Adult Health Nursing Final Exam Questions
Course Introduction
Adult Health Nursing focuses on the comprehensive care of adult patients experiencing acute and chronic health conditions. This course covers the principles of nursing assessment, evidence-based interventions, and patient-centered care strategies across diverse healthcare settings. Students will learn to apply critical thinking skills, nursing processes, and therapeutic communication techniques in the management of complex health issues, including cardiovascular, respiratory, endocrine, neurological, and musculoskeletal disorders. Emphasis is placed on the promotion of health, prevention of illness, and effective collaboration within multidisciplinary healthcare teams to optimize patient outcomes.
Recommended Textbook
Medical Surgical Nursing in Canada 3rd Canadian Edition by Lewis
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72 Chapters
1742 Verified Questions
1742 Flashcards
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Chapter 1: Introduction to Medical-Surgical Nursing
Practice in Canada
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) An emaciated older adult patient is admitted to the critical care unit.The nurse plans a schedule of turning the patient every two hours to prevent skin breakdown.This is considered to be what type of nursing action?
A) Dependent
B) Cooperative
C) Independent
D) Collaborative
Answer: D
Q2) A patient with an infection has a nursing diagnosis of fluid volume deficit related to excessive diaphoresis.What is an appropriate patient outcome?
A) Balanced intake and output are achieved.
B) Patient verbalizes a need for increased fluid intake.
C) Bedding is changed when it becomes damp.
D) Skin remains cool and dry throughout hospitalization.
Answer: A
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Chapter 2: Cultural Competence and Health Equity in Nursing Care
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) An Aboriginal patient tells the nurse that he thinks his abdominal pain is caused by eating too much seal fat and that strong massage over the stomach will help it.What is this patient describing?
A) Awareness and knowledge of his own culture
B) Encounters with cultures different from his own
C) Explanatory model of health and health practices
D) Knowledge about the differences in modern and folk health practices
Answer: C
Q2) Having a commitment to the goal of inclusivity and equity is classified as which domain in the ABCs of cultural competence?
A) Skills
B) Affective
C) Knowledge
D) Behavioural
Answer: B
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Page 4
Chapter 3: Health History and Physical Examination
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) While the nurse is taking a health history,the patient indicates that his father and grandfather both had heart attacks and were unable to be very active afterward.Which functional health pattern is reflected in this statement?
A) Health perception-health management
B) Coping-stress tolerance
C) Cognitive-perceptual
D) Activity-exercise
Answer: A
Q2) When assessing using mediated percussion,which finger of which hand will the nurse use on the patient's body?
A) Middle finger of dominant hand
B) Index finger of dominant hand
C) Middle finger of nondominant hand
D) Index finger of nondominant hand
Answer: C
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Chapter 4: Patient and Caregiver Teaching
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) How can the nurse most effectively evaluate a teaching objective of "the patient will select a 2000-mg sodium diet from the hospital menu daily for three days with 90% accuracy"?
A) Ask the patient to identify what foods on the daily menu are high in sodium.
B) Have the patient describe the foods that were consumed for the past three days,and total their sodium content.
C) Note the food selected on three daily menus and determine whether the daily sodium content is within 1800 to 2200 mg.
D) Use a record of the patient's food intake for three days to determine whether the total sodium content is 6000 mg.
Q2) A patient admits to the nurse that she does not read well.In developing a teaching plan for the patient,what does this information guide the nurse in determining?
A) The degree of the patient's motivation to learn
B) What information the patient will be able to understand
C) What instructional strategies should be used in teaching
D) That the family must be included in the teaching process
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Chapter 5: Chronic Illness
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Sample Questions
Q1) Which of the following is an example of an environment contextual factor according to the World Health Organizations' ICF Bio-Psycho-Social Model?
A) Social background
B) Behaviour pattern
C) Social attitudes
D) Coping style
Q2) For which type of cancer does evidence exist to support a genetic predisposition to occurrence?
A) Lung
B) Breast
C) Cervical
D) Testicular
Q3) Which is the most influential source of self-efficacy?
A) Mastery
B) Affective states
C) Verbal persuasion
D) Vicarious experience
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Page 7
Chapter 6: Community-Based Nursing and Home Care
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A patient hospitalized with diabetes mellitus is being referred to a certified home health care agency on discharge from the hospital.Which of the following people will coordinate the care?
A) A case manager
B) A community registered nurse
C) The patient's family physician
D) A certified diabetic educator from the hospital
Q2) Which of the following is a key principle of primary health care?
A) Universal access to health care on an economic basis
B) Focus on acute illness and cure
C) Partnership with other professions and sectors for health
D) Individuals as passive recipients of health care
Q3) Primary health care is increasingly being embraced as a strategy to shift the health system's focus from treatment of disease to health promotion.This shift is known as which of the following?
A) Economic shift
B) Reforming the system
C) Enhancing primary health care
D) Chronic disease management in home care settings
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Chapter 7: Older Adults
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) What data collection method does the nurse recognize as eliciting the most complete information during a geriatric assessment?
A) Having the patient recount his or her health history
B) Having the caregiver provide the information on the patient
C) Using a reliable geriatric assessment instrument to evaluate the patient
D) Having the patient provide a diary of medical conditions and treatments
Q2) Which of the following is an element of a stochastic theory of aging?
A) Programmed
B) Transcription
C) Neuroendocrine
D) Immunological-autoimmunological
Q3) As the nurse is teaching a 72-year-old woman about her new medications,she replies that she "just can't remember all that information anymore." What knowledge about aging does the nurse use to understand why the woman may have difficulty learning about the medications?
A) Intellectual ability declines with age.
B) All mental abilities slow as individual's age.
C) Declining physical health can impair cognitive function.
D) Impaired vocabulary and verbal function decrease reasoning with age.
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Page 9
Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) According to the general adaptation theory,which of the following occurs when a patient is in the alarm reaction phase?
A) Decreased cardiac output
B) Peripheral vasodilatation
C) Decreased stroke volume
D) Decreased gastrointestinal secretions
Q2) A 40-year-old woman comes to the health clinic requesting sleeping medication and treatment for headaches.She tells the nurse that her husband has moved out to live with another woman.Her 16-year-old son,who has a drug problem,sold her jewellery and electronic equipment.What stress theory is the nurse using in concluding that the woman's life events are contributing to her insomnia and headaches?
A) Stress as a stimulus
B) Stress as a response
C) Stress as a perception
D) Stress as a transaction
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10
Chapter 9: Sleep and Sleep Disorders
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Sample Questions
Q1) Which of the following is a common misconception about sleep in the older adult?
A) Older adults need less sleep than middle-aged adults.
B) Insomnia symptoms in the older adult frequently occur with depression.
C) Older female adults report more trouble falling asleep than their male counterparts.
D) Diabetes in the older adult can increase the prevalence of insomnia.
Q2) Which of the following is an arousal parasomnia that occurs during NREM sleep?
A) Enuresis
B) Hallucinations
C) Sleepwalking
D) Nightmares
Q3) What should the nurse do,initially,to assist in determining whether a patient seen in the ambulatory care setting has chronic insomnia?
A) Schedule a polysomnography (PSG)study.
B) Arrange for the patient to have a sleep study.
C) Ask the patient to keep a two-week sleep diary.
D) Teach the patient about the use of an actigraph.
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Chapter 10: Pain
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Sample Questions
Q1) Amitriptyline,a tricyclic antidepressant,is being administered to a patient with chronic cancer pain.What does the nurse recognize as the expected outcome of administration of this drug?
A) Increased pain threshold by stimulating the release of endogenous enkephalins
B) Decreased perception of pain by blocking opiate receptors in the brain and descending inhibitory nerves
C) Decreased transmission of pain impulses by altering serotonin and norepinephrine activity at nerve synapses
D) Increased pain tolerance through relief of depression by increasing the amounts of norepinephrine in the brain
Q2) Which type of pain is caused by damage to somatic tissue?
A) Visceral
B) Nociceptive
C) Neuropathic
D) Sensory-discriminative
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12
Chapter 11: Substance Use
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) During physical assessment of a patient with chronic alcohol abuse,what does the nurse identify as a pathophysiological change related to alcohol?
A) Hypotension
B) Hyperthermia
C) Hepatomegaly
D) Dependent edema
Q2) A young woman was brought to the hospital by friends when she developed visual and auditory hallucinations and extreme agitation after she smoked a large dose of "speed" (amphetamines).Her vital signs are blood pressure 162/98 mm Hg,heart rate is 142 beats per minute and irregular,and respiration is 32 breaths per minute.What is the most important nursing intervention at this time?
A) Monitor the patient's electrocardiogram and vital signs.
B) Orient the patient with consistent verbal contact.
C) Obtain a health history that includes prior drug use.
D) Promote continuous ambulation and physical activity.
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13
Chapter 12: Complementary and Alternative Therapies
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Sample Questions
Q1) During a routine health examination,the patient tells the nurse that she uses a variety of herbal therapies to maintain her health.In discussing her use of herbs,what should the nurse caution the patient about?
A) Most herbs are toxic and carcinogenic and should be used only when proven effective.
B) Herbs are not any better than conventional drugs in maintaining health and may be more unsafe.
C) Herbs should be purchased only from manufacturers with a history of quality control of their products.
D) Because herbal therapies may mask the symptoms of serious disease,frequent medical evaluation is required during their use.
Q2) Which of the following is a commonly used herb for treating nausea and vomiting during pregnancy?
A) Aloe
B) Ginger
C) Kava
D) Milk thistle
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Chapter 13: Palliative Care at the End of Life
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13 Flashcards
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Sample Questions
Q1) A patient who is very close to death is very restless and repeats,"I am not ready to die." What is the most appropriate nursing intervention at this time?
A) Call the hospital chaplain to visit the patient.
B) Sit with the patient,and ask him if he wants to talk.
C) Inform the patient that everything possible is being done for him.
D) Ask the patient what he needs to do to come to acceptance of his death.
Q2) Which sense is usually the last one to disappear before death?
A) Touch
B) Sight
C) Smell
D) Hearing
Q3) Which of the following health care providers is legally qualified to complete a certification of death?
A) Paramedic
B) Physician
C) Registered nurse
D) Licensed practical nurse
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Chapter 14: Inflammation and Wound Healing
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which one of the following types of macrophages would be found in bone tissue?
A) Type A cells
B) Microglial cells
C) Osteoclasts
D) Histiocytes
Q2) During administration of antipyretic drugs,what does the nurse understand about the mechanism of action of these agents in decreasing body temperature?
A) They dilate small arterioles in the skin,promoting heat loss through radiation.
B) They stimulate the activity of sweat glands,leading to heat loss through evaporation from the skin.
C) They block the release of interleukins to raise the core body temperature in the midbrain.
D) They interfere with the production of prostaglandins and their effect on the temperature-regulating centre in the hypothalamus.
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16
Chapter 15: Genetics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) When completing a pedigree,the nurse knows to use the symbol g (blue square)to denote which of the following?
A) Unknown sex,normal
B) Normal male
C) Female heterozygote
D) Affected male
Q2) The nurse is participating in a clinical trial involving in vitro gene therapy in the treatment of a patient with adenosine deaminase (ADA)deficiency.What should the nurse explain to the patient is involved in this method of gene therapy?
A) Direct instillation of modified viruses carrying the desired genes into the patient
B) Direct microinjection of DNA into cells that have been removed from the body and reinfused
C) Removal of lung cells from the body,which are altered genetically and reinfused into the patient's blood
D) Removal of cells from the body,which are exposed to modified viruses containing desired genes and reinfusion of the cells back into the body
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Chapter 16: Altered Immune Response and Transplantation
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19 Verified Questions
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Sample Questions
Q1) A patient who is employed as a laboratory technician is scheduled for knee surgery.While obtaining a health history from the patient,the nurse learns that the patient has a history of allergic rhinitis,asthma,and multiple food allergies.What is most important that the nurse do with this information?
A) Document the allergic history,and be alert for the possibility of a type I latex allergy.
B) Encourage the patient to carry an epinephrine kit in case a type IV allergic reaction to latex develops.
C) Advise the patient to use oil-based hand creams to decrease contact with natural proteins in latex gloves.
D) Recommend that the patient use vinyl gloves instead of latex gloves in preventing bloodborne pathogen contact.
Q2) What initial evidence would indicate to the nurse that a patient is experiencing a systemic anaphylaxis to an injected allergen?
A) Dyspnea
B) Dilation of the pupils
C) Itching and edema at the injection site
D) A wheal-and-flare reaction at the injection site
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Chapter 17: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) While teaching community groups about AIDS,which of the following should the nurse tell people is currently the most common method of transmission of the HIV virus?
A) Nonsexual exposure to saliva and tears
B) Sharing equipment to inject illegal drugs
C) Transfusions with HIV-contaminated blood
D) Sexual contact with an HIV-infected partner
Q2) During which period of chronic HIV infection would the patient experience lymphadenopathy and nervous system manifestations?
A) Early
B) Intermediate
C) Late
D) Terminal
Q3) Which of the following involves malignant vascular lesions on the torso?
A) Leukoplakia
B) Toxoplasma gondii
C) Kaposi's sarcoma
D) Coccidioides immitis
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Page 19
Chapter 18: Cancer
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A patient is receiving chemotherapy for a large tumour of the liver.For which of the following reasons does the nurse recognize that the expected response to this therapy is limited?
A) The fewer the cancer cells,the greater is the response to chemotherapy.
B) Large tumours become encapsulated,preventing exposure to chemotherapeutic agents.
C) The patient's natural defences are compromised by the presence of numerous tumour cells.
D) Large tumours have a greater number of undifferentiated cells.
Q2) Interleukin-2 (IL-2)is used as adjuvant therapy for a patient with metastatic renal cell carcinoma.Which of the following does the nurse recognize as a goal of therapy with this agent?
A) Selectively altering the DNA of malignant cells
B) Enhancing the patient's immunological response to tumour cells
C) Stimulating malignant cells in the resting phase to enter mitosis
D) Preventing the bone marrow depression common with the use of chemotherapeutic agents
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Page 20
Chapter 19: Fluid, electrolyte, and Acidbase Imbalances
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Sample Questions
Q1) A patient is in metabolic acidosis.Which of the following findings indicates to the nurse that the patient's body is attempting to compensate for the acidosis?
A) Rapid,deep respirations
B) An increase in urinary pH
C) Decreased plasma proteins
D) Increased urinary bicarbonate
Q2) When monitoring the fluid and electrolyte status of the older adult,what does the nurse recognize that impairment of the thirst mechanism may lead to?
A) Hyperosmolality
B) Cellular edema
C) Isotonic fluid deficit
D) Decreased production of ADH
Q3) Which of the following is a clinical manifestation of hypokalemia?
A) Irritability
B) Soft,flabby muscles
C) Abdominal cramping
D) Oliguria
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21
Chapter 20: Nursing Management: Preoperative Care
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Sample Questions
Q1) Why is it especially important for the nurse to determine the patient's current use of medications during the preoperative assessment?
A) These medications may alter the patient's perceptions about surgery.
B) Anaesthetics alter renal and hepatic function,causing toxicity by other drugs.
C) Other medications may cause interactions with anaesthetics,altering the potency and effect of the drugs.
D) Routine medications are usually withheld the day of surgery,requiring dosage and schedule adjustments.
Q2) During the preoperative assessment of a patient scheduled for a cholecystectomy at an outpatient centre,the patient tells the nurse that she uses St.John's wort to keep her spirits up.Why should the nurse notify the anaesthesiologist about this use of St.John's wort?
A) It may increase the risk of bleeding.
B) It may prolong the effects of anaesthetics.
C) It may cause serious elevations in blood pressure.
D) It may depress the immune system response,delaying healing.
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22
Chapter 21: Nursing Management: Intraoperative Care
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Sample Questions
Q1) A patient with a dislocated shoulder is prepared for a closed,manual reduction of the dislocation with conscious sedation.Which of the following would the nurse anticipate would be administered preoperatively?
A) Inhaled nitrous oxide
B) IV midazolam
C) Intramuscular ketamine (Ketalar)
D) Intramuscular fentanyl-droperidol (Innovar)
Q2) The nurse notes that a preoperative patient is drowsy,but oriented,in the receiving area.In addition to checking her hospital number and identification band,what should the nurse check?
A) Ask family members to verify the patient's identity.
B) Check that the operative procedure is noted on the chart.
C) Ask the surgeon to identify the patient and the planned surgical procedure.
D) Ask the patient to state her name,her doctor's name,and the operative procedure planned.
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Chapter 22: Nursing Management: Postoperative Care
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Sample Questions
Q1) When a patient is transferred from the PACU to the clinical surgical unit,what is the first nursing action on the surgical unit?
A) Assess the patient's pain.
B) Take the patient's vital signs.
C) Check the rate of the IV infusion.
D) Check the physician's postoperative orders.
Q2) A 42-year-old patient is recovering from anaesthesia in the PACU following a hysterectomy.Her preoperative blood pressure was 120/68 mm Hg,and on admission to the PACU,her blood pressure was 124/70 mm Hg.Thirty minutes after admission,her blood pressure is 112/60 mm Hg.Her pulse is 72 beats/min,and her skin is warm and dry.What is the most appropriate nursing action at this time?
A) Administer oxygen therapy per mask.
B) Notify the anaesthesiologist immediately.
C) Increase the rate of the patient's intravenous (IV)fluid replacement.
D) Continue to monitor the patient,taking vital signs every 15 minutes.
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Chapter 23: Nursing Assessment: Visual and Auditory Systems
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Sample Questions
Q1) A 42-year-old man complains of seeing small spots moving in front of his eyes.What should the nurse do?
A) Refer the patient to an ophthalmologist for further evaluation.
B) Explain that these "floaters" are usually normal and caused by liquefaction of the vitreous.
C) Examine the retina of the patient's eye with an ophthalmoscope to visualize the spots.
D) Inform the patient that these spots usually occur with aging and can be surgically removed if they are bothersome.
Q2) A 44-year-old patient tells the nurse that she recently bought some reading glasses at the drugstore because they help her see at close range much better.When she asks the nurse what is happening to her eyes,the nurse explains that this often occurs in middle age and is a result of which of the following aging processes?
A) Thinning of the retina
B) Loss of lens elasticity
C) Degeneration of the cornea
D) Unevenness of the cornea
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25
Chapter 24: Nursing Management: Visual and Auditory
Problems
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Sample Questions
Q1) A counsellor at a camp for children with diabetes was tending a campfire when a log exploded,sending sparks into his eyes.Initially,as the camp nurse,what should the nurse do?
A) Apply ice packs to the eyes.
B) Flush the eyes with cool,sterile,normal saline for 10 minutes.
C) Cover the eyes with dry,sterile patches and protective eye shields.
D) Apply an antiseptic ophthalmic ointment from the first aid kit to the eyes.
Q2) Which of the following is a manifestation of cerumen impaction?
A) Temporal headache
B) Difficulty breathing
C) Amplified low-pitch sounds
D) Cardiac depression
Q3) When teaching a patient about the administration of eye drops,the nurse instructs the patient to close his eye and apply gentle pressure with his fingers to the inside corner of the eye for which length of time?
A) 20 to 30 seconds
B) 1 to 2 minutes
C) 2 to 3 minutes
D) 4 to 5 minutes
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Chapter 25: Nursing Assessment: Integumentary System
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Sample Questions
Q1) A dark-skinned patient has been admitted to the hospital in severe respiratory distress.What knowledge does the nurse use to assess for cyanosis in the patient?
A) Cyanosis in patients with dark skin can be seen only in the sclera.
B) Cyanosis is not possible to assess in patients with dark skin.
C) Cyanosis can be seen in the conjunctiva of the eye and mucous membranes of patients with dark skin.
D) Cyanosis will blanch out with direct pressure to the soles of the feet in dark-skinned patients.
Q2) What is the primary function of the skin?
A) Sensory perception
B) Mirroring of emotions
C) Protecting underlying tissues of the body
D) Displaying the individual identity of the person
Q3) Which of the following is an age-related change in the integumentary system?
A) Increased proliferative capacity in the skin
B) Decreased keratin in the nails
C) Decreased melanin in the hair
D) Increased extracellular water in the skin
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Chapter 26: Nursing Management: Integumentary
Problems
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Sample Questions
Q1) Which of the following would the nurse recommend to the patient who has vitiligo?
A) Chemical peels
B) Use of warm compresses to decrease pain
C) Rehabilitative cosmetics to camouflage the lesion
D) Injection of botulinum toxins (Botox)
Q2) A patient has a small,slow-growing papule with ulceration and depression of the centre of the lesion on the right cheek.The nurse recognizes that this finding is characteristic of which of the following skin conditions?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma
Q3) Why is it important to ensure that piercings in the mouth are done with plastic jewellery rather than metal jewellery?
A) The piercing may get dislodged and be swallowed.
B) Plastic will not chip teeth.
C) This eliminates the risk of metal absorption into the bloodstream.
D) Plastic is easier to clean and disinfect than metal.
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Chapter 27: Nursing Management: Burns
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Sample Questions
Q1) To prevent contractures in a patient with burns of the head,neck,chest,and right arm and hand,how should the nurse position the patient?
A) Supine with a pillow under the head and the right arm and hand elevated on a pillow
B) In a Fowler's position without a pillow with the right arm and hand extended and elevated on a pillow
C) Laterally on the left side with a small pillow under the head and the right arm and hand hyperextended
D) Supine without a pillow and with the right arm and hand flexed in a position of comfort and elevated on pillows
Q2) Which of the following burn victims should the nurse assess for carbon monoxide inhalation?
A) Was found unconscious in a burning building
B) Has facial burns,hoarseness,and sooty sputum
C) Inhaled a large amount of steam released by a radiator
D) Was burned in a charcoal grill fire ignited with gasoline
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Chapter 28: Nursing Assessment: Respiratory System
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Sample Questions
Q1) A patient is admitted with a metabolic acidosis of unknown origin.Based on this diagnosis,the nurse would expect the patient to have which one of the following?
A) Kussmaul's respirations
B) Slow,shallow respirations
C) A low oxygen saturation (SpO<sub>2</sub>)
D) A decrease in PVO<sub>2</sub>
Q2) On auscultation of a patient's lungs,the nurse hears short,high-pitched sounds just before the end of inspiration in the right and left lower lobes.How should the nurse document this finding?
A) Inspiratory wheezes in both lungs
B) Crackles in the right and left lower lobes
C) Abnormal lung sounds in the bases of both lungs
D) Pleural friction rub in the right and left lower lobes
Q3) In analyzing the results of a patient's blood gas analysis,the nurse will be most concerned about which of the following?
A) Arterial oxygen tension (PaO<sub>2</sub>)of 60 mm Hg
B) Arterial oxygen saturation (SaO<sub>2</sub>)of 91%
C) Arterial carbon dioxide (PaCO<sub>2</sub>)of 47 mm Hg
D) Arterial bicarbonate level (HCO<sub>3</sub><sup>-</sup>)of 27 mmol/L
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Page 30
Chapter 29: Nursing Management: Upper Respiratory Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78737
Sample Questions
Q1) A home care nurse is completing a follow-up visit with a patient who has recently undergone a radical neck dissection.The nurse will assess the patient for signs and symptoms of which of the following emotional concerns?
A) Anxiety
B) Anorexia
C) Depression
D) Speech impediment
Q2) A patient with laryngeal cancer has received teaching about radiation therapy.Which statement by the patient indicates that the teaching has been effective?
A) "I will need to buy a water bottle to carry with me."
B) "Until the radiation is complete,I may have diarrhea."
C) "Alcohol-based mouthwashes will help clean oral ulcers."
D) "I can use lotions to moisturize the skin on my throat."
Q3) Which is the most common infection causing acute pharyngitis?
A) Fungal
B) Viral
C) Acute follicular
D) Peritonsillar
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Chapter 30: Nursing Management: Lower Respiratory Problems
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/78735
Sample Questions
Q1) The occupational nurse at a manufacturing plant where there is high worker exposure to beryllium dust will monitor workers for which of the following?
A) Shortness of breath
B) Stabbing chest pain
C) Elevated temperature
D) Barrel chest
Q2) A 56-year-old normally healthy patient at the clinic is diagnosed with community-acquired pneumonia.The nurse anticipates that empirical treatment of the patient could include the administration of which of the following medications?
A) Ciprofloxacin (Cipro)
B) Azithromycin (Zithromax)
C) Trimethoprim-sulfamethoxazole (Bactrim)
D) A second- or third-generation cephalosporin
Q3) What should the nurse teach patients at risk for pneumonia to obtain?
A) Staphylococcal vaccine
B) Measles,mumps,rubella (MMR)vaccine
C) Pneumococcal vaccine
D) Bacille Calmette-Guérin (BCG)vaccine
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Chapter 31: Nursing Management: Obstructive Pulmonary Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/78734
Sample Questions
Q1) The physician has prescribed a budesonide metered-dose inhaler (MDI)two puffs every 8 hours and ciclesonide MDI one puff twice daily (BID).In teaching the patient about the use of the inhalers,what is the best instruction?
A) "Use the budesonide inhaler first,wait a few minutes,then use the ciclesonide inhaler."
B) "Using a spacer with the MDIs will improve the inhalation of the medications."
C) "To avoid side effects,the inhalers should not be used within 1 hour of each other."
D) "To maximize the effectiveness of the medications,inhale quickly when using the inhalers."
Q2) When caring for a patient with CF,the nurse recognizes that the manifestations of the disease are caused by which of the following pathophysiological processes?
A) Inflammation and fibrosis of lung tissue
B) Failure of the bronchial goblet cells to produce mucus
C) Altered function of exocrine glands,with abnormally thick,viscous secretions
D) Thickening and fibrosis of the pleural linings of the lungs,causing thoracic wall changes
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Chapter 32: Nursing Assessment: Hematological System
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78733
Sample Questions
Q1) While obtaining a health history from a patient with numerous petechiae on the skin,the nurse asks the patient specifically about the patient's use of which of the following drugs?
A) Antiseizure medications
B) Oral contraceptives
C) Aspirin compounds
D) Antihypertensive agents
Q2) A patient is found to have leukopenia,anemia,neutropenia,and thrombocytopenia.Which drug classification is known to exhibit these hematological alterations?
A) Isoniazid
B) Aminoglycosides
C) H<sub>2</sub>-receptor blockers
D) Trimethoprim-sulfamethoxazole (Septra)
Q3) Approximately what percentage of the composition of blood is plasma?
A) 30%
B) 45%
C) 55%
D) 75%
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34
Chapter 33: Nursing Management: Hematological Problems
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78732
Sample Questions
Q1) Fifteen minutes after a transfusion of packed RBCs is started,a patient develops tachycardia and tachypnea,and complains of back pain and feeling warm.What is the nurse's priority action?
A) Discontinue transfusion,and infuse normal saline.
B) Administer oxygen therapy at a high flow rate.
C) Slow the transfusion rate,and reassess the patient in 15 minutes.
D) Stop the blood,and discard the used bag and tubing in a biohazard container.
Q2) A patient who has been receiving a heparin infusion and warfarin (Coumadin)for a deep-vein thrombosis is diagnosed with heparin-induced thrombocytopenia and thrombosis syndrome (HITTS).What does the nurse anticipate that the physician will order?
A) Use saline for flushing intravenous (IV)lines.
B) Give low-molecular weight (LMW)heparin.
C) Discontinue the warfarin.
D) Administer platelet transfusions.
Q3) Which nutrient plays a role in helping mature RBCs in erythropoiesis?
A) Iron
B) Folic acid
C) Pyridoxine
D) Ascorbic acid
Page 35
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Chapter 34: Nursing Assessment: Cardiovascular System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78731
Sample Questions
Q1) To auscultate for extra heart sounds in the mitral area,with what part of the stethoscope will the nurse listen?
A) The bell of the stethoscope with the patient in the left lateral position
B) The diaphragm of the stethoscope with the patient in a reclining position
C) The diaphragm of the stethoscope with the patient lying flat on the left side
D) The bell of the stethoscope with the patient sitting and leaning to the right side
Q2) The nurse is monitoring a patient with possible coronary artery disease who is undergoing exercise (stress)testing on a treadmill.Which symptom has the most immediate implications for the patient's care during the exercise testing?
A) BP rising from 134/68 to 150/80 mm Hg
B) HR increasing from 80 to 96 beats/min
C) Patient complaining of feeling short of breath
D) ECG indicating the presence of coronary ischemia
Q3) Which of the following is a normal cardiac index (CI)assessment finding?
A) 2 L/min
B) 3 L/min/m<sup>2</sup>
C) 6 L/min
D) 8 L/min/m<sup>2</sup>
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Chapter 35: Nursing Management: Hypertension
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78730
Sample Questions
Q1) The nurse assesses the risk factors for hypertension in a patient with high normal BP.Which risk factor would the nurse identify from the health history and advise the patient to change,in order to prevent hypertension?
A) Little or no regular exercise
B) No use of relaxation techniques
C) High dietary intake of simple sugars
D) Drinking wine with dinner once a week
Q2) When teaching a patient about nutritional therapy related to hypertension,the nurse tells the patient to consume how many servings per day of whole grains?
A) Two to three
B) Four to five
C) Six to eight
D) Avoid intake of whole grains.
Q3) Which of the following is a correct mechanism action of aldosterone?
A) Increased sodium reabsorption
B) Decreased water reabsorption
C) Decreased blood volume
D) Increased potassium excretion
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Chapter 36: Nursing Management: Coronary Artery Disease
and Acute Coronary Syndrome
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/78729
Sample Questions
Q1) Which of the following is the earliest lesion of atherosclerosis and is characterized by lipid-filled smooth muscle cells?
A) Fatty streak
B) Fibrous plaque
C) C-reactive lesion
D) Complication lesion
Q2) When caring for a patient who has survived a sudden cardiac death event and has no evidence of an AMI,what will the nurse anticipate teaching the patient?
A) That sudden cardiac death events rarely recur
B) The purpose of outpatient Holter monitoring
C) How to self-administer low-molecular weight heparin
D) The need to limit activities after discharge to prevent future events
Q3) The nurse determines that outcomes for teaching regarding precipitating factors of angina have been met when the patient states which of the following?
A) "I will stop my sexual activities."
B) "I will rest for 1 to 2 hours after a heavy meal."
C) "I will take my medication before doing my daily walk."
D) "I will limit my coffee intake,but I may substitute regular cola products."
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Chapter 37: Nursing Management: Heart Failure
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78728
Sample Questions
Q1) To promote more efficient ventricular emptying by decreasing preload in the patient with chronic heart failure,the nurse should implement which of the following actions?
A) Administer oxygen per mask.
B) Encourage active leg exercises to increase venous return.
C) Administer sedatives to promote rest and decrease myocardial oxygen demand.
D) Position the patient in a high-Fowler's position with the feet horizontal in the bed.
Q2) Which of the following determinants of health is true in relation to heart failure?
A) Men compose more new cases of heart failure than women.
B) Women tend to be diagnosed with heart failure at an older age as compared to men.
C) Men are more likely to be diabetic as compared to women.
D) Women are less likely to have high BP than men.
Q3) Which of the following is a common cause of chronic heart failure?
A) Anemia
B) Dysrhythmias
C) Myocarditis
D) Hypertensive crisis
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Chapter 38: Nursing Management: Dysrhythmias
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78727
Sample Questions
Q1) A patient's sinus rhythm rate is 62 beats/min.The PR interval is 0.18 seconds at 0100 hours,0.20 seconds at 1230 hours,and 0.23 seconds at 1600 hours.Which action should the nurse take?
A) Document the patient's rhythm,and continue to monitor.
B) Prepare for possible pacemaker insertion.
C) Hold the ordered metoprolol (Lopressor),and call the physician.
D) Give the as-needed dose of lidocaine (Xylocaine).
Q2) A patient has a sinus arrest with a junctional escape rhythm.What would the nurse expect the patient's pulse rate to be?
A) 15 to 20 beats/min
B) 20 to 40 beats/min
C) 40 to 60 beats/min
D) 60 to 100 beats/min
Q3) What is the most accurate way to calculate the heart rate from an ECG?
A) Count the number of R-R intervals in 6 seconds,and multiply by 10.
B) Count the number of small squares between the R-R interval,and divide by 1500.
C) Count the number of QRS complexes in 1 minute.
D) Count the large squares between one R-R interval,and divide by 300.
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Chapter 39: Nursing Management: Inflammatory and Structural Heart Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78726
Sample Questions
Q1) A patient is admitted to hospital with a diagnosis of myocarditis.The nurse knows that early cardiac manifestations will appear approximately how long after viral infection?
A) 24 to 48 hours
B) 3 to 5 days
C) 7 to 10 days
D) 2 to 3 weeks
Q2) Which assessment information obtained by the nurse for a patient with aortic stenosis would be most important to report to the physician?
A) A loud systolic murmur is audible along the right sternal border.
B) The patient complains of chest pain associated with ambulation.
C) The point of maximum impulse is at the left midclavicular line.
D) A thrill is palpable at the second intercostal space,right sternal border.
Q3) While obtaining a nursing history from a 23-year-old man with rheumatic fever,what information related by the patient does the nurse recognize as the most significant?
A) Has used illicit IV drugs within the last 3 months
B) Has been unemployed for 6 months and has been eating poorly
C) Suffered chest trauma with a fractured rib during a fight 2 weeks ago
D) Has had a recent sore throat
Page 41
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Chapter 40: Nursing Management: Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78724
Sample Questions
Q1) The nurse identifies the nursing diagnosis of ineffective peripheral perfusion related to decreased arterial blood flow for a patient with chronic PAD.In evaluating the patient outcomes following patient teaching,the nurse determines a need for further instruction when the patient makes which of the following statements?
A) "I will wear loose clothing that does not bind across my legs or waist."
B) "I will change my position every hour and avoid long periods of sitting with my legs down."
C) "I will use a heating pad on my feet at night to increase the circulation and warmth in my feet."
D) "For about 40 minutes each day,I will walk to the point of pain,rest,and then walk again until I develop pain."
Q2) Which of the following is a characteristic of a venous ulcer?
A) Capillary refill 5 seconds
B) Smooth,uniform ulcer margin.
C) Skin warm to touch
D) No dermatitis
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Chapter 41: Nursing Assessment: Gastrointestinal System
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78723
Sample Questions
Q1) A healthy adult produces approximately how much saliva on a daily basis?
A) 500 mL
B) 1000 mL
C) 1500 mL
D) 2000 mL
Q2) A patient has an abnormally high serum ammonia level.Which of the following does the nurse recognize this finding to be indicative of?
A) A decreased bile flow into the intestine
B) A decrease in the number of bowel bacteria that deaminate amino acids
C) Failure of the liver to convert ammonia absorbed from the bowel to urea
D) An increased reabsorption of urobilinogen from the bowel into the blood
Q3) A 68-year-old patient awakens at night with heartburn and belching.The nurse recognizes that these symptoms may occur when which of the following structures relaxes abnormally?
A) Epiglottis
B) Ileocecal valve
C) Pyloric sphincter
D) Lower esophageal sphincter (LES)
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43
Chapter 42: Nursing Management: Nutritional Problems
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78722
Sample Questions
Q1) While caring for an older adult patient hospitalized with dehydration and moderate protein-calorie malnutrition,the nurse identifies a nursing diagnosis of risk for infection based on what knowledge?
A) Lymphocyte activity and phagocytosis are decreased.
B) Anemia of malnutrition contributes to susceptibility to infection.
C) Weakness of muscles leads to impaired ability to clear the lungs.
D) Wound healing is delayed if protein is not available for tissue building.
Q2) What is the daily recommended intake of fibre for a 38-year-old healthy female?
A) 21 g
B) 25 g
C) 30 g
D) 38 g
Q3) When using a nutrition screening tool,how can the nurse identify a patient at nutritional risk without further assessment?
A) Pressure ulcers
B) A recent hip fracture
C) Vomiting for 3 days
D) A laparoscopic cholecystectomy 1 week ago
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Chapter 43: Nursing Management: Obesity
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78721
Sample Questions
Q1) The nurse teaches the patient that medical monitoring will be required for how long after bariatric surgery?
A) 6 months
B) 1 year
C) 5 years
D) Lifelong
Q2) After discussing appropriate exercise activities with a patient who is overweight who is starting to exercise as part of a weight-loss program,the nurse will determine that the instructions have been understood when the patient reports which of the following?
A) Playing soccer for an hour on the weekend
B) Running for 10 to 15 minutes three times a week
C) Walking for 40 minutes 6 or 7 days a week
D) Lifting weights with friends three times a week
Q3) Which one of the following represents a "healthy plate"?
A) One-fourth meat,one-fourth grain,one-fourth vegetables,one-fourth carbohydrates
B) One-half vegetables,one-half meat and meat alternatives
C) One-fourth carbohydrates,one-half meat,one-fourth fruits and vegetables
D) One-fourth meat,one-fourth grain,one-half vegetables and fruits
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45
Chapter 44: Nursing Management: Upper Gastrointestinal
Problems
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/78720
Sample Questions
Q1) A patient with recurring heartburn tells the nurse that he has used over-the-counter antacids and famotidine (Pepcid),but the physician has now prescribed esomeprazole (Nexium).In teaching the patient about this medication,what should the nurse explain about this drug?
A) It reduces the reflux of gastric acid into the esophagus by increasing the rate of gastric emptying.
B) It coats the stomach and protects the stomach lining and esophagus from the effects of increased gastric acid.
C) It is used to treat GERD by decreasing stomach acid production.
D) It provides a quick,but short-lived,relief of symptoms and is an inexpensive means of treating gastroesophageal reflux.
Q2) Which of the following foods are associated with an increased incidence of gastric cancer that the nurse should specifically question the patient about when obtaining a nursing history?
A) Milk and milk products
B) Raw fruits and vegetables
C) Smoked,highly salted,or spiced foods
D) Beans and other gas-forming foods
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Chapter 45: Nursing Management: Lower Gastrointestinal
Problems
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/78719
Sample Questions
Q1) While obtaining a nursing history from a patient with IBD,which of the following data leads the nurse to suspect that the patient most likely has ulcerative colitis rather than Crohn's disease?
A) Weight loss
B) Bloody diarrhea
C) Abdominal pain and cramping
D) Onset of the disease at age 20
Q2) During preoperative teaching for a patient scheduled for an abdominal-perineal resection,which intervention will the nurse perform?
A) Give IV antibiotics starting 24 hours before surgery to reduce the number of bowel bacteria.
B) Teach the patient that activities such as sitting at the bedside will be started the first postoperative day.
C) Instruct the patient that another surgery in 8 to 12 weeks will be used to create an ileal-anal reservoir.
D) Administer enemas and laxatives to ensure that the bowel is empty before the surgery.
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Tract Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/78718
Sample Questions
Q1) A person who is homeless is hospitalized with severe anorexia and fatigue.She has mild jaundice and hepatomegaly,and her liver function tests are abnormal.The physician suspects viral hepatitis.In planning care for the patient,to which patient outcome should the nurse assign the highest priority?
A) Maintains adequate nutrition
B) Adapts to changes in appearance
C) Gradually increases tolerance for activity
D) Identifies source of exposure to hepatitis virus
Q2) When teaching a patient recovering from hepatitis B about management of the illness,the nurse determines that additional teaching is needed when the patient makes which of the following statements?
A) "I should not drink alcohol for at least a year."
B) "When I have recovered from this infection,I should have lifelong immunity to the virus."
C) "When the jaundice is gone,I have recovered from my illness and the infection is cured."
D) "I should use a condom during sexual intercourse until my tests for the virus are negative."
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Page 48
Chapter 47: Nursing Assessment: Urinary System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78717
Sample Questions
Q1) When teaching a patient scheduled for a cystogram via a cystoscope about the procedure,which following statement would the nurse make to the patient?
A) "Your doctor will place a catheter into an artery in your groin and inject a dye that will visualize the blood supply to the kidneys."
B) "Your doctor will insert a lighted tube into the bladder and inject a dye into your kidneys through little catheters inserted into the ureters."
C) "Your doctor will insert a lighted tube into the bladder through your urethra,inspect the bladder,and instill a dye that will outline your bladder on radiography."
D) "Your doctor will inject a dye into a vein in your arm that is carried to the urinary system.Then a lighted tube in your bladder will be used to see when the dye appears."
Q2) Which of the following is an age-related change in the urinary system?
A) Increased amount of renal tissue
B) Increased number of nephrons
C) Decreased function of the loop of Henle
D) Decreased prevalence of unstable bladder contractions
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Chapter 48: Nursing Management: Renal and Urological Problems
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78716
Sample Questions
Q1) A patient with a history of renal calculi is hospitalized with gross hematuria and severe colicky left flank pain that radiates to his left testicle.In planning care for the patient,the nurse gives the highest priority to which of the following nursing diagnoses?
A) Acute pain related to irritation of stone
B) Deficient fluid volume related to inadequate intake
C) Risk for infection related to urinary system damage
D) Altered health maintenance related to lack of knowledge about prevention of stones
Q2) What is the most common type of urinary tract calculi?
A) Uric acid
B) Cystine
C) Calcium oxalate
D) Struvite
Q3) When admitting a patient with acute glomerulonephritis,the nurse inquires about which of the following?
A) History of high blood pressure
B) Frequency of UTIs
C) Recent sore throat and fever
D) Family history of kidney disease
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Chapter 49: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78715
Sample Questions
Q1) A patient with ARF has an arterial blood pH of 7.30.Which of the following will the nurse assess for?
A) Tachycardia
B) Rapid respirations
C) Poor skin turgor
D) Vasodilation
Q2) A patient is receiving immunosuppressive drugs following a living related-donor kidney transplant.To monitor for corticosteroid-related complications,the nurse teaches the patient to report which of the following?
A) Pain at the donor kidney site
B) Dizziness with position change
C) Changes in the character of the urine
D) Pain in the hips,knees,and other joints
Q3) Before administering sodium polystyrene sulphonate (Kayexalate)to a patient with hyperkalemia,what should the nurse assess for?
A) BUN and creatinine
B) Blood glucose level
C) Patient's bowel sounds
D) Level of consciousness
Page 51
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Chapter 50: Nursing Assessment: Endocrine System
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78713
Sample Questions
Q1) Which action taken by a nursing student when caring for a patient with thyroiditis and a goitre requires that the supervising nurse intervene immediately?
A) The student nurse checks the blood pressure on both arms.
B) The student nurse lowers the thermostat to decrease the temperature in the room.
C) The student nurse palpates the neck to check thyroid size.
D) The student nurse orders nonmedicated eyedrops to lubricate the patient's eyes.
Q2) What is the most common type of feedback system in the regulation of hormones?
A) Negative
B) Positive
C) Complex
D) Chemical
Q3) Which of the following factors stimulates the secretion of insulin?
A) Decreased glucose levels
B) Increased somatostatin levels
C) Decreased amino acid levels
D) Increased vagal stimulation
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Chapter 51: Nursing Management: Endocrine Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/78712
Sample Questions
Q1) Which of the following effects on the cardiovascular system would a patient with a hypofunction of the parathyroid gland most likely exhibit?
A) Hypertension
B) Increased cardiac output
C) Decreased contractility of heart muscle
D) Dysrhythmias
Q2) During preoperative teaching for a patient scheduled for transsphenoidal hypophysectomy for treatment of a pituitary adenoma,what should the nurse instruct the patient that she will have to do?
A) Take replacement growth hormone for the rest of her life
B) Not brush her teeth for at least 10 days after the surgery
C) Be expected to cough and breathe deeply every 2 hours postoperatively
D) Be positioned flat in bed with sandbags at her head to prevent head movement
Q3) A patient is admitted with possible SIADH.Which information obtained by the nurse is most important to communicate rapidly to the physician?
A) Complains of a severe headache
B) Complains of severe thirst
C) Has a urine specific gravity of 1.025
D) Has a serum sodium level of 119 mmol/L
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Page 53
Chapter 52: Nursing Management: Diabetes Mellitus
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78711
Sample Questions
Q1) A patient receives a daily injection of 70/30 NPH/regular insulin premix at 0700 hours.The nurse expects that a hypoglycemic reaction is most likely to occur between which of the following times?
A) 0800 and 1000 hours
B) 1600 and 1800 hours
C) 1900 and 2100 hours
D) 2200 and 2400 hours
Q2) A patient with type 1 diabetes has been using self-capillary blood glucose monitoring (CBGM)as part of his diabetes management.During evaluation of his technique of CBGM,the nurse identifies a need for additional teaching when the patient does which of the following actions?
A) Chooses a puncture site in the centre of the finger pad
B) Washes his hands with soap and water to cleanse the puncture site
C) Tells the nurse that the result of 130 mg indicates good control of his diabetes
D) Hangs his arm down before a second puncture site attempt for an adequate drop of blood
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Chapter 53: Nursing Assessment: Reproductive System
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78710
Sample Questions
Q1) During the physical assessment of a 68-year-old woman,which of the following is a finding that the nurse considers abnormal?
A) Pendulous breasts
B) Nonpalpable ovaries
C) Serous nipple drainage
D) Atrophy of vaginal tissue
Q2) What is the range of length of a menstrual cycle?
A) 5 to 7 days
B) 21 to 28 days
C) 20 to 40 days
D) 21 to 35 days
Q3) A woman calls the clinic because she is having an unusually heavy menstrual flow.She tells the nurse that she has saturated two pads in the past 2 hours.At which of the following approximate amounts does the nurse estimate the amount of blood loss?
A) 10 to 20 mL
B) 20 to 30 mL
C) 30 to 40 mL
D) 40 to 60 mL
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55
Chapter 54: Nursing Management: Breast Disorders
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78709
Sample Questions
Q1) Which statement by a 32-year-old patient newly diagnosed with stage I breast cancer indicates to the nurse that the goals of therapy are being met?
A) "I am not sure how my husband will react when I tell him about this cancer."
B) "I am ready to die if that is God's plan for me."
C) "I need to know all the options before making a decision about treatment."
D) "I will do whatever the doctor thinks is best."
Q2) At a routine health examination,a woman whose mother had breast cancer asks the nurse about the genetic basis of breast cancer and the genes involved.What should the nurse explain?
A) Her risk of inheriting BRCA gene mutations is small unless her mother had both ovarian and breast cancer.
B) Changes in BRCA genes that normally suppress cancer growth can be passed to offspring,increasing the risk for breast cancer.
C) Because her mother had breast cancer,she has inherited a 50% to 85% chance of developing breast cancer due to mutated genes.
D) BRCA1 and BRCA2 are genes that promote cancer growth,although only a small percentage of women with breast cancer have this genetic abnormality.
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Chapter 55: Nursing Management: Sexually Transmitted
Infections
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78708
Sample Questions
Q1) During the nursing assessment of a 23-year-old female patient,the nurse considers the patient's risk for sexually transmitted infections (STIs).Which of the following findings indicates a need for patient teaching?
A) Has a stable,monogamous relationship with her boyfriend
B) Has never been tested for syphilis or Chlamydia
C) Has annual pelvic examinations with Pap smears
D) Has multiple sex partners but uses oral contraceptives
Q2) Cervarix,an HPV vaccine,is recommended for which of the following populations?
A) Females before sexual intercourse
B) Males and females between the ages of 9 and 26
C) Females between the ages of 13 and 20
D) Any sexually active female
Q3) The nurse should inform women who have a history of STIs that the risk of infertility or ectopic pregnancies is highest following infection by which of the following STIs?
A) Treponema pallidum
B) N.gonorrhoeae
C) Condylomata acuminata
D) Herpes simplex virus type 2 (HSV-2)
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Chapter 56: Nursing Management: Female Reproductive Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/78707
Sample Questions
Q1) To help a 53-year-old woman make an informed decision about the use of hormone replacement therapy (HRT)to control the effects of menopause,what should the nurse explain?
A) The safest and most effective method of HRT is the use of estrogen vaginal creams.
B) HRT has minimal risks and should be used to prevent the increased incidence of osteoporosis in older women.
C) Recent studies have indicated that estrogen-progesterone combination therapy increases the risk for breast cancer and cardiovascular disease.
D) HRT will help control hot flashes and genitourinary changes associated with decreased estrogen,but these problems will recur in 3 to 5 years.
Q2) When assessing a patient on the patient's return to the surgical unit following a total abdominal hysterectomy,what would the nurse expect to find?
A) Complaints of abdominal pain and burning at the incision site
B) Urinary output of 20 mL in 1 hour related to temporary bladder atony
C) A perineal pad with a moderate amount of serosanguineous drainage
D) A moderate amount of sanguineous drainage on the abdominal dressing
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58
Chapter 57: Nursing Management: Male Reproductive Problems
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78706
Sample Questions
Q1) A patient has been diagnosed with prostate cancer.He has large tumours involving the seminal vesicle and adjacent structures.According to the Whitmore-Jewett staging classification of prostate cancer,what stage would the nurse document this patient as currently experiencing?
A) Stage A2
B) Stage B1
C) Stage C2
D) Stage D1
Q2) A 53-year-old man tells the nurse he has not been able to function sexually for several years.He is now interested in using sildenafil (Viagra)to treat his erectile dysfunction.In responding to the patient's interest,what should the nurse explain?
A) Question the patient about any prescription medications he is taking.
B) Tell the patient that sildenafil is an appropriate treatment for only a few types of erectile dysfunction.
C) Ask the patient about any previous treatment for hydrocele.
D) Reassure the patient that a gradual decline in erectile function is common with aging.
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59
Chapter 58: Nursing Assessment: Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78705
Sample Questions
Q1) A patient with a deep,large laceration of the left forearm,which has damaged nerve fibres as well as other tissue,asks the nurse to explain what the effect of the nerve damage will be.What is the best response to the patient?
A) Nerve cells cannot regenerate,and the sensory and motor loss will be permanent.
B) He will probably have return of normal motor and sensory function because peripheral nerve cells can regenerate.
C) Only nerve fibres within the central nervous system are capable of regeneration,and the nerve loss he has distal to his injury will be permanent.
D) There is a chance that some nervous function will return because peripheral nerve fibres can slowly regenerate if cell bodies have not been damaged.
Q2) Which neurotransmitter is involved in emotions,moods,and regulating motor control?
A) Serotonin
B) Epinephrine
C) Dopamine
D) Substance P
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Chapter 59: Nursing Management: Acute Intracranial Problems
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78704
Sample Questions
Q1) When assessing a patient with a head injury,which assessment information is of most concern to the nurse?
A) The blood pressure increases from 120/54 to 136/62 mm Hg.
B) The patient is more difficult to arouse.
C) The patient complains of a headache at pain level 5 of a 10-point scale.
D) The patient's apical pulse is slightly irregular.
Q2) Following a craniotomy with a craniectomy and left anterior fossa incision,the patient has a nursing diagnosis of ineffective protection related to decreased level of consciousness and weakness.What does an appropriate nursing intervention for the patient include?
A) Assessing for changes in motor ability daily
B) Performing range-of-motion exercises every 4 hours
C) Turning and repositioning the patient side to side every 4 hours
D) Eliminating extraneous noise to prevent sensory overload
Q3) Which one of the following can be caused by bacteria,fungi,a parasite,or a virus?
A) Meningitis
B) Brain abscess
C) Encephalitis
D) Brain hemorrhage
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Chapter 60: Nursing Management: Stroke
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78702
Sample Questions
Q1) A patient who has a history of a TIA has an order for aspirin 160 mg daily.When the nurse is administering the medications,the patient says,"I don't need the aspirin today.I don't have any aches or pains." Which action should the nurse take?
A) Document that the aspirin was refused by the patient.
B) Call the physician to clarify the medication order.
C) Explain that the aspirin is ordered to decrease stroke risk.
D) Tell the patient that the aspirin is used to prevent aches.
Q2) A patient is admitted to the hospital with dysphasia and right-sided weakness that resolves in a few hours.The nurse will anticipate teaching the patient about which of the following medications?
A) Alteplase (tPA)
B) Aspirin (Aggrenox)
C) Warfarin (Coumadin)
D) Nimodipine (Nimotop)
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Chapter 61: Nursing Management: Chronic Neurological Problems
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78701
Sample Questions
Q1) The nurse witnesses a patient with a seizure disorder as he suddenly jerks his arms and legs,falls to the floor,and regains consciousness immediately.What type of seizure is demonstrated by this patient that the nurse must document?
A) An atonic seizure
B) A myoclonic seizure
C) A complex partial seizure with automatisms
D) A simple partial seizure with motor symptoms
Q2) Which one of the following should the nurse teach the patient to avoid because it may trigger a headache?
A) Tylenol
B) Popsicles
C) Hot dogs
D) Fried chicken
Q3) When teaching a patient with MG about management of the disease,the nurse advises the patient to do which of the following?
A) Anticipate the need for weekly plasmapheresis treatments.
B) Protect the extremities from injury due to poor sensory perception.
C) Do frequent weight-bearing exercise to prevent muscle atrophy.
D) Perform necessary physically demanding activities in the morning.
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Disease,and Other Dementias
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which of the following is a modifiable risk factor for reducing the risk for getting Alzheimer's disease?
A) Type 1 diabetes
B) Hypotension
C) Inadequate intellectual stimulation
D) Inadequate nutrition
Q2) A long-term care patient with moderate dementia develops increased restlessness and agitation.What is the nurse's initial action?
A) Administer the as-needed dose of lorazepam (Ativan).
B) Reorient the patient to time and place.
C) Assess the patient for anything that might be causing discomfort.
D) Have a nursing assistant stay with the patient to ensure safety.
Q3) Some patients with dementia have a pattern of behavioural disturbance that occurs consistently in the late afternoon.How does the nurse document this assessment finding?
A) Turning the tide
B) Sundowning
C) Worsening symptoms of dementia
D) Disorientation to time of day
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Chapter 63: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78699
Sample Questions
Q1) The nurse is aware that which one of the following is the most common cause of premature death in a patient with tetraplegia?
A) Diabetes
B) Acute renal failure
C) Pneumonia
D) Hypertension
Q2) A patient with a spinal cord transection at T1 is in spinal shock.While monitoring the patient,the nurse recognizes that alterations in sympathetic nervous system function may cause which of the following reactions?
A) Tachycardia
B) Bladder hyperirritability
C) Fluctuating body temperature
D) Hypermotility of the gastrointestinal system
Q3) The nurse discusses long-range goals with a patient with a C6 spinal cord injury.What is an appropriate patient outcome for the patient?
A) Transfers independently to a wheelchair
B) Drives a car with powered hand controls
C) Feeds himself with powered hand splints
D) Pushes a wheelchair on flat,smooth surfaces
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Chapter 64: Nursing Assessment: Musculoskeletal System
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78698
Sample Questions
Q1) The wrist joint is an example of which one of the following joint types?
A) Hinge joint
B) Pivot joint
C) Condyloid joint
D) Gliding joint
Q2) While assessing a patient's musculoskeletal function,the nurse asks the patient to demonstrate active range of motion of the shoulder.What is the motion(s)at the shoulder that the patient should be able to perform but cannot do at the elbow?
A) Circumduction
B) Opposition
C) Eversion
D) Adduction
Q3) The sacrum is classified as which type of bone?
A) Long bone
B) Short bone
C) Flat bone
D) Irregular bone
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66
Chapter 65: Nursing Management: Musculoskeletal
Trauma and Orthopedic Surgery
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78697
Sample Questions
Q1) While working in an urgent care centre,the nurse sees many patients with sports-related injuries.In teaching these patients about health promotion during physical activity,what should the nurse emphasize?
A) Stretching and warm-up exercises are an important part of the exercise routine.
B) All joints at risk for injury should be wrapped with adhesive tape before exercising.
C) Low-impact activities should be substituted for strenuous,physically stressful exercise. D) All strenuous exercise should be followed with a period of complete physical relaxation.
Q2) A patient with an intracapsular fracture of the left femur is placed in Buck's traction before surgery for a hip replacement.The patient asks why traction is necessary when surgery is planned.The nurse's response to the patient is based on what knowledge about traction?
A) Will help prevent flexion contractures of the affected hip
B) Is necessary to prevent displacement of the fracture
C) Will decrease the incidence of painful muscle spasms
D) Is used to maintain the leg in the external rotation position
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Chapter 66: Nursing Management: Musculoskeletal
Problems
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78696
Sample Questions
Q1) Following a laminectomy with a spinal fusion,a patient reports numbness and tingling of the right lower leg.What is the first nursing action?
A) Report the patient's complaint to the surgeon.
B) Check the vital signs for indications of hemorrhage.
C) Turn the patient to the side to relieve pressure on the operative area.
D) Compare these findings with preoperative assessments of neuromuscular symptoms.
Q2) Which foot disorder does the patient have when there is an elevation of the longitudinal arch of the foot,resulting from contracture of the plantar fascia?
A) Hallux valgus
B) Morton's neuroma
C) Pes cavus
D) Pes planus
Q3) Which of the following is a major risk factor for osteoporosis?
A) Age under 65 years
B) Fragility fracture experienced in adulthood
C) Hypergonadism
D) Hyperparathyroidism
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Page 68
Chapter 67: Nursing Management: Arthritis and Connective
Tissue Diseases
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/78695
Sample Questions
Q1) Prednisone is prescribed for a patient with an acute exacerbation of RA.When the patient has a follow-up visit 1 month later,the nurse recognizes that the patient's response to the treatment may be best evaluated by which of the following?
A) Blood glucose testing
B) Liver function tests
C) Serum electrolyte levels
D) C-reactive protein level
Q2) A home care patient with RA complains to the nurse about having chronically dry eyes and a dry mouth.Which nursing action is most appropriate?
A) Have the patient withhold the daily methotrexate until talking with the physician.
B) Reassure the patient that dry eyes and mouth are very common with RA.
C) Teach the patient to use an antiseptic mouthwash three times daily.
D) Suggest that the patient start using over-the-counter (OTC)artificial tears.
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Chapter 68: Nursing Management: Critical Care Environment
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78694
Sample Questions
Q1) A patient has an arterial pressure catheter placed in the radial artery for access for frequent arterial sampling for blood gas analysis.When the low-pressure alarm is activated,what should the nurse assess the patient for?
A) Cardiac dysrhythmias
B) Thrombus formation around the catheter
C) Signs of impaired circulation to the hand
D) Signs of inflammation around the insertion site
Q2) To meet the nutritional needs of a patient with extensive burns in the CCU,why should the nurse primarily suggest enteral feedings?
A) Because enteral feedings are less expensive than parenteral nutrition
B) Because complications of enteral feedings are fewer than those associated with parenteral nutrition
C) Because nutrition provided via the gastrointestinal tract helps maintain gut integrity and prevent translocation of bacteria
D) Because the patient has limited vascular access for parenteral nutrition because of other intravenous and arterial lines needed for monitoring
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Chapter
Inflammatory Response Syndrome,and Multiple-Organ
Dysfunction Syndrome
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78693
Sample Questions
Q1) Which type of shock does the nurse suspect with a patient who is short of breath and has wheezes,rhinitis,and stridor?
A) Cardiogenic shock
B) Neurogenic shock
C) Anaphylactic shock
D) Septic shock
Q2) While caring for a seriously ill patient,the nurse determines that the patient may be in the compensatory stage of shock on observing which of the following findings?
A) Cold,mottled extremities
B) Restlessness and apprehension
C) An HR of 120 beats/min and cool,clammy skin
D) A systolic BP less than 90 mm Hg and a widening pulse pressure
Q3) Which of the following is a patient outcome that is appropriate for the patient in shock who has a nursing diagnosis of decreased cardiac output related to relative hypovolemia?
A) Normal mentation
B) Increase in BP
C) Verbalization of reduced anxiety
D) Reduction in heart and respiratory rates
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Chapter 70: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78691
Sample Questions
Q1) Which of the following is a late nonspecific manifestation of a patient with hypoxemia respiratory failure?
A) Agitation
B) Hypotension
C) Tachycardia
D) Fatigue
Q2) While caring for a patient with a pulmonary embolism,the nurse notes a change in the patient's arterial oxygen saturation by pulse oximetry (SpO<sub>2</sub>)from 94% to 88%.The nurse recognizes that management of this patient's hypoxemia usually requires which of the following treatments?
A) Positive pressure ventilation (PPV)
B) Drugs that relieve bronchospasm
C) Removal of respiratory secretions
D) Administration of supplemental oxygen
Q3) Which assessment finding would the nurse expect in a patient with hypoxemia?
A) Apnea
B) Decreased respiratory rate
C) Increased SpO<sub>2</sub>
D) Prolonged expiration
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Chapter 71: Nursing Management: Emergency Care Situations
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78690
Sample Questions
Q1) Four victims of an automobile accident are brought by ambulance to the emergency department.Based on the principles of triage,which of the following signs does the nurse determine has the highest priority for treatment?
A) A sucking chest wound
B) Absence of peripheral pulses
C) Severe bleeding of facial and head lacerations
D) An open fracture of the femur with profuse bleeding
Q2) A 72-year-old man has fallen from a ladder and is transported to the emergency department by ambulance.He is unconscious on arrival and accompanied by his wife and son.During the primary survey of the patient,what should the nurse do?
A) Obtain the patient's vital signs.
B) Calculate a Glasgow Coma Scale (GCS)score.
C) Examine the neck for rigidity or stiffness.
D) Determine whether he has underlying medical conditions.
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Chapter 72: Emergency Preparedness and Disaster Management
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78689
Sample Questions
Q1) When a communicable disease occurs among a cluster of individuals,what is this called?
A) An epidemic
B) An outbreak
C) A pandemic
D) A mitigation
Q2) How many litres of drinking water would be required for a family of four to be prepared for an emergency?
A) 8
B) 12
C) 24
D) 32
Q3) Which of the following is true of a disaster?
A) It negatively affects society.
B) It requires a rapid and skilled response to action.
C) It is managed by a community's existing resources.
D) It requires urgent intervention to avoid worsening of the situation.
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