Adult Health Nursing Mock Exam - 1769 Verified Questions

Adult Health Nursing

Mock Exam

Course Introduction

Adult Health Nursing focuses on the comprehensive care of adult patients experiencing acute and chronic health conditions. This course encompasses the study of pathophysiology, patient assessment, pharmacology, and evidence-based interventions relevant to adult health. Emphasizing critical thinking, clinical decision-making, and patient-centered care, students learn to develop and implement individualized nursing care plans that promote health, facilitate recovery, and support adaptation to illness or disability. The course also addresses health promotion, patient education, interdisciplinary collaboration, and ethical issues in adult nursing practice.

Recommended Textbook

Medical Surgical Nursing 8th Edition by Ignatavicius

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74 Chapters

1769 Verified Questions

1769 Flashcards

Source URL: https://quizplus.com/study-set/814

Page 2

Chapter 1: Introduction to Medical Surgical Nursing Practice

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/16109

Sample Questions

Q1) A nurse is caring for a postoperative client on the surgical unit.The client's blood pressure was 142/76 mm Hg 30 minutes ago,and now is 88/50 mm Hg.What action by the nurse is best?

A) Call the Rapid Response Team.

B) Document and continue to monitor.

C) Notify the primary care provider.

D) Repeat blood pressure measurement in 15 minutes.

Answer: A

Q2) A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of competency.Which areas should the manager assess to determine if the nursing staff demonstrate competency according to the Institute of Medicine (IOM)report Health Professions Education: A Bridge to Quality? (Select all that apply.)

A) Collaborating with an interdisciplinary team

B) Implementing evidence-based care

C) Providing family-focused care

D) Routinely using informatics in practice

E) Using quality improvement in client care

Answer: A,B,D,E

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Chapter 2: Common Health Problems of Older Adults

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) A nurse is assessing coping in older women in a support group for recent widows.Which statement by a participant best indicates potential for successful coping?

A) "I have had the same best friend for decades."

B) "I think I am coping very well on my own."

C) "My kids come to see me every weekend."

D) "Oh, I have lots of friends at the senior center."

Answer: A

Q2) An older adult recently retired and reports "being depressed and lonely." What information should the nurse assess as a priority?

A) History of previous depression

B) Previous stressful events

C) Role of work in the adult's life

D) Usual leisure time activities

Answer: C

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Chapter 3: Assessment and Care of Patients with Pain

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35 Verified Questions

35 Flashcards

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Sample Questions

Q1) A client is to receive 4 mg morphine sulfate IV push.The pharmacy delivers 5 mg in a 2-mL vial.How much should the nurse administer for one dose? (Record your answer using a decimal rounded to the nearest tenth.)____ mL

Answer: 1.6 mL

11ea31fd_7a19_8127_ba5e_65121fc995d5_TB1139_00

5x = 8 mL

x = 1.6 mL

Q2) An emergency department (ED)manager wishes to start offering clients nonpharmacologic pain control methodologies as an adjunct to medication.Which strategy would be most successful with this client population?

A) Listening to music on a headset

B) Participating in biofeedback

C) Playing video games

D) Using guided imagery

Answer: A

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5

Chapter 4: Genetic and Genomic Concepts for Medical

Surgical Nursing

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) A nurse cares for a client who recently completed genetic testing that revealed that she has a BRCA1 gene mutation.Which actions should the nurse take next? (Select all that apply.)

A) Discuss potential risks for other members of her family.

B) Assist the client to make a plan for prevention and risk reduction.

C) Disclose the information to the medical insurance company.

D) Recommend the client complete weekly breast self-examinations.

E) Assess the client's response to the test results.

Q2) A nurse teaches clients about patterns of inheritance for genetic disorders among adults.Which disorders have an autosomal dominant pattern of inheritance? (Select all that apply.)

A) Breast cancer

B) Alzheimer's disease

C) Hemophilia

D) Huntington disease

E) Marfan syndrome

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Chapter 5: Evidence Based Practice in Medical Surgical

Nursing

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) A nurse manager educates staff nurses in the use of clinical practice guidelines.Which statement should the nurse include in this teaching?

A) "Clinical practice guidelines are implemented by The Joint Commission."

B) "Practice guidelines are based on hospital management staff's expertise."

C) "Clinical practice guidelines are official recommendations based on evidence."

D) "Practice guidelines allow for greater reimbursement from insurance companies."

Q2) A nurse wants to explore why clients who receive patient-controlled analgesia (PCA)after abdominal surgery ambulate sooner than clients who receive nurse-administered pain medications.Which action should the nurse take first?

A) Contact the medical center's clinical pharmacist.

B) Search the medical library for the best evidence.

C) Recommend PCA for all clients.

D) Appraise data obtained through client chart audits.

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Chapter 6: Rehabilitation Concepts for Chronic and Disabling Health Problems

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18 Flashcards

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Sample Questions

Q1) A nurse collaborates with an occupational therapist when providing care for a rehabilitation client.With which activities should the occupational therapist assist the client? (Select all that apply.)

A) Achieving mobility

B) Attaining independence with dressing

C) Using a walker in public

D) Learning techniques for transferring

E) Performing activities of daily living (ADLs)

Q2) A nurse teaches a client about performing intermittent self-catheterization.The client states,"I am not sure if I will be able to afford these catheters." How should the nurse respond?

A) "I will try to find out whether you qualify for money to purchase these necessary supplies."

B) "Even though it is expensive, the cost of taking care of urinary tract infections would be even higher."

C) "Instead of purchasing new catheters, you can boil the catheters and reuse them up to 10 times each."

D) "You can reuse the catheters at home.Clean technique, rather than sterile technique, is acceptable."

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Chapter 7: End of Life Care

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18 Flashcards

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Sample Questions

Q1) A hospice nurse is caring for a variety of clients who are dying.Which end-of-life and death ritual is paired with the correct religion?

A) Roman Catholic - Autopsies are not allowed except under special circumstances.

B) Christian - Upon death, a religious leader should perform rituals of bathing and wrapping the body in cloth.

C) Judaism - A person who is extremely ill and dying should not be left alone.

D) Islam - An ill or dying person should receive the Sacrament of the Sick.

Q2) A nurse plans care for a client who is nearing end of life.Which question should the nurse ask when developing this client's plan of care?

A) "Is your advance directive up to date and notarized?"

B) "Do you want to be at home at the end of your life?"

C) "Would you like a physical therapist to assist you with range-of-motion activities?"

D) "Have your children discussed resuscitation with your health care provider?"

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9

Chapter 8: Concepts of Emergency and Trauma Nursing

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) An emergency room nurse is triaging victims of a multi-casualty event.Which client should receive care first?

A) A 30-year-old distraught mother holding her crying child

B) A 65-year-old conscious male with a head laceration

C) A 26-year-old male who has pale, cool, clammy skin

D) A 48-year-old with a simple fracture of the lower leg

Q2) An emergency department nurse is caring for a client who is homeless.Which action should the nurse take to gain the client's trust?

A) Speak in a quiet and monotone voice.

B) Avoid eye contact with the client.

C) Listen to the client's concerns and needs.

D) Ask security to store the client's belongings.

Q3) An emergency room nurse assesses a client who has been raped.With which health care team member should the nurse collaborate when planning this client's care?

A) Emergency medicine physician

B) Case manager

C) Forensic nurse examiner

D) Psychiatric crisis nurse

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Chapter 9: Care of Patients with Common Environmental Emergencies

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) An emergency department nurse moves to a new city where heat-related illnesses are common.Which clients does the nurse anticipate being at higher risk for heat-related illnesses? (Select all that apply.)

A) Homeless individuals

B) Illicit drug users

C) White people

D) Hockey players

E) Older adults

Q2) An emergency department nurse cares for a middle-aged mountain climber who is confused and exhibits bizarre behaviors.After administering oxygen,which priority intervention should the nurse implement?

A) Administer dexamethasone (Decadron).

B) Complete a mini-mental state examination.

C) Prepare the client for computed tomography of the brain.

D) Request a psychiatric consult.

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Chapter 10: Concepts of Emergency and Disaster

Preparedness

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16 Verified Questions

16 Flashcards

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Sample Questions

Q1) A nurse triages clients arriving at the hospital after a mass casualty.Which clients are correctly classified? (Select all that apply.)

A) A 35-year-old female with severe chest pain: red tag

B) A 42-year-old male with full-thickness body burns: green tag

C) A 55-year-old female with a scalp laceration: black tag

D) A 60-year-old male with an open fracture with distal pulses: yellow tag

E) An 88-year-old male with shortness of breath and chest bruises: green tag

Q2) A hospital prepares for a mass casualty event.Which functions are correctly paired with the personnel role? (Select all that apply.)

A) Paramedic - Decides the number, acuity, and resource needs of clients

B) Hospital incident commander - Assumes overall leadership for implementing the emergency plan

C) Public information officer - Provides advanced life support during transportation to the hospital

D) Triage officer - Rapidly evaluates each client to determine priorities for treatment

E) Medical command physician - Serves as a liaison between the health care facility and the media

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Page 12

Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A nurse is assessing clients on a medical-surgical unit.Which adult client should the nurse identify as being at greatest risk for insensible water loss?

A) Client taking furosemide (Lasix)

B) Anxious client who has tachypnea

C) Client who is on fluid restrictions

D) Client who is constipated with abdominal pain

Q2) A nurse is assessing clients on a medical-surgical unit.Which client is at risk for hypokalemia?

A) Client with pancreatitis who has continuous nasogastric suctioning

B) Client who is prescribed an angiotensin-converting enzyme (ACE) inhibitor

C) Client in a motor vehicle crash who is receiving 6 units of packed red blood cells

D) Client with uncontrolled diabetes and a serum pH level of 7.33

Q3) A nurse is assessing clients for fluid and electrolyte imbalances.Which client should the nurse assess first for potential hyponatremia?

A) A 34-year-old on NPO status who is receiving intravenous D₅W

B) A 50-year-old with an infection who is prescribed a sulfonamide antibiotic

C) A 67-year-old who is experiencing pain and is prescribed ibuprofen (Motrin)

D) A 73-year-old with tachycardia who is receiving digoxin (Lanoxin)

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Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16120

Sample Questions

Q1) A nurse is assessing a client who has acute pancreatitis and is at risk for an acid-base imbalance.For which manifestation of this acid-base imbalance should the nurse assess?

A) Agitation

B) Kussmaul respirations

C) Seizures

D) Positive Chvostek's sign

Q2) A nurse is planning care for a client who is anxious and irritable.The client's arterial blood gas values are pH 7.30,PaO₂ 96 mm Hg,PaCO₂ 43 mm Hg,and HCO₃- 19 mEq/L.Which questions should the nurse ask the client and spouse when developing the plan of care? (Select all that apply.)

A) "Are you taking any antacid medications?"

B) "Is your spouse's current behavior typical?"

C) "Do you drink any alcoholic beverages?"

D) "Have you been experiencing any vomiting?"

E) "Are you experiencing any shortness of breath?"

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Page 14

Chapter 13: Infusion Therapy

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A nurse teaches a client who is being discharged home with a peripherally inserted central catheter (PICC).Which statement should the nurse include in this client's teaching?

A) "Avoid carrying your grandchild with the arm that has the central catheter."

B) "Be sure to place the arm with the central catheter in a sling during the day."

C) "Flush the peripherally inserted central catheter line with normal saline daily."

D) "You can use the arm with the central catheter for most activities of daily living."

Q2) A nurse assists with the insertion of a central vascular access device.Which actions should the nurse ensure are completed to prevent a catheter-related bloodstream infection? (Select all that apply.)

A) Include a review for the need of the device each day in the client's plan of care.

B) Remind the provider to perform hand hygiene prior to starting the procedure.

C) Cleanse the preferred site with alcohol and let it dry completely before insertion.

D) Ask everyone in the room to wear a surgical mask during the procedure.

E) Plan to complete a sterile dressing change on the device every day.

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15

Chapter 14: Care of Preoperative Patients

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27 Verified Questions

27 Flashcards

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Sample Questions

Q1) A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery.Which result warrants immediate communication with the surgical team?

A) Creatinine: 1.2 mg/dL

B) Hemoglobin: 14.8 mg/dL

C) Potassium: 2.9 mEq/L

D) Sodium: 134 mEq/L

Q2) An older client is hospitalized after an operation.When assessing the client for postoperative infection,the nurse places priority on which assessment?

A) Change in behavior

B) Daily white blood cell count

C) Presence of fever and chills

D) Tolerance of increasing activity

Q3) A client waiting for surgery is very anxious.What intervention can the nurse delegate to the unlicensed assistive personnel (UAP)?

A) Assess the client's anxiety.

B) Give the client a back rub.

C) Remind the client to turn.

D) Teach about postoperative care.

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16

Chapter 15: Care of Intraoperative Patients

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) A client is having robotic surgery.The circulating nurse observes the instruments being inserted,then the surgeon appears to "break scrub" when going to the console and sitting down.What action by the nurse is best?

A) Call a "time-out" to discuss sterile procedure and scrub technique.

B) Document the time the robotic portion of the procedure begins.

C) Inform the surgeon that the scrub preparation has been compromised.

D) Report the surgeon's actions to the charge nurse and unit manager.

Q2) The circulating nurse and preoperative nurse are reviewing the chart of a client scheduled for minimally invasive surgery (MIS).What information on the chart needs to be reported to the surgeon as a priority?

A) Allergies noted and allergy band on

B) Consent for MIS procedure only

C) No prior anesthesia exposure

D) NPO status for the last 8 hours

Q3) A client has developed malignant hyperthermia.The client weighs 136 pounds.What is the safe dose range for one dose of dantrolene sodium (Dantrium)? (Enter your answer using whole numbers,separated by a hyphen with no spaces.)_____ mg

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Page 17

Chapter 16: Care of Postoperative Patients

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21 Flashcards

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Sample Questions

Q1) A nurse answers a call light on the postoperative nursing unit.The client states there was a sudden gush of blood from the incision,and the nurse sees a blood spot on the sheet.What action should the nurse take first?

A) Assess the client's blood pressure.

B) Perform hand hygiene and apply gloves.

C) Reinforce the dressing with a clean one.

D) Remove the dressing to assess the wound.

Q2) A nurse orienting to the postoperative area learns which principles about the postoperative period? (Select all that apply.)

A) All phases require the client to be in the hospital.

B) Phase I care may last for several days in some clients.

C) Phase I requires intensive care unit monitoring.

D) Phase II ends when the client is stable and awake.

E) Vital signs may be taken only once a day in phase III.

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Chapter 17: Inflammation and Immunity

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) A student nurse is learning about the types of different cells involved in the inflammatory response.Which principles does the student learn? (Select all that apply.)

A) Basophils are only involved in the general inflammatory process.

B) Eosinophils increase during allergic reactions and parasitic invasion.

C) Macrophages can participate in many episodes of phagocytosis.

D) Monocytes turn into macrophages after they enter body tissues.

E) Neutrophils can only take part in one episode of phagocytosis.

Q2) A nurse is assessing a client for acute rejection of a kidney transplant.What assessment finding requires the most rapid communication with the provider?

A) Blood urea nitrogen (BUN) of 18 mg/dL

B) Cloudy, foul-smelling urine

C) Creatinine of 3.9 mg/dL

D) Urine output of 340 mL/8 hr

Q3) The nurse understands that which type of immunity is the longest acting?

A) Artificial active

B) Inflammatory

C) Natural active

D) Natural passive

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Chapter 18: Care of Patients with Arthritis and Other

Connective Tissue Diseases

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49 Verified Questions

49 Flashcards

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Sample Questions

Q1) What action by the perioperative nursing staff is most important to prevent surgical wound infection in a client having a total joint replacement?

A) Administer preoperative antibiotic as ordered.

B) Assess the client's white blood cell count.

C) Instruct the client to shower the night before.

D) Monitor the client's temperature postoperatively.

Q2) A nurse is working with a community group promoting healthy aging.What recommendation is best to help prevent osteoarthritis (OA)?

A) Avoid contact sports.

B) Get plenty of calcium.

C) Lose weight if needed.

D) Engage in weight-bearing exercise.

Q3) The nurse in the rheumatology clinic is assessing clients with rheumatoid arthritis (RA).Which client should the nurse see first?

A) Client taking celecoxib (Celebrex) and ranitidine (Zantac)

B) Client taking etanercept (Enbrel) with a red injection site

C) Client with a blood glucose of 190 mg/dL who is taking steroids

D) Client with a fever and cough who is taking tofacitinib (Xeljanz)

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Chapter 19: Care of Patients with HIV Disease and Other Immune Deficiencies

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) A client with human immune deficiency virus infection is hospitalized for an unrelated condition,and several medications are prescribed in addition to the regimen already being used.What action by the nurse is most important?

A) Consult with the pharmacy about drug interactions.

B) Ensure that the client understands the new medications.

C) Give the new drugs without considering the old ones.

D) Schedule all medications at standard times.

Q2) A client with HIV wasting syndrome has inadequate nutrition.What assessment finding by the nurse best indicates that goals have been met for this client problem?

A) Chooses high-protein food

B) Has decreased oral discomfort

C) Eats 90% of meals and snacks

D) Has a weight gain of 2 pounds/1 month

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Chapter

(Allergy)and Autoimmunity

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13 Verified Questions

13 Flashcards

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Sample Questions

Q1) A client with Sjögren's syndrome reports dry skin,eyes,mouth,and vagina.What nonpharmacologic comfort measure does the nurse suggest?

A) Frequent eyedrops

B) Home humidifier

C) Strong moisturizer

D) Tear duct plugs

Q2) A client calls the clinic to report exposure to poison ivy and an itchy rash that is not helped with over-the-counter antihistamines.What response by the nurse is most appropriate?

A) "Antihistamines do not help poison ivy."

B) "There are different antihistamines to try."

C) "You should be seen in the clinic right away."

D) "You will need to take some IV steroids."

Q3) The nurse is caring for clients on the medical-surgical unit.What action by the nurse will help prevent a client from having a type II hypersensitivity reaction?

A) Administering steroids for severe serum sickness

B) Correctly identifying the client prior to a blood transfusion

C) Keeping the client free of the offending agent

D) Providing a latex-free environment for the client

Page 22

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Chapter 21: Cancer Development

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) A nurse has taught a client about dietary changes that can reduce the chances of developing cancer.What statement by the client indicates the nurse needs to provide additional teaching?

A) "Foods high in vitamin A and vitamin C are important."

B) "I'll have to cut down on the amount of bacon I eat."

C) "I'm so glad I don't have to give up my juicy steaks."

D) "Vegetables, fruit, and high-fiber grains are important."

Q2) The nursing instructor explains the difference between normal cells and benign tumor cells.What information does the instructor provide about these cells?

A) Benign tumors grow through invasion of other tissue.

B) Benign tumors have lost their cellular regulation from contact inhibition.

C) Growing in the wrong place or time is typical of benign tumors.

D) The loss of characteristics of the parent cells is called anaplasia.

Q3) Which statement about carcinogenesis is accurate?

A) An initiated cell will always become clinical cancer.

B) Cancer becomes a health problem once it is 1 cm in size.

C) Normal hormones and proteins do not promote cancer growth.

D) Tumor cells need to develop their own blood supply.

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23

Chapter 22: Care of Patients with Cancer

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) A client with cancer is admitted to a short-term rehabilitation facility.The nurse prepares to administer the client's oral chemotherapy medications.What action by the nurse is most appropriate?

A) Crush the medications if the client cannot swallow them.

B) Give one medication at a time with a full glass of water.

C) No special precautions are needed for these medications.

D) Wear personal protective equipment when handling the medications.

Q2) A client is having a catheter placed in the femoral artery to deliver yttrium-90 beads into a liver tumor.What action by the nurse is most important?

A) Assessing the client's abdomen beforehand

B) Ensuring that informed consent is on the chart

C) Marking the client's bilateral pedal pulses

D) Reviewing client teaching done previously

Q3) A nurse works with clients who have alopecia from chemotherapy.What action by the nurse takes priority?

A) Helping clients adjust to their appearance

B) Reassuring clients that this change is temporary

C) Referring clients to a reputable wig shop

D) Teaching measures to prevent scalp injury

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Page 24

Chapter 23: Care of Patients with Infection

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) A client is admitted with possible sepsis.Which action should the nurse perform first?

A) Administer antibiotics.

B) Give an antipyretic.

C) Place the client in isolation.

D) Obtain specified cultures.

Q2) A client is admitted with fever,myalgia,and a papular rash on the face,palms,and soles of the feet.What action should the nurse take first?

A) Obtain cultures of the lesions.

B) Place the client on Airborne Precautions.

C) Prepare to administer antibiotics.

D) Provide comfort measures for the rash.

Q3) The nursing instructor explaining infection tells students that which factor is the best and most important barrier to infection?

A) Colonization by host bacteria

B) Gastrointestinal secretions

C) Inflammatory processes

D) Skin and mucous membranes

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Chapter 24: Assessment of the Skin, Hair, and Nails

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) A nurse assesses a client who has two skin lesions on his chest.Each lesion is the size of a nickel,flat,and darker in color than the client's skin.How should the nurse document these lesions?

A) Two 2-cm hyperpigmented patches

B) Two 1-inch erythematous plaques

C) Two 2-mm pigmented papules

D) Two 1-inch moles

Q2) A nurse teaches a client to perform total skin self-examinations on a monthly basis.Which statements should the nurse include in this client's teaching? (Select all that apply.)

A) "Look for asymmetry of shape and irregular borders."

B) "Assess for color variation within each lesion."

C) "Examine the distribution of lesions over a section of the body."

D) "Monitor for edema or swelling of tissues."

E) "Focus your assessment on skin areas that itch."

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Chapter 25: Care of Patients with Skin Problems

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16133

Sample Questions

Q1) A nurse assesses a wife who is caring for her husband.She has a Braden Scale score of 9.Which question should the nurse include in this assessment?

A) "Do you have a bedpan at home?"

B) "How are you coping with providing this care?"

C) "What are you doing to prevent pediculosis?"

D) "Are you sharing a bed with your husband?"

Q2) A nurse assesses clients on a medical-surgical unit.Which client is at greatest risk for pressure ulcer development?

A) A 44-year-old prescribed IV antibiotics for pneumonia

B) A 26-year-old who is bedridden with a fractured leg

C) A 65-year-old with hemi-paralysis and incontinence

D) A 78-year-old requiring assistance to ambulate with a walker

Q3) After teaching a client who is at risk for the formation of pressure ulcers,a nurse assesses the client's understanding.Which dietary choice by the client indicates a good understanding of the teaching?

A) Low-fat diet with whole grains and cereals and vitamin supplements

B) High-protein diet with vitamins and mineral supplements

C) Vegetarian diet with nutritional supplements and fish oil capsules

D) Low-fat, low-cholesterol, high-fiber, low-carbohydrate diet

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Page 27

Chapter 26: Care of Patients with Burns

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30 Flashcards

Source URL: https://quizplus.com/quiz/16134

Sample Questions

Q1) A nurse plans care for a client with burn injuries.Which interventions should the nurse include in this client's plan of care to ensure adequate nutrition? (Select all that apply.)

A) Provide at least 5000 kcal/day.

B) Start an oral diet on the first day.

C) Administer a diet high in protein.

D) Collaborate with a registered dietitian.

E) Offer frequent high-calorie snacks.

Q2) A nurse teaches a client being treated for a full-thickness burn.Which statement should the nurse include in this client's discharge teaching?

A) "You should change the batteries in your smoke detector once a year."

B) "Join a program that assists burn clients to reintegration into the community."

C) "I will demonstrate how to change your wound dressing for you and your family."

D) "Let me tell you about the many options available to you for reconstructive surgery."

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Chapter 27: Assessment of the Respiratory System

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16135

Sample Questions

Q1) A nurse is caring for a client who received benzocaine spray prior to a recent bronchoscopy.The client presents with continuous cyanosis even with oxygen therapy.Which action should the nurse take next?

A) Administer an albuterol treatment.

B) Notify the Rapid Response Team.

C) Assess the client's peripheral pulses.

D) Obtain blood and sputum cultures.

Q2) A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60-pack-year smoking history.Which action is most important for the nurse to take when interviewing this client?

A) Tell the client that he needs to quit smoking to stop further cancer development.

B) Encourage the client to be completely honest about both tobacco and marijuana use.

C) Maintain a nonjudgmental attitude to avoid causing the client to feel guilty.

D) Avoid giving the client false hope regarding cancer treatment and prognosis.

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Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16136

Sample Questions

Q1) A client has a tracheostomy tube in place.When the nurse suctions the client,food particles are noted.What action by the nurse is best?

A) Elevate the head of the client's bed.

B) Measure and compare cuff pressures.

C) Place the client on NPO status.

D) Request that the client have a swallow study.

Q2) A home health nurse is visiting a new client who uses oxygen in the home.For which factors does the nurse assess when determining if the client is using the oxygen safely? (Select all that apply.)

A) The client does not allow smoking in the house.

B) Electrical cords are in good working order.

C) Flammable liquids are stored in the garage.

D) Household light bulbs are the fluorescent type.

E) The client does not have pets inside the home.

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Chapter 29: Care of Patients with Noninfectious Upper

Respiratory

Problems

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16137

Sample Questions

Q1) A nurse assesses a client who is 6 hours post-surgery for a nasal fracture and has nasal packing in place.Which actions should the nurse take? (Select all that apply.)

A) Observe for clear drainage.

B) Assess for signs of bleeding.

C) Watch the client for frequent swallowing.

D) Ask the client to open his or her mouth.

E) Administer a nasal steroid to decrease edema.

Q2) A nurse is caring for a client who has sleep apnea and is prescribed modafinil (Provigil).The client asks,"How will this medication help me?" How should the nurse respond?

A) "This medication will treat your sleep apnea."

B) "This sedative will help you to sleep at night."

C) "This medication will promote daytime wakefulness."

D) "This analgesic will increase comfort while you sleep."

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Chapter 30: Care of Patients with Noninfectious Lower

Respiratory Problems

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/16138

Sample Questions

Q1) A nurse administers medications to a client who has asthma.Which medication classification is paired correctly with its physiologic response to the medication?

A) Bronchodilator - Stabilizes the membranes of mast cells and prevents the release of inflammatory mediators

B) Cholinergic antagonist - Causes bronchodilation by inhibiting the parasympathetic nervous system

C) Corticosteroid - Relaxes bronchiolar smooth muscles by binding to and activating pulmonary beta₂ receptors

D) Cromone - Disrupts the production of pathways of inflammatory mediators

Q2) A nurse is teaching a client who has cystic fibrosis (CF).Which statement should the nurse include in this client's teaching?

A) "Take an antibiotic each day."

B) "Contact your provider to obtain genetic screening."

C) "Eat a well-balanced, nutritious diet."

D) "Plan to exercise for 30 minutes every day."

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Chapter 31: Care of Patients with Infectious Respiratory Problems

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/16139

Sample Questions

Q1) A nurse is caring for several older clients in the hospital that the nurse identifies as being at high risk for healthcare-associated pneumonia.To reduce this risk,what activity should the nurse delegate to the unlicensed assistive personnel (UAP)?

A) Encourage between-meal snacks.

B) Monitor temperature every 4 hours.

C) Provide oral care every 4 hours.

D) Report any new onset of cough.

Q2) A nurse in a family practice clinic is preparing discharge instructions for a client reporting facial pain that is worse when bending over,tenderness across the cheeks,and postnasal discharge.What instruction will be most helpful?

A) "Ice packs may help with the facial pain."

B) "Limit fluids to dry out your sinuses."

C) "Try warm, moist heat packs on your face."

D) "We will schedule you for a computed tomography scan this week."

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Chapter 32: Care of Critically Ill Patients with Respiratory Problems

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16140

Sample Questions

Q1) A nurse is caring for a client who is on mechanical ventilation.What actions will promote comfort in this client? (Select all that apply.)

A) Allow visitors at the client's bedside.

B) Ensure the client can communicate if awake.

C) Keep the television tuned to a favorite channel.

D) Provide back and hand massages when turning.

E) Turn the client every 2 hours or more.

Q2) A nurse is caring for five clients.For which clients would the nurse assess a high risk for developing a pulmonary embolism (PE)? (Select all that apply.)

A) Client who had a reaction to contrast dye yesterday

B) Client with a new spinal cord injury on a rotating bed

C) Middle-aged man with an exacerbation of asthma

D) Older client who is 1-day post hip replacement surgery

E) Young obese client with a fractured femur

Q3) A 242-pound client is being mechanically ventilated.To prevent lung injury,what setting should the nurse anticipate for tidal volume? (Record your answer using a whole number.)___ mL

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Page 34

Chapter 33: Assessment of the Cardiovascular System

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/16141

Sample Questions

Q1) A nurse prepares a client for a pharmacologic stress echocardiogram.Which actions should the nurse take when preparing this client for the procedure? (Select all that apply.)

A) Assist the provider to place a central venous access device.

B) Prepare for continuous blood pressure and pulse monitoring.

C) Administer the client's prescribed beta blocker.

D) Give the client nothing by mouth 3 to 6 hours before the procedure.

E) Explain to the client that dobutamine will simulate exercise for this examination.

Q2) A nurse obtains the health history of a client who is newly admitted to the medical unit.Which statement by the client should alert the nurse to the presence of edema?

A) "I wake up to go to the bathroom at night."

B) "My shoes fit tighter by the end of the day."

C) "I seem to be feeling more anxious lately."

D) "I drink at least eight glasses of water a day."

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Chapter 34: Care of Patients with Dysrhythmias

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) After teaching a client who has an implantable cardioverter-defibrillator (ICD),a nurse assesses the client's understanding.Which statement by the client indicates a correct understanding of the teaching?

A) "I should wear a snug-fitting shirt over the ICD."

B) "I will avoid sources of strong electromagnetic fields."

C) "I should participate in a strenuous exercise program."

D) "Now I can discontinue my antidysrhythmic medication."

Q2) A nurse evaluates prescriptions for a client with chronic atrial fibrillation.Which medication should the nurse expect to find on this client's medication administration record to prevent a common complication of this condition?

A) Sotalol (Betapace)

B) Warfarin (Coumadin)

C) Atropine (Sal-Tropine)

D) Lidocaine (Xylocaine)

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Chapter 35: Care of Patients with Cardiac Problems

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/16143

Sample Questions

Q1) A nurse teaches a client recovering from a heart transplant who is prescribed cyclosporine (Sandimmune).Which statement should the nurse include in this client's discharge teaching?

A) "Use a soft-bristled toothbrush and avoid flossing."

B) "Avoid large crowds and people who are sick."

C) "Change positions slowly to avoid hypotension."

D) "Check your heart rate before taking the medication."

Q2) A nurse assesses a client who has mitral valve regurgitation.For which cardiac dysrhythmia should the nurse assess?

A) Preventricular contractions

B) Atrial fibrillation

C) Symptomatic bradycardia

D) Sinus tachycardia

Q3) A nurse assesses a client with pericarditis.Which assessment finding should the nurse expect to find?

A) Heart rate that speeds up and slows down

B) Friction rub at the left lower sternal border

C) Presence of a regular gallop rhythm

D) Coarse crackles in bilateral lung bases

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Page 37

Chapter 36: Care of Patients with Vascular Problems

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/16144

Sample Questions

Q1) A client is taking warfarin (Coumadin)and asks the nurse if taking St.John's wort is acceptable.What response by the nurse is best?

A) "No, it may interfere with the warfarin."

B) "There isn't any information about that."

C) "Why would you want to take that?"

D) "Yes, it is a good supplement for you."

Q2) A nurse is interested in providing community education and screening on hypertension.In order to reach a priority population,to what target audience should the nurse provide this service?

A) African-American churches

B) Asian-American groceries

C) High school sports camps

D) Women's health clinics

Q3) The nurse is reviewing the lipid panel of a male client who has atherosclerosis.Which finding is most concerning?

A) Cholesterol: 126 mg/dL

B) High-density lipoprotein cholesterol (HDL-C): 48 mg/dL

C) Low-density lipoprotein cholesterol (LDL-C): 122 mg/dL

D) Triglycerides: 198 mg/dL

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Page 38

Chapter 37: Care of Patients with Shock

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/16145

Sample Questions

Q1) A nurse caring for a client notes the following assessments: white blood cell count 3800/mm³,blood glucose level 198 mg/dL,and temperature 96.2° F (35.6° C).What action by the nurse takes priority?

A) Document the findings in the client's chart.

B) Give the client warmed blankets for comfort.

C) Notify the health care provider immediately.

D) Prepare to administer insulin per sliding scale.

Q2) A client is being discharged home after a large myocardial infarction and subsequent coronary artery bypass grafting surgery.The client's sternal wound has not yet healed.What statement by the client most indicates a higher risk of developing sepsis after discharge?

A) "All my friends and neighbors are planning a party for me."

B) "I hope I can get my water turned back on when I get home."

C) "I am going to have my daughter scoop the cat litter box."

D) "My grandkids are so excited to have me coming home!"

Q3) A client with severe sepsis has a serum lactate level of 6.2 mmol/L.The client weighs 250 pounds.To infuse the amount of fluid this client requires in 24 hours,at what rate does the nurse set the IV pump? (Record your answer using a whole number.)____ mL/hr

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Page 39

Chapter 38: Care of Patients with Acute Coronary Syndromes

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/16146

Sample Questions

Q1) A nursing student planning to teach clients about risk factors for coronary artery disease (CAD)would include which topics? (Select all that apply.)

A) Advanced age

B) Diabetes

C) Ethnic background

D) Medication use

E) Smoking

Q2) A client is in the preoperative holding area prior to an emergency coronary artery bypass graft (CABG).The client is yelling at family members and tells the doctor to "just get this over with" when asked to sign the consent form.What action by the nurse is best?

A) Ask the family members to wait in the waiting area.

B) Inform the client that this behavior is unacceptable.

C) Stay out of the room to decrease the client's stress levels.

D) Tell the client that anxiety is common and that you can help.

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Chapter 39: Assessment of the Hematologic System

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13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/16147

Sample Questions

Q1) A client is having a bone marrow biopsy and is extremely anxious.What action by the nurse is best?

A) Assess client fears and coping mechanisms.

B) Reassure the client this is a common test.

C) Sedate the client prior to the procedure.

D) Tell the client he or she will be asleep.

Q2) A student nurse learns that the spleen has several functions.What functions do they include? (Select all that apply.)

A) Breaks down hemoglobin

B) Destroys old or defective red blood cells (RBCs)

C) Forms vitamin K for clotting

D) Stores extra iron in ferritin

E) Stores platelets not circulating

Q3) A client is having a radioisotopic imaging scan.What action by the nurse is most important?

A) Assess the client for shellfish allergies.

B) Place the client on radiation precautions.

C) Sedate the client before the scan.

D) Teach the client about the procedure.

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Page 41

Chapter 40: Care of Patients with Hematologic Problems

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/16148

Sample Questions

Q1) The nurse is caring for a client with leukemia who has the priority problem of fatigue.What action by the client best indicates that an important goal for this problem has been met?

A) Doing activities of daily living (ADLs) using rest periods

B) Helping plan a daily activity schedule

C) Requesting a sleeping pill at night

D) Telling visitors to leave when fatigued

Q2) A client has Crohn's disease.What type of anemia is this client most at risk for developing?

A) Folic acid deficiency

B) Fanconi's anemia

C) Hemolytic anemia

D) Vitamin B₁₂ anemia

Q3) A client in sickle cell crisis is dehydrated and in the emergency department.The nurse plans to start an IV.Which fluid choice is best?

A) 0.45% normal saline

B) 0.9% normal saline

C) Dextrose 50% (D₅₀)

D) Lactated Ringer's solution

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Page 42

Chapter 41: Assessment of the Nervous System

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16149

Sample Questions

Q1) A nurse assesses an older client.Which assessment findings should the nurse identify as normal changes in the nervous system related to aging? (Select all that apply.)

A) Long-term memory loss

B) Slower processing time

C) Increased sensory perception

D) Decreased risk for infection

E) Change in sleep patterns

Q2) A nurse is caring for a client with a history of renal insufficiency who is scheduled for a computed tomography scan of the head with contrast medium.Which priority intervention should the nurse implement?

A) Educate the client about strict bedrest after the procedure.

B) Place an indwelling urinary catheter to closely monitor output.

C) Obtain a prescription for intravenous fluids.

D) Contact the provider to cancel the procedure.

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43

Chapter 42: Care of Patients with Problems of the Central

Nervous System: The Brain

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/16150

Sample Questions

Q1) A nurse assesses a client with Alzheimer's disease who is recently admitted to the hospital.Which psychosocial assessment should the nurse complete?

A) Assess religious and spiritual needs while in the hospital.

B) Identify the client's ability to perform self-care activities.

C) Evaluate the client's reaction to a change of environment.

D) Ask the client about relationships with family members.

Q2) A nurse is teaching a client who experiences migraine headaches and is prescribed a beta blocker.Which statement should the nurse include in this client's teaching?

A) "Take this drug only when you have prodromal symptoms indicating the onset of a migraine headache."

B) "Take this drug as ordered, even when feeling well, to prevent vascular changes associated with migraine headaches."

C) "This drug will relieve the pain during the aura phase soon after a headache has started."

D) "This medication will have no effect on your heart rate or blood pressure because you are taking it for migraines."

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Chapter 43: Care of Patients with Problems of the Central

Nervous System: The Spinal Cord

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16151

Sample Questions

Q1) A nurse assesses a client with early-onset multiple sclerosis (MS).Which clinical manifestation should the nurse expect to find?

A) Hyperresponsive reflexes

B) Excessive somnolence

C) Nystagmus

D) Heat intolerance

Q2) A nurse cares for a client who presents with an acute exacerbation of multiple sclerosis (MS).Which prescribed medication should the nurse prepare to administer?

A) Baclofen (Lioresal)

B) Interferon beta-1b (Betaseron)

C) Dantrolene sodium (Dantrium)

D) Methylprednisolone (Medrol)

Q3) A nurse plans care for a client with lower back pain from a work-related injury.Which intervention should the nurse include in this client's plan of care?

A) Encourage the client to stretch the back by reaching toward the toes.

B) Massage the affected area with ice twice a day.

C) Apply a heating pad for 20 minutes at least four times daily.

D) Advise the client to avoid warm baths or showers.

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Chapter 44: Care of Patients with Problems of the

Peripheral Nervous

System

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16152

Sample Questions

Q1) A client is taking long-term corticosteroids for myasthenia gravis.What teaching is most important?

A) Avoid large crowds and people who are ill.

B) Check blood sugars four times a day.

C) Use two forms of contraception.

D) Wear properly fitting socks and shoes.

Q2) A client with myasthenia gravis has the priority client problem of inadequate nutrition.What assessment finding indicates that the priority goal for this client problem has been met?

A) Ability to chew and swallow without aspiration

B) Eating 75% of meals and between-meal snacks

C) Intake greater than output 3 days in a row

D) Weight gain of 3 pounds in 1 month

Q3) An older client is hospitalized with Guillain-Barré syndrome.A family member tells the nurse the client is restless and seems confused.What action by the nurse is best?

A) Assess the client's oxygen saturation.

B) Check the medication list for interactions.

C) Place the client on a bed alarm.

D) Put the client on safety precautions.

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Chapter 45: Care of Critically Ill Patients with Neurologic Problems

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43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/16153

Sample Questions

Q1) A client has a brain abscess and is receiving phenytoin (Dilantin).The spouse questions the use of the drug,saying the client does not have a seizure disorder.What response by the nurse is best?

A) "Increased pressure from the abscess can cause seizures."

B) "Preventing febrile seizures with an abscess is important."

C) "Seizures always occur in clients with brain abscesses."

D) "This drug is used to sedate the client with an abscess."

Q2) A client is in the clinic for a follow-up visit after a moderate traumatic brain injury.The client's spouse is very frustrated,stating that the client's personality has changed and the situation is intolerable.What action by the nurse is best?

A) Explain that personality changes are common following brain injuries.

B) Ask the client why he or she is acting out and behaving differently.

C) Refer the client and spouse to a head injury support group.

D) Tell the spouse this is expected and he or she will have to learn to cope.

Q3) A client in the emergency department is having a stroke.The client weighs 225 pounds.After the initial bolus of t-Pa,at what rate should the nurse set the IV pump? (Record your answer using a decimal rounded to the nearest tenth.)____ mL/hr

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Page 47

Chapter 46: Assessment of the Eye and Vision

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10 Flashcards

Source URL: https://quizplus.com/quiz/16154

Sample Questions

Q1) The nursing student learns that age-related changes affect the eyes and vision.Which changes does this include? (Select all that apply.)

A) Decreased eye muscle tone

B) Development of arcus senilis

C) Increase in far point of near vision

D) Decrease in general color perception

E) Increase in point of near vision

Q2) A client presents to the emergency department reporting a foreign body in the eye.For what diagnostic testing should the nurse prepare the client?

A) Corneal staining

B) Fluorescein angiography

C) Ophthalmoscopy

D) Tonometry

Q3) A client's chart indicates anisocoria.For what should the nurse assess?

A) Difference in pupil size

B) Draining infection

C) Recent eye trauma

D) Tumor of the eyelid

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Chapter 47: Care of Patients with Eye and Vision Problems

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16155

Sample Questions

Q1) A client who is near blind is admitted to the hospital.What action by the nurse is most important?

A) Allow the client to feel his or her way around.

B) Let the client arrange objects on the bedside table.

C) Orient the client to the room using a focal point.

D) Speak loudly and slowing when talking to the client.

Q2) A client is in the preoperative holding area waiting for cataract surgery.The client says "Oh,yeah,I forgot to tell you that I take clopidogrel,or Plavix." What action by the nurse is most important?

A) Ask the client when the last dose was.

B) Check results of the prothrombin time (PT) and international normalized ratio (INR).

C) Document the information in the chart.

D) Notify the surgeon immediately.

Q3) A client has a foreign body in the eye.What action by the nurse takes priority?

A) Administering ordered antibiotics

B) Assessing the client's visual acuity

C) Obtaining consent for enucleation

D) Removing the object immediately

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Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/16156

Sample Questions

Q1) A client is going on a cruise but has had motion sickness in the past.What suggestion does the nurse make to this client?

A) Avoid alcohol on the cruise ship.

B) Change positions slowly on the ship.

C) Change your travel plans.

D) Try scopolamine (Transderm Scop).

Q2) A client with Ménière's disease is in the hospital when the client has an attack of this disorder.What action by the nurse takes priority?

A) Assess vital signs every 15 minutes.

B) Dim or turn off lights in the client's room.

C) Place the client in bed with the upper siderails up.

D) Provide a cool, wet cloth for the client's face.

Q3) A nurse is irrigating a client's ear when the client becomes nauseated.What action by the nurse is most appropriate for client comfort?

A) Have the client tilt the head back.

B) Re-position the client on the other side.

C) Slow the rate of the irrigation.

D) Stop the irrigation immediately.

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Chapter 49: Assessment of the Musculoskeletal System

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14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/16157

Sample Questions

Q1) The nurse is assessing four clients with musculoskeletal disorders.The nurse should assess the client with which laboratory result first?

A) Serum alkaline phosphatase (ALP): 108 units/L

B) Serum aspartate aminotransferase (AST): 26 units/L

C) Serum calcium: 10.2 mg/dL

D) Serum phosphorus: 2 mg/dL

Q2) A client is distressed at body changes related to kyphosis.What response by the nurse is best?

A) Ask the client to explain more about these feelings.

B) Explain that these changes are irreversible.

C) Offer to help select clothes to hide the deformity.

D) Tell the client safety is more important than looks.

Q3) A client had an arthroscopy 1 hour ago on the left knee.The nurse finds the left lower leg to be pale and cool,with 1+/4+ pedal pulses.What action by the nurse is best?

A) Assess the neurovascular status of the right leg.

B) Document the findings in the client's chart.

C) Elevate the left leg on at least two pillows.

D) Notify the provider of the findings immediately.

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Chapter 50: Care of Patients with Musculoskeletal Problems

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/16158

Sample Questions

Q1) The nurse sees several clients with osteoporosis.For which client would bisphosphonates not be a good option?

A) Client with diabetes who has a serum creatinine of 0.8 mg/dL

B) Client who recently fell and has vertebral compression fractures

C) Hypertensive client who takes calcium channel blockers

D) Client with a spinal cord injury who cannot tolerate sitting up

Q2) A client in a nursing home refuses to take medications.She is at high risk for osteomalacia.What action by the nurse is best?

A) Ensure the client gets 15 minutes of sun exposure daily.

B) Give the client daily vitamin D injections.

C) Hide vitamin D supplements in favorite foods.

D) Plan to serve foods naturally high in vitamin D.

Q3) A client is suspected to have muscular dystrophy.About what diagnostic testing does the nurse educate the client? (Select all that apply.)

A) Electromyography

B) Muscle biopsy

C) Nerve conduction studies

D) Serum aldolase

E) Serum creatinine kinase

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Page 52

Chapter 51: Care of Patients with Musculoskeletal Trauma

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Sample Questions

Q1) A nurse cares for a client who had a long-leg cast applied last week.The client states,"I cannot seem to catch my breath and I feel a bit light-headed." Which action should the nurse take next?

A) Auscultate the client's lung fields anteriorly and posteriorly.

B) Administer oxygen to keep saturations greater than 92%.

C) Check the client's blood glucose level.

D) Ask the client to take deep breaths.

Q2) A nurse plans care for a client who is recovering from open reduction and internal fixation (ORIF)surgery for a right hip fracture.Which interventions should the nurse include in this client's plan of care? (Select all that apply.)

A) Elevate heels off the bed with a pillow.

B) Ambulate the client on the first postoperative day.

C) Push the client's patient-controlled analgesia button.

D) Re-position the client every 2 hours.

E) Use pillows to encourage subluxation of the hip.

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53

Chapter 52: Assessment of the Gastrointestinal System

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Source URL: https://quizplus.com/quiz/16160

Sample Questions

Q1) A client presents to the family practice clinic reporting a week of watery,somewhat bloody diarrhea.The nurse assists the client to obtain a stool sample.What action by the nurse is most important?

A) Ask the client about recent exposure to illness.

B) Assess the client's stool for obvious food particles.

C) Include the date and time on the specimen container.

D) Put on gloves prior to collecting the sample.

Q2) The nurse working with clients who have gastrointestinal problems knows that which laboratory values are related to what organ dysfunctions? (Select all that apply.)

A) Alanine aminotransferase: biliary system

B) Ammonia: liver

C) Amylase: liver

D) Lipase: pancreas

E) Urine urobilinogen: stomach

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Chapter 53: Care of Patients with Oral Cavity Problems

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Source URL: https://quizplus.com/quiz/16161

Sample Questions

Q1) The nurse reads a client's chart and sees that the health care provider assessed mucosal erythroplasia.What should the nurse understand that this means for the client?

A) Early sign of oral cancer

B) Fungal mouth infection

C) Inflammation of the gums

D) Obvious oral tumor

Q2) The nurse is caring for a client with sialadenitis.What comfort measures may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

A) Applying warm compresses

B) Massaging salivary glands

C) Offering fluids every hour

D) Providing lemon-glycerin swabs

E) Reminding the client to avoid speaking

Q3) A client has a large oral tumor.What assessment by the nurse takes priority?

A) Airway

B) Breathing

C) Circulation

D) Nutrition

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Chapter 54: Care of Patients with Esophageal Problems

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Sample Questions

Q1) A nurse is teaching clients with gastroesophageal reflux disease (GERD)about foods to avoid.Which foods should the nurse include in the teaching? (Select all that apply.)

A) Chocolate

B) Decaffeinated coffee

C) Citrus fruits

D) Peppermint

E) Tomato sauce

Q2) A client is 1 day postoperative after having Zenker's diverticula removed.The client has a nasogastric (NG)tube to suction,and for the last 4 hours there has been no drainage.There are no specific care orders for the NG tube in place.What action by the nurse is most appropriate?

A) Document the findings as normal.

B) Irrigate the NG tube with sterile saline.

C) Notify the surgeon about this finding.

D) Remove and reinsert the NG tube.

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Chapter 55: Care of Patients with Stomach Disorders

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23 Verified Questions

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Source URL: https://quizplus.com/quiz/16163

Sample Questions

Q1) A client had an upper gastrointestinal hemorrhage and now has a nasogastric (NG)tube.What comfort measure may the nurse delegate to the unlicensed assistive personnel (UAP)?

A) Lavaging the tube with ice water

B) Performing frequent oral care

C) Re-positioning the tube every 4 hours

D) Taking and recording vital signs

Q2) A client is being taught about drug therapy for Helicobacter pylori infection.What assessment by the nurse is most important?

A) Alcohol intake of 1 to 2 drinks per week

B) Family history of H.pylori infection

C) Former smoker still using nicotine patches

D) Willingness to adhere to drug therapy

Q3) A nurse is teaching a client about magnesium hydroxide with aluminum hydroxide (Maalox).What instruction is most appropriate?

A) "Aspirin must be avoided."

B) "Do not worry about black stools."

C) "Report diarrhea to your provider."

D) "Take 1 hour before meals."

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Page 57

Chapter 56: Care of Patients with Noninflammatory

Intestinal Disorders

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16164

Sample Questions

Q1) A nurse plans care for a client who has chronic diarrhea.Which actions should the nurse include in this client's plan of care? (Select all that apply.)

A) Using premoistened disposable wipes for perineal care

B) Turning the client from right to left every 2 hours

C) Using an antibacterial soap to clean after each stool

D) Applying a barrier cream to the skin after cleaning

E) Keeping broken skin areas open to air to promote healing

Q2) A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds and notes the presence of visible peristaltic waves.Which action should the nurse take?

A) Ask if the client is experiencing pain in the right shoulder.

B) Perform a rectal examination and assess for polyps.

C) Contact the provider and recommend computed tomography.

D) Administer a laxative to increase bowel movement activity.

Q3) A nurse prepares to administer 12 mg/kg of 5-fluorouracil chemotherapy intravenously to a client who has colon cancer.The client weights 132 lb.How many milligrams should the nurse administer? (Record your answer using a whole number.)_____ mg

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Chapter 57: Care of Patients with Inflammatory Intestinal Disorders

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16165

Sample Questions

Q1) After teaching a client who is prescribed adalimumab (Humira)for severe ulcerative colitis,the nurse assesses the client's understanding.Which statement made by the client indicates a need for additional teaching?

A) "I will avoid large crowds and people who are sick."

B) "I will take this medication with my breakfast each morning."

C) "Nausea and vomiting are common side effects of this drug."

D) "I must wash my hands after I play with my dog."

Q2) A nurse cares for a client with ulcerative colitis.The client states,"I feel like I am tied to the toilet.This disease is controlling my life." How should the nurse respond?

A) "Let's discuss potential factors that increase your symptoms."

B) "If you take the prescribed medications, you will no longer have diarrhea."

C) "To decrease distress, do not eat anything before you go out."

D) "You must retake control of your life.I will consult a therapist to help."

Q3) A nurse cares for a client who is prescribed 5 mg/kg of infliximab (Remicade)intravenously.The client weighs 110 lbs and the pharmacy supplies infliximab 100 mg/10 mL solution.How many milliliters should the nurse administer to this client? (Record your answer using a whole number.)____ mL

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Page 59

Chapter 58: Care of Patients with Liver Problems

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/16166

Sample Questions

Q1) A nurse assesses a client who is prescribed an infusion of vasopressin (Pitressin)for bleeding esophageal varices.Which clinical manifestation should alert the nurse to a serious adverse effect?

A) Nausea and vomiting

B) Frontal headache

C) Vertigo and syncope

D) Mid-sternal chest pain

Q2) A nurse assesses a client who has liver disease.Which laboratory findings should the nurse recognize as potentially causing complications of this disorder? (Select all that apply.)

A) Elevated aspartate transaminase

B) Elevated international normalized ratio (INR)

C) Decreased serum globulin levels

D) Decreased serum alkaline phosphatase

E) Elevated serum ammonia

F) Elevated prothrombin time (PT)

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Chapter 59: Care of Patients with Problems of the Biliary

System and Pancreas

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/16167

Sample Questions

Q1) A nurse prepares to assess the emotional state of a client with end-stage pancreatic cancer.Which action should the nurse take first?

A) Bring the client to a quiet room for privacy.

B) Pull up a chair and sit next to the client's bed.

C) Determine whether the client feels like talking about his or her feelings.

D) Review the health care provider's notes about the prognosis for the client.

Q2) A nurse cares for a client with pancreatic cancer who is prescribed implanted radioactive iodine seeds.Which actions should the nurse take when caring for this client? (Select all that apply.)

A) Dispose of dirty linen in a red "biohazard" bag.

B) Place the client in a private room.

C) Wear a lead apron when providing client care.

D) Bundle care to minimize exposure to the client.

E) Initiate Transmission-Based Precautions.

Q3) A nurse cares for a client with acute pancreatitis who is prescribed gentamicin (Garamycin)3 mg/kg/day in 3 divided doses.The client weighs 264 lb.How many milligrams should the nurse administer for each dose? (Record your answer using a whole number.)____ mg/dose

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Chapter 60: Care of Patients with Malnutrition:

Undernutrition and Obesity

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/16168

Sample Questions

Q1) A client is awaiting bariatric surgery in the morning.What action by the nurse is most important?

A) Answering questions the client has about surgery

B) Beginning venous thromboembolism prophylaxis

C) Informing the client that he or she will be out of bed tomorrow

D) Teaching the client about needed dietary changes

Q2) A client having a tube feeding begins vomiting.What action by the nurse is most appropriate?

A) Administer an antiemetic.

B) Check the client's gastric residual.

C) Hold the feeding until the nausea subsides.

D) Reduce the rate of the tube feeding by half.

Q3) A nurse attempted to assist a morbidly obese client back to bed and had immediate pain in the lower back.What action by the nurse is most appropriate?

A) Ask another nurse to help next time.

B) Demand better equipment to use.

C) Fill out and file a variance report.

D) Refuse to assist the client again.

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Chapter 61: Assessment of the Endocrine System

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Source URL: https://quizplus.com/quiz/16169

Sample Questions

Q1) A nurse assesses a client diagnosed with adrenal hypofunction.Which client statement should the nurse correlate with this diagnosis?

A) "I have a terrible craving for potato chips."

B) "I cannot seem to drink enough water."

C) "I no longer have an appetite for anything."

D) "I get hungry even after eating a meal."

Q2) A nurse assesses a client who is prescribed a medication that stimulates beta₁ receptors.Which assessment finding should alert the nurse to urgently contact the health care provider?

A) Heart rate of 50 beats/min

B) Respiratory rate of 18 breaths/min

C) Oxygenation saturation of 92%

D) Blood pressure of 144/69 mm Hg

Q3) A nurse cares for a client with excessive production of thyrocalcitonin (calcitonin).For which electrolyte imbalance should the nurse assess?

A) Potassium

B) Sodium

C) Calcium

D) Magnesium

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Page 63

Chapter 62: Care of Patients with Pituitary and Adrenal

Gland Problems

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) A nurse assesses a client who is recovering from a transsphenoidal hypophysectomy.The nurse notes nuchal rigidity.Which action should the nurse take first?

A) Encourage range-of-motion exercises.

B) Document the finding and monitor the client.

C) Take vital signs, including temperature.

D) Assess pain and administer pain medication.

Q2) A nurse cares for a client after a pituitary gland stimulation test using insulin.The client's post-stimulation laboratory results indicate elevated levels of growth hormone (GH)and adrenocorticotropic hormone (ACTH).How should the nurse interpret these results?

A) Pituitary hypofunction

B) Pituitary hyperfunction

C) Pituitary-induced diabetes mellitus

D) Normal pituitary response to insulin

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64

Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16171

Sample Questions

Q1) A nurse assesses a client who is recovering from a subtotal thyroidectomy.On the second postoperative day the client states,"I feel numbness and tingling around my mouth." What action should the nurse take?

A) Offer mouth care.

B) Loosen the dressing.

C) Assess for Chvostek's sign.

D) Ask the client orientation questions.

Q2) A nurse plans care for a client with hypothyroidism.Which priority problem should the nurse plan to address first for this client?

A) Heat intolerance

B) Body image problems

C) Depression and withdrawal

D) Obesity and water retention

Q3) A nurse assesses clients for potential endocrine disorders.Which client is at greatest risk for hyperparathyroidism?

A) A 29-year-old female with pregnancy-induced hypertension

B) A 41-year-old male receiving dialysis for end-stage kidney disease

C) A 66-year-old female with moderate heart failure

D) A 72-year-old male who is prescribed home oxygen therapy

Page 65

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Chapter 64: Care of Patients with Diabetes Mellitus

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Sample Questions

Q1) A nurse teaches a client who is prescribed an insulin pump.Which statement should the nurse include in this client's discharge education?

A) "Test your urine daily for ketones."

B) "Use only buffered insulin in your pump."

C) "Store the insulin in the freezer until you need it."

D) "Change the needle every 3 days."

Q2) A nurse assesses a client who has a 15-year history of diabetes and notes decreased tactile sensation in both feet.Which action should the nurse take first?

A) Document the finding in the client's chart.

B) Assess tactile sensation in the client's hands.

C) Examine the client's feet for signs of injury.

D) Notify the health care provider.

Q3) A nurse reviews the laboratory results of a client who is receiving intravenous insulin.Which should alert the nurse to intervene immediately?

A) Serum chloride level of 98 mmol/L

B) Serum calcium level of 8.8 mg/dL

C) Serum sodium level of 132 mmol/L

D) Serum potassium level of 2.5 mmol/L

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Chapter 65: Assessment of the Renal/Urinary System

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23 Flashcards

Source URL: https://quizplus.com/quiz/16173

Sample Questions

Q1) A nurse prepares a client for a percutaneous kidney biopsy.Which actions should the nurse take prior to this procedure? (Select all that apply.)

A) Keep the client NPO for 4 to 6 hours.

B) Obtain coagulation study results.

C) Maintain strict bedrest in a supine position.

D) Assess for blood in the client's urine.

E) Administer antihypertensive medications.

Q2) A nurse contacts the health care provider after reviewing a client's laboratory results and noting a blood urea nitrogen (BUN)of 35 mg/dL and a creatinine of 1.0 mg/dL.For which action should the nurse recommend a prescription?

A) Intravenous fluids

B) Hemodialysis

C) Fluid restriction

D) Urine culture and sensitivity

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Chapter 66: Care of Patients with Urinary Problems

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/16174

Sample Questions

Q1) A nurse assesses a male client who is recovering from a urologic procedure.Which assessment finding indicates an obstruction of urine flow?

A) Severe pain

B) Overflow incontinence

C) Hypotension

D) Blood-tinged urine

Q2) After teaching a client with bacterial cystitis who is prescribed phenazopyridine (Pyridium),the nurse assesses the client's understanding.Which statement made by the client indicates a correct understanding of the teaching?

A) "I will not take this drug with food or milk."

B) "If I think I am pregnant, I will stop the drug."

C) "An orange color in my urine should not alarm me."

D) "I will drink two glasses of cranberry juice daily."

Q3) A nurse assesses a client who presents with renal calculi.Which question should the nurse ask?

A) "Do any of your family members have this problem?"

B) "Do you drink any cranberry juice?"

C) "Do you urinate after sexual intercourse?"

D) "Do you experience burning with urination?"

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Page 68

Chapter 67: Care of Patients with Kidney Disorders

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Sample Questions

Q1) A nurse cares for a client who has pyelonephritis.The client states,"I am embarrassed to talk about my symptoms." How should the nurse respond?

A) "I am a professional.Your symptoms will be kept in confidence."

B) "I understand.Elimination is a private topic and shouldn't be discussed."

C) "Take your time.It is okay to use words that are familiar to you."

D) "You seem anxious.Would you like a nurse of the same gender to care for you?"

Q2) A nurse cares for a middle-aged female client with diabetes mellitus who is being treated for the third episode of acute pyelonephritis in the past year.The client asks,"What can I do to help prevent these infections?" How should the nurse respond?

A) "Test your urine daily for the presence of ketone bodies and proteins."

B) "Use tampons rather than sanitary napkins during your menstrual period."

C) "Drink more water and empty your bladder more frequently during the day."

D) "Keep your hemoglobin A1c under 9% by keeping your blood sugar controlled."

Q3) An emergency department nurse cares for a client who is severely dehydrated and is prescribed 3 L of intravenous fluid over 6 hours.At what rate (mL/hr)should the nurse set the intravenous pump to infuse the fluids? (Record your answer using a whole number.)____ mL/hr

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Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease

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Sample Questions

Q1) A client with chronic kidney disease states,"I feel chained to the hemodialysis machine." What is the nurse's best response to the client's statement?

A) "That feeling will gradually go away as you get used to the treatment."

B) "You probably need to see a psychiatrist to see if you are depressed."

C) "Do you need help from social services to discuss financial aid?"

D) "Tell me more about your feelings regarding hemodialysis treatment."

Q2) A male client with chronic kidney disease (CKD)is refusing to take his medication and has missed two hemodialysis appointments.What is the best initial action for the nurse?

A) Discuss what the treatment regimen means to him.

B) Refer the client to a mental health nurse practitioner.

C) Reschedule the appointments to another date and time.

D) Discuss the option of peritoneal dialysis.

Q3) A client is having a peritoneal dialysis treatment.The nurse notes an opaque color to the effluent.What is the priority action by the nurse?

A) Warm the dialysate solution in a microwave before instillation.

B) Take a sample of the effluent and send to the laboratory.

C) Flush the tubing with normal saline to maintain patency of the catheter.

D) Check the peritoneal catheter for kinking and curling.

Page 70

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Chapter 69: Assessment of the Reproductive System

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Source URL: https://quizplus.com/quiz/16177

Sample Questions

Q1) A 72-year-old woman is being assessed by the nurse for an annual physical.Which finding is of concern to the nurse?

A) Thinning of pubic hair

B) Increased size of the uterus

C) Decreased size of the clitoris

D) Loss of tone of the pelvic ligaments

Q2) A nurse and unlicensed assistive personnel (UAP)are helping a client during a hysterosalpingogram.Which action by the nurse is best delegated to the UAP?

A) Witnessing of the consent form

B) Assisting the client into a lithotomy position

C) Asking about allergies to iodine or shellfish

D) Assessing for pelvic or shoulder pain after the study

Q3) The nurse is developing a teaching plan for a client who is scheduled for her first Papanicolaou test.What instruction by the nurse is the most accurate?

A) "The timing of the Pap smear does not matter."

B) "Sexual intercourse will not interfere with the results."

C) "Results can be interpreted immediately in the office."

D) "Results are best if you do not douche 24 hours before the test."

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Chapter 70: Care of Patients with Breast Disorders

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22 Flashcards

Source URL: https://quizplus.com/quiz/16178

Sample Questions

Q1) Which finding in a female client by the nurse would receive the highest priority of further diagnostics?

A) Tender moveable masses throughout the breast tissue

B) A 3-cm firm, defined mobile mass in the lower quadrant of the breast

C) Nontender immobile mass in the upper outer quadrant of the breast

D) Small, painful mass under warm reddened skin

Q2) During dressing changes,the nurse assesses a client who has had breast reconstruction.Which finding would cause the nurse to take immediate action?

A) Slightly reddened incisional area

B) Blood pressure of 128/75 mm Hg

C) Temperature of 99° F (37.2° C)

D) Dusky color of the flap

Q3) A client states that she rates her pain as a "5" on a 0-to-10 scale post-mastectomy.The provider has ordered morphine 4 mg for moderate pain every 4 hours.The morphine is supplied in a solution of 8 mg/mL.How many mL will the nurse administer? ____ mL

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Chapter 71: Care of Patients with Gynecologic Problems

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21 Flashcards

Source URL: https://quizplus.com/quiz/16179

Sample Questions

Q1) A client is scheduled to start external beam radiation therapy (EBRT)for her endometrial cancer.Which teaching by the nurse is accurate? (Select all that apply.)

A) "You will need to be hospitalized during this therapy."

B) "Your skin needs to be inspected daily for any breakdown."

C) "It is not wise to stay out in the sun for long periods of time."

D) "The perineal area may become damaged with the radiation."

E) "The technician applies new site markings before each treatment."

Q2) The nurse is taking the history of a 24-year-old client diagnosed with cervical cancer.What possible risk factors would the nurse assess? (Select all that apply.)

A) Smoking

B) Multiple sexual partners

C) Poor diet

D) Nulliparity

E) Younger than 18 at first intercourse

Q3) A client who had a hysterectomy has a 200-mg dose of ciprofloxacin (Cipro)ordered to infuse in 30 minutes.At what rate should the nurse infuse the medication if the pharmacy provides 200 mg in a 100-mL bag of normal saline? (Record your answer using a whole number.)___ mL/hr

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Chapter 72: Care of Patients with Male Reproductive

Problems

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Source URL: https://quizplus.com/quiz/16180

Sample Questions

Q1) The nurse is teaching an uncircumcised 65-year-old client about self-management of a urinary catheter in preparation for discharge to his home.What statement indicates a lack of understanding by the client?

A) "I only have to wash the outside of the catheter once a week."

B) "I should take extra time to clean the catheter site by pushing the foreskin back."

C) "The drainage bag needs to be changed at least once a week and as needed."

D) "I should pour a solution of vinegar and water through the tubing and bag."

Q2) A client is interested in learning about the risk factors for prostate cancer.Which factors does the nurse include in the teaching? (Select all that apply.)

A) Family history of prostate cancer

B) Smoking

C) Obesity

D) Advanced age

E) Eating too much red meat

F) Race

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Chapter 73: Care of Transgender Patients

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Source URL: https://quizplus.com/quiz/16181

Sample Questions

Q1) A nurse is reviewing the chart of a new client in the family medicine clinic and notes the client is identified as "George Smith." The nurse enters the room and finds a woman in a skirt.What action by the nurse is best?

A) Apologize and declare confusion about the client.

B) Ask Mrs.Smith where her husband is right now.

C) Ask the client about preferred forms of address.

D) Explain that the chart must contain an error.

Q2) A client is preparing for gender reassignment surgery and will transition from male to female.The client is worried about the voice not sounding feminine enough.What action by the nurse is best?

A) Ask if the client has considered vocal cord surgery to change the voice.

B) Refer the client for vocal therapy with speech-language pathology.

C) Teach the client that there will be no effect on the client's voice.

D) Tell the client that the use of hormones will eventually change the voice.

Q3) After a vaginoplasty,what instruction by the nurse is most important?

A) "Avoid vaginal douching to prevent infection."

B) "Do not have sexual intercourse for at least 6 months."

C) "Use oil-based lubricants with the vaginal dilators."

D) "You must dilate the vagina several times a day for months."

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Page 75

Chapter 74: Care of Patients with Sexually Transmitted Diseases

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Source URL: https://quizplus.com/quiz/16182

Sample Questions

Q1) A primary care clinic sees some clients with sexually transmitted diseases.Which clients would the nurse be required to report to the local authority in every state,according to the Centers for Disease Control and Prevention? (Select all that apply.)

A) Client with Chlamydia

B) Woman with gonorrhea

C) Man with syphilis

D) Client with human immune deficiency virus

E) Female with pelvic inflammatory disease

Q2) A nurse is assessing a client who presents with a scaly rash over the palms and soles of the feet and the feeling of muscle aches and malaise.The nurse suspects syphilis.Which action by the nurse is appropriate?

A) Reassure the client that this stage is not infectious unless she is pregnant.

B) Assess the client for hearing loss and generalized weakness.

C) Don gloves and further assess the client's lesions.

D) Take a history regarding any cardiovascular symptoms.

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