduce pain.
Q2) The patient with a corneal transplant asks how long he must wear the eye shield at night.The nurse's best response is that wearing the shield at night will be necessary for _____ month(s).
A)1
B)2
C)3
D)6
Q3) The patient with glaucoma is prescribed an Ocusert miotic.The medication should be replaced with what frequency?
A)Daily
B)Semiweekly
C)Weekly
D)Biweekly
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Chapter 28: the Gastrointestinal System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/14581
Sample Questions
Q1) In taking the history of a person with hepatitis A,an appropriate question for the nurse to ask is:
A)"If using drugs, do you share needles?"
B)"Do you always practice safe sex?"
C)"Have you traveled to Canada in the last month?"
D)"Do you eat shellfish or oysters often?"
Q2) Before a nurse can document the presence of diarrhea,the criteria for diarrhea should be met,which include: (Select all that apply.)
A)one loose stool in a 24-hour period.
B)multiple liquid or semiliquid stools in a 24-hour period.
C)hyperactive bowel sounds.
D)cramping.
E)fever.
Q3) When the patient complains,"I don't see why I can't have a CT scan instead of the expensive MRI," the nurse clarifies that the magnetic resonance imaging (MRI)study:
A)provides better contrast between normal and pathologic tissue.
B)requires less analysis and is easier to read.
C)produces a digital image that can be transmitted via e-mail.
D)exposes the patient to less radiation.
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Page 30
Chapter 29: Care of Patients With Disorders of the Upper
Gastrointestinal
System
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/14582
Sample Questions
Q1) The nurse is assessing the efficiency of swallowing in a patient with dysphagia.During the assessment,the nurse will use what finding to evaluate the process?
A)An audible "gurgle"
B)Rising of the larynx
C)Tilting of the head backward
D)Nodding of the head forward
Q2) To assist the patient with dysphagia to eat a meal,the nurse can: (Select all that apply.)
A)encourage "practice swallowing" before the meal.
B)coach the patient to chew thoroughly.
C)assist the patient to sit upright with the head forward and chin tucked.
D)offer fluid during the meal.
E)give the patient thin liquids, such as water.
Q3) The nurse cautions that increased morbidity from hypertension and cardiac disease,even in children,is related to the modifiable risk factor of __________.
Q4) The nurse demonstrates that the person whose recommended weight is 150 pounds based on height,age,and body type would be considered obese if the person weighed a minimum of ______ pounds.
Page 31
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Chapter 30: Care of Patients With Disorders of the Lower
Gastrointestinal
System
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/14583
Sample Questions
Q1) A 36-year-old woman who had an ascending colostomy angrily declares,"I don't want this hateful thing on my body! This nasty thing is not me." The nurse's most therapeutic response would be:
A)"The colostomy is part of you now."
B)"Let me change the collection bag so you won't feel so nasty."
C)"All ostomates feel this way at first. I'll go get a list of support groups you may want to join."
D)"What about this colostomy concerns you the most?"
Q2) Extremely watery stool with concentrations of digestive enzymes
A)Ascending colostomy
B)Transverse colostomy
C)Descending colostomy
D)Ileostomy
E)Continent ileostomy
Q3) The nurse is aware that an unresolved bowel obstruction can lead to:
A)systemic infection and fever.
B)bowel rupture and shock.
C)adhesions and pain.
D)bloating and expelling gas.
Page 32
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Chapter 31: Care of Patients With Disorders of the
Gallbladder,liver,and Pancreas
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/14584
Sample Questions
Q1) The nurse caring for a patient with acute pancreatitis will include in the daily assessments: (Select all that apply.)
A)auscultation of bowel sounds to detect paralytic ileum.
B)amount of food eaten each meal.
C)abdominal girth to detect ascites.
D)effectiveness of pain control.
E)urine output.
Q2) A patient comes to the emergency department with the complaint of severe vomiting and nausea and a temperature elevation to 101° F.The patient complains of stomach pain that radiates to his right scapula.These assessments suggest:
A)cholecystitis.
B)hepatitis.
C)pancreatitis.
D)gastroenteritis.
Q3) The nurse explains that bile salts deposited in the skin cause jaundice and also cause _____.
Q4) The nurse reinforces that the immunization for HBV is believed to provide _____ immunity.
Page 33
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Chapter 32: the Musculoskeletal System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/14585
Sample Questions
Q1) The nurse encourages the patient to use the four-point crutch gait technique.This technique is most likely indicated because it:
A)allows non-weight bearing on one leg.
B)is the most stable gait.
C)mimics normal walking pattern.
D)allows the most rapid pace.
Q2) The nurse informs the patient that the frequency of range-of-motion (ROM)exercises should be:
A)once a day.
B)once in the morning and once in the afternoon.
C)3 to 4 times a day.
D)4 to 6 times a day.
Q3) Step: 5
A)Transfer both crutches to the side of injury.
B)With weight on good leg, reach back and grasp chair arm.
C)Sit back in chair.
D)Turn slowly and touch backs of legs to seat of chair.
E)Using crutch and chair arm for support, slowly sit on chair.
Q4) When a joint is obliterated by bony overgrowth,the joint is said to be _________.
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Chapter 33: Care of Patients With Musculoskeletal and Connective Tissue Disorders
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/14586
Sample Questions
Q1) Manual reduction and manipulation of bones into alignment
A)Closed reduction
B)Open reduction
C)Internal fixation
D)External fixation
Q2) The nurse lists the advantages of fiberglass casts,which include that this type of cast: (Select all that apply.)
A)is lighter.
B)allows weight bearing in 30 minutes.
C)is cheaper.
D)dries quickly.
E)is easily molded to body part.
Q3) A patient with osteoporosis calls the nurse in the doctor's office to report that she has forgotten to take her weekly bisphosphonate (alendronate [Fosamax])for 2 days past the weekly time.The nurse should advise the patient to:
A)take the dose now with 8 ounces of water.
B)take two doses 3 days apart.
C)skip this week and pick up the schedule next week.
D)take 2 tablets now with a snack.
Page 35
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Chapter 34: the Urinary System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/14587
Sample Questions
Q1) The nurse is discussing bladder health with a patient.During the discussion,the nurse has emphasized the need to void in a timely manner.Which statement by a patient indicates understanding of the rationale behind the recommendations? (Select all that apply.)
A)"Urinating regularly will prevent prolonged exposure of the bladder wall to harmful wastes."
B)"Allowing my bladder to overfill causes the walls to overstretch."
C)"A full bladder can cause undue strain on the urinary sphincters."
D)"The characteristics of urine can change after being in the bladder for overly extended periods."
E)"Pressure from a distended bladder can cause excessive pressure on my colon."
Q2) Urination at night
A)Anuria
B)Oliguria
C)Polyuria
D)Nocturia
E)Hematuria
Q3) The basic functional unit of the kidney is the ________.
Q4) The nurse explains that the urge to void occurs when the bladder contain as little as ______ mL of urine.
Page 36
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Chapter 35: Care of Patients With Disorders of the Urinary System
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/14588
Sample Questions
Q1) A 25-year-old man comes to the college clinic with fever of 101° F and pain in the flank radiating into the thigh and genitals.He complains of nausea.The nurse recognizes these complaints as being indicative of:
A)urethritis.
B)pyelonephritis.
C)glomerulonephritis.
D)cystitis.
Q2) Prostate hypertrophy
A)Prerenal ARF
B)Intrarenal ARF
C)Postrenal ARF
Q3) The nurse is caring for a patient who is being treated for acute pyelonephritis.When performing the assessment,the nurse correctly recognizes that which symptom is consistent with the early stages of the disease?
A)Smoky-colored urine
B)Low-grade fever
C)Weakness
D)Nausea
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Chapter 36: the Endocrine System
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/14589
Sample Questions
Q1) The long-term diabetic has had a glycosylated hemoglobin (HbA?c)test done to evaluate the effectiveness of his glucose control.The nurse evaluates the laboratory report of 5% to indicate that the effectiveness of the glucose control is: A)excellent.
B)good.
C)fair.
D)poor.
Q2) The patient who has a glucose tolerance test scheduled for next week is instructed not to take which medication because it will adversely affect the test result?
A)Vitamin C
B)Antihypertensive agent
C)Birth control pills
D)Calcium supplement
Q3) The nurse clarifies that endocrine glands,as opposed to exocrine glands:
A)can put their secretions directly into the bloodstream.
B)must use a duct to put their secretions into the bloodstream.
C)must hold their secretions in a reservoir until they are needed by the body.
D)can produce constantly for body needs.
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Chapter 37: Care of Patients With Pituitary, thyroid, parathyroid, and
Adrenal Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/14590
Sample Questions
Q1) The nurse clarifies that a subtotal thyroidectomy,which removes only two thirds of the gland,allows:
A)the patient to take minimum amounts of antithyroid drugs.
B)continued production and release of thyroid hormones from the remainder of the gland.
C)the reduction of exophthalmos.
D)for less postoperative risk than total thyroidectomy.
Q2) Hyponatremia,edema
A)Decreased growth hormone
B)Increased thyroid hormone
C)Decreased follicle-stimulating hormone
D)Decreased thyroid hormone
E)Increased antidiuretic hormone
Q3) Weight gain,fatigue,and lethargy
A)Decreased growth hormone
B)Increased thyroid hormone
C)Decreased follicle-stimulating hormone
D)Decreased thyroid hormone
E)Increased antidiuretic hormone
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Chapter 38: Care of Patients With Diabetes and Hypoglycemia
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/14591
Sample Questions
Q1) Weight loss and exercise can delay onset of diabetes
A)Type 1
B)Type 2
C)Gestational
D)Prediabetes
Q2) The nurse explains that the three cardinal signs of type 1 diabetes mellitus are __________,__________,and __________.
Q3) The nurse is observing a patient administer insulin.Which observation indicates the need for further instruction? (Select all that apply.)
A)The patient uses a 90-degree angle to administer the injection.
B)The patient cleans the injection site with alcohol before the injection.
C)The patient rubs the injection site after administration of the insulin injection.
D)The patient draws up the cloudy insulin and then the clear insulin.
E)The patient shakes the insulin bottle before administration.
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Chapter 39: Care of Women With Reproductive Disorders
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/14592
Sample Questions
Q1) The nurse suggests to a patient suffering with premenstrual dysphoric disorder (PMDD)that the patient might be able to reduce the symptoms by:
A)using stress management exercises.
B)drinking 4 ounces of red wine with the evening meal.
C)including red meat in the diet at least 3 times a week.
D)switching to sugar rather than artificial sweeteners.
Q2) The nurse is aware that a copper intrauterine device (IUD)can be used as an emergency contraceptive measure if it is inserted within a maximum of ____ days after unprotected sex.
A)7
B)8
C)9
D)10
Q3) The nurse explains that the portion of the menstrual cycle in which the ova are stimulated and matured is the ________ phase.
Q4) Pain lasts throughout menstrual flow
A)Primary dysmenorrhea
B)Secondary dysmenorrhea
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Chapter 40: Care of Men With Reproductive Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/14593
Sample Questions
Q1) The nurse understands that the clinical definition of sterility is failure to conceive after _____ months of frequent,unprotected sex.
A)6
B)12
C)18
D)24
Q2) Painless enlargement of the scrotum from fluid accumulation
A)Hydrocele
B)Varicocele
C)Priapism
D)Peyronie's disease
E)Torsion
Q3) In counseling a man with erectile dysfunction about a prescription for sildenafil (Viagra),the nurse would suggest a different remedy if the patient was:
A)over 50 years of age.
B)taking nitroglycerin for angina.
C)more than 50 pounds overweight.
D)a long-term diabetic.
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Chapter 41: Care of Patients With Sexually Transmitted
Infections
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/14594
Sample Questions
Q1) A gram-positive gonococcus is an organism that after being stained with crystal violet will:
A)fluoresce after counterstain is applied.
B)accept the counterstain.
C)retain the original stain after the counterstain is applied.
D)turn dark after the counterstain is applied.
Q2) A patient who has been diagnosed with chlamydia is started on a protocol of doxycycline and is reminded by the nurse that: (Select all that apply.)
A)her partner does not need treatment.
B)she should use a condom to protect partners from disease.
C)the disease can develop into pelvic inflammatory disease.
D)the entire prescription of antibiotics should be taken.
E)the disease can result in an ectopic pregnancy.
Q3) The nurse explains to a patient who has genital herpes that she may experience a prodromal signal of an impending outbreak,which most likely will include:
A)elevation in temperature.
B)tingling sensation in the vagina.
C)copious vaginal discharge.
D)migraine-like headache.
Page 43
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Chapter 42: the Integumentary System
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/14595
Sample Questions
Q1) Consists of dense connective tissue
A)Epidermis
B)Dermis
C)Sebaceous glands
D)Sweat glands
Q2) A 93-year-old resident eats only a few bites at meals and then refuses to eat more.To help delay skin breakdown from diminished nutrition,the nurse would:
A)spoon-feed the resident.
B)request an order for a feeding tube.
C)inform resident of the need to increase intake.
D)offer 4 ounces of fluid every hour.
Q3) Thick ridge of scar tissue
A)Edema
B)Hyperkalemia
C)Hypovolemia
D)Tissue hypoxia
E)Hypermetabolism
Q4) The nurse reminds the junior high school health class that the first line of defense from pathogens for the body is the ____________.
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Chapter 43: Care of Patients With Integumentary Disorders and Burns
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/14596
Sample Questions
Q1) The nurse recommends that the person who suffers with psoriasis can increase his comfort by:
A)using drying solutions such as alcohol to clean psoriasis plaques.
B)using a humidifier to keep psoriasis plaques moist.
C)applying wet dressing to minimize proliferation.
D)taking hot baths to reduce skin discomfort.
Q2) Mast cell-stimulated release of histamine
A)Contact dermatitis
B)Atopic dermatitis
C)Stasis dermatitis
D)Seborrheic dermatitis
Q3) Biologic dressing obtained from a pig
A)Open technique
B)Closed technique
C)Escharotomy
D)Allograft
E)Xenograft
Q4) Using the Parkland formula,the fluid needed for a person weighing 140 pounds with a 25% burn would be _____ mL.
45
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Chapter 44: Care of Patients in Disasters or Bioterrorism
Attack
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/14597
Sample Questions
Q1) To help restore order in a group of 18 people who are trapped in a third-floor office building by rising flood water,the nurse should:
A)give everyone a specific duty, for example, arranging furniture for sleeping.
B)let the people direct themselves to helpful tasks.
C)make a list of essential jobs and ask the others to volunteer.
D)put all the food in a central place and direct people to take what they need.
Q2) The nurse encourages civic-minded people to enroll in local civil defense courses on disaster preparedness to better understand the role of the: (Select all that apply.)
A)state government.
B)federal government.
C)law enforcement.
D)individual service agencies.
E)nurse as a volunteer.
F)None of the above.
Q3) Amputated arm,conscious,but in shock
A)Red tag: emergent
B)Yellow tag: urgent
C)Green tag: nonurgent
D)Black tag: terminal
Page 46
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Chapter 45: Care of Patients With Trauma or Shock
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/14598
Sample Questions
Q1) The first responder to an automobile accident finds a victim with a sucking chest wound.The responder should:
A)tightly bind the injury with a folded magazine and the patient's belt.
B)place a plastic sandwich bag over the wound and tape on three sides to make a flutter dressing.
C)turn the patient to the affected side and instruct the patient to deep breathe.
D)place the patient's hand over the wound and tell the patient to press down.
Q2) The nurse cautions that,when cooling down a victim of heatstroke,one must be careful to prevent shivering because shivering can cause:
A)a paralytic ileus.
B)cardiac arrhythmias.
C)an increase in temperature.
D)a seizure.
Q3) When all five of the contestants in a custard pie-eating contest arrive at the emergency department with vomiting and diarrhea,the nurse suspects that these signs are related to the contamination of the pies by _______________.
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Chapter 46: Care of Patients With Anxiety, mood, and Eating Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/14599
Sample Questions
Q1) While the nurse is helping the dialysis patient dress to go to her dialysis treatment,the patient bursts into tears and says,"I can't go! I can't stand another day in that awful place.I will die if I have to go!" The nurse's best intervention would be to:
A)stop the dressing process, sit down, and calmly ask, "Let's talk about how you are feeling."
B)continue to dress the patient and say, "You'll feel better after you have had your dialysis treatment."
C)stop the dressing process and ask, "Are you aware that you can get sicker if you don't go?"
D)continue dressing the patient and say, "We'll have to hurry if you are to eat breakfast before you go."
Q2) The nurse encourages the patient with generalized anxiety disorder (GAD)that buspirone (BuSpar)has the benefit of:
A)less time to reach therapeutic level.
B)decreased risk of dependence.
C)increased sedation.
D)inhibiting serotonin reuptake.
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Page 48
Chapter 47: Care of Patients With Substance Abuse Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/14600
Sample Questions
Q1) The nurse assesses indications that the recovering alcoholic may be developing Wernicke's encephalopathy when the nurse observes: (Select all that apply.)
A)confusion.
B)hallucinations.
C)verbally aggressive behavior.
D)ataxia.
E)seizures.
Q2) The alcoholic patient says to the nurse,"I am not an alcoholic.I can quit any time I want to." The nurse recognizes the defense mechanism of: A)repression.
B)denial.
C)rationalization.
D)intellectualization.
Q3) The nurse explains that an alternative to disulfiram (Antabuse)is the drug naltrexone (ReVia),which can:
A)cause severe headaches if alcohol is consumed while using the drug.
B)cause a dependence on ReVia rather than on alcohol.
C)release endorphin-like enzymes that mimic intoxication.
D)block craving and prevent relapse.
Page 49
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Chapter 48: Care of Patients With Cognitive Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/14601
Sample Questions
Q1) The nurse differentiates vascular dementia from Alzheimer's dementia in that vascular dementia is related to:
A)cerebral atrophy.
B)global reduction of cognition.
C)hypertension.
D)emboli in cerebral vessels.
Q2) The nurse will record that the patient with Alzheimer's disease exhibited agnosia when the patient:
A)attempted to comb her hair with a spoon.
B)had difficulty expressing herself verbally.
C)was unable to understand written language.
D)could not feed herself, although she had adequate motor function to do so.
Q3) The nurse takes into consideration that the patient with AIDS dementia complex (ADC)is at risk for injury due to:
A)manic behavior.
B)numbness and muscle weakness.
C)suicidal ideation.
D)difficulty concentrating.
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Chapter 49: Care of Patients With Thought and Personality Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/14602
Sample Questions
Q1) The nurse is receiving beginning-of-shift report.During report,it is communicated that a schizophrenic patient has been admitted to the unit displaying waxy flexibility.Which behavior can the nurse anticipate finding when assessing the patient?
A)Sitting and staring at the wall without speaking
B)Arranging self in several seated postures on the couch
C)Marching stiffly up and down the center of the dayroom
D)Holding his arm over his head with the fist clenched for 1 hour
Q2) When the paranoid schizophrenic states that his whole family has conspired to have him put in the hospital and that the medical staff is part of the conspiracy,the nurse's most therapeutic response would be:
A)"I'm not like that. I want to help you."
B)"You know your family is concerned about you."
C)"I'm sorry you feel that way. I'll be around if you want to talk about your feelings."
D)"The doctors are trying to help you feel better. They have your best interest in mind."
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