Adult Health Nursing
Mock Exam
Course Introduction
Adult Health Nursing focuses on the comprehensive care of adult patients experiencing a range of acute and chronic health issues. The course emphasizes the development of clinical reasoning and nursing skills for the assessment, planning, implementation, and evaluation of evidence-based interventions. Students learn to address physiological, psychological, and social aspects of adult health, considering cultural and ethical factors in care delivery. Topics include disease prevention, health promotion, pharmacology, patient education, and interprofessional collaboration, preparing students to provide holistic and compassionate nursing care in diverse healthcare settings. Recommended Textbook
Introduction to Medical Surgical Nursing 6th Edition by Linton
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56 Chapters
1705 Verified Questions
1705 Flashcards
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Page 2
Chapter 1: The Health Care System
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/25231
Sample Questions
Q1) The nurse clarifies to the patient who is applying for Medicaid that the receipt of benefits requires:
A) Following a supervised health maintenance plan
B) Enrolling in the Medicare-Preferred Drug Plan
C) Qualifying for the food stamp program
D) Having an annual income of less than $10,000
Answer: B
Q2) A 66-year-old hospitalized patient is anxious about how the physician will be paid now that he is on Medicare-Parts A and B,instead of his previous privately funded insurance plan.The nurse explains that the physician will be paid by:
A) Previous privately funded insurance plan
B) Medicare Part A
C) Medicare Part B
D) Patient or patient's family
Answer: C
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Chapter 2: Patient Care Settings
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse assures a 58-year-old with diabetes who is recuperating from a broken hip that funds for his rehabilitation are available from the:
A) Vocational Rehabilitation Act of 1920
B) Rehabilitation Act of 1973
C) Disabled American Veterans Act of 1990
D) Title V, Health of Crippled Americans 1935
Answer: B
Q2) The nurse explains the level of disability to a patient who was injured in a construction accident that resulted in the loss of both his right arm and right leg.Because this loss has affected his quality of life and his ability to return to his previous employment,he would be classified as being disabled at level:
A) I
B) II
C) III
D) IV
Answer: B
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Chapter 3: Legal and Ethical Considerations
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The LPN/LVN has trimmed the toenails of a patient with diabetes too short,which resulted in a toe amputation from infections.This LPN/LVN is guilty of:
A) Unintentional tort
B) Intentional tort
C) Negligence
D) Malpractice
Answer: D
Q2) The LPN/LVN arrives on duty at 7 AM and is faced with the ethical dilemma of inadequate staffing for the day shift.The LPN/LVN should invoke a "safe harbor" by:
A) Immediately filing a written protest with administration.
B) Leaving duty.
C) Refusing the assignment.
D) Calling hospital administration.
E) Suggesting that nursing assistants (NAs) file a written protest.
Answer: A,E
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5
Chapter 4: The Leadership Role of the Licensed Practical
Nurse
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) When staff members complain about being pulled to other areas to work without prior notice,the leader agrees with their request to develop a more effective system and does so with assistance and input from the entire staff.This is an example of leadership theory:
A) X
B) Y
C) Z
D) Not representative of any theory
Q2) The recognition and use of the LPN/LVN began because of RN shortages and a reevaluation of LPN/LVNs as team leaders.The approximate date of this change in staffing occurred in the:
A) 1940s
B) 1950s
C) 1960s
D) 1970s
Q3) Planning,organizing,directing,and controlling are major functions of
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Page 6
Chapter 5: The Nurse-Patient Relationship
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) When the dying patient says,"There is no God.There is no afterlife.When it's over,it's over." The most therapeutic response would be:
A) "You must feel very lonely."
B) "Of course there is a God, and He loves you very much."
C) "Why do you think there is no God?"
D) "You are absolutely right. I think that, too."
Q2) Which would be the most appropriate greeting to Mrs.Brown,a newly admitted 80-year-old with hemiplegia who is fully alert?
A) "Good morning, Mrs. Brown. My name is Ann, and I am your nurse today."
B) "I am your nurse. Today is bath day. You will get yours right after breakfast."
C) "Hello there, sweetie. We need to get to work on getting your breakfast so we can get your shower."
D) "My name is Ann. You are my patient today."
Q3) The nurse assessing a patient's affect is trying to discern the patient's:
A) Problem
B) Mood
C) Orientation
D) Needs
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Chapter 6: Cultural Aspects of Nursing Care
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse explains that a Hindu refers to the record of his or her life and its accomplishments as ____________________.
Q2) Two licensed practical/vocational nurses (LPN/LVNs)are colleagues on the same medical-surgical floor.They went to the same LPN/LVN school.When on break time,they discuss the holistic entries of the nursing care plans they are helping create.This behavior is an example of:
A) Subculture
B) Democracy
C) Diversity
D) Ethnicity
Q3) A nurse,who is leading a discussion with a group of residents of a Jewish long-term care facility to discuss dietary laws and other religious practices,anticipates that the most prominent need of these patients would be:
A) Fasting every Friday night from sunset until sunset on the following Saturday and not taking them to the dining room.
B) Having a quiet time for prayer provided before and after all meals.
C) Serving meat and milk products at the same time but on separate plates.
D) Allowing Jewish men to shave before their Sabbath.
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Chapter 7: The Nurse and the Family
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The patient confides that her husband shares only the incidental happenings of his day at work as he reads the paper,and he never tells her that he loves her anymore.She is beginning to wonder if their marriage is getting stale.The nurse recognizes this communication pattern as:
A) Affective
B) Affectional
C) Functional
D) Dysfunctional
Q2) The patient,a 36-year-old mother of four children,is crying.She relates to you that her best friend just told her,"You are a good mother and you do everything perfectly,but I don't think you enjoy it." The nurse assesses that the patient has taken the role of:
A) Caretaker
B) Martyr
C) Contributor
D) Harmonizer
Q3) The nurse includes the family in patient care to maintain the family's
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Chapter 8: Health and Illness
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse emphasizes that the major advantage of using Maslow's "Hierarchy of Needs" when planning nursing care for patients is to:
A) Establish a nursing diagnosis.
B) Improve problem-solving techniques.
C) Prioritize patient care.
D) Establish priorities of care.
Q2) The nurse points out that the current view of health:
A) Promotes the highest quality of life possible, both mentally and socially.
B) Includes mental, physical, social, and emotional adaptation to the environment.
C) Includes the basic physiologic needs and self-actualization.
D) Relies on alternative therapies for the treatment and cure of diseases.
Q3) The patient is being discharged from same-day surgery after a tonsillectomy.The nurse is aware that the patient will be in the phase of general adaptation syndrome,in which the body begins to heal after injury.This is called the:
A) Alarm stage
B) Resistance stage
C) Exhaustion stage
D) Initial stage
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Chapter 9: Nutrition
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) Complete proteins are found in:
A) Poultry, milk, and eggs
B) Grains, legumes, and seeds
C) Nuts, beans, and corn
D) Breads, beans, and vegetables
Q2) What is the name of the sphincter that prevents the backflow of the food mass from the duodenum into the stomach?
A) Pyloric
B) Cardiac
C) Esophageal
D) Mitral
Q3) Normal fasting blood glucose level is:
A) 20 to 50 mg/100 ml
B) 70 to 100 mg/100 ml
C) 200 to 250 mg/100 ml
D) 30 to 60 mg/100 ml
Q4) Cysteine,proline,isoleucine,valine,tryptophan,phenylalanine,methionine,and histidine are all classified as ______________________________.
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11
Chapter 10: Developmental Processes
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse counsels an 18-year-old that because she has been sexually active since the age of 15,she should get a:
A) Mammogram
B) Digital rectal examination
C) Papanicolaou (Pap) smear
D) Pregnancy test
Q2) The nurse takes into consideration that the group of adults that must accept role reversal with their parents is:
A) Younger adults
B) Old young adults
C) Middle-aged adults
D) Older-aged adults
Q3) The nurse assesses a positive resolution of the developmental task of old age when a resident in a long-term care facility says:
A) "I love my children. I could have done more for them."
B) "I am too young to be in a place like this."
C) "I miss my friends and wife. I'm ready to go."
D) "I've enjoyed the ride!"
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Chapter 11: The Older Patient
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse assesses age-related cardiovascular changes that include:
A) Cardiac murmurs
B) Widened pulse pressure
C) Pulse decreasing in force
D) Dyspnea
E) Chest pain
Q2) When gathering data concerning the musculoskeletal system,the most significant assessment would be:
A) Slow gait
B) Degree of motion of all joints
C) Enlarged joints
D) Crepitus in joints
Q3) Prerequisites for the nurse working with the geriatric patient include an understanding that:
A) Specialized knowledge is needed.
B) The geriatric patient will be physically impaired.
C) Most geriatric patients will develop dementia.
D) The geriatric patient will need to be closely supervised.
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13
Chapter 12: The Nursing Process and Critical Thinking
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nursing care plan is initiated by the:
A) Primary care provider
B) Registered nurse (RN)
C) Licensed practical/vocational nurse (LPN/LVN)
D) Nurse manager
Q2) The nurse auscultating the patient's chest will:
A) Use the diaphragm for assessing breath sounds.
B) Use the bell for assessing murmurs.
C) Apply earpieces pointing toward the ears.
D) Wet the chest hair with a cloth.
E) Press the diaphragm very firmly against the chest wall.
Q3) The patient will maintain an adequate nutritional state without nausea or vomiting is an example of a nursing:
A) Intervention
B) Process
C) Diagnosis
D) Goal
Q4) In PIE documentation,a type of POMR,the acronym PIE stands for
and
14
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Chapter 13: Inflammation, infection, and Immunity
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Persons with human immunodeficiency virus (HIV)have acquired Pneumocystis jiroveci (PCP),a serious pulmonary infection caused by ____________________.
Q2) The nurse assesses that the patient who has acquired a health care-associated infection is most likely the patient with:
A) Abdominal abscess after a ruptured appendix
B) Lice and nits that have come from the emergency department
C) Urinary infection after the insertion of a Foley catheter
D) Two-day, postoperative foot fungus after a hip replacement
Q3) The school nurse starts a clean-up campaign at a local elementary school in an effort to combat some of the allergens that cause one of the most common allergic response disorders,which is:
A) Anaphylaxis
B) Asthma
C) Contact dermatitis
D) Urticaria
Q4) The nurse assesses a high eosinophil count in a pediatric patient.The nurse recognizes that this elevation is an indicator of ____________________.
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Chapter 14: Fluids and Electrolytes
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The K? laboratory report shows a level of 5.2 mEq/L.The nurse will assess the patient closely for:
A) Excessive thirst
B) Irregular heartbeat
C) Swelling of ankles
D) Frightening hallucinations
Q2) A patient has renal damage because of diabetes,which places the patient at risk for:
A) Hypercalcemia
B) Hypocalcemia
C) Hyperkalemia
D) Hypokalemia
Q3) Because the patient is hypovolemic,the nurse anticipates that treatment will be focused on:
A) Extracellular fluid deficit and limiting drinking water
B) Hypertonic intracellular deficit and limiting water intake
C) Extracellular fluid deficit and encouraging fluid intake
D) Circulatory system hormone deficit and limiting water intake
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Chapter 15: Pain Management
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/25245
Sample Questions
Q1) In performing a pain assessment,the LPN/LVN would follow which steps?
A) Assess vital signs, status of pain, and aggravating factors.
B) Assess location, quality, and intensity on an identified scale.
C) Assess the intensity on an identified scale and record findings.
D) Assess vital signs and location, and report to the RN.
Q2) The physician has ordered both heat and cold treatments for the older adult patient with a leg injury.The nursing care plan reflects secondary diagnoses of peripheral vascular disease (PVD),diabetes,and an allergy to latex.Which of the ordered treatments would the nurse prefer to administer and why?
A) The nurse will use cold treatment because patients with diabetes and a latex allergy cannot tolerate heat.
B) The nurse will use cold treatment for this patient with a fracture because cold will help set the cast.
C) The nurse will use heat treatment because cold is contraindicated for patients with PVD.
D) The nurse will use heat treatment because heat will increase circulation and increase the threat of infection in the injured part.
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Page 17
Chapter 16: First Aid, emergency Care, and Disaster Management
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25246
Sample Questions
Q1) As an immediate treatment for epistaxis,the nurse should give the following instructions:
A) "Stand still, lean your head back so that the blood won't get all over everything, and pinch your nose shut for at least 10 minutes."
B) "Stand still, lean your head forward, and pinch your nose tightly for at least 10 minutes."
C) "Sit down on a solid surface, lean your head forward to let the blood run out, and then pinch your nose closed for at least 30 minutes."
D) "Sit down on a solid surface, lean your head forward so that you don't choke on the blood, and pinch your nose shut for at least 10 minutes."
Q2) The nurse in the emergency department knows that tissue damage has probably occurred in the person with hypothermia when a rectal temperature of ____________________ is assessed.
Q3) Assessment of a burn victim leads the nurse to suspect an inhalation injury.The observation that would indicate such an injury would be ____________________.
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Chapter 17: Surgical Care
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Patients with preoperative disorders put them at risk during recovery.The nurse should be aware of disorders that may pose this hazard,which are:
A) Diabetes
B) Warfarin therapy
C) Fungal skin infection
D) Hepatitis C
E) Chronic obstructive pulmonary disease (COPD)
Q2) A postoperative patient is complaining of incisional pain.An order has been given for morphine every 4 to 6 hours as needed (PRN).The first assessment by the nurse should be to:
A) Assess for the presence of bowel sounds.
B) Assess pupillary reaction.
C) Ask the patient's family if she is having pain.
D) Determine when the patient last received pain medication.
Q3) The nurse understands that palliative surgery is intended to:
A) Remove and study tissue to make a diagnosis.
B) Relieve symptoms or improve function without correcting the basic problem.
C) Remove diseased tissue or correct defects.
D) Correct serious defects that only affect appearance.
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Page 19
Chapter 18: Intravenous Therapy
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29 Flashcards
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Sample Questions
Q1) The older adult patient is quite ill and confused and begins to cry pitifully when the nurse approaches the bed to start an IV.The best action for the nurse at this point would be to:
A) Keep the infusion equipment out of sight as much as possible, talk slowly, and divert the attention of the patient.
B) Inform the patient that the physician has ordered the IV, and calmly continue to prepare the site and start the IV.
C) Give an analgesic as ordered, wait a few minutes, and then proceed.
D) Restrain the patient's arm to a padded arm board, and proceed as directed.
Q2) To select a vein for an initial IV site,the best place to begin in a left-handed patient would be the:
A) Antecubital vein of the right arm
B) Antecubital vein of the left arm
C) Right forearm
D) Left forearm
Q3) The nurse explains to the patient that the peripheral IV tubing administration set and dressing should be changed every __________ hours.
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Chapter 19: Shock
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse explains that the use of medical antishock trousers (MAST)garment compress the legs and abdomen to:
A) Help restore cellular perfusion.
B) Decrease internal hemorrhage.
C) Cool the patient to create less metabolic demand.
D) Apply pressure during the systole phase and relax pressure during the diastole phase.
Q2) Nursing interventions to help the patient cope with decreased cardiac output include which one of the following?
A) Dovetailing nursing care tasks allows rest periods for the patient.
B) Maintaining enough cover prevents the patient from shivering.
C) Turning, coughing, deep-breathing, and ambulating the patient every 2 hours reduce the risk of embolism.
D) Administering analgesics cautiously.
Q3) The nurse is aware that immobility and insertion of urinary catheters,although therapeutic,also places the patient at risk for _________________________.
Q4) The nurse explains that pericardial tamponade and pulmonary embolus can place the patient at risk for ______________ shock.
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Chapter 20: Falls
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Sample Questions
Q1) The nurse points out that people who have a fear of falling may alter their lifestyle to the point that they:
A) Restrict their physical activities.
B) Restrict their social activities.
C) Become more dependent.
D) Have increased need for residency in a long-term care facility.
E) Become depressed.
Q2) When the nurse finds that a patient has fallen,the first intervention should be to:
A) Ask the patient to stand up.
B) Document the fall according to agency policy.
C) Remove or correct the cause of the fall.
D) Assess the circumstances of the fall and any injuries sustained.
Q3) When caring for a patient who requires wrist restraints,the nurse should remove and release the restraints once every:
A) 8 hours for at least 30 minutes
B) 4 hours for at least 15 minutes
C) 2 hours for at least 10 minutes
D) 1 hour for at least 5 minutes
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Chapter 21: Immobility
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Sample Questions
Q1) A discharge order for the patient with left-sided weakness after having a stroke is to teach the patient to perform range-of-motion exercises on the affected extremities.The patient asks why she needs to do range-of-motion exercises.The nurse's best response would be:
A) "Because the physician has ordered it."
B) "You will regain full use of your arm and leg if you will do the exercised correctly."
C) "They prevent the muscles and tendons from shortening and becoming unmovable."
D) "It will give you something to do since you can't work anymore."
Q2) When positioning an immobile patient,the nurse should:
A) Ensure that the patient's knees and hips are flexed.
B) Visualize how a person looks while standing, and try to have the patient achieve that position while lying down.
C) Reposition the patient no more often than every 4 hours.
D) Always position the patient on his or her back with the head raised to prevent aspiration.
Q3) The home health nurse instructs a family about boosting the patient in bed so that a ____________________ type of skin injury will not occur.
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Page 23
Chapter 22: Confusion
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Sample Questions
Q1) A patient has been admitted with a diagnosis of confusion.The physician's admission note states that he wants to assess for delirium versus dementia.The nurse knows that the main differences are:
A) Delirium usually lasts several years, whereas dementia lasts only a few days.
B) Delirium usually has sudden onset and is reversible, whereas dementia is chronic and irreversible.
C) Dementia is usually caused by medications, whereas delirium is not.
D) Dementia is easily treated with reality orientation, whereas delirium is not.
Q2) The family of a patient with dementia expresses concern to the nurse about the patient wandering at night.They are afraid that the patient might get up while they are sleeping and go outside.The nurse's best advice would be to have them:
A) Apply a vest restraint at night.
B) Perform constant reality orientation.
C) Learn some behavior modification techniques.
D) Put new locks on the outside doors in new places.
Q3) When a normally oriented 87-year-old resident in a long-term care facility exhibits acute confusion,the nurse should first assess for a(n)____________________.
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Page 24
Chapter 23: Incontinence
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Sample Questions
Q1) The nurse instructs a patient that diarrhea can be caused by the inclusion in the diet of such foods as:
A) Cheese
B) Cabbage
C) Rice
D) Yogurt
Q2) The patient diagnosed with anorectal incontinence should be taught by the nurse to:
A) Take a daily laxative.
B) Increase fiber in the diet.
C) Perform pelvic muscle exercises.
D) Administer daily enemas.
Q3) The patient with fecal incontinence should be taught the importance of maintaining good skin integrity.The nurse's teaching should focus on teaching the patient to:
A) Cleanse the perianal area thoroughly after each stool.
B) Use a fecal pouch.
C) Change incontinence undergarments once a day.
D) Take an over-the-counter laxative daily.
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25
Chapter 24: Loss, death, and End-Of-Life Care
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Sample Questions
Q1) During the death process,the nurse explains that it is believed that the last sense to remain intact is:
A) Touch
B) Sight
C) Smell
D) Hearing
Q2) The nurse is assessing a patient who is terminally ill for clinical signs of impending death.When assessing the patient's respirations,the nurse would expect:
A) Deep, clear breath sounds
B) Noisy, wet-sounding respirations
C) Even, unlabored respirations
D) Shallow, clear breath sounds
Q3) The nurse takes into consideration that in American society,death is frequently viewed as an event that is:
A) An integral part of life
B) Natural
C) Negative
D) Spiritually positive
E) Unacceptable
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Page 26
Chapter 25: The Patient With Cancer
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Sample Questions
Q1) The nurse includes in the teaching plan that malignant tumors are similar to benign tumors because both:
A) Contain cells that closely resemble those in the tissue of origin.
B) Travel quickly to invade and destroy other tissues and organs.
C) Always grow and multiply very rapidly, competing for space and nutrients and causing severe pain.
D) May press on nearby surrounding tissues, such as nerves and blood vessels, causing pain.
Q2) The nurse explains that adjuvant therapy is given to patients with cancer who are free of signs of the disease to:
A) Ensure eradication of undetected cells.
B) Stabilize normal cells.
C) Diminish recurrence of breast cancer.
D) Reduce the extent of the tumor before surgery or radiation.
E) Change the pH of the system to inhibit cell growth.
Q3) The nurse clarifies that cells that change from their tissues of origin and have multiple nuclei are categorized as ____________________.
Q4) Radiation is now measured in GRAY rather than RADS.One GRAY is equal to ________ RADS.
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Chapter 26: The Patient With an Ostomy
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Sample Questions
Q1) The major considerations for placement of a stoma are to provide:
A) Good seal
B) Stabilization from the abdominal rectus
C) Ease of self-care
D) Inoffensive appearance
E) Proximity to the umbilicus
Q2) An ostomate asks the nurse what limitations must be observed in the immediate postoperative period when at home.The most informative information that the nurse can share is to:
A) Avoid heavy lifting for at least 3 months.
B) Limit fluid intake to no more than 1000 ml/day.
C) Wear loose clothing without belts or elastic.
D) Cover your appliance with plastic sheeting while showering.
Q3) In postoperative teaching to a patient who has undergone a ureterostomy,the nurse would include information pertaining to the:
A) Significance of the ureteral catheter for the first week.
B) Appropriate use of karaya gum products.
C) Daily schedule for changing the pouch.
D) Evening schedule for changing the pouch before bedtime.
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Page 28
Chapter 27: Neurologic Disorders
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Sample Questions
Q1) The neurologic finding that would be considered abnormal in an 88-year-old patient would be:
A) Slow papillary response to light
B) Jerky eye movements
C) Dizziness and problems with balance
D) Absence of the Achilles tendon jerk
Q2) The nurse should assess the patient scheduled for an angiogram for:
A) Dizziness
B) Allergy to shrimp
C) Increased BP
D) Irregular heartbeat
Q3) The nurse explains that the neural synapse refers to the:
A) Length of time it takes for afferent neurons to carry impulses to the central nervous system (CNS)
B) Length of time it takes for efferent neurons to carry impulses to the motor neurons
C) Space between the axons and the dendrites of a neuron
D) Space between the axons of one neuron and the dendrites of the next
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29
Chapter 28: Cerebrovascular Accident
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Sample Questions
Q1) The nurse counsels that the patient at the greatest risk for a CVA is a:
A) 20-year-old obese Latin woman who is taking birth control pills
B) 40-year-old athletic white man with a family history of CVA
C) 60-year-old Asian woman who smokes occasionally
D) 65-year-old African-American man with hypertension
Q2) The assessments that indicate a fluid volume excess in a patient in the acute phase of a CVA is:
A) Decreased BP
B) Weak pulse
C) Adventitious breath sounds
D) High urine-specific gravity
Q3) A patient has weakness on the right side and impaired reasoning after having a cerebrovascular accident (CVA)in the:
A) Left hemisphere of the cerebrum
B) Right hemisphere of the cerebrum
C) Left cerebellum
D) Right cerebellum
Q4) The nurse checks the oxygen in the circulating volume for adequate concentration to support the brain's need of ________% of the oxygen supply of the body.
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Chapter 29: Spinal Cord Injury
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The nurse refers to the ___________ __________ to assess the extent of sensory loss and specific nerve root enervation.
Q2) The nurse notes that no urinary output has occurred in a patient who underwent a laminectomy 2 hours earlier.The nurse should:
A) Continue to monitor.
B) Inform the charge nurse.
C) Perform intermittent catheterizations.
D) Turn the patient to the right side.
Q3) The nurse explains to the family of a patient with quadriplegia that intravenous (IV)drugs are the most effective method of administration,because drugs injected intramuscularly (IM)are:
A) Too concentrated
B) Too irritating to poorly perfused tissue
C) Not absorbed well below the level of the injury
D) Too small a dose to be effective
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Chapter 30: Acute Respiratory Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The symptoms of hypoxemia for which the nurse should be alert are:
A) Restlessness, tachycardia, and tachypnea
B) Bradycardia, cyanosis, and restlessness
C) Dyspnea, flushed face, and tachycardia
D) Cyanosis, nausea, and bradycardia
Q2) When documenting the findings in the functional assessment portion of the nursing assessment for a patient with a respiratory disorder,the nurse would exclude:
A) Occupation
B) Usual diet
C) Smoking history
D) Previous respiratory disorders
Q3) A home health nurse who is caring for an 88-year-old patient with severe hypertension in addition to a respiratory problem notices several drugs on the bedside table.The medication that the nurse would suggest the patient should avoid is:
A) Aspirin
B) Antitussive
C) Expectorant
D) Decongestant
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Chapter 31: Chronic Respiratory Disorders
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The theophylline blood level is 13 mcg/ml.Which intervention is the most appropriate in light of this finding?
A) Administer the next dose of theophylline as ordered.
B) Skip the next dose, and then resume.
C) Call the charge nurse or physician.
D) Take the patient's blood pressure immediately.
Q2) The nurse is aware that the characteristic of emphysema that gives rise to the pink puffer label is the emphysemic patient's:
A) Dyspnea
B) Barrel chest
C) Thin body
D) Normal arterial blood gases (ABGs)
Q3) Which of these assessments made by the nurse indicates that respiratory arrest is imminent in a patient with asthma?
A) Agitation
B) Tachycardia
C) Absence of wheezing
D) Flaring nares
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33
Chapter 32: Hematologic Disorders
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29 Flashcards
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Sample Questions
Q1) The nurse explains that the major difference between fresh frozen plasma (FFP)and cryoprecipitate (CPP)is that FFP:
A) Contains more albumin.
B) Has a longer infusion time.
C) Contains no platelets.
D) Has a very high probability of causing an allergic reaction.
E) Can cause dangerous blood pressure elevation.
Q2) The nurse notes the medical history information that is significant to potential bleeding problems as:
A) Drinks two glasses of wine a day.
B) Eats red meat three times a week.
C) Takes nonsteroidal antiinflammatory drugs (NSAIDs) for the relief of arthritic pain four times a day.
D) Has hepatitis B.
E) Had a cardiac valve replaced 6 months earlier.
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Chapter 33: Immunologic Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/25263
Sample Questions
Q1) The nurse gives an example of innate immunity by comparing it with a human's immunity to:
A) Hoof-and-mouth disease
B) Measles
C) Rabies
D) Mange
Q2) A hospitalized patient has been prescribed dexamethasone (Decadron)for an allergic reaction.The teaching instruction that the patient should be given with discharge,relative to this drug,is:
A) Report blurry vision.
B) Take the medication on an empty stomach.
C) Do not operate heavy machinery.
D) Take this medication with meals.
Q3) The nurse tells the family of a patient who has just undergone bone marrow transplant that to help stabilize the immune response and prevent rejection,________________ will be given.
A) Dexamethasone (Decadron)
B) Filgrastim (Neupogen)
C) Zidovudine (Retrovir)
D) Nevirapine (Viramune)
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Chapter 34: Human Immunodeficiency Virus and Acquired
Immunodeficiency Syndrome
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The school nurse uses a chart to demonstrate that,according to statistics from the Centers for Disease Control and Prevention (CDC),the population with the greatest incidence of human immunodeficiency viral (HIV)infection in the United States is:
A) Asian Americans
B) African Americans
C) Latinos
D) Whites
Q2) The nurse takes into consideration in planning care for a patient with acquired immunodeficiency syndrome (AIDS)that the common form of transmission of the HIV virus is:
A) Injection drug use
B) Heterosexual contact
C) Exposure to contaminated blood products
D) Male to male
Q3) If the first ELISA is positive,then:
A) The diagnosis of AIDS is confirmed.
B) The test is repeated in 6 to 8 months.
C) Another blood sample must be obtained for testing.
D) A Western blot test is performed on the same sample.
Page 36
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Chapter 35: Cardiac Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The nurse performs an apical-radial pulse evaluation,with the result of 100/88.This pulse deficit assessment is:
A) 12
B) 24
C) 76
D) 88
Q2) The nurse uses a picture to demonstrate the conduction pathway through the chambers of the heart.(Arrange the following options in the correct sequence.)
A) Atria contract.
B) Conduction occurs through the bundle branches.
C) AV node fires.
D) Purkinje fibers conduct.
E) SA node fires.
F) Ventricles contract.
Q3) The heart sound the nurse would record as normal would be:
A) Ventricular gallop in a 20-year-old patient
B) Atrial gallop in a 25-year-old patient
C) Friction rub in a 45-year-old patient
D) Medium diastolic murmur in a 50-year-old patient
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Chapter 36: Vascular Disorders
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31 Flashcards
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Sample Questions
Q1) The nurse performs the Homans maneuver by flexing the knee and sharply dorsiflexing the foot.A positive Homans sign would be:
A) Cramping of the toes
B) Resisting dorsiflexion
C) Pain in the calf area
D) Blanching of the sole
Q2) When the patient inquires how something as simple as walking could help his venous vascular disorder,the nurse explains that walking will:
A) Improve the strength of the vascular walls.
B) Boost venous circulation through leg muscle activity.
C) Increase cardiac output.
D) Clear plaques from the veins.
Q3) A patient with arterial insufficiency should be instructed to:
A) Frequently allow the legs to dangle dependently.
B) Rub the legs vigorously.
C) Stand often to keep blood flow in the legs.
D) Walk barefoot.
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Chapter 37: Hypertension
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Sample Questions
Q1) The nurse should instruct the patient who has been started on verapamil (Calan)for his elevated blood pressure to monitor his:
A) Urine output
B) Pulse
C) Stool for blood
D) Edema
Q2) The nurse points out the Dietary Approaches to Stop Hypertension (DASH)diet uses as its source of protein and fat which one of the following?
A) Lean red meat
B) Whole grains
C) Low fiber
D) Sugar
Q3) The advantages of hydrochlorothiazide (HydroDIURIL)as outlined by the nurse are that this diuretic:
A) Is potassium sparing.
B) Is effective for African Americans.
C) Consistently controls blood pressure.
D) Has no side effects.
E) Decreases heart rate.
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Page 39
Chapter 38: Digestive Tract Disorders
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) After receiving a tube feeding,the patient becomes sweaty and has abdominal distention with diarrhea.The nurse assesses that this response is because of:
A) Expected reaction to the tube feeding
B) Dumping syndrome
C) Gastric reflux syndrome
D) Onset of gastroenteritis
Q2) An instruction given to a patient with irritable bowel syndrome (IBS)that will lessen discomfort is:
A) Eat only whole grains.
B) Take small bites, and chew well.
C) Include dietary fiber in at least two meals per day.
D) Drink herbal teas and low-calorie cola drinks.
Q3) The assessment of a patient who is receiving a TPN feeding indicates hyperglycemia when which one of the following occurs?
A) Increase of urine output
B) Sudden diarrhea
C) Abdominal distention
D) Tachycardia
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Chapter 39: Disorders of the Liver, gallbladder, and Pancreas
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Sample Questions
Q1) The nurse caring for a patient with hepatitis B should initiate the precaution of:
A) Reverse isolation
B) Standard precautions
C) Respiratory precautions
D) Enteric precautions
Q2) The nurse makes a list of drugs and herbal remedies that are harmful to the liver,which includes:
A) Comfrey (herbal remedy)
B) Promethazine (Phenergan)
C) Acetaminophen (Tylenol)
D) Oral contraceptive (Yaz)
E) Lavender (herbal remedy)
Q3) The complication for which the nurse would monitor after a liver biopsy is:
A) Headache
B) Muscle cramps
C) Bleeding
D) Respiratory distress
Q4) In assessing a dark-skinned patient for jaundice,the nurse would assess the ____________________ for a yellow color.
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Chapter 40: Urologic Disorders
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Sample Questions
Q1) The nurse assesses a Grey Turner sign in a patient who was admitted 2 days earlier after an automobile accident.This finding indicates:
A) Retroperitoneal bleeding and bruising over the flank
B) Hematuria with abdominal bruising
C) Distended bladder with painful urination
D) Bladder spasms on palpation of abdomen
Q2) When the patient comes to the medical clinic with complaints of urgency,frequency,pain in the area of the symphysis pubis,and dark cloudy urine,the nurse suspects that this patient has:
A) Urinary calculi, probably located in the ureter
B) Kidney infection, most likely pyelonephritis
C) Cystitis, probably from bacterial contamination
D) Interstitial cystitis (although rare in a male patient)
Q3) Because the urine test for ___________ is not influenced by diet,hydration,or liver function,it is a good measurement of renal function:
A) BUN
B) Phosphates
C) Specific gravity
D) Creatinine
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Page 42
Chapter 41: Connective Tissue Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse explains to a 51-year-old professional tennis instructor who is diagnosed with osteoarthritis that the disease is best understood as the:
A) Presence of antibodies in the synovial fluid
B) Dislocation of the patella over the tibia
C) Degeneration of articular cartilage
D) Body's autoimmune response
Q2) The nurse recommends that to control chronic pain for the patient with osteoarthritis,the patient should:
A) Administer analgesics only when needed.
B) Administer analgesics as prescribed on a routine basis.
C) Plan activities with no rest periods to complete the activities quickly.
D) Wear high-heeled shoes to keep the body in alignment.
Q3) For the osteoporotic patient taking alendronate (Fosamax),the nurse would stress that the drug requires that the patient:
A) Take the drug after breakfast.
B) Avoid the use of supplemental vitamin D.
C) Decrease fluid intake.
D) Sit or stand for 30 minutes after administration.
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43
Chapter 42: Fractures
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Sample Questions
Q1) The patient for which referral to home health care is most appropriate is the patient who:
A) Is married and has a laundry room on the first floor.
B) Is single and has a bedroom in a rooming house.
C) Lives in a college dormitory but is going home to stay with parents.
D) Is going to stay with a daughter and son-in-law at their one-story home.
Q2) The nurse would choose the nursing diagnoses with the highest priority after surgery for the open reduction and external fixation of an ankle,which is:
A) Risk for activity intolerance
B) Risk for infection
C) Risk for impaired physical mobility
D) Risk for constipation
Q3) A fracture that occurs because of osteoporosis is classified as a _____________ fracture.
Q4) The nurse would teach the older patient with a newly casted Colles fracture to:
A) Apply cool compresses to the cast.
B) Let the hand and arm dangle to increase the drainage.
C) Keep the hand immobile to reduce swelling.
D) Move the shoulders to reduce contractures.
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Chapter 43: Amputations
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Sample Questions
Q1) When the patient asks when he should expect to be up and walking after his below-the-knee amputation,the nurse assures him that most amputees can fully bear weight in:
A) 3 weeks
B) 1 month
C) 6 weeks
D) 3 months
Q2) A closed amputation is usually performed to:
A) Create a weight-bearing residual limb.
B) Alleviate the effects of trauma.
C) Allow infection to heal and drain.
D) Treat a limb with gangrene.
Q3) The nurse clarifies that the precise term for the patient's amputation,which will be through the knee joint,is called ____________________.
Q4) An amputation of a gangrenous limb that is left open for 10 days before closure is classified as a ________________ amputation.
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Chapter 44: Pituitary and Adrenal Disorders
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32 Verified Questions
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Sample Questions
Q1) Discharge planning for the patient who underwent a hypophysectomy would be focused on:
A) Finding a support group
B) Nutritional maintenance
C) Education on self-care
D) Self-image improvement
Q2) Two days after a hypophysectomy the patient complains of a headache and nuchal rigidity.Based on these assessments the nurse should:
A) Medicate with the prescribed analgesic.
B) Report suspected meningitis to the head nurse.
C) Closely monitor the patient's blood pressure,
D) Elevate the head of the bed to 45 degrees
Q3) The nurse takes into consideration that an addisonian crisis can be brought on by:
A) Sudden atmospheric temperature change
B) Hyperglycemia
C) Infection
D) Change of altitude
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Chapter 45: Thyroid and Parathyroid Disorders
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Sample Questions
Q1) The nurse makes a list of symptoms that the patient who is taking methimazole (Tapazole),a thionamide drug,should report.This list includes:
A) Becoming Pregnancy
B) Jaundice
C) Blood in the stool
D) Rash
E) Urine retention
Q2) The nurse taking the blood pressure of a patient who had a total thyroidectomy 2 days earlier notes that the patient's hand goes into a carpopedal spasm; the nurse recognizes this movement as an indication of:
A) Hyperkalemia, called the Allen sign
B) Hypernatremia, called the Hogan sign
C) Hypocalcemia, called the Trousseau sign
D) Hypokalemia, called the Chvostek sign
Q3) Congenital hypothyroidism,if left untreated,will result in _________________.
Q4) To meet the nutritional needs of a patient with Graves disease,the nurse recommends a diet of ____________________ to ____________________ calories.
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Chapter 46: Diabetes Mellitus and Hypoglycemia
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Sample Questions
Q1) The nurse instructs a patient about how insulin affects blood glucose.(Arrange the events in sequence.)
A) Beta cells are stimulated to release insulin.
B) Glucose enters the bloodstream.
C) Glycogen is converted to glucose by alpha cells (glycogenesis).
D) Glycogen is stored in the liver.
E) Insulin transports glucose to muscle cells.
Q2) A patient who has been diagnosed with endogenous hypoglycemia most likely has:
A) Taken an overdose of hypoglycemic drugs.
B) Been following a very restricted fasting diet or is malnourished.
C) Excessive secretion of insulin or an increase in glucose metabolism.
D) Exercised unwittingly without replenishing needed fluids and nutrients.
Q3) The patient with type 2 diabetes shows a blood sugar reading of 72 at 6 AM.Based on the reading of 72,the nurse should:
A) Notify the charge nurse of the reading.
B) Give regular insulin per a sliding scale.
C) Give him ½ cup of milk.
D) Administer the oral hyperglycemic tablet.
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Chapter 47: Female Reproductive Disorders
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Sample Questions
Q1) A female student,seen in the campus clinic,states that she uses feminine hygiene douches every day and after intercourse.The best response from the nurse would be:
A) "Douching has been used as an effective means of birth control for years."
B) "Commercially prepared douches will neutralize the female vaginal tract."
C) "Douching should only be done when ordered by a physician or nurse practitioner."
D) "Douching protects the vaginal tract from microorganisms."
Q2) The nurse is aware that for a woman to be diagnosed with primary infertility,the patient has:
A) Been unable to conceive after 1 year of regular, unprotected sex.
B) Conceived once but did not deliver a viable infant.
C) Conceived once but was unable to conceive again.
D) Conceived three times in 1 year without a viable birth.
Q3) Because small nonnodal metastases may be present,______________ is recommended after a lumpectomy.
Q4) The nurse is aware that a tumor determined to be ER+ indicates that the tumor needs ____________________ for growth.
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Page 49
Chapter 48: Male Reproductive Disorders
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Sample Questions
Q1) When reviewing the drugs taken by the 50-year-old male patient,the nurse recognizes that the drug that is most probably causing erectile dysfunction (ED)is the:
A) Vasodilator for hypertension
B) Antibiotic for an upper respiratory infection
C) Antihistamine for allergies
D) Glucophage for type 2 diabetes
Q2) A patient's home instructions after a vasectomy should include that:
A) Postoperative care consists of warm Sitz baths.
B) Vasectomies should be seen as usually permanent but sometimes reversible.
C) Sexual intercourse should be delayed for up to 3 months.
D) The surgical procedure may interfere with ejaculation.
Q3) The nurse informs the 50-year-old patient who has been prescribed nilutamide (Nilandron),a testosterone blocker,that while on this drug he should expect:
A) His urine will have a fishy odor.
B) Liver functions will need to be monitored.
C) Skin rash will appear on his face.
D) Episodes of hypotension will occur.
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Chapter 49: Sexually Transmitted Infections
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Sample Questions
Q1) The nurse who is caring for a patient who is taking acyclovir (Zovirax)is alert for the side effects of this drug,which include:
A) Fever and bone marrow suppression
B) Vaginal burning and skin irritation
C) Dizziness, headache, and nausea
D) Leukopenia and peripheral neuropathy
Q2) Doxycycline (Vibramycin)has been prescribed for a patient who has gonorrhea.Before beginning the medication,the nurse would instruct the patient to:
A) Take the medication with food or crackers.
B) Refrain from sexual relations for 4 weeks.
C) Follow-up to determine if the treatment was effective.
D) Keep the medication in the refrigerator.
Q3) The method used to identify organisms of gonorrhea will be:
A) Smears and cultures
B) Serologic tests
C) Antibody screening
D) Sensitivity testing
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Chapter 50: Skin Disorders
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Sample Questions
Q1) The nurse explains that the major characteristic that differentiates cutaneous T-cell lymphoma from squamous cell and basal cell carcinomas is that cutaneous T-cell lymphoma:
A) Does not metastasize.
B) Has a cause unrelated to sun exposure.
C) Can be treated with radiation.
D) Can be treated topically.
Q2) When caring for an obese patient who has been bedridden for a long time and who has a nursing diagnosis of "Risk for infection,related to obesity," the nurse should assess for the moist red lesions of Candida albicans,especially on the:
A) Scalp, behind the ears
B) Abdominal skin folds
C) Shaft of the penis
D) Sacrum and bony prominences
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Chapter 51: Eye and Vision Disorders
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Sample Questions
Q1) The newly diagnosed patient with macular degeneration flings her book at the television set and furiously says,"I can't read this blasted book,and I can't see what is on the stupid TV!" The nurse recognizes this behavior as:
A) Anger stage of grieving.
B) Poor impulse control.
C) Ineffective management of a therapeutic regimen.
D) Psychotic reaction to loss.
Q2) The nurse assesses the patient's accommodation by:
A) Holding his or her finger approximately 20 inches in front of the patient's eyes.
B) Observing for pupillary constriction.
C) Assessing for convergence.
D) Noting blinking.
E) Moving his or her finger slowly toward the patient's nose.
Q3) The nurse explains that the correct term to use for a patient with a vision disorder is:
A) Blind
B) Handicapped
C) Partially blind
D) Visually impaired
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Chapter 52: Ear and Hearing Disorders
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Sample Questions
Q1) Because the 94-year-old patient is receiving gentamicin sulfate (Garamycin)in a continuous intravenous (IV)infusion,the nurse will add to the nursing care plan the diagnosis,"Risk for injury" and will make implementation of:
A) Pulling side rails in place.
B) Assisting with ambulation.
C) Measuring intake and output.
D) Providing for a possible seizure.
Q2) The 75-year-old patient complains to the nurse that although she has cleaned her ears with cotton-tipped applicators for weeks,she still cannot hear her television unless the volume is loud and she misses a great deal of conversations.On examining her ears,the nurse anticipates:
A) Otitis externa
B) Purulent drainage
C) Dry cerumen across the canal
D) Pearly tympanic membrane
Q3) When planning care for a patient who cannot perceive or interpret sounds,the nurse takes into consideration that the patient may have a ____________________ hearing loss.
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54
Chapter 53: Nose, sinus, and Throat Disorders
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Q1) When the patient returns from surgery with a nasal pack and mustache dressing,the nurse will arrange the patient in a:
A) Side-lying position to prevent aspiration of drainage
B) Semi-Fowler position, and apply a warm compress to reduce pain
C) High Fowler position, and apply a cold dressing to reduce swelling
D) Sims position, and apply a cold dressing to facilitate drainage and reduce swelling
Q2) The nurse reminds the patient,who is to have a partial laryngectomy,that the temporary tracheostomy that he will have after the original surgery will be closed within _______ days.
Q3) The patient who had a laryngectomy 3 months earlier returns to the physician's office with the complaint of increasing dyspnea.The nurse recognizes this complaint as an indication of the common postlaryngectomy complication of:
A) Hypertrophied stoma
B) Salivary fistula
C) Carotid blowout
D) Tracheal stenosis
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Chapter 54: Psychologic Responses to Illness
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Sample Questions
Q1) When the 25-year-old woman who had a hysterectomy 1 day earlier tearfully tells the nurse that she is grieving for the children she will never have,the nurse assesses the grief as positive because it allows the patient to:
A) Focus on her loss.
B) Forget about her concern.
C) Reappraise her values for the future.
D) Depend on others for grief support.
Q2) A 5-year-old patient who was in an accident in which his cousin was killed starts to wet the bed at night.When the mother confirms that it has been several years since the patient had any difficulty with bed wetting,the nurse asks:
A) "Do you think this is related to the accident?"
B) "Do others in the family have this problem?"
C) "Does your child drink lots of fluids late at night?"
D) "Are there any stressful situations in your family?"
Q3) The student nurse who was terrified of giving an injection now gives many injections every shift.The change in the nurse is the result of ____________________.
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Page 56
Chapter 55: Psychiatric Disorders
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Sample Questions
Q1) A patient with bipolar disorder is being treated with tricyclic medications.As part of the patient teaching information concerning its side effects,the nurse tells the patient to expect:
A) Orthostatic hypotension
B) Hypercholesterolemia
C) Fatigue
D) Blurred vision
Q2) When the nurse asks questions like,"What day is today?" or "What time is it now?" the nurse is testing the patient's ____________________.
Q3) A patient who has a history of episodes of road rage thinks that she is a very good driver and does not understand why she keeps being told she is a poor driver.She is losing her license now,and she tells the nurse that she is feeling very unhappy and abandoned.She feels like she might hurt herself.The nurse realizes that the patient is exhibiting which personality disorder?
A) Narcissistic
B) Paranoid
C) Schizoid
D) Borderline
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Chapter 56: Substance-Related Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25286
Sample Questions
Q1) The nurse takes into consideration that alcohol abuse in the older adult may place them at risk for:
A) Falls
B) Malnutrition
C) Respiratory infections
D) Bone demineralization
E) Cirrhosis
Q2) In assisting with the development of a nursing care plan for a patient who has been using cocaine for 5 years,the nurse will include provisions to deal with:
A) Depression
B) Violent behavior
C) Nasal erosion
D) Suicide attempts
Q3) Substance abuse might be suspected in a patient who has a(n):
A) Abnormal liver function test and a gastrointestinal (GI) bleed.
B) Positive syphilis screen and varicose veins.
C) Fungal infection and a potassium level of 4.2. mEq/L.
D) Decreased albumin level and creatinine level of 1.2 mg/dl.
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